{"reporting_entity_name":"Zelis","reporting_entity_type":"Third-party","last_updated_on":"2025-03-31","version":"v1.2.0","out_of_network": [{"billing_code":"0005U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ONCO PRST8 3 GENE UR ALG","allowed_amounts":[{"tin":{"type":"ein","value":"800191640"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":581.40,"providers":[{"billed_charge":995.00,"npi":[1538543731]}]}]}]},{"billing_code":"00100","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH SALIVARY GLAND","allowed_amounts":[{"tin":{"type":"ein","value":"264440864"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":272.86,"providers":[{"billed_charge":1050.00,"npi":[1548401789]}]}]}]},{"billing_code":"00103","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH BLEPHAROPLASTY","allowed_amounts":[{"tin":{"type":"ein","value":"561109834"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":231.93,"providers":[{"billed_charge":315.00,"npi":[1285767129]}]},{"allowed_amount":270.00,"providers":[{"billed_charge":270.00,"npi":[1285767129]}]},{"allowed_amount":315.00,"providers":[{"billed_charge":315.00,"npi":[1407960354]}]}]},{"tin":{"type":"ein","value":"561983542"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":311.84,"providers":[{"billed_charge":1280.00,"npi":[1538171897]}]}]},{"tin":{"type":"ein","value":"900726649"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":265.06,"providers":[{"billed_charge":1200.00,"npi":[1073807376]}]}]}]},{"billing_code":"00104","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH ELECTROSHOCK","allowed_amounts":[{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":545.72,"providers":[{"billed_charge":600.00,"npi":[1346649415]}]}]}]},{"billing_code":"00120","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH EAR SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"273818647"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":175.87,"providers":[{"billed_charge":1005.00,"npi":[1275992240]}]},{"allowed_amount":183.75,"providers":[{"billed_charge":1050.00,"npi":[1275992240]}]}]}]},{"billing_code":"00126","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH TYMPANOTOMY","allowed_amounts":[{"tin":{"type":"ein","value":"264440864"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":272.86,"providers":[{"billed_charge":450.00,"npi":[1548401789]}]},{"allowed_amount":292.35,"providers":[{"billed_charge":375.00,"npi":[1548401789]}]}]},{"tin":{"type":"ein","value":"352201623"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":350.82,"providers":[{"billed_charge":500.00,"npi":[1609833474]}]},{"allowed_amount":370.31,"providers":[{"billed_charge":500.00,"npi":[1609833474]}]},{"allowed_amount":409.29,"providers":[{"billed_charge":600.00,"npi":[1609833474]}]},{"allowed_amount":448.27,"providers":[{"billed_charge":600.00,"npi":[1609833474]}]}]}]},{"billing_code":"0012M","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ONC MRNA 5 GEN RSK URTHL CA","allowed_amounts":[{"tin":{"type":"ein","value":"454281331"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":580.40,"providers":[{"billed_charge":2995.00,"npi":[1710253596]}]}]}]},{"billing_code":"0013M","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ONC MRNA 5 GEN RECR URTHL CA","allowed_amounts":[{"tin":{"type":"ein","value":"454281331"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":684.00,"providers":[{"billed_charge":2995.00,"npi":[1710253596]}]}]}]},{"billing_code":"00140","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH PROCEDURES ON EYE","allowed_amounts":[{"tin":{"type":"ein","value":"900726649"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":430.73,"providers":[{"billed_charge":1950.00,"npi":[1073807376]}]}]}]},{"billing_code":"00142","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH LENS SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"463022321"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":504.00,"providers":[{"billed_charge":504.00,"npi":[1497187678]}]}]},{"tin":{"type":"ein","value":"463474862"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":397.50,"providers":[{"billed_charge":800.00,"npi":[1427486430]}]},{"allowed_amount":412.50,"providers":[{"billed_charge":700.00,"npi":[1427486430]}]},{"allowed_amount":442.50,"providers":[{"billed_charge":700.00,"npi":[1427486430]}]},{"allowed_amount":457.50,"providers":[{"billed_charge":900.00,"npi":[1427486430]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":1015.00,"npi":[1346649415]}]},{"allowed_amount":526.23,"providers":[{"billed_charge":870.00,"npi":[1346649415]}]},{"allowed_amount":545.72,"providers":[{"billed_charge":870.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"541520656"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":665.00,"providers":[{"billed_charge":665.00,"npi":[1063583722]}]}]},{"tin":{"type":"ein","value":"541982898"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":350.00,"providers":[{"billed_charge":350.00,"npi":[1245502913]}]}]},{"tin":{"type":"ein","value":"560585243"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":112.50,"providers":[{"billed_charge":225.00,"npi":[1528704004]}]},{"allowed_amount":126.00,"providers":[{"billed_charge":252.00,"npi":[1528704004]}]},{"allowed_amount":135.00,"providers":[{"billed_charge":270.00,"npi":[1528704004]}]},{"allowed_amount":136.43,"providers":[{"billed_charge":315.00,"npi":[1528704004]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":155.92,"providers":[{"billed_charge":652.09,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"560962697"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":198.80,"providers":[{"billed_charge":1698.00,"npi":[1437286291]}]}]},{"tin":{"type":"ein","value":"561109834"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":270.00,"providers":[{"billed_charge":270.00,"npi":[1285767129]}]},{"allowed_amount":315.00,"providers":[{"billed_charge":315.00,"npi":[1285767129]}]},{"allowed_amount":360.00,"providers":[{"billed_charge":360.00,"npi":[1285767129,1407960354]}]}]},{"tin":{"type":"ein","value":"561983542"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":584.70,"providers":[{"billed_charge":800.00,"npi":[1538171897]}]},{"allowed_amount":701.64,"providers":[{"billed_charge":800.00,"npi":[1538171897]}]}]},{"tin":{"type":"ein","value":"566011594"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":329.00,"providers":[{"billed_charge":329.00,"npi":[1497986509]}]},{"allowed_amount":376.00,"providers":[{"billed_charge":376.00,"npi":[1497986509]}]},{"allowed_amount":506.74,"providers":[{"billed_charge":567.00,"npi":[1942478383]}]},{"allowed_amount":565.21,"providers":[{"billed_charge":648.00,"npi":[1942478383]}]}]},{"tin":{"type":"ein","value":"570860993"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":213.84,"providers":[{"billed_charge":525.00,"npi":[1417928268]}]}]},{"tin":{"type":"ein","value":"821221585"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":660.00,"providers":[{"billed_charge":660.00,"npi":[1508391129]}]}]},{"tin":{"type":"ein","value":"873158173"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":201.91,"providers":[{"billed_charge":1981.00,"npi":[1194488791]}]}]},{"tin":{"type":"ein","value":"900726649"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":629.53,"providers":[{"billed_charge":900.00,"npi":[1073807376]}]}]}]},{"billing_code":"00144","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH CORNEAL TRANSPLANT","allowed_amounts":[{"tin":{"type":"ein","value":"561983542"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":428.78,"providers":[{"billed_charge":1760.00,"npi":[1538171897]}]}]}]},{"billing_code":"00160","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH NOSE/SINUS SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"264440864"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":155.92,"providers":[{"billed_charge":600.00,"npi":[1548401789]}]},{"allowed_amount":175.41,"providers":[{"billed_charge":675.00,"npi":[1548401789]}]},{"allowed_amount":233.88,"providers":[{"billed_charge":900.00,"npi":[1548401789]}]},{"allowed_amount":487.25,"providers":[{"billed_charge":525.00,"npi":[1548401789]}]}]},{"tin":{"type":"ein","value":"760022581"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":313.36,"providers":[{"billed_charge":1400.00,"npi":[1174612857]}]}]}]},{"billing_code":"00170","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH PROCEDURE ON MOUTH","allowed_amounts":[{"tin":{"type":"ein","value":"250815795"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":307.40,"providers":[{"billed_charge":1229.60,"npi":[1245246644]}]}]},{"tin":{"type":"ein","value":"264440864"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":525.00,"npi":[1548401789]}]},{"allowed_amount":155.92,"providers":[{"billed_charge":600.00,"npi":[1548401789]}]},{"allowed_amount":448.27,"providers":[{"billed_charge":525.00,"npi":[1548401789]}]},{"allowed_amount":487.25,"providers":[{"billed_charge":525.00,"npi":[1548401789]}]},{"allowed_amount":525.00,"providers":[{"billed_charge":525.00,"npi":[1548401789]}]}]},{"tin":{"type":"ein","value":"352201623"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":155.92,"providers":[{"billed_charge":800.00,"npi":[1609833474]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":175.41,"providers":[{"billed_charge":694.85,"npi":[1710923875]}]},{"allowed_amount":214.39,"providers":[{"billed_charge":876.58,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":246.12,"providers":[{"billed_charge":1325.00,"npi":[1972554186]}]},{"allowed_amount":251.77,"providers":[{"billed_charge":694.00,"npi":[1972554186]}]},{"allowed_amount":527.40,"providers":[{"billed_charge":1010.00,"npi":[1972554186]}]},{"allowed_amount":555.20,"providers":[{"billed_charge":694.00,"npi":[1972554186]}]}]},{"tin":{"type":"ein","value":"562112733"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":214.39,"providers":[{"billed_charge":704.00,"npi":[1801874102]}]}]},{"tin":{"type":"ein","value":"570877232"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":174.96,"providers":[{"billed_charge":2556.00,"npi":[1750336079]}]},{"allowed_amount":194.40,"providers":[{"billed_charge":2840.00,"npi":[1750336079]},{"billed_charge":2850.00,"npi":[1750336079]}]}]},{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":325.00,"providers":[{"billed_charge":650.00,"npi":[1528195864]}]}]},{"tin":{"type":"ein","value":"921496164"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":177.72,"providers":[{"billed_charge":267.00,"npi":[1083721906]}]}]},{"tin":{"type":"ein","value":"931395509"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":179.16,"providers":[{"billed_charge":183.00,"npi":[1487345344]}]},{"allowed_amount":183.00,"providers":[{"billed_charge":183.00,"npi":[1487345344]}]}]}]},{"billing_code":"00190","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH FACE/SKULL BONE SURG","allowed_amounts":[{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":261.25,"providers":[{"billed_charge":1045.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":228.54,"providers":[{"billed_charge":1323.00,"npi":[1972554186]}]}]},{"tin":{"type":"ein","value":"630649108"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1950.00,"providers":[{"billed_charge":3900.00,"npi":[1093768723]}]}]}]},{"billing_code":"0026U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ONC THYR DNA&MRNA 112 GENES","allowed_amounts":[{"tin":{"type":"ein","value":"320098824"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2433.60,"providers":[{"billed_charge":4056.00,"npi":[1205834769]}]}]}]},{"billing_code":"00300","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH HEAD/NECK/PTRUNK","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":175.41,"providers":[{"billed_charge":2226.59,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561802491"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":350.82,"providers":[{"billed_charge":1350.00,"npi":[1386753457]}]}]},{"tin":{"type":"ein","value":"743194587"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":331.33,"providers":[{"billed_charge":1000.00,"npi":[1801086558]}]}]},{"tin":{"type":"ein","value":"760725938"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":253.37,"providers":[{"billed_charge":1188.00,"npi":[1790784999]}]}]}]},{"billing_code":"00320","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH NECK ORGAN 1YR/>","allowed_amounts":[{"tin":{"type":"ein","value":"562101090"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":194.90,"providers":[{"billed_charge":750.00,"npi":[1700864980]}]}]},{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":225.00,"providers":[{"billed_charge":450.00,"npi":[1528195864]}]}]},{"tin":{"type":"ein","value":"832102939"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":265.06,"providers":[{"billed_charge":1890.00,"npi":[1427528595]},{"billed_charge":2160.00,"npi":[1427528595]}]},{"allowed_amount":298.20,"providers":[{"billed_charge":2640.00,"npi":[1427528595]},{"billed_charge":3360.00,"npi":[1427528595]}]},{"allowed_amount":331.33,"providers":[{"billed_charge":3360.00,"npi":[1427528595]}]}]},{"tin":{"type":"ein","value":"842920375"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":265.06,"providers":[{"billed_charge":2880.00,"npi":[1326669508]}]}]}]},{"billing_code":"00400","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH SKIN EXT/PER/ATRUNK","allowed_amounts":[{"tin":{"type":"ein","value":"264440864"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":375.00,"providers":[{"billed_charge":375.00,"npi":[1548401789]}]}]},{"tin":{"type":"ein","value":"330695244"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":409.40,"providers":[{"billed_charge":1650.00,"npi":[1962513770]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":214.39,"providers":[{"billed_charge":1595.00,"npi":[1346649415]}]},{"allowed_amount":623.68,"providers":[{"billed_charge":4640.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"566011594"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":329.00,"npi":[1497986509]},{"billed_charge":567.00,"npi":[1942478383]}]}]},{"tin":{"type":"ein","value":"621098942"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":138.56,"providers":[{"billed_charge":756.40,"npi":[1417994872]},{"billed_charge":1678.80,"npi":[1417994872]}]}]}]},{"billing_code":"00402","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH SURGERY OF BREAST","allowed_amounts":[{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":214.39,"providers":[{"billed_charge":1595.00,"npi":[1346649415]}]},{"allowed_amount":331.33,"providers":[{"billed_charge":2465.00,"npi":[1346649415]}]},{"allowed_amount":350.82,"providers":[{"billed_charge":2610.00,"npi":[1346649415]}]}]}]},{"billing_code":"00410","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH CORRECT HEART RHYTHM","allowed_amounts":[{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":409.29,"providers":[{"billed_charge":870.00,"npi":[1346649415]}]}]}]},{"billing_code":"0042T","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category III","description":"CT PERFUSION W/CONTRAST CBF","allowed_amounts":[{"tin":{"type":"ein","value":"311571290"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":141.40,"providers":[{"billed_charge":202.00,"npi":[1811996960]}]}]},{"tin":{"type":"ein","value":"620963389"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":191.60,"providers":[{"billed_charge":282.00,"npi":[1386698710]}]}]}]},{"billing_code":"0042T","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT PERFUSION W/CONTRAST CBF","allowed_amounts":[{"tin":{"type":"ein","value":"550525724"},"billing_class":"institutional","payments":[{"allowed_amount":2099.50,"providers":[{"billed_charge":2210.00,"npi":[1184606600]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":608.25,"providers":[{"billed_charge":811.00,"npi":[1942294814]}]}]}]},{"billing_code":"00450","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH SURGERY OF SHOULDER","allowed_amounts":[{"tin":{"type":"ein","value":"570860993"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":311.04,"providers":[{"billed_charge":1785.00,"npi":[1417928268]},{"billed_charge":3400.00,"npi":[1417928268]}]}]},{"tin":{"type":"ein","value":"570877232"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":291.60,"providers":[{"billed_charge":4260.00,"npi":[1750336079]}]}]}]},{"billing_code":"0047U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ONC PRST8 MRNA 17 GENE ALG","allowed_amounts":[{"tin":{"type":"ein","value":"470916074"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3253.32,"providers":[{"billed_charge":4520.00,"npi":[1720359698]}]}]}]},{"billing_code":"00520","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH CHEST PROCEDURE","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":418.83,"providers":[{"billed_charge":881.76,"npi":[1609915784]}]},{"allowed_amount":453.74,"providers":[{"billed_charge":955.24,"npi":[1609915784]}]}]}]},{"billing_code":"00520","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Anesthesia","description":"ANESTH CHEST PROCEDURE","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":892.78,"providers":[{"billed_charge":911.00,"npi":[1548212988]}]}]}]},{"billing_code":"00520","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"ANESTH CHEST PROCEDURE","allowed_amounts":[{"tin":{"type":"ein","value":"217981300"},"billing_class":"institutional","payments":[{"allowed_amount":130.39,"providers":[{"billed_charge":330.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"362179813"},"billing_class":"institutional","payments":[{"allowed_amount":76.46,"providers":[{"billed_charge":330.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"621798130"},"billing_class":"institutional","payments":[{"allowed_amount":143.35,"providers":[{"billed_charge":330.00,"npi":[1831151257]}]}]}]},{"billing_code":"00532","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH VASCULAR ACCESS","allowed_amounts":[{"tin":{"type":"ein","value":"934613514"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":231.93,"providers":[{"billed_charge":2148.00,"npi":[1043080732]}]}]}]},{"billing_code":"00541","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH ONE LUNG VENTILATION","allowed_amounts":[{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":467.76,"providers":[{"billed_charge":3625.00,"npi":[1346649415]}]}]}]},{"billing_code":"00562","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH HRT SURG W/PMP AGE 1+","allowed_amounts":[{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":428.78,"providers":[{"billed_charge":3313.90,"npi":[1710923875]}]}]}]},{"billing_code":"00567","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH CABG W/PUMP","allowed_amounts":[{"tin":{"type":"ein","value":"541441839"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":1425.24,"providers":[{"billed_charge":5400.00,"npi":[1013910330]}]}]}]},{"billing_code":"0060U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"TWN ZYG GEN SEQ ALYS CHRMS2","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":4100.00,"npi":[1558672279]}]}]}]},{"billing_code":"00630","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH SPINE CORD SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"452049114"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":622.08,"providers":[{"billed_charge":1520.00,"npi":[1194018242]}]}]},{"tin":{"type":"ein","value":"560962697"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":272.86,"providers":[{"billed_charge":3962.00,"npi":[1437286291]},{"billed_charge":3976.00,"npi":[1144259961]}]}]},{"tin":{"type":"ein","value":"561983542"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":740.62,"providers":[{"billed_charge":3040.00,"npi":[1538171897]}]}]},{"tin":{"type":"ein","value":"861276942"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1950.00,"providers":[{"billed_charge":1950.00,"npi":[1700474244]}]}]}]},{"billing_code":"00635","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH LUMBAR PUNCTURE","allowed_amounts":[{"tin":{"type":"ein","value":"273818647"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":85.75,"providers":[{"billed_charge":490.00,"npi":[1275992240]}]},{"allowed_amount":671.30,"providers":[{"billed_charge":959.00,"npi":[1275992240]}]},{"allowed_amount":767.20,"providers":[{"billed_charge":1096.00,"npi":[1275992240]}]}]},{"tin":{"type":"ein","value":"530196580"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":733.25,"providers":[{"billed_charge":1490.00,"npi":[1093972960]}]}]}]},{"billing_code":"00670","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH SPINE CORD SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":565.21,"providers":[{"billed_charge":4205.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":760.11,"providers":[{"billed_charge":4233.24,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"873158173"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":874.94,"providers":[{"billed_charge":7358.00,"npi":[1194488791]}]}]},{"tin":{"type":"ein","value":"932693306"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":472.08,"providers":[{"billed_charge":4320.00,"npi":[1205518792]},{"billed_charge":5280.00,"npi":[1205518792]}]}]}]},{"billing_code":"00731","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANES UPR GI NDSC PX NOS","allowed_amounts":[{"tin":{"type":"ein","value":"020536959"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":525.00,"providers":[{"billed_charge":525.00,"npi":[1073772612]}]}]},{"tin":{"type":"ein","value":"030605164"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":298.20,"providers":[{"billed_charge":630.00,"npi":[1073891008]}]}]},{"tin":{"type":"ein","value":"201628793"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":179.27,"providers":[{"billed_charge":1050.00,"npi":[1942300298]}]},{"allowed_amount":535.50,"providers":[{"billed_charge":900.00,"npi":[1942300298]}]}]},{"tin":{"type":"ein","value":"202557036"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":385.00,"providers":[{"billed_charge":385.00,"npi":[1740238435]}]}]},{"tin":{"type":"ein","value":"264440864"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":292.35,"providers":[{"billed_charge":450.00,"npi":[1548401789]}]}]},{"tin":{"type":"ein","value":"270002042"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":750.00,"providers":[{"billed_charge":1500.00,"npi":[1497797153]}]}]},{"tin":{"type":"ein","value":"341768928"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":103.50,"providers":[{"billed_charge":828.00,"npi":[1720220098]}]}]},{"tin":{"type":"ein","value":"352201623"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.24,"providers":[{"billed_charge":800.00,"npi":[1609833474]}]}]},{"tin":{"type":"ein","value":"352201623"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":800.00,"providers":[{"billed_charge":800.00,"npi":[1609833474]}]}]},{"tin":{"type":"ein","value":"352201623"},"billing_class":"professional","service_code":["22","24"],"payments":[{"allowed_amount":700.00,"providers":[{"billed_charge":700.00,"npi":[1609833474]},{"billed_charge":700.00,"npi":[1609833474]}]}]},{"tin":{"type":"ein","value":"460568790"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":267.51,"providers":[{"billed_charge":2000.00,"npi":[1568717247]}]}]},{"tin":{"type":"ein","value":"461722068"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":596.39,"providers":[{"billed_charge":720.00,"npi":[1396083820]}]}]},{"tin":{"type":"ein","value":"462252385"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":1428.00,"npi":[1164765723]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":1015.00,"npi":[1346649415]},{"billed_charge":700.00,"npi":[1346649415]},{"billed_charge":1015.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"541855514"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":316.72,"providers":[{"billed_charge":1600.00,"npi":[1720181514]}]}]},{"tin":{"type":"ein","value":"560510824"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":155.92,"providers":[{"billed_charge":560.00,"npi":[1548335581]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":149.66,"providers":[{"billed_charge":149.66,"npi":[1710923875]}]},{"allowed_amount":155.92,"providers":[{"billed_charge":416.91,"npi":[1710923875]},{"billed_charge":438.29,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":203.11,"providers":[{"billed_charge":203.11,"npi":[1710923875]}]},{"allowed_amount":224.49,"providers":[{"billed_charge":224.49,"npi":[1710923875]}]},{"allowed_amount":235.18,"providers":[{"billed_charge":235.18,"npi":[1710923875]}]},{"allowed_amount":245.87,"providers":[{"billed_charge":245.87,"npi":[1710923875]}]},{"allowed_amount":277.94,"providers":[{"billed_charge":277.94,"npi":[1710923875]}]},{"allowed_amount":363.46,"providers":[{"billed_charge":363.46,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":497.00,"providers":[{"billed_charge":887.33,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"562029099"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":420.00,"providers":[{"billed_charge":420.00,"npi":[1699723791]}]}]},{"tin":{"type":"ein","value":"570623155"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":805.00,"providers":[{"billed_charge":805.00,"npi":[1376595520]}]}]},{"tin":{"type":"ein","value":"582338025"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1356.40,"providers":[{"billed_charge":1595.76,"npi":[1528068673]}]}]},{"tin":{"type":"ein","value":"610841763"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":311.60,"providers":[{"billed_charge":1080.00,"npi":[1174513246]}]}]},{"tin":{"type":"ein","value":"611854483"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":231.93,"providers":[{"billed_charge":2400.00,"npi":[1639698533]}]}]},{"tin":{"type":"ein","value":"621348249"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":757.97,"providers":[{"billed_charge":947.46,"npi":[1770578270]}]}]},{"tin":{"type":"ein","value":"640587163"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":345.51,"providers":[{"billed_charge":828.00,"npi":[1407890783]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":540.00,"providers":[{"billed_charge":600.00,"npi":[1225246812]}]}]},{"tin":{"type":"ein","value":"813425340"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":695.79,"providers":[{"billed_charge":900.00,"npi":[1194277186]}]}]},{"tin":{"type":"ein","value":"832102939"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":198.80,"providers":[{"billed_charge":1620.00,"npi":[1427528595]}]},{"allowed_amount":231.93,"providers":[{"billed_charge":1620.00,"npi":[1427528595]},{"billed_charge":1680.00,"npi":[1427528595]},{"billed_charge":2160.00,"npi":[1427528595]}]},{"allowed_amount":265.06,"providers":[{"billed_charge":1890.00,"npi":[1427528595]},{"billed_charge":2160.00,"npi":[1427528595]},{"billed_charge":2640.00,"npi":[1427528595]}]}]},{"tin":{"type":"ein","value":"842920375"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":231.93,"providers":[{"billed_charge":1890.00,"npi":[1326669508]},{"billed_charge":2640.00,"npi":[1326669508]}]}]},{"tin":{"type":"ein","value":"850735608"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":137.69,"providers":[{"billed_charge":840.00,"npi":[1114545431]}]},{"allowed_amount":420.00,"providers":[{"billed_charge":840.00,"npi":[1114545431]}]}]},{"tin":{"type":"ein","value":"851223796"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":198.80,"providers":[{"billed_charge":1440.00,"npi":[1114544996]}]},{"allowed_amount":530.13,"providers":[{"billed_charge":1440.00,"npi":[1114544996]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":380.00,"providers":[{"billed_charge":800.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"873158173"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":269.21,"providers":[{"billed_charge":2264.00,"npi":[1194488791]}]}]},{"tin":{"type":"ein","value":"932693306"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":354.06,"providers":[{"billed_charge":1540.00,"npi":[1205518792]}]}]},{"tin":{"type":"ein","value":"991864879"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":1000.00,"npi":[1669231452]}]}]}]},{"billing_code":"00731","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Anesthesia","description":"ANES UPR GI NDSC PX NOS","allowed_amounts":[{"tin":{"type":"ein","value":"264827222"},"billing_class":"institutional","payments":[{"allowed_amount":1174.45,"providers":[{"billed_charge":1415.00,"npi":[1609189604]}]}]}]},{"billing_code":"00732","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANES UPR GI NDSC PX ERCP","allowed_amounts":[{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":175.41,"providers":[{"billed_charge":1305.00,"npi":[1346649415]},{"billed_charge":1305.00,"npi":[1346649415]}]}]}]},{"billing_code":"00752","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH REPAIR OF HERNIA","allowed_amounts":[{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":175.41,"providers":[{"billed_charge":1305.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"560585243"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":331.33,"providers":[{"billed_charge":765.00,"npi":[1528704004]}]}]},{"tin":{"type":"ein","value":"562112733"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":233.88,"providers":[{"billed_charge":768.00,"npi":[1801874102]}]}]}]},{"billing_code":"00790","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH SURG UPPER ABDOMEN","allowed_amounts":[{"tin":{"type":"ein","value":"201442673"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":311.84,"providers":[{"billed_charge":464.00,"npi":[1205996519]}]}]},{"tin":{"type":"ein","value":"264212452"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":321.30,"providers":[{"billed_charge":1512.00,"npi":[1093947236]}]},{"allowed_amount":392.70,"providers":[{"billed_charge":1848.00,"npi":[1093947236]}]}]},{"tin":{"type":"ein","value":"273818647"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":1127.00,"providers":[{"billed_charge":1610.00,"npi":[1275992240]}]}]},{"tin":{"type":"ein","value":"461634378"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":554.26,"providers":[{"billed_charge":1400.00,"npi":[1518205004]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":409.29,"providers":[{"billed_charge":2100.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":214.39,"providers":[{"billed_charge":1595.00,"npi":[1346649415]}]},{"allowed_amount":253.37,"providers":[{"billed_charge":1300.00,"npi":[1346649415]}]},{"allowed_amount":272.86,"providers":[{"billed_charge":2030.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"540526857"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":479.78,"providers":[{"billed_charge":479.78,"npi":[1255380697]}]}]},{"tin":{"type":"ein","value":"560585243"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":233.88,"providers":[{"billed_charge":585.00,"npi":[1528704004]}]},{"allowed_amount":331.33,"providers":[{"billed_charge":765.00,"npi":[1528704004]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":272.86,"providers":[{"billed_charge":1079.69,"npi":[1710923875]},{"billed_charge":1090.38,"npi":[1710923875]}]},{"allowed_amount":292.35,"providers":[{"billed_charge":1218.66,"npi":[1710923875]}]},{"allowed_amount":409.29,"providers":[{"billed_charge":2319.73,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"561272769"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":467.76,"providers":[{"billed_charge":2504.40,"npi":[1538124201]}]}]},{"tin":{"type":"ein","value":"561748928"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":604.19,"providers":[{"billed_charge":7309.00,"npi":[1396739884]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":604.19,"providers":[{"billed_charge":4342.80,"npi":[1992754758]}]},{"allowed_amount":667.92,"providers":[{"billed_charge":3401.45,"npi":[1992754758]}]},{"allowed_amount":1700.72,"providers":[{"billed_charge":3401.45,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"562101090"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":214.39,"providers":[{"billed_charge":825.00,"npi":[1700864980]}]},{"allowed_amount":233.88,"providers":[{"billed_charge":900.00,"npi":[1700864980]}]},{"allowed_amount":253.37,"providers":[{"billed_charge":975.00,"npi":[1700864980]}]}]},{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":390.00,"providers":[{"billed_charge":800.00,"npi":[1528195864]}]}]},{"tin":{"type":"ein","value":"621098942"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":514.67,"providers":[{"billed_charge":2728.05,"npi":[1417994872]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":712.50,"providers":[{"billed_charge":1500.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"873158173"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":874.94,"providers":[{"billed_charge":7358.00,"npi":[1194488791]}]}]}]},{"billing_code":"00792","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH HEMORR/EXCISE LIVER","allowed_amounts":[{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":584.70,"providers":[{"billed_charge":4350.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":1091.44,"providers":[{"billed_charge":7845.06,"npi":[1992754758]}]}]}]},{"billing_code":"00797","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH SURGERY FOR OBESITY","allowed_amounts":[{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":487.25,"providers":[{"billed_charge":3625.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":604.19,"providers":[{"billed_charge":4495.00,"npi":[1346649415]}]}]}]},{"billing_code":"00800","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH ABDOMINAL WALL SURG","allowed_amounts":[{"tin":{"type":"ein","value":"850709838"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":160.00,"providers":[{"billed_charge":2547.00,"npi":[1356968952]},{"billed_charge":2556.00,"npi":[1356968952]}]}]}]},{"billing_code":"00811","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANES LWR INTST NDSC NOS","allowed_amounts":[{"tin":{"type":"ein","value":"020536959"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":198.80,"providers":[{"billed_charge":525.00,"npi":[1073772612]}]}]},{"tin":{"type":"ein","value":"030605164"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":420.00,"providers":[{"billed_charge":420.00,"npi":[1073891008]}]}]},{"tin":{"type":"ein","value":"201628793"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":446.25,"providers":[{"billed_charge":750.00,"npi":[1942300298]}]}]},{"tin":{"type":"ein","value":"202935692"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":388.80,"providers":[{"billed_charge":864.00,"npi":[1992396048]}]}]},{"tin":{"type":"ein","value":"352201623"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":198.80,"providers":[{"billed_charge":600.00,"npi":[1609833474]}]},{"allowed_amount":231.93,"providers":[{"billed_charge":700.00,"npi":[1609833474]},{"billed_charge":800.00,"npi":[1609833474]}]},{"allowed_amount":265.06,"providers":[{"billed_charge":800.00,"npi":[1609833474]}]},{"allowed_amount":700.00,"providers":[{"billed_charge":700.00,"npi":[1609833474]}]}]},{"tin":{"type":"ein","value":"352201623"},"billing_class":"professional","service_code":["22","24"],"payments":[{"allowed_amount":600.00,"providers":[{"billed_charge":600.00,"npi":[1609833474]},{"billed_charge":600.00,"npi":[1609833474]}]}]},{"tin":{"type":"ein","value":"453091179"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":500.00,"providers":[{"billed_charge":500.00,"npi":[1437436102]}]}]},{"tin":{"type":"ein","value":"460568790"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":234.07,"providers":[{"billed_charge":1500.00,"npi":[1568717247]},{"billed_charge":2000.00,"npi":[1568717247]}]}]},{"tin":{"type":"ein","value":"461072010"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":198.80,"providers":[{"billed_charge":1428.00,"npi":[1265785281]}]}]},{"tin":{"type":"ein","value":"471757725"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":900.00,"providers":[{"billed_charge":900.00,"npi":[1083002026]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":395.53,"npi":[1710923875]}]},{"allowed_amount":299.32,"providers":[{"billed_charge":299.32,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"561335864"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":375.00,"providers":[{"billed_charge":375.00,"npi":[1124052444]}]}]},{"tin":{"type":"ein","value":"562101090"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":600.00,"npi":[1700864980]}]}]},{"tin":{"type":"ein","value":"611854483"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":198.80,"providers":[{"billed_charge":1350.00,"npi":[1639698533]},{"billed_charge":1920.00,"npi":[1639698533]},{"billed_charge":2160.00,"npi":[1639698533]}]}]},{"tin":{"type":"ein","value":"621348249"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":873.53,"providers":[{"billed_charge":1091.91,"npi":[1770578270]}]}]},{"tin":{"type":"ein","value":"640587163"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":345.51,"providers":[{"billed_charge":828.00,"npi":[1407890783]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":540.00,"providers":[{"billed_charge":600.00,"npi":[1225246812]}]}]},{"tin":{"type":"ein","value":"832102939"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":198.80,"providers":[{"billed_charge":1350.00,"npi":[1427528595]},{"billed_charge":1440.00,"npi":[1427528595]},{"billed_charge":1620.00,"npi":[1427528595]},{"billed_charge":1890.00,"npi":[1427528595]},{"billed_charge":1920.00,"npi":[1427528595]},{"billed_charge":2160.00,"npi":[1427528595]},{"billed_charge":2400.00,"npi":[1427528595]}]},{"allowed_amount":231.93,"providers":[{"billed_charge":1890.00,"npi":[1427528595]},{"billed_charge":2160.00,"npi":[1427528595]},{"billed_charge":2640.00,"npi":[1427528595]},{"billed_charge":2880.00,"npi":[1427528595]}]},{"allowed_amount":563.26,"providers":[{"billed_charge":1680.00,"npi":[1427528595]}]}]},{"tin":{"type":"ein","value":"842920375"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":198.80,"providers":[{"billed_charge":1620.00,"npi":[1326669508]}]},{"allowed_amount":231.93,"providers":[{"billed_charge":2640.00,"npi":[1326669508]},{"billed_charge":2880.00,"npi":[1326669508]},{"billed_charge":3120.00,"npi":[1326669508]}]},{"allowed_amount":265.06,"providers":[{"billed_charge":3360.00,"npi":[1326669508]}]}]},{"tin":{"type":"ein","value":"851223796"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":198.80,"providers":[{"billed_charge":1350.00,"npi":[1114544996]},{"billed_charge":1440.00,"npi":[1114544996]}]},{"allowed_amount":231.93,"providers":[{"billed_charge":1680.00,"npi":[1114544996]}]},{"allowed_amount":497.00,"providers":[{"billed_charge":1350.00,"npi":[1114544996]}]}]},{"tin":{"type":"ein","value":"873158173"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":269.21,"providers":[{"billed_charge":2264.00,"npi":[1194488791]}]}]},{"tin":{"type":"ein","value":"934974953"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":215.07,"providers":[{"billed_charge":1319.70,"npi":[1972367522]}]}]}]},{"billing_code":"00811","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Anesthesia","description":"ANES LWR INTST NDSC NOS","allowed_amounts":[{"tin":{"type":"ein","value":"461382538"},"billing_class":"institutional","payments":[{"allowed_amount":893.91,"providers":[{"billed_charge":1077.00,"npi":[1043641897]}]}]}]},{"billing_code":"00812","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANES LWR INTST SCR COLSC","allowed_amounts":[{"tin":{"type":"ein","value":"020536959"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":198.80,"providers":[{"billed_charge":525.00,"npi":[1073772612]}]},{"allowed_amount":450.00,"providers":[{"billed_charge":450.00,"npi":[1073772612]}]},{"allowed_amount":525.00,"providers":[{"billed_charge":525.00,"npi":[1073772612]}]}]},{"tin":{"type":"ein","value":"030605164"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":198.80,"providers":[{"billed_charge":420.00,"npi":[1073891008]}]},{"allowed_amount":350.00,"providers":[{"billed_charge":350.00,"npi":[1073891008]}]}]},{"tin":{"type":"ein","value":"203858572"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":561.00,"providers":[{"billed_charge":1698.00,"npi":[1134544794]}]}]},{"tin":{"type":"ein","value":"272764200"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":600.00,"providers":[{"billed_charge":600.00,"npi":[1487974606]}]}]},{"tin":{"type":"ein","value":"352201623"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":125.62,"providers":[{"billed_charge":700.00,"npi":[1609833474]}]}]},{"tin":{"type":"ein","value":"352201623"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":165.67,"providers":[{"billed_charge":600.00,"npi":[1609833474]}]},{"allowed_amount":198.80,"providers":[{"billed_charge":700.00,"npi":[1609833474]},{"billed_charge":800.00,"npi":[1609833474]}]},{"allowed_amount":700.00,"providers":[{"billed_charge":700.00,"npi":[1609833474]}]}]},{"tin":{"type":"ein","value":"352201623"},"billing_class":"professional","service_code":["22","24"],"payments":[{"allowed_amount":600.00,"providers":[{"billed_charge":600.00,"npi":[1609833474]},{"billed_charge":600.00,"npi":[1609833474]}]}]},{"tin":{"type":"ein","value":"352201623"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":497.00,"providers":[{"billed_charge":600.00,"npi":[1609833474]}]},{"allowed_amount":530.13,"providers":[{"billed_charge":600.00,"npi":[1609833474]}]},{"allowed_amount":695.79,"providers":[{"billed_charge":700.00,"npi":[1609833474]}]}]},{"tin":{"type":"ein","value":"370661183"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":229.07,"providers":[{"billed_charge":1078.00,"npi":[1255515342]}]},{"allowed_amount":229.08,"providers":[{"billed_charge":1078.01,"npi":[1255515342]}]}]},{"tin":{"type":"ein","value":"371791448"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":97.45,"providers":[{"billed_charge":540.00,"npi":[1295194397]},{"billed_charge":600.00,"npi":[1295194397]}]},{"allowed_amount":311.84,"providers":[{"billed_charge":900.00,"npi":[1295194397]}]},{"allowed_amount":487.25,"providers":[{"billed_charge":630.00,"npi":[1295194397]},{"billed_charge":700.00,"npi":[1295194397]}]}]},{"tin":{"type":"ein","value":"450600400"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":612.00,"providers":[{"billed_charge":612.00,"npi":[1952690109]}]}]},{"tin":{"type":"ein","value":"455545096"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":250.00,"providers":[{"billed_charge":500.00,"npi":[1164772109]}]}]},{"tin":{"type":"ein","value":"462252385"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":165.24,"providers":[{"billed_charge":1428.00,"npi":[1164765723]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":428.78,"providers":[{"billed_charge":870.00,"npi":[1346649415]}]},{"allowed_amount":545.72,"providers":[{"billed_charge":600.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":165.67,"providers":[{"billed_charge":1470.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"475625504"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":275.40,"providers":[{"billed_charge":675.00,"npi":[1912452939]},{"billed_charge":690.00,"npi":[1912452939]}]}]},{"tin":{"type":"ein","value":"541388974"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":168.26,"providers":[{"billed_charge":1500.00,"npi":[1801962386]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":203.11,"providers":[{"billed_charge":203.11,"npi":[1710923875]}]},{"allowed_amount":352.77,"providers":[{"billed_charge":352.77,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"562101090"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":116.94,"providers":[{"billed_charge":600.00,"npi":[1700864980]}]},{"allowed_amount":467.76,"providers":[{"billed_charge":525.00,"npi":[1700864980]}]},{"allowed_amount":525.00,"providers":[{"billed_charge":525.00,"npi":[1700864980]}]}]},{"tin":{"type":"ein","value":"562112733"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":576.00,"npi":[1801874102]}]},{"allowed_amount":448.00,"providers":[{"billed_charge":448.00,"npi":[1801874102]}]}]},{"tin":{"type":"ein","value":"566011594"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":329.00,"providers":[{"billed_charge":329.00,"npi":[1497986509]}]},{"allowed_amount":376.00,"providers":[{"billed_charge":376.00,"npi":[1497986509]}]},{"allowed_amount":448.27,"providers":[{"billed_charge":567.00,"npi":[1942478383]}]},{"allowed_amount":506.74,"providers":[{"billed_charge":648.00,"npi":[1942478383]}]}]},{"tin":{"type":"ein","value":"570623155"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":233.28,"providers":[{"billed_charge":805.00,"npi":[1376595520]}]}]},{"tin":{"type":"ein","value":"611854483"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":165.67,"providers":[{"billed_charge":1200.00,"npi":[1639698533]},{"billed_charge":1440.00,"npi":[1639698533]},{"billed_charge":1680.00,"npi":[1639698533]},{"billed_charge":1920.00,"npi":[1639698533]},{"billed_charge":2160.00,"npi":[1639698533]}]},{"allowed_amount":198.80,"providers":[{"billed_charge":2640.00,"npi":[1639698533]}]}]},{"tin":{"type":"ein","value":"621348249"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":648.20,"providers":[{"billed_charge":810.25,"npi":[1770578270]}]},{"allowed_amount":785.70,"providers":[{"billed_charge":982.12,"npi":[1770578270]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":450.00,"providers":[{"billed_charge":500.00,"npi":[1225246812]}]},{"allowed_amount":540.00,"providers":[{"billed_charge":600.00,"npi":[1225246812]}]}]},{"tin":{"type":"ein","value":"811098225"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":167.20,"providers":[{"billed_charge":510.00,"npi":[1003273517]}]},{"allowed_amount":234.07,"providers":[{"billed_charge":680.00,"npi":[1003273517]}]},{"allowed_amount":510.00,"providers":[{"billed_charge":510.00,"npi":[1003273517]}]}]},{"tin":{"type":"ein","value":"813425340"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":165.67,"providers":[{"billed_charge":750.00,"npi":[1194277186]}]},{"allowed_amount":300.00,"providers":[{"billed_charge":600.00,"npi":[1194277186]}]},{"allowed_amount":375.00,"providers":[{"billed_charge":750.00,"npi":[1194277186]}]}]},{"tin":{"type":"ein","value":"821877553"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":220.00,"providers":[{"billed_charge":1840.00,"npi":[1326569187]}]}]},{"tin":{"type":"ein","value":"823430528"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":551.99,"providers":[{"billed_charge":1680.00,"npi":[1073001012]}]}]},{"tin":{"type":"ein","value":"832102939"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":165.67,"providers":[{"billed_charge":1200.00,"npi":[1427528595]},{"billed_charge":1440.00,"npi":[1427528595]},{"billed_charge":1680.00,"npi":[1427528595]},{"billed_charge":1920.00,"npi":[1427528595]},{"billed_charge":2160.00,"npi":[1427528595]},{"billed_charge":2400.00,"npi":[1427528595]},{"billed_charge":2640.00,"npi":[1427528595]}]},{"allowed_amount":198.80,"providers":[{"billed_charge":1440.00,"npi":[1427528595]},{"billed_charge":1680.00,"npi":[1427528595]},{"billed_charge":2400.00,"npi":[1427528595]},{"billed_charge":2640.00,"npi":[1427528595]},{"billed_charge":2880.00,"npi":[1427528595]},{"billed_charge":3120.00,"npi":[1427528595]}]},{"allowed_amount":231.93,"providers":[{"billed_charge":1680.00,"npi":[1427528595]}]},{"allowed_amount":563.26,"providers":[{"billed_charge":1680.00,"npi":[1427528595]}]}]},{"tin":{"type":"ein","value":"842920375"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":165.67,"providers":[{"billed_charge":1440.00,"npi":[1326669508]},{"billed_charge":2160.00,"npi":[1326669508]},{"billed_charge":2400.00,"npi":[1326669508]}]},{"allowed_amount":198.80,"providers":[{"billed_charge":1440.00,"npi":[1326669508]},{"billed_charge":1680.00,"npi":[1326669508]},{"billed_charge":2880.00,"npi":[1326669508]}]}]},{"tin":{"type":"ein","value":"851223796"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":165.67,"providers":[{"billed_charge":1200.00,"npi":[1114544996]},{"billed_charge":1440.00,"npi":[1114544996]},{"billed_charge":1680.00,"npi":[1114544996]}]},{"allowed_amount":198.80,"providers":[{"billed_charge":1680.00,"npi":[1114544996]}]},{"allowed_amount":231.93,"providers":[{"billed_charge":1680.00,"npi":[1114544996]},{"billed_charge":1920.00,"npi":[1114544996]}]}]},{"tin":{"type":"ein","value":"862588647"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":320.00,"providers":[{"billed_charge":400.00,"npi":[1326706763]}]}]},{"tin":{"type":"ein","value":"873158173"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":235.56,"providers":[{"billed_charge":2264.00,"npi":[1194488791]}]}]}]},{"billing_code":"00813","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANES UPR LWR GI NDSC PX","allowed_amounts":[{"tin":{"type":"ein","value":"203858572"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":744.60,"providers":[{"billed_charge":2264.00,"npi":[1134544794]}]}]},{"tin":{"type":"ein","value":"352201623"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":331.33,"providers":[{"billed_charge":900.00,"npi":[1609833474]}]}]},{"tin":{"type":"ein","value":"352201623"},"billing_class":"professional","service_code":["22","24"],"payments":[{"allowed_amount":265.06,"providers":[{"billed_charge":700.00,"npi":[1609833474]},{"billed_charge":700.00,"npi":[1609833474]}]}]},{"tin":{"type":"ein","value":"352201623"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":700.00,"providers":[{"billed_charge":700.00,"npi":[1609833474]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":155.92,"providers":[{"billed_charge":1160.00,"npi":[1346649415]}]},{"allowed_amount":214.39,"providers":[{"billed_charge":1595.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":155.92,"providers":[{"billed_charge":459.67,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":175.41,"providers":[{"billed_charge":555.88,"npi":[1710923875]}]},{"allowed_amount":192.42,"providers":[{"billed_charge":192.42,"npi":[1710923875]}]},{"allowed_amount":352.77,"providers":[{"billed_charge":352.77,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"611854483"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":265.06,"providers":[{"billed_charge":2160.00,"npi":[1639698533]},{"billed_charge":2880.00,"npi":[1639698533]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":540.00,"providers":[{"billed_charge":600.00,"npi":[1225246812]}]}]},{"tin":{"type":"ein","value":"832102939"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":265.06,"providers":[{"billed_charge":2640.00,"npi":[1427528595]},{"billed_charge":2880.00,"npi":[1427528595]}]},{"allowed_amount":298.20,"providers":[{"billed_charge":3120.00,"npi":[1427528595]}]}]},{"tin":{"type":"ein","value":"842920375"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":265.06,"providers":[{"billed_charge":2160.00,"npi":[1326669508]},{"billed_charge":2880.00,"npi":[1326669508]},{"billed_charge":3120.00,"npi":[1326669508]}]},{"allowed_amount":298.20,"providers":[{"billed_charge":3840.00,"npi":[1326669508]}]}]},{"tin":{"type":"ein","value":"851223796"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":231.93,"providers":[{"billed_charge":1680.00,"npi":[1114544996]}]}]},{"tin":{"type":"ein","value":"870882403"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":259.76,"providers":[{"billed_charge":1400.00,"npi":[1912578667]}]}]},{"tin":{"type":"ein","value":"873158173"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":269.21,"providers":[{"billed_charge":2264.00,"npi":[1194488791]}]},{"allowed_amount":370.17,"providers":[{"billed_charge":3113.00,"npi":[1194488791]}]}]}]},{"billing_code":"00830","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH REPAIR OF HERNIA","allowed_amounts":[{"tin":{"type":"ein","value":"264440864"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":175.41,"providers":[{"billed_charge":750.00,"npi":[1548401789]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":233.88,"providers":[{"billed_charge":1740.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":214.39,"providers":[{"billed_charge":1069.00,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"760725938"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":175.41,"providers":[{"billed_charge":891.00,"npi":[1790784999]}]}]},{"tin":{"type":"ein","value":"991864879"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":194.90,"providers":[{"billed_charge":1240.00,"npi":[1669231452]},{"billed_charge":1250.00,"npi":[1669231452]}]}]}]},{"billing_code":"00840","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH SURG LOWER ABDOMEN","allowed_amounts":[{"tin":{"type":"ein","value":"201442673"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":233.88,"providers":[{"billed_charge":348.00,"npi":[1205996519]}]}]},{"tin":{"type":"ein","value":"271466686"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":271.17,"providers":[{"billed_charge":1800.00,"npi":[1922337930]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":214.39,"providers":[{"billed_charge":1595.00,"npi":[1346649415]}]},{"allowed_amount":233.88,"providers":[{"billed_charge":1200.00,"npi":[1346649415]},{"billed_charge":1740.00,"npi":[1346649415]}]},{"allowed_amount":253.37,"providers":[{"billed_charge":1885.00,"npi":[1346649415]}]},{"allowed_amount":311.84,"providers":[{"billed_charge":2320.00,"npi":[1346649415]}]},{"allowed_amount":350.82,"providers":[{"billed_charge":2610.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":194.90,"providers":[{"billed_charge":1450.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":2100.00,"providers":[{"billed_charge":2100.00,"npi":[1740286418]}]}]},{"tin":{"type":"ein","value":"542155391"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":584.70,"providers":[{"billed_charge":4260.00,"npi":[1801989504]}]}]},{"tin":{"type":"ein","value":"560585243"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":233.88,"providers":[{"billed_charge":540.00,"npi":[1528704004]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":428.78,"providers":[{"billed_charge":2586.98,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"562101090"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":253.37,"providers":[{"billed_charge":975.00,"npi":[1700864980]}]},{"allowed_amount":350.82,"providers":[{"billed_charge":1350.00,"npi":[1700864980]}]},{"allowed_amount":409.29,"providers":[{"billed_charge":1575.00,"npi":[1700864980]}]}]},{"tin":{"type":"ein","value":"566011594"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":214.39,"providers":[{"billed_charge":517.00,"npi":[1497986509]},{"billed_charge":891.00,"npi":[1942478383]}]}]},{"tin":{"type":"ein","value":"813590035"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":213.84,"providers":[{"billed_charge":1760.00,"npi":[1932641313]},{"billed_charge":1782.00,"npi":[1932641313]}]}]},{"tin":{"type":"ein","value":"934613514"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":331.33,"providers":[{"billed_charge":5010.00,"npi":[1043080732]}]}]}]},{"billing_code":"00860","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH SURGERY OF ABDOMEN","allowed_amounts":[{"tin":{"type":"ein","value":"991864879"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":311.84,"providers":[{"billed_charge":2108.00,"npi":[1669231452]},{"billed_charge":2125.00,"npi":[1669231452]}]}]}]},{"billing_code":"00868","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH KIDNEY TRANSPLANT","allowed_amounts":[{"tin":{"type":"ein","value":"850709838"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":1088.00,"providers":[{"billed_charge":9056.00,"npi":[1356968952]}]}]}]},{"billing_code":"00873","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH KIDNEY STONE DESTRUCT","allowed_amounts":[{"tin":{"type":"ein","value":"620860771"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1313.54,"providers":[{"billed_charge":1641.92,"npi":[1245279777]}]}]},{"tin":{"type":"ein","value":"621091810"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1881.60,"providers":[{"billed_charge":2352.00,"npi":[1538174974]}]}]}]},{"billing_code":"00902","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH ANORECTAL SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"264440864"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":565.21,"providers":[{"billed_charge":600.00,"npi":[1548401789]}]}]}]},{"billing_code":"00910","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH BLADDER SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"202935692"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":140.33,"providers":[{"billed_charge":870.00,"npi":[1992396048]}]}]},{"tin":{"type":"ein","value":"232748823"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":100.57,"providers":[{"billed_charge":447.00,"npi":[1851349302]}]},{"allowed_amount":101.25,"providers":[{"billed_charge":450.00,"npi":[1851349302]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":1015.00,"npi":[1346649415]}]},{"allowed_amount":506.74,"providers":[{"billed_charge":725.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":116.94,"providers":[{"billed_charge":502.43,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"813590035"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":233.88,"providers":[{"billed_charge":972.00,"npi":[1932641313]}]}]}]},{"billing_code":"00912","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH BLADDER TUMOR SURG","allowed_amounts":[{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":155.92,"providers":[{"billed_charge":1160.00,"npi":[1346649415]}]}]}]},{"billing_code":"00914","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH REMOVAL OF PROSTATE","allowed_amounts":[{"tin":{"type":"ein","value":"560585243"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":253.37,"providers":[{"billed_charge":585.00,"npi":[1528704004]}]}]}]},{"billing_code":"00918","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH STONE REMOVAL","allowed_amounts":[{"tin":{"type":"ein","value":"202935692"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":175.41,"providers":[{"billed_charge":1296.00,"npi":[1992396048]}]}]},{"tin":{"type":"ein","value":"560585243"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":214.39,"providers":[{"billed_charge":495.00,"npi":[1528704004]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":175.41,"providers":[{"billed_charge":566.57,"npi":[1710923875]}]},{"allowed_amount":194.90,"providers":[{"billed_charge":716.23,"npi":[1710923875]},{"billed_charge":855.20,"npi":[1710923875]}]},{"allowed_amount":214.39,"providers":[{"billed_charge":1004.86,"npi":[1710923875]}]},{"allowed_amount":233.88,"providers":[{"billed_charge":1036.93,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"562112733"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":175.41,"providers":[{"billed_charge":576.00,"npi":[1801874102]}]}]},{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":182.00,"providers":[{"billed_charge":400.00,"npi":[1528195864]}]}]},{"tin":{"type":"ein","value":"850709838"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":140.00,"providers":[{"billed_charge":2264.00,"npi":[1356968952]},{"billed_charge":2272.00,"npi":[1356968952]}]}]}]},{"billing_code":"00920","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH GENITALIA SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"560585243"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":155.92,"providers":[{"billed_charge":360.00,"npi":[1528704004]}]}]}]},{"billing_code":"00921","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH VASECTOMY","allowed_amounts":[{"tin":{"type":"ein","value":"202935692"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":155.52,"providers":[{"billed_charge":1152.00,"npi":[1992396048]}]}]},{"tin":{"type":"ein","value":"560585243"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":315.00,"npi":[1528704004]}]}]}]},{"billing_code":"00940","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH VAGINAL PROCEDURES","allowed_amounts":[{"tin":{"type":"ein","value":"201442673"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":203.00,"npi":[1205996519]}]}]},{"tin":{"type":"ein","value":"562101090"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":525.00,"npi":[1700864980]}]}]}]},{"billing_code":"00944","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH VAGINAL HYSTERECTOMY","allowed_amounts":[{"tin":{"type":"ein","value":"560585243"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":311.84,"providers":[{"billed_charge":720.00,"npi":[1528704004]}]}]},{"tin":{"type":"ein","value":"562101090"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1050.00,"providers":[{"billed_charge":1050.00,"npi":[1700864980]}]}]},{"tin":{"type":"ein","value":"873158173"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":639.38,"providers":[{"billed_charge":5377.00,"npi":[1194488791]}]}]}]},{"billing_code":"00952","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH HYSTEROSCOPE/GRAPH","allowed_amounts":[{"tin":{"type":"ein","value":"264440864"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":525.00,"npi":[1548401789]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":155.92,"providers":[{"billed_charge":1160.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":470.36,"npi":[1710923875]},{"billed_charge":523.81,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"991864879"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":194.90,"providers":[{"billed_charge":1240.00,"npi":[1669231452]},{"billed_charge":1250.00,"npi":[1669231452]}]}]}]},{"billing_code":"0108U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"GI BARRETT ESOPH 9 PRTN BMRK","allowed_amounts":[{"tin":{"type":"ein","value":"263438110"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4950.00,"providers":[{"billed_charge":5500.00,"npi":[1235671884]}]}]}]},{"billing_code":"0114U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"GI BARRETTS ESOPH VIM&CCNA1","allowed_amounts":[{"tin":{"type":"ein","value":"874161458"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2228.71,"providers":[{"billed_charge":2499.00,"npi":[1689325342]}]}]}]},{"billing_code":"01202","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH ARTHROSCOPY OF HIP","allowed_amounts":[{"tin":{"type":"ein","value":"461070809"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":2362.50,"providers":[{"billed_charge":3150.00,"npi":[1528302866]}]}]}]},{"billing_code":"01214","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH HIP ARTHROPLASTY","allowed_amounts":[{"tin":{"type":"ein","value":"560585243"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":331.33,"providers":[{"billed_charge":765.00,"npi":[1528704004]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":311.84,"providers":[{"billed_charge":1250.73,"npi":[1710923875]},{"billed_charge":1282.80,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"621123296"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":2040.00,"providers":[{"billed_charge":2400.00,"npi":[1073619466]}]}]},{"tin":{"type":"ein","value":"991864879"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":311.84,"providers":[{"billed_charge":2125.00,"npi":[1669231452]}]}]}]},{"billing_code":"01215","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH REVISE HIP REPAIR","allowed_amounts":[{"tin":{"type":"ein","value":"561748928"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":487.25,"providers":[{"billed_charge":5946.00,"npi":[1396739884]}]}]}]},{"billing_code":"01250","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH UPPER LEG SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"562101090"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":233.88,"providers":[{"billed_charge":900.00,"npi":[1700864980]}]}]}]},{"billing_code":"01270","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH THIGH ARTERIES SURG","allowed_amounts":[{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":779.60,"providers":[{"billed_charge":5800.00,"npi":[1346649415]}]}]}]},{"billing_code":"01320","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH KNEE AREA SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"562101090"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":194.90,"providers":[{"billed_charge":750.00,"npi":[1700864980]}]}]}]},{"billing_code":"01360","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH KNEE AREA SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":448.27,"providers":[{"billed_charge":2300.00,"npi":[1346649415]}]}]}]},{"billing_code":"01382","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH DX KNEE ARTHROSCOPY","allowed_amounts":[{"tin":{"type":"ein","value":"560962697"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":155.92,"providers":[{"billed_charge":2264.00,"npi":[1437286291]},{"billed_charge":2272.00,"npi":[1144259961]}]}]}]},{"billing_code":"01392","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH KNEE AREA SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"330695244"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":532.22,"providers":[{"billed_charge":2145.00,"npi":[1962513770]}]}]}]},{"billing_code":"01400","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH KNEE JOINT SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"261378988"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":267.51,"providers":[{"billed_charge":2000.00,"npi":[1881877793]}]},{"allowed_amount":501.59,"providers":[{"billed_charge":4000.00,"npi":[1881877793]}]}]},{"tin":{"type":"ein","value":"264440864"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":525.00,"npi":[1548401789]}]},{"allowed_amount":175.41,"providers":[{"billed_charge":675.00,"npi":[1548401789]}]},{"allowed_amount":233.88,"providers":[{"billed_charge":900.00,"npi":[1548401789]}]}]},{"tin":{"type":"ein","value":"562112733"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":155.92,"providers":[{"billed_charge":512.00,"npi":[1801874102]}]}]},{"tin":{"type":"ein","value":"991864879"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":311.84,"providers":[{"billed_charge":1000.00,"npi":[1669231452]}]}]}]},{"billing_code":"01402","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH KNEE ARTHROPLASTY","allowed_amounts":[{"tin":{"type":"ein","value":"261378988"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":535.02,"providers":[{"billed_charge":3800.00,"npi":[1881877793]}]}]},{"tin":{"type":"ein","value":"352656251"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":673.03,"providers":[{"billed_charge":1445.00,"npi":[1629637475]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":292.35,"providers":[{"billed_charge":1500.00,"npi":[1346649415]},{"billed_charge":2175.00,"npi":[1346649415]}]},{"allowed_amount":350.82,"providers":[{"billed_charge":2610.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":272.86,"providers":[{"billed_charge":1154.52,"npi":[1710923875]},{"billed_charge":1197.28,"npi":[1710923875]}]},{"allowed_amount":292.35,"providers":[{"billed_charge":1304.18,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"570877232"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":272.16,"providers":[{"billed_charge":3976.00,"npi":[1750336079]}]}]},{"tin":{"type":"ein","value":"861276942"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":552.50,"providers":[{"billed_charge":1105.00,"npi":[1700474244]}]}]}]},{"billing_code":"01470","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH LOWER LEG SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"201442673"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":155.92,"providers":[{"billed_charge":232.00,"npi":[1205996519]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":534.50,"npi":[1710923875]}]}]}]},{"billing_code":"01480","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH LOWER LEG BONE SURG","allowed_amounts":[{"tin":{"type":"ein","value":"264440864"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":155.92,"providers":[{"billed_charge":600.00,"npi":[1548401789]}]}]},{"tin":{"type":"ein","value":"560585243"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":214.39,"providers":[{"billed_charge":495.00,"npi":[1528704004]}]}]},{"tin":{"type":"ein","value":"561191387"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":155.92,"providers":[{"billed_charge":747.20,"npi":[1942248547]}]}]},{"tin":{"type":"ein","value":"561983542"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":233.88,"providers":[{"billed_charge":960.00,"npi":[1538171897]}]}]},{"tin":{"type":"ein","value":"562101090"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":155.92,"providers":[{"billed_charge":600.00,"npi":[1700864980]}]}]},{"tin":{"type":"ein","value":"991864879"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":868.00,"npi":[1669231452]},{"billed_charge":875.00,"npi":[1669231452]}]}]}]},{"billing_code":"01610","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH SURGERY OF SHOULDER","allowed_amounts":[{"tin":{"type":"ein","value":"201442673"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":253.37,"providers":[{"billed_charge":377.00,"npi":[1205996519]}]}]},{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":6380.10,"providers":[{"billed_charge":7506.00,"npi":[1548210198]}]}]},{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":723.77,"providers":[{"billed_charge":3406.00,"npi":[1548210198]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":2523.50,"providers":[{"billed_charge":4800.00,"npi":[1740286418]}]}]}]},{"billing_code":"01622","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANES DX SHOULDER ARTHROSCOPY","allowed_amounts":[{"tin":{"type":"ein","value":"542155391"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":272.86,"providers":[{"billed_charge":3976.00,"npi":[1801989504]}]}]}]},{"billing_code":"01630","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH SURGERY OF SHOULDER","allowed_amounts":[{"tin":{"type":"ein","value":"264440864"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":506.74,"providers":[{"billed_charge":525.00,"npi":[1548401789]}]}]},{"tin":{"type":"ein","value":"455545096"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":500.00,"providers":[{"billed_charge":1000.00,"npi":[1164772109]}]}]},{"tin":{"type":"ein","value":"461634378"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":257.33,"providers":[{"billed_charge":1080.00,"npi":[1518205004]},{"billed_charge":1200.00,"npi":[1518205004]}]}]},{"tin":{"type":"ein","value":"560585243"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":292.35,"providers":[{"billed_charge":720.00,"npi":[1528704004]}]}]}]},{"billing_code":"01710","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH ELBOW AREA SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"562112733"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":448.00,"npi":[1801874102]}]}]}]},{"billing_code":"01712","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH UPPR ARM TENDON SURG","allowed_amounts":[{"tin":{"type":"ein","value":"261378988"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":393.40,"providers":[{"billed_charge":2200.00,"npi":[1881877793]}]}]}]},{"billing_code":"01810","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH LOWER ARM SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"264440864"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":375.00,"providers":[{"billed_charge":375.00,"npi":[1548401789]}]}]},{"tin":{"type":"ein","value":"430959561"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":144.97,"providers":[{"billed_charge":756.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"560585243"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":315.00,"npi":[1528704004]}]}]},{"tin":{"type":"ein","value":"560962697"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":97.45,"providers":[{"billed_charge":1420.00,"npi":[1144259961]}]}]},{"tin":{"type":"ein","value":"562112733"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":214.39,"providers":[{"billed_charge":704.00,"npi":[1801874102]}]}]}]},{"billing_code":"01820","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH LOWER ARM PROCEDURE","allowed_amounts":[{"tin":{"type":"ein","value":"370647938"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":2958.00,"providers":[{"billed_charge":3480.00,"npi":[1114935681]}]}]}]},{"billing_code":"01830","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH LOWER ARM SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"204700877"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":514.80,"providers":[{"billed_charge":1287.00,"npi":[1407864168]}]}]},{"tin":{"type":"ein","value":"264440864"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":175.41,"providers":[{"billed_charge":675.00,"npi":[1548401789]}]}]}]},{"billing_code":"01922","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH CAT OR MRI SCAN","allowed_amounts":[{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":619.50,"providers":[{"billed_charge":1775.00,"npi":[1861675506]}]},{"allowed_amount":743.40,"providers":[{"billed_charge":2187.50,"npi":[1861675506]}]},{"allowed_amount":1420.00,"providers":[{"billed_charge":1775.00,"npi":[1861675506]}]},{"allowed_amount":1730.00,"providers":[{"billed_charge":2162.50,"npi":[1861675506]}]},{"allowed_amount":1750.00,"providers":[{"billed_charge":2187.50,"npi":[1861675506]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":308.75,"providers":[{"billed_charge":1235.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"550525724"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":319.50,"providers":[{"billed_charge":950.00,"npi":[1760965586]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1866.60,"providers":[{"billed_charge":2074.00,"npi":[1306335088]}]},{"allowed_amount":2074.00,"providers":[{"billed_charge":2074.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"620860771"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":2134.50,"providers":[{"billed_charge":2668.12,"npi":[1245279777]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":522.50,"providers":[{"billed_charge":1100.00,"npi":[1558332494]}]}]}]},{"billing_code":"01925","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANES THER INTERVEN RAD CARD","allowed_amounts":[{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":311.84,"providers":[{"billed_charge":2465.00,"npi":[1346649415]}]}]}]},{"billing_code":"01926","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANES TX INTERV RAD HRT/CRAN","allowed_amounts":[{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":292.35,"providers":[{"billed_charge":1700.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"541441839"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":593.85,"providers":[{"billed_charge":2400.00,"npi":[1013910330]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":857.56,"providers":[{"billed_charge":2941.90,"npi":[1992754758]}]}]}]},{"billing_code":"01931","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANES THER INTERVEN RAD TIPS","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":448.27,"providers":[{"billed_charge":3222.08,"npi":[1992754758]}]}]}]},{"billing_code":"01938","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ANES DRG/ASPIR LMBR/SAC","allowed_amounts":[{"tin":{"type":"ein","value":"812397142"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":432.00,"providers":[{"billed_charge":2100.00,"npi":[1144673468]}]}]}]},{"billing_code":"0193U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"JR GNOTYP ABCG2 EXONS 2-26","allowed_amounts":[{"tin":{"type":"ein","value":"465193717"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":254.59,"providers":[{"billed_charge":430.44,"npi":[1467850859]}]}]}]},{"billing_code":"01941","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ANES NEUROMD/NTRVRT CRV/THRC","allowed_amounts":[{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1422.77,"providers":[{"billed_charge":1450.00,"npi":[1346649415]}]}]}]},{"billing_code":"01961","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH CS DELIVERY","allowed_amounts":[{"tin":{"type":"ein","value":"202935692"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":213.84,"providers":[{"billed_charge":1584.00,"npi":[1992396048]}]}]},{"tin":{"type":"ein","value":"560510824"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":233.88,"providers":[{"billed_charge":1088.00,"npi":[1548335581]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":253.37,"providers":[{"billed_charge":983.48,"npi":[1710923875]}]}]},{"tin":{"type":"ein","value":"561272769"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":467.76,"providers":[{"billed_charge":2504.40,"npi":[1538124201]}]}]},{"tin":{"type":"ein","value":"561748928"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":292.35,"providers":[{"billed_charge":3431.00,"npi":[1396739884]}]}]},{"tin":{"type":"ein","value":"562101090"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":272.86,"providers":[{"billed_charge":1050.00,"npi":[1700864980]}]},{"allowed_amount":311.84,"providers":[{"billed_charge":1200.00,"npi":[1700864980]}]},{"allowed_amount":1822.32,"providers":[{"billed_charge":2000.00,"npi":[1700864980]}]}]},{"tin":{"type":"ein","value":"566011594"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":1520.22,"providers":[{"billed_charge":2000.00,"npi":[1942478383,1497986509]}]}]},{"tin":{"type":"ein","value":"813590035"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":466.56,"providers":[{"billed_charge":1944.00,"npi":[1932641313]}]}]}]},{"billing_code":"01965","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH INC/MISSED AB PROC","allowed_amounts":[{"tin":{"type":"ein","value":"562101090"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":155.92,"providers":[{"billed_charge":600.00,"npi":[1700864980]}]}]}]},{"billing_code":"01967","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"ANESTH/ANALG VAG DELIVERY","allowed_amounts":[{"tin":{"type":"ein","value":"202935692"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":699.84,"providers":[{"billed_charge":5184.00,"npi":[1992396048]}]},{"allowed_amount":727.06,"providers":[{"billed_charge":3168.00,"npi":[1992396048]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":389.80,"providers":[{"billed_charge":1700.00,"npi":[1346649415]}]},{"allowed_amount":623.68,"providers":[{"billed_charge":1700.00,"npi":[1346649415]}]},{"allowed_amount":927.72,"providers":[{"billed_charge":1700.00,"npi":[1346649415]}]},{"allowed_amount":1013.48,"providers":[{"billed_charge":1700.00,"npi":[1346649415]}]},{"allowed_amount":1559.20,"providers":[{"billed_charge":1700.00,"npi":[1346649415]}]},{"allowed_amount":1700.00,"providers":[{"billed_charge":1700.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"560585243"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":155.92,"providers":[{"billed_charge":2195.00,"npi":[1528704004]}]},{"allowed_amount":292.35,"providers":[{"billed_charge":2195.00,"npi":[1528704004]}]},{"allowed_amount":779.60,"providers":[{"billed_charge":2195.00,"npi":[1528704004]}]}]},{"tin":{"type":"ein","value":"561191387"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":1403.28,"providers":[{"billed_charge":3731.43,"npi":[1053677195]}]}]},{"tin":{"type":"ein","value":"562101090"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":331.33,"providers":[{"billed_charge":375.00,"npi":[1700864980]}]},{"allowed_amount":563.26,"providers":[{"billed_charge":1275.00,"npi":[1700864980]}]},{"allowed_amount":762.06,"providers":[{"billed_charge":1725.00,"npi":[1700864980]}]},{"allowed_amount":1159.66,"providers":[{"billed_charge":2000.00,"npi":[1700864980]}]}]},{"tin":{"type":"ein","value":"562112733"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":448.00,"providers":[{"billed_charge":448.00,"npi":[1801874102]}]}]},{"tin":{"type":"ein","value":"566011594"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":795.19,"providers":[{"billed_charge":1128.00,"npi":[1497986509]}]}]}]},{"billing_code":"0202U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"COVID-19","description":"NFCT DS 22 TRGT SARS-COV-2","allowed_amounts":[{"tin":{"type":"ein","value":"561175704"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":375.10,"providers":[{"billed_charge":700.00,"npi":[1477510659]}]}]}]},{"billing_code":"0202U","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"NFCT DS 22 TRGT SARS-COV-2","allowed_amounts":[{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":1003.92,"providers":[{"billed_charge":1068.00,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"562392010"},"billing_class":"institutional","payments":[{"allowed_amount":1237.50,"providers":[{"billed_charge":1375.00,"npi":[1053357244]}]}]}]},{"billing_code":"0239U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"TRGT GEN SEQ ALYS PNL 311+","allowed_amounts":[{"tin":{"type":"ein","value":"271316416"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3072.00,"providers":[{"billed_charge":5800.00,"npi":[1720688054]}]}]}]},{"billing_code":"0240U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"NFCT DS VIR RESP RNA 3 TRGT","allowed_amounts":[{"tin":{"type":"ein","value":"310917085"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.36,"providers":[{"billed_charge":271.00,"npi":[1508817248]}]}]}]},{"billing_code":"0240U","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"NFCT DS VIR RESP RNA 3 TRGT","allowed_amounts":[{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":60.32,"providers":[{"billed_charge":250.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"821883948"},"billing_class":"institutional","payments":[{"allowed_amount":31.90,"providers":[{"billed_charge":145.00,"npi":[1649794157]}]}]}]},{"billing_code":"0241U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"NFCT DS VIR RESP RNA 4 TRGT","allowed_amounts":[{"tin":{"type":"ein","value":"236291113"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":537.20,"providers":[{"billed_charge":632.00,"npi":[1164716643]}]}]},{"tin":{"type":"ein","value":"260868690"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.37,"providers":[{"billed_charge":249.00,"npi":[1861674160]}]}]},{"tin":{"type":"ein","value":"454601912"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.37,"providers":[{"billed_charge":213.95,"npi":[1235404047]}]}]},{"tin":{"type":"ein","value":"561175704"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.36,"providers":[{"billed_charge":250.00,"npi":[1477510659]}]}]},{"tin":{"type":"ein","value":"561319749"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.36,"providers":[{"billed_charge":150.00,"npi":[1356368708]}]}]},{"tin":{"type":"ein","value":"561463611"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":150.00,"npi":[1437175700]}]}]},{"tin":{"type":"ein","value":"571122647"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":77.36,"providers":[{"billed_charge":100.00,"npi":[1831151976]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":128.36,"providers":[{"billed_charge":275.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":142.63,"providers":[{"billed_charge":200.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"823762961"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":92.09,"providers":[{"billed_charge":215.00,"npi":[1003308305]}]}]}]},{"billing_code":"0241U","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"NFCT DS VIR RESP RNA 4 TRGT","allowed_amounts":[{"tin":{"type":"ein","value":"133971298"},"billing_class":"institutional","payments":[{"allowed_amount":188.70,"providers":[{"billed_charge":224.64,"npi":[1801992631]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":113.65,"providers":[{"billed_charge":312.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"520795508"},"billing_class":"institutional","payments":[{"allowed_amount":207.40,"providers":[{"billed_charge":244.00,"npi":[1194723726]}]}]},{"tin":{"type":"ein","value":"540715569"},"billing_class":"institutional","payments":[{"allowed_amount":111.14,"providers":[{"billed_charge":383.00,"npi":[1770693939]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":267.24,"providers":[{"billed_charge":393.00,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"611334601"},"billing_class":"institutional","payments":[{"allowed_amount":81.60,"providers":[{"billed_charge":102.00,"npi":[1992701429]}]}]}]},{"billing_code":"0312U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"AI DS SLE ALYS 8 IGG AUTOANT","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":756.59,"providers":[{"billed_charge":1670.30,"npi":[1245494517]}]}]}]},{"billing_code":"0326U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"TRGT GEN SEQ ALYS PNL 83+","allowed_amounts":[{"tin":{"type":"ein","value":"454139254"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4275.00,"providers":[{"billed_charge":9650.00,"npi":[1184045619]}]}]}]},{"billing_code":"0334U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ONC SLD ORGN TGSA DNA 84/+","allowed_amounts":[{"tin":{"type":"ein","value":"454139254"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2919.60,"providers":[{"billed_charge":9650.00,"npi":[1184045619]}]}]}]},{"billing_code":"0339U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ONC PRST8 MRNA HOXC6 & DLX1","allowed_amounts":[{"tin":{"type":"ein","value":"470916074"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":608.00,"providers":[{"billed_charge":985.00,"npi":[1720359698]}]}]}]},{"billing_code":"0340U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ONC PAN CA ALYS MRD PLASMA","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":1084.37,"providers":[{"billed_charge":4900.00,"npi":[1558672279]}]},{"allowed_amount":2376.00,"providers":[{"billed_charge":4900.00,"npi":[1558672279]}]},{"allowed_amount":2940.00,"providers":[{"billed_charge":4900.00,"npi":[1558672279]}]},{"allowed_amount":3231.00,"providers":[{"billed_charge":4900.00,"npi":[1558672279]}]}]}]},{"billing_code":"0359U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ONC PRST8 CA ALYS ALL PSA","allowed_amounts":[{"tin":{"type":"ein","value":"463916837"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":684.00,"providers":[{"billed_charge":995.00,"npi":[1699384412]}]}]}]},{"billing_code":"0448T","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"REMVL INSJ IMPLTBL GLUC SENS","allowed_amounts":[{"tin":{"type":"ein","value":"813478068"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2326.80,"providers":[{"billed_charge":3878.00,"npi":[1780121277]}]}]}]},{"billing_code":"0456U","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"AI RA NGS 19 GENES ANTI-CCP","allowed_amounts":[{"tin":{"type":"ein","value":"463927710"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3996.00,"providers":[{"billed_charge":4995.00,"npi":[1538799358]}]}]}]},{"billing_code":"0502F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"SUBSEQUENT PRENATAL CARE","allowed_amounts":[{"tin":{"type":"ein","value":"541634477"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902848294]}]}]}]},{"billing_code":"0509T","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"PATTERN ERG W/I&R","allowed_amounts":[{"tin":{"type":"ein","value":"561886725"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":84.60,"providers":[{"billed_charge":94.00,"npi":[1114969706]}]}]}]},{"billing_code":"0518F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"FALL PLAN OF CARE DOCD","allowed_amounts":[{"tin":{"type":"ein","value":"472494141"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750789236]}]}]}]},{"billing_code":"0752T","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"DGTZ GLS MCRSCP SLD LVL III","allowed_amounts":[{"tin":{"type":"ein","value":"043452130"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":40.00,"npi":[1477522910]}]}]}]},{"billing_code":"0753T","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"DGTZ GLS MCRSCP SLD LEVEL IV","allowed_amounts":[{"tin":{"type":"ein","value":"043452130"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.50,"providers":[{"billed_charge":25.00,"npi":[1477522910]}]},{"allowed_amount":30.00,"providers":[{"billed_charge":60.00,"npi":[1477522910]}]},{"allowed_amount":60.00,"providers":[{"billed_charge":120.00,"npi":[1477522910]}]}]},{"tin":{"type":"ein","value":"352037910"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1639911688]},{"billed_charge":0.03,"npi":[1639911688]}]},{"allowed_amount":0.03,"providers":[{"billed_charge":0.03,"npi":[1639911688]}]}]},{"tin":{"type":"ein","value":"621695507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1003863580]}]}]}]},{"billing_code":"0753T","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"DGTZ GLS MCRSCP SLD LEVEL IV","allowed_amounts":[{"tin":{"type":"ein","value":"274434451"},"billing_class":"institutional","payments":[{"allowed_amount":4.21,"providers":[{"billed_charge":16.80,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"410944601"},"billing_class":"institutional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1841266194]}]}]},{"tin":{"type":"ein","value":"461382538"},"billing_class":"institutional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1043641897]}]}]}]},{"billing_code":"0756T","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"DGTZ GLS MCRSCP SLD SPC GRPI","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1639911688]},{"billed_charge":0.02,"npi":[1639911688]}]}]}]},{"billing_code":"0757T","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"DGTZ GLS MCRSCP SL SPC GRPII","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":0.02,"npi":[1639911688]}]}]}]},{"billing_code":"0757T","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"DGTZ GLS MCRSCP SL SPC GRPII","allowed_amounts":[{"tin":{"type":"ein","value":"410944601"},"billing_class":"institutional","payments":[{"allowed_amount":0.03,"providers":[{"billed_charge":0.03,"npi":[1841266194]}]}]}]},{"billing_code":"0760T","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"DGTZ GLS MCRSCP SL IMM 1ST","allowed_amounts":[{"tin":{"type":"ein","value":"043452130"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.50,"providers":[{"billed_charge":25.00,"npi":[1477522910]}]},{"allowed_amount":45.00,"providers":[{"billed_charge":90.00,"npi":[1477522910]}]}]}]},{"billing_code":"0760T","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"DGTZ GLS MCRSCP SL IMM 1ST","allowed_amounts":[{"tin":{"type":"ein","value":"274434451"},"billing_class":"institutional","payments":[{"allowed_amount":4.21,"providers":[{"billed_charge":16.80,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"410944601"},"billing_class":"institutional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1841266194]}]}]}]},{"billing_code":"0761T","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"DGTZ GLS MCRSCP SL IMM EA 1","allowed_amounts":[{"tin":{"type":"ein","value":"274434451"},"billing_class":"institutional","payments":[{"allowed_amount":4.21,"providers":[{"billed_charge":16.80,"npi":[1265772362]}]}]}]},{"billing_code":"10005","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category III","description":"FNA BX W/US GDN 1ST LES","allowed_amounts":[{"tin":{"type":"ein","value":"560988142"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":109.63,"providers":[{"billed_charge":518.00,"npi":[1356324487]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":101.49,"providers":[{"billed_charge":414.62,"npi":[1992754758]}]}]}]},{"billing_code":"10005","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"FNA BX W/US GDN 1ST LES","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":758.28,"providers":[{"billed_charge":3585.54,"npi":[1992754758]}]}]}]},{"billing_code":"1000F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"TOBACCO USE ASSESSED","allowed_amounts":[{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750314183]}]}]},{"tin":{"type":"ein","value":"581319204"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1992171060]}]}]},{"tin":{"type":"ein","value":"752424925"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1548231046]}]}]}]},{"billing_code":"1001","billing_code_type":"RC","billing_code_type_version":"2022 AHA","name":"Psychological","description":"RESIDENTIAL TREATMENT-PSYCHIATRIC","allowed_amounts":[{"tin":{"type":"ein","value":"872691481"},"billing_class":"institutional","payments":[{"allowed_amount":32345.82,"providers":[{"billed_charge":107364.00,"npi":[1598410524]}]}]}]},{"billing_code":"1002","billing_code_type":"RC","billing_code_type_version":"2022 AHA","name":"Administration","description":"RESIDENTIAL TREATMENT-CHEMICAL DEP","allowed_amounts":[{"tin":{"type":"ein","value":"463591561"},"billing_class":"institutional","payments":[{"allowed_amount":725.00,"providers":[{"billed_charge":2420.00,"npi":[1750876835]}]},{"allowed_amount":1450.00,"providers":[{"billed_charge":2420.00,"npi":[1750876835]}]}]},{"tin":{"type":"ein","value":"464612542"},"billing_class":"institutional","payments":[{"allowed_amount":624.00,"providers":[{"billed_charge":3500.00,"npi":[1144620170]}]}]},{"tin":{"type":"ein","value":"813445826"},"billing_class":"institutional","payments":[{"allowed_amount":532.09,"providers":[{"billed_charge":4995.00,"npi":[1487194700]}]}]},{"tin":{"type":"ein","value":"822152017"},"billing_class":"institutional","payments":[{"allowed_amount":1170.89,"providers":[{"billed_charge":2800.00,"npi":[1841709821]}]}]},{"tin":{"type":"ein","value":"824368971"},"billing_class":"institutional","payments":[{"allowed_amount":542.92,"providers":[{"billed_charge":4500.00,"npi":[1972003523]}]}]},{"tin":{"type":"ein","value":"843501347"},"billing_class":"institutional","payments":[{"allowed_amount":1508.40,"providers":[{"billed_charge":4500.00,"npi":[1245856335]}]}]},{"tin":{"type":"ein","value":"853039805"},"billing_class":"institutional","payments":[{"allowed_amount":578.00,"providers":[{"billed_charge":2000.00,"npi":[1215609565]}]}]},{"tin":{"type":"ein","value":"862713053"},"billing_class":"institutional","payments":[{"allowed_amount":404.80,"providers":[{"billed_charge":3800.00,"npi":[1669146973]}]}]}]},{"billing_code":"10040","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"ACNE SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"582316841"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":147.65,"providers":[{"billed_charge":268.05,"npi":[1346351582]}]}]}]},{"billing_code":"10060","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"DRAINAGE OF SKIN ABSCESS","allowed_amounts":[{"tin":{"type":"ein","value":"330571462"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":172.64,"providers":[{"billed_charge":425.00,"npi":[1386605822]}]}]},{"tin":{"type":"ein","value":"340714357"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":128.40,"providers":[{"billed_charge":214.00,"npi":[1841328853]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":130.41,"providers":[{"billed_charge":377.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"650691102"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":128.12,"providers":[{"billed_charge":726.00,"npi":[1861430555]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":181.22,"providers":[{"billed_charge":236.00,"npi":[1144803040]}]}]}]},{"billing_code":"10061","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"DRAINAGE OF SKIN ABSCESS","allowed_amounts":[{"tin":{"type":"ein","value":"561763695"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":213.12,"providers":[{"billed_charge":967.00,"npi":[1619758018,1033770292]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":212.35,"providers":[{"billed_charge":700.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"611720892"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":213.12,"providers":[{"billed_charge":2292.00,"npi":[1669808143]}]}]},{"tin":{"type":"ein","value":"814632899"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":329.02,"providers":[{"billed_charge":590.00,"npi":[1093248288]}]}]}]},{"billing_code":"1033F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"TOBACCO NONSMOKER NOR 2NDHND","allowed_amounts":[{"tin":{"type":"ein","value":"582366697"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1922468826]}]}]}]},{"billing_code":"1034F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"CURRENT TOBACCO SMOKER","allowed_amounts":[{"tin":{"type":"ein","value":"201582408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1295784874]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1811122880]}]}]}]},{"billing_code":"1035F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"SMOKELESS TOBACCO USER","allowed_amounts":[{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750314183]}]}]},{"tin":{"type":"ein","value":"582069754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.02,"npi":[1316973472]}]}]}]},{"billing_code":"1036F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"TOBACCO NON-USER","allowed_amounts":[{"tin":{"type":"ein","value":"201582408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1295784874]}]}]},{"tin":{"type":"ein","value":"203087196"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1497783229]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"474063149"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1972193191]}]}]},{"tin":{"type":"ein","value":"582069754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.02,"npi":[1316973472]}]}]},{"tin":{"type":"ein","value":"593475356"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1326254962]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":1.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"621529858"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1437194669]}]}]},{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1386195865]}]}]},{"tin":{"type":"ein","value":"991936736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1770342354]}]}]}]},{"billing_code":"1100F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"PTFALLS ASSESS-DOCD GE2>/YR","allowed_amounts":[{"tin":{"type":"ein","value":"232919472"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1881683100]}]}]},{"tin":{"type":"ein","value":"472494141"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750789236]}]}]}]},{"billing_code":"11042","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"DEB SUBQ TISSUE 20 SQ CM/<","allowed_amounts":[{"tin":{"type":"ein","value":"464069699"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":80.53,"providers":[{"billed_charge":254.00,"npi":[1033531850]}]}]}]},{"billing_code":"11102","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"TANGNTL BX SKIN SINGLE LES","allowed_amounts":[{"tin":{"type":"ein","value":"262003898"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":114.55,"providers":[{"billed_charge":194.08,"npi":[1487827416]}]}]},{"tin":{"type":"ein","value":"311369596"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":301.75,"providers":[{"billed_charge":355.00,"npi":[1740231448]}]}]},{"tin":{"type":"ein","value":"311838862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.80,"providers":[{"billed_charge":131.00,"npi":[1114151800]}]}]},{"tin":{"type":"ein","value":"391351587"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.84,"providers":[{"billed_charge":378.00,"npi":[1326532169]}]}]},{"tin":{"type":"ein","value":"391391134"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":175.29,"providers":[{"billed_charge":369.00,"npi":[1417055617]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":284.05,"providers":[{"billed_charge":299.00,"npi":[1922074434]}]}]},{"tin":{"type":"ein","value":"454717431"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":113.30,"providers":[{"billed_charge":194.08,"npi":[1073870341]}]}]},{"tin":{"type":"ein","value":"462532046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":77.50,"providers":[{"billed_charge":155.00,"npi":[1538502828]}]}]},{"tin":{"type":"ein","value":"464300152"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":167.50,"providers":[{"billed_charge":380.00,"npi":[1255754008]}]}]},{"tin":{"type":"ein","value":"560535674"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":29.10,"npi":[1366401648]}]}]},{"tin":{"type":"ein","value":"561004551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":151.66,"providers":[{"billed_charge":221.16,"npi":[1265477251]}]},{"allowed_amount":151.67,"providers":[{"billed_charge":221.16,"npi":[1265477251]}]}]},{"tin":{"type":"ein","value":"581840125"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.79,"providers":[{"billed_charge":215.00,"npi":[1962739417]}]}]},{"tin":{"type":"ein","value":"592896023"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.85,"providers":[{"billed_charge":149.57,"npi":[1073577136]}]}]},{"tin":{"type":"ein","value":"611085679"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":113.69,"providers":[{"billed_charge":227.38,"npi":[1629083399]}]}]}]},{"billing_code":"11102","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"TANGNTL BX SKIN SINGLE LES","allowed_amounts":[{"tin":{"type":"ein","value":"410944601"},"billing_class":"institutional","payments":[{"allowed_amount":1302.93,"providers":[{"billed_charge":1371.50,"npi":[1841266194]}]}]},{"tin":{"type":"ein","value":"560535674"},"billing_class":"institutional","payments":[{"allowed_amount":33.96,"providers":[{"billed_charge":67.91,"npi":[1366401648]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":234.12,"providers":[{"billed_charge":963.44,"npi":[1750333282]}]}]}]},{"billing_code":"11103","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"TANGNTL BX SKIN EA SEP/ADDL","allowed_amounts":[{"tin":{"type":"ein","value":"391351587"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":142.64,"providers":[{"billed_charge":410.00,"npi":[1326532169]}]}]},{"tin":{"type":"ein","value":"454717431"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":305.90,"providers":[{"billed_charge":487.10,"npi":[1073870341]}]}]},{"tin":{"type":"ein","value":"592896023"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.49,"providers":[{"billed_charge":74.34,"npi":[1073577136]}]}]}]},{"billing_code":"11104","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"PUNCH BX SKIN SINGLE LESION","allowed_amounts":[{"tin":{"type":"ein","value":"453483466"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":133.00,"providers":[{"billed_charge":190.00,"npi":[1588949234]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":207.10,"providers":[{"billed_charge":237.83,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"561004551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":139.94,"providers":[{"billed_charge":233.23,"npi":[1265477251]}]}]},{"tin":{"type":"ein","value":"630810661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.55,"providers":[{"billed_charge":429.00,"npi":[1740397751]}]}]},{"tin":{"type":"ein","value":"811270157"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":193.29,"providers":[{"billed_charge":276.13,"npi":[1841645470]}]}]},{"tin":{"type":"ein","value":"863930886"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":207.11,"providers":[{"billed_charge":371.00,"npi":[1346816667]}]}]}]},{"billing_code":"11104","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"PUNCH BX SKIN SINGLE LESION","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":446.03,"providers":[{"billed_charge":1789.14,"npi":[1750333282]}]}]}]},{"billing_code":"11105","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"PUNCH BX SKIN EA SEP/ADDL","allowed_amounts":[{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":172.64,"providers":[{"billed_charge":474.00,"npi":[1184679482]}]}]},{"tin":{"type":"ein","value":"630810661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":58.47,"providers":[{"billed_charge":203.00,"npi":[1740397751]}]}]}]},{"billing_code":"11106","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"INCAL BX SKN SINGLE LES","allowed_amounts":[{"tin":{"type":"ein","value":"561978217"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":217.50,"providers":[{"billed_charge":435.00,"npi":[1659300333]}]}]}]},{"billing_code":"11107","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"INCAL BX SKN EA SEP/ADDL","allowed_amounts":[{"tin":{"type":"ein","value":"561978217"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":102.50,"providers":[{"billed_charge":205.00,"npi":[1659300333]}]}]}]},{"billing_code":"1125F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"AMNT PAIN NOTED PAIN PRSNT","allowed_amounts":[{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"474063149"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1972193191]}]}]},{"tin":{"type":"ein","value":"582069754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.02,"npi":[1316973472]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":1.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"621529858"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1437194669]}]}]}]},{"billing_code":"1126F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"AMNT PAIN NOTED NONE PRSNT","allowed_amounts":[{"tin":{"type":"ein","value":"203087196"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1497783229]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750314183]}]}]},{"tin":{"type":"ein","value":"582114396"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1881862191]}]}]},{"tin":{"type":"ein","value":"593475356"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1326254962]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":1.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"742957202"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1851618110]}]}]},{"tin":{"type":"ein","value":"991936736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1770342354]}]}]}]},{"billing_code":"11300","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"SHAVE SKIN LESION 0.5 CM/<","allowed_amounts":[{"tin":{"type":"ein","value":"391370626"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":114.73,"providers":[{"billed_charge":366.00,"npi":[1669871620]}]}]},{"tin":{"type":"ein","value":"851060029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":115.97,"providers":[{"billed_charge":227.95,"npi":[1851919005]}]}]}]},{"billing_code":"11301","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"SHAVE SKIN LESION 0.6-1.0 CM","allowed_amounts":[{"tin":{"type":"ein","value":"452150951"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.65,"providers":[{"billed_charge":182.18,"npi":[1346537180]}]},{"allowed_amount":109.31,"providers":[{"billed_charge":182.18,"npi":[1346537180]}]}]}]},{"billing_code":"11306","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"SHAVE SKIN LESION 0.6-1.0 CM","allowed_amounts":[{"tin":{"type":"ein","value":"452150951"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.42,"providers":[{"billed_charge":184.03,"npi":[1346537180]}]}]}]},{"billing_code":"11310","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"SHAVE SKIN LESION 0.5 CM/<","allowed_amounts":[{"tin":{"type":"ein","value":"570571969"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.59,"providers":[{"billed_charge":246.00,"npi":[1083693857]}]},{"allowed_amount":158.35,"providers":[{"billed_charge":246.00,"npi":[1083693857]}]}]}]},{"billing_code":"11401","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"EXC TR-EXT B9+MARG 0.6-1 CM","allowed_amounts":[{"tin":{"type":"ein","value":"721111417"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.95,"providers":[{"billed_charge":289.00,"npi":[1871546911]}]}]}]},{"billing_code":"11402","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"EXC TR-EXT B9+MARG 1.1-2 CM","allowed_amounts":[{"tin":{"type":"ein","value":"311838862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":226.00,"providers":[{"billed_charge":226.00,"npi":[1114151800]}]}]}]},{"billing_code":"11442","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"EXC FACE-MM B9+MARG 1.1-2 CM","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":376.59,"providers":[{"billed_charge":753.19,"npi":[1073557559]}]}]}]},{"billing_code":"11442","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"EXC FACE-MM B9+MARG 1.1-2 CM","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":703.58,"providers":[{"billed_charge":3277.15,"npi":[1073557559]}]}]}]},{"billing_code":"1159F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"MED LIST DOCD IN RCRD","allowed_amounts":[{"tin":{"type":"ein","value":"201582408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1295784874]}]}]},{"tin":{"type":"ein","value":"541634477"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902848294]}]}]},{"tin":{"type":"ein","value":"581319204"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1992171060]}]}]},{"tin":{"type":"ein","value":"582114396"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1881862191]}]}]},{"tin":{"type":"ein","value":"582366697"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1922468826]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":1.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"621529858"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1437194669]}]}]},{"tin":{"type":"ein","value":"752424925"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1548231046]}]}]},{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1386195865]}]}]}]},{"billing_code":"11602","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"EXC TR-EXT MAL+MARG 1.1-2 CM","allowed_amounts":[{"tin":{"type":"ein","value":"311836454"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.75,"providers":[{"billed_charge":410.00,"npi":[1558339275]}]}]},{"tin":{"type":"ein","value":"592896023"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":196.08,"providers":[{"billed_charge":364.13,"npi":[1073577136]}]}]}]},{"billing_code":"1160F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"RVW MEDS BY RX/DR IN RCRD","allowed_amounts":[{"tin":{"type":"ein","value":"201582408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1295784874]}]}]},{"tin":{"type":"ein","value":"310993406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1861451437]}]}]},{"tin":{"type":"ein","value":"581319204"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1992171060]}]}]},{"tin":{"type":"ein","value":"582366697"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1922468826]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":1.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"621529858"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1437194669]}]}]},{"tin":{"type":"ein","value":"752424925"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1548231046]}]}]},{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1386195865]}]}]},{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1255950325]}]}]}]},{"billing_code":"1170F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"FXNL STATUS ASSESSED","allowed_amounts":[{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":1.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"742957202"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1851618110]}]}]}]},{"billing_code":"11721","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"DEBRIDE NAIL 6 OR MORE","allowed_amounts":[{"tin":{"type":"ein","value":"202513835"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.50,"providers":[{"billed_charge":55.00,"npi":[1093876757]}]}]},{"tin":{"type":"ein","value":"822410133"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.92,"providers":[{"billed_charge":80.00,"npi":[1538686498]}]}]},{"tin":{"type":"ein","value":"825286393"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":29.50,"providers":[{"billed_charge":59.00,"npi":[1295124774]}]}]},{"tin":{"type":"ein","value":"830572730"},"billing_class":"professional","service_code":["32"],"payments":[{"allowed_amount":26.21,"providers":[{"billed_charge":43.68,"npi":[1073003752]}]}]}]},{"billing_code":"11730","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"REMOVAL OF NAIL PLATE","allowed_amounts":[{"tin":{"type":"ein","value":"273846421"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":94.05,"providers":[{"billed_charge":238.61,"npi":[1073804712]}]},{"allowed_amount":121.50,"providers":[{"billed_charge":238.61,"npi":[1073804712]}]}]},{"tin":{"type":"ein","value":"822410133"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":117.00,"providers":[{"billed_charge":195.00,"npi":[1538686498]}]}]}]},{"billing_code":"11750","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"REMOVAL OF NAIL BED","allowed_amounts":[{"tin":{"type":"ein","value":"273846421"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":167.18,"providers":[{"billed_charge":334.29,"npi":[1073804712]}]},{"allowed_amount":167.26,"providers":[{"billed_charge":334.29,"npi":[1073804712]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":222.80,"providers":[{"billed_charge":364.05,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"561822416"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":225.00,"providers":[{"billed_charge":300.00,"npi":[1598873515]}]}]}]},{"billing_code":"11770","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"REMOVE PILONIDAL CYST SIMPLE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":494.54,"providers":[{"billed_charge":907.40,"npi":[1457719312]}]}]}]},{"billing_code":"11770","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"REMOVE PILONIDAL CYST SIMPLE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":2801.39,"providers":[{"billed_charge":16297.17,"npi":[1457719312]}]}]}]},{"billing_code":"11771","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"REMOVE PILONIDAL CYST EXTEN","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":623.65,"providers":[{"billed_charge":2456.21,"npi":[1992754758]}]}]}]},{"billing_code":"11771","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"REMOVE PILONIDAL CYST EXTEN","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":2591.70,"providers":[{"billed_charge":12547.37,"npi":[1992754758]}]}]}]},{"billing_code":"11900","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"INJECT SKIN LESIONS </W 7","allowed_amounts":[{"tin":{"type":"ein","value":"133275330"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.00,"providers":[{"billed_charge":199.14,"npi":[1679620769]}]}]},{"tin":{"type":"ein","value":"200602254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.71,"providers":[{"billed_charge":173.19,"npi":[1730244872]}]}]},{"tin":{"type":"ein","value":"570571969"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":65.00,"providers":[{"billed_charge":130.00,"npi":[1083693857]}]}]},{"tin":{"type":"ein","value":"582316841"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.51,"providers":[{"billed_charge":133.40,"npi":[1346351582]}]}]},{"tin":{"type":"ein","value":"621013399"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.29,"providers":[{"billed_charge":121.21,"npi":[1487695862]}]}]},{"tin":{"type":"ein","value":"823541643"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":90.99,"providers":[{"billed_charge":151.65,"npi":[1487168258]}]}]}]},{"billing_code":"11901","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"INJECT SKIN LESIONS >7","allowed_amounts":[{"tin":{"type":"ein","value":"852914575"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.00,"providers":[{"billed_charge":98.00,"npi":[1699382507]}]}]}]},{"billing_code":"11980","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"IMPLANT HORMONE PELLET(S)","allowed_amounts":[{"tin":{"type":"ein","value":"272046755"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":136.06,"providers":[{"billed_charge":245.00,"npi":[1225466527]}]},{"allowed_amount":152.25,"providers":[{"billed_charge":245.00,"npi":[1225466527]}]}]}]},{"billing_code":"11981","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"INSERTION DRUG DLVR IMPLANT","allowed_amounts":[{"tin":{"type":"ein","value":"562032082"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":132.15,"providers":[{"billed_charge":881.00,"npi":[1427016138]}]}]}]},{"billing_code":"11982","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"REMOVE DRUG IMPLANT DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"510066725"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":143.39,"providers":[{"billed_charge":239.00,"npi":[1124033865]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":158.10,"providers":[{"billed_charge":429.00,"npi":[1689610149]}]}]}]},{"billing_code":"12001","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"RPR S/N/AX/GEN/TRNK 2.5CM/<","allowed_amounts":[{"tin":{"type":"ein","value":"202728271"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":53.06,"providers":[{"billed_charge":314.00,"npi":[1023074580]}]}]},{"tin":{"type":"ein","value":"271369141"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":52.47,"providers":[{"billed_charge":322.00,"npi":[1629722129]}]}]},{"tin":{"type":"ein","value":"474459800"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":153.03,"providers":[{"billed_charge":358.00,"npi":[1912381203]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":49.41,"providers":[{"billed_charge":175.00,"npi":[1396216735]}]},{"allowed_amount":53.06,"providers":[{"billed_charge":175.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"561928809"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":53.06,"providers":[{"billed_charge":468.00,"npi":[1285952671]}]}]},{"tin":{"type":"ein","value":"562066152"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":49.41,"providers":[{"billed_charge":259.00,"npi":[1073562757]}]}]},{"tin":{"type":"ein","value":"813642890"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":55.88,"providers":[{"billed_charge":916.00,"npi":[1730636168]}]}]},{"tin":{"type":"ein","value":"833563831"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":46.86,"providers":[{"billed_charge":571.00,"npi":[1205458189]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":136.08,"providers":[{"billed_charge":180.00,"npi":[1144803040]}]},{"allowed_amount":153.03,"providers":[{"billed_charge":180.00,"npi":[1144803040]}]}]}]},{"billing_code":"12002","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"RPR S/N/AX/GEN/TRNK2.6-7.5CM","allowed_amounts":[{"tin":{"type":"ein","value":"202728271"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":82.61,"providers":[{"billed_charge":417.00,"npi":[1023074580]}]}]},{"tin":{"type":"ein","value":"202728380"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":82.61,"providers":[{"billed_charge":417.00,"npi":[1194781369]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":151.14,"providers":[{"billed_charge":260.38,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"474459800"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":149.86,"providers":[{"billed_charge":417.00,"npi":[1912381203]}]}]},{"tin":{"type":"ein","value":"561763695"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":82.61,"providers":[{"billed_charge":318.00,"npi":[1174086441]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":82.31,"providers":[{"billed_charge":230.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"582636306"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":348.50,"providers":[{"billed_charge":410.00,"npi":[1801965082]}]}]},{"tin":{"type":"ein","value":"650691102"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":82.31,"providers":[{"billed_charge":566.00,"npi":[1861430555]}]}]}]},{"billing_code":"12002","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"RPR S/N/AX/GEN/TRNK2.6-7.5CM","allowed_amounts":[{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":931.13,"providers":[{"billed_charge":1241.50,"npi":[1295843787]}]}]}]},{"billing_code":"12002","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"RPR S/N/AX/GEN/TRNK2.6-7.5CM","allowed_amounts":[{"tin":{"type":"ein","value":"621682207"},"billing_class":"institutional","payments":[{"allowed_amount":257.11,"providers":[{"billed_charge":2339.52,"npi":[1437102639]}]}]}]},{"billing_code":"12005","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"RPR S/N/A/GEN/TRK12.6-20.0CM","allowed_amounts":[{"tin":{"type":"ein","value":"621130266"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":125.94,"providers":[{"billed_charge":858.00,"npi":[1427005008]}]}]}]},{"billing_code":"12011","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"RPR F/E/E/N/L/M 2.5 CM/<","allowed_amounts":[{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":75.30,"providers":[{"billed_charge":218.00,"npi":[1396216735]}]},{"allowed_amount":75.57,"providers":[{"billed_charge":218.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":199.39,"providers":[{"billed_charge":222.00,"npi":[1144803040]}]},{"allowed_amount":199.40,"providers":[{"billed_charge":222.00,"npi":[1144803040]}]}]}]},{"billing_code":"12013","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"RPR F/E/E/N/L/M 2.6-5.0 CM","allowed_amounts":[{"tin":{"type":"ein","value":"650691102"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":69.24,"providers":[{"billed_charge":396.00,"npi":[1861430555]}]}]}]},{"billing_code":"12031","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"INTMD RPR S/A/T/EXT 2.5 CM/<","allowed_amounts":[{"tin":{"type":"ein","value":"311838862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.67,"providers":[{"billed_charge":249.58,"npi":[1063460459]}]}]},{"tin":{"type":"ein","value":"592896023"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":93.68,"providers":[{"billed_charge":391.02,"npi":[1073577136]}]}]}]},{"billing_code":"12032","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"INTMD RPR S/A/T/EXT 2.6-7.5","allowed_amounts":[{"tin":{"type":"ein","value":"310917085"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":666.00,"providers":[{"billed_charge":740.00,"npi":[1508817248]}]}]},{"tin":{"type":"ein","value":"561026666"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":53.08,"providers":[{"billed_charge":740.00,"npi":[1073599734]}]},{"allowed_amount":106.17,"providers":[{"billed_charge":740.00,"npi":[1073599734]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":106.17,"providers":[{"billed_charge":762.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"721111417"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":367.34,"providers":[{"billed_charge":578.00,"npi":[1871546911]}]}]}]},{"billing_code":"12041","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"INTMD RPR N-HF/GENIT 2.5CM/<","allowed_amounts":[{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":171.76,"providers":[{"billed_charge":589.00,"npi":[1396216735]}]}]}]},{"billing_code":"12051","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"INTMD RPR FACE/MM 2.5 CM/<","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":864.35,"providers":[{"billed_charge":864.35,"npi":[1073557559]}]}]}]},{"billing_code":"12051","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"INTMD RPR FACE/MM 2.5 CM/<","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":397.29,"providers":[{"billed_charge":1850.50,"npi":[1073557559]}]}]}]},{"billing_code":"12052","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"INTMD RPR FACE/MM 2.6-5.0 CM","allowed_amounts":[{"tin":{"type":"ein","value":"370661183"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":186.43,"providers":[{"billed_charge":654.61,"npi":[1114471737]}]}]}]},{"billing_code":"1220F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"PT SCREENED FOR DEPRESSION","allowed_amounts":[{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750314183]}]}]},{"tin":{"type":"ein","value":"581319204"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1992171060]}]}]},{"tin":{"type":"ein","value":"752424925"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1548231046]}]}]}]},{"billing_code":"126","billing_code_type":"RC","billing_code_type_version":"2022 AHA","name":"Room and Board","description":"DETOX/2BED","allowed_amounts":[{"tin":{"type":"ein","value":"824368971"},"billing_class":"institutional","payments":[{"allowed_amount":1876.94,"providers":[{"billed_charge":4900.00,"npi":[1972003523]}]}]},{"tin":{"type":"ein","value":"843501347"},"billing_class":"institutional","payments":[{"allowed_amount":2450.00,"providers":[{"billed_charge":4900.00,"npi":[1245856335]}]},{"allowed_amount":2887.57,"providers":[{"billed_charge":4900.00,"npi":[1245856335]}]}]},{"tin":{"type":"ein","value":"843884580"},"billing_class":"institutional","payments":[{"allowed_amount":2915.25,"providers":[{"billed_charge":4485.00,"npi":[1326703638]}]}]},{"tin":{"type":"ein","value":"851187062"},"billing_class":"institutional","payments":[{"allowed_amount":2250.00,"providers":[{"billed_charge":4500.00,"npi":[1407513534]}]}]}]},{"billing_code":"13121","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"CMPLX RPR S/A/L 2.6-7.5 CM","allowed_amounts":[{"tin":{"type":"ein","value":"311836454"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":525.00,"providers":[{"billed_charge":750.00,"npi":[1558339275]}]}]}]},{"billing_code":"13132","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"CMPLX RPR F/C/C/M/N/AX/G/H/F","allowed_amounts":[{"tin":{"type":"ein","value":"454717431"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.10,"providers":[{"billed_charge":922.02,"npi":[1073870341]}]}]},{"tin":{"type":"ein","value":"464300152"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":611.02,"providers":[{"billed_charge":1719.00,"npi":[1255754008]}]}]}]},{"billing_code":"13160","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"LATE CLOSURE OF WOUND","allowed_amounts":[{"tin":{"type":"ein","value":"271039017"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":507.50,"providers":[{"billed_charge":1802.00,"npi":[1902131287]}]}]}]},{"billing_code":"15002","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"WOUND PREP TRK/ARM/LEG","allowed_amounts":[{"tin":{"type":"ein","value":"562391560"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":280.00,"providers":[{"billed_charge":1015.00,"npi":[1215904909]}]},{"allowed_amount":305.00,"providers":[{"billed_charge":305.00,"npi":[1215904909]}]}]}]},{"billing_code":"15003","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"WOUND PREP ADDL 100 CM","allowed_amounts":[{"tin":{"type":"ein","value":"562391560"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":1560.00,"providers":[{"billed_charge":1884.00,"npi":[1215904909]},{"billed_charge":6264.00,"npi":[1215904909]}]}]}]},{"billing_code":"15120","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"SKN SPLT A-GRFT FAC/NCK/HF/G","allowed_amounts":[{"tin":{"type":"ein","value":"911606533"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":900.54,"providers":[{"billed_charge":2136.00,"npi":[1407223985]}]}]}]},{"billing_code":"15120","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"SKN SPLT A-GRFT FAC/NCK/HF/G","allowed_amounts":[{"tin":{"type":"ein","value":"911606533"},"billing_class":"institutional","payments":[{"allowed_amount":3889.65,"providers":[{"billed_charge":5221.00,"npi":[1780610220]}]}]}]},{"billing_code":"15273","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"SKIN SUB GRFT T/ARM/LG CHILD","allowed_amounts":[{"tin":{"type":"ein","value":"562391560"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":401.53,"providers":[{"billed_charge":1305.00,"npi":[1215904909]}]}]}]},{"billing_code":"15274","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"SKN SUB GRFT T/A/L CHILD ADD","allowed_amounts":[{"tin":{"type":"ein","value":"562391560"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":1022.76,"providers":[{"billed_charge":3828.00,"npi":[1215904909]}]}]}]},{"billing_code":"15734","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"MUSCLE-SKIN GRAFT TRUNK","allowed_amounts":[{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":1843.08,"providers":[{"billed_charge":11349.00,"npi":[1578527172]}]}]}]},{"billing_code":"15823","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"REVISION OF UPPER EYELID","allowed_amounts":[{"tin":{"type":"ein","value":"462637595"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":11000.00,"providers":[{"billed_charge":11000.00,"npi":[1942640719]}]}]}]},{"billing_code":"15853","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"REMOVAL SUTR/STAPL XREQ ANES","allowed_amounts":[{"tin":{"type":"ein","value":"561928809"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":12.87,"providers":[{"billed_charge":32.00,"npi":[1316264195]}]}]},{"tin":{"type":"ein","value":"824385128"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.40,"providers":[{"billed_charge":22.00,"npi":[1124528344]}]}]}]},{"billing_code":"16020","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"DRESS/DEBRID P-THICK BURN S","allowed_amounts":[{"tin":{"type":"ein","value":"521576648"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":124.38,"providers":[{"billed_charge":170.00,"npi":[1003887118]}]}]}]},{"billing_code":"17000","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"DESTRUCT PREMALG LESION","allowed_amounts":[{"tin":{"type":"ein","value":"251838458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":91.20,"providers":[{"billed_charge":190.00,"npi":[1235139817]}]}]},{"tin":{"type":"ein","value":"311838862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.03,"providers":[{"billed_charge":70.08,"npi":[1063460459]}]},{"allowed_amount":56.06,"providers":[{"billed_charge":70.08,"npi":[1063460459]}]}]},{"tin":{"type":"ein","value":"391351587"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.72,"providers":[{"billed_charge":303.63,"npi":[1326532169]}]}]},{"tin":{"type":"ein","value":"452150951"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":61.31,"providers":[{"billed_charge":102.18,"npi":[1346537180]}]}]},{"tin":{"type":"ein","value":"464300152"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":97.53,"providers":[{"billed_charge":245.00,"npi":[1255754008]}]}]},{"tin":{"type":"ein","value":"561004551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.03,"providers":[{"billed_charge":109.00,"npi":[1265477251]}]}]},{"tin":{"type":"ein","value":"570821519"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.40,"providers":[{"billed_charge":98.00,"npi":[1366404659]}]},{"allowed_amount":58.80,"providers":[{"billed_charge":98.00,"npi":[1366404659]}]}]},{"tin":{"type":"ein","value":"592896023"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.00,"providers":[{"billed_charge":99.47,"npi":[1073577136]}]}]},{"tin":{"type":"ein","value":"871189099"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":101.00,"providers":[{"billed_charge":130.00,"npi":[1982272001]}]}]}]},{"billing_code":"17003","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"DESTRUCT PREMALG LES 2-14","allowed_amounts":[{"tin":{"type":"ein","value":"251838458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.60,"providers":[{"billed_charge":95.00,"npi":[1235139817]}]}]},{"tin":{"type":"ein","value":"311838862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.96,"providers":[{"billed_charge":13.70,"npi":[1063460459]}]}]},{"tin":{"type":"ein","value":"391351587"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.32,"providers":[{"billed_charge":672.00,"npi":[1326532169]}]}]},{"tin":{"type":"ein","value":"452150951"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.01,"providers":[{"billed_charge":10.02,"npi":[1346537180]}]}]},{"tin":{"type":"ein","value":"463199339"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.24,"providers":[{"billed_charge":60.48,"npi":[1801238472]}]}]},{"tin":{"type":"ein","value":"561004551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.62,"providers":[{"billed_charge":37.00,"npi":[1265477251]}]}]},{"tin":{"type":"ein","value":"570821519"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.60,"providers":[{"billed_charge":56.00,"npi":[1366404659]}]},{"allowed_amount":67.20,"providers":[{"billed_charge":112.00,"npi":[1366404659]}]}]}]},{"billing_code":"17004","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"DESTROY PREMAL LESIONS 15/>","allowed_amounts":[{"tin":{"type":"ein","value":"311838862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":138.49,"providers":[{"billed_charge":173.11,"npi":[1063460459]}]}]},{"tin":{"type":"ein","value":"454717431"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":175.97,"providers":[{"billed_charge":326.14,"npi":[1073870341]}]}]},{"tin":{"type":"ein","value":"472759136"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":231.15,"providers":[{"billed_charge":234.99,"npi":[1417349747]}]}]}]},{"billing_code":"17110","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"DESTRUCT B9 LESION 1-14","allowed_amounts":[{"tin":{"type":"ein","value":"264630976"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":168.36,"providers":[{"billed_charge":343.00,"npi":[1881829703]}]}]},{"tin":{"type":"ein","value":"274026658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":181.60,"providers":[{"billed_charge":227.00,"npi":[1033494943]}]}]},{"tin":{"type":"ein","value":"311838862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":94.12,"providers":[{"billed_charge":117.65,"npi":[1063460459]}]},{"allowed_amount":149.00,"providers":[{"billed_charge":149.00,"npi":[1114151800]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":223.50,"providers":[{"billed_charge":298.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"391351587"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":167.08,"providers":[{"billed_charge":419.00,"npi":[1326532169]}]}]},{"tin":{"type":"ein","value":"452150951"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.28,"providers":[{"billed_charge":170.94,"npi":[1346537180]}]}]},{"tin":{"type":"ein","value":"561004551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":123.26,"providers":[{"billed_charge":205.43,"npi":[1265477251]}]},{"allowed_amount":162.43,"providers":[{"billed_charge":205.43,"npi":[1265477251]}]},{"allowed_amount":167.08,"providers":[{"billed_charge":205.43,"npi":[1265477251]}]}]},{"tin":{"type":"ein","value":"570571969"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":135.00,"providers":[{"billed_charge":270.00,"npi":[1083693857]}]}]},{"tin":{"type":"ein","value":"570821519"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":78.60,"providers":[{"billed_charge":131.00,"npi":[1366404659]}]}]}]},{"billing_code":"17110","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"DESTRUCT B9 LESION 1-14","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":273.64,"providers":[{"billed_charge":361.00,"npi":[1679525919]}]}]}]},{"billing_code":"17111","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"DESTRUCT LESION 15 OR MORE","allowed_amounts":[{"tin":{"type":"ein","value":"020781602"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":202.97,"providers":[{"billed_charge":225.00,"npi":[1639195126]}]}]},{"tin":{"type":"ein","value":"274026658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":215.20,"providers":[{"billed_charge":269.00,"npi":[1033494943]}]}]},{"tin":{"type":"ein","value":"581840125"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":127.40,"providers":[{"billed_charge":300.00,"npi":[1962739417]}]}]}]},{"billing_code":"17261","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"DESTRUCTION OF SKIN LESIONS","allowed_amounts":[{"tin":{"type":"ein","value":"263310765"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":383.20,"providers":[{"billed_charge":479.00,"npi":[1053565580]}]}]}]},{"billing_code":"17311","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"MOHS 1 STAGE H/N/HF/G","allowed_amounts":[{"tin":{"type":"ein","value":"311838862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":454.52,"providers":[{"billed_charge":649.31,"npi":[1063460459]}]}]},{"tin":{"type":"ein","value":"370661183"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1314.00,"providers":[{"billed_charge":1460.00,"npi":[1114471737]}]}]},{"tin":{"type":"ein","value":"454717431"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":776.85,"providers":[{"billed_charge":1327.00,"npi":[1073870341]}]}]},{"tin":{"type":"ein","value":"464300152"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":866.23,"providers":[{"billed_charge":2437.00,"npi":[1255754008]}]}]}]},{"billing_code":"17312","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"MOHS ADDL STAGE","allowed_amounts":[{"tin":{"type":"ein","value":"454717431"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":918.16,"providers":[{"billed_charge":1604.16,"npi":[1073870341]}]}]}]},{"billing_code":"19083","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"BX BREAST 1ST LESION US IMAG","allowed_amounts":[{"tin":{"type":"ein","value":"383380785"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":509.20,"providers":[{"billed_charge":536.00,"npi":[1740283324]}]}]},{"tin":{"type":"ein","value":"742958277"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":242.36,"providers":[{"billed_charge":6168.27,"npi":[1922061993]}]}]}]},{"billing_code":"19083","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"BX BREAST 1ST LESION US IMAG","allowed_amounts":[{"tin":{"type":"ein","value":"381360529"},"billing_class":"institutional","payments":[{"allowed_amount":1781.10,"providers":[{"billed_charge":1979.00,"npi":[1922090554]}]}]}]},{"billing_code":"19303","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"MAST SIMPLE COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":4119.95,"providers":[{"billed_charge":4847.00,"npi":[1548210198]}]},{"allowed_amount":8239.90,"providers":[{"billed_charge":9694.00,"npi":[1548210198]}]},{"allowed_amount":16479.80,"providers":[{"billed_charge":19388.00,"npi":[1548210198]}]}]},{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":305.71,"providers":[{"billed_charge":4893.00,"npi":[1093063398]}]}]}]},{"billing_code":"2000F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"BLOOD PRESSURE MEASURE","allowed_amounts":[{"tin":{"type":"ein","value":"203087196"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1497783229]}]}]},{"tin":{"type":"ein","value":"570604703"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1003827304]}]}]},{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750314183]}]}]},{"tin":{"type":"ein","value":"752424925"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1548231046]}]}]}]},{"billing_code":"2001F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"WEIGHT RECORD","allowed_amounts":[{"tin":{"type":"ein","value":"203087196"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1497783229]}]}]},{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750314183]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"752424925"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1548231046]}]}]}]},{"billing_code":"2010F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"VITAL SIGNS RECORDED","allowed_amounts":[{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750314183]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":1.00,"npi":[1093829442]}]}]}]},{"billing_code":"20240","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"BONE BIOPSY OPEN SUPERFICIAL","allowed_amounts":[{"tin":{"type":"ein","value":"841764495"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":230.51,"providers":[{"billed_charge":564.00,"npi":[1225689870]}]}]},{"tin":{"type":"ein","value":"922970622"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":213.90,"providers":[{"billed_charge":606.00,"npi":[1275218737]}]}]}]},{"billing_code":"20240","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"BONE BIOPSY OPEN SUPERFICIAL","allowed_amounts":[{"tin":{"type":"ein","value":"606000080"},"billing_class":"institutional","payments":[{"allowed_amount":0.50,"providers":[{"billed_charge":1.00,"npi":[1710314141]}]}]}]},{"billing_code":"2028F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"FOOT EXAM PERFORMED","allowed_amounts":[{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":1.00,"npi":[1093829442]}]}]}]},{"billing_code":"20550","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"INJ TENDON SHEATH/LIGAMENT","allowed_amounts":[{"tin":{"type":"ein","value":"591486941"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":61.46,"providers":[{"billed_charge":298.00,"npi":[1740252899]}]}]},{"tin":{"type":"ein","value":"822410133"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.80,"providers":[{"billed_charge":83.00,"npi":[1538686498]}]}]}]},{"billing_code":"20551","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"INJ TENDON ORIGIN/INSERTION","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":293.52,"providers":[{"billed_charge":1101.98,"npi":[1992754758]}]}]}]},{"billing_code":"20560","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"NDL INSJ W/O NJX 1 OR 2 MUSC","allowed_amounts":[{"tin":{"type":"ein","value":"272108073"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.66,"providers":[{"billed_charge":45.00,"npi":[1811213341]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.06,"providers":[{"billed_charge":77.34,"npi":[1750333282]}]}]}]},{"billing_code":"20560","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"NDL INSJ W/O NJX 1 OR 2 MUSC","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":31.53,"providers":[{"billed_charge":149.80,"npi":[1083669030]}]},{"allowed_amount":51.11,"providers":[{"billed_charge":149.80,"npi":[1083669030]}]}]}]},{"billing_code":"20561","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"NDL INSJ W/O NJX 3+ MUSC","allowed_amounts":[{"tin":{"type":"ein","value":"352565487"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.71,"providers":[{"billed_charge":50.00,"npi":[1356894604]}]}]},{"tin":{"type":"ein","value":"453687569"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.00,"providers":[{"billed_charge":35.00,"npi":[1386917896]}]}]},{"tin":{"type":"ein","value":"824003859"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.71,"providers":[{"billed_charge":108.75,"npi":[1639687965]}]}]},{"tin":{"type":"ein","value":"872752630"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.58,"providers":[{"billed_charge":60.00,"npi":[1427783596]}]}]}]},{"billing_code":"20600","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"DRAIN/INJ JOINT/BURSA W/O US","allowed_amounts":[{"tin":{"type":"ein","value":"581328653"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.44,"providers":[{"billed_charge":175.00,"npi":[1083739437]}]}]},{"tin":{"type":"ein","value":"621586264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":179.10,"providers":[{"billed_charge":296.00,"npi":[1245251404]}]}]}]},{"billing_code":"20605","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"DRAIN/INJ JOINT/BURSA W/O US","allowed_amounts":[{"tin":{"type":"ein","value":"921496164"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.81,"providers":[{"billed_charge":1498.00,"npi":[1083721906]}]}]}]},{"billing_code":"20610","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"DRAIN/INJ JOINT/BURSA W/O US","allowed_amounts":[{"tin":{"type":"ein","value":"043595273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":101.25,"providers":[{"billed_charge":150.00,"npi":[1033250857]}]}]},{"tin":{"type":"ein","value":"251838458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":165.65,"providers":[{"billed_charge":368.00,"npi":[1689674871]}]}]},{"tin":{"type":"ein","value":"264058719"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":134.00,"providers":[{"billed_charge":134.00,"npi":[1710125430]}]}]},{"tin":{"type":"ein","value":"453744471"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":158.43,"providers":[{"billed_charge":200.00,"npi":[1912437062]}]}]},{"tin":{"type":"ein","value":"521976286"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.74,"providers":[{"billed_charge":218.00,"npi":[1477583599]}]}]},{"tin":{"type":"ein","value":"541147892"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":53.90,"providers":[{"billed_charge":162.00,"npi":[1174533624]}]}]},{"tin":{"type":"ein","value":"541869072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":102.73,"providers":[{"billed_charge":225.00,"npi":[1639125271]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":75.23,"providers":[{"billed_charge":222.69,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561093722"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.64,"providers":[{"billed_charge":194.00,"npi":[1497704217]}]},{"allowed_amount":107.79,"providers":[{"billed_charge":194.00,"npi":[1497704217]}]}]},{"tin":{"type":"ein","value":"561191387"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":112.85,"providers":[{"billed_charge":1209.84,"npi":[1174817993]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":330.40,"providers":[{"billed_charge":413.00,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"593379430"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":102.42,"providers":[{"billed_charge":195.00,"npi":[1740373547]}]}]},{"tin":{"type":"ein","value":"621586264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.00,"providers":[{"billed_charge":140.00,"npi":[1245251404]}]}]},{"tin":{"type":"ein","value":"621654377"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":167.61,"providers":[{"billed_charge":380.00,"npi":[1831495613]}]}]},{"tin":{"type":"ein","value":"923121589"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":141.13,"providers":[{"billed_charge":328.45,"npi":[1245935261]}]}]}]},{"billing_code":"20610","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"DRAIN/INJ JOINT/BURSA W/O US","allowed_amounts":[{"tin":{"type":"ein","value":"311524546"},"billing_class":"institutional","payments":[{"allowed_amount":715.50,"providers":[{"billed_charge":954.00,"npi":[1699704254]}]}]}]},{"billing_code":"20611","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Integumentary","description":"DRAIN/INJ JOINT/BURSA W/US","allowed_amounts":[{"tin":{"type":"ein","value":"452521861"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":133.50,"providers":[{"billed_charge":267.00,"npi":[1912292335]}]}]},{"tin":{"type":"ein","value":"570710106"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":215.07,"providers":[{"billed_charge":565.50,"npi":[1447235106]}]}]},{"tin":{"type":"ein","value":"591361697"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":198.75,"providers":[{"billed_charge":265.00,"npi":[1942263694]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.30,"providers":[{"billed_charge":200.00,"npi":[1447239355]}]}]}]},{"billing_code":"20680","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"REMOVAL OF SUPPORT IMPLANT","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":205.64,"providers":[{"billed_charge":2484.00,"npi":[1972554186]}]},{"allowed_amount":822.58,"providers":[{"billed_charge":2484.00,"npi":[1972554186]}]}]}]},{"billing_code":"20680","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"REMOVAL OF SUPPORT IMPLANT","allowed_amounts":[{"tin":{"type":"ein","value":"831342511"},"billing_class":"institutional","payments":[{"allowed_amount":1411.71,"providers":[{"billed_charge":3569.83,"npi":[1487223814]}]}]}]},{"billing_code":"20692","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"APPLY BONE FIXATION DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"271039017"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":612.50,"providers":[{"billed_charge":2305.00,"npi":[1902131287]}]}]}]},{"billing_code":"20694","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"REMOVE BONE FIXATION DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"260719433"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":193.93,"providers":[{"billed_charge":1268.00,"npi":[1043494784]}]}]}]},{"billing_code":"21014","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"EXC FACE TUM DEEP 2 CM/>","allowed_amounts":[{"tin":{"type":"ein","value":"823541643"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":845.39,"providers":[{"billed_charge":1408.98,"npi":[1487168258]}]}]}]},{"billing_code":"21031","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"REMOVE EXOSTOSIS MANDIBLE","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":595.40,"providers":[{"billed_charge":1445.00,"npi":[1972554186]}]}]}]},{"billing_code":"21085","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"PREPARE FACE/ORAL PROSTHESIS","allowed_amounts":[{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":10280.39,"providers":[{"billed_charge":15815.99,"npi":[1154435824]}]}]}]},{"billing_code":"21141","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"LEFORT I-1 PIECE W/O GRAFT","allowed_amounts":[{"tin":{"type":"ein","value":"630649108"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":2275.88,"providers":[{"billed_charge":6004.00,"npi":[1093768723]}]}]}]},{"billing_code":"21141","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"LEFORT I-1 PIECE W/O GRAFT","allowed_amounts":[{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":10280.41,"providers":[{"billed_charge":15816.02,"npi":[1154435824]}]}]}]},{"billing_code":"21193","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"RECONST LWR JAW W/O GRAFT","allowed_amounts":[{"tin":{"type":"ein","value":"630649108"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":527.05,"providers":[{"billed_charge":5492.00,"npi":[1093768723]}]}]}]},{"billing_code":"21193","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"RECONST LWR JAW W/O GRAFT","allowed_amounts":[{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":10280.39,"providers":[{"billed_charge":15815.99,"npi":[1154435824]}]}]}]},{"billing_code":"22551","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"ARTHRD ANT NTRBDY CERVICAL","allowed_amounts":[{"tin":{"type":"ein","value":"562016630"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":2640.00,"providers":[{"billed_charge":7822.50,"npi":[1831142553]}]}]},{"tin":{"type":"ein","value":"562016630"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":2640.01,"providers":[{"billed_charge":7822.50,"npi":[1831142553]}]}]}]},{"billing_code":"22552","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"ARTHRD ANT NTRBD CERVICAL EA","allowed_amounts":[{"tin":{"type":"ein","value":"562016630"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":598.38,"providers":[{"billed_charge":2386.50,"npi":[1831142553]}]}]}]},{"billing_code":"22633","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"ARTHRD CMBN 1NTRSPC LUMBAR","allowed_amounts":[{"tin":{"type":"ein","value":"562016630"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":2792.47,"providers":[{"billed_charge":8356.00,"npi":[1831142553]}]}]}]},{"billing_code":"22842","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"INSERT SPINE FIXATION DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"562016630"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":1128.29,"providers":[{"billed_charge":6262.50,"npi":[1831142553]}]}]}]},{"billing_code":"22845","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"INSERT SPINE FIXATION DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"562016630"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":1003.50,"providers":[{"billed_charge":5201.50,"npi":[1831142553]}]}]},{"tin":{"type":"ein","value":"562016630"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1003.51,"providers":[{"billed_charge":5201.50,"npi":[1831142553]}]}]}]},{"billing_code":"22853","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category III","description":"INSJ BIOMECHANICAL DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"562016630"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":348.48,"providers":[{"billed_charge":3542.00,"npi":[1831142553]}]},{"allowed_amount":397.01,"providers":[{"billed_charge":3542.00,"npi":[1831142553]}]}]},{"tin":{"type":"ein","value":"562016630"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":794.02,"providers":[{"billed_charge":7084.00,"npi":[1831142553]}]}]}]},{"billing_code":"23472","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"RECONSTRUCT SHOULDER JOINT","allowed_amounts":[{"tin":{"type":"ein","value":"541869072"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":277.93,"providers":[{"billed_charge":1500.00,"npi":[1639125271]}]}]}]},{"billing_code":"23500","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"CLTX CLAVICULAR FX W/O MNPJ","allowed_amounts":[{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":244.25,"providers":[{"billed_charge":856.00,"npi":[1396216735]}]}]}]},{"billing_code":"23515","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"OPTX CLAVICULAR FX W/INT FIX","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1146.98,"providers":[{"billed_charge":3521.37,"npi":[1750333282]}]}]}]},{"billing_code":"23650","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"CLTX SHO DSLC W/MNPJ WO ANES","allowed_amounts":[{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":296.57,"providers":[{"billed_charge":1114.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"621130266"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":318.52,"providers":[{"billed_charge":2839.00,"npi":[1427005008]}]}]}]},{"billing_code":"23650","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"CLTX SHO DSLC W/MNPJ WO ANES","allowed_amounts":[{"tin":{"type":"ein","value":"431343281"},"billing_class":"institutional","payments":[{"allowed_amount":284.63,"providers":[{"billed_charge":495.00,"npi":[1962572396]}]}]}]},{"billing_code":"23650","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"TREAT SHOULDER DISLOCATION","allowed_amounts":[{"tin":{"type":"ein","value":"431343281"},"billing_class":"institutional","payments":[{"allowed_amount":284.63,"providers":[{"billed_charge":495.00,"npi":[1962572396]}]}]}]},{"billing_code":"24605","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"TREAT ELBOW DISLOCATION","allowed_amounts":[{"tin":{"type":"ein","value":"043633263"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":630.75,"providers":[{"billed_charge":805.00,"npi":[1972503910]}]}]}]},{"billing_code":"25028","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"DRAINAGE OF FOREARM LESION","allowed_amounts":[{"tin":{"type":"ein","value":"831342511"},"billing_class":"institutional","payments":[{"allowed_amount":1659.44,"providers":[{"billed_charge":4196.25,"npi":[1487223814]}]}]}]},{"billing_code":"25035","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"TREAT FOREARM BONE LESION","allowed_amounts":[{"tin":{"type":"ein","value":"831342511"},"billing_class":"institutional","payments":[{"allowed_amount":3680.42,"providers":[{"billed_charge":9306.77,"npi":[1487223814]}]}]}]},{"billing_code":"25505","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"TREAT FRACTURE OF RADIUS","allowed_amounts":[{"tin":{"type":"ein","value":"561928809"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":409.28,"providers":[{"billed_charge":1570.00,"npi":[1316264195]}]}]}]},{"billing_code":"25565","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"TREAT FRACTURE RADIUS & ULNA","allowed_amounts":[{"tin":{"type":"ein","value":"593256838"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1272.51,"providers":[{"billed_charge":2517.00,"npi":[1184609851]}]}]}]},{"billing_code":"25600","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"TREAT FRACTURE RADIUS/ULNA","allowed_amounts":[{"tin":{"type":"ein","value":"311610834"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":609.78,"providers":[{"billed_charge":1034.00,"npi":[1245248947]}]}]}]},{"billing_code":"25605","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"TREAT FRACTURE RADIUS/ULNA","allowed_amounts":[{"tin":{"type":"ein","value":"370647938"},"billing_class":"institutional","payments":[{"allowed_amount":2651.15,"providers":[{"billed_charge":3119.00,"npi":[1114935681]}]}]}]},{"billing_code":"25605","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"TREAT FRACTURE RADIUS/ULNA","allowed_amounts":[{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":4651.47,"providers":[{"billed_charge":5472.32,"npi":[1427114099]}]}]}]},{"billing_code":"25609","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"TREAT FX RADIAL 3+ FRAG","allowed_amounts":[{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":4175.82,"providers":[{"billed_charge":5219.78,"npi":[1396798229]}]}]}]},{"billing_code":"25609","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"TREAT FX RADIAL 3+ FRAG","allowed_amounts":[{"tin":{"type":"ein","value":"582030692"},"billing_class":"institutional","payments":[{"allowed_amount":7755.20,"providers":[{"billed_charge":9694.00,"npi":[1346403854]}]}]}]},{"billing_code":"26720","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"TREAT FINGER FRACTURE EACH","allowed_amounts":[{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":204.74,"providers":[{"billed_charge":708.00,"npi":[1396216735]}]}]}]},{"billing_code":"26725","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"TREAT FINGER FRACTURE EACH","allowed_amounts":[{"tin":{"type":"ein","value":"561763695"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":271.67,"providers":[{"billed_charge":1616.00,"npi":[1235562067]}]}]}]},{"billing_code":"26755","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"TREAT FINGER FRACTURE EACH","allowed_amounts":[{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":284.64,"providers":[{"billed_charge":1053.00,"npi":[1396216735]}]}]}]},{"billing_code":"26770","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"TREAT FINGER DISLOCATION","allowed_amounts":[{"tin":{"type":"ein","value":"474717998"},"billing_class":"institutional","payments":[{"allowed_amount":460.01,"providers":[{"billed_charge":1202.00,"npi":[1104295864]}]}]}]},{"billing_code":"27096","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"INJECT SACROILIAC JOINT","allowed_amounts":[{"tin":{"type":"ein","value":"257040159"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":398.25,"providers":[{"billed_charge":585.00,"npi":[1275932733]}]}]},{"tin":{"type":"ein","value":"461507241"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":275.51,"providers":[{"billed_charge":600.00,"npi":[1306280177]}]}]},{"tin":{"type":"ein","value":"923121589"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":821.85,"providers":[{"billed_charge":821.85,"npi":[1245935261]}]}]}]},{"billing_code":"27130","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"TOTAL HIP ARTHROPLASTY","allowed_amounts":[{"tin":{"type":"ein","value":"261125131"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":395.36,"providers":[{"billed_charge":798.00,"npi":[1831387117]}]},{"allowed_amount":2471.02,"providers":[{"billed_charge":2660.00,"npi":[1831387117]}]}]}]},{"billing_code":"27265","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"TREAT HIP DISLOCATION","allowed_amounts":[{"tin":{"type":"ein","value":"561763695"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":367.67,"providers":[{"billed_charge":2143.00,"npi":[1912071903]}]}]}]},{"billing_code":"27427","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"RECONSTRUCTION KNEE","allowed_amounts":[{"tin":{"type":"ein","value":"831342511"},"billing_class":"institutional","payments":[{"allowed_amount":5230.84,"providers":[{"billed_charge":14662.76,"npi":[1487223814]}]}]}]},{"billing_code":"27447","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"TOTAL KNEE ARTHROPLASTY","allowed_amounts":[{"tin":{"type":"ein","value":"561093722"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":238.33,"providers":[{"billed_charge":5038.00,"npi":[1497704217]}]},{"allowed_amount":286.00,"providers":[{"billed_charge":6549.40,"npi":[1497704217]}]}]},{"tin":{"type":"ein","value":"562107544"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":238.33,"providers":[{"billed_charge":577.12,"npi":[1780655803]}]}]},{"tin":{"type":"ein","value":"934624425"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":236.84,"providers":[{"billed_charge":3951.00,"npi":[1861253981]}]}]}]},{"billing_code":"27447","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"TOTAL KNEE ARTHROPLASTY","allowed_amounts":[{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":45997.93,"providers":[{"billed_charge":58716.36,"npi":[1730761065]}]}]}]},{"billing_code":"27602","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"DECOMPRESSION OF LOWER LEG","allowed_amounts":[{"tin":{"type":"ein","value":"271039017"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":735.00,"providers":[{"billed_charge":2746.00,"npi":[1902131287]}]}]}]},{"billing_code":"27759","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"TREATMENT OF TIBIA FRACTURE","allowed_amounts":[{"tin":{"type":"ein","value":"900614621"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":218.25,"providers":[{"billed_charge":2780.00,"npi":[1821398512]}]},{"allowed_amount":1637.21,"providers":[{"billed_charge":2780.00,"npi":[1821398512]}]}]}]},{"billing_code":"27766","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"OPTX MEDIAL ANKLE FX","allowed_amounts":[{"tin":{"type":"ein","value":"260719433"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":507.08,"providers":[{"billed_charge":1977.00,"npi":[1043494784]}]}]}]},{"billing_code":"27767","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"CLTX POST ANKLE FX","allowed_amounts":[{"tin":{"type":"ein","value":"273645560"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":407.49,"providers":[{"billed_charge":732.00,"npi":[1700151842]}]}]},{"tin":{"type":"ein","value":"273645560"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":274.50,"providers":[{"billed_charge":732.00,"npi":[1700151842]}]}]}]},{"billing_code":"27780","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"TREATMENT OF FIBULA FRACTURE","allowed_amounts":[{"tin":{"type":"ein","value":"464821403"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":331.74,"providers":[{"billed_charge":2674.26,"npi":[1235554692]}]}]}]},{"billing_code":"27828","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"TREAT LOWER LEG FRACTURE","allowed_amounts":[{"tin":{"type":"ein","value":"260719433"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":1945.21,"providers":[{"billed_charge":4770.00,"npi":[1043494784]}]}]}]},{"billing_code":"28020","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"EXPLORATION OF FOOT JOINT","allowed_amounts":[{"tin":{"type":"ein","value":"273846421"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":304.81,"providers":[{"billed_charge":781.48,"npi":[1073804712]}]}]}]},{"billing_code":"28190","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"REMOVAL OF FOOT FOREIGN BODY","allowed_amounts":[{"tin":{"type":"ein","value":"840255530"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":324.11,"providers":[{"billed_charge":1378.00,"npi":[1942511019]}]}]}]},{"billing_code":"28289","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"CORRJ HALUX RIGDUS W/O IMPLT","allowed_amounts":[{"tin":{"type":"ein","value":"273846421"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":381.04,"providers":[{"billed_charge":976.91,"npi":[1073804712]}]}]}]},{"billing_code":"28430","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"TREATMENT OF ANKLE FRACTURE","allowed_amounts":[{"tin":{"type":"ein","value":"273645560"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":167.69,"providers":[{"billed_charge":620.00,"npi":[1700151842]}]},{"allowed_amount":232.50,"providers":[{"billed_charge":620.00,"npi":[1700151842]}]}]}]},{"billing_code":"28470","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"TREAT METATARSAL FRACTURE","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":453.08,"providers":[{"billed_charge":863.00,"npi":[1679525919]}]}]}]},{"billing_code":"29065","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"APPLICATION OF LONG ARM CAST","allowed_amounts":[{"tin":{"type":"ein","value":"593256838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":252.88,"providers":[{"billed_charge":355.00,"npi":[1184609851]}]}]}]},{"billing_code":"29075","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"APPLICATION OF FOREARM CAST","allowed_amounts":[{"tin":{"type":"ein","value":"593256838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":225.95,"providers":[{"billed_charge":322.00,"npi":[1184609851]}]}]},{"tin":{"type":"ein","value":"933254155"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":137.84,"providers":[{"billed_charge":167.02,"npi":[1861274169]}]}]}]},{"billing_code":"29105","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"APPLY LONG ARM SPLINT","allowed_amounts":[{"tin":{"type":"ein","value":"270846679"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.21,"providers":[{"billed_charge":168.00,"npi":[1265665681]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":58.71,"providers":[{"billed_charge":232.00,"npi":[1396216735]}]}]}]},{"billing_code":"29105","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"APPLY LONG ARM SPLINT","allowed_amounts":[{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":80.58,"providers":[{"billed_charge":281.00,"npi":[1487917233]}]}]}]},{"billing_code":"29125","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"APPLY FOREARM SPLINT","allowed_amounts":[{"tin":{"type":"ein","value":"561752877"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":52.96,"providers":[{"billed_charge":259.00,"npi":[1003853409]}]}]},{"tin":{"type":"ein","value":"561763695"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":52.96,"providers":[{"billed_charge":214.00,"npi":[1033770292]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":52.77,"providers":[{"billed_charge":154.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":92.95,"providers":[{"billed_charge":230.00,"npi":[1932679446]}]}]}]},{"billing_code":"29125","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"APPLY FOREARM SPLINT","allowed_amounts":[{"tin":{"type":"ein","value":"320441929"},"billing_class":"institutional","payments":[{"allowed_amount":183.42,"providers":[{"billed_charge":513.97,"npi":[1689780249]}]}]}]},{"billing_code":"29130","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"APPLICATION OF FINGER SPLINT","allowed_amounts":[{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":59.06,"providers":[{"billed_charge":81.00,"npi":[1255950325]}]}]}]},{"billing_code":"29450","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"APPLICATION OF LEG CAST","allowed_amounts":[{"tin":{"type":"ein","value":"364727660"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":474.69,"providers":[{"billed_charge":1230.00,"npi":[1912266420]}]}]}]},{"billing_code":"29515","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"APPLICATION LOWER LEG SPLINT","allowed_amounts":[{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":1110.91,"providers":[{"billed_charge":1405.00,"npi":[1164400131]}]}]}]},{"billing_code":"29530","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"STRAPPING OF KNEE","allowed_amounts":[{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":26.21,"providers":[{"billed_charge":68.00,"npi":[1396216735]}]}]}]},{"billing_code":"29823","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"SHO ARTHRS SRG XTNSV DBRDMT","allowed_amounts":[{"tin":{"type":"ein","value":"581388690"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":785.50,"providers":[{"billed_charge":2135.00,"npi":[1871655167]}]}]}]},{"billing_code":"29826","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"SHO ARTHRS SRG DECOMPRESSION","allowed_amounts":[{"tin":{"type":"ein","value":"581388690"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":798.02,"providers":[{"billed_charge":2169.00,"npi":[1871655167]}]}]},{"tin":{"type":"ein","value":"621586264"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":99.00,"providers":[{"billed_charge":99.00,"npi":[1245251404]}]}]}]},{"billing_code":"29827","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"SHO ARTHRS SRG RT8TR CUF RPR","allowed_amounts":[{"tin":{"type":"ein","value":"581388690"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":1416.48,"providers":[{"billed_charge":3850.00,"npi":[1871655167]}]}]},{"tin":{"type":"ein","value":"621586264"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":401.78,"providers":[{"billed_charge":605.40,"npi":[1245251404]}]}]}]},{"billing_code":"29881","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"KNEE ARTHROSCOPY/SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"382776791"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":2304.00,"providers":[{"billed_charge":2348.00,"npi":[1093119638]}]}]},{"tin":{"type":"ein","value":"620811256"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":982.58,"providers":[{"billed_charge":3288.00,"npi":[1003835141]}]}]}]},{"billing_code":"29881","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"KNEE ARTHROSCOPY/SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"460552249"},"billing_class":"institutional","payments":[{"allowed_amount":6150.00,"providers":[{"billed_charge":8200.00,"npi":[1679086078]}]}]},{"tin":{"type":"ein","value":"464197221"},"billing_class":"institutional","payments":[{"allowed_amount":5202.00,"providers":[{"billed_charge":12000.00,"npi":[1225458755]}]}]}]},{"billing_code":"29881","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"KNEE ARTHROSCOPY/SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":6031.55,"providers":[{"billed_charge":6349.00,"npi":[1275531956]}]}]}]},{"billing_code":"29888","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"KNEE ARTHROSCOPY/SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"311610834"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":188.32,"providers":[{"billed_charge":3198.00,"npi":[1245248947]}]}]}]},{"billing_code":"29888","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"KNEE ARTHROSCOPY/SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"460552249"},"billing_class":"institutional","payments":[{"allowed_amount":10125.00,"providers":[{"billed_charge":13500.00,"npi":[1679086078]}]}]},{"tin":{"type":"ein","value":"541935354"},"billing_class":"institutional","payments":[{"allowed_amount":7039.92,"providers":[{"billed_charge":9899.00,"npi":[1598797714]}]}]},{"tin":{"type":"ein","value":"831342511"},"billing_class":"institutional","payments":[{"allowed_amount":5152.70,"providers":[{"billed_charge":14443.73,"npi":[1487223814]}]}]}]},{"billing_code":"3008F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"BODY MASS INDEX DOCD","allowed_amounts":[{"tin":{"type":"ein","value":"201582408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1295784874]}]}]},{"tin":{"type":"ein","value":"203087196"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1497783229]}]}]},{"tin":{"type":"ein","value":"223620876"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":10.00,"npi":[1770658023]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"453556063"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1104193069]}]}]},{"tin":{"type":"ein","value":"474063149"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1972193191]}]}]},{"tin":{"type":"ein","value":"562197985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1952579807]}]}]},{"tin":{"type":"ein","value":"570604703"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1003827304]}]}]},{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750314183]}]}]},{"tin":{"type":"ein","value":"582069754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.02,"npi":[1316973472]}]}]},{"tin":{"type":"ein","value":"582114396"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1881862191]}]}]},{"tin":{"type":"ein","value":"593475356"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1326254962]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":1.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"621529858"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1437194669]}]}]},{"tin":{"type":"ein","value":"752424925"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1548231046]}]}]},{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1386195865]}]}]},{"tin":{"type":"ein","value":"822462657"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1831392174]}]}]},{"tin":{"type":"ein","value":"991936736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1770342354]}]}]}]},{"billing_code":"30140","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"RESECT INFERIOR TURBINATE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":689.24,"providers":[{"billed_charge":1349.39,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":251.36,"providers":[{"billed_charge":800.00,"npi":[1912957606]}]}]},{"tin":{"type":"ein","value":"582629795"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":177.86,"providers":[{"billed_charge":825.00,"npi":[1699791343]}]}]}]},{"billing_code":"30140","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"RESECT INFERIOR TURBINATE","allowed_amounts":[{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":4392.91,"providers":[{"billed_charge":12978.11,"npi":[1760402424]}]}]}]},{"billing_code":"3016F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"PT SCRND UNHLTHY OH USE","allowed_amounts":[{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750314183]}]}]}]},{"billing_code":"3028F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"O2 SATURATION DOC REV","allowed_amounts":[{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750314183]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":1.00,"npi":[1093829442]}]}]}]},{"billing_code":"30300","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"REMOVE NASAL FOREIGN BODY","allowed_amounts":[{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":155.71,"providers":[{"billed_charge":411.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":311.80,"providers":[{"billed_charge":670.00,"npi":[1932679446]}]}]}]},{"billing_code":"3037F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"O2 SATURATION >88%/PAO>55 HG","allowed_amounts":[{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750314183]}]}]}]},{"billing_code":"3044F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"HG A1C LEVEL LT 7.0%","allowed_amounts":[{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"300210241"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1710942610]}]}]},{"tin":{"type":"ein","value":"300270600"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1518032564]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1457423907,1720794944]}]}]},{"tin":{"type":"ein","value":"570604703"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1003827304]}]}]}]},{"billing_code":"30520","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"REPAIR OF NASAL SEPTUM","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":1041.20,"providers":[{"billed_charge":3514.74,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":785.49,"providers":[{"billed_charge":2500.00,"npi":[1912957606]}]}]}]},{"billing_code":"3074F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"SYST BP LT 130 MM HG","allowed_amounts":[{"tin":{"type":"ein","value":"201582408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1295784874]}]}]},{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"270898372"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":63.00,"npi":[1174808216]}]}]},{"tin":{"type":"ein","value":"300210241"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1710942610]}]}]},{"tin":{"type":"ein","value":"311620193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1285670646]}]}]},{"tin":{"type":"ein","value":"453556063"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1104193069]}]}]},{"tin":{"type":"ein","value":"474063149"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1972193191]}]}]},{"tin":{"type":"ein","value":"541634477"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902848294]}]}]},{"tin":{"type":"ein","value":"561209062"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1154378933]}]}]},{"tin":{"type":"ein","value":"562124971"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1760483382]}]}]},{"tin":{"type":"ein","value":"562197985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1952579807]}]}]},{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750314183]}]}]},{"tin":{"type":"ein","value":"581640184"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902995145]}]}]},{"tin":{"type":"ein","value":"582114396"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1881862191]}]}]},{"tin":{"type":"ein","value":"593140335"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1043269871]}]}]},{"tin":{"type":"ein","value":"593475356"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1326254962]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":1.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"621388079"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1831110667]}]}]},{"tin":{"type":"ein","value":"621490616"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":63.00,"npi":[1568726883]}]}]},{"tin":{"type":"ein","value":"621529858"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1437194669]}]}]},{"tin":{"type":"ein","value":"742957202"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1851618110]}]}]},{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1386195865]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"920943759"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1851000855]}]}]}]},{"billing_code":"3075F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"SYST BP GE 130 - 139MM HG","allowed_amounts":[{"tin":{"type":"ein","value":"200160881"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1245997279]}]}]},{"tin":{"type":"ein","value":"201582408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1295784874]}]}]},{"tin":{"type":"ein","value":"202088165"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1427016385]}]}]},{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"310993406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1861451437]}]}]},{"tin":{"type":"ein","value":"561209062"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1154378933]}]}]},{"tin":{"type":"ein","value":"562197985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1952579807]}]}]},{"tin":{"type":"ein","value":"582069754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":10.00,"npi":[1316973472]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":1.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"752424925"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1548231046]}]}]},{"tin":{"type":"ein","value":"991936736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1770342354]}]}]}]},{"billing_code":"3077F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"SYST BP >= 140 MM HG","allowed_amounts":[{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"541634477"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902848294]}]}]},{"tin":{"type":"ein","value":"561209062"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1154378933]}]}]},{"tin":{"type":"ein","value":"582366697"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1922468826,1821518556]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902980865]}]}]}]},{"billing_code":"3078F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"DIAST BP <80 MM HG","allowed_amounts":[{"tin":{"type":"ein","value":"201582408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1295784874]}]}]},{"tin":{"type":"ein","value":"203087196"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1497783229]}]}]},{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"270898372"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":63.00,"npi":[1174808216]}]}]},{"tin":{"type":"ein","value":"310993406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1861451437]}]}]},{"tin":{"type":"ein","value":"311620193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1285670646]}]}]},{"tin":{"type":"ein","value":"453556063"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1104193069]}]}]},{"tin":{"type":"ein","value":"561209062"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1154378933]}]}]},{"tin":{"type":"ein","value":"562197985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1952579807]}]}]},{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750314183]}]}]},{"tin":{"type":"ein","value":"581640184"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902995145]}]}]},{"tin":{"type":"ein","value":"593140335"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1043269871]}]}]},{"tin":{"type":"ein","value":"593475356"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1326254962]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":1.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"621388079"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1831110667]}]}]},{"tin":{"type":"ein","value":"621490616"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":63.00,"npi":[1568726883]}]}]},{"tin":{"type":"ein","value":"742957202"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1851618110]}]}]},{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1386195865]}]}]},{"tin":{"type":"ein","value":"920943759"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1851000855]}]}]}]},{"billing_code":"3079F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"DIAST BP 80-89 MM HG","allowed_amounts":[{"tin":{"type":"ein","value":"200160881"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1245997279]}]}]},{"tin":{"type":"ein","value":"201582408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1295784874]}]}]},{"tin":{"type":"ein","value":"202088165"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1427016385]}]}]},{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"300210241"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1710942610]}]}]},{"tin":{"type":"ein","value":"310993406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1861451437]}]}]},{"tin":{"type":"ein","value":"541634477"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902848294]}]}]},{"tin":{"type":"ein","value":"561209062"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1154378933]}]}]},{"tin":{"type":"ein","value":"562124971"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1760483382]}]}]},{"tin":{"type":"ein","value":"582069754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":10.00,"npi":[1316973472]}]}]},{"tin":{"type":"ein","value":"582114396"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1881862191]}]}]},{"tin":{"type":"ein","value":"582366697"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1922468826,1821518556]}]}]},{"tin":{"type":"ein","value":"593140335"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1043269871]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"621529858"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1437194669]}]}]},{"tin":{"type":"ein","value":"752424925"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1548231046]}]}]}]},{"billing_code":"3080F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"DIAST BP >= 90 MM HG","allowed_amounts":[{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"541634477"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902848294]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"991936736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1770342354]}]}]}]},{"billing_code":"30901","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"CONTROL OF NOSEBLEED","allowed_amounts":[{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":74.13,"providers":[{"billed_charge":224.00,"npi":[1396216735]}]}]}]},{"billing_code":"31030","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"EXPLORATION MAXILLARY SINUS","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":891.90,"providers":[{"billed_charge":4597.00,"npi":[1972554186]}]}]}]},{"billing_code":"31231","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"NASAL ENDOSCOPY DX","allowed_amounts":[{"tin":{"type":"ein","value":"043239435"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":293.73,"providers":[{"billed_charge":600.00,"npi":[1437197092]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":895.85,"providers":[{"billed_charge":943.00,"npi":[1922074434]}]}]},{"tin":{"type":"ein","value":"522312665"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":216.00,"providers":[{"billed_charge":360.00,"npi":[1013106541]}]}]},{"tin":{"type":"ein","value":"561263118"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":206.41,"providers":[{"billed_charge":557.00,"npi":[1649216631]}]}]}]},{"billing_code":"31242","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"NASAL/SINUS ENDO SURG DRFA PNN","allowed_amounts":[{"tin":{"type":"ein","value":"582629795"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":149.98,"providers":[{"billed_charge":473.00,"npi":[1699791343]}]}]}]},{"billing_code":"31254","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"NSL/SINS NDSC W/PRTL ETHMDCT","allowed_amounts":[{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":1005.42,"providers":[{"billed_charge":3200.00,"npi":[1912957606]}]}]}]},{"billing_code":"31267","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"ENDOSCOPY MAXILLARY SINUS","allowed_amounts":[{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":1357.32,"providers":[{"billed_charge":4320.00,"npi":[1912957606]}]}]}]},{"billing_code":"31500","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"INSERT EMERGENCY AIRWAY","allowed_amounts":[{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":164.56,"providers":[{"billed_charge":438.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"561928809"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":164.56,"providers":[{"billed_charge":915.00,"npi":[1316264195]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":164.56,"providers":[{"billed_charge":825.99,"npi":[1992754758]}]}]}]},{"billing_code":"31526","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"DX LARYNGOSCOPY W/OPER SCOPE","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1140.95,"providers":[{"billed_charge":1201.00,"npi":[1609915784]}]}]}]},{"billing_code":"31526","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"DX LARYNGOSCOPY W/OPER SCOPE","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":2203.37,"providers":[{"billed_charge":2248.34,"npi":[1548212988]}]}]}]},{"billing_code":"31575","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"DIAGNOSTIC LARYNGOSCOPY","allowed_amounts":[{"tin":{"type":"ein","value":"202288402"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":382.50,"providers":[{"billed_charge":450.00,"npi":[1861449407]}]}]},{"tin":{"type":"ein","value":"561872583"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":89.05,"providers":[{"billed_charge":304.00,"npi":[1538171871]}]}]},{"tin":{"type":"ein","value":"562149579"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":89.05,"providers":[{"billed_charge":300.00,"npi":[1124034202]}]}]}]},{"billing_code":"31622","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"DX BRONCHOSCOPE/WASH","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":255.55,"providers":[{"billed_charge":1076.00,"npi":[1609915784]}]}]}]},{"billing_code":"31624","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"DX BRONCHOSCOPE/LAVAGE","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1083.00,"providers":[{"billed_charge":1140.00,"npi":[1609915784]}]}]}]},{"billing_code":"31624","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"DX BRONCHOSCOPE/LAVAGE","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":2203.36,"providers":[{"billed_charge":2248.33,"npi":[1548212988]}]}]}]},{"billing_code":"3210F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"GRP A STREP TEST PERFORMED","allowed_amounts":[{"tin":{"type":"ein","value":"752424925"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1548231046]}]}]}]},{"billing_code":"32650","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"THORACOSCOPY W/PLEURODESIS","allowed_amounts":[{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":145.60,"providers":[{"billed_charge":3281.00,"npi":[1174813224]}]}]}]},{"billing_code":"3288F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"FALL RISK ASSESSMENT DOCD","allowed_amounts":[{"tin":{"type":"ein","value":"232919472"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1881683100]}]}]},{"tin":{"type":"ein","value":"991936736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1770342354]}]}]}]},{"billing_code":"33285","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"INSJ SUBQ CAR RHYTHM MNTR","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":114.63,"providers":[{"billed_charge":482.81,"npi":[1992754758]}]}]}]},{"billing_code":"33508","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"ENDOSCOPIC VEIN HARVEST","allowed_amounts":[{"tin":{"type":"ein","value":"813425340"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":8.00,"npi":[1194277186]}]}]}]},{"billing_code":"33518","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"CABG ARTERY-VEIN TWO","allowed_amounts":[{"tin":{"type":"ein","value":"813425340"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":86.82,"providers":[{"billed_charge":164.00,"npi":[1194277186]}]}]}]},{"billing_code":"3351F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"NEG SCRN DEP SYMP BY DEPTOOL","allowed_amounts":[{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750314183]}]}]}]},{"billing_code":"33533","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"CABG ARTERIAL SINGLE","allowed_amounts":[{"tin":{"type":"ein","value":"813425340"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":341.16,"providers":[{"billed_charge":741.00,"npi":[1194277186]}]}]}]},{"billing_code":"33572","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"OPEN CORONARY ENDARTERECTOMY","allowed_amounts":[{"tin":{"type":"ein","value":"813425340"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":41.92,"providers":[{"billed_charge":93.00,"npi":[1194277186]}]}]}]},{"billing_code":"33880","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"ENDOVASC TAA REPR INCL SUBCL","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":325.07,"providers":[{"billed_charge":9598.63,"npi":[1992754758]}]},{"allowed_amount":2031.70,"providers":[{"billed_charge":9598.63,"npi":[1992754758]}]}]}]},{"billing_code":"34812","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"OPN FEM ART EXPOS","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":37.29,"providers":[{"billed_charge":1049.87,"npi":[1992754758]}]},{"allowed_amount":233.09,"providers":[{"billed_charge":1094.87,"npi":[1992754758]}]}]}]},{"billing_code":"35903","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"EXCISION GRAFT EXTREMITY","allowed_amounts":[{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":895.18,"providers":[{"billed_charge":3651.00,"npi":[1710290564]}]}]}]},{"billing_code":"36000","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"PLACE NEEDLE IN VEIN","allowed_amounts":[{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":30.01,"providers":[{"billed_charge":321.42,"npi":[1205263423]}]}]}]},{"billing_code":"36140","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"INTRO NDL ICATH UPR/LXTR ART","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":26.19,"providers":[{"billed_charge":490.45,"npi":[1992754758]}]}]}]},{"billing_code":"36200","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"PLACE CATHETER IN AORTA","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":40.03,"providers":[{"billed_charge":1131.14,"npi":[1992754758]}]}]}]},{"billing_code":"36227","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"PLACE CATH XTRNL CAROTID","allowed_amounts":[{"tin":{"type":"ein","value":"043259647"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1919.12,"providers":[{"billed_charge":2086.00,"npi":[1487681912]}]}]}]},{"billing_code":"36227","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"PLACE CATH XTRNL CAROTID","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":3607.32,"providers":[{"billed_charge":3921.00,"npi":[1710087127]}]}]}]},{"billing_code":"36248","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"INS CATH ABD/L-EXT ART ADDL","allowed_amounts":[{"tin":{"type":"ein","value":"840597929"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":70.20,"providers":[{"billed_charge":206.00,"npi":[1679513196]}]}]}]},{"billing_code":"36415","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"ROUTINE VENIPUNCTURE","allowed_amounts":[{"tin":{"type":"ein","value":"010511356"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.15,"providers":[{"billed_charge":10.15,"npi":[1306846753]}]}]},{"tin":{"type":"ein","value":"030219309"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":29.75,"providers":[{"billed_charge":35.00,"npi":[1659309615]}]}]},{"tin":{"type":"ein","value":"030417049"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.40,"providers":[{"billed_charge":16.00,"npi":[1922053545]}]}]},{"tin":{"type":"ein","value":"030465688"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":17.00,"npi":[1982885901]}]}]},{"tin":{"type":"ein","value":"112981029"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":10.00,"npi":[1376587113]}]}]},{"tin":{"type":"ein","value":"133544120"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.58,"providers":[{"billed_charge":43.00,"npi":[1982643003]}]}]},{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]},{"allowed_amount":7.94,"providers":[{"billed_charge":10.00,"npi":[1538144910]},{"billed_charge":26.25,"npi":[1538144910]}]},{"allowed_amount":8.83,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"141338547"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.91,"providers":[{"billed_charge":19.00,"npi":[1881924322]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":35.00,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"200677400"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.27,"providers":[{"billed_charge":19.00,"npi":[1841228871]}]}]},{"tin":{"type":"ein","value":"201357375"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.82,"providers":[{"billed_charge":19.00,"npi":[1679528798]}]}]},{"tin":{"type":"ein","value":"201822899"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.00,"providers":[{"billed_charge":15.00,"npi":[1316164007]}]}]},{"tin":{"type":"ein","value":"202265068"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":13.00,"npi":[1013042480]}]}]},{"tin":{"type":"ein","value":"202948293"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.38,"providers":[{"billed_charge":15.00,"npi":[1376527077]}]}]},{"tin":{"type":"ein","value":"203059260"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.85,"providers":[{"billed_charge":9.00,"npi":[1598958431]}]}]},{"tin":{"type":"ein","value":"204700877"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.40,"providers":[{"billed_charge":63.00,"npi":[1407864168]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":7.50,"providers":[{"billed_charge":7.50,"npi":[1457579617]}]},{"allowed_amount":7.95,"providers":[{"billed_charge":30.00,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"233079507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.00,"providers":[{"billed_charge":25.71,"npi":[1043271539]}]}]},{"tin":{"type":"ein","value":"251838458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.48,"providers":[{"billed_charge":26.00,"npi":[1134619356]}]}]},{"tin":{"type":"ein","value":"261960517"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.50,"providers":[{"billed_charge":15.00,"npi":[1114196557]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.30,"providers":[{"billed_charge":17.66,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"263049770"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.20,"providers":[{"billed_charge":8.00,"npi":[1265684856]}]}]},{"tin":{"type":"ein","value":"263653139"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.00,"providers":[{"billed_charge":16.00,"npi":[1912142001]}]}]},{"tin":{"type":"ein","value":"263985043"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.00,"providers":[{"billed_charge":25.00,"npi":[1407957632]}]}]},{"tin":{"type":"ein","value":"272046755"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":15.00,"npi":[1225466527]}]},{"allowed_amount":7.95,"providers":[{"billed_charge":15.00,"npi":[1225466527]}]}]},{"tin":{"type":"ein","value":"300270600"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.90,"providers":[{"billed_charge":36.00,"npi":[1518032564]}]}]},{"tin":{"type":"ein","value":"310993406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.50,"providers":[{"billed_charge":6.00,"npi":[1861451437]}]},{"allowed_amount":6.00,"providers":[{"billed_charge":6.00,"npi":[1861451437]}]}]},{"tin":{"type":"ein","value":"316025986"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.80,"providers":[{"billed_charge":8.00,"npi":[1942274410]}]}]},{"tin":{"type":"ein","value":"341015976"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.40,"providers":[{"billed_charge":28.00,"npi":[1033477062]}]}]},{"tin":{"type":"ein","value":"341720429"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.86,"providers":[{"billed_charge":8.27,"npi":[1619980430]}]},{"allowed_amount":6.88,"providers":[{"billed_charge":8.27,"npi":[1619980430]}]},{"allowed_amount":8.30,"providers":[{"billed_charge":10.00,"npi":[1619980430]}]}]},{"tin":{"type":"ein","value":"352585434"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":20.00,"npi":[1932640349]}]}]},{"tin":{"type":"ein","value":"362169147"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.12,"providers":[{"billed_charge":22.00,"npi":[1700824455]}]},{"allowed_amount":6.40,"providers":[{"billed_charge":22.00,"npi":[1700824455]}]}]},{"tin":{"type":"ein","value":"363149833"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.50,"providers":[{"billed_charge":35.00,"npi":[1033149844]}]}]},{"tin":{"type":"ein","value":"382084239"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":36.40,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"383111008"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.57,"providers":[{"billed_charge":10.00,"npi":[1053314146]}]}]},{"tin":{"type":"ein","value":"391824445"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.54,"providers":[{"billed_charge":37.10,"npi":[1598784555]}]}]},{"tin":{"type":"ein","value":"391994216"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.60,"providers":[{"billed_charge":37.00,"npi":[1003811993]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.80,"providers":[{"billed_charge":64.00,"npi":[1922074434]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.40,"providers":[{"billed_charge":32.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"421638714"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":32.00,"npi":[1619342706]}]}]},{"tin":{"type":"ein","value":"453367409"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":10.00,"npi":[1700162203]}]}]},{"tin":{"type":"ein","value":"454674296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":75.00,"npi":[1093081762]}]}]},{"tin":{"type":"ein","value":"455523028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.00,"providers":[{"billed_charge":19.00,"npi":[1528323268]}]}]},{"tin":{"type":"ein","value":"460218851"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.50,"providers":[{"billed_charge":11.00,"npi":[1487602843]}]}]},{"tin":{"type":"ein","value":"461243081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.20,"providers":[{"billed_charge":18.00,"npi":[1750626495]}]}]},{"tin":{"type":"ein","value":"461564050"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":20.10,"npi":[1538400098]}]}]},{"tin":{"type":"ein","value":"463878759"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":30.00,"npi":[1437589157]}]}]},{"tin":{"type":"ein","value":"465137699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":20.00,"npi":[1962821322]}]},{"allowed_amount":7.95,"providers":[{"billed_charge":20.00,"npi":[1962821322]}]}]},{"tin":{"type":"ein","value":"471049674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.09,"providers":[{"billed_charge":6.09,"npi":[1609281641]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":10.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"472667466"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.80,"providers":[{"billed_charge":8.00,"npi":[1568627206]}]}]},{"tin":{"type":"ein","value":"474413635"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.00,"providers":[{"billed_charge":5.00,"npi":[1225491426]}]}]},{"tin":{"type":"ein","value":"520591612"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.50,"providers":[{"billed_charge":17.66,"npi":[1982600771]}]}]},{"tin":{"type":"ein","value":"521923448"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.13,"providers":[{"billed_charge":15.00,"npi":[1083667067]}]}]},{"tin":{"type":"ein","value":"541217184"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":9.00,"npi":[1265485270]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":10.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"541634477"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":15.00,"npi":[1902848294]}]}]},{"tin":{"type":"ein","value":"546001775"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":3.00,"providers":[{"billed_charge":3.00,"npi":[1376595785]}]}]},{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":17.00,"npi":[1134372477]}]}]},{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":19.00,"npi":[1912957606]}]}]},{"tin":{"type":"ein","value":"560992353"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.50,"providers":[{"billed_charge":5.00,"npi":[1619244084]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":7.51,"providers":[{"billed_charge":20.00,"npi":[1558308080]}]},{"allowed_amount":10.35,"providers":[{"billed_charge":20.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"561378901"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":20.00,"npi":[1083664189]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":7.50,"providers":[{"billed_charge":7.50,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"561752222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":30.00,"npi":[1386605608]}]}]},{"tin":{"type":"ein","value":"561768044"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":20.00,"npi":[1992840003]}]},{"allowed_amount":10.35,"providers":[{"billed_charge":20.00,"npi":[1992840003]}]},{"allowed_amount":12.80,"providers":[{"billed_charge":20.00,"npi":[1992840003]}]}]},{"tin":{"type":"ein","value":"561826996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":18.00,"npi":[1467449728]}]},{"allowed_amount":9.00,"providers":[{"billed_charge":18.00,"npi":[1467449728]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":15.00,"npi":[1720794944]}]},{"allowed_amount":7.95,"providers":[{"billed_charge":15.00,"npi":[1457423907,1457436982,1720794944]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":11.00,"npi":[1598761967]}]}]},{"tin":{"type":"ein","value":"561991438"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":20.00,"npi":[1063712727]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":12.00,"npi":[1780623207]}]},{"allowed_amount":7.95,"providers":[{"billed_charge":12.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"562143419"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":4.50,"providers":[{"billed_charge":4.50,"npi":[1326627399]}]}]},{"tin":{"type":"ein","value":"562197985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":23.00,"npi":[1952579807]}]}]},{"tin":{"type":"ein","value":"562227967"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.00,"providers":[{"billed_charge":10.00,"npi":[1598926743]}]}]},{"tin":{"type":"ein","value":"566000299"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":10.00,"npi":[1619058955]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":19.00,"npi":[1245272657]}]}]},{"tin":{"type":"ein","value":"566000351"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":10.00,"npi":[1467507640]}]}]},{"tin":{"type":"ein","value":"566001534"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":6.00,"npi":[1538270814]}]}]},{"tin":{"type":"ein","value":"570604703"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":6.00,"npi":[1003827304]}]}]},{"tin":{"type":"ein","value":"576000254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":10.00,"npi":[1053437301]}]},{"allowed_amount":7.95,"providers":[{"billed_charge":10.00,"npi":[1053437301]}]}]},{"tin":{"type":"ein","value":"576000934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":24.00,"npi":[1235170077]}]}]},{"tin":{"type":"ein","value":"576001153"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":15.00,"npi":[1740293422]}]}]},{"tin":{"type":"ein","value":"581351195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.38,"providers":[{"billed_charge":20.00,"npi":[1386763514]}]}]},{"tin":{"type":"ein","value":"581958398"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":11.20,"npi":[1215932215]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.00,"providers":[{"billed_charge":35.00,"npi":[1689610149]}]}]},{"tin":{"type":"ein","value":"582092768"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":23.00,"npi":[1912956046]}]},{"allowed_amount":11.38,"providers":[{"billed_charge":23.00,"npi":[1912956046]}]}]},{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":25.00,"npi":[1184679482]}]}]},{"tin":{"type":"ein","value":"582366697"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":7.00,"providers":[{"billed_charge":10.00,"npi":[1821518556]}]}]},{"tin":{"type":"ein","value":"582409645"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":15.00,"npi":[1477638575]}]}]},{"tin":{"type":"ein","value":"582483738"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":12.00,"npi":[1356560569]}]}]},{"tin":{"type":"ein","value":"585515533"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.50,"providers":[{"billed_charge":15.00,"npi":[1457467037]}]}]},{"tin":{"type":"ein","value":"586001998"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.20,"providers":[{"billed_charge":10.00,"npi":[1811098817]}]}]},{"tin":{"type":"ein","value":"590704934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.03,"providers":[{"billed_charge":9.00,"npi":[1316940695]}]}]},{"tin":{"type":"ein","value":"591083502"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.57,"providers":[{"billed_charge":12.00,"npi":[1447345517]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.50,"providers":[{"billed_charge":15.00,"npi":[1134766694]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":32.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.35,"providers":[{"billed_charge":51.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"593337028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.00,"providers":[{"billed_charge":40.00,"npi":[1790772317]}]}]},{"tin":{"type":"ein","value":"593443182"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.95,"providers":[{"billed_charge":21.00,"npi":[1013902923]}]}]},{"tin":{"type":"ein","value":"593475356"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.60,"providers":[{"billed_charge":17.66,"npi":[1326254962]}]}]},{"tin":{"type":"ein","value":"593514857"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.38,"providers":[{"billed_charge":12.00,"npi":[1275575888]}]}]},{"tin":{"type":"ein","value":"593585336"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.85,"providers":[{"billed_charge":22.00,"npi":[1821215120]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":15.00,"npi":[1902980865]}]},{"allowed_amount":24.72,"providers":[{"billed_charge":30.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"610981097"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":12.50,"npi":[1881697464]}]}]},{"tin":{"type":"ein","value":"621052914"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.05,"providers":[{"billed_charge":16.00,"npi":[1235180480]}]}]},{"tin":{"type":"ein","value":"621508884"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.08,"providers":[{"billed_charge":20.00,"npi":[1346250057]}]},{"allowed_amount":5.40,"providers":[{"billed_charge":20.00,"npi":[1346250057]}]}]},{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.25,"providers":[{"billed_charge":15.00,"npi":[1811955917]}]}]},{"tin":{"type":"ein","value":"630810661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":15.00,"npi":[1740397751]}]}]},{"tin":{"type":"ein","value":"630825248"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":57.00,"npi":[1669429080]}]}]},{"tin":{"type":"ein","value":"630897654"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.00,"providers":[{"billed_charge":11.00,"npi":[1083772560]}]}]},{"tin":{"type":"ein","value":"631252822"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":10.00,"npi":[1083652036]}]}]},{"tin":{"type":"ein","value":"640848862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":25.00,"npi":[1043421357]}]}]},{"tin":{"type":"ein","value":"650692105"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.30,"providers":[{"billed_charge":20.00,"npi":[1902885270]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.71,"providers":[{"billed_charge":17.00,"npi":[1790523249]}]}]},{"tin":{"type":"ein","value":"720399647"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.57,"providers":[{"billed_charge":26.49,"npi":[1831180637]}]}]},{"tin":{"type":"ein","value":"721436612"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":21.00,"npi":[1861794851]}]}]},{"tin":{"type":"ein","value":"731383996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.36,"providers":[{"billed_charge":8.00,"npi":[1881639367]}]}]},{"tin":{"type":"ein","value":"753028076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":15.00,"npi":[1396955431]}]}]},{"tin":{"type":"ein","value":"800198515"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":6.00,"npi":[1033128822]}]}]},{"tin":{"type":"ein","value":"811009027"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":20.00,"npi":[1659311165]}]}]},{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.00,"providers":[{"billed_charge":5.00,"npi":[1366912586]}]}]},{"tin":{"type":"ein","value":"812145825"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.00,"providers":[{"billed_charge":5.00,"npi":[1679937205]}]}]},{"tin":{"type":"ein","value":"813704980"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.50,"providers":[{"billed_charge":15.00,"npi":[1487100202]}]},{"allowed_amount":7.94,"providers":[{"billed_charge":15.00,"npi":[1487100202]}]}]},{"tin":{"type":"ein","value":"820676989"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.38,"providers":[{"billed_charge":30.00,"npi":[1346754041]}]}]},{"tin":{"type":"ein","value":"825415284"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.91,"providers":[{"billed_charge":10.00,"npi":[1144719311]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.40,"providers":[{"billed_charge":5.00,"npi":[1619443827]}]},{"allowed_amount":5.00,"providers":[{"billed_charge":5.00,"npi":[1609342815,1265908479,1962978122,1144796301]}]}]},{"tin":{"type":"ein","value":"840591617"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":22.80,"npi":[1306110549]}]}]},{"tin":{"type":"ein","value":"842110076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.00,"providers":[{"billed_charge":5.00,"npi":[1992351910]}]}]},{"tin":{"type":"ein","value":"842167967"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.37,"providers":[{"billed_charge":20.00,"npi":[1013568567]}]}]},{"tin":{"type":"ein","value":"844758260"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":18.00,"npi":[1922687052]}]}]},{"tin":{"type":"ein","value":"853515913"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.00,"providers":[{"billed_charge":5.00,"npi":[1821691122]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.65,"providers":[{"billed_charge":27.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":19.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.00,"providers":[{"billed_charge":10.00,"npi":[1447239355]}]}]},{"tin":{"type":"ein","value":"872437689"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":25.00,"npi":[1497410005]}]}]},{"tin":{"type":"ein","value":"881014763"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":12.00,"npi":[1932826328]}]}]},{"tin":{"type":"ein","value":"910851599"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.60,"providers":[{"billed_charge":23.00,"npi":[1992759427]}]}]},{"tin":{"type":"ein","value":"920788450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.61,"providers":[{"billed_charge":5.61,"npi":[1699540203]}]}]},{"tin":{"type":"ein","value":"923479126"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.20,"providers":[{"billed_charge":26.00,"npi":[1982381299]}]}]},{"tin":{"type":"ein","value":"932208118"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.30,"providers":[{"billed_charge":9.00,"npi":[1093493637]}]}]},{"tin":{"type":"ein","value":"990352380"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.40,"providers":[{"billed_charge":9.00,"npi":[1134195357]}]}]},{"tin":{"type":"ein","value":"991936736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":10.00,"npi":[1770342354]}]}]}]},{"billing_code":"36415","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Outpatient Services","description":"ROUTINE VENIPUNCTURE","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":31.08,"providers":[{"billed_charge":36.56,"npi":[1427145176]}]}]}]},{"billing_code":"36415","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ROUTINE VENIPUNCTURE","allowed_amounts":[{"tin":{"type":"ein","value":"010238552"},"billing_class":"institutional","payments":[{"allowed_amount":2.65,"providers":[{"billed_charge":20.30,"npi":[1346299815]}]},{"allowed_amount":19.69,"providers":[{"billed_charge":20.30,"npi":[1346299815]}]}]},{"tin":{"type":"ein","value":"020222140"},"billing_class":"institutional","payments":[{"allowed_amount":34.80,"providers":[{"billed_charge":40.00,"npi":[1023092053]}]},{"allowed_amount":36.54,"providers":[{"billed_charge":42.00,"npi":[1023092053]}]}]},{"tin":{"type":"ein","value":"042104693"},"billing_class":"institutional","payments":[{"allowed_amount":36.75,"providers":[{"billed_charge":49.00,"npi":[1396738159]}]}]},{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":13.12,"providers":[{"billed_charge":16.00,"npi":[1790717650]}]}]},{"tin":{"type":"ein","value":"042768256"},"billing_class":"institutional","payments":[{"allowed_amount":8.14,"providers":[{"billed_charge":16.00,"npi":[1578677811]}]}]},{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":15.58,"providers":[{"billed_charge":26.00,"npi":[1760426969]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":4.82,"providers":[{"billed_charge":14.44,"npi":[1801803903]}]},{"allowed_amount":4.97,"providers":[{"billed_charge":14.44,"npi":[1801803903]}]},{"allowed_amount":6.47,"providers":[{"billed_charge":14.44,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"132997301"},"billing_class":"institutional","payments":[{"allowed_amount":49.00,"providers":[{"billed_charge":70.00,"npi":[1104982917]}]}]},{"tin":{"type":"ein","value":"160743209"},"billing_class":"institutional","payments":[{"allowed_amount":1.90,"providers":[{"billed_charge":9.00,"npi":[1346285657]}]}]},{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":10.00,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":12.13,"providers":[{"billed_charge":14.79,"npi":[1548315401]}]},{"allowed_amount":12.16,"providers":[{"billed_charge":14.79,"npi":[1548315401]}]},{"allowed_amount":12.27,"providers":[{"billed_charge":14.79,"npi":[1548315401]}]},{"allowed_amount":24.25,"providers":[{"billed_charge":29.58,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"203391873"},"billing_class":"institutional","payments":[{"allowed_amount":8.71,"providers":[{"billed_charge":48.00,"npi":[1023061405]}]}]},{"tin":{"type":"ein","value":"222592333"},"billing_class":"institutional","payments":[{"allowed_amount":21.70,"providers":[{"billed_charge":28.00,"npi":[1306871223]}]}]},{"tin":{"type":"ein","value":"231365353"},"billing_class":"institutional","payments":[{"allowed_amount":25.65,"providers":[{"billed_charge":27.00,"npi":[1104875103]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":86.79,"providers":[{"billed_charge":210.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"232973511"},"billing_class":"institutional","payments":[{"allowed_amount":85.40,"providers":[{"billed_charge":122.00,"npi":[1417947490]}]}]},{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":28.63,"providers":[{"billed_charge":43.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":9.47,"providers":[{"billed_charge":26.00,"npi":[1326161662]}]},{"allowed_amount":10.01,"providers":[{"billed_charge":26.00,"npi":[1326161662]}]},{"allowed_amount":12.86,"providers":[{"billed_charge":26.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"250965480"},"billing_class":"institutional","payments":[{"allowed_amount":19.25,"providers":[{"billed_charge":27.50,"npi":[1821007881]}]}]},{"tin":{"type":"ein","value":"251244202"},"billing_class":"institutional","payments":[{"allowed_amount":3.54,"providers":[{"billed_charge":16.00,"npi":[1275620536]}]}]},{"tin":{"type":"ein","value":"251550350"},"billing_class":"institutional","payments":[{"allowed_amount":6.46,"providers":[{"billed_charge":28.00,"npi":[1437182847]}]}]},{"tin":{"type":"ein","value":"263734606"},"billing_class":"institutional","payments":[{"allowed_amount":36.40,"providers":[{"billed_charge":56.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":1.40,"providers":[{"billed_charge":44.00,"npi":[1235417288]}]},{"allowed_amount":1.44,"providers":[{"billed_charge":44.00,"npi":[1235417288]}]},{"allowed_amount":1.56,"providers":[{"billed_charge":44.00,"npi":[1235417288]}]},{"allowed_amount":1.67,"providers":[{"billed_charge":44.00,"npi":[1235417288]}]}]},{"tin":{"type":"ein","value":"311322863"},"billing_class":"institutional","payments":[{"allowed_amount":14.11,"providers":[{"billed_charge":17.00,"npi":[1124127683]}]}]},{"tin":{"type":"ein","value":"311340739"},"billing_class":"institutional","payments":[{"allowed_amount":16.88,"providers":[{"billed_charge":21.00,"npi":[1447359997]}]}]},{"tin":{"type":"ein","value":"311524546"},"billing_class":"institutional","payments":[{"allowed_amount":4.50,"providers":[{"billed_charge":6.00,"npi":[1699704254]}]},{"allowed_amount":5.70,"providers":[{"billed_charge":6.00,"npi":[1699704254]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":23.25,"providers":[{"billed_charge":31.00,"npi":[1679525919]}]},{"allowed_amount":23.49,"providers":[{"billed_charge":31.00,"npi":[1679525919]}]},{"allowed_amount":23.50,"providers":[{"billed_charge":31.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351064295"},"billing_class":"institutional","payments":[{"allowed_amount":15.05,"providers":[{"billed_charge":22.00,"npi":[1902897937]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":22.10,"providers":[{"billed_charge":26.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"362179813"},"billing_class":"institutional","payments":[{"allowed_amount":7.18,"providers":[{"billed_charge":31.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"362513909"},"billing_class":"institutional","payments":[{"allowed_amount":29.22,"providers":[{"billed_charge":38.00,"npi":[1003864810]}]}]},{"tin":{"type":"ein","value":"370618939"},"billing_class":"institutional","payments":[{"allowed_amount":37.60,"providers":[{"billed_charge":47.00,"npi":[1356435135]}]}]},{"tin":{"type":"ein","value":"381359063"},"billing_class":"institutional","payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":16.00,"npi":[1023088168]}]}]},{"tin":{"type":"ein","value":"381360526"},"billing_class":"institutional","payments":[{"allowed_amount":22.40,"providers":[{"billed_charge":28.00,"npi":[1568416311]}]}]},{"tin":{"type":"ein","value":"381434090"},"billing_class":"institutional","payments":[{"allowed_amount":12.16,"providers":[{"billed_charge":15.20,"npi":[1134104672]}]}]},{"tin":{"type":"ein","value":"382146751"},"billing_class":"institutional","payments":[{"allowed_amount":2.05,"providers":[{"billed_charge":18.20,"npi":[1992812580]}]},{"allowed_amount":2.64,"providers":[{"billed_charge":18.20,"npi":[1992812580]}]},{"allowed_amount":4.73,"providers":[{"billed_charge":35.00,"npi":[1992812580]}]}]},{"tin":{"type":"ein","value":"382800065"},"billing_class":"institutional","payments":[{"allowed_amount":10.80,"providers":[{"billed_charge":12.00,"npi":[1871672618]}]}]},{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":11.47,"providers":[{"billed_charge":40.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":21.25,"providers":[{"billed_charge":25.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"426004813"},"billing_class":"institutional","payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":40.00,"npi":[1376544320]}]}]},{"tin":{"type":"ein","value":"453576100"},"billing_class":"institutional","payments":[{"allowed_amount":5.18,"providers":[{"billed_charge":48.00,"npi":[1306123344]}]}]},{"tin":{"type":"ein","value":"473393862"},"billing_class":"institutional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":23.10,"npi":[1528442357]}]}]},{"tin":{"type":"ein","value":"475259919"},"billing_class":"institutional","payments":[{"allowed_amount":23.12,"providers":[{"billed_charge":34.00,"npi":[1033228168]}]}]},{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":16.80,"providers":[{"billed_charge":16.97,"npi":[1578597993]}]},{"allowed_amount":17.99,"providers":[{"billed_charge":18.17,"npi":[1578597993]}]},{"allowed_amount":19.17,"providers":[{"billed_charge":19.36,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":31.08,"providers":[{"billed_charge":36.56,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":13.35,"providers":[{"billed_charge":38.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560535674"},"billing_class":"institutional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":17.66,"npi":[1366401648]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":2.44,"providers":[{"billed_charge":36.04,"npi":[1578516902]}]},{"allowed_amount":3.79,"providers":[{"billed_charge":36.04,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"580566200"},"billing_class":"institutional","payments":[{"allowed_amount":31.20,"providers":[{"billed_charge":39.00,"npi":[1144203563]}]},{"allowed_amount":62.40,"providers":[{"billed_charge":78.00,"npi":[1144203563]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":27.20,"providers":[{"billed_charge":34.00,"npi":[1588640692]}]},{"allowed_amount":31.20,"providers":[{"billed_charge":39.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580566257"},"billing_class":"institutional","payments":[{"allowed_amount":27.20,"providers":[{"billed_charge":34.00,"npi":[1679664395]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":26.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"580655369"},"billing_class":"institutional","payments":[{"allowed_amount":17.26,"providers":[{"billed_charge":21.58,"npi":[1720189517]}]}]},{"tin":{"type":"ein","value":"580968382"},"billing_class":"institutional","payments":[{"allowed_amount":24.64,"providers":[{"billed_charge":32.00,"npi":[1467420448]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":21.83,"providers":[{"billed_charge":34.00,"npi":[1528056066]}]}]},{"tin":{"type":"ein","value":"581954432"},"billing_class":"institutional","payments":[{"allowed_amount":29.40,"providers":[{"billed_charge":49.00,"npi":[1457396079]}]}]},{"tin":{"type":"ein","value":"581966795"},"billing_class":"institutional","payments":[{"allowed_amount":27.20,"providers":[{"billed_charge":34.00,"npi":[1093716979]}]}]},{"tin":{"type":"ein","value":"582032904"},"billing_class":"institutional","payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":19.64,"npi":[1649248626]}]}]},{"tin":{"type":"ein","value":"590566256"},"billing_class":"institutional","payments":[{"allowed_amount":31.20,"providers":[{"billed_charge":39.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"590675143"},"billing_class":"institutional","payments":[{"allowed_amount":1.89,"providers":[{"billed_charge":22.00,"npi":[1144211020]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":18.90,"providers":[{"billed_charge":27.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":13.60,"providers":[{"billed_charge":17.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"590973502"},"billing_class":"institutional","payments":[{"allowed_amount":20.04,"providers":[{"billed_charge":28.63,"npi":[1063426823]}]}]},{"tin":{"type":"ein","value":"593650609"},"billing_class":"institutional","payments":[{"allowed_amount":5.65,"providers":[{"billed_charge":13.50,"npi":[1861078651]}]}]},{"tin":{"type":"ein","value":"596001217"},"billing_class":"institutional","payments":[{"allowed_amount":17.81,"providers":[{"billed_charge":28.00,"npi":[1811991227]}]}]},{"tin":{"type":"ein","value":"596012065"},"billing_class":"institutional","payments":[{"allowed_amount":22.40,"providers":[{"billed_charge":28.00,"npi":[1376571323,1265460232]}]}]},{"tin":{"type":"ein","value":"606000080"},"billing_class":"institutional","payments":[{"allowed_amount":28.27,"providers":[{"billed_charge":56.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"611334601"},"billing_class":"institutional","payments":[{"allowed_amount":39.20,"providers":[{"billed_charge":49.00,"npi":[1992701429]}]}]},{"tin":{"type":"ein","value":"611739000"},"billing_class":"institutional","payments":[{"allowed_amount":17.98,"providers":[{"billed_charge":29.00,"npi":[1801897038]}]}]},{"tin":{"type":"ein","value":"616001218"},"billing_class":"institutional","payments":[{"allowed_amount":30.60,"providers":[{"billed_charge":36.00,"npi":[1518911338]}]}]},{"tin":{"type":"ein","value":"621762420"},"billing_class":"institutional","payments":[{"allowed_amount":12.92,"providers":[{"billed_charge":31.50,"npi":[1528026267]}]}]},{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":23.75,"providers":[{"billed_charge":25.00,"npi":[1275531956]}]}]},{"tin":{"type":"ein","value":"630845288"},"billing_class":"institutional","payments":[{"allowed_amount":14.40,"providers":[{"billed_charge":18.00,"npi":[1447221056]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":13.50,"providers":[{"billed_charge":18.00,"npi":[1154435824]}]},{"allowed_amount":14.25,"providers":[{"billed_charge":19.00,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":9.39,"providers":[{"billed_charge":22.00,"npi":[1306876065]}]},{"allowed_amount":11.87,"providers":[{"billed_charge":22.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"640524079"},"billing_class":"institutional","payments":[{"allowed_amount":3.99,"providers":[{"billed_charge":11.30,"npi":[1154310514]}]}]},{"tin":{"type":"ein","value":"655369000"},"billing_class":"institutional","payments":[{"allowed_amount":17.26,"providers":[{"billed_charge":21.58,"npi":[1720189517]}]}]},{"tin":{"type":"ein","value":"680561190"},"billing_class":"institutional","payments":[{"allowed_amount":24.18,"providers":[{"billed_charge":47.00,"npi":[1124193511]}]}]},{"tin":{"type":"ein","value":"730717979"},"billing_class":"institutional","payments":[{"allowed_amount":8.60,"providers":[{"billed_charge":34.28,"npi":[1659347623]}]}]},{"tin":{"type":"ein","value":"734606000"},"billing_class":"institutional","payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":56.00,"npi":[1710314141]}]},{"allowed_amount":4.36,"providers":[{"billed_charge":56.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"810851756"},"billing_class":"institutional","payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":19.64,"npi":[1750312997]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":5.82,"providers":[{"billed_charge":28.00,"npi":[1144211301]}]},{"allowed_amount":6.98,"providers":[{"billed_charge":28.00,"npi":[1144211301]}]},{"allowed_amount":11.77,"providers":[{"billed_charge":33.00,"npi":[1932208576]}]}]},{"tin":{"type":"ein","value":"820161600"},"billing_class":"institutional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":31.00,"npi":[1770586794]}]}]},{"tin":{"type":"ein","value":"840255530"},"billing_class":"institutional","payments":[{"allowed_amount":21.25,"providers":[{"billed_charge":25.00,"npi":[1194792762]}]}]},{"tin":{"type":"ein","value":"841179794"},"billing_class":"institutional","payments":[{"allowed_amount":108.70,"providers":[{"billed_charge":155.28,"npi":[1477531580]}]}]},{"tin":{"type":"ein","value":"841321373"},"billing_class":"institutional","payments":[{"allowed_amount":62.18,"providers":[{"billed_charge":99.48,"npi":[1659327013]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":6.19,"providers":[{"billed_charge":29.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":27.18,"providers":[{"billed_charge":33.53,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":42.90,"providers":[{"billed_charge":66.00,"npi":[1174512792]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":15.52,"providers":[{"billed_charge":16.00,"npi":[1194706655]}]}]},{"tin":{"type":"ein","value":"882288563"},"billing_class":"institutional","payments":[{"allowed_amount":17.00,"providers":[{"billed_charge":24.29,"npi":[1861102345]}]}]},{"tin":{"type":"ein","value":"910565546"},"billing_class":"institutional","payments":[{"allowed_amount":56.24,"providers":[{"billed_charge":63.76,"npi":[1518912609]}]}]},{"tin":{"type":"ein","value":"911352172"},"billing_class":"institutional","payments":[{"allowed_amount":10.80,"providers":[{"billed_charge":15.00,"npi":[1366556227]}]}]},{"tin":{"type":"ein","value":"916001537"},"billing_class":"institutional","payments":[{"allowed_amount":10.98,"providers":[{"billed_charge":40.10,"npi":[1326002049]}]}]},{"tin":{"type":"ein","value":"922451946"},"billing_class":"institutional","payments":[{"allowed_amount":25.53,"providers":[{"billed_charge":37.00,"npi":[1740981430]}]}]}]},{"billing_code":"36416","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"CAPILLARY BLOOD DRAW","allowed_amounts":[{"tin":{"type":"ein","value":"060883545"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.91,"providers":[{"billed_charge":20.60,"npi":[1104803444]}]}]},{"tin":{"type":"ein","value":"202998046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.66,"providers":[{"billed_charge":16.00,"npi":[1770782450]}]}]},{"tin":{"type":"ein","value":"570650154"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":15.00,"npi":[1306979521]}]}]}]},{"billing_code":"36430","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"BLOOD TRANSFUSION SERVICE","allowed_amounts":[{"tin":{"type":"ein","value":"450439149"},"billing_class":"professional","service_code":["42"],"payments":[{"allowed_amount":44.41,"providers":[{"billed_charge":1065.00,"npi":[1043919095]}]}]}]},{"billing_code":"36430","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"BLOOD TRANSFUSION SERVICE","allowed_amounts":[{"tin":{"type":"ein","value":"250965404"},"billing_class":"institutional","payments":[{"allowed_amount":459.92,"providers":[{"billed_charge":1250.00,"npi":[1356334510]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"institutional","payments":[{"allowed_amount":455.91,"providers":[{"billed_charge":1586.00,"npi":[1033112230]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":1282.50,"providers":[{"billed_charge":1350.00,"npi":[1154392231]}]}]}]},{"billing_code":"36475","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"ENDOVENOUS RF 1ST VEIN","allowed_amounts":[{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":710.64,"providers":[{"billed_charge":1184.40,"npi":[1558311357]}]}]}]},{"billing_code":"36478","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"ENDOVENOUS LASER 1ST VEIN","allowed_amounts":[{"tin":{"type":"ein","value":"300802081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":896.25,"providers":[{"billed_charge":5000.00,"npi":[1124450572]}]}]}]},{"billing_code":"36556","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"INSERT NON-TUNNEL CV CATH","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":104.82,"providers":[{"billed_charge":488.25,"npi":[1992754758]},{"billed_charge":498.57,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"640548144"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":473.00,"providers":[{"billed_charge":846.00,"npi":[1861428351]}]}]},{"tin":{"type":"ein","value":"850709838"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":102.09,"providers":[{"billed_charge":878.00,"npi":[1356968952]}]}]},{"tin":{"type":"ein","value":"862411778"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":104.82,"providers":[{"billed_charge":514.00,"npi":[1275128944]}]}]}]},{"billing_code":"36557","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"INSERT TUNNELED CV CATH","allowed_amounts":[{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":2822.40,"providers":[{"billed_charge":3136.00,"npi":[1306335088]}]}]}]},{"billing_code":"36558","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"INSERT TUNNELED CV CATH","allowed_amounts":[{"tin":{"type":"ein","value":"640548144"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":1554.00,"providers":[{"billed_charge":2790.00,"npi":[1861428351]}]}]}]},{"billing_code":"36561","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"INSERT TUNNELED CV CATH","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":377.65,"providers":[{"billed_charge":1941.73,"npi":[1992754758]}]}]}]},{"billing_code":"36561","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"INSERT TUNNELED CV CATH","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":4826.00,"providers":[{"billed_charge":5870.79,"npi":[1548315401]}]}]}]},{"billing_code":"36589","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"REMOVAL TUNNELED CV CATH","allowed_amounts":[{"tin":{"type":"ein","value":"560994806"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":229.67,"providers":[{"billed_charge":426.00,"npi":[1215990171]}]}]}]},{"billing_code":"36590","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"REMOVAL TUNNELED CV CATH","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":291.81,"providers":[{"billed_charge":901.00,"npi":[1639244478]}]}]},{"tin":{"type":"ein","value":"560988142"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":332.23,"providers":[{"billed_charge":792.00,"npi":[1356324487]}]}]}]},{"billing_code":"36591","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"DRAW BLOOD OFF VENOUS DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":118.75,"providers":[{"billed_charge":125.00,"npi":[1558332494]}]}]}]},{"billing_code":"36591","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"DRAW BLOOD OFF VENOUS DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"250965404"},"billing_class":"institutional","payments":[{"allowed_amount":156.32,"providers":[{"billed_charge":425.00,"npi":[1356334510]}]}]}]},{"billing_code":"36620","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"INSERTION CATHETER ARTERY","allowed_amounts":[{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":52.14,"providers":[{"billed_charge":620.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"541441839"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":53.02,"providers":[{"billed_charge":450.00,"npi":[1013910330]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":52.14,"providers":[{"billed_charge":261.43,"npi":[1992754758]},{"billed_charge":266.96,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"850709838"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":61.07,"providers":[{"billed_charge":721.00,"npi":[1356968952]}]}]}]},{"billing_code":"37242","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"VASC EMBOLIZE/OCCLUDE ARTERY","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":15610.55,"providers":[{"billed_charge":16968.00,"npi":[1710087127]}]},{"allowed_amount":15610.56,"providers":[{"billed_charge":16968.00,"npi":[1710087127]}]},{"allowed_amount":15610.57,"providers":[{"billed_charge":16968.00,"npi":[1710087127]}]}]}]},{"billing_code":"37243","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"VASC EMBOLIZE/OCCLUDE ORGAN","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":12181.53,"providers":[{"billed_charge":19582.31,"npi":[1992754758]}]}]}]},{"billing_code":"37244","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"VASC EMBOLIZE/OCCLUDE BLEED","allowed_amounts":[{"tin":{"type":"ein","value":"840597929"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":1692.60,"providers":[{"billed_charge":2821.00,"npi":[1679513196]}]}]}]},{"billing_code":"3725F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"SCREEN DEPRESSION PERFORMED","allowed_amounts":[{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"582069754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.02,"npi":[1316973472]}]}]},{"tin":{"type":"ein","value":"621529858"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1437194669]}]}]},{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1386195865]}]}]},{"tin":{"type":"ein","value":"991936736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1770342354]}]}]}]},{"billing_code":"3754F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"SCREENING TESTS DM DONE","allowed_amounts":[{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750314183]}]}]}]},{"billing_code":"38100","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Hemic and Lymphatic","description":"REMOVAL OF SPLEEN TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"561026666"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":730.34,"providers":[{"billed_charge":3225.00,"npi":[1073599734]}]},{"allowed_amount":1460.69,"providers":[{"billed_charge":3225.00,"npi":[1073599734]}]}]}]},{"billing_code":"38222","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Hemic and Lymphatic","description":"DX BONE MARROW BX & ASPIR","allowed_amounts":[{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":423.90,"providers":[{"billed_charge":471.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"760273984"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":152.94,"providers":[{"billed_charge":776.00,"npi":[1073574810]}]}]}]},{"billing_code":"38525","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Hemic and Lymphatic","description":"BIOPSY/REMOVAL LYMPH NODES","allowed_amounts":[{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":827.05,"providers":[{"billed_charge":3892.00,"npi":[1548210198]}]},{"allowed_amount":1560.60,"providers":[{"billed_charge":3672.00,"npi":[1548210198]}]}]}]},{"billing_code":"38792","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Hemic and Lymphatic","description":"RA TRACER ID OF SENTINL NODE","allowed_amounts":[{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":845.75,"providers":[{"billed_charge":995.00,"npi":[1548210198]}]}]}]},{"billing_code":"38900","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Hemic and Lymphatic","description":"IO MAP OF SENT LYMPH NODE","allowed_amounts":[{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1303.05,"providers":[{"billed_charge":1533.00,"npi":[1548210198]}]},{"allowed_amount":1381.25,"providers":[{"billed_charge":1625.00,"npi":[1548210198]}]}]}]},{"billing_code":"4000F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"TOBACCO USE TXMNT COUNSELING","allowed_amounts":[{"tin":{"type":"ein","value":"752424925"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1548231046]}]}]}]},{"billing_code":"4008F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"BETA-BLOCKER THERAPY RXD/TKN","allowed_amounts":[{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":1.00,"npi":[1093829442]}]}]}]},{"billing_code":"4010F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"ACE/ARB THERAPY RXD/TAKEN","allowed_amounts":[{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":1.00,"npi":[1093829442]}]}]}]},{"billing_code":"4035F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"INFLUENZA IMM REC","allowed_amounts":[{"tin":{"type":"ein","value":"201582408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1295784874]}]}]}]},{"billing_code":"40806","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"INCISION OF LIP FOLD","allowed_amounts":[{"tin":{"type":"ein","value":"202558077"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.89,"providers":[{"billed_charge":462.50,"npi":[1891872784]}]}]}]},{"billing_code":"40812","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"EXCISE/REPAIR MOUTH LESION","allowed_amounts":[{"tin":{"type":"ein","value":"562276556"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":325.00,"providers":[{"billed_charge":624.00,"npi":[1770637779]}]}]},{"tin":{"type":"ein","value":"922970622"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":433.33,"providers":[{"billed_charge":501.00,"npi":[1275218737]}]}]}]},{"billing_code":"41010","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"INCISION OF TONGUE FOLD","allowed_amounts":[{"tin":{"type":"ein","value":"202558077"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":257.39,"providers":[{"billed_charge":462.50,"npi":[1891872784]}]}]}]},{"billing_code":"41017","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"DRAINAGE OF MOUTH LESION","allowed_amounts":[{"tin":{"type":"ein","value":"250815795"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":654.89,"providers":[{"billed_charge":1457.00,"npi":[1245246644]}]}]}]},{"billing_code":"41105","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"BIOPSY OF TONGUE","allowed_amounts":[{"tin":{"type":"ein","value":"262455641"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":264.12,"providers":[{"billed_charge":575.00,"npi":[1043086739]}]}]}]},{"billing_code":"41825","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"EXCISION OF GUM LESION","allowed_amounts":[{"tin":{"type":"ein","value":"561136222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":320.00,"providers":[{"billed_charge":840.00,"npi":[1568438091]}]}]}]},{"billing_code":"42140","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"EXCISION OF UVULA","allowed_amounts":[{"tin":{"type":"ein","value":"582629795"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":473.87,"providers":[{"billed_charge":926.00,"npi":[1699791343]}]}]}]},{"billing_code":"42145","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"REPAIR PALATE PHARYNX/UVULA","allowed_amounts":[{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":4392.91,"providers":[{"billed_charge":12978.11,"npi":[1760402424]}]}]}]},{"billing_code":"4322F","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"CRGVR PROV W/ ED ADDL RSRCS","allowed_amounts":[{"tin":{"type":"ein","value":"472494141"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750789236]}]}]}]},{"billing_code":"43235","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"EGD DIAGNOSTIC BRUSH WASH","allowed_amounts":[{"tin":{"type":"ein","value":"263694174"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":632.00,"providers":[{"billed_charge":672.00,"npi":[1407920549]}]}]},{"tin":{"type":"ein","value":"593337028"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1160.90,"providers":[{"billed_charge":1222.00,"npi":[1790772317]}]}]}]},{"billing_code":"43238","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Digestive","description":"EGD US FINE NEEDLE BX/ASPIR","allowed_amounts":[{"tin":{"type":"ein","value":"264827222"},"billing_class":"institutional","payments":[{"allowed_amount":4358.33,"providers":[{"billed_charge":5251.00,"npi":[1609189604]}]},{"allowed_amount":4358.34,"providers":[{"billed_charge":5251.00,"npi":[1609189604]}]}]}]},{"billing_code":"43239","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"EGD BIOPSY SINGLE/MULTIPLE","allowed_amounts":[{"tin":{"type":"ein","value":"204881619"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":64.04,"providers":[{"billed_charge":649.00,"npi":[1669499414]}]}]},{"tin":{"type":"ein","value":"205497203"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":190.60,"providers":[{"billed_charge":297.00,"npi":[1780961300]}]}]},{"tin":{"type":"ein","value":"270581401"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":86.18,"providers":[{"billed_charge":993.00,"npi":[1891028379]}]}]},{"tin":{"type":"ein","value":"273045117"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":433.20,"providers":[{"billed_charge":722.00,"npi":[1306156138]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":997.50,"providers":[{"billed_charge":1050.00,"npi":[1609915784]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":562.53,"providers":[{"billed_charge":673.31,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":103.91,"providers":[{"billed_charge":1500.00,"npi":[1679944706]}]}]},{"tin":{"type":"ein","value":"571195554"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":179.90,"providers":[{"billed_charge":1200.00,"npi":[1376592204]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":68.17,"providers":[{"billed_charge":825.00,"npi":[1679599088]}]}]},{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":326.08,"providers":[{"billed_charge":1545.00,"npi":[1184679482]}]}]},{"tin":{"type":"ein","value":"591784470"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":334.03,"providers":[{"billed_charge":650.00,"npi":[1881644912]}]}]},{"tin":{"type":"ein","value":"610444707"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":7376.81,"providers":[{"billed_charge":9221.01,"npi":[1093352908]}]}]},{"tin":{"type":"ein","value":"854295818"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":144.73,"providers":[{"billed_charge":800.00,"npi":[1558951319]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1166.60,"providers":[{"billed_charge":1228.00,"npi":[1558332494]}]}]}]},{"billing_code":"43239","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"EGD BIOPSY SINGLE/MULTIPLE","allowed_amounts":[{"tin":{"type":"ein","value":"465382670"},"billing_class":"institutional","payments":[{"allowed_amount":709.10,"providers":[{"billed_charge":2000.00,"npi":[1881094894]}]},{"allowed_amount":842.32,"providers":[{"billed_charge":2000.00,"npi":[1881094894]}]},{"allowed_amount":1168.99,"providers":[{"billed_charge":2000.00,"npi":[1881094894]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"institutional","payments":[{"allowed_amount":566.21,"providers":[{"billed_charge":875.00,"npi":[1447385158]}]}]},{"tin":{"type":"ein","value":"820506078"},"billing_class":"institutional","payments":[{"allowed_amount":738.14,"providers":[{"billed_charge":1500.00,"npi":[1114912102]}]}]},{"tin":{"type":"ein","value":"832741091"},"billing_class":"institutional","payments":[{"allowed_amount":475.00,"providers":[{"billed_charge":950.00,"npi":[1679113526]}]}]}]},{"billing_code":"43239","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Digestive","description":"EGD BIOPSY SINGLE/MULTIPLE","allowed_amounts":[{"tin":{"type":"ein","value":"264827222"},"billing_class":"institutional","payments":[{"allowed_amount":2521.53,"providers":[{"billed_charge":3038.00,"npi":[1609189604]}]},{"allowed_amount":2521.54,"providers":[{"billed_charge":3038.00,"npi":[1609189604]}]}]},{"tin":{"type":"ein","value":"350876396"},"billing_class":"institutional","payments":[{"allowed_amount":1.58,"providers":[{"billed_charge":2.00,"npi":[1619975331]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":1005.60,"providers":[{"billed_charge":4704.56,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":1188.63,"providers":[{"billed_charge":6009.20,"npi":[1043270564]}]}]}]},{"billing_code":"43239","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"EGD BIOPSY SINGLE/MULTIPLE","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":2203.36,"providers":[{"billed_charge":2248.33,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":3188.20,"providers":[{"billed_charge":3356.00,"npi":[1154392231]}]}]}]},{"billing_code":"43242","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"EGD US FINE NEEDLE BX/ASPIR","allowed_amounts":[{"tin":{"type":"ein","value":"204881619"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":487.27,"providers":[{"billed_charge":1604.00,"npi":[1669499414]}]}]}]},{"billing_code":"43249","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"ESOPH EGD DILATION <30 MM","allowed_amounts":[{"tin":{"type":"ein","value":"465382670"},"billing_class":"institutional","payments":[{"allowed_amount":1168.99,"providers":[{"billed_charge":2000.00,"npi":[1881094894]}]}]}]},{"billing_code":"43251","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"EGD REMOVE LESION SNARE","allowed_amounts":[{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":270.11,"providers":[{"billed_charge":1977.00,"npi":[1679944706]}]}]}]},{"billing_code":"43252","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"EGD OPTICAL ENDOMICROSCOPY","allowed_amounts":[{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1104.00,"providers":[{"billed_charge":1380.00,"npi":[1184679482]}]}]}]},{"billing_code":"43255","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"EGD CONTROL BLEEDING ANY","allowed_amounts":[{"tin":{"type":"ein","value":"204277914"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":226.39,"providers":[{"billed_charge":646.00,"npi":[1255380887]}]}]}]},{"billing_code":"43644","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"LAP GASTRIC BYPASS/ROUX-EN-Y","allowed_amounts":[{"tin":{"type":"ein","value":"562554646"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":411.89,"providers":[{"billed_charge":12462.35,"npi":[1962883082]}]}]}]},{"billing_code":"44187","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"LAP ILEO/JEJUNO-STOMY","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":1596.15,"providers":[{"billed_charge":6219.61,"npi":[1992754758]}]}]}]},{"billing_code":"44213","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"LAP MOBIL SPLENIC FL ADD-ON","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":328.60,"providers":[{"billed_charge":1038.00,"npi":[1992754758]}]}]}]},{"billing_code":"44386","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"ENDOSCOPY BOWEL POUCH/BIOP","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":478.50,"providers":[{"billed_charge":638.00,"npi":[1679525919]}]}]}]},{"billing_code":"44970","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"LAPAROSCOPY APPENDECTOMY","allowed_amounts":[{"tin":{"type":"ein","value":"270914700"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":770.21,"providers":[{"billed_charge":2763.00,"npi":[1518293976]}]}]},{"tin":{"type":"ein","value":"560942061"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1032.71,"providers":[{"billed_charge":2306.00,"npi":[1962434324]}]}]}]},{"billing_code":"450","billing_code_type":"RC","billing_code_type_version":"2022 AHA","name":"Emergency Department Services","description":"EMERG ROOM","allowed_amounts":[{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":1658.05,"providers":[{"billed_charge":3369.95,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"570720016"},"billing_class":"institutional","payments":[{"allowed_amount":3444.84,"providers":[{"billed_charge":3444.84,"npi":[1659320620]}]}]},{"tin":{"type":"ein","value":"582089405"},"billing_class":"institutional","payments":[{"allowed_amount":2258.51,"providers":[{"billed_charge":2258.51,"npi":[1801844469]}]}]}]},{"billing_code":"45378","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"DIAGNOSTIC COLONOSCOPY","allowed_amounts":[{"tin":{"type":"ein","value":"205154699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":455.18,"providers":[{"billed_charge":1670.00,"npi":[1275572794]}]}]},{"tin":{"type":"ein","value":"208232362"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":123.18,"providers":[{"billed_charge":1050.00,"npi":[1104962315]}]}]},{"tin":{"type":"ein","value":"270581401"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":228.99,"providers":[{"billed_charge":1285.00,"npi":[1891028379]}]}]},{"tin":{"type":"ein","value":"473997859"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":225.89,"providers":[{"billed_charge":650.00,"npi":[1962869446]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":439.26,"providers":[{"billed_charge":922.38,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":361.24,"providers":[{"billed_charge":1215.00,"npi":[1679599088]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":312.55,"providers":[{"billed_charge":518.00,"npi":[1902305063]}]}]},{"tin":{"type":"ein","value":"832053115"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":246.36,"providers":[{"billed_charge":694.00,"npi":[1093284010]}]}]},{"tin":{"type":"ein","value":"854295818"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":172.45,"providers":[{"billed_charge":1000.00,"npi":[1558951319]}]}]},{"tin":{"type":"ein","value":"862109896"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":455.18,"providers":[{"billed_charge":1000.00,"npi":[1780374884]}]}]}]},{"billing_code":"45378","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"DIAGNOSTIC COLONOSCOPY","allowed_amounts":[{"tin":{"type":"ein","value":"202742080"},"billing_class":"institutional","payments":[{"allowed_amount":425.40,"providers":[{"billed_charge":709.00,"npi":[1306855770]}]}]},{"tin":{"type":"ein","value":"465382670"},"billing_class":"institutional","payments":[{"allowed_amount":884.74,"providers":[{"billed_charge":2000.00,"npi":[1881094894]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"institutional","payments":[{"allowed_amount":485.33,"providers":[{"billed_charge":750.00,"npi":[1447385158]}]}]}]},{"billing_code":"45378","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Digestive","description":"DIAGNOSTIC COLONOSCOPY","allowed_amounts":[{"tin":{"type":"ein","value":"201852902"},"billing_class":"institutional","payments":[{"allowed_amount":9314.55,"providers":[{"billed_charge":11485.26,"npi":[1053364703]}]}]},{"tin":{"type":"ein","value":"350876396"},"billing_class":"institutional","payments":[{"allowed_amount":3449.14,"providers":[{"billed_charge":4366.00,"npi":[1619975331]}]}]},{"tin":{"type":"ein","value":"586025393"},"billing_class":"institutional","payments":[{"allowed_amount":1028.50,"providers":[{"billed_charge":1210.00,"npi":[1487684122]}]}]}]},{"billing_code":"45378","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"DIAGNOSTIC COLONOSCOPY","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":1022.88,"providers":[{"billed_charge":5783.07,"npi":[1457719312]}]}]}]},{"billing_code":"45380","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"COLONOSCOPY AND BIOPSY","allowed_amounts":[{"tin":{"type":"ein","value":"043228556"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":716.02,"providers":[{"billed_charge":1249.00,"npi":[1538145131]}]}]},{"tin":{"type":"ein","value":"205154699"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":273.68,"providers":[{"billed_charge":1725.00,"npi":[1275572794]}]}]},{"tin":{"type":"ein","value":"232812220"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":662.07,"providers":[{"billed_charge":875.00,"npi":[1154422806]}]}]},{"tin":{"type":"ein","value":"263694174"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":212.50,"providers":[{"billed_charge":1058.00,"npi":[1407920549]}]}]},{"tin":{"type":"ein","value":"462863298"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":433.08,"providers":[{"billed_charge":1559.00,"npi":[1033558416]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":129.06,"providers":[{"billed_charge":1722.00,"npi":[1679944706]}]},{"allowed_amount":136.84,"providers":[{"billed_charge":1722.00,"npi":[1679944706]}]},{"allowed_amount":258.11,"providers":[{"billed_charge":1722.00,"npi":[1679944706]}]},{"allowed_amount":273.68,"providers":[{"billed_charge":1722.00,"npi":[1679944706]}]}]},{"tin":{"type":"ein","value":"571195554"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":80.68,"providers":[{"billed_charge":1200.00,"npi":[1376592204]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":106.71,"providers":[{"billed_charge":1130.00,"npi":[1679599088]}]}]},{"tin":{"type":"ein","value":"854295818"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":180.91,"providers":[{"billed_charge":1000.00,"npi":[1558951319]}]},{"allowed_amount":191.58,"providers":[{"billed_charge":1000.00,"npi":[1558951319]}]}]}]},{"billing_code":"45380","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"COLONOSCOPY AND BIOPSY","allowed_amounts":[{"tin":{"type":"ein","value":"330937423"},"billing_class":"institutional","payments":[{"allowed_amount":845.69,"providers":[{"billed_charge":1409.48,"npi":[1154599538]}]}]},{"tin":{"type":"ein","value":"465382670"},"billing_class":"institutional","payments":[{"allowed_amount":624.59,"providers":[{"billed_charge":2000.00,"npi":[1881094894]}]},{"allowed_amount":709.11,"providers":[{"billed_charge":2000.00,"npi":[1881094894]}]},{"allowed_amount":997.05,"providers":[{"billed_charge":2000.00,"npi":[1881094894]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"institutional","payments":[{"allowed_amount":589.31,"providers":[{"billed_charge":750.00,"npi":[1447385158]}]}]},{"tin":{"type":"ein","value":"592947745"},"billing_class":"institutional","payments":[{"allowed_amount":2428.50,"providers":[{"billed_charge":3238.00,"npi":[1841251501]}]}]},{"tin":{"type":"ein","value":"873339187"},"billing_class":"institutional","payments":[{"allowed_amount":498.00,"providers":[{"billed_charge":1245.00,"npi":[1023892411]}]}]}]},{"billing_code":"45380","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Digestive","description":"COLONOSCOPY AND BIOPSY","allowed_amounts":[{"tin":{"type":"ein","value":"222667354"},"billing_class":"institutional","payments":[{"allowed_amount":1802.51,"providers":[{"billed_charge":2575.00,"npi":[1760598700]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":897.94,"providers":[{"billed_charge":3112.45,"npi":[1043270564]}]}]}]},{"billing_code":"45384","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"COLONOSCOPY W/LESION REMOVAL","allowed_amounts":[{"tin":{"type":"ein","value":"465382670"},"billing_class":"institutional","payments":[{"allowed_amount":624.59,"providers":[{"billed_charge":2000.00,"npi":[1881094894]}]}]}]},{"billing_code":"45385","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"COLONOSCOPY W/LESION REMOVAL","allowed_amounts":[{"tin":{"type":"ein","value":"205154699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":637.71,"providers":[{"billed_charge":1022.00,"npi":[1275572794]}]}]},{"tin":{"type":"ein","value":"208232362"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":177.75,"providers":[{"billed_charge":1050.00,"npi":[1104962315]}]}]},{"tin":{"type":"ein","value":"263694174"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":451.00,"providers":[{"billed_charge":1200.00,"npi":[1407920549]}]}]},{"tin":{"type":"ein","value":"370661183"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":671.43,"providers":[{"billed_charge":1543.68,"npi":[1114471737]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":355.49,"providers":[{"billed_charge":2160.00,"npi":[1679944706]}]},{"allowed_amount":355.51,"providers":[{"billed_charge":2160.00,"npi":[1679944706]},{"billed_charge":2204.00,"npi":[1679944706]}]}]},{"tin":{"type":"ein","value":"571195554"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":361.99,"providers":[{"billed_charge":1200.00,"npi":[1376592204]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":506.50,"providers":[{"billed_charge":1350.00,"npi":[1679599088]}]}]},{"tin":{"type":"ein","value":"650003177"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":2075.50,"providers":[{"billed_charge":2965.00,"npi":[1215989298]}]}]},{"tin":{"type":"ein","value":"862109896"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":637.71,"providers":[{"billed_charge":1000.00,"npi":[1780374884]}]}]}]},{"billing_code":"45385","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"COLONOSCOPY W/LESION REMOVAL","allowed_amounts":[{"tin":{"type":"ein","value":"582010310"},"billing_class":"institutional","payments":[{"allowed_amount":902.00,"providers":[{"billed_charge":1200.00,"npi":[1194761908]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"institutional","payments":[{"allowed_amount":589.31,"providers":[{"billed_charge":750.00,"npi":[1447385158]}]}]},{"tin":{"type":"ein","value":"592947745"},"billing_class":"institutional","payments":[{"allowed_amount":2428.50,"providers":[{"billed_charge":3238.00,"npi":[1841251501]}]}]},{"tin":{"type":"ein","value":"621508557"},"billing_class":"institutional","payments":[{"allowed_amount":449.00,"providers":[{"billed_charge":2016.00,"npi":[1164488219]}]}]}]},{"billing_code":"45385","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Digestive","description":"COLONOSCOPY W/LESION REMOVAL","allowed_amounts":[{"tin":{"type":"ein","value":"370661183"},"billing_class":"institutional","payments":[{"allowed_amount":4476.15,"providers":[{"billed_charge":5266.07,"npi":[1760571699]}]}]},{"tin":{"type":"ein","value":"461382538"},"billing_class":"institutional","payments":[{"allowed_amount":2529.85,"providers":[{"billed_charge":3048.00,"npi":[1043641897]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":897.79,"providers":[{"billed_charge":3112.45,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"621113169"},"billing_class":"institutional","payments":[{"allowed_amount":468.44,"providers":[{"billed_charge":2392.28,"npi":[1144213117]}]}]},{"tin":{"type":"ein","value":"650844880"},"billing_class":"institutional","payments":[{"allowed_amount":1774.78,"providers":[{"billed_charge":2685.00,"npi":[1083644033]}]}]}]},{"billing_code":"45990","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"SURG DX EXAM ANORECTAL","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":109.69,"providers":[{"billed_charge":585.00,"npi":[1679525919]}]}]}]},{"billing_code":"46050","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"INCISION OF ANAL ABSCESS","allowed_amounts":[{"tin":{"type":"ein","value":"131623978"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":107.67,"providers":[{"billed_charge":1005.00,"npi":[1134422330]}]}]}]},{"billing_code":"46050","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"INCISION OF ANAL ABSCESS","allowed_amounts":[{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":791.20,"providers":[{"billed_charge":989.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"590566256"},"billing_class":"institutional","payments":[{"allowed_amount":791.20,"providers":[{"billed_charge":989.00,"npi":[1588640692]}]}]}]},{"billing_code":"46083","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"INCISE EXTERNAL HEMORRHOID","allowed_amounts":[{"tin":{"type":"ein","value":"823693569"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":130.66,"providers":[{"billed_charge":1357.00,"npi":[1952819575]}]}]}]},{"billing_code":"46500","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"INJECTION INTO HEMORRHOID(S)","allowed_amounts":[{"tin":{"type":"ein","value":"141942527"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":341.73,"providers":[{"billed_charge":738.00,"npi":[1598869844]}]}]}]},{"billing_code":"47000","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"NEEDLE BIOPSY OF LIVER","allowed_amounts":[{"tin":{"type":"ein","value":"560994806"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":98.99,"providers":[{"billed_charge":295.00,"npi":[1215990171]}]}]},{"tin":{"type":"ein","value":"561925320"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":98.63,"providers":[{"billed_charge":1052.00,"npi":[1235197179]}]}]}]},{"billing_code":"47562","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"LAPAROSCOPIC CHOLECYSTECTOMY","allowed_amounts":[{"tin":{"type":"ein","value":"832053115"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":990.45,"providers":[{"billed_charge":2201.00,"npi":[1093284010]}]}]}]},{"billing_code":"47563","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"LAPARO CHOLECYSTECTOMY/GRAPH","allowed_amounts":[{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":133.33,"providers":[{"billed_charge":3451.00,"npi":[1972747053]}]}]}]},{"billing_code":"47563","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"LAPARO CHOLECYSTECTOMY/GRAPH","allowed_amounts":[{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":3972.92,"providers":[{"billed_charge":11311.00,"npi":[1427030774]}]}]}]},{"billing_code":"49083","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"ABD PARACENTESIS W/IMAGING","allowed_amounts":[{"tin":{"type":"ein","value":"560988142"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":152.35,"providers":[{"billed_charge":2039.00,"npi":[1356324487]}]}]}]},{"billing_code":"49083","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"ABD PARACENTESIS W/IMAGING","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":1132.31,"providers":[{"billed_charge":6479.78,"npi":[1548315401]}]}]}]},{"billing_code":"49324","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"LAP INSERT TUNNEL IP CATH","allowed_amounts":[{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":3205.60,"providers":[{"billed_charge":5940.00,"npi":[1306876065]}]}]}]},{"billing_code":"49592","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"RPR AA HRN 1ST < 3 NCR/STRN","allowed_amounts":[{"tin":{"type":"ein","value":"582234927"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1852.00,"providers":[{"billed_charge":2315.00,"npi":[1679599088]}]}]}]},{"billing_code":"49592","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"RPR AA HRN 1ST < 3 NCR/STRN","allowed_amounts":[{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":32560.44,"providers":[{"billed_charge":47883.00,"npi":[1154377166]}]}]}]},{"billing_code":"49594","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"RPR AA HRN 1ST 3-10 NCR/STRN","allowed_amounts":[{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":1843.08,"providers":[{"billed_charge":11349.00,"npi":[1578527172]}]}]}]},{"billing_code":"49905","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"OMENTAL FLAP INTRA-ABDOM","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":620.69,"providers":[{"billed_charge":1935.65,"npi":[1992754758]}]}]}]},{"billing_code":"50200","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Urinary","description":"RENAL BIOPSY PERQ","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1211.25,"providers":[{"billed_charge":1275.00,"npi":[1922074434]}]}]}]},{"billing_code":"50200","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"RENAL BIOPSY PERQ","allowed_amounts":[{"tin":{"type":"ein","value":"410944601"},"billing_class":"institutional","payments":[{"allowed_amount":1302.93,"providers":[{"billed_charge":1371.50,"npi":[1841266194]}]}]}]},{"billing_code":"50220","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Urinary","description":"REMOVE KIDNEY OPEN","allowed_amounts":[{"tin":{"type":"ein","value":"561026666"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":609.98,"providers":[{"billed_charge":4200.00,"npi":[1073599734]}]}]}]},{"billing_code":"50323","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Urinary","description":"PREP CADAVER RENAL ALLOGRAFT","allowed_amounts":[{"tin":{"type":"ein","value":"262243652"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":572.70,"providers":[{"billed_charge":1909.00,"npi":[1396107819]}]}]},{"tin":{"type":"ein","value":"510420299"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":159.53,"providers":[{"billed_charge":750.00,"npi":[1164467692]}]}]}]},{"billing_code":"50360","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Urinary","description":"TRANSPLANTATION OF KIDNEY","allowed_amounts":[{"tin":{"type":"ein","value":"262243652"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":2687.06,"providers":[{"billed_charge":8571.00,"npi":[1396107819]}]}]},{"tin":{"type":"ein","value":"510420299"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":465.57,"providers":[{"billed_charge":7226.15,"npi":[1164467692]}]}]}]},{"billing_code":"50590","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Urinary","description":"FRAGMENTING OF KIDNEY STONE","allowed_amounts":[{"tin":{"type":"ein","value":"561633847"},"billing_class":"institutional","payments":[{"allowed_amount":5129.80,"providers":[{"billed_charge":7892.00,"npi":[1457377954]}]}]}]},{"billing_code":"51700","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Urinary","description":"IRRIGATION OF BLADDER","allowed_amounts":[{"tin":{"type":"ein","value":"811762230"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.00,"providers":[{"billed_charge":238.00,"npi":[1912368457]}]},{"allowed_amount":127.53,"providers":[{"billed_charge":238.00,"npi":[1912368457]}]}]}]},{"billing_code":"51702","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"INSERT TEMP BLADDER CATH","allowed_amounts":[{"tin":{"type":"ein","value":"208316475"},"billing_class":"institutional","payments":[{"allowed_amount":182.25,"providers":[{"billed_charge":243.00,"npi":[1225272552]}]}]}]},{"billing_code":"51741","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"ELECTRO-UROFLOWMETRY FIRST","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":290.19,"providers":[{"billed_charge":1387.37,"npi":[1457719312]}]},{"allowed_amount":326.54,"providers":[{"billed_charge":1387.37,"npi":[1457719312]}]}]}]},{"billing_code":"51798","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Urinary","description":"US URINE CAPACITY MEASURE","allowed_amounts":[{"tin":{"type":"ein","value":"562107759"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.00,"providers":[{"billed_charge":45.00,"npi":[1669404208]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.59,"providers":[{"billed_charge":50.00,"npi":[1679599088]}]}]}]},{"billing_code":"51798","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"US URINE CAPACITY MEASURE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":80.99,"providers":[{"billed_charge":440.50,"npi":[1457719312]}]},{"allowed_amount":88.23,"providers":[{"billed_charge":436.60,"npi":[1750333282]}]},{"allowed_amount":92.14,"providers":[{"billed_charge":440.50,"npi":[1457719312]}]},{"allowed_amount":103.68,"providers":[{"billed_charge":440.50,"npi":[1457719312]}]}]}]},{"billing_code":"51798","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"US URINE CAPACITY MEASURE","allowed_amounts":[{"tin":{"type":"ein","value":"272953799"},"billing_class":"institutional","payments":[{"allowed_amount":195.50,"providers":[{"billed_charge":230.00,"npi":[1265740195]}]}]}]},{"billing_code":"51798","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"US URINE CAPACITY MEASURE","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":35.43,"providers":[{"billed_charge":549.65,"npi":[1619927027]}]}]}]},{"billing_code":"51860","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Urinary","description":"REPAIR OF BLADDER WOUND","allowed_amounts":[{"tin":{"type":"ein","value":"562107759"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":149.12,"providers":[{"billed_charge":1792.00,"npi":[1669404208]}]}]}]},{"billing_code":"52000","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Urinary","description":"CYSTOSCOPY","allowed_amounts":[{"tin":{"type":"ein","value":"811762230"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":200.00,"providers":[{"billed_charge":584.00,"npi":[1912368457]}]}]}]},{"billing_code":"52005","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Urinary","description":"CYSTOSCOPY & URETER CATHETER","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":154.65,"providers":[{"billed_charge":768.42,"npi":[1992754758]}]}]}]},{"billing_code":"52240","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Urinary","description":"CYSTOSCOPY AND TREATMENT","allowed_amounts":[{"tin":{"type":"ein","value":"811762230"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":369.80,"providers":[{"billed_charge":1161.00,"npi":[1912368457]}]},{"allowed_amount":671.47,"providers":[{"billed_charge":1161.00,"npi":[1912368457]}]}]}]},{"billing_code":"52332","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Urinary","description":"CYSTOSCOPY AND TREATMENT","allowed_amounts":[{"tin":{"type":"ein","value":"550564945"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":125.02,"providers":[{"billed_charge":460.00,"npi":[1730183286]}]}]}]},{"billing_code":"52332","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"CYSTOSCOPY AND TREATMENT","allowed_amounts":[{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":5538.01,"providers":[{"billed_charge":7911.44,"npi":[1053321919]}]}]}]},{"billing_code":"52351","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"CYSTOURETERO & OR PYELOSCOPE","allowed_amounts":[{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":5538.02,"providers":[{"billed_charge":7911.45,"npi":[1053321919]}]}]}]},{"billing_code":"54056","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Reproductive","description":"CRYOSURGERY PENIS LESION(S)","allowed_amounts":[{"tin":{"type":"ein","value":"852914575"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":97.50,"providers":[{"billed_charge":195.00,"npi":[1699382507]}]}]}]},{"billing_code":"54150","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Reproductive","description":"CIRCUMCISION W/REGIONL BLOCK","allowed_amounts":[{"tin":{"type":"ein","value":"264212594"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":126.28,"providers":[{"billed_charge":433.00,"npi":[1255632006]}]}]},{"tin":{"type":"ein","value":"560952955"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":126.28,"providers":[{"billed_charge":230.00,"npi":[1760479331]}]}]},{"tin":{"type":"ein","value":"586025393"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":103.94,"providers":[{"billed_charge":225.00,"npi":[1487684122]}]}]},{"tin":{"type":"ein","value":"593443182"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":341.05,"providers":[{"billed_charge":359.00,"npi":[1013902923]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":154.14,"providers":[{"billed_charge":313.00,"npi":[1619443827]}]}]}]},{"billing_code":"54530","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Reproductive","description":"REMOVAL OF TESTIS","allowed_amounts":[{"tin":{"type":"ein","value":"541586601"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":940.14,"providers":[{"billed_charge":1500.00,"npi":[1447206370]}]}]}]},{"billing_code":"56420","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Reproductive","description":"DRAINAGE OF GLAND ABSCESS","allowed_amounts":[{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":756.80,"providers":[{"billed_charge":946.00,"npi":[1396798229]}]}]}]},{"billing_code":"56620","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Reproductive","description":"PARTIAL REMOVAL OF VULVA","allowed_amounts":[{"tin":{"type":"ein","value":"581685139"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1421.38,"providers":[{"billed_charge":1884.00,"npi":[1255401519]}]}]}]},{"billing_code":"57250","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Reproductive","description":"REPAIR RECTUM & VAGINA","allowed_amounts":[{"tin":{"type":"ein","value":"581728803"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":745.50,"providers":[{"billed_charge":1491.00,"npi":[1477276699]}]}]}]},{"billing_code":"57425","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Reproductive","description":"LAPAROSCOPY SURG COLPOPEXY","allowed_amounts":[{"tin":{"type":"ein","value":"581728803"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1174.00,"providers":[{"billed_charge":2348.00,"npi":[1477276699]}]}]}]},{"billing_code":"57454","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Reproductive","description":"BX/CURETT OF CERVIX W/SCOPE","allowed_amounts":[{"tin":{"type":"ein","value":"202999870"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":271.90,"providers":[{"billed_charge":330.95,"npi":[1629022868]}]}]}]},{"billing_code":"58100","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Reproductive","description":"BIOPSY OF UTERUS LINING","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":70.05,"providers":[{"billed_charge":310.00,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"833143986"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.10,"providers":[{"billed_charge":350.00,"npi":[1225502826]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":97.71,"providers":[{"billed_charge":210.00,"npi":[1447239355]}]}]}]},{"billing_code":"58100","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"BIOPSY OF UTERUS LINING","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":169.35,"providers":[{"billed_charge":1172.02,"npi":[1750333282]}]}]}]},{"billing_code":"58300","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Reproductive","description":"INSERT INTRAUTERINE DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"271689066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.64,"providers":[{"billed_charge":411.00,"npi":[1750752291]}]}]},{"tin":{"type":"ein","value":"841599265"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.58,"providers":[{"billed_charge":225.00,"npi":[1497925986]}]}]}]},{"billing_code":"58301","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Reproductive","description":"REMOVE INTRAUTERINE DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"262072378"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":170.03,"providers":[{"billed_charge":220.00,"npi":[1962923433]}]}]},{"tin":{"type":"ein","value":"271689066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":78.67,"providers":[{"billed_charge":485.00,"npi":[1750752291]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":446.40,"providers":[{"billed_charge":558.00,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"910686012"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":163.31,"providers":[{"billed_charge":247.00,"npi":[1558424473]}]}]}]},{"billing_code":"58340","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Reproductive","description":"CATHETER FOR HYSTEROGRAPHY","allowed_amounts":[{"tin":{"type":"ein","value":"833143986"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":327.58,"providers":[{"billed_charge":660.00,"npi":[1225502826]}]}]}]},{"billing_code":"58571","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Reproductive","description":"TLH W/T/O 250 G OR LESS","allowed_amounts":[{"tin":{"type":"ein","value":"581728803"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":2411.00,"providers":[{"billed_charge":2411.00,"npi":[1477276699]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1393.53,"providers":[{"billed_charge":1903.00,"npi":[1477256303]}]}]}]},{"billing_code":"58571","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"TLH W/T/O 250 G OR LESS","allowed_amounts":[{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":9155.30,"providers":[{"billed_charge":13079.00,"npi":[1861194086]}]}]}]},{"billing_code":"58974","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Reproductive","description":"TRANSFER OF EMBRYO","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":747.75,"providers":[{"billed_charge":997.00,"npi":[1679525919]}]}]}]},{"billing_code":"58974","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"TRANSFER OF EMBRYO","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":1599.38,"providers":[{"billed_charge":2110.00,"npi":[1679525919]}]}]}]},{"billing_code":"59000","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Maternity Care and Delivery","description":"AMNIOCENTESIS DIAGNOSTIC","allowed_amounts":[{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":309.07,"providers":[{"billed_charge":364.00,"npi":[1255315339]}]}]}]},{"billing_code":"59025","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Maternity Care and Delivery","description":"FETAL NON-STRESS TEST","allowed_amounts":[{"tin":{"type":"ein","value":"272763125"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":43.53,"providers":[{"billed_charge":72.05,"npi":[1114277035]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":71.03,"providers":[{"billed_charge":225.00,"npi":[1255315339]}]}]}]},{"billing_code":"59025","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"FETAL NON-STRESS TEST","allowed_amounts":[{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":119.58,"providers":[{"billed_charge":376.00,"npi":[1144211301]}]}]}]},{"billing_code":"59510","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Maternity Care and Delivery","description":"CESAREAN DELIVERY","allowed_amounts":[{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":4734.40,"providers":[{"billed_charge":5918.00,"npi":[1902305063]}]}]}]},{"billing_code":"59820","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Maternity Care and Delivery","description":"CARE OF MISCARRIAGE","allowed_amounts":[{"tin":{"type":"ein","value":"561526667"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":542.71,"providers":[{"billed_charge":1086.00,"npi":[1043273881]}]}]}]},{"billing_code":"61626","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"TRANSCATH OCCLUSION NON-CNS","allowed_amounts":[{"tin":{"type":"ein","value":"043259647"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":9840.00,"providers":[{"billed_charge":9840.00,"npi":[1487681912]}]}]}]},{"billing_code":"62270","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"DX LMBR SPI PNXR","allowed_amounts":[{"tin":{"type":"ein","value":"530196580"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":88.40,"providers":[{"billed_charge":384.00,"npi":[1093972960]}]},{"allowed_amount":353.61,"providers":[{"billed_charge":384.00,"npi":[1093972960]}]}]},{"tin":{"type":"ein","value":"562066152"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":85.97,"providers":[{"billed_charge":360.00,"npi":[1073562757]}]}]}]},{"billing_code":"62284","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"INJECTION FOR MYELOGRAM","allowed_amounts":[{"tin":{"type":"ein","value":"541147892"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":103.53,"providers":[{"billed_charge":366.00,"npi":[1174533624]}]}]}]},{"billing_code":"62304","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"MYELOGRAPHY LUMBAR INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"581036115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1760.00,"providers":[{"billed_charge":2200.00,"npi":[1972558336]}]}]}]},{"billing_code":"62304","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"MYELOGRAPHY LUMBAR INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":715.69,"providers":[{"billed_charge":4940.00,"npi":[1629038336]}]}]}]},{"billing_code":"62323","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"NJX INTERLAMINAR LMBR/SAC","allowed_amounts":[{"tin":{"type":"ein","value":"264058719"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":285.00,"providers":[{"billed_charge":285.00,"npi":[1710125430]}]}]}]},{"billing_code":"62323","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"NJX INTERLAMINAR LMBR/SAC","allowed_amounts":[{"tin":{"type":"ein","value":"042551124"},"billing_class":"institutional","payments":[{"allowed_amount":1364.74,"providers":[{"billed_charge":2353.00,"npi":[1780600825]}]}]},{"tin":{"type":"ein","value":"311524546"},"billing_class":"institutional","payments":[{"allowed_amount":2188.80,"providers":[{"billed_charge":2304.00,"npi":[1699704254]}]}]}]},{"billing_code":"62324","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"NJX INTERLAMINAR CRV/THRC","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":104.93,"providers":[{"billed_charge":531.41,"npi":[1992754758]}]}]}]},{"billing_code":"62328","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"DX LMBR SPI PNXR W/FLUOR/CT","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":131.03,"providers":[{"billed_charge":269.00,"npi":[1639244478]}]}]},{"tin":{"type":"ein","value":"560945618"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":146.13,"providers":[{"billed_charge":250.00,"npi":[1063438513]},{"billed_charge":250.00,"npi":[1063438513]}]}]}]},{"billing_code":"63052","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"LAM FACETC/FRMT ARTHRD LUM 1","allowed_amounts":[{"tin":{"type":"ein","value":"562016630"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":448.63,"providers":[{"billed_charge":590.00,"npi":[1831142553]}]}]}]},{"billing_code":"63053","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"LAM FACTC/FRMT ARTHRD LUM EA","allowed_amounts":[{"tin":{"type":"ein","value":"562016630"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":680.00,"providers":[{"billed_charge":680.00,"npi":[1831142553]}]}]}]},{"billing_code":"636","billing_code_type":"RC","billing_code_type_version":"2022 AHA","name":"Medicine/Pharmacy/Vaccine","description":"DRUGS/DETAIL CODE","allowed_amounts":[{"tin":{"type":"ein","value":"752922710"},"billing_class":"institutional","payments":[{"allowed_amount":18.92,"providers":[{"billed_charge":43.00,"npi":[1588697296]}]}]}]},{"billing_code":"64415","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"NJX AA&/STRD BRCH PLXS IMG","allowed_amounts":[{"tin":{"type":"ein","value":"261378988"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":104.42,"providers":[{"billed_charge":1260.00,"npi":[1881877793]}]}]},{"tin":{"type":"ein","value":"461634378"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":76.37,"providers":[{"billed_charge":800.00,"npi":[1518205004]}]}]},{"tin":{"type":"ein","value":"542155391"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":74.95,"providers":[{"billed_charge":1756.00,"npi":[1801989504]}]}]},{"tin":{"type":"ein","value":"570860993"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":75.36,"providers":[{"billed_charge":465.00,"npi":[1417928268]}]}]}]},{"billing_code":"64417","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"NJX AA&/STRD AX NERVE IMG","allowed_amounts":[{"tin":{"type":"ein","value":"204700877"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":574.40,"providers":[{"billed_charge":718.00,"npi":[1407864168]}]}]}]},{"billing_code":"64447","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"NJX AA&/STRD FEMORAL NRV IMG","allowed_amounts":[{"tin":{"type":"ein","value":"261378988"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":90.10,"providers":[{"billed_charge":1102.00,"npi":[1881877793]}]}]},{"tin":{"type":"ein","value":"261378988"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":94.11,"providers":[{"billed_charge":1102.00,"npi":[1881877793]}]}]},{"tin":{"type":"ein","value":"352656251"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":74.96,"providers":[{"billed_charge":275.00,"npi":[1629637475]}]}]},{"tin":{"type":"ein","value":"861276942"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":224.30,"providers":[{"billed_charge":432.00,"npi":[1700474244]}]}]},{"tin":{"type":"ein","value":"873158173"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":91.94,"providers":[{"billed_charge":1994.00,"npi":[1194488791]}]}]}]},{"billing_code":"64450","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"NJX AA&/STRD OTHER PN/BRANCH","allowed_amounts":[{"tin":{"type":"ein","value":"561191387"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":55.24,"providers":[{"billed_charge":1007.08,"npi":[1174817993]}]}]},{"tin":{"type":"ein","value":"813590035"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":25.08,"providers":[{"billed_charge":724.00,"npi":[1932641313]}]},{"allowed_amount":50.16,"providers":[{"billed_charge":724.00,"npi":[1932641313]}]}]}]},{"billing_code":"64483","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"NJX AA&/STRD TFRM EPI L/S 1","allowed_amounts":[{"tin":{"type":"ein","value":"834345983"},"billing_class":"institutional","payments":[{"allowed_amount":1759.50,"providers":[{"billed_charge":2346.00,"npi":[1790344182]}]}]}]},{"billing_code":"64483","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"NJX AA&/STRD TFRM EPI L/S 1","allowed_amounts":[{"tin":{"type":"ein","value":"201508140"},"billing_class":"institutional","payments":[{"allowed_amount":1104.56,"providers":[{"billed_charge":2355.00,"npi":[1548236524]}]}]}]},{"billing_code":"64484","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"NJX AA&/STRD TFRM EPI L/S EA","allowed_amounts":[{"tin":{"type":"ein","value":"201508140"},"billing_class":"institutional","payments":[{"allowed_amount":204.03,"providers":[{"billed_charge":435.00,"npi":[1548236524]}]}]}]},{"billing_code":"64488","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"TAP BLOCK BI INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"273818647"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":138.29,"providers":[{"billed_charge":197.55,"npi":[1275992240]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":100.73,"providers":[{"billed_charge":725.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"561748928"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":76.91,"providers":[{"billed_charge":1725.00,"npi":[1396739884]}]}]}]},{"billing_code":"64493","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"INJ PARAVERT F JNT L/S 1 LEV","allowed_amounts":[{"tin":{"type":"ein","value":"257040159"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":386.27,"providers":[{"billed_charge":758.00,"npi":[1275932733]}]}]},{"tin":{"type":"ein","value":"814823524"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":120.68,"providers":[{"billed_charge":2460.00,"npi":[1972040350]}]}]}]},{"billing_code":"64493","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"INJ PARAVERT F JNT L/S 1 LEV","allowed_amounts":[{"tin":{"type":"ein","value":"834345983"},"billing_class":"institutional","payments":[{"allowed_amount":1524.64,"providers":[{"billed_charge":2932.00,"npi":[1790344182]}]}]}]},{"billing_code":"64493","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"INJ PARAVERT F JNT L/S 1 LEV","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":940.41,"providers":[{"billed_charge":7674.77,"npi":[1619927027]}]}]}]},{"billing_code":"64494","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"INJ PARAVERT F JNT L/S 2 LEV","allowed_amounts":[{"tin":{"type":"ein","value":"257040159"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":196.58,"providers":[{"billed_charge":291.00,"npi":[1275932733]}]}]},{"tin":{"type":"ein","value":"814823524"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":67.43,"providers":[{"billed_charge":1233.00,"npi":[1972040350]}]}]}]},{"billing_code":"64494","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"INJ PARAVERT F JNT L/S 2 LEV","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":512.53,"providers":[{"billed_charge":4182.79,"npi":[1619927027]}]}]}]},{"billing_code":"64510","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"N BLOCK STELLATE GANGLION","allowed_amounts":[{"tin":{"type":"ein","value":"010807262"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":121.26,"providers":[{"billed_charge":458.00,"npi":[1285686295]}]}]}]},{"billing_code":"64510","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"N BLOCK STELLATE GANGLION","allowed_amounts":[{"tin":{"type":"ein","value":"203471584"},"billing_class":"institutional","payments":[{"allowed_amount":539.78,"providers":[{"billed_charge":1487.00,"npi":[1699818237]}]}]}]},{"billing_code":"64612","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"DESTROY NERVE FACE MUSCLE","allowed_amounts":[{"tin":{"type":"ein","value":"455478024"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.00,"providers":[{"billed_charge":130.00,"npi":[1598013781]}]}]}]},{"billing_code":"64615","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"CHEMODENERV MUSC MIGRAINE","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":260.59,"providers":[{"billed_charge":825.00,"npi":[1972554186]}]},{"allowed_amount":660.00,"providers":[{"billed_charge":825.00,"npi":[1972554186]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":148.17,"providers":[{"billed_charge":350.00,"npi":[1447239355]}]}]}]},{"billing_code":"64615","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"CHEMODENERV MUSC MIGRAINE","allowed_amounts":[{"tin":{"type":"ein","value":"042768256"},"billing_class":"institutional","payments":[{"allowed_amount":326.78,"providers":[{"billed_charge":642.00,"npi":[1578677811]}]}]}]},{"billing_code":"64792","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"REMOVAL OF NERVE LESION","allowed_amounts":[{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":779.80,"providers":[{"billed_charge":9645.68,"npi":[1578569240]}]},{"allowed_amount":1559.61,"providers":[{"billed_charge":6066.21,"npi":[1013913789]}]}]}]},{"billing_code":"65220","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"REMOVE FOREIGN BODY FROM EYE","allowed_amounts":[{"tin":{"type":"ein","value":"611262927"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":57.25,"providers":[{"billed_charge":819.00,"npi":[1700803681]}]}]}]},{"billing_code":"65920","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"REMOVE IMPLANT OF EYE","allowed_amounts":[{"tin":{"type":"ein","value":"541577646"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":503.73,"providers":[{"billed_charge":1946.00,"npi":[1013902873]}]}]}]},{"billing_code":"65920","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"REMOVE IMPLANT OF EYE","allowed_amounts":[{"tin":{"type":"ein","value":"522406179"},"billing_class":"institutional","payments":[{"allowed_amount":600.00,"providers":[{"billed_charge":1200.00,"npi":[1053345082]}]}]}]},{"billing_code":"66180","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"AQUEOUS SHUNT EYE W/GRAFT","allowed_amounts":[{"tin":{"type":"ein","value":"113690454"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":817.69,"providers":[{"billed_charge":2076.00,"npi":[1831288257]}]}]}]},{"billing_code":"66183","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category III","description":"INSERT ANT DRAINAGE DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"341447430"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":1121.25,"providers":[{"billed_charge":1495.00,"npi":[1932208733]}]}]}]},{"billing_code":"66183","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"INSERT ANT DRAINAGE DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"341816442"},"billing_class":"institutional","payments":[{"allowed_amount":900.00,"providers":[{"billed_charge":5200.00,"npi":[1386632610]}]}]}]},{"billing_code":"66821","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"AFTER CATARACT LASER SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"581129515"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":668.75,"providers":[{"billed_charge":1332.69,"npi":[1770679094]}]}]},{"tin":{"type":"ein","value":"592924021"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":477.88,"providers":[{"billed_charge":796.00,"npi":[1104066216]}]}]}]},{"billing_code":"66821","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"AFTER CATARACT LASER SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"522406179"},"billing_class":"institutional","payments":[{"allowed_amount":425.00,"providers":[{"billed_charge":850.00,"npi":[1053345082]}]}]}]},{"billing_code":"66982","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"XCAPSL CTRC RMVL CPLX WO ECP","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1032.73,"providers":[{"billed_charge":3872.47,"npi":[1578516902]}]}]}]},{"billing_code":"66982","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"XCAPSL CTRC RMVL CPLX WO ECP","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":2565.48,"providers":[{"billed_charge":8604.02,"npi":[1578516902]}]}]}]},{"billing_code":"66984","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"XCAPSL CTRC RMVL W/O ECP","allowed_amounts":[{"tin":{"type":"ein","value":"205562797"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":773.67,"providers":[{"billed_charge":4551.00,"npi":[1700842358]}]},{"allowed_amount":796.96,"providers":[{"billed_charge":4688.00,"npi":[1700842358]}]}]},{"tin":{"type":"ein","value":"331031979"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":1464.79,"providers":[{"billed_charge":2691.00,"npi":[1649244211]}]}]},{"tin":{"type":"ein","value":"541577646"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":310.63,"providers":[{"billed_charge":1200.00,"npi":[1013902873]}]}]},{"tin":{"type":"ein","value":"541982898"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":746.94,"providers":[{"billed_charge":2150.00,"npi":[1023005139]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":722.89,"providers":[{"billed_charge":2825.70,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"753028236"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":390.18,"providers":[{"billed_charge":1600.00,"npi":[1992794325]}]}]}]},{"billing_code":"66984","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"XCAPSL CTRC RMVL W/O ECP","allowed_amounts":[{"tin":{"type":"ein","value":"208302537"},"billing_class":"institutional","payments":[{"allowed_amount":2291.00,"providers":[{"billed_charge":11134.00,"npi":[1568505899]}]}]},{"tin":{"type":"ein","value":"464112873"},"billing_class":"institutional","payments":[{"allowed_amount":2353.16,"providers":[{"billed_charge":5990.00,"npi":[1518338052]}]}]},{"tin":{"type":"ein","value":"522406179"},"billing_class":"institutional","payments":[{"allowed_amount":737.50,"providers":[{"billed_charge":1475.00,"npi":[1053345082]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":2910.02,"providers":[{"billed_charge":8604.02,"npi":[1578516902]}]}]}]},{"billing_code":"67028","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"INJECTION EYE DRUG","allowed_amounts":[{"tin":{"type":"ein","value":"391093716"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1080.00,"providers":[{"billed_charge":1200.00,"npi":[1740263458]}]}]},{"tin":{"type":"ein","value":"561987440"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.68,"providers":[{"billed_charge":299.00,"npi":[1558565473]}]},{"allowed_amount":130.91,"providers":[{"billed_charge":299.00,"npi":[1558565473]}]}]}]},{"billing_code":"67141","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"PROPH RTA DTCHMNT CRTX DTHRM","allowed_amounts":[{"tin":{"type":"ein","value":"205562797"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":222.70,"providers":[{"billed_charge":1310.00,"npi":[1700842358]}]}]}]},{"billing_code":"67800","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"REMOVE EYELID LESION","allowed_amounts":[{"tin":{"type":"ein","value":"561499935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":209.20,"providers":[{"billed_charge":270.00,"npi":[1962456343]}]}]},{"tin":{"type":"ein","value":"640939893"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":178.42,"providers":[{"billed_charge":300.00,"npi":[1376576884]}]}]}]},{"billing_code":"67904","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"REPAIR EYELID DEFECT","allowed_amounts":[{"tin":{"type":"ein","value":"204836403"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1031.25,"providers":[{"billed_charge":1800.00,"npi":[1114099553]}]},{"allowed_amount":1596.98,"providers":[{"billed_charge":3600.00,"npi":[1114099553]}]}]}]},{"billing_code":"67904","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"REPAIR EYELID DEFECT","allowed_amounts":[{"tin":{"type":"ein","value":"621817952"},"billing_class":"institutional","payments":[{"allowed_amount":3670.50,"providers":[{"billed_charge":4894.00,"npi":[1003861998]}]}]}]},{"billing_code":"68761","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"CLOSE TEAR DUCT OPENING","allowed_amounts":[{"tin":{"type":"ein","value":"412063404"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":250.00,"providers":[{"billed_charge":250.00,"npi":[1023067196]}]}]}]},{"billing_code":"69100","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Auditory","description":"BIOPSY OF EXTERNAL EAR","allowed_amounts":[{"tin":{"type":"ein","value":"471690397"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":142.71,"providers":[{"billed_charge":178.00,"npi":[1235531906]}]}]}]},{"billing_code":"69209","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Auditory","description":"REMOVE IMPACTED EAR WAX UNI","allowed_amounts":[{"tin":{"type":"ein","value":"440655986"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.23,"providers":[{"billed_charge":58.00,"npi":[1346966454]}]},{"allowed_amount":36.92,"providers":[{"billed_charge":116.00,"npi":[1346966454]}]}]},{"tin":{"type":"ein","value":"470902244"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":40.00,"npi":[1205814118]}]}]},{"tin":{"type":"ein","value":"576000254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.55,"providers":[{"billed_charge":77.00,"npi":[1053437301]}]},{"allowed_amount":26.51,"providers":[{"billed_charge":77.00,"npi":[1053437301]}]}]},{"tin":{"type":"ein","value":"593514857"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":52.00,"providers":[{"billed_charge":65.00,"npi":[1275575888]}]}]}]},{"billing_code":"69210","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Auditory","description":"REMOVE IMPACTED EAR WAX UNI","allowed_amounts":[{"tin":{"type":"ein","value":"470902244"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":64.51,"providers":[{"billed_charge":90.00,"npi":[1205814118]}]}]},{"tin":{"type":"ein","value":"522312665"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.60,"providers":[{"billed_charge":76.00,"npi":[1013106541]}]}]},{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":73.17,"providers":[{"billed_charge":98.00,"npi":[1912957606]}]}]},{"tin":{"type":"ein","value":"561768044"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":32.00,"providers":[{"billed_charge":50.00,"npi":[1992840003]}]}]},{"tin":{"type":"ein","value":"561872583"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.35,"providers":[{"billed_charge":175.00,"npi":[1538171871]}]}]},{"tin":{"type":"ein","value":"582663026"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.47,"providers":[{"billed_charge":80.47,"npi":[1417901216]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":67.74,"providers":[{"billed_charge":300.00,"npi":[1932679446]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.16,"providers":[{"billed_charge":92.00,"npi":[1447239355]}]}]}]},{"billing_code":"69436","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"CREATE EARDRUM OPENING","allowed_amounts":[{"tin":{"type":"ein","value":"820777206"},"billing_class":"institutional","payments":[{"allowed_amount":1108.82,"providers":[{"billed_charge":3333.00,"npi":[1295789907]}]}]}]},{"billing_code":"69643","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Auditory","description":"REVISE MIDDLE EAR & MASTOID","allowed_amounts":[{"tin":{"type":"ein","value":"911606533"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":3317.88,"providers":[{"billed_charge":3580.00,"npi":[1407223985]}]}]}]},{"billing_code":"69643","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"REVISE MIDDLE EAR & MASTOID","allowed_amounts":[{"tin":{"type":"ein","value":"911606533"},"billing_class":"institutional","payments":[{"allowed_amount":5770.77,"providers":[{"billed_charge":7746.00,"npi":[1780610220]}]}]}]},{"billing_code":"70140","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF FACIAL BONES","allowed_amounts":[{"tin":{"type":"ein","value":"134240807"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.97,"providers":[{"billed_charge":69.00,"npi":[1942358064]}]}]}]},{"billing_code":"70150","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF FACIAL BONES","allowed_amounts":[{"tin":{"type":"ein","value":"560994806"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.35,"providers":[{"billed_charge":40.00,"npi":[1215990171]}]}]}]},{"billing_code":"70160","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF NASAL BONES","allowed_amounts":[{"tin":{"type":"ein","value":"541147892"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":10.17,"providers":[{"billed_charge":30.00,"npi":[1174533624]}]}]}]},{"billing_code":"70250","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF SKULL","allowed_amounts":[{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":10.59,"providers":[{"billed_charge":39.00,"npi":[1720079254]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":46.51,"npi":[1457719312]}]}]}]},{"billing_code":"70250","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM OF SKULL","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":163.07,"providers":[{"billed_charge":817.62,"npi":[1457719312]}]}]}]},{"billing_code":"70330","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF JAW JOINTS","allowed_amounts":[{"tin":{"type":"ein","value":"921496164"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.78,"providers":[{"billed_charge":159.00,"npi":[1083721906]}]}]}]},{"billing_code":"70350","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY HEAD FOR ORTHODONTIA","allowed_amounts":[{"tin":{"type":"ein","value":"134240807"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.30,"providers":[{"billed_charge":47.00,"npi":[1942358064]}]}]},{"tin":{"type":"ein","value":"561319745"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.30,"providers":[{"billed_charge":175.00,"npi":[1023044526]}]}]}]},{"billing_code":"70355","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"PANORAMIC X-RAY OF JAWS","allowed_amounts":[{"tin":{"type":"ein","value":"134240807"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.75,"providers":[{"billed_charge":47.00,"npi":[1942358064]}]}]},{"tin":{"type":"ein","value":"202196363"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.04,"providers":[{"billed_charge":137.00,"npi":[1275558504]}]}]},{"tin":{"type":"ein","value":"561319745"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.75,"providers":[{"billed_charge":175.00,"npi":[1023044526]}]}]},{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.04,"providers":[{"billed_charge":142.00,"npi":[1972554186]}]},{"allowed_amount":113.60,"providers":[{"billed_charge":142.00,"npi":[1972554186]}]}]},{"tin":{"type":"ein","value":"921496164"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.04,"providers":[{"billed_charge":67.00,"npi":[1083721906]}]},{"allowed_amount":20.75,"providers":[{"billed_charge":150.00,"npi":[1083721906]}]}]}]},{"billing_code":"70360","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF NECK","allowed_amounts":[{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":10.59,"providers":[{"billed_charge":26.00,"npi":[1720079254]}]}]},{"tin":{"type":"ein","value":"581054951"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":62.00,"providers":[{"billed_charge":62.00,"npi":[1962449363]}]}]}]},{"billing_code":"70450","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT HEAD/BRAIN W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"203728202"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":119.36,"providers":[{"billed_charge":448.00,"npi":[1538484803]}]}]},{"tin":{"type":"ein","value":"208251783"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":97.19,"providers":[{"billed_charge":314.00,"npi":[1598923260]}]}]},{"tin":{"type":"ein","value":"262157500"},"billing_class":"professional","service_code":["21","23"],"payments":[{"allowed_amount":85.40,"providers":[{"billed_charge":122.00,"npi":[1073785044]},{"billed_charge":122.00,"npi":[1073785044]}]}]},{"tin":{"type":"ein","value":"311571290"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":80.32,"providers":[{"billed_charge":202.00,"npi":[1811996960]}]},{"allowed_amount":84.55,"providers":[{"billed_charge":202.00,"npi":[1811996960]}]}]},{"tin":{"type":"ein","value":"462439952"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":78.80,"providers":[{"billed_charge":163.00,"npi":[1598008955]}]}]},{"tin":{"type":"ein","value":"462439952"},"billing_class":"professional","service_code":["21","23"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":163.00,"npi":[1598008955]},{"billed_charge":163.00,"npi":[1598008955]}]}]},{"tin":{"type":"ein","value":"475546608"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":72.39,"providers":[{"billed_charge":127.00,"npi":[1710334727]}]}]},{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":48.89,"providers":[{"billed_charge":130.00,"npi":[1720079254]}]}]},{"tin":{"type":"ein","value":"540846558"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":61.40,"providers":[{"billed_charge":272.00,"npi":[1114902509]}]},{"allowed_amount":177.36,"providers":[{"billed_charge":272.00,"npi":[1114902509]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":87.03,"providers":[{"billed_charge":147.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":47.95,"providers":[{"billed_charge":220.61,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560941927"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":47.95,"providers":[{"billed_charge":138.00,"npi":[1679684948]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":47.95,"providers":[{"billed_charge":554.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"570634747"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":47.73,"providers":[{"billed_charge":124.00,"npi":[1811000177]}]}]},{"tin":{"type":"ein","value":"570963518"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":47.73,"providers":[{"billed_charge":608.00,"npi":[1992789473]}]},{"allowed_amount":89.52,"providers":[{"billed_charge":608.00,"npi":[1992789473]}]}]},{"tin":{"type":"ein","value":"581126891"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":134.97,"providers":[{"billed_charge":202.00,"npi":[1679563035]}]}]},{"tin":{"type":"ein","value":"581537752"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":107.92,"providers":[{"billed_charge":142.00,"npi":[1063452381]}]}]},{"tin":{"type":"ein","value":"581966881"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":82.57,"providers":[{"billed_charge":152.00,"npi":[1932189685]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":148.72,"providers":[{"billed_charge":185.90,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"591226176"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":162.45,"providers":[{"billed_charge":554.00,"npi":[1093782070]}]}]},{"tin":{"type":"ein","value":"591293424"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":49.28,"providers":[{"billed_charge":133.00,"npi":[1396759684]}]}]},{"tin":{"type":"ein","value":"593337028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1385.10,"providers":[{"billed_charge":1458.00,"npi":[1790772317]}]}]},{"tin":{"type":"ein","value":"610679378"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":138.70,"providers":[{"billed_charge":146.00,"npi":[1073595179]}]}]},{"tin":{"type":"ein","value":"620963389"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":47.16,"providers":[{"billed_charge":196.00,"npi":[1386698710]}]}]},{"tin":{"type":"ein","value":"741680498"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":56.41,"providers":[{"billed_charge":554.00,"npi":[1538107875]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":47.95,"providers":[{"billed_charge":149.00,"npi":[1598260515]}]},{"allowed_amount":121.11,"providers":[{"billed_charge":149.00,"npi":[1598260515]}]}]},{"tin":{"type":"ein","value":"833666345"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":47.73,"providers":[{"billed_charge":184.00,"npi":[1093274235]}]}]}]},{"billing_code":"70450","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT HEAD/BRAIN W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"231352204"},"billing_class":"institutional","payments":[{"allowed_amount":2047.43,"providers":[{"billed_charge":2659.00,"npi":[1669530069]}]}]},{"tin":{"type":"ein","value":"240862246"},"billing_class":"institutional","payments":[{"allowed_amount":169.22,"providers":[{"billed_charge":2756.00,"npi":[1366444507]}]}]},{"tin":{"type":"ein","value":"350211370"},"billing_class":"institutional","payments":[{"allowed_amount":227.16,"providers":[{"billed_charge":1700.00,"npi":[1386683316]}]}]},{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":1332.50,"providers":[{"billed_charge":1665.63,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":637.47,"providers":[{"billed_charge":2223.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"472762362"},"billing_class":"institutional","payments":[{"allowed_amount":5253.77,"providers":[{"billed_charge":10301.50,"npi":[1487045100]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":126.12,"providers":[{"billed_charge":810.39,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"580566200"},"billing_class":"institutional","payments":[{"allowed_amount":1031.20,"providers":[{"billed_charge":1289.00,"npi":[1144203563]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":3442.60,"providers":[{"billed_charge":4918.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":1249.60,"providers":[{"billed_charge":1562.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"591713947"},"billing_class":"institutional","payments":[{"allowed_amount":524.01,"providers":[{"billed_charge":1479.00,"npi":[1225033020]}]}]},{"tin":{"type":"ein","value":"640524079"},"billing_class":"institutional","payments":[{"allowed_amount":370.35,"providers":[{"billed_charge":1050.00,"npi":[1154310514]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":2406.75,"providers":[{"billed_charge":3209.00,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"882288563"},"billing_class":"institutional","payments":[{"allowed_amount":2308.91,"providers":[{"billed_charge":3298.44,"npi":[1861102345]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":5791.91,"providers":[{"billed_charge":8022.00,"npi":[1407637531]}]}]}]},{"billing_code":"70480","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT ORBIT/EAR/FOSSA W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"570986980"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":72.30,"providers":[{"billed_charge":341.30,"npi":[1578514030]}]}]}]},{"billing_code":"70480","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT ORBIT/EAR/FOSSA W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":111.28,"providers":[{"billed_charge":680.15,"npi":[1578514030]}]}]}]},{"billing_code":"70486","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT MAXILLOFACIAL W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"202196363"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":142.89,"providers":[{"billed_charge":375.00,"npi":[1275558504]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1110.55,"providers":[{"billed_charge":1169.00,"npi":[1922074434]}]}]},{"tin":{"type":"ein","value":"475546608"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":72.39,"providers":[{"billed_charge":127.00,"npi":[1710334727]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":48.33,"providers":[{"billed_charge":217.78,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":145.56,"providers":[{"billed_charge":457.00,"npi":[1972554186]}]}]},{"tin":{"type":"ein","value":"620963389"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":47.53,"providers":[{"billed_charge":241.00,"npi":[1386698710]}]}]},{"tin":{"type":"ein","value":"822629930"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":102.89,"providers":[{"billed_charge":404.00,"npi":[1275051054]}]}]},{"tin":{"type":"ein","value":"862109896"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":145.56,"providers":[{"billed_charge":827.00,"npi":[1205553369]}]}]}]},{"billing_code":"70486","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT MAXILLOFACIAL W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":106.72,"providers":[{"billed_charge":817.62,"npi":[1457719312]}]}]}]},{"billing_code":"70487","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT MAXILLOFACIAL W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"311626179"},"billing_class":"institutional","payments":[{"allowed_amount":1645.00,"providers":[{"billed_charge":2350.00,"npi":[1538164090]}]}]}]},{"billing_code":"70491","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT SOFT TISSUE NECK W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":78.26,"providers":[{"billed_charge":351.89,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"560941927"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":78.26,"providers":[{"billed_charge":209.00,"npi":[1679684948]}]}]},{"tin":{"type":"ein","value":"581093931"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":200.80,"providers":[{"billed_charge":251.00,"npi":[1922193044]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":242.88,"providers":[{"billed_charge":303.60,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"591226176"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":162.45,"providers":[{"billed_charge":862.00,"npi":[1093782070]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":78.26,"providers":[{"billed_charge":243.00,"npi":[1598260515]}]}]}]},{"billing_code":"70491","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT SOFT TISSUE NECK W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"030179418"},"billing_class":"institutional","payments":[{"allowed_amount":2147.31,"providers":[{"billed_charge":2260.32,"npi":[1730199647]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":2328.47,"providers":[{"billed_charge":2739.38,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":181.50,"providers":[{"billed_charge":1361.25,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":1580.80,"providers":[{"billed_charge":1976.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"741282696"},"billing_class":"institutional","payments":[{"allowed_amount":1883.36,"providers":[{"billed_charge":3493.00,"npi":[1942294939]}]}]}]},{"billing_code":"70496","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT ANGIOGRAPHY HEAD","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":124.83,"providers":[{"billed_charge":388.00,"npi":[1659309615]}]}]},{"tin":{"type":"ein","value":"311571290"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":158.60,"providers":[{"billed_charge":373.00,"npi":[1811996960]}]}]},{"tin":{"type":"ein","value":"462439952"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":136.10,"providers":[{"billed_charge":338.00,"npi":[1598008955]}]}]},{"tin":{"type":"ein","value":"591226176"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":51.30,"providers":[{"billed_charge":1123.00,"npi":[1093782070]}]}]},{"tin":{"type":"ein","value":"620963389"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":72.89,"providers":[{"billed_charge":390.00,"npi":[1386698710]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":746.70,"providers":[{"billed_charge":786.00,"npi":[1558332494]}]}]}]},{"billing_code":"70496","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT ANGIOGRAPHY HEAD","allowed_amounts":[{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":611.10,"providers":[{"billed_charge":2312.70,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"550525724"},"billing_class":"institutional","payments":[{"allowed_amount":2099.50,"providers":[{"billed_charge":2210.00,"npi":[1184606600]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":1959.75,"providers":[{"billed_charge":2613.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":1567.50,"providers":[{"billed_charge":1650.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":7168.01,"providers":[{"billed_charge":9928.00,"npi":[1407637531]}]}]}]},{"billing_code":"70498","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT ANGIOGRAPHY NECK","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":118.59,"providers":[{"billed_charge":388.00,"npi":[1659309615]}]}]},{"tin":{"type":"ein","value":"311571290"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":150.67,"providers":[{"billed_charge":373.00,"npi":[1811996960]}]}]},{"tin":{"type":"ein","value":"462439952"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":136.10,"providers":[{"billed_charge":338.00,"npi":[1598008955]}]}]},{"tin":{"type":"ein","value":"620963389"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":304.59,"providers":[{"billed_charge":390.00,"npi":[1386698710]}]}]},{"tin":{"type":"ein","value":"840597929"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":120.07,"providers":[{"billed_charge":366.00,"npi":[1679513196]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":658.82,"providers":[{"billed_charge":730.00,"npi":[1558332494]}]}]}]},{"billing_code":"70498","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT ANGIOGRAPHY NECK","allowed_amounts":[{"tin":{"type":"ein","value":"160743032"},"billing_class":"institutional","payments":[{"allowed_amount":207.70,"providers":[{"billed_charge":530.16,"npi":[1952418352]}]}]},{"tin":{"type":"ein","value":"550525724"},"billing_class":"institutional","payments":[{"allowed_amount":1831.60,"providers":[{"billed_charge":1928.00,"npi":[1184606600]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":1704.00,"providers":[{"billed_charge":2272.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":1567.50,"providers":[{"billed_charge":1650.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":5678.53,"providers":[{"billed_charge":7865.00,"npi":[1407637531]}]}]}]},{"billing_code":"70543","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI ORBT/FAC/NCK W/O &W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":895.50,"providers":[{"billed_charge":995.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"832131975"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":624.80,"providers":[{"billed_charge":1041.33,"npi":[1396210902]}]}]}]},{"billing_code":"70544","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MR ANGIOGRAPHY HEAD W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":51.93,"providers":[{"billed_charge":184.00,"npi":[1720079254]}]}]},{"tin":{"type":"ein","value":"581075840"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":175.54,"providers":[{"billed_charge":270.00,"npi":[1528043718]}]}]},{"tin":{"type":"ein","value":"591226176"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":273.13,"providers":[{"billed_charge":776.00,"npi":[1093782070]}]}]}]},{"billing_code":"70544","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"MR ANGIOGRAPHY HEAD W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":1747.24,"providers":[{"billed_charge":2184.05,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"580566213"},"billing_class":"institutional","payments":[{"allowed_amount":3265.50,"providers":[{"billed_charge":4665.00,"npi":[1962461681]}]}]}]},{"billing_code":"70547","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"MR ANGIOGRAPHY NECK W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":1668.60,"providers":[{"billed_charge":2085.75,"npi":[1932213600]}]}]}]},{"billing_code":"70551","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI BRAIN STEM W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":222.39,"providers":[{"billed_charge":1182.00,"npi":[1578842035]}]}]},{"tin":{"type":"ein","value":"030219309"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":279.65,"providers":[{"billed_charge":329.00,"npi":[1659309615]}]}]},{"tin":{"type":"ein","value":"311571290"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":130.60,"providers":[{"billed_charge":315.00,"npi":[1811996960]}]}]},{"tin":{"type":"ein","value":"541513749"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":193.16,"providers":[{"billed_charge":1515.00,"npi":[1881677425]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":83.82,"providers":[{"billed_charge":948.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"620963389"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":163.40,"providers":[{"billed_charge":333.00,"npi":[1386698710]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":992.75,"providers":[{"billed_charge":1045.00,"npi":[1558332494]}]}]}]},{"billing_code":"70551","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"MRI BRAIN STEM W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":1702.80,"providers":[{"billed_charge":2128.50,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":865.82,"providers":[{"billed_charge":874.56,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":1329.00,"providers":[{"billed_charge":1772.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":1805.00,"providers":[{"billed_charge":1900.00,"npi":[1154392231]}]}]}]},{"billing_code":"70553","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI BRAIN STEM W/O & W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"300147782"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":964.79,"providers":[{"billed_charge":2250.00,"npi":[1730173089]}]}]},{"tin":{"type":"ein","value":"540846558"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":173.17,"providers":[{"billed_charge":651.00,"npi":[1114902509]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":235.15,"providers":[{"billed_charge":384.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"550789387"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":679.49,"providers":[{"billed_charge":970.70,"npi":[1740256494]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":365.75,"providers":[{"billed_charge":1456.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"570963518"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":128.78,"providers":[{"billed_charge":1274.00,"npi":[1992789473]}]}]},{"tin":{"type":"ein","value":"591226176"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":71.88,"providers":[{"billed_charge":1456.00,"npi":[1093782070]}]}]},{"tin":{"type":"ein","value":"616001218"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1367.20,"providers":[{"billed_charge":1709.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":792.58,"providers":[{"billed_charge":927.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"621203441"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":195.30,"providers":[{"billed_charge":410.00,"npi":[1619088697]}]}]}]},{"billing_code":"70553","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"MRI BRAIN STEM W/O & W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":4456.10,"providers":[{"billed_charge":5242.47,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":3385.88,"providers":[{"billed_charge":3602.00,"npi":[1841271459]}]}]}]},{"billing_code":"71045","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM CHEST 1 VIEW","allowed_amounts":[{"tin":{"type":"ein","value":"020687152"},"billing_class":"professional","service_code":["32"],"payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":10.91,"npi":[1578658837]}]},{"allowed_amount":9.69,"providers":[{"billed_charge":17.62,"npi":[1578658837]}]}]},{"tin":{"type":"ein","value":"133375559"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":12.24,"providers":[{"billed_charge":50.00,"npi":[1639159692]}]},{"allowed_amount":35.32,"providers":[{"billed_charge":50.00,"npi":[1639159692]}]}]},{"tin":{"type":"ein","value":"205890948"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":21.53,"providers":[{"billed_charge":50.00,"npi":[1437407681]}]}]},{"tin":{"type":"ein","value":"208031441"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":10.34,"providers":[{"billed_charge":43.00,"npi":[1760669931]}]}]},{"tin":{"type":"ein","value":"208112143"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":11.06,"providers":[{"billed_charge":27.00,"npi":[1003973207]}]}]},{"tin":{"type":"ein","value":"208639828"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":11.00,"providers":[{"billed_charge":28.00,"npi":[1740482686]}]}]},{"tin":{"type":"ein","value":"262157500"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":18.90,"providers":[{"billed_charge":27.00,"npi":[1073785044]}]},{"allowed_amount":20.25,"providers":[{"billed_charge":27.00,"npi":[1073785044]}]}]},{"tin":{"type":"ein","value":"311571290"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":27.30,"providers":[{"billed_charge":39.00,"npi":[1811996960]}]}]},{"tin":{"type":"ein","value":"460713261"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":20.36,"npi":[1619300431]}]}]},{"tin":{"type":"ein","value":"462439952"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":15.02,"providers":[{"billed_charge":36.00,"npi":[1598008955]}]}]},{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":10.59,"providers":[{"billed_charge":28.00,"npi":[1720079254]}]}]},{"tin":{"type":"ein","value":"540846558"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":12.75,"providers":[{"billed_charge":45.00,"npi":[1114902509]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":48.33,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560941927"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":32.00,"npi":[1679684948]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["21","23"],"payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":153.00,"npi":[1821035999]},{"billed_charge":153.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":51.82,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"561897859"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":8.55,"providers":[{"billed_charge":8.55,"npi":[1477502029]}]}]},{"tin":{"type":"ein","value":"570634747"},"billing_class":"professional","service_code":["22","23"],"payments":[{"allowed_amount":10.32,"providers":[{"billed_charge":26.00,"npi":[1811000177]},{"billed_charge":26.00,"npi":[1811000177]}]}]},{"tin":{"type":"ein","value":"581093931"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":15.33,"providers":[{"billed_charge":40.00,"npi":[1922193044]}]}]},{"tin":{"type":"ein","value":"581537752"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":22.40,"providers":[{"billed_charge":28.00,"npi":[1063452381]}]}]},{"tin":{"type":"ein","value":"591162456"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":8.94,"providers":[{"billed_charge":59.00,"npi":[1669420436]}]}]},{"tin":{"type":"ein","value":"591226176"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":6.79,"providers":[{"billed_charge":153.00,"npi":[1093782070]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":41.65,"providers":[{"billed_charge":49.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"610679378"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":17.20,"providers":[{"billed_charge":40.00,"npi":[1073595179]}]}]},{"tin":{"type":"ein","value":"620963389"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":10.18,"providers":[{"billed_charge":34.00,"npi":[1386698710]}]}]},{"tin":{"type":"ein","value":"640548144"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":23.80,"providers":[{"billed_charge":34.00,"npi":[1861428351]}]}]},{"tin":{"type":"ein","value":"640863698"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":24.50,"providers":[{"billed_charge":35.00,"npi":[1609877356]}]}]},{"tin":{"type":"ein","value":"651075205"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":21.53,"providers":[{"billed_charge":50.00,"npi":[1659319671]}]}]},{"tin":{"type":"ein","value":"741680498"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":11.70,"providers":[{"billed_charge":153.00,"npi":[1538107875]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":8.60,"providers":[{"billed_charge":32.00,"npi":[1598260515]}]},{"allowed_amount":10.36,"providers":[{"billed_charge":32.00,"npi":[1598260515]}]}]},{"tin":{"type":"ein","value":"840597929"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":23.40,"providers":[{"billed_charge":39.00,"npi":[1679513196]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":25.97,"providers":[{"billed_charge":75.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"870565773"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":16.20,"providers":[{"billed_charge":27.00,"npi":[1720035520]}]}]},{"tin":{"type":"ein","value":"993718102"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":11.25,"providers":[{"billed_charge":37.00,"npi":[1093550915]}]}]}]},{"billing_code":"71045","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM CHEST 1 VIEW","allowed_amounts":[{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":139.01,"providers":[{"billed_charge":310.15,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"160743032"},"billing_class":"institutional","payments":[{"allowed_amount":101.76,"providers":[{"billed_charge":259.74,"npi":[1952418352]}]}]},{"tin":{"type":"ein","value":"217981300"},"billing_class":"institutional","payments":[{"allowed_amount":145.80,"providers":[{"billed_charge":369.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"232973511"},"billing_class":"institutional","payments":[{"allowed_amount":998.20,"providers":[{"billed_charge":1426.00,"npi":[1417947490]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":56.10,"providers":[{"billed_charge":154.00,"npi":[1326161662]}]},{"allowed_amount":59.27,"providers":[{"billed_charge":154.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"240862246"},"billing_class":"institutional","payments":[{"allowed_amount":31.74,"providers":[{"billed_charge":517.00,"npi":[1366444507]}]}]},{"tin":{"type":"ein","value":"250965480"},"billing_class":"institutional","payments":[{"allowed_amount":503.30,"providers":[{"billed_charge":719.00,"npi":[1821007881]}]}]},{"tin":{"type":"ein","value":"362179813"},"billing_class":"institutional","payments":[{"allowed_amount":85.50,"providers":[{"billed_charge":369.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"384105653"},"billing_class":"institutional","payments":[{"allowed_amount":141.85,"providers":[{"billed_charge":426.00,"npi":[1326020447]}]}]},{"tin":{"type":"ein","value":"582190713"},"billing_class":"institutional","payments":[{"allowed_amount":425.63,"providers":[{"billed_charge":567.50,"npi":[1265486278]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":515.90,"providers":[{"billed_charge":737.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"593650609"},"billing_class":"institutional","payments":[{"allowed_amount":185.14,"providers":[{"billed_charge":442.50,"npi":[1861078651]}]},{"allowed_amount":185.16,"providers":[{"billed_charge":442.50,"npi":[1861078651]}]}]},{"tin":{"type":"ein","value":"610445850"},"billing_class":"institutional","payments":[{"allowed_amount":230.06,"providers":[{"billed_charge":299.56,"npi":[1326142498]}]}]},{"tin":{"type":"ein","value":"611334601"},"billing_class":"institutional","payments":[{"allowed_amount":293.60,"providers":[{"billed_charge":367.00,"npi":[1992701429]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":121.50,"providers":[{"billed_charge":162.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"621798130"},"billing_class":"institutional","payments":[{"allowed_amount":160.29,"providers":[{"billed_charge":369.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":632.62,"providers":[{"billed_charge":843.50,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"836000295"},"billing_class":"institutional","payments":[{"allowed_amount":115.51,"providers":[{"billed_charge":285.00,"npi":[1558361949]}]}]},{"tin":{"type":"ein","value":"841321373"},"billing_class":"institutional","payments":[{"allowed_amount":763.77,"providers":[{"billed_charge":1222.03,"npi":[1659327013]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":53.81,"providers":[{"billed_charge":361.00,"npi":[1639797913]}]},{"allowed_amount":54.96,"providers":[{"billed_charge":361.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"882288563"},"billing_class":"institutional","payments":[{"allowed_amount":449.68,"providers":[{"billed_charge":642.41,"npi":[1861102345]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":568.94,"providers":[{"billed_charge":788.00,"npi":[1407637531]}]}]}]},{"billing_code":"71046","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM CHEST 2 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"010790511"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":39.03,"providers":[{"billed_charge":96.00,"npi":[1033195474]}]}]},{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.99,"providers":[{"billed_charge":116.00,"npi":[1578842035]}]}]},{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":24.94,"providers":[{"billed_charge":66.00,"npi":[1811244726]}]}]},{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["22","23"],"payments":[{"allowed_amount":12.39,"providers":[{"billed_charge":48.00,"npi":[1639244478]},{"billed_charge":48.00,"npi":[1639244478]}]}]},{"tin":{"type":"ein","value":"043397450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.42,"providers":[{"billed_charge":104.00,"npi":[1871639914]}]}]},{"tin":{"type":"ein","value":"133425028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.90,"providers":[{"billed_charge":93.00,"npi":[1821036807]}]}]},{"tin":{"type":"ein","value":"204881619"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":10.18,"providers":[{"billed_charge":27.00,"npi":[1669499414]}]}]},{"tin":{"type":"ein","value":"205377055"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":136.29,"providers":[{"billed_charge":151.43,"npi":[1629169602]}]}]},{"tin":{"type":"ein","value":"205392766"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.40,"providers":[{"billed_charge":73.00,"npi":[1619105244]}]}]},{"tin":{"type":"ein","value":"208639828"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":13.37,"providers":[{"billed_charge":33.00,"npi":[1740482686]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":33.83,"providers":[{"billed_charge":71.23,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"262824776"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.84,"providers":[{"billed_charge":70.00,"npi":[1104088905]}]}]},{"tin":{"type":"ein","value":"273698244"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":32.50,"providers":[{"billed_charge":65.00,"npi":[1811297070]}]}]},{"tin":{"type":"ein","value":"274591786"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":12.19,"providers":[{"billed_charge":178.00,"npi":[1699072611]}]}]},{"tin":{"type":"ein","value":"330675245"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":28.80,"providers":[{"billed_charge":48.00,"npi":[1346298528]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":70.50,"providers":[{"billed_charge":94.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351464192"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":24.00,"providers":[{"billed_charge":32.00,"npi":[1336192665]}]}]},{"tin":{"type":"ein","value":"453123110"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":35.77,"providers":[{"billed_charge":186.00,"npi":[1215219878]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":33.99,"providers":[{"billed_charge":75.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"520893917"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":17.60,"providers":[{"billed_charge":22.00,"npi":[1962412007]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":13.37,"providers":[{"billed_charge":53.76,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":12.63,"providers":[{"billed_charge":33.00,"npi":[1720079254]},{"billed_charge":33.00,"npi":[1720079254]}]}]},{"tin":{"type":"ein","value":"540846558"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":15.14,"providers":[{"billed_charge":52.00,"npi":[1114902509]}]}]},{"tin":{"type":"ein","value":"541147892"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":12.63,"providers":[{"billed_charge":39.00,"npi":[1174533624]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["22","23"],"payments":[{"allowed_amount":22.64,"providers":[{"billed_charge":31.00,"npi":[1275504508]},{"billed_charge":31.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19","22","23"],"payments":[{"allowed_amount":12.39,"providers":[{"billed_charge":55.87,"npi":[1457719312]},{"billed_charge":57.65,"npi":[1073557559]},{"billed_charge":57.06,"npi":[1750333282]},{"billed_charge":58.05,"npi":[1750333282]},{"billed_charge":58.05,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.09,"providers":[{"billed_charge":178.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"560994806"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":12.39,"providers":[{"billed_charge":35.00,"npi":[1215990171]}]}]},{"tin":{"type":"ein","value":"561209062"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.37,"providers":[{"billed_charge":119.00,"npi":[1154378933]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":12.39,"providers":[{"billed_charge":60.03,"npi":[1043253156]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":33.99,"providers":[{"billed_charge":71.23,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.94,"providers":[{"billed_charge":80.00,"npi":[1639366214]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":10.22,"providers":[{"billed_charge":10.22,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"561925320"},"billing_class":"professional","service_code":["22","23"],"payments":[{"allowed_amount":12.39,"providers":[{"billed_charge":32.00,"npi":[1235197179]},{"billed_charge":32.00,"npi":[1235197179]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19","21","22"],"payments":[{"allowed_amount":12.39,"providers":[{"billed_charge":58.24,"npi":[1083669030]},{"billed_charge":67.63,"npi":[1992754758]},{"billed_charge":67.63,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"562048775"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.99,"providers":[{"billed_charge":98.00,"npi":[1265469795]}]}]},{"tin":{"type":"ein","value":"566000756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.99,"providers":[{"billed_charge":69.00,"npi":[1881712842]}]}]},{"tin":{"type":"ein","value":"570634747"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":12.34,"providers":[{"billed_charge":32.00,"npi":[1811000177]}]}]},{"tin":{"type":"ein","value":"570853635"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.84,"providers":[{"billed_charge":45.00,"npi":[1922125269]}]}]},{"tin":{"type":"ein","value":"570963518"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":10.84,"providers":[{"billed_charge":183.00,"npi":[1992789473]}]}]},{"tin":{"type":"ein","value":"581090514"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":59.50,"providers":[{"billed_charge":85.00,"npi":[1427071430]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":38.72,"providers":[{"billed_charge":48.40,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"582239077"},"billing_class":"professional","service_code":["22","23"],"payments":[{"allowed_amount":37.10,"providers":[{"billed_charge":53.00,"npi":[1366495988]},{"billed_charge":53.00,"npi":[1366495988]}]}]},{"tin":{"type":"ein","value":"591741277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.80,"providers":[{"billed_charge":63.00,"npi":[1609827211]}]}]},{"tin":{"type":"ein","value":"620842484"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.60,"providers":[{"billed_charge":36.00,"npi":[1942207154]}]}]},{"tin":{"type":"ein","value":"621866604"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":8.58,"providers":[{"billed_charge":70.00,"npi":[1245290857]}]}]},{"tin":{"type":"ein","value":"630649108"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.25,"providers":[{"billed_charge":165.00,"npi":[1093768723]}]}]},{"tin":{"type":"ein","value":"741680498"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":13.55,"providers":[{"billed_charge":178.00,"npi":[1538107875]}]}]},{"tin":{"type":"ein","value":"810740611"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":19.73,"providers":[{"billed_charge":110.00,"npi":[1174983118]}]}]},{"tin":{"type":"ein","value":"822444447"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.40,"providers":[{"billed_charge":93.00,"npi":[1477066355]}]}]},{"tin":{"type":"ein","value":"822768899"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":61.20,"providers":[{"billed_charge":72.00,"npi":[1427567858]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.07,"providers":[{"billed_charge":222.00,"npi":[1902305063]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":12.39,"providers":[{"billed_charge":39.00,"npi":[1598260515]}]}]},{"tin":{"type":"ein","value":"826041596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":22.50,"providers":[{"billed_charge":25.00,"npi":[1275584997]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":33.99,"providers":[{"billed_charge":120.00,"npi":[1932679446]}]}]},{"tin":{"type":"ein","value":"832053115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.10,"providers":[{"billed_charge":118.00,"npi":[1093284010]}]}]},{"tin":{"type":"ein","value":"833276566"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":15.14,"providers":[{"billed_charge":178.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"834325292"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":58.09,"providers":[{"billed_charge":119.94,"npi":[1083266761]}]}]},{"tin":{"type":"ein","value":"840706789"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":23.99,"providers":[{"billed_charge":66.00,"npi":[1003849498]}]}]},{"tin":{"type":"ein","value":"840916653"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":41.00,"npi":[1598700825]}]}]},{"tin":{"type":"ein","value":"863366964"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":62.50,"providers":[{"billed_charge":125.00,"npi":[1477135036]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":33.99,"providers":[{"billed_charge":103.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"870622942"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":27.60,"providers":[{"billed_charge":46.00,"npi":[1629076229]}]}]},{"tin":{"type":"ein","value":"873542162"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":31.50,"providers":[{"billed_charge":63.00,"npi":[1437860889]}]}]},{"tin":{"type":"ein","value":"873928715"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":30.60,"providers":[{"billed_charge":36.00,"npi":[1851046726]}]}]},{"tin":{"type":"ein","value":"923479126"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":69.30,"providers":[{"billed_charge":99.00,"npi":[1982381299]}]}]},{"tin":{"type":"ein","value":"933380812"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":12.34,"providers":[{"billed_charge":46.00,"npi":[1083491906]}]}]}]},{"billing_code":"71046","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM CHEST 2 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":118.26,"providers":[{"billed_charge":239.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":394.92,"providers":[{"billed_charge":521.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"340827442"},"billing_class":"institutional","payments":[{"allowed_amount":374.33,"providers":[{"billed_charge":451.00,"npi":[1164481677]}]}]},{"tin":{"type":"ein","value":"341567805"},"billing_class":"institutional","payments":[{"allowed_amount":300.46,"providers":[{"billed_charge":362.00,"npi":[1043397292]}]}]},{"tin":{"type":"ein","value":"351814660"},"billing_class":"institutional","payments":[{"allowed_amount":254.31,"providers":[{"billed_charge":294.00,"npi":[1063443455]}]}]},{"tin":{"type":"ein","value":"371119538"},"billing_class":"institutional","payments":[{"allowed_amount":449.90,"providers":[{"billed_charge":550.00,"npi":[1013071653]}]}]},{"tin":{"type":"ein","value":"381459362"},"billing_class":"institutional","payments":[{"allowed_amount":101.30,"providers":[{"billed_charge":370.00,"npi":[1932396017]}]}]},{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":103.23,"providers":[{"billed_charge":360.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":117.60,"providers":[{"billed_charge":807.45,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"540715569"},"billing_class":"institutional","payments":[{"allowed_amount":96.63,"providers":[{"billed_charge":333.00,"npi":[1770693939]}]}]},{"tin":{"type":"ein","value":"540853898"},"billing_class":"institutional","payments":[{"allowed_amount":101.16,"providers":[{"billed_charge":526.00,"npi":[1548366404]}]}]},{"tin":{"type":"ein","value":"550261260"},"billing_class":"institutional","payments":[{"allowed_amount":298.78,"providers":[{"billed_charge":351.50,"npi":[1629015698]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":276.36,"providers":[{"billed_charge":294.00,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":39.79,"providers":[{"billed_charge":641.38,"npi":[1750333282]}]},{"allowed_amount":92.16,"providers":[{"billed_charge":452.40,"npi":[1073557559]}]},{"allowed_amount":113.77,"providers":[{"billed_charge":605.48,"npi":[1750333282]}]},{"allowed_amount":116.10,"providers":[{"billed_charge":647.11,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":21.93,"providers":[{"billed_charge":21.93,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":65.16,"providers":[{"billed_charge":503.94,"npi":[1083669030]}]},{"allowed_amount":88.64,"providers":[{"billed_charge":503.94,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"580566200"},"billing_class":"institutional","payments":[{"allowed_amount":231.20,"providers":[{"billed_charge":289.00,"npi":[1144203563]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":231.20,"providers":[{"billed_charge":289.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580572412"},"billing_class":"institutional","payments":[{"allowed_amount":332.14,"providers":[{"billed_charge":442.50,"npi":[1689744450]}]}]},{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":366.70,"providers":[{"billed_charge":386.00,"npi":[1275531956]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":126.91,"providers":[{"billed_charge":526.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":96.21,"providers":[{"billed_charge":317.00,"npi":[1376537555]}]}]},{"tin":{"type":"ein","value":"820200895"},"billing_class":"institutional","payments":[{"allowed_amount":257.40,"providers":[{"billed_charge":286.00,"npi":[1992736649]}]}]},{"tin":{"type":"ein","value":"836000295"},"billing_class":"institutional","payments":[{"allowed_amount":91.64,"providers":[{"billed_charge":355.00,"npi":[1558361949]}]}]}]},{"billing_code":"71100","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM RIBS UNI 2 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"562048775"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.55,"providers":[{"billed_charge":90.00,"npi":[1265469795]}]}]}]},{"billing_code":"71101","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM UNILAT RIBS/CHEST","allowed_amounts":[{"tin":{"type":"ein","value":"203728202"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":14.29,"providers":[{"billed_charge":79.00,"npi":[1538484803]}]}]},{"tin":{"type":"ein","value":"205377055"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":101.12,"providers":[{"billed_charge":112.35,"npi":[1629169602]}]}]},{"tin":{"type":"ein","value":"262824776"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.57,"providers":[{"billed_charge":87.00,"npi":[1104088905]}]}]},{"tin":{"type":"ein","value":"570963518"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.29,"providers":[{"billed_charge":183.00,"npi":[1992789473]}]}]}]},{"billing_code":"71250","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT THORAX DX C-","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":189.05,"providers":[{"billed_charge":600.00,"npi":[1578842035]}]}]},{"tin":{"type":"ein","value":"202148722"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":60.99,"providers":[{"billed_charge":290.00,"npi":[1356443683]}]}]},{"tin":{"type":"ein","value":"460713261"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":61.06,"providers":[{"billed_charge":129.90,"npi":[1619300431]}]}]},{"tin":{"type":"ein","value":"541671658"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":53.50,"providers":[{"billed_charge":155.00,"npi":[1588613400]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":61.06,"providers":[{"billed_charge":307.95,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":61.06,"providers":[{"billed_charge":285.43,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"820514422"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":573.95,"providers":[{"billed_charge":600.00,"npi":[1679520415]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":61.06,"providers":[{"billed_charge":205.00,"npi":[1598260515]}]}]},{"tin":{"type":"ein","value":"870281028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":329.77,"providers":[{"billed_charge":515.00,"npi":[1093764805]}]}]},{"tin":{"type":"ein","value":"870281028"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":70.57,"providers":[{"billed_charge":154.00,"npi":[1093764805]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":147.65,"providers":[{"billed_charge":853.00,"npi":[1093765851]}]},{"allowed_amount":148.71,"providers":[{"billed_charge":853.00,"npi":[1093765851]}]},{"allowed_amount":152.26,"providers":[{"billed_charge":853.00,"npi":[1093765851]}]}]}]},{"billing_code":"71250","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT THORAX DX C-","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":2158.94,"providers":[{"billed_charge":2203.00,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":106.72,"providers":[{"billed_charge":636.15,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":109.75,"providers":[{"billed_charge":636.73,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"591726273"},"billing_class":"institutional","payments":[{"allowed_amount":3248.80,"providers":[{"billed_charge":4061.00,"npi":[1184709057]}]}]},{"tin":{"type":"ein","value":"621831495"},"billing_class":"institutional","payments":[{"allowed_amount":2366.21,"providers":[{"billed_charge":3241.39,"npi":[1497702195]}]}]}]},{"billing_code":"71260","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT THORAX DX C+","allowed_amounts":[{"tin":{"type":"ein","value":"133375559"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":223.54,"providers":[{"billed_charge":330.00,"npi":[1639159692]}]},{"allowed_amount":313.50,"providers":[{"billed_charge":330.00,"npi":[1639159692]}]}]},{"tin":{"type":"ein","value":"205377055"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":511.70,"providers":[{"billed_charge":568.55,"npi":[1629169602]}]}]},{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":903.59,"providers":[{"billed_charge":1119.00,"npi":[1548210198]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":369.75,"providers":[{"billed_charge":493.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"453597157"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":201.93,"providers":[{"billed_charge":272.00,"npi":[1447520333]}]}]},{"tin":{"type":"ein","value":"560994806"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.43,"providers":[{"billed_charge":192.00,"npi":[1215990171]}]}]},{"tin":{"type":"ein","value":"560994806"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":65.86,"providers":[{"billed_charge":192.00,"npi":[1215990171]}]}]},{"tin":{"type":"ein","value":"560994806"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":182.40,"providers":[{"billed_charge":192.00,"npi":[1215990171]}]}]},{"tin":{"type":"ein","value":"570963518"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":187.28,"providers":[{"billed_charge":666.00,"npi":[1992789473]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":190.15,"providers":[{"billed_charge":218.00,"npi":[1598260515]}]}]},{"tin":{"type":"ein","value":"840597929"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":79.95,"providers":[{"billed_charge":243.00,"npi":[1679513196]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":186.41,"providers":[{"billed_charge":1002.00,"npi":[1093765851]}]}]}]},{"billing_code":"71260","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT THORAX DX C+","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":1358.34,"providers":[{"billed_charge":1656.51,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":124.26,"providers":[{"billed_charge":3898.00,"npi":[1235417288]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":820.16,"providers":[{"billed_charge":1082.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"350211370"},"billing_class":"institutional","payments":[{"allowed_amount":267.12,"providers":[{"billed_charge":1999.00,"npi":[1386683316]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":3245.69,"providers":[{"billed_charge":3818.46,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":252.17,"providers":[{"billed_charge":3704.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"814015190"},"billing_class":"institutional","payments":[{"allowed_amount":2035.11,"providers":[{"billed_charge":2643.00,"npi":[1881144889]}]}]}]},{"billing_code":"71270","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT THORAX DX C-/C+","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":222.81,"providers":[{"billed_charge":614.00,"npi":[1073574810]}]}]}]},{"billing_code":"71271","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"CT THORAX LUNG CANCER SCR C-","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":61.06,"providers":[{"billed_charge":263.42,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":61.06,"providers":[{"billed_charge":282.51,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"560994806"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":61.06,"providers":[{"billed_charge":144.00,"npi":[1215990171]}]}]}]},{"billing_code":"71271","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT THORAX LUNG CANCER SCR C-","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":58.60,"providers":[{"billed_charge":1011.05,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":162.79,"providers":[{"billed_charge":566.48,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"576000094"},"billing_class":"institutional","payments":[{"allowed_amount":109.18,"providers":[{"billed_charge":1571.00,"npi":[1366436073]}]}]}]},{"billing_code":"71275","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT ANGIOGRAPHY CHEST","allowed_amounts":[{"tin":{"type":"ein","value":"205060581"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":104.67,"providers":[{"billed_charge":388.00,"npi":[1689606188]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":580.50,"providers":[{"billed_charge":774.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":102.58,"providers":[{"billed_charge":478.09,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560941927"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":320.79,"providers":[{"billed_charge":678.00,"npi":[1679684948]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":102.58,"providers":[{"billed_charge":1448.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":84.61,"providers":[{"billed_charge":84.61,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":320.79,"providers":[{"billed_charge":556.95,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":102.58,"providers":[{"billed_charge":556.95,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"570634747"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":236.86,"providers":[{"billed_charge":282.00,"npi":[1811000177]}]}]},{"tin":{"type":"ein","value":"581537752"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":212.04,"providers":[{"billed_charge":279.00,"npi":[1063452381]}]}]},{"tin":{"type":"ein","value":"651075205"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":202.36,"providers":[{"billed_charge":707.00,"npi":[1659319671]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":87.69,"providers":[{"billed_charge":319.00,"npi":[1598260515]}]}]},{"tin":{"type":"ein","value":"870565773"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":106.51,"providers":[{"billed_charge":322.00,"npi":[1720035520]}]}]},{"tin":{"type":"ein","value":"873928715"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":147.49,"providers":[{"billed_charge":300.00,"npi":[1851046726]}]}]}]},{"billing_code":"71275","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT ANGIOGRAPHY CHEST","allowed_amounts":[{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":1128.12,"providers":[{"billed_charge":1883.00,"npi":[1760426969]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":820.16,"providers":[{"billed_charge":1082.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":249.61,"providers":[{"billed_charge":1328.43,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":166.93,"providers":[{"billed_charge":166.93,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"611334601"},"billing_class":"institutional","payments":[{"allowed_amount":2376.00,"providers":[{"billed_charge":2970.00,"npi":[1992701429]}]}]},{"tin":{"type":"ein","value":"841321373"},"billing_class":"institutional","payments":[{"allowed_amount":8122.48,"providers":[{"billed_charge":12995.97,"npi":[1659327013]}]}]}]},{"billing_code":"72020","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF SPINE 1 VIEW","allowed_amounts":[{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":9.16,"providers":[{"billed_charge":108.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"561945744"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.58,"providers":[{"billed_charge":45.00,"npi":[1932290061]}]}]},{"tin":{"type":"ein","value":"821761637"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":20.00,"npi":[1790215333]}]}]}]},{"billing_code":"72040","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM NECK SPINE 2-3 VW","allowed_amounts":[{"tin":{"type":"ein","value":"200976522"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":52.50,"providers":[{"billed_charge":75.00,"npi":[1801923461]}]}]},{"tin":{"type":"ein","value":"271062911"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.00,"providers":[{"billed_charge":100.00,"npi":[1871820662]}]}]},{"tin":{"type":"ein","value":"473662334"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":72.00,"npi":[1316075401]}]},{"allowed_amount":43.20,"providers":[{"billed_charge":72.00,"npi":[1316075401]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":14.63,"providers":[{"billed_charge":55.54,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"541147892"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":13.04,"providers":[{"billed_charge":38.00,"npi":[1174533624]}]}]},{"tin":{"type":"ein","value":"541939946"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.00,"providers":[{"billed_charge":60.00,"npi":[1649490855]}]}]},{"tin":{"type":"ein","value":"560963485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.27,"providers":[{"billed_charge":96.00,"npi":[1154384568]}]}]},{"tin":{"type":"ein","value":"561945744"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.27,"providers":[{"billed_charge":54.00,"npi":[1932290061]}]}]},{"tin":{"type":"ein","value":"561971088"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.26,"providers":[{"billed_charge":60.00,"npi":[1093773392]}]}]},{"tin":{"type":"ein","value":"742653603"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":115.50,"providers":[{"billed_charge":165.00,"npi":[1144294661]}]}]},{"tin":{"type":"ein","value":"813609472"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":42.37,"providers":[{"billed_charge":75.00,"npi":[1306356845]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":41.26,"providers":[{"billed_charge":114.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.27,"providers":[{"billed_charge":111.00,"npi":[1093765851]}]}]}]},{"billing_code":"72040","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM NECK SPINE 2-3 VW","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":98.94,"providers":[{"billed_charge":807.45,"npi":[1619927027]}]}]}]},{"billing_code":"72050","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM NECK SPINE 4/5VWS","allowed_amounts":[{"tin":{"type":"ein","value":"462447900"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.00,"providers":[{"billed_charge":85.00,"npi":[1467083675]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":15.58,"providers":[{"billed_charge":70.65,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"560942061"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":61.63,"providers":[{"billed_charge":204.00,"npi":[1962434324]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":15.58,"providers":[{"billed_charge":220.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":15.58,"providers":[{"billed_charge":75.91,"npi":[1043253156]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":15.58,"providers":[{"billed_charge":73.66,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"630587021"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":14.09,"providers":[{"billed_charge":54.00,"npi":[1376594192]}]}]}]},{"billing_code":"72050","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM NECK SPINE 4/5VWS","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":254.83,"providers":[{"billed_charge":310.77,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":137.78,"providers":[{"billed_charge":817.62,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":132.64,"providers":[{"billed_charge":636.73,"npi":[1083669030]}]}]}]},{"billing_code":"72052","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM NECK SPINE 6/>VWS","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.21,"providers":[{"billed_charge":162.00,"npi":[1578842035]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":17.12,"providers":[{"billed_charge":79.59,"npi":[1083669030]}]}]}]},{"billing_code":"72052","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM NECK SPINE 6/>VWS","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":82.38,"providers":[{"billed_charge":636.73,"npi":[1083669030]}]}]}]},{"billing_code":"72070","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM THORAC SPINE 2VWS","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":11.57,"providers":[{"billed_charge":52.07,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561971088"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.78,"providers":[{"billed_charge":80.00,"npi":[1093773392]}]}]}]},{"billing_code":"72070","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM THORAC SPINE 2VWS","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":137.77,"providers":[{"billed_charge":817.62,"npi":[1457719312]}]}]}]},{"billing_code":"72072","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM THORAC SPINE 3VWS","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.03,"providers":[{"billed_charge":109.00,"npi":[1578842035]}]}]}]},{"billing_code":"72082","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM ENTIRE SPI 2/3 VW","allowed_amounts":[{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":53.60,"providers":[{"billed_charge":67.00,"npi":[1861675506]}]}]},{"tin":{"type":"ein","value":"742653603"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":262.50,"providers":[{"billed_charge":375.00,"npi":[1144294661]}]}]}]},{"billing_code":"72082","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM ENTIRE SPI 2/3 VW","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":772.64,"providers":[{"billed_charge":878.00,"npi":[1477643690]}]}]}]},{"billing_code":"72083","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM ENTIRE SPI 4/5 VW","allowed_amounts":[{"tin":{"type":"ein","value":"720652905"},"billing_class":"institutional","payments":[{"allowed_amount":498.58,"providers":[{"billed_charge":623.22,"npi":[1912943184]}]}]}]},{"billing_code":"72100","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM L-S SPINE 2/3 VWS","allowed_amounts":[{"tin":{"type":"ein","value":"043813297"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.40,"providers":[{"billed_charge":70.00,"npi":[1932207693]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":40.91,"providers":[{"billed_charge":82.00,"npi":[1457579617]}]},{"allowed_amount":40.92,"providers":[{"billed_charge":81.90,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"271062911"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.25,"providers":[{"billed_charge":75.00,"npi":[1871820662]}]}]},{"tin":{"type":"ein","value":"352528741"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":12.56,"providers":[{"billed_charge":45.00,"npi":[1104202761]}]}]},{"tin":{"type":"ein","value":"352588159"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.92,"providers":[{"billed_charge":250.00,"npi":[1841704244]}]}]},{"tin":{"type":"ein","value":"364727660"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.45,"providers":[{"billed_charge":368.00,"npi":[1912266420]}]}]},{"tin":{"type":"ein","value":"391390638"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":97.20,"providers":[{"billed_charge":108.00,"npi":[1356391247]}]}]},{"tin":{"type":"ein","value":"473662334"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":78.00,"npi":[1316075401]}]},{"allowed_amount":46.80,"providers":[{"billed_charge":78.00,"npi":[1316075401]}]}]},{"tin":{"type":"ein","value":"541869072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.53,"providers":[{"billed_charge":150.00,"npi":[1639125271]}]}]},{"tin":{"type":"ein","value":"541939946"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.50,"providers":[{"billed_charge":75.00,"npi":[1649490855]}]},{"allowed_amount":60.00,"providers":[{"billed_charge":75.00,"npi":[1649490855]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":12.77,"providers":[{"billed_charge":57.63,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.69,"providers":[{"billed_charge":174.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"561093722"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.42,"providers":[{"billed_charge":106.00,"npi":[1497704217]}]}]},{"tin":{"type":"ein","value":"561340456"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.42,"providers":[{"billed_charge":50.00,"npi":[1780680157]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":12.77,"providers":[{"billed_charge":63.15,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561925320"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":12.77,"providers":[{"billed_charge":38.00,"npi":[1235197179]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":12.77,"providers":[{"billed_charge":60.08,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"561945744"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.54,"providers":[{"billed_charge":90.00,"npi":[1932290061]}]}]},{"tin":{"type":"ein","value":"561971088"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.42,"providers":[{"billed_charge":80.00,"npi":[1093773392]}]}]},{"tin":{"type":"ein","value":"581088313"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":23.97,"providers":[{"billed_charge":55.00,"npi":[1952330615]}]}]},{"tin":{"type":"ein","value":"621586264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.45,"providers":[{"billed_charge":78.62,"npi":[1245251404]}]},{"allowed_amount":72.53,"providers":[{"billed_charge":78.62,"npi":[1245251404]}]}]},{"tin":{"type":"ein","value":"812812014"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.50,"providers":[{"billed_charge":70.00,"npi":[1811184351]}]}]},{"tin":{"type":"ein","value":"813609472"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.92,"providers":[{"billed_charge":75.00,"npi":[1306356845]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":12.77,"providers":[{"billed_charge":40.00,"npi":[1598260515]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":42.77,"providers":[{"billed_charge":122.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.42,"providers":[{"billed_charge":127.00,"npi":[1093765851]}]}]},{"tin":{"type":"ein","value":"923966599"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.62,"providers":[{"billed_charge":109.00,"npi":[1376220822]}]}]}]},{"billing_code":"72100","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM L-S SPINE 2/3 VWS","allowed_amounts":[{"tin":{"type":"ein","value":"352528741"},"billing_class":"institutional","payments":[{"allowed_amount":64.49,"providers":[{"billed_charge":536.00,"npi":[1396882205]}]}]},{"tin":{"type":"ein","value":"391390638"},"billing_class":"institutional","payments":[{"allowed_amount":391.51,"providers":[{"billed_charge":435.00,"npi":[1356391247]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":137.78,"providers":[{"billed_charge":817.62,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":106.72,"providers":[{"billed_charge":651.20,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":113.78,"providers":[{"billed_charge":636.73,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"581123037"},"billing_class":"institutional","payments":[{"allowed_amount":1357.88,"providers":[{"billed_charge":2289.85,"npi":[1508810565]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":99.24,"providers":[{"billed_charge":685.00,"npi":[1629038336]}]}]}]},{"billing_code":"72110","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM L-2 SPINE 4/>VWS","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.67,"providers":[{"billed_charge":177.00,"npi":[1578842035]}]}]},{"tin":{"type":"ein","value":"263853529"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.06,"providers":[{"billed_charge":107.00,"npi":[1811381593]}]}]},{"tin":{"type":"ein","value":"560942061"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.67,"providers":[{"billed_charge":196.00,"npi":[1962434324]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":14.79,"providers":[{"billed_charge":71.98,"npi":[1043253156]}]}]},{"tin":{"type":"ein","value":"562048775"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.67,"providers":[{"billed_charge":148.00,"npi":[1265469795]}]}]},{"tin":{"type":"ein","value":"581036115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":134.40,"providers":[{"billed_charge":374.00,"npi":[1972558336]}]}]},{"tin":{"type":"ein","value":"822444447"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":73.58,"providers":[{"billed_charge":169.00,"npi":[1477066355]}]}]},{"tin":{"type":"ein","value":"842136648"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":62.69,"providers":[{"billed_charge":150.00,"npi":[1942860176]}]}]},{"tin":{"type":"ein","value":"923479126"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.00,"providers":[{"billed_charge":150.00,"npi":[1982381299]}]}]}]},{"billing_code":"72110","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM L-2 SPINE 4/>VWS","allowed_amounts":[{"tin":{"type":"ein","value":"260479484"},"billing_class":"institutional","payments":[{"allowed_amount":386.75,"providers":[{"billed_charge":1254.00,"npi":[1396926747]}]}]}]},{"billing_code":"72125","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT NECK SPINE W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"462439952"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":77.88,"providers":[{"billed_charge":190.00,"npi":[1598008955]}]}]},{"tin":{"type":"ein","value":"475546608"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":77.92,"providers":[{"billed_charge":159.00,"npi":[1710334727]}]}]},{"tin":{"type":"ein","value":"540846558"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":56.00,"providers":[{"billed_charge":317.00,"npi":[1114902509]}]}]},{"tin":{"type":"ein","value":"541671658"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":147.25,"providers":[{"billed_charge":155.00,"npi":[1588613400]}]}]},{"tin":{"type":"ein","value":"570963518"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":55.76,"providers":[{"billed_charge":611.00,"npi":[1992789473]}]}]},{"tin":{"type":"ein","value":"581537752"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":141.60,"providers":[{"billed_charge":177.00,"npi":[1063452381]}]}]},{"tin":{"type":"ein","value":"591226176"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":162.45,"providers":[{"billed_charge":688.00,"npi":[1093782070]}]}]},{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":45.02,"providers":[{"billed_charge":122.00,"npi":[1528195864]}]}]},{"tin":{"type":"ein","value":"610679378"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":106.40,"providers":[{"billed_charge":183.00,"npi":[1073595179]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":42.02,"providers":[{"billed_charge":187.00,"npi":[1598260515]}]},{"allowed_amount":56.02,"providers":[{"billed_charge":187.00,"npi":[1598260515]}]}]}]},{"billing_code":"72125","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT NECK SPINE W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"231352204"},"billing_class":"institutional","payments":[{"allowed_amount":2025.87,"providers":[{"billed_charge":2631.00,"npi":[1669530069]}]}]},{"tin":{"type":"ein","value":"240862246"},"billing_class":"institutional","payments":[{"allowed_amount":329.17,"providers":[{"billed_charge":5361.00,"npi":[1366444507]}]}]},{"tin":{"type":"ein","value":"350211370"},"billing_class":"institutional","payments":[{"allowed_amount":227.16,"providers":[{"billed_charge":1700.00,"npi":[1386683316]}]}]}]},{"billing_code":"72128","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT CHEST SPINE W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":42.77,"providers":[{"billed_charge":122.00,"npi":[1528195864]}]}]}]},{"billing_code":"72131","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT LUMBAR SPINE W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"352528741"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":55.16,"providers":[{"billed_charge":375.00,"npi":[1104202761]}]}]},{"tin":{"type":"ein","value":"481220873"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":59.16,"providers":[{"billed_charge":110.00,"npi":[1588669766]}]}]},{"tin":{"type":"ein","value":"593259553"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":97.57,"providers":[{"billed_charge":142.00,"npi":[1669429577]}]}]},{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":42.77,"providers":[{"billed_charge":179.00,"npi":[1528195864]}]}]}]},{"billing_code":"72131","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT LUMBAR SPINE W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"352528741"},"billing_class":"institutional","payments":[{"allowed_amount":349.98,"providers":[{"billed_charge":2909.00,"npi":[1396882205]}]}]}]},{"billing_code":"72132","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT LUMBAR SPINE W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"581036115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":860.27,"providers":[{"billed_charge":2072.00,"npi":[1972558336]}]}]}]},{"billing_code":"72132","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT LUMBAR SPINE W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":539.52,"providers":[{"billed_charge":3724.00,"npi":[1629038336]}]}]}]},{"billing_code":"72141","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI NECK SPINE W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":85.48,"providers":[{"billed_charge":361.97,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":172.10,"providers":[{"billed_charge":227.00,"npi":[1720079254]}]}]},{"tin":{"type":"ein","value":"541513749"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":200.68,"providers":[{"billed_charge":1574.00,"npi":[1881677425]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":83.82,"providers":[{"billed_charge":376.16,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561093722"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":213.60,"providers":[{"billed_charge":1213.00,"npi":[1497704217]}]}]},{"tin":{"type":"ein","value":"570963518"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":83.44,"providers":[{"billed_charge":695.00,"npi":[1992789473]}]}]},{"tin":{"type":"ein","value":"630587021"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":87.21,"providers":[{"billed_charge":311.00,"npi":[1376594192]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":71.52,"providers":[{"billed_charge":261.00,"npi":[1598260515]}]}]},{"tin":{"type":"ein","value":"854354835"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":137.54,"providers":[{"billed_charge":624.00,"npi":[1003401142]}]}]}]},{"billing_code":"72141","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"MRI NECK SPINE W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":237.84,"providers":[{"billed_charge":1767.89,"npi":[1457719312]}]}]}]},{"billing_code":"72146","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI CHEST SPINE W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":172.10,"providers":[{"billed_charge":227.00,"npi":[1720079254]}]}]}]},{"billing_code":"72148","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI LUMBAR SPINE W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"203728202"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":83.44,"providers":[{"billed_charge":1094.00,"npi":[1538484803]}]}]},{"tin":{"type":"ein","value":"204230863"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":214.11,"providers":[{"billed_charge":1215.49,"npi":[1871681445]}]}]},{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":215.65,"providers":[{"billed_charge":227.00,"npi":[1720079254]}]}]},{"tin":{"type":"ein","value":"541513749"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":193.38,"providers":[{"billed_charge":1562.00,"npi":[1881677425]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":83.82,"providers":[{"billed_charge":384.16,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":83.82,"providers":[{"billed_charge":948.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"561093722"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":214.32,"providers":[{"billed_charge":1346.00,"npi":[1497704217]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":83.82,"providers":[{"billed_charge":444.18,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":260.48,"providers":[{"billed_charge":325.60,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"993718102"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":99.33,"providers":[{"billed_charge":307.00,"npi":[1093550915]}]}]}]},{"billing_code":"72148","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"MRI LUMBAR SPINE W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":237.84,"providers":[{"billed_charge":1690.84,"npi":[1750333282]}]},{"allowed_amount":244.94,"providers":[{"billed_charge":1752.24,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":1836.80,"providers":[{"billed_charge":2296.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":230.13,"providers":[{"billed_charge":2339.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"884128022"},"billing_class":"institutional","payments":[{"allowed_amount":1811.42,"providers":[{"billed_charge":2537.00,"npi":[1679299408]}]}]}]},{"billing_code":"72156","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI NECK SPINE W/O & W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":97.02,"providers":[{"billed_charge":1645.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":367.56,"providers":[{"billed_charge":400.00,"npi":[1598260515]}]}]}]},{"billing_code":"72157","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI CHEST SPINE W/O & W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":97.02,"providers":[{"billed_charge":400.00,"npi":[1598260515]}]}]}]},{"billing_code":"72158","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI LUMBAR SPINE W/O & W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"541513749"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":340.72,"providers":[{"billed_charge":2716.00,"npi":[1881677425]}]}]}]},{"billing_code":"72158","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"MRI LUMBAR SPINE W/O & W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"222325405"},"billing_class":"institutional","payments":[{"allowed_amount":403.37,"providers":[{"billed_charge":4490.00,"npi":[1962422733]}]}]}]},{"billing_code":"72170","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF PELVIS","allowed_amounts":[{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":9.95,"providers":[{"billed_charge":133.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"560945618"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":9.95,"providers":[{"billed_charge":29.00,"npi":[1063438513]}]}]},{"tin":{"type":"ein","value":"561897859"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":8.21,"providers":[{"billed_charge":8.21,"npi":[1477502029]}]}]},{"tin":{"type":"ein","value":"570710106"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.72,"providers":[{"billed_charge":29.00,"npi":[1447235106]}]}]}]},{"billing_code":"72193","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT PELVIS W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":316.91,"providers":[{"billed_charge":1109.05,"npi":[1992754758]}]}]}]},{"billing_code":"72195","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI PELVIS W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1164.11,"providers":[{"billed_charge":1966.00,"npi":[1093796609]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":167.20,"providers":[{"billed_charge":270.00,"npi":[1093796609]}]}]}]},{"billing_code":"72195","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"MRI PELVIS W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"453576100"},"billing_class":"institutional","payments":[{"allowed_amount":478.11,"providers":[{"billed_charge":4429.00,"npi":[1306123344]}]}]}]},{"billing_code":"72197","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI PELVIS W/O & W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":376.62,"providers":[{"billed_charge":1952.00,"npi":[1578842035]}]}]},{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":366.40,"providers":[{"billed_charge":458.00,"npi":[1861675506]}]}]},{"tin":{"type":"ein","value":"264473832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":261.24,"providers":[{"billed_charge":1720.00,"npi":[1245474022]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2466.36,"providers":[{"billed_charge":3764.00,"npi":[1093796609]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":123.83,"providers":[{"billed_charge":1825.00,"npi":[1821035999]}]}]}]},{"billing_code":"72202","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM SI JOINTS 3/> VWS","allowed_amounts":[{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":42.68,"providers":[{"billed_charge":127.00,"npi":[1093765851]}]}]}]},{"billing_code":"72220","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM SACRUM TAILBONE","allowed_amounts":[{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.95,"providers":[{"billed_charge":31.00,"npi":[1598260515]}]}]}]},{"billing_code":"73000","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF COLLAR BONE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.47,"providers":[{"billed_charge":44.39,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":9.54,"providers":[{"billed_charge":44.39,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"571159445"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.00,"providers":[{"billed_charge":55.00,"npi":[1982765160]}]}]}]},{"billing_code":"73000","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM OF COLLAR BONE","allowed_amounts":[{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":98.64,"providers":[{"billed_charge":344.00,"npi":[1487917233]}]}]}]},{"billing_code":"73020","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF SHOULDER","allowed_amounts":[{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":8.75,"providers":[{"billed_charge":116.00,"npi":[1821035999]}]}]}]},{"billing_code":"73030","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF SHOULDER","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.83,"providers":[{"billed_charge":101.00,"npi":[1578842035]}]},{"allowed_amount":38.84,"providers":[{"billed_charge":101.00,"npi":[1578842035]}]}]},{"tin":{"type":"ein","value":"042911067"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":12.47,"providers":[{"billed_charge":43.00,"npi":[1760445373]}]}]},{"tin":{"type":"ein","value":"102649585"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.57,"providers":[{"billed_charge":90.00,"npi":[1962772764]}]}]},{"tin":{"type":"ein","value":"208251783"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":21.60,"providers":[{"billed_charge":68.00,"npi":[1598923260]}]}]},{"tin":{"type":"ein","value":"270581401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.30,"providers":[{"billed_charge":63.00,"npi":[1891028379]}]}]},{"tin":{"type":"ein","value":"274591786"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":10.87,"providers":[{"billed_charge":146.00,"npi":[1699072611]}]}]},{"tin":{"type":"ein","value":"450527284"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":38.96,"providers":[{"billed_charge":138.00,"npi":[1902809122]}]}]},{"tin":{"type":"ein","value":"541147892"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":10.99,"providers":[{"billed_charge":31.00,"npi":[1174533624]}]}]},{"tin":{"type":"ein","value":"541869072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.87,"providers":[{"billed_charge":142.00,"npi":[1639125271]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.67,"providers":[{"billed_charge":50.17,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":10.74,"providers":[{"billed_charge":48.28,"npi":[1457719312]},{"billed_charge":49.82,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":9.82,"providers":[{"billed_charge":49.82,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.67,"providers":[{"billed_charge":146.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":10.74,"providers":[{"billed_charge":146.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":10.74,"providers":[{"billed_charge":50.33,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"562107544"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.84,"providers":[{"billed_charge":97.92,"npi":[1780655803]}]}]},{"tin":{"type":"ein","value":"593379430"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.12,"providers":[{"billed_charge":107.00,"npi":[1740373547]}]}]},{"tin":{"type":"ein","value":"610679378"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":18.73,"providers":[{"billed_charge":33.00,"npi":[1073595179]}]}]},{"tin":{"type":"ein","value":"813969470"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.34,"providers":[{"billed_charge":100.00,"npi":[1154870533]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.01,"providers":[{"billed_charge":70.00,"npi":[1447239355]}]}]}]},{"billing_code":"73030","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM OF SHOULDER","allowed_amounts":[{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":113.84,"providers":[{"billed_charge":397.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":629.00,"providers":[{"billed_charge":740.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"431343281"},"billing_class":"institutional","payments":[{"allowed_amount":199.52,"providers":[{"billed_charge":347.00,"npi":[1962572396]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":96.21,"providers":[{"billed_charge":647.11,"npi":[1457719312]}]},{"allowed_amount":104.23,"providers":[{"billed_charge":647.11,"npi":[1457719312]}]},{"allowed_amount":145.46,"providers":[{"billed_charge":452.40,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":56.93,"providers":[{"billed_charge":503.94,"npi":[1083669030]}]},{"allowed_amount":65.16,"providers":[{"billed_charge":503.94,"npi":[1083669030]}]},{"allowed_amount":103.25,"providers":[{"billed_charge":503.94,"npi":[1083669030]}]},{"allowed_amount":104.98,"providers":[{"billed_charge":503.94,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"581966795"},"billing_class":"institutional","payments":[{"allowed_amount":317.60,"providers":[{"billed_charge":397.00,"npi":[1093716979]}]}]},{"tin":{"type":"ein","value":"610445850"},"billing_class":"institutional","payments":[{"allowed_amount":230.06,"providers":[{"billed_charge":299.56,"npi":[1326142498]}]}]},{"tin":{"type":"ein","value":"854247323"},"billing_class":"institutional","payments":[{"allowed_amount":1677.25,"providers":[{"billed_charge":3288.73,"npi":[1871193664]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":1034.21,"providers":[{"billed_charge":1432.43,"npi":[1407637531]}]}]}]},{"billing_code":"73060","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF HUMERUS","allowed_amounts":[{"tin":{"type":"ein","value":"261125131"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.45,"providers":[{"billed_charge":39.00,"npi":[1831387117]}]}]},{"tin":{"type":"ein","value":"270846679"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.13,"providers":[{"billed_charge":63.00,"npi":[1265665681]}]}]},{"tin":{"type":"ein","value":"471262518"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":16.73,"providers":[{"billed_charge":37.00,"npi":[1164830139]}]}]},{"tin":{"type":"ein","value":"581537752"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":23.20,"providers":[{"billed_charge":29.00,"npi":[1063452381]}]}]},{"tin":{"type":"ein","value":"710422664"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.91,"providers":[{"billed_charge":33.00,"npi":[1003806258]}]}]}]},{"billing_code":"73060","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM OF HUMERUS","allowed_amounts":[{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":96.92,"providers":[{"billed_charge":338.00,"npi":[1487917233]}]}]}]},{"billing_code":"73070","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF ELBOW","allowed_amounts":[{"tin":{"type":"ein","value":"102649585"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.96,"providers":[{"billed_charge":70.00,"npi":[1962772764]}]}]},{"tin":{"type":"ein","value":"270846679"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.30,"providers":[{"billed_charge":57.00,"npi":[1265665681]}]}]},{"tin":{"type":"ein","value":"581537752"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":20.80,"providers":[{"billed_charge":26.00,"npi":[1063452381]}]}]}]},{"billing_code":"73080","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF ELBOW","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.28,"providers":[{"billed_charge":83.00,"npi":[1578842035]}]}]},{"tin":{"type":"ein","value":"232866529"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.99,"providers":[{"billed_charge":106.00,"npi":[1215987243]}]}]},{"tin":{"type":"ein","value":"454298417"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":55.90,"providers":[{"billed_charge":115.00,"npi":[1255957205]}]}]},{"tin":{"type":"ein","value":"462439952"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":14.45,"providers":[{"billed_charge":34.00,"npi":[1598008955]}]}]},{"tin":{"type":"ein","value":"472863935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.51,"providers":[{"billed_charge":102.00,"npi":[1114317062]}]}]},{"tin":{"type":"ein","value":"562107544"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.28,"providers":[{"billed_charge":92.28,"npi":[1780655803]}]}]},{"tin":{"type":"ein","value":"570963518"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":9.17,"providers":[{"billed_charge":183.00,"npi":[1992789473]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.95,"providers":[{"billed_charge":31.00,"npi":[1598260515]}]}]}]},{"billing_code":"73080","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM OF ELBOW","allowed_amounts":[{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":114.70,"providers":[{"billed_charge":400.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"581966795"},"billing_class":"institutional","payments":[{"allowed_amount":315.20,"providers":[{"billed_charge":394.00,"npi":[1093716979]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":847.13,"providers":[{"billed_charge":1129.50,"npi":[1295843787]}]}]}]},{"billing_code":"73090","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF FOREARM","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.59,"providers":[{"billed_charge":75.00,"npi":[1578842035]}]}]},{"tin":{"type":"ein","value":"570853635"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.39,"providers":[{"billed_charge":38.00,"npi":[1922125269]}]}]},{"tin":{"type":"ein","value":"581537752"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":20.80,"providers":[{"billed_charge":26.00,"npi":[1063452381]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":24.00,"providers":[{"billed_charge":31.50,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"593256838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.45,"providers":[{"billed_charge":104.00,"npi":[1184609851]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":30.22,"providers":[{"billed_charge":100.00,"npi":[1932679446]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":29.59,"providers":[{"billed_charge":90.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"933254155"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":30.22,"providers":[{"billed_charge":60.00,"npi":[1861274169]}]}]}]},{"billing_code":"73090","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM OF FOREARM","allowed_amounts":[{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":92.91,"providers":[{"billed_charge":324.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"860181654"},"billing_class":"institutional","payments":[{"allowed_amount":414.33,"providers":[{"billed_charge":929.00,"npi":[1811951429]}]}]}]},{"billing_code":"73100","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF WRIST","allowed_amounts":[{"tin":{"type":"ein","value":"311439570"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":7.87,"providers":[{"billed_charge":174.00,"npi":[1508895608]}]}]},{"tin":{"type":"ein","value":"311610834"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.50,"providers":[{"billed_charge":27.00,"npi":[1245248947]}]}]},{"tin":{"type":"ein","value":"370647938"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":159.80,"providers":[{"billed_charge":188.00,"npi":[1114935681]}]}]},{"tin":{"type":"ein","value":"462091076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.89,"providers":[{"billed_charge":54.33,"npi":[1114684941]}]}]},{"tin":{"type":"ein","value":"571049603"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.54,"providers":[{"billed_charge":29.00,"npi":[1225014657]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":28.56,"providers":[{"billed_charge":35.70,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":36.74,"providers":[{"billed_charge":87.00,"npi":[1144803040]}]}]}]},{"billing_code":"73100","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM OF WRIST","allowed_amounts":[{"tin":{"type":"ein","value":"314379441"},"billing_class":"institutional","payments":[{"allowed_amount":401.80,"providers":[{"billed_charge":410.00,"npi":[1134152986]}]}]},{"tin":{"type":"ein","value":"370647938"},"billing_class":"institutional","payments":[{"allowed_amount":412.25,"providers":[{"billed_charge":485.00,"npi":[1114935681]}]}]}]},{"billing_code":"73110","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF WRIST","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.65,"providers":[{"billed_charge":105.00,"npi":[1578842035]}]}]},{"tin":{"type":"ein","value":"232866529"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.08,"providers":[{"billed_charge":133.00,"npi":[1215987243]}]}]},{"tin":{"type":"ein","value":"452119198"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":47.88,"providers":[{"billed_charge":79.00,"npi":[1396038774]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":9.95,"providers":[{"billed_charge":121.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.31,"providers":[{"billed_charge":112.00,"npi":[1366522369]}]}]},{"tin":{"type":"ein","value":"561897859"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":8.21,"providers":[{"billed_charge":8.21,"npi":[1477502029]}]}]},{"tin":{"type":"ein","value":"576001153"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.93,"providers":[{"billed_charge":109.00,"npi":[1740293422]}]}]},{"tin":{"type":"ein","value":"581537752"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":22.40,"providers":[{"billed_charge":28.00,"npi":[1063452381]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":145.32,"providers":[{"billed_charge":181.65,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":29.40,"providers":[{"billed_charge":36.75,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"621586264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":56.56,"providers":[{"billed_charge":78.21,"npi":[1245251404]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.95,"providers":[{"billed_charge":31.00,"npi":[1598260515]}]}]},{"tin":{"type":"ein","value":"873542162"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":38.00,"providers":[{"billed_charge":76.00,"npi":[1437860889]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.55,"providers":[{"billed_charge":111.00,"npi":[1093765851]}]}]},{"tin":{"type":"ein","value":"934104475"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":40.39,"providers":[{"billed_charge":119.00,"npi":[1629841788]}]}]}]},{"billing_code":"73110","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM OF WRIST","allowed_amounts":[{"tin":{"type":"ein","value":"260479484"},"billing_class":"institutional","payments":[{"allowed_amount":229.46,"providers":[{"billed_charge":744.00,"npi":[1396926747]}]}]},{"tin":{"type":"ein","value":"320441929"},"billing_class":"institutional","payments":[{"allowed_amount":139.37,"providers":[{"billed_charge":390.54,"npi":[1689780249]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":126.28,"providers":[{"billed_charge":641.38,"npi":[1750333282]}]}]}]},{"billing_code":"73130","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF HAND","allowed_amounts":[{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":76.00,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":39.00,"providers":[{"billed_charge":65.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":9.95,"providers":[{"billed_charge":44.61,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.10,"providers":[{"billed_charge":128.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"570853635"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.12,"providers":[{"billed_charge":37.00,"npi":[1922125269]}]}]},{"tin":{"type":"ein","value":"581126891"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":22.95,"providers":[{"billed_charge":35.00,"npi":[1679563035]}]}]},{"tin":{"type":"ein","value":"581537752"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":22.40,"providers":[{"billed_charge":28.00,"npi":[1063452381]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":124.80,"providers":[{"billed_charge":156.00,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":29.40,"providers":[{"billed_charge":36.75,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"620842484"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.50,"providers":[{"billed_charge":29.00,"npi":[1942207154]}]}]},{"tin":{"type":"ein","value":"621700130"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.95,"providers":[{"billed_charge":102.00,"npi":[1053402040]}]}]},{"tin":{"type":"ein","value":"741680498"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":10.80,"providers":[{"billed_charge":128.00,"npi":[1538107875]}]}]},{"tin":{"type":"ein","value":"751459885"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":11.15,"providers":[{"billed_charge":183.00,"npi":[1427016161]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.95,"providers":[{"billed_charge":31.00,"npi":[1598260515]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":37.62,"providers":[{"billed_charge":101.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"873542162"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":34.50,"providers":[{"billed_charge":69.00,"npi":[1437860889]}]}]}]},{"billing_code":"73130","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM OF HAND","allowed_amounts":[{"tin":{"type":"ein","value":"510103684"},"billing_class":"institutional","payments":[{"allowed_amount":79.72,"providers":[{"billed_charge":218.63,"npi":[1134194038]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":115.96,"providers":[{"billed_charge":647.11,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":75.22,"providers":[{"billed_charge":503.94,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"581737573"},"billing_class":"institutional","payments":[{"allowed_amount":296.91,"providers":[{"billed_charge":329.90,"npi":[1245275254]}]}]},{"tin":{"type":"ein","value":"621682207"},"billing_class":"institutional","payments":[{"allowed_amount":149.80,"providers":[{"billed_charge":1363.05,"npi":[1437102639]}]},{"allowed_amount":925.51,"providers":[{"billed_charge":1363.05,"npi":[1437102639]}]}]},{"tin":{"type":"ein","value":"954176924"},"billing_class":"institutional","payments":[{"allowed_amount":973.59,"providers":[{"billed_charge":1909.00,"npi":[1992751879]}]}]}]},{"billing_code":"73140","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF FINGER(S)","allowed_amounts":[{"tin":{"type":"ein","value":"364727660"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":96.34,"providers":[{"billed_charge":332.00,"npi":[1912266420]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":7.25,"providers":[{"billed_charge":36.38,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.42,"providers":[{"billed_charge":101.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"593209688"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":65.10,"providers":[{"billed_charge":93.00,"npi":[1073565610]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.78,"providers":[{"billed_charge":55.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"631286855"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":42.00,"providers":[{"billed_charge":60.00,"npi":[1972692986]}]}]},{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":54.00,"npi":[1255950325]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":38.51,"providers":[{"billed_charge":87.00,"npi":[1144803040]}]},{"allowed_amount":41.29,"providers":[{"billed_charge":87.00,"npi":[1144803040]}]}]}]},{"billing_code":"73140","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM OF FINGER(S)","allowed_amounts":[{"tin":{"type":"ein","value":"474717998"},"billing_class":"institutional","payments":[{"allowed_amount":143.12,"providers":[{"billed_charge":374.00,"npi":[1104295864]}]}]}]},{"billing_code":"73200","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT UPPER EXTREMITY W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":56.02,"providers":[{"billed_charge":235.00,"npi":[1639244478]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":56.02,"providers":[{"billed_charge":607.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"570853635"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":55.76,"providers":[{"billed_charge":208.00,"npi":[1922125269]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":173.36,"providers":[{"billed_charge":216.70,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":56.02,"providers":[{"billed_charge":176.00,"npi":[1598260515]}]}]}]},{"billing_code":"73200","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT UPPER EXTREMITY W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"954176924"},"billing_class":"institutional","payments":[{"allowed_amount":3811.10,"providers":[{"billed_charge":7472.75,"npi":[1992751879]}]}]}]},{"billing_code":"73221","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI JOINT UPR EXTREM W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"201226825"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":318.65,"providers":[{"billed_charge":2250.00,"npi":[1104198258]}]}]},{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":78.59,"providers":[{"billed_charge":208.00,"npi":[1720079254]}]}]},{"tin":{"type":"ein","value":"541513749"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":205.17,"providers":[{"billed_charge":1515.00,"npi":[1881677425]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":231.87,"providers":[{"billed_charge":862.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":77.03,"providers":[{"billed_charge":371.97,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":77.03,"providers":[{"billed_charge":360.92,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"593379430"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":286.20,"providers":[{"billed_charge":477.00,"npi":[1740373547]}]}]}]},{"billing_code":"73221","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"MRI JOINT UPR EXTREM W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":281.09,"providers":[{"billed_charge":1767.89,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":282.07,"providers":[{"billed_charge":1376.76,"npi":[1083669030]}]}]}]},{"billing_code":"73222","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI JOINT UPR EXTREM W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":91.85,"providers":[{"billed_charge":1351.00,"npi":[1821035999]}]}]}]},{"billing_code":"73502","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM HIP UNI 2-3 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"020687152"},"billing_class":"professional","service_code":["32"],"payments":[{"allowed_amount":12.93,"providers":[{"billed_charge":47.27,"npi":[1578658837]}]}]},{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.58,"providers":[{"billed_charge":117.00,"npi":[1578842035]}]}]},{"tin":{"type":"ein","value":"261125131"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":64.00,"providers":[{"billed_charge":80.00,"npi":[1831387117]}]}]},{"tin":{"type":"ein","value":"263853529"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.96,"providers":[{"billed_charge":89.00,"npi":[1811381593]}]}]},{"tin":{"type":"ein","value":"391390638"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":81.00,"providers":[{"billed_charge":90.00,"npi":[1356391247]}]}]},{"tin":{"type":"ein","value":"472863935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":116.80,"providers":[{"billed_charge":146.00,"npi":[1114317062]}]}]},{"tin":{"type":"ein","value":"474734363"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":63.24,"providers":[{"billed_charge":176.00,"npi":[1447622402]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.61,"providers":[{"billed_charge":124.00,"npi":[1366522369]}]}]},{"tin":{"type":"ein","value":"562107544"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.58,"providers":[{"billed_charge":133.35,"npi":[1780655803]}]}]},{"tin":{"type":"ein","value":"610679378"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":22.30,"providers":[{"billed_charge":28.00,"npi":[1073595179]}]}]},{"tin":{"type":"ein","value":"621586264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.54,"providers":[{"billed_charge":103.85,"npi":[1245251404]}]},{"allowed_amount":83.08,"providers":[{"billed_charge":103.85,"npi":[1245251404]}]}]},{"tin":{"type":"ein","value":"621700130"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":78.00,"providers":[{"billed_charge":130.00,"npi":[1053402040]}]}]},{"tin":{"type":"ein","value":"832053115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.85,"providers":[{"billed_charge":93.00,"npi":[1093284010]}]}]}]},{"billing_code":"73502","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM HIP UNI 2-3 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"391390638"},"billing_class":"institutional","payments":[{"allowed_amount":391.50,"providers":[{"billed_charge":435.00,"npi":[1356391247]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":318.40,"providers":[{"billed_charge":398.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"610445850"},"billing_class":"institutional","payments":[{"allowed_amount":230.06,"providers":[{"billed_charge":299.56,"npi":[1326142498]}]}]},{"tin":{"type":"ein","value":"621620866"},"billing_class":"institutional","payments":[{"allowed_amount":212.19,"providers":[{"billed_charge":241.13,"npi":[1871530832]}]}]},{"tin":{"type":"ein","value":"730717979"},"billing_class":"institutional","payments":[{"allowed_amount":87.17,"providers":[{"billed_charge":347.52,"npi":[1659347623]}]}]}]},{"billing_code":"73521","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"X-RAY EXAM HIPS BI 2 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":106.72,"providers":[{"billed_charge":651.20,"npi":[1558311357]}]}]}]},{"billing_code":"73522","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM HIPS BI 3-4 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.38,"providers":[{"billed_charge":242.00,"npi":[1821035999]}]}]}]},{"billing_code":"73552","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF FEMUR 2/>","allowed_amounts":[{"tin":{"type":"ein","value":"570853635"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":10.32,"providers":[{"billed_charge":44.00,"npi":[1922125269]}]}]}]},{"billing_code":"73560","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF KNEE 1 OR 2","allowed_amounts":[{"tin":{"type":"ein","value":"311351965"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":27.66,"providers":[{"billed_charge":41.00,"npi":[1578545273]}]}]},{"tin":{"type":"ein","value":"453744471"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":56.32,"providers":[{"billed_charge":80.00,"npi":[1912437062]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":9.54,"providers":[{"billed_charge":141.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.84,"providers":[{"billed_charge":89.00,"npi":[1366522369]}]}]},{"tin":{"type":"ein","value":"561925320"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":9.54,"providers":[{"billed_charge":33.00,"npi":[1235197179]}]}]},{"tin":{"type":"ein","value":"581095787"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":168.00,"providers":[{"billed_charge":210.00,"npi":[1528174430]}]}]},{"tin":{"type":"ein","value":"620811256"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.13,"providers":[{"billed_charge":108.00,"npi":[1003835141]}]}]}]},{"billing_code":"73562","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF KNEE 3","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.32,"providers":[{"billed_charge":107.00,"npi":[1578842035]}]}]},{"tin":{"type":"ein","value":"141633562"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.28,"providers":[{"billed_charge":74.00,"npi":[1871533216]}]}]},{"tin":{"type":"ein","value":"141633562"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":47.62,"providers":[{"billed_charge":74.00,"npi":[1871533216]}]}]},{"tin":{"type":"ein","value":"382776791"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":31.00,"npi":[1093119638]}]}]},{"tin":{"type":"ein","value":"383380785"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":10.83,"providers":[{"billed_charge":33.00,"npi":[1740283324]}]}]},{"tin":{"type":"ein","value":"462439952"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":15.57,"providers":[{"billed_charge":37.00,"npi":[1598008955]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":45.87,"providers":[{"billed_charge":100.00,"npi":[1154721272]}]},{"allowed_amount":60.00,"providers":[{"billed_charge":100.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"521976286"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.76,"providers":[{"billed_charge":115.00,"npi":[1477583599]}]}]},{"tin":{"type":"ein","value":"541869072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.71,"providers":[{"billed_charge":120.00,"npi":[1639125271]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":10.74,"providers":[{"billed_charge":48.28,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":10.74,"providers":[{"billed_charge":133.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":10.74,"providers":[{"billed_charge":52.90,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":52.87,"providers":[{"billed_charge":100.00,"npi":[1679599088]}]}]},{"tin":{"type":"ein","value":"593259553"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":18.37,"providers":[{"billed_charge":27.00,"npi":[1669429577]}]}]},{"tin":{"type":"ein","value":"621654377"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.76,"providers":[{"billed_charge":112.00,"npi":[1831495613]}]}]},{"tin":{"type":"ein","value":"842136648"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.40,"providers":[{"billed_charge":240.00,"npi":[1942860176]}]}]}]},{"billing_code":"73562","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM OF KNEE 3","allowed_amounts":[{"tin":{"type":"ein","value":"232896725"},"billing_class":"institutional","payments":[{"allowed_amount":801.66,"providers":[{"billed_charge":1293.00,"npi":[1487640207]}]}]},{"tin":{"type":"ein","value":"381359087"},"billing_class":"institutional","payments":[{"allowed_amount":139.59,"providers":[{"billed_charge":360.36,"npi":[1831116441]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":81.14,"providers":[{"billed_charge":647.11,"npi":[1457719312]}]},{"allowed_amount":82.83,"providers":[{"billed_charge":647.11,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":135.01,"providers":[{"billed_charge":515.39,"npi":[1558311357]}]}]}]},{"billing_code":"73564","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM KNEE 4 OR MORE","allowed_amounts":[{"tin":{"type":"ein","value":"251727721"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.50,"providers":[{"billed_charge":34.00,"npi":[1588622294]}]}]},{"tin":{"type":"ein","value":"251838458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":82.02,"providers":[{"billed_charge":278.00,"npi":[1689674871]}]}]},{"tin":{"type":"ein","value":"521976286"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.33,"providers":[{"billed_charge":176.00,"npi":[1477583599]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.90,"providers":[{"billed_charge":174.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"561093722"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.23,"providers":[{"billed_charge":102.00,"npi":[1497704217]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":19.74,"providers":[{"billed_charge":97.62,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":13.16,"providers":[{"billed_charge":70.14,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"562107544"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.56,"providers":[{"billed_charge":132.42,"npi":[1780655803]}]}]},{"tin":{"type":"ein","value":"562136828"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":51.23,"providers":[{"billed_charge":132.00,"npi":[1518971910]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":13.08,"providers":[{"billed_charge":62.16,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"581661116"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.54,"providers":[{"billed_charge":197.00,"npi":[1386697928]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.59,"providers":[{"billed_charge":100.00,"npi":[1447239355]}]}]}]},{"billing_code":"73564","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM KNEE 4 OR MORE","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":98.84,"providers":[{"billed_charge":629.50,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":111.27,"providers":[{"billed_charge":680.15,"npi":[1578514030]}]},{"allowed_amount":111.28,"providers":[{"billed_charge":680.15,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"591006663"},"billing_class":"institutional","payments":[{"allowed_amount":240.68,"providers":[{"billed_charge":860.00,"npi":[1902826779]}]}]},{"tin":{"type":"ein","value":"630307306"},"billing_class":"institutional","payments":[{"allowed_amount":364.78,"providers":[{"billed_charge":392.23,"npi":[1205935012]}]}]}]},{"billing_code":"73590","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF LOWER LEG","allowed_amounts":[{"tin":{"type":"ein","value":"570963518"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":183.00,"npi":[1992789473]}]}]},{"tin":{"type":"ein","value":"581966881"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.63,"providers":[{"billed_charge":29.00,"npi":[1932189685]}]}]},{"tin":{"type":"ein","value":"586001998"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.18,"providers":[{"billed_charge":88.00,"npi":[1811098817]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":145.80,"providers":[{"billed_charge":162.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":25.66,"providers":[{"billed_charge":43.00,"npi":[1255950325]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":35.81,"providers":[{"billed_charge":96.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"900614621"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.66,"providers":[{"billed_charge":118.00,"npi":[1821398512]}]}]},{"tin":{"type":"ein","value":"943223279"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":132.30,"providers":[{"billed_charge":147.00,"npi":[1215365218]}]}]}]},{"billing_code":"73590","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM OF LOWER LEG","allowed_amounts":[{"tin":{"type":"ein","value":"596012065"},"billing_class":"institutional","payments":[{"allowed_amount":548.52,"providers":[{"billed_charge":685.65,"npi":[1174551147]}]}]}]},{"billing_code":"73600","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF ANKLE","allowed_amounts":[{"tin":{"type":"ein","value":"232032300"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":8.25,"providers":[{"billed_charge":25.00,"npi":[1134178023]}]}]},{"tin":{"type":"ein","value":"273645560"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":20.00,"npi":[1316294127]}]}]},{"tin":{"type":"ein","value":"570963518"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":8.03,"providers":[{"billed_charge":183.00,"npi":[1992789473]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":32.59,"providers":[{"billed_charge":84.00,"npi":[1144803040]}]}]}]},{"billing_code":"73600","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM OF ANKLE","allowed_amounts":[{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":537.74,"providers":[{"billed_charge":680.00,"npi":[1164400131]}]}]}]},{"billing_code":"73610","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF ANKLE","allowed_amounts":[{"tin":{"type":"ein","value":"042473747"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":6.67,"providers":[{"billed_charge":29.00,"npi":[1518984319]}]}]},{"tin":{"type":"ein","value":"208928036"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.95,"providers":[{"billed_charge":52.00,"npi":[1548423510]}]}]},{"tin":{"type":"ein","value":"251103058"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.10,"providers":[{"billed_charge":85.00,"npi":[1003850363]}]}]},{"tin":{"type":"ein","value":"260719433"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.70,"providers":[{"billed_charge":86.00,"npi":[1043494784]}]}]},{"tin":{"type":"ein","value":"262157500"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":18.20,"providers":[{"billed_charge":26.00,"npi":[1073785044]}]}]},{"tin":{"type":"ein","value":"271436108"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.59,"providers":[{"billed_charge":136.00,"npi":[1669701306]}]}]},{"tin":{"type":"ein","value":"273846421"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.12,"providers":[{"billed_charge":75.13,"npi":[1073804712]}]}]},{"tin":{"type":"ein","value":"300994598"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":38.98,"providers":[{"billed_charge":72.00,"npi":[1205350584]}]}]},{"tin":{"type":"ein","value":"412181939"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":29.75,"providers":[{"billed_charge":35.00,"npi":[1912956814]}]}]},{"tin":{"type":"ein","value":"462439952"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":14.45,"providers":[{"billed_charge":34.00,"npi":[1598008955]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":9.95,"providers":[{"billed_charge":44.61,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.95,"providers":[{"billed_charge":128.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"560994806"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":9.95,"providers":[{"billed_charge":28.00,"npi":[1215990171]}]}]},{"tin":{"type":"ein","value":"561925320"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":9.95,"providers":[{"billed_charge":32.00,"npi":[1235197179]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":9.95,"providers":[{"billed_charge":46.51,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"562107544"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.70,"providers":[{"billed_charge":102.45,"npi":[1780655803]}]}]},{"tin":{"type":"ein","value":"593209688"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":64.40,"providers":[{"billed_charge":92.00,"npi":[1073565610]}]}]},{"tin":{"type":"ein","value":"621586264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.20,"providers":[{"billed_charge":70.38,"npi":[1245251404]}]},{"allowed_amount":56.56,"providers":[{"billed_charge":70.38,"npi":[1245251404]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":9.95,"providers":[{"billed_charge":31.00,"npi":[1598260515]}]}]},{"tin":{"type":"ein","value":"862109896"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.70,"providers":[{"billed_charge":150.00,"npi":[1205553369]}]}]}]},{"billing_code":"73610","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM OF ANKLE","allowed_amounts":[{"tin":{"type":"ein","value":"042103590"},"billing_class":"institutional","payments":[{"allowed_amount":120.48,"providers":[{"billed_charge":368.00,"npi":[1407804669]}]}]},{"tin":{"type":"ein","value":"311340739"},"billing_class":"institutional","payments":[{"allowed_amount":336.88,"providers":[{"billed_charge":419.00,"npi":[1447359997]}]}]},{"tin":{"type":"ein","value":"410991680"},"billing_class":"institutional","payments":[{"allowed_amount":239.44,"providers":[{"billed_charge":292.00,"npi":[1013994359]}]}]},{"tin":{"type":"ein","value":"550422958"},"billing_class":"institutional","payments":[{"allowed_amount":426.04,"providers":[{"billed_charge":434.73,"npi":[1477559433]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":135.35,"providers":[{"billed_charge":647.11,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":37.72,"providers":[{"billed_charge":503.94,"npi":[1083669030]}]}]}]},{"billing_code":"73620","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF FOOT","allowed_amounts":[{"tin":{"type":"ein","value":"620842484"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.75,"providers":[{"billed_charge":26.00,"npi":[1942207154]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":29.52,"providers":[{"billed_charge":72.00,"npi":[1144803040]}]}]}]},{"billing_code":"73630","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF FOOT","allowed_amounts":[{"tin":{"type":"ein","value":"042473747"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":6.23,"providers":[{"billed_charge":28.00,"npi":[1518984319]}]}]},{"tin":{"type":"ein","value":"208928036"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.60,"providers":[{"billed_charge":49.00,"npi":[1548423510]}]}]},{"tin":{"type":"ein","value":"232032300"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":8.61,"providers":[{"billed_charge":31.00,"npi":[1134178023]}]}]},{"tin":{"type":"ein","value":"273846421"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.67,"providers":[{"billed_charge":70.38,"npi":[1073804712]}]},{"allowed_amount":32.90,"providers":[{"billed_charge":70.38,"npi":[1073804712]}]}]},{"tin":{"type":"ein","value":"310993406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.39,"providers":[{"billed_charge":64.00,"npi":[1861451437]}]}]},{"tin":{"type":"ein","value":"541595397"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.05,"providers":[{"billed_charge":65.00,"npi":[1508813387]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":42.85,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.72,"providers":[{"billed_charge":130.00,"npi":[1578969515]}]}]},{"tin":{"type":"ein","value":"561463611"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":35.72,"providers":[{"billed_charge":102.00,"npi":[1437175700]}]}]},{"tin":{"type":"ein","value":"561925320"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":32.00,"npi":[1235197179]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":14.36,"providers":[{"billed_charge":67.01,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19","22"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":44.67,"npi":[1083669030]},{"billed_charge":44.67,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570963518"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":8.39,"providers":[{"billed_charge":183.00,"npi":[1992789473]}]},{"allowed_amount":8.92,"providers":[{"billed_charge":183.00,"npi":[1992789473]}]}]},{"tin":{"type":"ein","value":"581088313"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.04,"providers":[{"billed_charge":44.00,"npi":[1952330615]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.00,"providers":[{"billed_charge":83.00,"npi":[1689610149]}]}]},{"tin":{"type":"ein","value":"582239077"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":28.70,"providers":[{"billed_charge":41.00,"npi":[1366495988]}]}]},{"tin":{"type":"ein","value":"593209688"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":60.20,"providers":[{"billed_charge":86.00,"npi":[1073565610]}]}]},{"tin":{"type":"ein","value":"621586264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":56.56,"providers":[{"billed_charge":66.11,"npi":[1245251404]}]}]},{"tin":{"type":"ein","value":"721376223"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.64,"providers":[{"billed_charge":90.00,"npi":[1497706220]}]}]},{"tin":{"type":"ein","value":"822410133"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.76,"providers":[{"billed_charge":55.00,"npi":[1538686498]}]}]},{"tin":{"type":"ein","value":"830705469"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":35.72,"providers":[{"billed_charge":120.00,"npi":[1679066658]}]}]},{"tin":{"type":"ein","value":"831559257"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.41,"providers":[{"billed_charge":50.00,"npi":[1669931770]}]}]},{"tin":{"type":"ein","value":"832149743"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.25,"providers":[{"billed_charge":85.00,"npi":[1366067712]}]}]},{"tin":{"type":"ein","value":"862109896"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.72,"providers":[{"billed_charge":162.00,"npi":[1205553369]}]}]},{"tin":{"type":"ein","value":"934104475"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":34.61,"providers":[{"billed_charge":100.00,"npi":[1629841788]}]},{"allowed_amount":35.72,"providers":[{"billed_charge":100.00,"npi":[1629841788]}]}]}]},{"billing_code":"73630","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM OF FOOT","allowed_amounts":[{"tin":{"type":"ein","value":"042103590"},"billing_class":"institutional","payments":[{"allowed_amount":118.19,"providers":[{"billed_charge":361.00,"npi":[1407804669]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":612.87,"providers":[{"billed_charge":775.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"232810852"},"billing_class":"institutional","payments":[{"allowed_amount":676.00,"providers":[{"billed_charge":845.00,"npi":[1245207521]}]}]},{"tin":{"type":"ein","value":"550422958"},"billing_class":"institutional","payments":[{"allowed_amount":426.04,"providers":[{"billed_charge":434.73,"npi":[1477559433]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":96.21,"providers":[{"billed_charge":647.11,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":41.49,"providers":[{"billed_charge":503.94,"npi":[1083669030]}]},{"allowed_amount":41.50,"providers":[{"billed_charge":503.94,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":222.70,"providers":[{"billed_charge":262.00,"npi":[1326028978]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":777.60,"providers":[{"billed_charge":972.00,"npi":[1578620449]}]}]}]},{"billing_code":"73660","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF TOE(S)","allowed_amounts":[{"tin":{"type":"ein","value":"383380785"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":7.65,"providers":[{"billed_charge":25.00,"npi":[1740283324]}]}]}]},{"billing_code":"73700","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT LOWER EXTREMITY W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"030179418"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":65.81,"providers":[{"billed_charge":144.00,"npi":[1942329446]}]}]},{"tin":{"type":"ein","value":"273645560"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":91.50,"providers":[{"billed_charge":122.00,"npi":[1316294127]}]}]}]},{"billing_code":"73718","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI LOWER EXTREMITY W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"651091915"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":311.72,"providers":[{"billed_charge":1950.00,"npi":[1346516853]}]},{"allowed_amount":500.00,"providers":[{"billed_charge":1950.00,"npi":[1346516853]}]}]},{"tin":{"type":"ein","value":"833666345"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":220.40,"providers":[{"billed_charge":232.00,"npi":[1093274235]}]}]}]},{"billing_code":"73721","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI JNT OF LWR EXTRE W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"141633562"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":234.11,"providers":[{"billed_charge":1563.00,"npi":[1871533216]}]}]},{"tin":{"type":"ein","value":"200382536"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":722.53,"providers":[{"billed_charge":967.00,"npi":[1902896236]}]}]},{"tin":{"type":"ein","value":"204230863"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":227.63,"providers":[{"billed_charge":1205.79,"npi":[1871681445]}]}]},{"tin":{"type":"ein","value":"383380785"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":222.30,"providers":[{"billed_charge":234.00,"npi":[1740283324]}]}]},{"tin":{"type":"ein","value":"412181939"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":212.50,"providers":[{"billed_charge":250.00,"npi":[1912956814]}]}]},{"tin":{"type":"ein","value":"470831613"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":489.87,"providers":[{"billed_charge":1276.00,"npi":[1437116936]}]}]},{"tin":{"type":"ein","value":"541513749"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":204.84,"providers":[{"billed_charge":1621.00,"npi":[1881677425]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":76.65,"providers":[{"billed_charge":862.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":76.65,"providers":[{"billed_charge":359.08,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"581088313"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":145.64,"providers":[{"billed_charge":330.00,"npi":[1952330615]}]}]},{"tin":{"type":"ein","value":"620811256"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":551.65,"providers":[{"billed_charge":1188.00,"npi":[1003835141]}]}]},{"tin":{"type":"ein","value":"621784366"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.59,"providers":[{"billed_charge":135.10,"npi":[1730130345]}]}]},{"tin":{"type":"ein","value":"650378614"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":350.00,"providers":[{"billed_charge":2439.00,"npi":[1730125261]}]}]},{"tin":{"type":"ein","value":"651091915"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":318.76,"providers":[{"billed_charge":1950.00,"npi":[1346516853]}]},{"allowed_amount":500.00,"providers":[{"billed_charge":1950.00,"npi":[1376819888]}]}]},{"tin":{"type":"ein","value":"833666345"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":76.29,"providers":[{"billed_charge":263.00,"npi":[1093274235]}]}]},{"tin":{"type":"ein","value":"842884329"},"billing_class":"professional","service_code":["15"],"payments":[{"allowed_amount":230.20,"providers":[{"billed_charge":1145.00,"npi":[1437805280]}]}]},{"tin":{"type":"ein","value":"842884329"},"billing_class":"professional","service_code":["49"],"payments":[{"allowed_amount":221.65,"providers":[{"billed_charge":1145.00,"npi":[1154928034]}]}]}]},{"billing_code":"73721","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"MRI JNT OF LWR EXTRE W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"311340739"},"billing_class":"institutional","payments":[{"allowed_amount":1659.46,"providers":[{"billed_charge":2064.00,"npi":[1447359997]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":237.84,"providers":[{"billed_charge":1376.76,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":3942.64,"providers":[{"billed_charge":5798.00,"npi":[1154377166]}]}]}]},{"billing_code":"73722","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI JOINT OF LWR EXTR W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"581661116"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1011.09,"providers":[{"billed_charge":2739.00,"npi":[1386697928]}]}]}]},{"billing_code":"73723","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI JOINT LWR EXTR W/O&W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"300313534"},"billing_class":"professional","service_code":["49"],"payments":[{"allowed_amount":437.48,"providers":[{"billed_charge":4348.00,"npi":[1437196318]}]}]}]},{"billing_code":"74018","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM ABDOMEN 1 VIEW","allowed_amounts":[{"tin":{"type":"ein","value":"061127657"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.98,"providers":[{"billed_charge":118.00,"npi":[1902855828]}]}]},{"tin":{"type":"ein","value":"352585434"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.40,"providers":[{"billed_charge":59.00,"npi":[1932640349]}]}]},{"tin":{"type":"ein","value":"460713261"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":20.36,"npi":[1619300431]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":10.59,"providers":[{"billed_charge":44.79,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":153.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"560994806"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":30.00,"npi":[1215990171]}]}]},{"tin":{"type":"ein","value":"562107759"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.87,"providers":[{"billed_charge":80.00,"npi":[1669404208]}]},{"allowed_amount":48.00,"providers":[{"billed_charge":80.00,"npi":[1669404208]}]}]},{"tin":{"type":"ein","value":"571049603"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":37.00,"npi":[1225014657]}]}]},{"tin":{"type":"ein","value":"581088313"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":19.50,"providers":[{"billed_charge":55.00,"npi":[1952330615]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.26,"providers":[{"billed_charge":50.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"751286819"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.24,"providers":[{"billed_charge":36.00,"npi":[1710970975]}]}]}]},{"billing_code":"74018","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM ABDOMEN 1 VIEW","allowed_amounts":[{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":92.33,"providers":[{"billed_charge":515.39,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":82.54,"providers":[{"billed_charge":235.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":225.08,"providers":[{"billed_charge":331.00,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"593458145"},"billing_class":"institutional","payments":[{"allowed_amount":597.10,"providers":[{"billed_charge":853.00,"npi":[1235196510]}]}]}]},{"billing_code":"74019","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM ABDOMEN 2 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"203639329"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":14.90,"providers":[{"billed_charge":27.00,"npi":[1649228966]}]}]},{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":13.45,"providers":[{"billed_charge":35.00,"npi":[1720079254]}]}]},{"tin":{"type":"ein","value":"590634433"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":76.95,"providers":[{"billed_charge":81.00,"npi":[1265585806]}]}]},{"tin":{"type":"ein","value":"620963389"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":12.97,"providers":[{"billed_charge":43.00,"npi":[1386698710]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":41.31,"providers":[{"billed_charge":117.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"953268980"},"billing_class":"professional","service_code":["61"],"payments":[{"allowed_amount":19.99,"providers":[{"billed_charge":25.90,"npi":[1700865094]}]}]}]},{"billing_code":"74019","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM ABDOMEN 2 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"626002604"},"billing_class":"institutional","payments":[{"allowed_amount":146.63,"providers":[{"billed_charge":678.00,"npi":[1760476659]}]}]}]},{"billing_code":"74022","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM COMPLETE ABDOMEN","allowed_amounts":[{"tin":{"type":"ein","value":"264473832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.10,"providers":[{"billed_charge":101.00,"npi":[1245474022]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":18.32,"providers":[{"billed_charge":213.00,"npi":[1821035999]}]}]}]},{"billing_code":"74022","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY EXAM COMPLETE ABDOMEN","allowed_amounts":[{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":237.43,"providers":[{"billed_charge":989.00,"npi":[1376540138]}]}]}]},{"billing_code":"74160","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT ABDOMEN W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":71.83,"providers":[{"billed_charge":322.19,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":53.87,"providers":[{"billed_charge":223.00,"npi":[1598260515]}]}]}]},{"billing_code":"74160","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT ABDOMEN W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":174.22,"providers":[{"billed_charge":1361.25,"npi":[1457719312]}]}]}]},{"billing_code":"74170","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT ABDOMEN W/O & W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":291.82,"providers":[{"billed_charge":1152.00,"npi":[1093765851]}]}]}]},{"billing_code":"74174","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT ANGIO ABD&PELV W/O&W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"560994806"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":123.38,"providers":[{"billed_charge":311.00,"npi":[1215990171]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":92.54,"providers":[{"billed_charge":667.74,"npi":[1992754758]}]},{"allowed_amount":123.38,"providers":[{"billed_charge":667.74,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"581537752"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":268.00,"providers":[{"billed_charge":335.00,"npi":[1063452381]}]}]},{"tin":{"type":"ein","value":"640548144"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":213.00,"providers":[{"billed_charge":553.00,"npi":[1861428351]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":1325.25,"providers":[{"billed_charge":1395.00,"npi":[1558332494]}]}]}]},{"billing_code":"74174","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT ANGIO ABD&PELV W/O&W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":373.28,"providers":[{"billed_charge":2185.47,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":2926.00,"providers":[{"billed_charge":3080.00,"npi":[1154392231]}]}]}]},{"billing_code":"74176","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT ABD & PELVIS W/O CONTRAST","allowed_amounts":[{"tin":{"type":"ein","value":"061127657"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":237.25,"providers":[{"billed_charge":1695.00,"npi":[1902855828]}]}]},{"tin":{"type":"ein","value":"202264853"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":197.98,"providers":[{"billed_charge":835.00,"npi":[1518914977]}]}]},{"tin":{"type":"ein","value":"460713261"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":98.54,"providers":[{"billed_charge":194.14,"npi":[1619300431]}]}]},{"tin":{"type":"ein","value":"462439952"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":265.00,"providers":[{"billed_charge":336.00,"npi":[1598008955]}]}]},{"tin":{"type":"ein","value":"470527459"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":189.80,"providers":[{"billed_charge":365.00,"npi":[1215969407]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":98.54,"providers":[{"billed_charge":450.77,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":98.54,"providers":[{"billed_charge":1406.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"570634747"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":98.10,"providers":[{"billed_charge":240.00,"npi":[1811000177]}]}]},{"tin":{"type":"ein","value":"591433551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":215.00,"providers":[{"billed_charge":1480.00,"npi":[1467654244]}]}]},{"tin":{"type":"ein","value":"591867557"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":365.50,"providers":[{"billed_charge":430.00,"npi":[1144276452]}]}]},{"tin":{"type":"ein","value":"620963389"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":96.77,"providers":[{"billed_charge":323.00,"npi":[1386698710]}]}]},{"tin":{"type":"ein","value":"621388079"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":372.80,"providers":[{"billed_charge":466.00,"npi":[1831110667]}]}]},{"tin":{"type":"ein","value":"840916653"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":82.24,"providers":[{"billed_charge":329.00,"npi":[1598700825]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":205.29,"providers":[{"billed_charge":1150.00,"npi":[1093765851]}]},{"allowed_amount":213.15,"providers":[{"billed_charge":1150.00,"npi":[1093765851]}]}]}]},{"billing_code":"74176","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT ABD & PELVIS W/O CONTRAST","allowed_amounts":[{"tin":{"type":"ein","value":"050524222"},"billing_class":"institutional","payments":[{"allowed_amount":448.61,"providers":[{"billed_charge":1205.00,"npi":[1770662348]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":424.31,"providers":[{"billed_charge":1272.30,"npi":[1801803903]}]},{"allowed_amount":437.73,"providers":[{"billed_charge":1272.30,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"272844563"},"billing_class":"institutional","payments":[{"allowed_amount":2330.40,"providers":[{"billed_charge":4855.00,"npi":[1922310200]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":286.98,"providers":[{"billed_charge":1752.24,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":100.71,"providers":[{"billed_charge":100.71,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":1980.00,"providers":[{"billed_charge":2475.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":1980.00,"providers":[{"billed_charge":2640.00,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"650252846"},"billing_class":"institutional","payments":[{"allowed_amount":15302.10,"providers":[{"billed_charge":29427.12,"npi":[1417901406]}]}]},{"tin":{"type":"ein","value":"721529708"},"billing_class":"institutional","payments":[{"allowed_amount":3021.93,"providers":[{"billed_charge":5844.00,"npi":[1558391771]}]}]}]},{"billing_code":"74177","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT ABD & PELV W/CONTRAST","allowed_amounts":[{"tin":{"type":"ein","value":"133375559"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":344.04,"providers":[{"billed_charge":615.00,"npi":[1639159692]}]}]},{"tin":{"type":"ein","value":"200520144"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":102.96,"providers":[{"billed_charge":449.00,"npi":[1851342141]}]}]},{"tin":{"type":"ein","value":"204881619"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":147.98,"providers":[{"billed_charge":225.00,"npi":[1669499414]}]}]},{"tin":{"type":"ein","value":"208484894"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":85.73,"providers":[{"billed_charge":167.86,"npi":[1609994284]}]}]},{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1400.20,"providers":[{"billed_charge":1734.00,"npi":[1548210198]}]}]},{"tin":{"type":"ein","value":"262157500"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":174.89,"providers":[{"billed_charge":263.00,"npi":[1073785044]}]},{"allowed_amount":184.10,"providers":[{"billed_charge":263.00,"npi":[1073785044]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":580.50,"providers":[{"billed_charge":774.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"340715726"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":195.26,"providers":[{"billed_charge":703.69,"npi":[1093764219]}]}]},{"tin":{"type":"ein","value":"453597157"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":79.51,"providers":[{"billed_charge":429.00,"npi":[1447520333]}]}]},{"tin":{"type":"ein","value":"471262518"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":172.70,"providers":[{"billed_charge":376.00,"npi":[1164830139]}]}]},{"tin":{"type":"ein","value":"471497384"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":220.02,"providers":[{"billed_charge":326.00,"npi":[1598169419]}]}]},{"tin":{"type":"ein","value":"560941927"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":77.22,"providers":[{"billed_charge":400.00,"npi":[1679684948]}]}]},{"tin":{"type":"ein","value":"560941927"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":102.96,"providers":[{"billed_charge":400.00,"npi":[1679684948]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22","23"],"payments":[{"allowed_amount":102.96,"providers":[{"billed_charge":1471.00,"npi":[1821035999]},{"billed_charge":1471.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"560954803"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":114.41,"providers":[{"billed_charge":496.00,"npi":[1811920101]}]}]},{"tin":{"type":"ein","value":"560994806"},"billing_class":"professional","service_code":["22","23"],"payments":[{"allowed_amount":102.96,"providers":[{"billed_charge":264.00,"npi":[1215990171]},{"billed_charge":264.00,"npi":[1215990171]}]}]},{"tin":{"type":"ein","value":"560994806"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":77.22,"providers":[{"billed_charge":264.00,"npi":[1215990171]}]}]},{"tin":{"type":"ein","value":"561379582"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":102.96,"providers":[{"billed_charge":202.00,"npi":[1710908041]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":102.96,"providers":[{"billed_charge":559.09,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"570634747"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":247.00,"providers":[{"billed_charge":260.00,"npi":[1811000177]}]}]},{"tin":{"type":"ein","value":"570720016"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":102.51,"providers":[{"billed_charge":498.44,"npi":[1659320620]}]}]},{"tin":{"type":"ein","value":"570963518"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":76.88,"providers":[{"billed_charge":1671.00,"npi":[1992789473]}]},{"allowed_amount":102.51,"providers":[{"billed_charge":1671.00,"npi":[1992789473]}]}]},{"tin":{"type":"ein","value":"571049603"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":102.96,"providers":[{"billed_charge":550.00,"npi":[1225014657]}]}]},{"tin":{"type":"ein","value":"581093931"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":111.10,"providers":[{"billed_charge":515.00,"npi":[1922193044]}]}]},{"tin":{"type":"ein","value":"591226176"},"billing_class":"professional","service_code":["19","23"],"payments":[{"allowed_amount":51.30,"providers":[{"billed_charge":1471.00,"npi":[1093782070]},{"billed_charge":1337.00,"npi":[1093782070]}]}]},{"tin":{"type":"ein","value":"651075205"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":213.81,"providers":[{"billed_charge":894.00,"npi":[1659319671]}]}]},{"tin":{"type":"ein","value":"730771166"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":204.00,"providers":[{"billed_charge":255.00,"npi":[1871574509]}]}]},{"tin":{"type":"ein","value":"840597929"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":229.80,"providers":[{"billed_charge":383.00,"npi":[1679513196]}]}]},{"tin":{"type":"ein","value":"860423896"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":172.22,"providers":[{"billed_charge":622.00,"npi":[1841261989]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":969.00,"providers":[{"billed_charge":1020.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"870565773"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":98.31,"providers":[{"billed_charge":260.00,"npi":[1720035520]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":326.63,"providers":[{"billed_charge":1795.00,"npi":[1093765851]}]},{"allowed_amount":338.27,"providers":[{"billed_charge":1795.00,"npi":[1093765851]}]},{"allowed_amount":350.06,"providers":[{"billed_charge":1795.00,"npi":[1093765851]}]}]}]},{"billing_code":"74177","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT ABD & PELV W/CONTRAST","allowed_amounts":[{"tin":{"type":"ein","value":"042104693"},"billing_class":"institutional","payments":[{"allowed_amount":4432.50,"providers":[{"billed_charge":5910.00,"npi":[1396738159]}]}]},{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":408.03,"providers":[{"billed_charge":885.00,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":2740.79,"providers":[{"billed_charge":3342.43,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":5228.28,"providers":[{"billed_charge":12650.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":411.46,"providers":[{"billed_charge":12908.00,"npi":[1235417288]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":1675.94,"providers":[{"billed_charge":2211.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"340715726"},"billing_class":"institutional","payments":[{"allowed_amount":776.66,"providers":[{"billed_charge":1553.32,"npi":[1093764219]}]}]},{"tin":{"type":"ein","value":"350211370"},"billing_class":"institutional","payments":[{"allowed_amount":427.61,"providers":[{"billed_charge":3200.00,"npi":[1386683316]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":2008.33,"providers":[{"billed_charge":3403.95,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":6440.35,"providers":[{"billed_charge":7576.88,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":1995.40,"providers":[{"billed_charge":5681.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":3167.19,"providers":[{"billed_charge":3959.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580566257"},"billing_class":"institutional","payments":[{"allowed_amount":3167.20,"providers":[{"billed_charge":3959.00,"npi":[1679664395]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":1309.50,"providers":[{"billed_charge":5400.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"590566256"},"billing_class":"institutional","payments":[{"allowed_amount":3167.20,"providers":[{"billed_charge":3959.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":10007.90,"providers":[{"billed_charge":14297.00,"npi":[1306938071]}]},{"allowed_amount":10007.91,"providers":[{"billed_charge":14297.00,"npi":[1306938071]}]},{"allowed_amount":10007.92,"providers":[{"billed_charge":14297.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":3279.20,"providers":[{"billed_charge":4099.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":8708.36,"providers":[{"billed_charge":10492.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"650666516"},"billing_class":"institutional","payments":[{"allowed_amount":10578.40,"providers":[{"billed_charge":13223.00,"npi":[1487760906]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":3139.50,"providers":[{"billed_charge":4830.00,"npi":[1174512792]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":1932.30,"providers":[{"billed_charge":2034.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"876000525"},"billing_class":"institutional","payments":[{"allowed_amount":2368.58,"providers":[{"billed_charge":3179.30,"npi":[1588656870]}]}]}]},{"billing_code":"74178","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT ABD & PELV 1/> REGNS","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":113.05,"providers":[{"billed_charge":565.00,"npi":[1639244478]}]}]},{"tin":{"type":"ein","value":"264473832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":274.12,"providers":[{"billed_charge":878.00,"npi":[1245474022]}]}]},{"tin":{"type":"ein","value":"371128706"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":865.34,"providers":[{"billed_charge":1220.55,"npi":[1114471737]}]}]},{"tin":{"type":"ein","value":"591433551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":215.00,"providers":[{"billed_charge":2920.00,"npi":[1467654244]}]}]},{"tin":{"type":"ein","value":"760273984"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":98.22,"providers":[{"billed_charge":927.00,"npi":[1073574810]}]}]},{"tin":{"type":"ein","value":"811762230"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":279.94,"providers":[{"billed_charge":1315.00,"npi":[1912368457]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":379.39,"providers":[{"billed_charge":2160.00,"npi":[1093765851]}]}]}]},{"billing_code":"74178","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT ABD & PELV 1/> REGNS","allowed_amounts":[{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":518.79,"providers":[{"billed_charge":7620.00,"npi":[1174582050]}]}]}]},{"billing_code":"74181","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI ABDOMEN W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"208484894"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":141.40,"providers":[{"billed_charge":148.84,"npi":[1609994284]}]}]},{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":84.26,"providers":[{"billed_charge":223.00,"npi":[1720079254]}]}]}]},{"billing_code":"74181","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"MRI ABDOMEN W/O DYE","allowed_amounts":[{"tin":{"type":"ein","value":"453576100"},"billing_class":"institutional","payments":[{"allowed_amount":508.01,"providers":[{"billed_charge":4706.00,"npi":[1306123344]}]}]}]},{"billing_code":"74183","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI ABDOMEN W/O & W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"264473832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":262.66,"providers":[{"billed_charge":1720.00,"npi":[1245474022]}]}]},{"tin":{"type":"ein","value":"581088313"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":242.56,"providers":[{"billed_charge":440.00,"npi":[1952330615]}]}]},{"tin":{"type":"ein","value":"591226176"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":62.50,"providers":[{"billed_charge":1825.00,"npi":[1093782070]}]}]},{"tin":{"type":"ein","value":"593337028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5277.25,"providers":[{"billed_charge":5555.00,"npi":[1790772317]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":378.04,"providers":[{"billed_charge":2445.00,"npi":[1093765851]}]},{"allowed_amount":382.86,"providers":[{"billed_charge":2445.00,"npi":[1093765851]}]}]}]},{"billing_code":"74183","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"MRI ABDOMEN W/O & W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":3765.84,"providers":[{"billed_charge":5538.00,"npi":[1154377166]}]}]}]},{"billing_code":"74220","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY XM ESOPHAGUS 1CNTRST","allowed_amounts":[{"tin":{"type":"ein","value":"205174181"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":35.45,"providers":[{"billed_charge":69.00,"npi":[1992721278]}]}]}]},{"billing_code":"74221","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY XM ESOPHAGUS 2CNTRST","allowed_amounts":[{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":370.50,"providers":[{"billed_charge":650.00,"npi":[1063406684]}]}]}]},{"billing_code":"74230","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY XM SWLNG FUNCJ C+","allowed_amounts":[{"tin":{"type":"ein","value":"561925320"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":30.23,"providers":[{"billed_charge":100.00,"npi":[1235197179]}]}]}]},{"billing_code":"74230","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY XM SWLNG FUNCJ C+","allowed_amounts":[{"tin":{"type":"ein","value":"820161600"},"billing_class":"institutional","payments":[{"allowed_amount":462.83,"providers":[{"billed_charge":561.00,"npi":[1770586794]}]}]}]},{"billing_code":"74240","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY XM UPR GI TRC 1CNTRST","allowed_amounts":[{"tin":{"type":"ein","value":"570963518"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":45.30,"providers":[{"billed_charge":350.00,"npi":[1992789473]}]}]}]},{"billing_code":"74250","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY XM SM INT 1CNTRST STD","allowed_amounts":[{"tin":{"type":"ein","value":"581093931"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":43.13,"providers":[{"billed_charge":94.00,"npi":[1922193044]}]},{"allowed_amount":75.20,"providers":[{"billed_charge":94.00,"npi":[1922193044]}]}]}]},{"billing_code":"74250","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY XM SM INT 1CNTRST STD","allowed_amounts":[{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":633.66,"providers":[{"billed_charge":987.00,"npi":[1528056066]}]}]}]},{"billing_code":"74712","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MRI FETAL SNGL/1ST GESTATION","allowed_amounts":[{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1478.40,"providers":[{"billed_charge":2112.00,"npi":[1093796609]}]}]}]},{"billing_code":"75561","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CARDIAC MRI FOR MORPH W/DYE","allowed_amounts":[{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":3652.28,"providers":[{"billed_charge":4454.00,"npi":[1790717650]}]}]},{"tin":{"type":"ein","value":"223452311"},"billing_class":"institutional","payments":[{"allowed_amount":2737.20,"providers":[{"billed_charge":4562.00,"npi":[1215027966]}]}]}]},{"billing_code":"75563","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CARD MRI W/STRESS IMG & DYE","allowed_amounts":[{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":173.41,"providers":[{"billed_charge":609.00,"npi":[1861675506]}]},{"allowed_amount":487.20,"providers":[{"billed_charge":609.00,"npi":[1861675506]}]}]}]},{"billing_code":"75563","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CARD MRI W/STRESS IMG & DYE","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":4855.84,"providers":[{"billed_charge":5518.00,"npi":[1477643690]}]}]}]},{"billing_code":"75565","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CARD MRI VELOC FLOW MAPPING","allowed_amounts":[{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":14.74,"providers":[{"billed_charge":51.00,"npi":[1861675506]}]},{"allowed_amount":40.80,"providers":[{"billed_charge":51.00,"npi":[1861675506]}]}]}]},{"billing_code":"75565","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CARD MRI VELOC FLOW MAPPING","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":1122.88,"providers":[{"billed_charge":1276.00,"npi":[1477643690]}]}]}]},{"billing_code":"75574","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT ANGIO HRT W/3D IMAGE","allowed_amounts":[{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":393.60,"providers":[{"billed_charge":492.00,"npi":[1861675506]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":359.55,"providers":[{"billed_charge":1725.00,"npi":[1093765851]}]},{"allowed_amount":366.65,"providers":[{"billed_charge":1725.00,"npi":[1093765851]}]}]}]},{"billing_code":"75574","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT ANGIO HRT W/3D IMAGE","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":4546.08,"providers":[{"billed_charge":5166.00,"npi":[1477643690]}]}]}]},{"billing_code":"75580","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"NONINV COR FFR DERIVED CTA DA","allowed_amounts":[{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":971.56,"providers":[{"billed_charge":5147.00,"npi":[1093765851]}]}]}]},{"billing_code":"75774","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"ARTERY X-RAY EACH VESSEL","allowed_amounts":[{"tin":{"type":"ein","value":"840597929"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":24.92,"providers":[{"billed_charge":202.00,"npi":[1679513196]}]}]}]},{"billing_code":"75894","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAYS TRANSCATH THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"043259647"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":605.36,"providers":[{"billed_charge":658.00,"npi":[1487681912]}]}]}]},{"billing_code":"75898","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"FOLLOW-UP ANGIOGRAPHY","allowed_amounts":[{"tin":{"type":"ein","value":"043259647"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":771.88,"providers":[{"billed_charge":839.00,"npi":[1487681912]}]}]}]},{"billing_code":"75956","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"XRAY ENDOVASC THOR AO REPR","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":383.54,"providers":[{"billed_charge":1932.75,"npi":[1992754758]}]}]}]},{"billing_code":"75984","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"XRAY CONTROL CATHETER CHANGE","allowed_amounts":[{"tin":{"type":"ein","value":"560994806"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":44.46,"providers":[{"billed_charge":109.00,"npi":[1215990171]}]}]}]},{"billing_code":"76000","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"FLUOROSCOPY <1 HR PHYS/QHP","allowed_amounts":[{"tin":{"type":"ein","value":"370647938"},"billing_class":"institutional","payments":[{"allowed_amount":1473.05,"providers":[{"billed_charge":1733.00,"npi":[1114935681]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":1063.60,"providers":[{"billed_charge":1793.60,"npi":[1659323772]}]}]}]},{"billing_code":"76010","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY NOSE TO RECTUM","allowed_amounts":[{"tin":{"type":"ein","value":"800863895"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":64.25,"providers":[{"billed_charge":75.59,"npi":[1457695488]}]}]}]},{"billing_code":"76010","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"X-RAY NOSE TO RECTUM","allowed_amounts":[{"tin":{"type":"ein","value":"580572412"},"billing_class":"institutional","payments":[{"allowed_amount":303.24,"providers":[{"billed_charge":404.00,"npi":[1689744450]}]}]}]},{"billing_code":"76100","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY EXAM OF BODY SECTION","allowed_amounts":[{"tin":{"type":"ein","value":"134240807"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.00,"providers":[{"billed_charge":47.00,"npi":[1942358064]}]}]}]},{"billing_code":"76140","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAY CONSULTATION","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":87.58,"providers":[{"billed_charge":292.00,"npi":[1073574810]}]},{"allowed_amount":91.08,"providers":[{"billed_charge":292.00,"npi":[1073574810]}]}]}]},{"billing_code":"76376","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"3D RENDER W/INTRP POSTPROCES","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":11.19,"providers":[{"billed_charge":46.00,"npi":[1639244478]}]}]},{"tin":{"type":"ein","value":"202196363"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.19,"providers":[{"billed_charge":125.00,"npi":[1275558504]}]}]},{"tin":{"type":"ein","value":"260801564"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.19,"providers":[{"billed_charge":336.00,"npi":[1437319571]}]},{"allowed_amount":27.42,"providers":[{"billed_charge":336.00,"npi":[1437319571]}]}]},{"tin":{"type":"ein","value":"264473832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.72,"providers":[{"billed_charge":221.00,"npi":[1245474022]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":24.11,"providers":[{"billed_charge":457.00,"npi":[1255315339]}]}]},{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":11.41,"providers":[{"billed_charge":30.00,"npi":[1720079254]}]}]},{"tin":{"type":"ein","value":"591433551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":215.00,"providers":[{"billed_charge":358.00,"npi":[1467654244]}]}]},{"tin":{"type":"ein","value":"873803109"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.19,"providers":[{"billed_charge":336.00,"npi":[1700545480]}]}]}]},{"billing_code":"76376","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"3D RENDER W/INTRP POSTPROCES","allowed_amounts":[{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":253.10,"providers":[{"billed_charge":1310.00,"npi":[1437119310]}]}]}]},{"billing_code":"76377","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"3D RENDER W/INTRP POSTPROCES","allowed_amounts":[{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":418.83,"providers":[{"billed_charge":572.00,"npi":[1093796609]}]}]},{"tin":{"type":"ein","value":"560538020"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":44.72,"providers":[{"billed_charge":256.19,"npi":[1376537555]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":44.72,"providers":[{"billed_charge":243.43,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"822629930"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.19,"providers":[{"billed_charge":40.00,"npi":[1275051054]}]}]},{"tin":{"type":"ein","value":"863952535"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":40.00,"npi":[1972240455]}]}]}]},{"billing_code":"76506","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"ECHO EXAM OF HEAD","allowed_amounts":[{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":36.60,"providers":[{"billed_charge":98.00,"npi":[1720079254]}]}]}]},{"billing_code":"76514","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"ECHO EXAM OF EYE THICKNESS","allowed_amounts":[{"tin":{"type":"ein","value":"562118060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.69,"providers":[{"billed_charge":25.00,"npi":[1790881076]}]}]},{"tin":{"type":"ein","value":"582209517"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":50.00,"npi":[1548271992]}]}]},{"tin":{"type":"ein","value":"582275306"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.88,"providers":[{"billed_charge":44.00,"npi":[1255357356]}]}]},{"tin":{"type":"ein","value":"650942710"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.03,"providers":[{"billed_charge":85.00,"npi":[1326162553]}]}]}]},{"billing_code":"76536","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"US EXAM OF HEAD AND NECK","allowed_amounts":[{"tin":{"type":"ein","value":"010570490"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":407.89,"providers":[{"billed_charge":479.87,"npi":[1770667289]}]}]},{"tin":{"type":"ein","value":"264473832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":91.58,"providers":[{"billed_charge":262.00,"npi":[1245474022]}]}]},{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":32.91,"providers":[{"billed_charge":86.00,"npi":[1720079254]}]}]},{"tin":{"type":"ein","value":"541513749"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.45,"providers":[{"billed_charge":292.00,"npi":[1881677425]}]}]},{"tin":{"type":"ein","value":"560994806"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":32.23,"providers":[{"billed_charge":86.00,"npi":[1215990171]}]}]},{"tin":{"type":"ein","value":"561465117"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.62,"providers":[{"billed_charge":231.00,"npi":[1952527343]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":32.23,"providers":[{"billed_charge":157.05,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":32.23,"providers":[{"billed_charge":169.25,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"582540874"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":248.53,"providers":[{"billed_charge":392.00,"npi":[1548273592]}]}]},{"tin":{"type":"ein","value":"760273984"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":92.86,"providers":[{"billed_charge":259.00,"npi":[1073574810]}]}]},{"tin":{"type":"ein","value":"812234079"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":121.12,"providers":[{"billed_charge":221.00,"npi":[1639524051]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.62,"providers":[{"billed_charge":366.00,"npi":[1093765851]}]},{"allowed_amount":121.12,"providers":[{"billed_charge":366.00,"npi":[1093765851]}]},{"allowed_amount":122.35,"providers":[{"billed_charge":366.00,"npi":[1093765851]}]}]}]},{"billing_code":"76536","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"US EXAM OF HEAD AND NECK","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":959.56,"providers":[{"billed_charge":1043.00,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":106.72,"providers":[{"billed_charge":651.20,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":110.79,"providers":[{"billed_charge":629.50,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":59.50,"providers":[{"billed_charge":874.00,"npi":[1174582050]}]}]}]},{"billing_code":"76604","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"US EXAM CHEST","allowed_amounts":[{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":62.46,"providers":[{"billed_charge":277.00,"npi":[1093765851]}]}]}]},{"billing_code":"76641","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"ULTRASOUND BREAST COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"133544120"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":169.82,"providers":[{"billed_charge":890.00,"npi":[1982643003]}]}]},{"tin":{"type":"ein","value":"203639329"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":39.96,"providers":[{"billed_charge":70.00,"npi":[1649228966]}]}]},{"tin":{"type":"ein","value":"362657618"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":272.31,"providers":[{"billed_charge":564.00,"npi":[1801833983]}]}]},{"tin":{"type":"ein","value":"560538020"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":31.13,"providers":[{"billed_charge":147.37,"npi":[1376537555]}]}]},{"tin":{"type":"ein","value":"582117020"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":279.00,"providers":[{"billed_charge":452.00,"npi":[1326019977]}]}]}]},{"billing_code":"76641","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"ULTRASOUND BREAST COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"540715569"},"billing_class":"institutional","payments":[{"allowed_amount":104.98,"providers":[{"billed_charge":727.00,"npi":[1770693939]}]}]}]},{"billing_code":"76642","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"ULTRASOUND BREAST LIMITED","allowed_amounts":[{"tin":{"type":"ein","value":"135562308"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":146.45,"providers":[{"billed_charge":534.00,"npi":[1285826438]}]}]},{"tin":{"type":"ein","value":"203728202"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":46.21,"providers":[{"billed_charge":107.00,"npi":[1538484803]}]}]},{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":331.50,"providers":[{"billed_charge":390.00,"npi":[1548210198]}]}]},{"tin":{"type":"ein","value":"264473832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.76,"providers":[{"billed_charge":179.00,"npi":[1245474022]}]}]},{"tin":{"type":"ein","value":"310983140"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":30.82,"providers":[{"billed_charge":135.00,"npi":[1093718496]}]}]},{"tin":{"type":"ein","value":"383380785"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":98.80,"providers":[{"billed_charge":104.00,"npi":[1740283324]}]}]},{"tin":{"type":"ein","value":"560988142"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":38.68,"providers":[{"billed_charge":140.00,"npi":[1356324487]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":38.68,"providers":[{"billed_charge":186.06,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":38.68,"providers":[{"billed_charge":180.53,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"742958277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.17,"providers":[{"billed_charge":534.09,"npi":[1922061993]}]}]},{"tin":{"type":"ein","value":"742958277"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":37.13,"providers":[{"billed_charge":159.11,"npi":[1922061993]}]}]},{"tin":{"type":"ein","value":"842600945"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":86.39,"providers":[{"billed_charge":180.00,"npi":[1558916395]}]}]}]},{"billing_code":"76642","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"ULTRASOUND BREAST LIMITED","allowed_amounts":[{"tin":{"type":"ein","value":"381360529"},"billing_class":"institutional","payments":[{"allowed_amount":391.44,"providers":[{"billed_charge":434.93,"npi":[1922090554]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":139.70,"providers":[{"billed_charge":641.38,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":147.01,"providers":[{"billed_charge":503.94,"npi":[1083669030]}]}]}]},{"billing_code":"76700","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"US EXAM ABDOM COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.49,"providers":[{"billed_charge":194.00,"npi":[1598761967]}]}]},{"tin":{"type":"ein","value":"751286819"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":47.79,"providers":[{"billed_charge":98.03,"npi":[1710970975]}]}]}]},{"billing_code":"76700","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"US EXAM ABDOM COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":131.86,"providers":[{"billed_charge":286.00,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"195443200"},"billing_class":"institutional","payments":[{"allowed_amount":115.55,"providers":[{"billed_charge":1578.00,"npi":[1457396079]}]}]},{"tin":{"type":"ein","value":"621762420"},"billing_class":"institutional","payments":[{"allowed_amount":1078.40,"providers":[{"billed_charge":2630.25,"npi":[1528026267]}]}]}]},{"billing_code":"76705","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"ECHO EXAM OF ABDOMEN","allowed_amounts":[{"tin":{"type":"ein","value":"262157500"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":60.20,"providers":[{"billed_charge":86.00,"npi":[1073785044]}]}]},{"tin":{"type":"ein","value":"264036315"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":48.32,"providers":[{"billed_charge":145.00,"npi":[1841438728]}]}]},{"tin":{"type":"ein","value":"351187380"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":47.63,"providers":[{"billed_charge":115.00,"npi":[1992723829]}]}]},{"tin":{"type":"ein","value":"471497384"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":70.55,"providers":[{"billed_charge":72.31,"npi":[1174927974]}]}]},{"tin":{"type":"ein","value":"540506332"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":36.90,"providers":[{"billed_charge":90.00,"npi":[1730123472]}]}]},{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":34.14,"providers":[{"billed_charge":89.00,"npi":[1720079254]},{"billed_charge":89.00,"npi":[1720079254]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":33.46,"providers":[{"billed_charge":149.02,"npi":[1457719312]},{"billed_charge":153.78,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":66.73,"providers":[{"billed_charge":150.00,"npi":[1598761967]}]}]},{"tin":{"type":"ein","value":"570634747"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":33.32,"providers":[{"billed_charge":86.00,"npi":[1811000177]}]}]},{"tin":{"type":"ein","value":"570963518"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":33.32,"providers":[{"billed_charge":409.00,"npi":[1992789473]}]}]},{"tin":{"type":"ein","value":"571049603"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":33.46,"providers":[{"billed_charge":150.00,"npi":[1225014657]}]}]},{"tin":{"type":"ein","value":"591226176"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":19.16,"providers":[{"billed_charge":420.00,"npi":[1093782070]}]}]},{"tin":{"type":"ein","value":"741680498"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":37.40,"providers":[{"billed_charge":420.00,"npi":[1538107875]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":94.67,"providers":[{"billed_charge":255.00,"npi":[1093765851]}]},{"allowed_amount":98.79,"providers":[{"billed_charge":255.00,"npi":[1093765851]}]}]}]},{"billing_code":"76705","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"ECHO EXAM OF ABDOMEN","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":121.68,"providers":[{"billed_charge":696.33,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"341567805"},"billing_class":"institutional","payments":[{"allowed_amount":769.41,"providers":[{"billed_charge":927.00,"npi":[1043397292]}]}]},{"tin":{"type":"ein","value":"453576100"},"billing_class":"institutional","payments":[{"allowed_amount":273.97,"providers":[{"billed_charge":2538.00,"npi":[1306123344]}]}]},{"tin":{"type":"ein","value":"453957368"},"billing_class":"institutional","payments":[{"allowed_amount":1292.00,"providers":[{"billed_charge":1900.00,"npi":[1073927117]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":236.04,"providers":[{"billed_charge":672.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":106.72,"providers":[{"billed_charge":571.61,"npi":[1073557559]},{"billed_charge":817.62,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":189.39,"providers":[{"billed_charge":781.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":1101.10,"providers":[{"billed_charge":1573.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"620976863"},"billing_class":"institutional","payments":[{"allowed_amount":1791.71,"providers":[{"billed_charge":3513.15,"npi":[1699721589]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":111.66,"providers":[{"billed_charge":1391.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"876000525"},"billing_class":"institutional","payments":[{"allowed_amount":504.39,"providers":[{"billed_charge":677.04,"npi":[1588656870]}]}]}]},{"billing_code":"76770","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"US EXAM ABDO BACK WALL COMP","allowed_amounts":[{"tin":{"type":"ein","value":"262157500"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":74.20,"providers":[{"billed_charge":106.00,"npi":[1073785044]}]}]},{"tin":{"type":"ein","value":"560954803"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":41.53,"providers":[{"billed_charge":200.00,"npi":[1811920101]}]}]},{"tin":{"type":"ein","value":"571072663"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":89.20,"providers":[{"billed_charge":250.00,"npi":[1104889377]}]}]},{"tin":{"type":"ein","value":"591867557"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":148.75,"providers":[{"billed_charge":175.00,"npi":[1144276452]}]}]},{"tin":{"type":"ein","value":"592292041"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.49,"providers":[{"billed_charge":326.00,"npi":[1417987124]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":90.34,"providers":[{"billed_charge":245.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"640548144"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":71.00,"providers":[{"billed_charge":172.00,"npi":[1861428351]}]}]}]},{"billing_code":"76770","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"US EXAM ABDO BACK WALL COMP","allowed_amounts":[{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":987.00,"providers":[{"billed_charge":1410.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"592142859"},"billing_class":"institutional","payments":[{"allowed_amount":1048.75,"providers":[{"billed_charge":1165.28,"npi":[1821186313]}]}]}]},{"billing_code":"76775","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"US EXAM ABDO BACK WALL LIM","allowed_amounts":[{"tin":{"type":"ein","value":"208488713"},"billing_class":"institutional","payments":[{"allowed_amount":220.86,"providers":[{"billed_charge":2159.72,"npi":[1073893020]}]}]}]},{"billing_code":"76776","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"US EXAM K TRANSPL W/DOPPLER","allowed_amounts":[{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":1777.85,"providers":[{"billed_charge":2998.06,"npi":[1659323772]}]}]}]},{"billing_code":"76801","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"OB US < 14 WKS SINGLE FETUS","allowed_amounts":[{"tin":{"type":"ein","value":"431771217"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":115.64,"providers":[{"billed_charge":157.00,"npi":[1851335228]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":133.66,"providers":[{"billed_charge":244.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":55.98,"providers":[{"billed_charge":691.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"822496814"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":147.06,"providers":[{"billed_charge":238.00,"npi":[1952810129]}]}]}]},{"billing_code":"76801","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"OB US < 14 WKS SINGLE FETUS","allowed_amounts":[{"tin":{"type":"ein","value":"274814831"},"billing_class":"institutional","payments":[{"allowed_amount":1355.20,"providers":[{"billed_charge":1936.00,"npi":[1225323983]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":107.74,"providers":[{"billed_charge":518.00,"npi":[1144211301]}]}]}]},{"billing_code":"76805","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"OB US >= 14 WKS SNGL FETUS","allowed_amounts":[{"tin":{"type":"ein","value":"391994216"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.68,"providers":[{"billed_charge":999.00,"npi":[1003811993]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":57.49,"providers":[{"billed_charge":90.00,"npi":[1710020623]}]}]}]},{"billing_code":"76805","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"OB US >/= 14 WKS SNGL FETUS","allowed_amounts":[{"tin":{"type":"ein","value":"596012065"},"billing_class":"institutional","payments":[{"allowed_amount":829.60,"providers":[{"billed_charge":1037.00,"npi":[1265460232]}]}]}]},{"billing_code":"76805","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"OB US >= 14 WKS SNGL FETUS","allowed_amounts":[{"tin":{"type":"ein","value":"596012065"},"billing_class":"institutional","payments":[{"allowed_amount":829.60,"providers":[{"billed_charge":1037.00,"npi":[1265460232]}]}]}]},{"billing_code":"76811","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"OB US DETAILED SNGL FETUS","allowed_amounts":[{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":240.35,"providers":[{"billed_charge":437.00,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":224.84,"providers":[{"billed_charge":827.00,"npi":[1255315339]},{"billed_charge":827.00,"npi":[1255315339]}]}]}]},{"billing_code":"76811","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"OB US DETAILED SNGL FETUS","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":831.60,"providers":[{"billed_charge":840.00,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":293.74,"providers":[{"billed_charge":834.00,"npi":[1144211301]}]}]}]},{"billing_code":"76815","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"OB US LIMITED FETUS(S)","allowed_amounts":[{"tin":{"type":"ein","value":"410960371"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":95.30,"providers":[{"billed_charge":112.00,"npi":[1871594341]}]}]},{"tin":{"type":"ein","value":"570646674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.75,"providers":[{"billed_charge":342.00,"npi":[1427160845]}]}]},{"tin":{"type":"ein","value":"571049603"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":36.90,"providers":[{"billed_charge":105.00,"npi":[1225014657]},{"billed_charge":105.00,"npi":[1225014657]}]}]},{"tin":{"type":"ein","value":"581126891"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":86.41,"providers":[{"billed_charge":132.00,"npi":[1679563035]}]}]}]},{"billing_code":"76815","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"OB US LIMITED FETUS(S)","allowed_amounts":[{"tin":{"type":"ein","value":"208316475"},"billing_class":"institutional","payments":[{"allowed_amount":384.75,"providers":[{"billed_charge":513.00,"npi":[1225272552]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":92.43,"providers":[{"billed_charge":330.00,"npi":[1144211301]}]},{"allowed_amount":132.21,"providers":[{"billed_charge":434.00,"npi":[1144211301]}]},{"allowed_amount":138.02,"providers":[{"billed_charge":434.00,"npi":[1144211301]}]}]}]},{"billing_code":"76816","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"OB US FOLLOW-UP PER FETUS","allowed_amounts":[{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":86.72,"providers":[{"billed_charge":341.00,"npi":[1255315339]}]},{"allowed_amount":100.78,"providers":[{"billed_charge":341.00,"npi":[1255315339]}]}]},{"tin":{"type":"ein","value":"541679157"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":135.00,"providers":[{"billed_charge":225.00,"npi":[1053417196]}]}]},{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.19,"providers":[{"billed_charge":546.00,"npi":[1437338050]}]}]},{"tin":{"type":"ein","value":"570646674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.15,"providers":[{"billed_charge":270.00,"npi":[1427160845]}]},{"allowed_amount":135.00,"providers":[{"billed_charge":270.00,"npi":[1427160845]}]}]},{"tin":{"type":"ein","value":"571049603"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":47.86,"providers":[{"billed_charge":117.00,"npi":[1225014657]}]}]},{"tin":{"type":"ein","value":"593443182"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":762.85,"providers":[{"billed_charge":803.00,"npi":[1013902923]}]}]},{"tin":{"type":"ein","value":"813425340"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.15,"providers":[{"billed_charge":324.00,"npi":[1194277186]}]}]}]},{"billing_code":"76816","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"OB US FOLLOW-UP PER FETUS","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":693.00,"providers":[{"billed_charge":700.00,"npi":[1578597993]}]},{"allowed_amount":1386.00,"providers":[{"billed_charge":1400.00,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":106.72,"providers":[{"billed_charge":452.00,"npi":[1144211301]}]},{"allowed_amount":109.14,"providers":[{"billed_charge":452.00,"npi":[1144211301]}]},{"allowed_amount":184.94,"providers":[{"billed_charge":679.73,"npi":[1639172869]}]}]}]},{"billing_code":"76817","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"TRANSVAGINAL US OBSTETRIC","allowed_amounts":[{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":137.50,"providers":[{"billed_charge":250.00,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"264045534"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":201.00,"providers":[{"billed_charge":201.00,"npi":[1396979787]}]}]},{"tin":{"type":"ein","value":"570646674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.64,"providers":[{"billed_charge":260.00,"npi":[1427160845]}]}]},{"tin":{"type":"ein","value":"570963518"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":42.50,"providers":[{"billed_charge":367.00,"npi":[1992789473]}]}]},{"tin":{"type":"ein","value":"582047612"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":280.00,"providers":[{"billed_charge":280.00,"npi":[1801908272]}]}]},{"tin":{"type":"ein","value":"620963389"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":41.95,"providers":[{"billed_charge":173.00,"npi":[1386698710]}]}]},{"tin":{"type":"ein","value":"820491054"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":232.51,"providers":[{"billed_charge":280.00,"npi":[1023053204]}]}]}]},{"billing_code":"76817","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"TRANSVAGINAL US OBSTETRIC","allowed_amounts":[{"tin":{"type":"ein","value":"274814831"},"billing_class":"institutional","payments":[{"allowed_amount":1321.60,"providers":[{"billed_charge":1888.00,"npi":[1225323983]}]}]},{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":203.90,"providers":[{"billed_charge":1949.03,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"596012065"},"billing_class":"institutional","payments":[{"allowed_amount":675.20,"providers":[{"billed_charge":844.00,"npi":[1265460232]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":50.82,"providers":[{"billed_charge":144.28,"npi":[1144211301]}]}]}]},{"billing_code":"76818","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"FETAL BIOPHYS PROFILE W/NST","allowed_amounts":[{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":125.20,"providers":[{"billed_charge":411.00,"npi":[1144211301]}]}]}]},{"billing_code":"76819","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"FETAL BIOPHYS PROFIL W/O NST","allowed_amounts":[{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.75,"providers":[{"billed_charge":205.00,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"541679157"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":102.00,"providers":[{"billed_charge":170.00,"npi":[1053417196]}]}]},{"tin":{"type":"ein","value":"570646674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":86.59,"providers":[{"billed_charge":750.00,"npi":[1427160845]}]},{"allowed_amount":375.00,"providers":[{"billed_charge":750.00,"npi":[1427160845]}]}]},{"tin":{"type":"ein","value":"571049603"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":43.08,"providers":[{"billed_charge":117.00,"npi":[1225014657]}]}]},{"tin":{"type":"ein","value":"813425340"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":86.59,"providers":[{"billed_charge":251.00,"npi":[1194277186]}]}]}]},{"billing_code":"76819","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"FETAL BIOPHYS PROFIL W/O NST","allowed_amounts":[{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":104.30,"providers":[{"billed_charge":432.00,"npi":[1144211301]}]},{"allowed_amount":118.02,"providers":[{"billed_charge":433.81,"npi":[1639172869]}]},{"allowed_amount":121.01,"providers":[{"billed_charge":432.00,"npi":[1144211301]}]},{"allowed_amount":144.49,"providers":[{"billed_charge":433.81,"npi":[1639172869]}]}]}]},{"billing_code":"76820","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"UMBILICAL ARTERY ECHO","allowed_amounts":[{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":59.94,"providers":[{"billed_charge":285.00,"npi":[1255315339]}]}]}]},{"billing_code":"76820","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"UMBILICAL ARTERY ECHO","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":60.75,"providers":[{"billed_charge":210.00,"npi":[1578597993]}]},{"allowed_amount":207.90,"providers":[{"billed_charge":210.00,"npi":[1578597993]}]},{"allowed_amount":415.80,"providers":[{"billed_charge":420.00,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"540715569"},"billing_class":"institutional","payments":[{"allowed_amount":196.28,"providers":[{"billed_charge":687.00,"npi":[1770693939]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":56.31,"providers":[{"billed_charge":207.00,"npi":[1639172869]}]},{"allowed_amount":68.95,"providers":[{"billed_charge":207.00,"npi":[1639172869]}]}]}]},{"billing_code":"76821","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"MIDDLE CEREBRAL ARTERY ECHO","allowed_amounts":[{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":83.31,"providers":[{"billed_charge":249.00,"npi":[1255315339]}]}]}]},{"billing_code":"76821","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"MIDDLE CEREBRAL ARTERY ECHO","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":162.01,"providers":[{"billed_charge":560.00,"npi":[1578597993]}]},{"allowed_amount":554.40,"providers":[{"billed_charge":560.00,"npi":[1578597993]}]},{"allowed_amount":1108.80,"providers":[{"billed_charge":1120.00,"npi":[1578597993]}]}]}]},{"billing_code":"76825","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"ECHO EXAM OF FETAL HEART","allowed_amounts":[{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":194.85,"providers":[{"billed_charge":650.00,"npi":[1255315339]}]}]},{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":284.93,"providers":[{"billed_charge":1279.00,"npi":[1437338050]}]}]}]},{"billing_code":"76825","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"ECHO EXAM OF FETAL HEART","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":556.90,"providers":[{"billed_charge":1925.00,"npi":[1578597993]}]},{"allowed_amount":1905.75,"providers":[{"billed_charge":1925.00,"npi":[1578597993]}]}]}]},{"billing_code":"76825","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"ECHO EXAM OF FETAL HEART","allowed_amounts":[{"tin":{"type":"ein","value":"540715569"},"billing_class":"institutional","payments":[{"allowed_amount":521.39,"providers":[{"billed_charge":1825.00,"npi":[1770693939]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":2939.20,"providers":[{"billed_charge":3674.00,"npi":[1578620449]}]}]}]},{"billing_code":"76827","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"ECHO EXAM OF FETAL HEART","allowed_amounts":[{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":68.25,"providers":[{"billed_charge":324.00,"npi":[1255315339]}]}]}]},{"billing_code":"76827","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"ECHO EXAM OF FETAL HEART","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":131.63,"providers":[{"billed_charge":455.00,"npi":[1578597993]}]},{"allowed_amount":450.45,"providers":[{"billed_charge":455.00,"npi":[1578597993]}]}]}]},{"billing_code":"76827","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"ECHO EXAM OF FETAL HEART","allowed_amounts":[{"tin":{"type":"ein","value":"540715569"},"billing_class":"institutional","payments":[{"allowed_amount":117.99,"providers":[{"billed_charge":413.00,"npi":[1770693939]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":1061.60,"providers":[{"billed_charge":1327.00,"npi":[1578620449]}]}]}]},{"billing_code":"76828","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"ECHO EXAM OF FETAL HEART","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":485.10,"providers":[{"billed_charge":490.00,"npi":[1578597993]}]}]}]},{"billing_code":"76830","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"TRANSVAGINAL US NON-OB","allowed_amounts":[{"tin":{"type":"ein","value":"133544120"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":412.76,"providers":[{"billed_charge":804.00,"npi":[1982643003]}]}]},{"tin":{"type":"ein","value":"135562308"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":155.74,"providers":[{"billed_charge":900.00,"npi":[1285826438]}]}]},{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":147.40,"providers":[{"billed_charge":268.00,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"262157500"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":70.70,"providers":[{"billed_charge":101.00,"npi":[1073785044]}]}]},{"tin":{"type":"ein","value":"264473832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":94.76,"providers":[{"billed_charge":271.00,"npi":[1245474022]}]}]},{"tin":{"type":"ein","value":"453583216"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":43.51,"providers":[{"billed_charge":185.00,"npi":[1891070256]}]}]},{"tin":{"type":"ein","value":"474870066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":138.23,"providers":[{"billed_charge":341.00,"npi":[1457020315]}]}]},{"tin":{"type":"ein","value":"475419443"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":209.07,"providers":[{"billed_charge":261.34,"npi":[1609655646]}]}]},{"tin":{"type":"ein","value":"522077594"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.30,"providers":[{"billed_charge":230.00,"npi":[1891849832]}]}]},{"tin":{"type":"ein","value":"540846558"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":49.27,"providers":[{"billed_charge":227.00,"npi":[1114902509]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":39.47,"providers":[{"billed_charge":180.59,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"570646674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":133.02,"providers":[{"billed_charge":462.00,"npi":[1427160845]}]}]},{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":83.89,"providers":[{"billed_charge":220.00,"npi":[1750314183]}]}]},{"tin":{"type":"ein","value":"581143684"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":364.00,"providers":[{"billed_charge":455.00,"npi":[1194962100]}]}]},{"tin":{"type":"ein","value":"582078064"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":230.25,"providers":[{"billed_charge":283.00,"npi":[1891745212]}]}]},{"tin":{"type":"ein","value":"621490616"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.33,"providers":[{"billed_charge":194.00,"npi":[1841794443]}]}]},{"tin":{"type":"ein","value":"742958277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.76,"providers":[{"billed_charge":1086.31,"npi":[1922061993]}]}]},{"tin":{"type":"ein","value":"813704980"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":115.00,"providers":[{"billed_charge":230.00,"npi":[1487100202]}]},{"allowed_amount":150.30,"providers":[{"billed_charge":230.00,"npi":[1487100202]}]}]},{"tin":{"type":"ein","value":"832149743"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":257.55,"providers":[{"billed_charge":303.00,"npi":[1366067712]}]}]},{"tin":{"type":"ein","value":"833143986"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":115.43,"providers":[{"billed_charge":380.00,"npi":[1225502826]}]},{"allowed_amount":122.45,"providers":[{"billed_charge":380.00,"npi":[1225502826]}]},{"allowed_amount":123.88,"providers":[{"billed_charge":380.00,"npi":[1225502826]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.72,"providers":[{"billed_charge":280.00,"npi":[1447239355]}]}]},{"tin":{"type":"ein","value":"910979582"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":96.28,"providers":[{"billed_charge":116.00,"npi":[1396814166]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.41,"providers":[{"billed_charge":327.01,"npi":[1093765851]}]}]}]},{"billing_code":"76830","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"TRANSVAGINAL US NON-OB","allowed_amounts":[{"tin":{"type":"ein","value":"381359247"},"billing_class":"institutional","payments":[{"allowed_amount":605.60,"providers":[{"billed_charge":757.00,"npi":[1437176203]}]}]},{"tin":{"type":"ein","value":"383769889"},"billing_class":"institutional","payments":[{"allowed_amount":861.81,"providers":[{"billed_charge":1190.35,"npi":[1447406699]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":117.09,"providers":[{"billed_charge":810.39,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":1021.30,"providers":[{"billed_charge":1459.00,"npi":[1306938071]}]}]}]},{"billing_code":"76831","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"ECHO EXAM UTERUS","allowed_amounts":[{"tin":{"type":"ein","value":"522077594"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":146.31,"providers":[{"billed_charge":235.00,"npi":[1891849832]}]}]},{"tin":{"type":"ein","value":"833143986"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.82,"providers":[{"billed_charge":650.00,"npi":[1225502826]}]}]}]},{"billing_code":"76856","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"US EXAM PELVIC COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"135562308"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.31,"providers":[{"billed_charge":808.00,"npi":[1285826438]}]}]},{"tin":{"type":"ein","value":"264473832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":272.00,"npi":[1245474022]}]}]},{"tin":{"type":"ein","value":"474870066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.01,"providers":[{"billed_charge":338.00,"npi":[1457020315]}]}]},{"tin":{"type":"ein","value":"540846558"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":48.97,"providers":[{"billed_charge":199.00,"npi":[1114902509]}]}]},{"tin":{"type":"ein","value":"561925320"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":39.09,"providers":[{"billed_charge":102.00,"npi":[1235197179]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":302.42,"providers":[{"billed_charge":510.00,"npi":[1902305063]}]}]},{"tin":{"type":"ein","value":"832149743"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":249.90,"providers":[{"billed_charge":294.00,"npi":[1366067712]}]}]}]},{"billing_code":"76856","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"US EXAM PELVIC COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"381359247"},"billing_class":"institutional","payments":[{"allowed_amount":753.60,"providers":[{"billed_charge":942.00,"npi":[1437176203]}]}]},{"tin":{"type":"ein","value":"383769889"},"billing_class":"institutional","payments":[{"allowed_amount":966.12,"providers":[{"billed_charge":1334.41,"npi":[1447406699]}]}]}]},{"billing_code":"76857","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"US EXAM PELVIC LIMITED","allowed_amounts":[{"tin":{"type":"ein","value":"570646674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.29,"providers":[{"billed_charge":270.00,"npi":[1427160845]}]}]},{"tin":{"type":"ein","value":"591226176"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":29.31,"providers":[{"billed_charge":238.00,"npi":[1093782070]}]}]}]},{"billing_code":"76870","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"US EXAM SCROTUM","allowed_amounts":[{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":246.60,"providers":[{"billed_charge":274.00,"npi":[1306335088]}]}]}]},{"billing_code":"76870","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"US EXAM SCROTUM","allowed_amounts":[{"tin":{"type":"ein","value":"620646012"},"billing_class":"institutional","payments":[{"allowed_amount":164.66,"providers":[{"billed_charge":962.00,"npi":[1033112230]}]}]}]},{"billing_code":"76882","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"US LMTD JT/FCL EVL NVASC XTR","allowed_amounts":[{"tin":{"type":"ein","value":"340714357"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":36.98,"providers":[{"billed_charge":110.00,"npi":[1780857797]}]}]},{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":40.89,"providers":[{"billed_charge":400.00,"npi":[1821035999]}]}]}]},{"billing_code":"76882","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"US LMTD JT/FCL EVL NVASC XTR","allowed_amounts":[{"tin":{"type":"ein","value":"340714357"},"billing_class":"institutional","payments":[{"allowed_amount":656.45,"providers":[{"billed_charge":691.00,"npi":[1861506560]}]}]},{"tin":{"type":"ein","value":"711045290"},"billing_class":"institutional","payments":[{"allowed_amount":363.60,"providers":[{"billed_charge":404.00,"npi":[1962435792]}]}]}]},{"billing_code":"76882","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"US LMTD JT/NONVASC XTR STRUX","allowed_amounts":[{"tin":{"type":"ein","value":"340714357"},"billing_class":"institutional","payments":[{"allowed_amount":656.45,"providers":[{"billed_charge":691.00,"npi":[1861506560]}]}]},{"tin":{"type":"ein","value":"711045290"},"billing_class":"institutional","payments":[{"allowed_amount":363.60,"providers":[{"billed_charge":404.00,"npi":[1962435792]}]}]}]},{"billing_code":"76937","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"US GUIDE VASCULAR ACCESS","allowed_amounts":[{"tin":{"type":"ein","value":"541441839"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":150.00,"npi":[1013910330]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":16.59,"providers":[{"billed_charge":86.01,"npi":[1992754758]},{"billed_charge":86.69,"npi":[1992754758]}]}]}]},{"billing_code":"76937","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"US GUIDE VASCULAR ACCESS","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":769.12,"providers":[{"billed_charge":836.00,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":113.45,"providers":[{"billed_charge":138.02,"npi":[1548315401]}]}]}]},{"billing_code":"76942","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"ECHO GUIDE FOR BIOPSY","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":410.40,"providers":[{"billed_charge":432.00,"npi":[1922074434]}]}]},{"tin":{"type":"ein","value":"471511123"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":35.98,"providers":[{"billed_charge":200.00,"npi":[1346649415]},{"billed_charge":200.00,"npi":[1346649415]}]}]},{"tin":{"type":"ein","value":"560994806"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":35.98,"providers":[{"billed_charge":102.00,"npi":[1215990171]}]}]},{"tin":{"type":"ein","value":"561191387"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":35.98,"providers":[{"billed_charge":403.28,"npi":[1174817993]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":35.98,"providers":[{"billed_charge":194.50,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"570860993"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":42.11,"providers":[{"billed_charge":110.00,"npi":[1417928268]}]}]},{"tin":{"type":"ein","value":"813590035"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":42.11,"providers":[{"billed_charge":868.00,"npi":[1932641313]}]}]}]},{"billing_code":"76942","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"ECHO GUIDE FOR BIOPSY","allowed_amounts":[{"tin":{"type":"ein","value":"410944601"},"billing_class":"institutional","payments":[{"allowed_amount":975.65,"providers":[{"billed_charge":1027.00,"npi":[1841266194]}]}]}]},{"billing_code":"76946","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"ECHO GUIDE FOR AMNIOCENTESIS","allowed_amounts":[{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":44.95,"providers":[{"billed_charge":248.00,"npi":[1255315339]}]}]}]},{"billing_code":"77001","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"FLUOROGUIDE FOR VEIN DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":21.02,"providers":[{"billed_charge":113.83,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":239.40,"providers":[{"billed_charge":266.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"640548144"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":112.00,"npi":[1861428351]}]}]}]},{"billing_code":"77001","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"FLUOROGUIDE FOR VEIN DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":195.15,"providers":[{"billed_charge":237.40,"npi":[1548315401]}]}]}]},{"billing_code":"77002","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"NEEDLE LOCALIZATION BY XRAY","allowed_amounts":[{"tin":{"type":"ein","value":"541147892"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":32.49,"providers":[{"billed_charge":87.00,"npi":[1174533624]}]}]},{"tin":{"type":"ein","value":"923121589"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":334.62,"providers":[{"billed_charge":578.60,"npi":[1245935261]}]}]}]},{"billing_code":"77003","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"FLUOROGUIDE FOR SPINE INJECT","allowed_amounts":[{"tin":{"type":"ein","value":"541147892"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":34.55,"providers":[{"billed_charge":98.00,"npi":[1174533624]}]}]}]},{"billing_code":"77011","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CT SCAN FOR LOCALIZATION","allowed_amounts":[{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":1847.09,"providers":[{"billed_charge":1965.00,"npi":[1841271459]}]}]}]},{"billing_code":"77012","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"CT SCAN FOR NEEDLE BIOPSY","allowed_amounts":[{"tin":{"type":"ein","value":"561925320"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":82.96,"providers":[{"billed_charge":166.00,"npi":[1235197179]}]}]}]},{"billing_code":"77049","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"MRI BREAST C-+ W/CAD BI","allowed_amounts":[{"tin":{"type":"ein","value":"203728202"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":129.20,"providers":[{"billed_charge":140.00,"npi":[1538484803]}]}]},{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1290.30,"providers":[{"billed_charge":1518.00,"npi":[1548210198]}]}]}]},{"billing_code":"77061","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"BREAST TOMOSYNTHESIS UNI","allowed_amounts":[{"tin":{"type":"ein","value":"203728202"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":55.99,"providers":[{"billed_charge":94.00,"npi":[1538484803]}]}]},{"tin":{"type":"ein","value":"223487984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":134.11,"providers":[{"billed_charge":337.00,"npi":[1942254347]}]}]},{"tin":{"type":"ein","value":"560988142"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":62.07,"providers":[{"billed_charge":150.00,"npi":[1356324487]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":66.66,"providers":[{"billed_charge":179.98,"npi":[1972974392]}]}]}]},{"billing_code":"77061","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"BREAST TOMOSYNTHESIS UNI","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":51.24,"providers":[{"billed_charge":235.24,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"711045290"},"billing_class":"institutional","payments":[{"allowed_amount":96.75,"providers":[{"billed_charge":107.50,"npi":[1962435792]}]}]}]},{"billing_code":"77062","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"BREAST TOMOSYNTHESIS BI","allowed_amounts":[{"tin":{"type":"ein","value":"205060581"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":53.40,"providers":[{"billed_charge":89.00,"npi":[1689606188]}]}]},{"tin":{"type":"ein","value":"310983140"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":50.85,"providers":[{"billed_charge":276.00,"npi":[1093718496]}]}]}]},{"billing_code":"77062","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"BREAST TOMOSYNTHESIS BI","allowed_amounts":[{"tin":{"type":"ein","value":"711045290"},"billing_class":"institutional","payments":[{"allowed_amount":96.75,"providers":[{"billed_charge":107.50,"npi":[1891808499]}]}]}]},{"billing_code":"77063","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"BREAST TOMOSYNTHESIS BI","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.75,"providers":[{"billed_charge":65.00,"npi":[1578842035]}]}]},{"tin":{"type":"ein","value":"133544120"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":84.68,"providers":[{"billed_charge":255.00,"npi":[1982643003]}]}]},{"tin":{"type":"ein","value":"200702282"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":78.00,"providers":[{"billed_charge":130.00,"npi":[1245271675]}]}]},{"tin":{"type":"ein","value":"205060581"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":52.80,"providers":[{"billed_charge":88.00,"npi":[1689606188]}]}]},{"tin":{"type":"ein","value":"208484894"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":40.98,"providers":[{"billed_charge":55.29,"npi":[1609994284]}]}]},{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":44.20,"providers":[{"billed_charge":52.00,"npi":[1548210198]}]}]},{"tin":{"type":"ein","value":"231855378"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":36.60,"providers":[{"billed_charge":61.00,"npi":[1669427100]}]}]},{"tin":{"type":"ein","value":"262157500"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":61.60,"providers":[{"billed_charge":88.00,"npi":[1073785044]}]}]},{"tin":{"type":"ein","value":"264473832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.20,"providers":[{"billed_charge":72.00,"npi":[1245474022]}]}]},{"tin":{"type":"ein","value":"300868541"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":38.88,"providers":[{"billed_charge":81.00,"npi":[1992183164]}]}]},{"tin":{"type":"ein","value":"362771855"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":44.20,"providers":[{"billed_charge":54.00,"npi":[1962507889]}]}]},{"tin":{"type":"ein","value":"390452970"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.85,"providers":[{"billed_charge":43.00,"npi":[1952347981]}]}]},{"tin":{"type":"ein","value":"390867579"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":148.80,"providers":[{"billed_charge":186.00,"npi":[1477539443]}]}]},{"tin":{"type":"ein","value":"391824445"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":210.80,"providers":[{"billed_charge":248.00,"npi":[1598784555]}]}]},{"tin":{"type":"ein","value":"461429109"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":58.61,"providers":[{"billed_charge":98.00,"npi":[1275871154]}]}]},{"tin":{"type":"ein","value":"540715569"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.25,"providers":[{"billed_charge":87.00,"npi":[1770693939]}]}]},{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":41.43,"providers":[{"billed_charge":91.00,"npi":[1720079254]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":39.99,"providers":[{"billed_charge":155.94,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561771748"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.23,"providers":[{"billed_charge":175.00,"npi":[1023050630]}]},{"allowed_amount":73.98,"providers":[{"billed_charge":175.00,"npi":[1023050630]}]}]},{"tin":{"type":"ein","value":"561897859"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":28.25,"providers":[{"billed_charge":28.25,"npi":[1477502029]}]}]},{"tin":{"type":"ein","value":"561925320"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":39.99,"providers":[{"billed_charge":55.00,"npi":[1235197179]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":40.13,"providers":[{"billed_charge":180.30,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"562048775"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.80,"providers":[{"billed_charge":131.00,"npi":[1265469795]}]}]},{"tin":{"type":"ein","value":"570963518"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":39.22,"providers":[{"billed_charge":436.00,"npi":[1992789473]}]}]},{"tin":{"type":"ein","value":"571049603"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":39.57,"providers":[{"billed_charge":120.00,"npi":[1225014657]}]}]},{"tin":{"type":"ein","value":"581088313"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":64.54,"providers":[{"billed_charge":132.00,"npi":[1952330615]}]}]},{"tin":{"type":"ein","value":"581126891"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":101.60,"providers":[{"billed_charge":127.00,"npi":[1679563035]}]}]},{"tin":{"type":"ein","value":"581126891"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":116.00,"providers":[{"billed_charge":145.00,"npi":[1679563035]}]}]},{"tin":{"type":"ein","value":"582422542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":62.68,"providers":[{"billed_charge":130.00,"npi":[1174501902]}]}]},{"tin":{"type":"ein","value":"640548144"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":58.00,"providers":[{"billed_charge":122.00,"npi":[1861428351]}]}]},{"tin":{"type":"ein","value":"651091915"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.78,"providers":[{"billed_charge":236.00,"npi":[1376819888]}]}]},{"tin":{"type":"ein","value":"741680498"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":42.04,"providers":[{"billed_charge":186.00,"npi":[1538107875]}]}]},{"tin":{"type":"ein","value":"742958277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.46,"providers":[{"billed_charge":181.28,"npi":[1922061993]}]},{"allowed_amount":32.47,"providers":[{"billed_charge":60.02,"npi":[1922061993]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":39.99,"providers":[{"billed_charge":106.00,"npi":[1598260515]}]}]},{"tin":{"type":"ein","value":"911780160"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":62.40,"providers":[{"billed_charge":96.00,"npi":[1093819542]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":58.87,"providers":[{"billed_charge":354.00,"npi":[1093765851]}]}]}]},{"billing_code":"77063","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"BREAST TOMOSYNTHESIS BI","allowed_amounts":[{"tin":{"type":"ein","value":"010238552"},"billing_class":"institutional","payments":[{"allowed_amount":258.21,"providers":[{"billed_charge":266.20,"npi":[1346299815]}]}]},{"tin":{"type":"ein","value":"042103590"},"billing_class":"institutional","payments":[{"allowed_amount":84.24,"providers":[{"billed_charge":151.00,"npi":[1407804669]}]}]},{"tin":{"type":"ein","value":"250969492"},"billing_class":"institutional","payments":[{"allowed_amount":102.00,"providers":[{"billed_charge":204.00,"npi":[1194744805]}]}]},{"tin":{"type":"ein","value":"314394942"},"billing_class":"institutional","payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":55.00,"npi":[1255377149]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":120.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":179.39,"providers":[{"billed_charge":257.00,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"390816818"},"billing_class":"institutional","payments":[{"allowed_amount":6.10,"providers":[{"billed_charge":7.00,"npi":[1407803638]}]}]},{"tin":{"type":"ein","value":"453576100"},"billing_class":"institutional","payments":[{"allowed_amount":17.08,"providers":[{"billed_charge":171.00,"npi":[1306123344]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":9.27,"providers":[{"billed_charge":67.35,"npi":[1114923406]}]},{"allowed_amount":39.74,"providers":[{"billed_charge":67.35,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":7.80,"providers":[{"billed_charge":129.77,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561897859"},"billing_class":"institutional","payments":[{"allowed_amount":12.44,"providers":[{"billed_charge":22.62,"npi":[1477502029]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":8.87,"providers":[{"billed_charge":132.48,"npi":[1083669030]}]},{"allowed_amount":14.82,"providers":[{"billed_charge":150.05,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"576000094"},"billing_class":"institutional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":50.00,"npi":[1366436073]}]},{"allowed_amount":9.14,"providers":[{"billed_charge":50.00,"npi":[1366436073]}]}]},{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":68.14,"providers":[{"billed_charge":80.17,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":42.75,"providers":[{"billed_charge":61.95,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"590973502"},"billing_class":"institutional","payments":[{"allowed_amount":68.79,"providers":[{"billed_charge":98.27,"npi":[1063426823]}]}]},{"tin":{"type":"ein","value":"616696000"},"billing_class":"institutional","payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":25.00,"npi":[1861194086]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":94.50,"providers":[{"billed_charge":105.00,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"621113737"},"billing_class":"institutional","payments":[{"allowed_amount":196.29,"providers":[{"billed_charge":230.93,"npi":[1982650024]}]}]},{"tin":{"type":"ein","value":"711045290"},"billing_class":"institutional","payments":[{"allowed_amount":140.40,"providers":[{"billed_charge":156.00,"npi":[1962435792]}]}]},{"tin":{"type":"ein","value":"810977948"},"billing_class":"institutional","payments":[{"allowed_amount":33.25,"providers":[{"billed_charge":35.00,"npi":[1952809816]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":25.00,"npi":[1861194086]}]}]}]},{"billing_code":"77065","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"DX MAMMO INCL CAD UNI","allowed_amounts":[{"tin":{"type":"ein","value":"203728202"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":45.35,"providers":[{"billed_charge":127.00,"npi":[1538484803]}]}]},{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":245.65,"providers":[{"billed_charge":289.00,"npi":[1548210198]}]}]},{"tin":{"type":"ein","value":"223487984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":166.76,"providers":[{"billed_charge":470.00,"npi":[1942254347]}]}]},{"tin":{"type":"ein","value":"264473832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.23,"providers":[{"billed_charge":277.00,"npi":[1245474022]}]}]},{"tin":{"type":"ein","value":"560988142"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":45.55,"providers":[{"billed_charge":140.00,"npi":[1356324487]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":45.55,"providers":[{"billed_charge":220.15,"npi":[1972974392]}]}]}]},{"billing_code":"77065","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"DX MAMMO INCL CAD UNI","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":182.26,"providers":[{"billed_charge":836.73,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"711045290"},"billing_class":"institutional","payments":[{"allowed_amount":352.17,"providers":[{"billed_charge":391.30,"npi":[1962435792]}]}]}]},{"billing_code":"77066","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"DX MAMMO INCL CAD BI","allowed_amounts":[{"tin":{"type":"ein","value":"205060581"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":118.20,"providers":[{"billed_charge":197.00,"npi":[1689606188]}]}]},{"tin":{"type":"ein","value":"310983140"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":58.02,"providers":[{"billed_charge":166.00,"npi":[1093718496]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":56.02,"providers":[{"billed_charge":264.08,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"582117020"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":276.80,"providers":[{"billed_charge":346.00,"npi":[1326019977]}]}]}]},{"billing_code":"77066","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"DX MAMMO INCL CAD BI","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":246.00,"providers":[{"billed_charge":843.26,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"711045290"},"billing_class":"institutional","payments":[{"allowed_amount":448.92,"providers":[{"billed_charge":498.80,"npi":[1891808499]}]}]}]},{"billing_code":"77067","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"SCR MAMMO BI INCL CAD","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":176.78,"providers":[{"billed_charge":255.00,"npi":[1578842035]}]},{"allowed_amount":191.25,"providers":[{"billed_charge":255.00,"npi":[1578842035]}]}]},{"tin":{"type":"ein","value":"133544120"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":215.87,"providers":[{"billed_charge":780.00,"npi":[1982643003]}]}]},{"tin":{"type":"ein","value":"200702282"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":136.80,"providers":[{"billed_charge":228.00,"npi":[1245271675]}]}]},{"tin":{"type":"ein","value":"205060581"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":97.20,"providers":[{"billed_charge":162.00,"npi":[1689606188]}]}]},{"tin":{"type":"ein","value":"208484894"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":43.92,"providers":[{"billed_charge":70.40,"npi":[1609994284]}]}]},{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":245.65,"providers":[{"billed_charge":289.00,"npi":[1548210198]}]}]},{"tin":{"type":"ein","value":"231855378"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":74.40,"providers":[{"billed_charge":124.00,"npi":[1669427100]}]}]},{"tin":{"type":"ein","value":"262157500"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":77.00,"providers":[{"billed_charge":110.00,"npi":[1073785044]}]}]},{"tin":{"type":"ein","value":"264473832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.68,"providers":[{"billed_charge":305.00,"npi":[1245474022]}]}]},{"tin":{"type":"ein","value":"300868541"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":49.44,"providers":[{"billed_charge":103.00,"npi":[1992183164]}]}]},{"tin":{"type":"ein","value":"362771855"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":46.59,"providers":[{"billed_charge":130.00,"npi":[1962507889]}]}]},{"tin":{"type":"ein","value":"390452970"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":230.47,"providers":[{"billed_charge":242.60,"npi":[1952347981]}]}]},{"tin":{"type":"ein","value":"390867579"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":189.60,"providers":[{"billed_charge":237.00,"npi":[1477539443]}]}]},{"tin":{"type":"ein","value":"391824445"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":546.55,"providers":[{"billed_charge":643.00,"npi":[1598784555]}]}]},{"tin":{"type":"ein","value":"461429109"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":74.67,"providers":[{"billed_charge":125.00,"npi":[1275871154]}]}]},{"tin":{"type":"ein","value":"540715569"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":137.41,"providers":[{"billed_charge":621.00,"npi":[1770693939]}]}]},{"tin":{"type":"ein","value":"540719796"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":43.98,"providers":[{"billed_charge":116.00,"npi":[1720079254]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":43.11,"providers":[{"billed_charge":197.76,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561771748"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":139.06,"providers":[{"billed_charge":350.00,"npi":[1023050630]}]},{"allowed_amount":147.95,"providers":[{"billed_charge":350.00,"npi":[1023050630]}]}]},{"tin":{"type":"ein","value":"561897859"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":35.56,"providers":[{"billed_charge":35.56,"npi":[1477502029]}]}]},{"tin":{"type":"ein","value":"561925320"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":43.11,"providers":[{"billed_charge":115.00,"npi":[1235197179]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":43.11,"providers":[{"billed_charge":228.66,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"562048775"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":316.00,"providers":[{"billed_charge":395.00,"npi":[1265469795]}]}]},{"tin":{"type":"ein","value":"570963518"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":51.42,"providers":[{"billed_charge":872.00,"npi":[1992789473]}]}]},{"tin":{"type":"ein","value":"571049603"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":43.11,"providers":[{"billed_charge":192.00,"npi":[1225014657]}]}]},{"tin":{"type":"ein","value":"581088313"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":79.03,"providers":[{"billed_charge":220.00,"npi":[1952330615]}]}]},{"tin":{"type":"ein","value":"581126891"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":129.60,"providers":[{"billed_charge":162.00,"npi":[1679563035]}]}]},{"tin":{"type":"ein","value":"581126891"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":140.00,"providers":[{"billed_charge":175.00,"npi":[1679563035]}]}]},{"tin":{"type":"ein","value":"582422542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":315.00,"providers":[{"billed_charge":460.00,"npi":[1174501902]}]}]},{"tin":{"type":"ein","value":"640548144"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":91.00,"providers":[{"billed_charge":130.00,"npi":[1861428351]}]}]},{"tin":{"type":"ein","value":"651091915"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.59,"providers":[{"billed_charge":706.00,"npi":[1376819888]}]}]},{"tin":{"type":"ein","value":"741680498"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":45.77,"providers":[{"billed_charge":276.00,"npi":[1538107875]}]}]},{"tin":{"type":"ein","value":"742958277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.35,"providers":[{"billed_charge":76.00,"npi":[1922061993]}]},{"allowed_amount":105.07,"providers":[{"billed_charge":367.50,"npi":[1922061993]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":43.11,"providers":[{"billed_charge":133.00,"npi":[1598260515]}]}]},{"tin":{"type":"ein","value":"911780160"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":77.35,"providers":[{"billed_charge":119.00,"npi":[1093819542]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":144.47,"providers":[{"billed_charge":687.00,"npi":[1093765851]}]}]}]},{"billing_code":"77067","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"SCR MAMMO BI INCL CAD","allowed_amounts":[{"tin":{"type":"ein","value":"010238552"},"billing_class":"institutional","payments":[{"allowed_amount":251.77,"providers":[{"billed_charge":259.55,"npi":[1346299815]}]}]},{"tin":{"type":"ein","value":"042103590"},"billing_class":"institutional","payments":[{"allowed_amount":334.72,"providers":[{"billed_charge":600.00,"npi":[1407804669]}]}]},{"tin":{"type":"ein","value":"250969492"},"billing_class":"institutional","payments":[{"allowed_amount":250.50,"providers":[{"billed_charge":501.00,"npi":[1194744805]}]}]},{"tin":{"type":"ein","value":"314394942"},"billing_class":"institutional","payments":[{"allowed_amount":38.80,"providers":[{"billed_charge":206.00,"npi":[1255377149]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":391.50,"providers":[{"billed_charge":522.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":376.92,"providers":[{"billed_charge":540.00,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"390816818"},"billing_class":"institutional","payments":[{"allowed_amount":417.21,"providers":[{"billed_charge":479.00,"npi":[1407803638]}]}]},{"tin":{"type":"ein","value":"453576100"},"billing_class":"institutional","payments":[{"allowed_amount":39.74,"providers":[{"billed_charge":398.00,"npi":[1306123344]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":58.51,"providers":[{"billed_charge":425.25,"npi":[1114923406]}]},{"allowed_amount":250.89,"providers":[{"billed_charge":425.25,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":52.47,"providers":[{"billed_charge":873.75,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561897859"},"billing_class":"institutional","payments":[{"allowed_amount":47.83,"providers":[{"billed_charge":86.95,"npi":[1477502029]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":45.97,"providers":[{"billed_charge":686.51,"npi":[1083669030]}]},{"allowed_amount":67.04,"providers":[{"billed_charge":678.71,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"576000094"},"billing_class":"institutional","payments":[{"allowed_amount":47.47,"providers":[{"billed_charge":261.00,"npi":[1366436073]}]},{"allowed_amount":47.68,"providers":[{"billed_charge":261.00,"npi":[1366436073]}]}]},{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":293.73,"providers":[{"billed_charge":345.56,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":449.29,"providers":[{"billed_charge":651.15,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"590973502"},"billing_class":"institutional","payments":[{"allowed_amount":330.75,"providers":[{"billed_charge":472.50,"npi":[1063426823]}]}]},{"tin":{"type":"ein","value":"616696000"},"billing_class":"institutional","payments":[{"allowed_amount":360.00,"providers":[{"billed_charge":450.00,"npi":[1861194086]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":457.20,"providers":[{"billed_charge":508.00,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"621113737"},"billing_class":"institutional","payments":[{"allowed_amount":540.64,"providers":[{"billed_charge":636.05,"npi":[1982650024]}]}]},{"tin":{"type":"ein","value":"711045290"},"billing_class":"institutional","payments":[{"allowed_amount":377.10,"providers":[{"billed_charge":419.00,"npi":[1962435792]}]}]},{"tin":{"type":"ein","value":"810977948"},"billing_class":"institutional","payments":[{"allowed_amount":616.55,"providers":[{"billed_charge":649.00,"npi":[1952809816]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":360.00,"providers":[{"billed_charge":450.00,"npi":[1861194086]}]}]}]},{"billing_code":"77075","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"X-RAYS BONE SURVEY COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"364727660"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":263.65,"providers":[{"billed_charge":909.00,"npi":[1912266420]}]}]}]},{"billing_code":"77080","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"DXA BONE DENSITY AXIAL","allowed_amounts":[{"tin":{"type":"ein","value":"461429109"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":20.74,"providers":[{"billed_charge":32.00,"npi":[1275871154]}]}]},{"tin":{"type":"ein","value":"561925320"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":11.19,"providers":[{"billed_charge":45.00,"npi":[1235197179]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":42.93,"providers":[{"billed_charge":362.00,"npi":[1093765851]}]}]}]},{"billing_code":"77080","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"DXA BONE DENSITY AXIAL","allowed_amounts":[{"tin":{"type":"ein","value":"020222140"},"billing_class":"institutional","payments":[{"allowed_amount":640.32,"providers":[{"billed_charge":736.00,"npi":[1023092053]}]}]},{"tin":{"type":"ein","value":"042103590"},"billing_class":"institutional","payments":[{"allowed_amount":291.78,"providers":[{"billed_charge":523.00,"npi":[1407804669]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":429.60,"providers":[{"billed_charge":537.00,"npi":[1861194086]}]}]}]},{"billing_code":"77263","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"RADIATION THERAPY PLANNING","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1630.20,"providers":[{"billed_charge":1716.00,"npi":[1558332494]}]}]}]},{"billing_code":"77290","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"SET RADIATION THERAPY FIELD","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":841.70,"providers":[{"billed_charge":886.00,"npi":[1558332494]}]}]}]},{"billing_code":"77300","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"RADIATION THERAPY DOSE PLAN","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":798.00,"providers":[{"billed_charge":840.00,"npi":[1558332494]}]}]}]},{"billing_code":"77301","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"RADIOTHERAPY DOSE PLAN IMRT","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":2660.00,"providers":[{"billed_charge":2800.00,"npi":[1558332494]}]}]}]},{"billing_code":"77334","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"RADIATION TREATMENT AID(S)","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1187.50,"providers":[{"billed_charge":1250.00,"npi":[1558332494]}]}]}]},{"billing_code":"77338","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"DESIGN MLC DEVICE FOR IMRT","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1330.00,"providers":[{"billed_charge":1400.00,"npi":[1558332494]}]}]}]},{"billing_code":"77435","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"SBRT MANAGEMENT","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":4389.00,"providers":[{"billed_charge":4620.00,"npi":[1558332494]}]}]}]},{"billing_code":"78072","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"PARATHYRD PLANAR W/SPECT&CT","allowed_amounts":[{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":86.99,"providers":[{"billed_charge":1197.00,"npi":[1821035999]}]}]}]},{"billing_code":"78227","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"HEPATOBIL SYST IMAGE W/DRUG","allowed_amounts":[{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":50.01,"providers":[{"billed_charge":684.00,"npi":[1821035999]}]}]}]},{"billing_code":"78264","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"GASTRIC EMPTYING IMAG STUDY","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":489.39,"providers":[{"billed_charge":2258.26,"npi":[1578516902]}]}]}]},{"billing_code":"78452","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"HT MUSCLE IMAGE SPECT MULT","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":89.72,"providers":[{"billed_charge":414.90,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"592123944"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":494.40,"providers":[{"billed_charge":824.00,"npi":[1669405379]}]}]}]},{"billing_code":"78452","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"HT MUSCLE IMAGE SPECT MULT","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":1500.54,"providers":[{"billed_charge":9224.77,"npi":[1750333282]}]}]}]},{"billing_code":"78707","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"K FLOW/FUNCT IMAGE W/O DRUG","allowed_amounts":[{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":1254.20,"providers":[{"billed_charge":2115.00,"npi":[1659323772]}]}]}]},{"billing_code":"78815","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"PET IMAGE W/CT SKULL-THIGH","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":134.46,"providers":[{"billed_charge":673.17,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"832236308"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":113.94,"providers":[{"billed_charge":274.00,"npi":[1275165052]}]}]}]},{"billing_code":"78815","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"PET IMAGE W/CT SKULL-THIGH","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":6773.47,"providers":[{"billed_charge":8936.00,"npi":[1679525919]}]},{"allowed_amount":6773.49,"providers":[{"billed_charge":8936.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"381434090"},"billing_class":"institutional","payments":[{"allowed_amount":4218.32,"providers":[{"billed_charge":5272.90,"npi":[1134104672]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":1568.31,"providers":[{"billed_charge":8487.27,"npi":[1992754758]}]}]}]},{"billing_code":"78816","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"PET IMAGE W/CT FULL BODY","allowed_amounts":[{"tin":{"type":"ein","value":"320591656"},"billing_class":"institutional","payments":[{"allowed_amount":693.00,"providers":[{"billed_charge":700.00,"npi":[1578597993]}]}]}]},{"billing_code":"80047","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"METABOLIC PANEL IONIZED CA","allowed_amounts":[{"tin":{"type":"ein","value":"273818647"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":41.39,"providers":[{"billed_charge":42.00,"npi":[1275992240]}]}]},{"tin":{"type":"ein","value":"391102739"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":22.40,"providers":[{"billed_charge":28.00,"npi":[1689695934]}]}]}]},{"billing_code":"80047","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"METABOLIC PANEL IONIZED CA","allowed_amounts":[{"tin":{"type":"ein","value":"272953799"},"billing_class":"institutional","payments":[{"allowed_amount":170.00,"providers":[{"billed_charge":200.00,"npi":[1265740195]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":97.95,"providers":[{"billed_charge":408.00,"npi":[1376540138]}]}]}]},{"billing_code":"80048","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"METABOLIC PANEL TOTAL CA","allowed_amounts":[{"tin":{"type":"ein","value":"043397450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":34.00,"npi":[1871639914]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.03,"providers":[{"billed_charge":80.63,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"260070193"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.61,"providers":[{"billed_charge":16.92,"npi":[1780001859]}]}]},{"tin":{"type":"ein","value":"310993406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.61,"providers":[{"billed_charge":20.00,"npi":[1861451437]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.02,"providers":[{"billed_charge":23.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"562086200"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":15.00,"npi":[1710145529]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.01,"providers":[{"billed_charge":29.00,"npi":[1497797088]},{"billed_charge":39.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"823762961"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":22.00,"npi":[1003308305]}]}]},{"tin":{"type":"ein","value":"954896039"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.61,"providers":[{"billed_charge":31.32,"npi":[1477556876]}]}]}]},{"billing_code":"80048","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"METABOLIC PANEL TOTAL CA","allowed_amounts":[{"tin":{"type":"ein","value":"042104693"},"billing_class":"institutional","payments":[{"allowed_amount":66.00,"providers":[{"billed_charge":88.00,"npi":[1396738159]}]}]},{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":112.34,"providers":[{"billed_charge":137.00,"npi":[1790717650]}]}]},{"tin":{"type":"ein","value":"111562701"},"billing_class":"institutional","payments":[{"allowed_amount":114.73,"providers":[{"billed_charge":149.00,"npi":[1366459570]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":22.32,"npi":[1801803903]}]},{"allowed_amount":7.68,"providers":[{"billed_charge":22.32,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"141364536"},"billing_class":"institutional","payments":[{"allowed_amount":13.85,"providers":[{"billed_charge":117.00,"npi":[1609875772]}]}]},{"tin":{"type":"ein","value":"208316475"},"billing_class":"institutional","payments":[{"allowed_amount":37.50,"providers":[{"billed_charge":50.00,"npi":[1225272552]}]}]},{"tin":{"type":"ein","value":"217981300"},"billing_class":"institutional","payments":[{"allowed_amount":64.01,"providers":[{"billed_charge":162.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"231352204"},"billing_class":"institutional","payments":[{"allowed_amount":174.02,"providers":[{"billed_charge":226.00,"npi":[1669530069]}]}]},{"tin":{"type":"ein","value":"250965480"},"billing_class":"institutional","payments":[{"allowed_amount":231.00,"providers":[{"billed_charge":330.00,"npi":[1821007881]}]}]},{"tin":{"type":"ein","value":"250969492"},"billing_class":"institutional","payments":[{"allowed_amount":38.00,"providers":[{"billed_charge":76.00,"npi":[1285667493]}]}]},{"tin":{"type":"ein","value":"274814831"},"billing_class":"institutional","payments":[{"allowed_amount":181.30,"providers":[{"billed_charge":259.00,"npi":[1225323983]}]}]},{"tin":{"type":"ein","value":"311626179"},"billing_class":"institutional","payments":[{"allowed_amount":113.05,"providers":[{"billed_charge":161.50,"npi":[1538164090]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":84.89,"providers":[{"billed_charge":112.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"340715726"},"billing_class":"institutional","payments":[{"allowed_amount":114.90,"providers":[{"billed_charge":229.79,"npi":[1134179799]}]}]},{"tin":{"type":"ein","value":"350211370"},"billing_class":"institutional","payments":[{"allowed_amount":14.46,"providers":[{"billed_charge":108.25,"npi":[1386683316]}]}]},{"tin":{"type":"ein","value":"351814660"},"billing_class":"institutional","payments":[{"allowed_amount":39.79,"providers":[{"billed_charge":46.00,"npi":[1063443455]}]}]},{"tin":{"type":"ein","value":"381459362"},"billing_class":"institutional","payments":[{"allowed_amount":11.77,"providers":[{"billed_charge":43.00,"npi":[1932396017]}]}]},{"tin":{"type":"ein","value":"460224743"},"billing_class":"institutional","payments":[{"allowed_amount":296.40,"providers":[{"billed_charge":312.00,"npi":[1568460772]}]}]},{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":48.06,"providers":[{"billed_charge":53.40,"npi":[1922487966]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":32.63,"providers":[{"billed_charge":506.26,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":57.89,"providers":[{"billed_charge":323.15,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"560535674"},"billing_class":"institutional","payments":[{"allowed_amount":4.14,"providers":[{"billed_charge":8.28,"npi":[1366401648]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":12.77,"providers":[{"billed_charge":283.65,"npi":[1073557559]}]},{"allowed_amount":17.99,"providers":[{"billed_charge":283.65,"npi":[1750333282]}]},{"allowed_amount":29.80,"providers":[{"billed_charge":405.73,"npi":[1477504280]}]},{"allowed_amount":72.31,"providers":[{"billed_charge":362.37,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":10.93,"providers":[{"billed_charge":315.96,"npi":[1578516902]}]},{"allowed_amount":65.69,"providers":[{"billed_charge":315.96,"npi":[1568417798]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":27.54,"providers":[{"billed_charge":323.15,"npi":[1558311357]}]},{"allowed_amount":42.56,"providers":[{"billed_charge":323.15,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":8.44,"providers":[{"billed_charge":315.96,"npi":[1083669030]}]},{"allowed_amount":13.84,"providers":[{"billed_charge":315.96,"npi":[1083669030]}]},{"allowed_amount":15.40,"providers":[{"billed_charge":312.37,"npi":[1992754758]}]},{"allowed_amount":16.32,"providers":[{"billed_charge":315.96,"npi":[1083669030]}]},{"allowed_amount":18.11,"providers":[{"billed_charge":315.96,"npi":[1083669030]}]},{"allowed_amount":19.97,"providers":[{"billed_charge":302.53,"npi":[1992754758]}]},{"allowed_amount":23.64,"providers":[{"billed_charge":315.96,"npi":[1083669030]}]},{"allowed_amount":26.02,"providers":[{"billed_charge":315.96,"npi":[1083669030]}]},{"allowed_amount":35.70,"providers":[{"billed_charge":315.96,"npi":[1083669030]}]},{"allowed_amount":36.43,"providers":[{"billed_charge":315.96,"npi":[1083669030]}]},{"allowed_amount":39.12,"providers":[{"billed_charge":315.96,"npi":[1083669030]}]},{"allowed_amount":43.74,"providers":[{"billed_charge":315.96,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":16.47,"providers":[{"billed_charge":337.51,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":115.37,"providers":[{"billed_charge":139.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":98.25,"providers":[{"billed_charge":131.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":221.00,"providers":[{"billed_charge":340.00,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":96.51,"providers":[{"billed_charge":400.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"680561190"},"billing_class":"institutional","payments":[{"allowed_amount":38.58,"providers":[{"billed_charge":75.00,"npi":[1124193511]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":585.20,"providers":[{"billed_charge":665.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":21.55,"providers":[{"billed_charge":101.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":56.92,"providers":[{"billed_charge":70.21,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":190.00,"providers":[{"billed_charge":200.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"910565546"},"billing_class":"institutional","payments":[{"allowed_amount":55.51,"providers":[{"billed_charge":62.94,"npi":[1518912609]}]}]},{"tin":{"type":"ein","value":"911352172"},"billing_class":"institutional","payments":[{"allowed_amount":23.04,"providers":[{"billed_charge":32.00,"npi":[1366556227]}]}]}]},{"billing_code":"80050","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"GENERAL HEALTH PANEL","allowed_amounts":[{"tin":{"type":"ein","value":"112981029"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":22.73,"providers":[{"billed_charge":139.25,"npi":[1376587113]}]}]},{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":21.68,"providers":[{"billed_charge":179.55,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":23.84,"providers":[{"billed_charge":290.47,"npi":[1932145778]}]},{"allowed_amount":25.73,"providers":[{"billed_charge":302.08,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"201357375"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.98,"providers":[{"billed_charge":190.00,"npi":[1679528798]}]}]},{"tin":{"type":"ein","value":"202265068"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":65.60,"providers":[{"billed_charge":82.00,"npi":[1013042480]}]}]},{"tin":{"type":"ein","value":"205657908"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":152.15,"providers":[{"billed_charge":179.00,"npi":[1710064811]}]}]},{"tin":{"type":"ein","value":"233079507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":47.70,"providers":[{"billed_charge":198.76,"npi":[1043271539]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":21.68,"providers":[{"billed_charge":150.39,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"341720429"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":76.70,"npi":[1619980430]}]}]},{"tin":{"type":"ein","value":"460218851"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.00,"providers":[{"billed_charge":35.00,"npi":[1487602843]}]}]},{"tin":{"type":"ein","value":"461243081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.50,"providers":[{"billed_charge":75.00,"npi":[1750626495]}]}]},{"tin":{"type":"ein","value":"462456505"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.27,"providers":[{"billed_charge":85.00,"npi":[1578969465]}]}]},{"tin":{"type":"ein","value":"521923448"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.78,"providers":[{"billed_charge":100.00,"npi":[1083667067]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.29,"providers":[{"billed_charge":75.00,"npi":[1720794944]}]}]},{"tin":{"type":"ein","value":"571186418"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.29,"providers":[{"billed_charge":192.00,"npi":[1376564625]}]}]},{"tin":{"type":"ein","value":"581351195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":120.00,"npi":[1386763514]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.58,"providers":[{"billed_charge":110.00,"npi":[1679599088]}]}]},{"tin":{"type":"ein","value":"590704934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.00,"providers":[{"billed_charge":194.00,"npi":[1316940695]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.64,"providers":[{"billed_charge":380.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"621508884"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.37,"providers":[{"billed_charge":180.00,"npi":[1346250057]}]}]},{"tin":{"type":"ein","value":"710897031"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":25.20,"providers":[{"billed_charge":302.08,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"720399647"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.45,"providers":[{"billed_charge":105.39,"npi":[1831180637]}]}]},{"tin":{"type":"ein","value":"753028076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.10,"providers":[{"billed_charge":216.00,"npi":[1396955431]}]}]},{"tin":{"type":"ein","value":"800198515"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.68,"providers":[{"billed_charge":247.00,"npi":[1033128822]}]}]},{"tin":{"type":"ein","value":"810576059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":42.00,"providers":[{"billed_charge":60.00,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"883286578"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":21.63,"providers":[{"billed_charge":286.10,"npi":[1366150773]}]}]},{"tin":{"type":"ein","value":"923479126"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.30,"providers":[{"billed_charge":109.00,"npi":[1982381299]}]}]}]},{"billing_code":"80050","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"GENERAL HEALTH PANEL","allowed_amounts":[{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":64.35,"providers":[{"billed_charge":467.60,"npi":[1114923406]}]},{"allowed_amount":275.88,"providers":[{"billed_charge":467.60,"npi":[1114923406]}]},{"allowed_amount":275.89,"providers":[{"billed_charge":467.60,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":73.00,"providers":[{"billed_charge":646.35,"npi":[1316997356]}]},{"allowed_amount":83.56,"providers":[{"billed_charge":646.35,"npi":[1174800585]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":54.42,"providers":[{"billed_charge":811.53,"npi":[1457719312]}]},{"allowed_amount":77.47,"providers":[{"billed_charge":811.53,"npi":[1457719312]}]},{"allowed_amount":79.09,"providers":[{"billed_charge":567.35,"npi":[1073557559]}]},{"allowed_amount":82.03,"providers":[{"billed_charge":811.53,"npi":[1457719312]}]},{"allowed_amount":83.53,"providers":[{"billed_charge":811.53,"npi":[1457719312]}]},{"allowed_amount":113.38,"providers":[{"billed_charge":811.53,"npi":[1457719312]}]},{"allowed_amount":115.59,"providers":[{"billed_charge":567.35,"npi":[1073557559]}]},{"allowed_amount":117.43,"providers":[{"billed_charge":567.35,"npi":[1073557559]}]},{"allowed_amount":127.16,"providers":[{"billed_charge":567.35,"npi":[1073557559]}]},{"allowed_amount":130.65,"providers":[{"billed_charge":567.35,"npi":[1073557559]}]},{"allowed_amount":139.23,"providers":[{"billed_charge":567.35,"npi":[1073557559]}]},{"allowed_amount":397.15,"providers":[{"billed_charge":567.35,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":86.51,"providers":[{"billed_charge":631.99,"npi":[1972974392]}]},{"allowed_amount":103.22,"providers":[{"billed_charge":631.99,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":53.19,"providers":[{"billed_charge":646.35,"npi":[1558311357]}]},{"allowed_amount":53.74,"providers":[{"billed_charge":646.35,"npi":[1558311357]}]},{"allowed_amount":55.08,"providers":[{"billed_charge":646.35,"npi":[1558311357]}]},{"allowed_amount":59.12,"providers":[{"billed_charge":646.35,"npi":[1619350261]}]},{"allowed_amount":69.05,"providers":[{"billed_charge":578.92,"npi":[1558311357]}]},{"allowed_amount":85.64,"providers":[{"billed_charge":578.92,"npi":[1558311357]}]},{"allowed_amount":117.43,"providers":[{"billed_charge":646.35,"npi":[1558311357]}]},{"allowed_amount":578.92,"providers":[{"billed_charge":578.92,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":74.69,"providers":[{"billed_charge":631.99,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":83.86,"providers":[{"billed_charge":675.08,"npi":[1649218579]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":87.55,"providers":[{"billed_charge":128.75,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":67.47,"providers":[{"billed_charge":603.85,"npi":[1043270564]}]},{"allowed_amount":443.84,"providers":[{"billed_charge":634.05,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":258.89,"providers":[{"billed_charge":739.72,"npi":[1831148253]}]}]}]},{"billing_code":"80051","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ELECTROLYTE PANEL","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":94.39,"providers":[{"billed_charge":143.01,"npi":[1245720820]}]}]}]},{"billing_code":"80051","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ELECTROLYTE PANEL","allowed_amounts":[{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":49.05,"providers":[{"billed_charge":525.48,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"540853898"},"billing_class":"institutional","payments":[{"allowed_amount":35.77,"providers":[{"billed_charge":186.00,"npi":[1548366404]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":180.00,"providers":[{"billed_charge":240.00,"npi":[1174582050]}]},{"allowed_amount":240.00,"providers":[{"billed_charge":240.00,"npi":[1174582050]}]}]}]},{"billing_code":"80053","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"COMPREHEN METABOLIC PANEL","allowed_amounts":[{"tin":{"type":"ein","value":"043248020"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.11,"providers":[{"billed_charge":100.75,"npi":[1952347791]}]}]},{"tin":{"type":"ein","value":"050524222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.50,"providers":[{"billed_charge":78.00,"npi":[1285713859]}]}]},{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.45,"providers":[{"billed_charge":48.30,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"133971298"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":273.43,"providers":[{"billed_charge":325.51,"npi":[1801992631]}]}]},{"tin":{"type":"ein","value":"200677400"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.40,"providers":[{"billed_charge":62.00,"npi":[1841228871]}]}]},{"tin":{"type":"ein","value":"203059260"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.00,"providers":[{"billed_charge":40.00,"npi":[1598958431]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":17.00,"npi":[1922259753]}]}]},{"tin":{"type":"ein","value":"222405059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.81,"providers":[{"billed_charge":36.00,"npi":[1134277494]}]},{"allowed_amount":9.50,"providers":[{"billed_charge":36.00,"npi":[1134277494]}]}]},{"tin":{"type":"ein","value":"233079507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.77,"providers":[{"billed_charge":59.88,"npi":[1043271539]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.50,"providers":[{"billed_charge":31.68,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"352539778"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.39,"providers":[{"billed_charge":13.20,"npi":[1972971265]}]}]},{"tin":{"type":"ein","value":"352585434"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.48,"providers":[{"billed_charge":105.00,"npi":[1932640349]}]}]},{"tin":{"type":"ein","value":"362169147"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.39,"providers":[{"billed_charge":77.00,"npi":[1700824455]}]}]},{"tin":{"type":"ein","value":"382084239"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.45,"providers":[{"billed_charge":100.75,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":101.65,"providers":[{"billed_charge":107.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"455523028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.53,"providers":[{"billed_charge":23.00,"npi":[1528323268]}]}]},{"tin":{"type":"ein","value":"461243081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.80,"providers":[{"billed_charge":22.00,"npi":[1750626495]}]}]},{"tin":{"type":"ein","value":"471359076"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.45,"providers":[{"billed_charge":31.68,"npi":[1134538713]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.45,"providers":[{"billed_charge":15.84,"npi":[1104258995]}]},{"allowed_amount":10.56,"providers":[{"billed_charge":15.84,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"560552787"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.50,"providers":[{"billed_charge":34.40,"npi":[1144211301]}]}]},{"tin":{"type":"ein","value":"561031244"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.50,"providers":[{"billed_charge":25.03,"npi":[1114978582]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":10.57,"providers":[{"billed_charge":74.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"561826996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.50,"providers":[{"billed_charge":60.00,"npi":[1467449728]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.50,"providers":[{"billed_charge":19.00,"npi":[1720794944]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.50,"providers":[{"billed_charge":50.00,"npi":[1598761967]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.45,"providers":[{"billed_charge":32.00,"npi":[1750567970,1780623207]}]}]},{"tin":{"type":"ein","value":"562086200"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.73,"providers":[{"billed_charge":26.00,"npi":[1710145529]}]}]},{"tin":{"type":"ein","value":"571122647"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":8.17,"providers":[{"billed_charge":15.00,"npi":[1831151976]}]}]},{"tin":{"type":"ein","value":"571186418"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.45,"providers":[{"billed_charge":66.00,"npi":[1376564625]}]}]},{"tin":{"type":"ein","value":"576000254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.50,"providers":[{"billed_charge":38.00,"npi":[1053437301]}]}]},{"tin":{"type":"ein","value":"576000934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.17,"providers":[{"billed_charge":93.00,"npi":[1235170077]}]}]},{"tin":{"type":"ein","value":"581132913"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":7.02,"providers":[{"billed_charge":31.00,"npi":[1508848300]}]}]},{"tin":{"type":"ein","value":"582483738"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.71,"providers":[{"billed_charge":40.00,"npi":[1356560569]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":25.20,"providers":[{"billed_charge":36.00,"npi":[1134766694]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.45,"providers":[{"billed_charge":31.00,"npi":[1497797088]},{"billed_charge":41.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"593337028"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":498.75,"providers":[{"billed_charge":525.00,"npi":[1285621631]}]}]},{"tin":{"type":"ein","value":"621508884"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":62.00,"npi":[1346250057]}]},{"allowed_amount":14.31,"providers":[{"billed_charge":62.00,"npi":[1346250057]}]}]},{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.00,"providers":[{"billed_charge":18.00,"npi":[1811955917]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":19.13,"providers":[{"billed_charge":37.00,"npi":[1942526298]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":8.17,"providers":[{"billed_charge":37.00,"npi":[1942526298]}]}]},{"tin":{"type":"ein","value":"810576059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.78,"providers":[{"billed_charge":21.12,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"813168134"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.50,"providers":[{"billed_charge":15.84,"npi":[1639621659]}]}]},{"tin":{"type":"ein","value":"823762961"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":9.73,"providers":[{"billed_charge":32.00,"npi":[1003308305]}]}]},{"tin":{"type":"ein","value":"825415284"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.20,"providers":[{"billed_charge":36.00,"npi":[1144719311]}]}]},{"tin":{"type":"ein","value":"833807646"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.05,"providers":[{"billed_charge":45.78,"npi":[1407461304]}]}]},{"tin":{"type":"ein","value":"845117964"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.29,"providers":[{"billed_charge":31.68,"npi":[1811524572]}]}]},{"tin":{"type":"ein","value":"850760576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.40,"providers":[{"billed_charge":60.00,"npi":[1376153437]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":356.25,"providers":[{"billed_charge":375.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":27.00,"npi":[1447239355]}]}]}]},{"billing_code":"80053","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"COMPREHEN METABOLIC PANEL","allowed_amounts":[{"tin":{"type":"ein","value":"030179418"},"billing_class":"institutional","payments":[{"allowed_amount":110.02,"providers":[{"billed_charge":115.81,"npi":[1730199647]}]}]},{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":102.71,"providers":[{"billed_charge":123.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"042263040"},"billing_class":"institutional","payments":[{"allowed_amount":128.70,"providers":[{"billed_charge":143.00,"npi":[1851333686]}]}]},{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":141.86,"providers":[{"billed_charge":173.00,"npi":[1790717650]}]}]},{"tin":{"type":"ein","value":"050524222"},"billing_class":"institutional","payments":[{"allowed_amount":29.04,"providers":[{"billed_charge":78.00,"npi":[1770662348]}]}]},{"tin":{"type":"ein","value":"060646554"},"billing_class":"institutional","payments":[{"allowed_amount":53.86,"providers":[{"billed_charge":63.36,"npi":[1992910152]}]}]},{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":48.53,"providers":[{"billed_charge":81.00,"npi":[1760426969]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":14.97,"providers":[{"billed_charge":33.40,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"160743032"},"billing_class":"institutional","payments":[{"allowed_amount":12.41,"providers":[{"billed_charge":31.68,"npi":[1952418352]}]}]},{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":11.99,"providers":[{"billed_charge":26.00,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":68.15,"providers":[{"billed_charge":83.11,"npi":[1548315401]}]},{"allowed_amount":71.43,"providers":[{"billed_charge":87.26,"npi":[1548315401]}]},{"allowed_amount":71.55,"providers":[{"billed_charge":87.26,"npi":[1548315401]}]},{"allowed_amount":71.73,"providers":[{"billed_charge":87.26,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"203391873"},"billing_class":"institutional","payments":[{"allowed_amount":33.56,"providers":[{"billed_charge":185.00,"npi":[1023061405]}]}]},{"tin":{"type":"ein","value":"208488713"},"billing_class":"institutional","payments":[{"allowed_amount":78.66,"providers":[{"billed_charge":769.15,"npi":[1073893020]}]}]},{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":115.27,"providers":[{"billed_charge":436.25,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"222592333"},"billing_class":"institutional","payments":[{"allowed_amount":160.43,"providers":[{"billed_charge":207.00,"npi":[1306871223]}]}]},{"tin":{"type":"ein","value":"231365353"},"billing_class":"institutional","payments":[{"allowed_amount":73.15,"providers":[{"billed_charge":77.00,"npi":[1104875103]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":134.32,"providers":[{"billed_charge":325.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"232973511"},"billing_class":"institutional","payments":[{"allowed_amount":1083.60,"providers":[{"billed_charge":1548.00,"npi":[1417947490]}]}]},{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":291.04,"providers":[{"billed_charge":437.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":58.28,"providers":[{"billed_charge":160.00,"npi":[1326161662]}]},{"allowed_amount":61.58,"providers":[{"billed_charge":160.00,"npi":[1326161662]}]},{"allowed_amount":79.17,"providers":[{"billed_charge":160.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"250965404"},"billing_class":"institutional","payments":[{"allowed_amount":58.11,"providers":[{"billed_charge":158.00,"npi":[1356334510]}]}]},{"tin":{"type":"ein","value":"251244202"},"billing_class":"institutional","payments":[{"allowed_amount":11.08,"providers":[{"billed_charge":50.00,"npi":[1275620536]}]}]},{"tin":{"type":"ein","value":"251550350"},"billing_class":"institutional","payments":[{"allowed_amount":39.45,"providers":[{"billed_charge":171.00,"npi":[1437182847]}]}]},{"tin":{"type":"ein","value":"263734606"},"billing_class":"institutional","payments":[{"allowed_amount":878.15,"providers":[{"billed_charge":1351.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":12.24,"providers":[{"billed_charge":384.00,"npi":[1235417288]}]},{"allowed_amount":12.60,"providers":[{"billed_charge":384.00,"npi":[1235417288]}]},{"allowed_amount":13.65,"providers":[{"billed_charge":384.00,"npi":[1235417288]}]},{"allowed_amount":14.63,"providers":[{"billed_charge":384.00,"npi":[1235417288]}]}]},{"tin":{"type":"ein","value":"272844563"},"billing_class":"institutional","payments":[{"allowed_amount":392.64,"providers":[{"billed_charge":818.00,"npi":[1922310200]}]}]},{"tin":{"type":"ein","value":"311322863"},"billing_class":"institutional","payments":[{"allowed_amount":146.08,"providers":[{"billed_charge":176.00,"npi":[1124127683]}]}]},{"tin":{"type":"ein","value":"311524546"},"billing_class":"institutional","payments":[{"allowed_amount":73.50,"providers":[{"billed_charge":98.00,"npi":[1699704254]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":128.25,"providers":[{"billed_charge":171.00,"npi":[1679525919]}]},{"allowed_amount":129.62,"providers":[{"billed_charge":171.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351064295"},"billing_class":"institutional","payments":[{"allowed_amount":103.97,"providers":[{"billed_charge":152.00,"npi":[1902897937]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":74.80,"providers":[{"billed_charge":88.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":196.11,"providers":[{"billed_charge":245.14,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"362222696"},"billing_class":"institutional","payments":[{"allowed_amount":268.60,"providers":[{"billed_charge":425.00,"npi":[1760542732]}]}]},{"tin":{"type":"ein","value":"362513909"},"billing_class":"institutional","payments":[{"allowed_amount":336.82,"providers":[{"billed_charge":438.00,"npi":[1003864810]}]}]},{"tin":{"type":"ein","value":"370618939"},"billing_class":"institutional","payments":[{"allowed_amount":269.60,"providers":[{"billed_charge":337.00,"npi":[1356435135]}]}]},{"tin":{"type":"ein","value":"381360526"},"billing_class":"institutional","payments":[{"allowed_amount":126.40,"providers":[{"billed_charge":158.00,"npi":[1568416311]}]}]},{"tin":{"type":"ein","value":"381434090"},"billing_class":"institutional","payments":[{"allowed_amount":81.28,"providers":[{"billed_charge":101.60,"npi":[1134104672]}]}]},{"tin":{"type":"ein","value":"382146751"},"billing_class":"institutional","payments":[{"allowed_amount":9.56,"providers":[{"billed_charge":84.60,"npi":[1992812580]}]},{"allowed_amount":10.98,"providers":[{"billed_charge":81.30,"npi":[1992812580]}]},{"allowed_amount":12.28,"providers":[{"billed_charge":84.60,"npi":[1992812580]}]}]},{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":19.50,"providers":[{"billed_charge":68.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"386006309"},"billing_class":"institutional","payments":[{"allowed_amount":147.90,"providers":[{"billed_charge":174.00,"npi":[1003878539]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":259.25,"providers":[{"billed_charge":305.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"426004813"},"billing_class":"institutional","payments":[{"allowed_amount":681.30,"providers":[{"billed_charge":757.00,"npi":[1376544320]}]}]},{"tin":{"type":"ein","value":"453576100"},"billing_class":"institutional","payments":[{"allowed_amount":38.00,"providers":[{"billed_charge":352.00,"npi":[1306123344]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":122.84,"providers":[{"billed_charge":208.20,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"473393862"},"billing_class":"institutional","payments":[{"allowed_amount":380.14,"providers":[{"billed_charge":644.31,"npi":[1528442357]}]}]},{"tin":{"type":"ein","value":"475259919"},"billing_class":"institutional","payments":[{"allowed_amount":183.60,"providers":[{"billed_charge":270.00,"npi":[1033228168]}]}]},{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":34.41,"providers":[{"billed_charge":34.76,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":365.69,"providers":[{"billed_charge":430.22,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":38.06,"providers":[{"billed_charge":656.64,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"550525724"},"billing_class":"institutional","payments":[{"allowed_amount":93.10,"providers":[{"billed_charge":98.00,"npi":[1184606600]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":91.67,"providers":[{"billed_charge":261.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560532309"},"billing_class":"institutional","payments":[{"allowed_amount":61.28,"providers":[{"billed_charge":431.00,"npi":[1396746228]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":17.89,"providers":[{"billed_charge":521.58,"npi":[1750333282]}]},{"allowed_amount":22.76,"providers":[{"billed_charge":367.90,"npi":[1073557559]}]},{"allowed_amount":32.35,"providers":[{"billed_charge":521.58,"npi":[1750333282]}]},{"allowed_amount":39.81,"providers":[{"billed_charge":526.24,"npi":[1457719312]}]},{"allowed_amount":41.18,"providers":[{"billed_charge":526.24,"npi":[1457719312]}]},{"allowed_amount":42.04,"providers":[{"billed_charge":526.24,"npi":[1477504280]}]},{"allowed_amount":66.43,"providers":[{"billed_charge":367.90,"npi":[1073557559]}]},{"allowed_amount":70.26,"providers":[{"billed_charge":526.24,"npi":[1477504280]}]},{"allowed_amount":71.25,"providers":[{"billed_charge":521.58,"npi":[1750333282]}]},{"allowed_amount":80.39,"providers":[{"billed_charge":425.28,"npi":[1750333282]}]},{"allowed_amount":85.42,"providers":[{"billed_charge":521.58,"npi":[1750333282]}]},{"allowed_amount":92.14,"providers":[{"billed_charge":526.24,"npi":[1477504280]}]},{"allowed_amount":92.79,"providers":[{"billed_charge":526.24,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":22.86,"providers":[{"billed_charge":409.82,"npi":[1578516902]}]},{"allowed_amount":39.28,"providers":[{"billed_charge":409.82,"npi":[1124422308]}]},{"allowed_amount":50.49,"providers":[{"billed_charge":409.82,"npi":[1306189451]}]},{"allowed_amount":61.17,"providers":[{"billed_charge":409.82,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":23.45,"providers":[{"billed_charge":419.13,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":10.33,"providers":[{"billed_charge":10.33,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":52.99,"providers":[{"billed_charge":409.82,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"566017737"},"billing_class":"institutional","payments":[{"allowed_amount":10.29,"providers":[{"billed_charge":29.00,"npi":[1972579837]}]}]},{"tin":{"type":"ein","value":"580566200"},"billing_class":"institutional","payments":[{"allowed_amount":248.00,"providers":[{"billed_charge":310.00,"npi":[1144203563]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":216.00,"providers":[{"billed_charge":270.00,"npi":[1588640692]}]},{"allowed_amount":248.00,"providers":[{"billed_charge":310.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580566257"},"billing_class":"institutional","payments":[{"allowed_amount":216.00,"providers":[{"billed_charge":270.00,"npi":[1679664395]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":15.52,"providers":[{"billed_charge":64.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"580625140"},"billing_class":"institutional","payments":[{"allowed_amount":68.74,"providers":[{"billed_charge":85.93,"npi":[1740272095]}]}]},{"tin":{"type":"ein","value":"580655369"},"billing_class":"institutional","payments":[{"allowed_amount":65.74,"providers":[{"billed_charge":82.17,"npi":[1720189517]}]}]},{"tin":{"type":"ein","value":"580968382"},"billing_class":"institutional","payments":[{"allowed_amount":338.03,"providers":[{"billed_charge":439.00,"npi":[1467420448]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":251.02,"providers":[{"billed_charge":391.00,"npi":[1528056066]}]}]},{"tin":{"type":"ein","value":"581966795"},"billing_class":"institutional","payments":[{"allowed_amount":216.00,"providers":[{"billed_charge":270.00,"npi":[1093716979]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":23.29,"providers":[{"billed_charge":34.25,"npi":[1154377166]}]},{"allowed_amount":248.20,"providers":[{"billed_charge":365.00,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":165.34,"providers":[{"billed_charge":236.20,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":110.50,"providers":[{"billed_charge":130.00,"npi":[1326028978]}]}]},{"tin":{"type":"ein","value":"590566256"},"billing_class":"institutional","payments":[{"allowed_amount":248.00,"providers":[{"billed_charge":310.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"590675143"},"billing_class":"institutional","payments":[{"allowed_amount":19.84,"providers":[{"billed_charge":231.00,"npi":[1144211020]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":303.80,"providers":[{"billed_charge":434.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":354.40,"providers":[{"billed_charge":443.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"590973502"},"billing_class":"institutional","payments":[{"allowed_amount":358.20,"providers":[{"billed_charge":511.71,"npi":[1063426823]}]}]},{"tin":{"type":"ein","value":"591713947"},"billing_class":"institutional","payments":[{"allowed_amount":160.85,"providers":[{"billed_charge":454.00,"npi":[1225033020]}]}]},{"tin":{"type":"ein","value":"591917016"},"billing_class":"institutional","payments":[{"allowed_amount":124.65,"providers":[{"billed_charge":913.84,"npi":[1437177664]}]}]},{"tin":{"type":"ein","value":"592951990"},"billing_class":"institutional","payments":[{"allowed_amount":389.31,"providers":[{"billed_charge":556.16,"npi":[1679678486]}]}]},{"tin":{"type":"ein","value":"593458145"},"billing_class":"institutional","payments":[{"allowed_amount":479.50,"providers":[{"billed_charge":685.00,"npi":[1235196510]}]}]},{"tin":{"type":"ein","value":"596012065"},"billing_class":"institutional","payments":[{"allowed_amount":293.60,"providers":[{"billed_charge":367.00,"npi":[1265460232]}]},{"allowed_amount":449.40,"providers":[{"billed_charge":561.75,"npi":[1376571323]}]}]},{"tin":{"type":"ein","value":"606000080"},"billing_class":"institutional","payments":[{"allowed_amount":682.20,"providers":[{"billed_charge":1351.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"611334601"},"billing_class":"institutional","payments":[{"allowed_amount":321.60,"providers":[{"billed_charge":402.00,"npi":[1992701429]}]}]},{"tin":{"type":"ein","value":"616001218"},"billing_class":"institutional","payments":[{"allowed_amount":245.65,"providers":[{"billed_charge":289.00,"npi":[1518911338]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":155.97,"providers":[{"billed_charge":445.64,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"institutional","payments":[{"allowed_amount":23.57,"providers":[{"billed_charge":82.00,"npi":[1033112230]}]}]},{"tin":{"type":"ein","value":"620976863"},"billing_class":"institutional","payments":[{"allowed_amount":896.86,"providers":[{"billed_charge":1758.55,"npi":[1699721589]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":175.50,"providers":[{"billed_charge":234.00,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"621762420"},"billing_class":"institutional","payments":[{"allowed_amount":361.62,"providers":[{"billed_charge":882.00,"npi":[1528026267]}]}]},{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":99.75,"providers":[{"billed_charge":105.00,"npi":[1275531956]}]}]},{"tin":{"type":"ein","value":"630845288"},"billing_class":"institutional","payments":[{"allowed_amount":179.20,"providers":[{"billed_charge":224.00,"npi":[1447221056]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":16.40,"providers":[{"billed_charge":264.00,"npi":[1306876065]}]},{"allowed_amount":112.70,"providers":[{"billed_charge":264.00,"npi":[1306876065]}]},{"allowed_amount":142.47,"providers":[{"billed_charge":264.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"640524079"},"billing_class":"institutional","payments":[{"allowed_amount":58.20,"providers":[{"billed_charge":165.00,"npi":[1154310514]}]}]},{"tin":{"type":"ein","value":"650252846"},"billing_class":"institutional","payments":[{"allowed_amount":1238.19,"providers":[{"billed_charge":2381.13,"npi":[1417901406]}]}]},{"tin":{"type":"ein","value":"650666516"},"billing_class":"institutional","payments":[{"allowed_amount":88.80,"providers":[{"billed_charge":111.00,"npi":[1487760906]}]}]},{"tin":{"type":"ein","value":"655369000"},"billing_class":"institutional","payments":[{"allowed_amount":65.74,"providers":[{"billed_charge":82.17,"npi":[1720189517]}]}]},{"tin":{"type":"ein","value":"730717979"},"billing_class":"institutional","payments":[{"allowed_amount":24.58,"providers":[{"billed_charge":98.00,"npi":[1659347623]}]}]},{"tin":{"type":"ein","value":"734606000"},"billing_class":"institutional","payments":[{"allowed_amount":86.69,"providers":[{"billed_charge":1351.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":550.50,"providers":[{"billed_charge":734.00,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"741161944"},"billing_class":"institutional","payments":[{"allowed_amount":18.59,"providers":[{"billed_charge":247.66,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"741282696"},"billing_class":"institutional","payments":[{"allowed_amount":398.45,"providers":[{"billed_charge":739.00,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"810851756"},"billing_class":"institutional","payments":[{"allowed_amount":69.79,"providers":[{"billed_charge":90.64,"npi":[1750312997]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":10.69,"providers":[{"billed_charge":192.00,"npi":[1447200233]}]}]},{"tin":{"type":"ein","value":"821969974"},"billing_class":"institutional","payments":[{"allowed_amount":193.80,"providers":[{"billed_charge":228.00,"npi":[1053824292]}]}]},{"tin":{"type":"ein","value":"822913146"},"billing_class":"institutional","payments":[{"allowed_amount":663.65,"providers":[{"billed_charge":1021.00,"npi":[1972517365]}]}]},{"tin":{"type":"ein","value":"836000295"},"billing_class":"institutional","payments":[{"allowed_amount":77.01,"providers":[{"billed_charge":190.00,"npi":[1558361949]}]}]},{"tin":{"type":"ein","value":"840255530"},"billing_class":"institutional","payments":[{"allowed_amount":113.90,"providers":[{"billed_charge":134.00,"npi":[1194792762]}]}]},{"tin":{"type":"ein","value":"841179794"},"billing_class":"institutional","payments":[{"allowed_amount":347.53,"providers":[{"billed_charge":496.48,"npi":[1477531580]}]}]},{"tin":{"type":"ein","value":"841321373"},"billing_class":"institutional","payments":[{"allowed_amount":1050.48,"providers":[{"billed_charge":1680.77,"npi":[1659327013]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":83.32,"providers":[{"billed_charge":559.00,"npi":[1639797913]}]},{"allowed_amount":85.11,"providers":[{"billed_charge":559.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":263.90,"providers":[{"billed_charge":406.00,"npi":[1174512792]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":356.25,"providers":[{"billed_charge":375.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":776.00,"providers":[{"billed_charge":800.00,"npi":[1194706655]}]}]},{"tin":{"type":"ein","value":"876000525"},"billing_class":"institutional","payments":[{"allowed_amount":39.37,"providers":[{"billed_charge":52.84,"npi":[1588656870]}]}]},{"tin":{"type":"ein","value":"882288563"},"billing_class":"institutional","payments":[{"allowed_amount":389.32,"providers":[{"billed_charge":556.16,"npi":[1861102345]}]}]},{"tin":{"type":"ein","value":"911352172"},"billing_class":"institutional","payments":[{"allowed_amount":31.68,"providers":[{"billed_charge":44.00,"npi":[1366556227]}]}]},{"tin":{"type":"ein","value":"922451946"},"billing_class":"institutional","payments":[{"allowed_amount":291.87,"providers":[{"billed_charge":423.00,"npi":[1740981430]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":53.43,"providers":[{"billed_charge":74.00,"npi":[1407637531]}]}]}]},{"billing_code":"80055","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"OBSTETRIC PANEL","allowed_amounts":[{"tin":{"type":"ein","value":"391994216"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":308.80,"providers":[{"billed_charge":386.00,"npi":[1003811993]}]}]}]},{"billing_code":"80061","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"LIPID PANEL","allowed_amounts":[{"tin":{"type":"ein","value":"050524222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.05,"providers":[{"billed_charge":103.00,"npi":[1285713859]}]}]},{"tin":{"type":"ein","value":"112981029"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.37,"providers":[{"billed_charge":71.50,"npi":[1376587113]}]}]},{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":97.65,"npi":[1538144910]},{"billed_charge":102.90,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.41,"providers":[{"billed_charge":162.91,"npi":[1932145778]}]},{"allowed_amount":12.05,"providers":[{"billed_charge":169.43,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"201357375"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.33,"providers":[{"billed_charge":58.00,"npi":[1679528798]}]}]},{"tin":{"type":"ein","value":"202265068"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.80,"providers":[{"billed_charge":46.00,"npi":[1013042480]}]}]},{"tin":{"type":"ein","value":"203059260"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.50,"providers":[{"billed_charge":50.00,"npi":[1598958431]}]}]},{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":40.17,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"205657908"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":81.60,"providers":[{"billed_charge":96.00,"npi":[1710064811]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":18.60,"providers":[{"billed_charge":31.00,"npi":[1922259753]}]}]},{"tin":{"type":"ein","value":"233079507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":18.72,"providers":[{"billed_charge":74.50,"npi":[1043271539]}]}]},{"tin":{"type":"ein","value":"263985043"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.00,"providers":[{"billed_charge":84.00,"npi":[1407957632]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":40.17,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"300270600"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.84,"providers":[{"billed_charge":57.00,"npi":[1518032564]}]}]},{"tin":{"type":"ein","value":"310993406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.05,"providers":[{"billed_charge":30.00,"npi":[1861451437]}]}]},{"tin":{"type":"ein","value":"341720429"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":34.31,"providers":[{"billed_charge":41.34,"npi":[1619980430]}]}]},{"tin":{"type":"ein","value":"352539778"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.37,"providers":[{"billed_charge":16.74,"npi":[1972971265]}]}]},{"tin":{"type":"ein","value":"382084239"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":169.43,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"391824445"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.45,"providers":[{"billed_charge":177.00,"npi":[1598784555]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":120.65,"providers":[{"billed_charge":127.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"460218851"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":30.00,"npi":[1487602843]}]}]},{"tin":{"type":"ein","value":"461243081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.30,"providers":[{"billed_charge":27.00,"npi":[1750626495]}]}]},{"tin":{"type":"ein","value":"462456505"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.85,"providers":[{"billed_charge":55.00,"npi":[1578969465]}]}]},{"tin":{"type":"ein","value":"520591612"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.78,"providers":[{"billed_charge":26.78,"npi":[1982600771]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.05,"providers":[{"billed_charge":20.09,"npi":[1104258995]}]},{"allowed_amount":16.07,"providers":[{"billed_charge":20.09,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"521923448"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.62,"providers":[{"billed_charge":40.00,"npi":[1083667067]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.39,"providers":[{"billed_charge":36.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":13.41,"providers":[{"billed_charge":100.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"561378000"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.05,"providers":[{"billed_charge":65.00,"npi":[1972656262]}]}]},{"tin":{"type":"ein","value":"561434867"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.04,"providers":[{"billed_charge":75.00,"npi":[1679566954]}]}]},{"tin":{"type":"ein","value":"561826996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.05,"providers":[{"billed_charge":80.00,"npi":[1467449728]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.05,"providers":[{"billed_charge":30.00,"npi":[1720794944]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":40.00,"npi":[1750567970]}]},{"allowed_amount":12.05,"providers":[{"billed_charge":40.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"571186418"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":86.00,"npi":[1376564625]}]},{"allowed_amount":12.05,"providers":[{"billed_charge":86.00,"npi":[1376564625]}]}]},{"tin":{"type":"ein","value":"581109078"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.18,"providers":[{"billed_charge":113.00,"npi":[1033180625]}]}]},{"tin":{"type":"ein","value":"581351195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.00,"providers":[{"billed_charge":85.00,"npi":[1386763514]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":188.80,"providers":[{"billed_charge":236.00,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"590704934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.46,"providers":[{"billed_charge":83.00,"npi":[1316940695]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":32.20,"providers":[{"billed_charge":46.00,"npi":[1134766694]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":64.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":180.23,"providers":[{"billed_charge":273.07,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"593337028"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":217.55,"providers":[{"billed_charge":229.00,"npi":[1285621631]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":75.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"621508884"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.71,"providers":[{"billed_charge":25.00,"npi":[1346250057]}]}]},{"tin":{"type":"ein","value":"621695507"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":13.22,"providers":[{"billed_charge":25.30,"npi":[1003863580]}]}]},{"tin":{"type":"ein","value":"710897031"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.60,"providers":[{"billed_charge":169.43,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"720399647"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.07,"providers":[{"billed_charge":40.17,"npi":[1831180637]}]}]},{"tin":{"type":"ein","value":"753028076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.18,"providers":[{"billed_charge":111.00,"npi":[1396955431]}]}]},{"tin":{"type":"ein","value":"800198515"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":26.00,"npi":[1033128822]}]}]},{"tin":{"type":"ein","value":"810576059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":25.59,"providers":[{"billed_charge":56.16,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"813689317"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.70,"providers":[{"billed_charge":13.39,"npi":[1710438171]}]}]},{"tin":{"type":"ein","value":"823146637"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.05,"providers":[{"billed_charge":44.64,"npi":[1861994600]}]}]},{"tin":{"type":"ein","value":"823762961"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":13.22,"providers":[{"billed_charge":42.00,"npi":[1003308305]}]}]},{"tin":{"type":"ein","value":"823971792"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.04,"providers":[{"billed_charge":21.00,"npi":[1114435492]}]}]},{"tin":{"type":"ein","value":"845117964"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.39,"providers":[{"billed_charge":40.17,"npi":[1811524572]}]}]},{"tin":{"type":"ein","value":"850760576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":42.33,"providers":[{"billed_charge":60.00,"npi":[1376153437]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":37.00,"npi":[1447239355]}]}]},{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.67,"providers":[{"billed_charge":36.00,"npi":[1124102595]}]}]},{"tin":{"type":"ein","value":"881559059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.66,"providers":[{"billed_charge":140.00,"npi":[1134864663]}]}]}]},{"billing_code":"80061","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"LIPID PANEL","allowed_amounts":[{"tin":{"type":"ein","value":"010238552"},"billing_class":"institutional","payments":[{"allowed_amount":135.46,"providers":[{"billed_charge":139.65,"npi":[1346299815]}]}]},{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":172.20,"providers":[{"billed_charge":210.00,"npi":[1790717650]}]}]},{"tin":{"type":"ein","value":"231365353"},"billing_class":"institutional","payments":[{"allowed_amount":92.15,"providers":[{"billed_charge":97.00,"npi":[1104875103]}]}]},{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":149.85,"providers":[{"billed_charge":225.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"250969492"},"billing_class":"institutional","payments":[{"allowed_amount":60.50,"providers":[{"billed_charge":121.00,"npi":[1285667493]}]}]},{"tin":{"type":"ein","value":"251550350"},"billing_class":"institutional","payments":[{"allowed_amount":49.70,"providers":[{"billed_charge":215.00,"npi":[1437182847]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":120.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351064295"},"billing_class":"institutional","payments":[{"allowed_amount":108.76,"providers":[{"billed_charge":159.00,"npi":[1902897937]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":97.75,"providers":[{"billed_charge":115.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"362513909"},"billing_class":"institutional","payments":[{"allowed_amount":202.25,"providers":[{"billed_charge":263.00,"npi":[1003864810]}]}]},{"tin":{"type":"ein","value":"370618939"},"billing_class":"institutional","payments":[{"allowed_amount":209.60,"providers":[{"billed_charge":262.00,"npi":[1356435135]}]}]},{"tin":{"type":"ein","value":"381360526"},"billing_class":"institutional","payments":[{"allowed_amount":101.60,"providers":[{"billed_charge":127.00,"npi":[1568416311]}]}]},{"tin":{"type":"ein","value":"382146751"},"billing_class":"institutional","payments":[{"allowed_amount":14.31,"providers":[{"billed_charge":98.50,"npi":[1992812580]}]}]},{"tin":{"type":"ein","value":"426004813"},"billing_class":"institutional","payments":[{"allowed_amount":244.80,"providers":[{"billed_charge":272.00,"npi":[1376544320]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":17.43,"providers":[{"billed_charge":126.65,"npi":[1114923406]}]},{"allowed_amount":74.72,"providers":[{"billed_charge":126.65,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"460224743"},"billing_class":"institutional","payments":[{"allowed_amount":383.80,"providers":[{"billed_charge":404.00,"npi":[1568460772]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":20.67,"providers":[{"billed_charge":356.70,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":9.72,"providers":[{"billed_charge":283.34,"npi":[1750333282]}]},{"allowed_amount":12.36,"providers":[{"billed_charge":199.85,"npi":[1073557559]}]},{"allowed_amount":12.68,"providers":[{"billed_charge":199.85,"npi":[1750333282]}]},{"allowed_amount":19.17,"providers":[{"billed_charge":285.87,"npi":[1457719312]}]},{"allowed_amount":21.00,"providers":[{"billed_charge":285.87,"npi":[1477504280]}]},{"allowed_amount":21.63,"providers":[{"billed_charge":285.87,"npi":[1457719312]}]},{"allowed_amount":22.38,"providers":[{"billed_charge":285.87,"npi":[1457719312]}]},{"allowed_amount":26.67,"providers":[{"billed_charge":285.87,"npi":[1457719312]}]},{"allowed_amount":27.29,"providers":[{"billed_charge":285.87,"npi":[1457719312]}]},{"allowed_amount":27.86,"providers":[{"billed_charge":199.85,"npi":[1073557559]}]},{"allowed_amount":28.89,"providers":[{"billed_charge":285.87,"npi":[1457719312]}]},{"allowed_amount":29.43,"providers":[{"billed_charge":285.87,"npi":[1457719312]}]},{"allowed_amount":36.09,"providers":[{"billed_charge":199.85,"npi":[1073557559]}]},{"allowed_amount":38.17,"providers":[{"billed_charge":285.87,"npi":[1477504280]}]},{"allowed_amount":39.94,"providers":[{"billed_charge":285.87,"npi":[1457719312]}]},{"allowed_amount":44.80,"providers":[{"billed_charge":199.85,"npi":[1073557559]}]},{"allowed_amount":46.02,"providers":[{"billed_charge":199.85,"npi":[1073557559]}]},{"allowed_amount":49.04,"providers":[{"billed_charge":199.85,"npi":[1073557559]}]},{"allowed_amount":50.41,"providers":[{"billed_charge":285.87,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":14.11,"providers":[{"billed_charge":222.62,"npi":[1578516902]}]},{"allowed_amount":27.42,"providers":[{"billed_charge":222.62,"npi":[1306189451]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":12.73,"providers":[{"billed_charge":227.68,"npi":[1558311357]}]},{"allowed_amount":18.74,"providers":[{"billed_charge":227.68,"npi":[1558311357]}]},{"allowed_amount":18.92,"providers":[{"billed_charge":227.68,"npi":[1558311357]}]},{"allowed_amount":19.41,"providers":[{"billed_charge":227.68,"npi":[1558311357]}]},{"allowed_amount":20.82,"providers":[{"billed_charge":227.68,"npi":[1619350261]}]},{"allowed_amount":29.99,"providers":[{"billed_charge":227.68,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":10.85,"providers":[{"billed_charge":220.09,"npi":[1992754758]}]},{"allowed_amount":10.91,"providers":[{"billed_charge":220.09,"npi":[1992754758]}]},{"allowed_amount":11.49,"providers":[{"billed_charge":222.62,"npi":[1083669030]}]},{"allowed_amount":11.60,"providers":[{"billed_charge":220.09,"npi":[1992754758]}]},{"allowed_amount":12.76,"providers":[{"billed_charge":222.62,"npi":[1083669030]}]},{"allowed_amount":18.33,"providers":[{"billed_charge":222.62,"npi":[1083669030]}]},{"allowed_amount":25.15,"providers":[{"billed_charge":222.62,"npi":[1083669030]}]},{"allowed_amount":25.67,"providers":[{"billed_charge":222.62,"npi":[1083669030]}]},{"allowed_amount":26.31,"providers":[{"billed_charge":222.62,"npi":[1083669030]}]},{"allowed_amount":27.56,"providers":[{"billed_charge":222.62,"npi":[1083669030]}]},{"allowed_amount":28.78,"providers":[{"billed_charge":222.62,"npi":[1083669030]}]},{"allowed_amount":51.56,"providers":[{"billed_charge":218.29,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"566017737"},"billing_class":"institutional","payments":[{"allowed_amount":16.14,"providers":[{"billed_charge":45.50,"npi":[1972579837]}]}]},{"tin":{"type":"ein","value":"570720016"},"billing_class":"institutional","payments":[{"allowed_amount":15.31,"providers":[{"billed_charge":232.74,"npi":[1659320620]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":11.60,"providers":[{"billed_charge":237.80,"npi":[1578514030]}]},{"allowed_amount":29.53,"providers":[{"billed_charge":237.80,"npi":[1649218579]}]}]},{"tin":{"type":"ein","value":"580625140"},"billing_class":"institutional","payments":[{"allowed_amount":49.22,"providers":[{"billed_charge":61.53,"npi":[1740272095]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":34.00,"providers":[{"billed_charge":50.00,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":17.59,"providers":[{"billed_charge":157.50,"npi":[1043270564]}]},{"allowed_amount":115.78,"providers":[{"billed_charge":165.40,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"590675143"},"billing_class":"institutional","payments":[{"allowed_amount":14.52,"providers":[{"billed_charge":169.00,"npi":[1144211020]}]}]},{"tin":{"type":"ein","value":"590973502"},"billing_class":"institutional","payments":[{"allowed_amount":218.11,"providers":[{"billed_charge":311.59,"npi":[1063426823]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":86.48,"providers":[{"billed_charge":247.08,"npi":[1831148253]}]},{"allowed_amount":91.20,"providers":[{"billed_charge":260.57,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":101.25,"providers":[{"billed_charge":135.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"730717979"},"billing_class":"institutional","payments":[{"allowed_amount":28.09,"providers":[{"billed_charge":112.00,"npi":[1659347623]}]}]},{"tin":{"type":"ein","value":"810851756"},"billing_class":"institutional","payments":[{"allowed_amount":55.02,"providers":[{"billed_charge":71.45,"npi":[1750312997]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":95.00,"providers":[{"billed_charge":100.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"911352172"},"billing_class":"institutional","payments":[{"allowed_amount":43.92,"providers":[{"billed_charge":61.00,"npi":[1366556227]}]}]}]},{"billing_code":"80069","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"RENAL FUNCTION PANEL","allowed_amounts":[{"tin":{"type":"ein","value":"541634477"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.62,"providers":[{"billed_charge":31.00,"npi":[1902848294]}]}]},{"tin":{"type":"ein","value":"561378901"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.81,"providers":[{"billed_charge":35.00,"npi":[1083664189]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.50,"providers":[{"billed_charge":26.00,"npi":[1750567970]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.81,"providers":[{"billed_charge":176.88,"npi":[1245720820]}]},{"allowed_amount":116.74,"providers":[{"billed_charge":176.88,"npi":[1245720820]}]}]}]},{"billing_code":"80069","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"RENAL FUNCTION PANEL","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":8.40,"providers":[{"billed_charge":883.35,"npi":[1750333282]}]},{"allowed_amount":19.04,"providers":[{"billed_charge":883.35,"npi":[1750333282]}]}]}]},{"billing_code":"80074","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ACUTE HEPATITIS PANEL","allowed_amounts":[{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":42.87,"providers":[{"billed_charge":71.45,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"811896675"},"billing_class":"professional","service_code":["55"],"payments":[{"allowed_amount":42.87,"providers":[{"billed_charge":381.04,"npi":[1083061261]}]}]},{"tin":{"type":"ein","value":"883286578"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":42.86,"providers":[{"billed_charge":438.45,"npi":[1366150773]}]}]}]},{"billing_code":"80074","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ACUTE HEPATITIS PANEL","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":409.99,"providers":[{"billed_charge":491.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"386006309"},"billing_class":"institutional","payments":[{"allowed_amount":453.05,"providers":[{"billed_charge":533.00,"npi":[1003878539]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":531.25,"providers":[{"billed_charge":625.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":366.77,"providers":[{"billed_charge":523.95,"npi":[1043270564]}]}]}]},{"billing_code":"80076","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HEPATIC FUNCTION PANEL","allowed_amounts":[{"tin":{"type":"ein","value":"310993406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.35,"providers":[{"billed_charge":20.00,"npi":[1861451437]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.10,"providers":[{"billed_charge":20.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.01,"providers":[{"billed_charge":25.00,"npi":[1750567970]}]}]},{"tin":{"type":"ein","value":"581109078"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":80.00,"npi":[1033180625]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.01,"providers":[{"billed_charge":29.00,"npi":[1497797088]}]}]}]},{"billing_code":"80076","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HEPATIC FUNCTION PANEL","allowed_amounts":[{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":109.06,"providers":[{"billed_charge":133.00,"npi":[1790717650]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":22.32,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"250969492"},"billing_class":"institutional","payments":[{"allowed_amount":37.00,"providers":[{"billed_charge":74.00,"npi":[1285667493]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":24.65,"providers":[{"billed_charge":299.26,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":15.60,"providers":[{"billed_charge":319.67,"npi":[1578514030]}]}]}]},{"billing_code":"80081","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"OBSTETRIC PANEL","allowed_amounts":[{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":828.42,"providers":[{"billed_charge":1183.45,"npi":[1043270564]}]}]}]},{"billing_code":"80164","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY DIPROPYLACETIC ACD TOT","allowed_amounts":[{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":50.65,"providers":[{"billed_charge":142.00,"npi":[1932208576]}]}]}]},{"billing_code":"80170","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF GENTAMICIN","allowed_amounts":[{"tin":{"type":"ein","value":"954896039"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.74,"providers":[{"billed_charge":99.00,"npi":[1477556876]}]}]}]},{"billing_code":"80177","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"DRUG SCRN QUAN LEVETIRACETAM","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":159.00,"providers":[{"billed_charge":212.00,"npi":[1679525919]}]}]}]},{"billing_code":"80197","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF TACROLIMUS","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":110.25,"providers":[{"billed_charge":147.00,"npi":[1679525919]}]},{"allowed_amount":111.43,"providers":[{"billed_charge":147.00,"npi":[1679525919]}]}]}]},{"billing_code":"80220","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"DRUG ASY HYDROXYCHLOROQUINE","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.78,"providers":[{"billed_charge":215.00,"npi":[1245494517]}]}]}]},{"billing_code":"80235","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"DRUG ASSAY LACOSAMIDE","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":251.25,"providers":[{"billed_charge":335.00,"npi":[1679525919]}]}]}]},{"billing_code":"80305","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"DRUG TEST PRSMV DIR OPT OBS","allowed_amounts":[{"tin":{"type":"ein","value":"200105984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.34,"providers":[{"billed_charge":40.00,"npi":[1558428789]}]}]},{"tin":{"type":"ein","value":"205455871"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.00,"providers":[{"billed_charge":15.00,"npi":[1619072204]}]}]},{"tin":{"type":"ein","value":"471751649"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.34,"providers":[{"billed_charge":1800.00,"npi":[1649659244]}]}]},{"tin":{"type":"ein","value":"813016029"},"billing_class":"professional","service_code":["57"],"payments":[{"allowed_amount":11.34,"providers":[{"billed_charge":35.00,"npi":[1861587560,1184851677]}]}]}]},{"billing_code":"80305","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"DRUG TEST PRSMV DIR OPT OBS","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":12.06,"providers":[{"billed_charge":362.75,"npi":[1083669030]}]},{"allowed_amount":36.36,"providers":[{"billed_charge":358.63,"npi":[1023056488]}]}]}]},{"billing_code":"80307","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"DRUG TEST PRSMV CHEM ANLYZR","allowed_amounts":[{"tin":{"type":"ein","value":"208743613"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.93,"providers":[{"billed_charge":165.00,"npi":[1912959834]}]}]},{"tin":{"type":"ein","value":"208839843"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.25,"providers":[{"billed_charge":105.00,"npi":[1538352760]}]},{"allowed_amount":55.93,"providers":[{"billed_charge":105.00,"npi":[1538352760]}]}]},{"tin":{"type":"ein","value":"261565558"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":52.50,"providers":[{"billed_charge":124.00,"npi":[1497933162]}]}]},{"tin":{"type":"ein","value":"262911443"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":55.92,"providers":[{"billed_charge":160.00,"npi":[1184861353]}]},{"allowed_amount":55.93,"providers":[{"billed_charge":160.00,"npi":[1184861353]}]}]},{"tin":{"type":"ein","value":"273210819"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.92,"providers":[{"billed_charge":78.00,"npi":[1316253875]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":55.92,"providers":[{"billed_charge":107.75,"npi":[1447592308]}]},{"allowed_amount":55.93,"providers":[{"billed_charge":107.75,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":55.93,"providers":[{"billed_charge":372.84,"npi":[1396175196]}]}]},{"tin":{"type":"ein","value":"452131675"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.92,"providers":[{"billed_charge":280.00,"npi":[1336292556]}]},{"allowed_amount":55.93,"providers":[{"billed_charge":280.00,"npi":[1336292556]}]}]},{"tin":{"type":"ein","value":"460498444"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.93,"providers":[{"billed_charge":275.00,"npi":[1710046925]}]}]},{"tin":{"type":"ein","value":"461227720"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":384.00,"providers":[{"billed_charge":480.00,"npi":[1023362852]}]}]},{"tin":{"type":"ein","value":"465330784"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":43.50,"providers":[{"billed_charge":75.00,"npi":[1932586427]}]},{"allowed_amount":55.92,"providers":[{"billed_charge":75.00,"npi":[1932586427]}]}]},{"tin":{"type":"ein","value":"471359076"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":55.92,"providers":[{"billed_charge":124.28,"npi":[1134538713]}]}]},{"tin":{"type":"ein","value":"474815114"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":49.71,"providers":[{"billed_charge":99.42,"npi":[1215302245]}]}]},{"tin":{"type":"ein","value":"475605297"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":55.93,"providers":[{"billed_charge":500.00,"npi":[1134588817]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":55.92,"providers":[{"billed_charge":96.98,"npi":[1104258995]}]},{"allowed_amount":55.93,"providers":[{"billed_charge":96.98,"npi":[1104258995]}]},{"allowed_amount":62.14,"providers":[{"billed_charge":96.98,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"560670676"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.93,"providers":[{"billed_charge":77.00,"npi":[1770335382]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":55.92,"providers":[{"billed_charge":107.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":19.25,"providers":[{"billed_charge":205.00,"npi":[1942526298]}]}]},{"tin":{"type":"ein","value":"810576059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":110.95,"providers":[{"billed_charge":158.50,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"811799691"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":55.93,"providers":[{"billed_charge":217.49,"npi":[1215390422]}]}]},{"tin":{"type":"ein","value":"813520078"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":100.00,"npi":[1033666888]}]}]},{"tin":{"type":"ein","value":"821256541"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":55.92,"providers":[{"billed_charge":850.00,"npi":[1952876203]}]}]},{"tin":{"type":"ein","value":"822672800"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.92,"providers":[{"billed_charge":80.00,"npi":[1881144590]}]},{"allowed_amount":55.93,"providers":[{"billed_charge":80.00,"npi":[1881144590]}]}]},{"tin":{"type":"ein","value":"822808179"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":55.93,"providers":[{"billed_charge":1900.00,"npi":[1700392180]}]}]},{"tin":{"type":"ein","value":"823268636"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":55.93,"providers":[{"billed_charge":1950.00,"npi":[1457863391]}]}]},{"tin":{"type":"ein","value":"842833120"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.92,"providers":[{"billed_charge":124.28,"npi":[1104466994]}]},{"allowed_amount":55.93,"providers":[{"billed_charge":124.28,"npi":[1104466994]}]}]},{"tin":{"type":"ein","value":"851369978"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":50.00,"providers":[{"billed_charge":156.00,"npi":[1528678604]}]}]},{"tin":{"type":"ein","value":"853121369"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":55.93,"providers":[{"billed_charge":2300.00,"npi":[1891301073]}]}]},{"tin":{"type":"ein","value":"884417352"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":55.92,"providers":[{"billed_charge":1500.00,"npi":[1487359899]}]}]}]},{"billing_code":"80307","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"DRUG TEST PRSMV CHEM ANLYZR","allowed_amounts":[{"tin":{"type":"ein","value":"231352204"},"billing_class":"institutional","payments":[{"allowed_amount":151.69,"providers":[{"billed_charge":197.00,"npi":[1669530069]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":274.55,"providers":[{"billed_charge":323.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":54.48,"providers":[{"billed_charge":940.15,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"540715569"},"billing_class":"institutional","payments":[{"allowed_amount":117.09,"providers":[{"billed_charge":197.00,"npi":[1912018094]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":37.33,"providers":[{"billed_charge":753.45,"npi":[1477504280]}]},{"allowed_amount":77.56,"providers":[{"billed_charge":753.45,"npi":[1457719312]}]},{"allowed_amount":78.96,"providers":[{"billed_charge":753.45,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":37.33,"providers":[{"billed_charge":586.76,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":37.33,"providers":[{"billed_charge":586.76,"npi":[1083669030]}]},{"allowed_amount":103.21,"providers":[{"billed_charge":586.76,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":756.77,"providers":[{"billed_charge":1081.10,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"640524079"},"billing_class":"institutional","payments":[{"allowed_amount":70.54,"providers":[{"billed_charge":200.00,"npi":[1154310514]}]}]},{"tin":{"type":"ein","value":"822913146"},"billing_class":"institutional","payments":[{"allowed_amount":384.15,"providers":[{"billed_charge":591.00,"npi":[1972517365]}]}]}]},{"billing_code":"80320","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"DRUG SCREEN QUANTALCOHOLS","allowed_amounts":[{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":46.57,"providers":[{"billed_charge":121.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":39.37,"providers":[{"billed_charge":375.67,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":80.13,"providers":[{"billed_charge":292.56,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"640524079"},"billing_class":"institutional","payments":[{"allowed_amount":44.09,"providers":[{"billed_charge":125.00,"npi":[1154310514]}]}]}]},{"billing_code":"80324","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"DRUG SCREEN AMPHETAMINES 1/2","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":26.79,"providers":[{"billed_charge":260.30,"npi":[1457719312]}]}]}]},{"billing_code":"80503","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"PATH CLIN CONSLTJ SF 5-20","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":63.72,"providers":[{"billed_charge":298.13,"npi":[1972974392]}]}]}]},{"billing_code":"81000","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"URINALYSIS NONAUTO W/SCOPE","allowed_amounts":[{"tin":{"type":"ein","value":"561238736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.62,"providers":[{"billed_charge":4.15,"npi":[1063990281]}]}]},{"tin":{"type":"ein","value":"561434867"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.02,"providers":[{"billed_charge":25.00,"npi":[1679566954]}]}]},{"tin":{"type":"ein","value":"561826996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":30.00,"npi":[1467449728]}]}]},{"tin":{"type":"ein","value":"562107759"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.20,"providers":[{"billed_charge":17.00,"npi":[1669404208]}]}]},{"tin":{"type":"ein","value":"581604255"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.61,"providers":[{"billed_charge":15.00,"npi":[1962481853]}]}]},{"tin":{"type":"ein","value":"833807646"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.61,"providers":[{"billed_charge":12.09,"npi":[1407461304]}]}]},{"tin":{"type":"ein","value":"850760576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.02,"providers":[{"billed_charge":50.00,"npi":[1376153437]}]}]}]},{"billing_code":"81000","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"URINALYSIS NONAUTO W/SCOPE","allowed_amounts":[{"tin":{"type":"ein","value":"381360526"},"billing_class":"institutional","payments":[{"allowed_amount":59.20,"providers":[{"billed_charge":74.00,"npi":[1568416311]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":18.33,"providers":[{"billed_charge":81.80,"npi":[1073557559]}]},{"allowed_amount":18.84,"providers":[{"billed_charge":81.80,"npi":[1073557559]}]},{"allowed_amount":57.26,"providers":[{"billed_charge":81.80,"npi":[1073557559]}]}]}]},{"billing_code":"81001","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"URINALYSIS AUTO W/SCOPE","allowed_amounts":[{"tin":{"type":"ein","value":"050524222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.78,"providers":[{"billed_charge":27.00,"npi":[1285713859]}]}]},{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2.78,"providers":[{"billed_charge":37.80,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2.82,"providers":[{"billed_charge":9.51,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"205657908"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":22.95,"providers":[{"billed_charge":27.00,"npi":[1710064811]}]}]},{"tin":{"type":"ein","value":"310917085"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.70,"providers":[{"billed_charge":33.00,"npi":[1508817248]}]}]},{"tin":{"type":"ein","value":"391102739"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":4.50,"providers":[{"billed_charge":15.00,"npi":[1689695934]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":34.20,"providers":[{"billed_charge":36.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"453279277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.87,"providers":[{"billed_charge":16.20,"npi":[1720374283]}]}]},{"tin":{"type":"ein","value":"561752222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.78,"providers":[{"billed_charge":42.00,"npi":[1386605608]}]}]},{"tin":{"type":"ein","value":"571122647"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":4.13,"providers":[{"billed_charge":10.00,"npi":[1831151976]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.83,"providers":[{"billed_charge":25.00,"npi":[1679599088]}]}]},{"tin":{"type":"ein","value":"582566360"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.09,"providers":[{"billed_charge":37.00,"npi":[1073885828]}]}]},{"tin":{"type":"ein","value":"590704934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.13,"providers":[{"billed_charge":11.00,"npi":[1316940695]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2.78,"providers":[{"billed_charge":12.00,"npi":[1497797088]},{"billed_charge":15.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.17,"providers":[{"billed_charge":30.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"610714497"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":5.54,"providers":[{"billed_charge":30.00,"npi":[1336148683]}]}]},{"tin":{"type":"ein","value":"620843740"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.85,"providers":[{"billed_charge":15.00,"npi":[1184644932]}]},{"allowed_amount":12.00,"providers":[{"billed_charge":15.00,"npi":[1184644932]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["22","23"],"payments":[{"allowed_amount":4.13,"providers":[{"billed_charge":21.00,"npi":[1942526298]},{"billed_charge":21.00,"npi":[1942526298]}]}]},{"tin":{"type":"ein","value":"920056274"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.62,"providers":[{"billed_charge":104.10,"npi":[1942284765]}]}]},{"tin":{"type":"ein","value":"933254155"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.78,"providers":[{"billed_charge":7.00,"npi":[1861274169]}]},{"allowed_amount":2.85,"providers":[{"billed_charge":7.00,"npi":[1861274169]}]}]}]},{"billing_code":"81001","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"URINALYSIS AUTO W/SCOPE","allowed_amounts":[{"tin":{"type":"ein","value":"042104693"},"billing_class":"institutional","payments":[{"allowed_amount":39.75,"providers":[{"billed_charge":53.00,"npi":[1396738159]}]}]},{"tin":{"type":"ein","value":"050524222"},"billing_class":"institutional","payments":[{"allowed_amount":10.05,"providers":[{"billed_charge":27.00,"npi":[1770662348]}]}]},{"tin":{"type":"ein","value":"060646554"},"billing_class":"institutional","payments":[{"allowed_amount":16.17,"providers":[{"billed_charge":19.02,"npi":[1992910152]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":12.53,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":3.69,"providers":[{"billed_charge":8.00,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"208316475"},"billing_class":"institutional","payments":[{"allowed_amount":22.50,"providers":[{"billed_charge":30.00,"npi":[1225272552]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":43.40,"providers":[{"billed_charge":105.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"272953799"},"billing_class":"institutional","payments":[{"allowed_amount":93.50,"providers":[{"billed_charge":110.00,"npi":[1265740195]}]}]},{"tin":{"type":"ein","value":"311322863"},"billing_class":"institutional","payments":[{"allowed_amount":20.75,"providers":[{"billed_charge":25.00,"npi":[1124127683]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":37.90,"providers":[{"billed_charge":50.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"386006309"},"billing_class":"institutional","payments":[{"allowed_amount":40.80,"providers":[{"billed_charge":48.00,"npi":[1003878539]}]}]},{"tin":{"type":"ein","value":"453576100"},"billing_class":"institutional","payments":[{"allowed_amount":3.03,"providers":[{"billed_charge":140.00,"npi":[1306123344]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":8.05,"providers":[{"billed_charge":58.50,"npi":[1114923406]}]},{"allowed_amount":34.52,"providers":[{"billed_charge":58.50,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":19.49,"providers":[{"billed_charge":21.65,"npi":[1922487966]}]}]},{"tin":{"type":"ein","value":"556000821"},"billing_class":"institutional","payments":[{"allowed_amount":51.83,"providers":[{"billed_charge":54.56,"npi":[1134158900]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":18.26,"providers":[{"billed_charge":52.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":3.49,"providers":[{"billed_charge":161.88,"npi":[1750333282]}]},{"allowed_amount":17.80,"providers":[{"billed_charge":180.07,"npi":[1457719312]}]},{"allowed_amount":25.64,"providers":[{"billed_charge":125.89,"npi":[1073557559]}]},{"allowed_amount":29.23,"providers":[{"billed_charge":178.47,"npi":[1750333282]}]},{"allowed_amount":32.31,"providers":[{"billed_charge":161.88,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":13.43,"providers":[{"billed_charge":140.23,"npi":[1124422308]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":6.83,"providers":[{"billed_charge":138.63,"npi":[1992754758]}]},{"allowed_amount":16.57,"providers":[{"billed_charge":140.23,"npi":[1083669030]}]},{"allowed_amount":30.61,"providers":[{"billed_charge":140.23,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"580566257"},"billing_class":"institutional","payments":[{"allowed_amount":56.00,"providers":[{"billed_charge":70.00,"npi":[1679664395]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":7.32,"providers":[{"billed_charge":65.50,"npi":[1043270564]}]},{"allowed_amount":48.16,"providers":[{"billed_charge":68.80,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"582179986"},"billing_class":"institutional","payments":[{"allowed_amount":77.70,"providers":[{"billed_charge":111.00,"npi":[1437186111]}]}]},{"tin":{"type":"ein","value":"590634434"},"billing_class":"institutional","payments":[{"allowed_amount":30.59,"providers":[{"billed_charge":53.00,"npi":[1922032424]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":231.00,"providers":[{"billed_charge":330.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":159.20,"providers":[{"billed_charge":199.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"590973502"},"billing_class":"institutional","payments":[{"allowed_amount":140.88,"providers":[{"billed_charge":201.25,"npi":[1063426823]}]}]},{"tin":{"type":"ein","value":"591917016"},"billing_class":"institutional","payments":[{"allowed_amount":38.68,"providers":[{"billed_charge":283.57,"npi":[1437177664]}]}]},{"tin":{"type":"ein","value":"592951990"},"billing_class":"institutional","payments":[{"allowed_amount":133.15,"providers":[{"billed_charge":190.21,"npi":[1679678486]}]}]},{"tin":{"type":"ein","value":"593458145"},"billing_class":"institutional","payments":[{"allowed_amount":123.90,"providers":[{"billed_charge":177.00,"npi":[1235196510]}]}]},{"tin":{"type":"ein","value":"596012065"},"billing_class":"institutional","payments":[{"allowed_amount":46.40,"providers":[{"billed_charge":58.00,"npi":[1265460232]}]}]},{"tin":{"type":"ein","value":"610523304"},"billing_class":"institutional","payments":[{"allowed_amount":6.04,"providers":[{"billed_charge":99.00,"npi":[1104890714]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":24.00,"providers":[{"billed_charge":32.00,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"626002604"},"billing_class":"institutional","payments":[{"allowed_amount":24.66,"providers":[{"billed_charge":114.00,"npi":[1760476659]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":1.86,"providers":[{"billed_charge":30.00,"npi":[1306876065]}]},{"allowed_amount":11.10,"providers":[{"billed_charge":26.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"650252846"},"billing_class":"institutional","payments":[{"allowed_amount":388.04,"providers":[{"billed_charge":746.24,"npi":[1417901406]}]}]},{"tin":{"type":"ein","value":"650844880"},"billing_class":"institutional","payments":[{"allowed_amount":37.02,"providers":[{"billed_charge":56.00,"npi":[1083644033]}]}]},{"tin":{"type":"ein","value":"680561190"},"billing_class":"institutional","payments":[{"allowed_amount":20.58,"providers":[{"billed_charge":40.00,"npi":[1124193511]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":284.63,"providers":[{"billed_charge":379.50,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"821969974"},"billing_class":"institutional","payments":[{"allowed_amount":46.75,"providers":[{"billed_charge":55.00,"npi":[1053824292]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":51.26,"providers":[{"billed_charge":63.23,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":80.60,"providers":[{"billed_charge":124.00,"npi":[1174512792]}]}]}]},{"billing_code":"81002","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"URINALYSIS NONAUTO W/O SCOPE","allowed_amounts":[{"tin":{"type":"ein","value":"061127657"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.90,"providers":[{"billed_charge":13.00,"npi":[1902855828]}]}]},{"tin":{"type":"ein","value":"203113336"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.83,"providers":[{"billed_charge":35.00,"npi":[1699747303]}]}]},{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.75,"providers":[{"billed_charge":25.00,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"263049770"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.71,"providers":[{"billed_charge":10.00,"npi":[1265684856]}]}]},{"tin":{"type":"ein","value":"271348772"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":5.25,"providers":[{"billed_charge":18.00,"npi":[1649226515]}]}]},{"tin":{"type":"ein","value":"272147949"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.85,"providers":[{"billed_charge":12.00,"npi":[1518283753]}]}]},{"tin":{"type":"ein","value":"274666463"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":4.35,"providers":[{"billed_charge":35.00,"npi":[1538466107]}]}]},{"tin":{"type":"ein","value":"330571462"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.18,"providers":[{"billed_charge":9.00,"npi":[1386605822]}]}]},{"tin":{"type":"ein","value":"371342029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.13,"providers":[{"billed_charge":33.00,"npi":[1699838276]}]}]},{"tin":{"type":"ein","value":"462403175"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.11,"providers":[{"billed_charge":5.00,"npi":[1205268208]}]}]},{"tin":{"type":"ein","value":"541778786"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.13,"providers":[{"billed_charge":13.00,"npi":[1538214309]}]}]},{"tin":{"type":"ein","value":"541820401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":10.00,"npi":[1699365072]}]}]},{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.13,"providers":[{"billed_charge":12.00,"npi":[1134372477]}]}]},{"tin":{"type":"ein","value":"561074754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.69,"providers":[{"billed_charge":10.00,"npi":[1922132620]}]}]},{"tin":{"type":"ein","value":"561768044"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":3.49,"providers":[{"billed_charge":25.00,"npi":[1992840003]}]}]},{"tin":{"type":"ein","value":"566000805"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.69,"providers":[{"billed_charge":10.00,"npi":[1356845309]}]}]},{"tin":{"type":"ein","value":"570646674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.08,"providers":[{"billed_charge":27.00,"npi":[1427160845]}]},{"allowed_amount":13.50,"providers":[{"billed_charge":27.00,"npi":[1427160845]}]}]},{"tin":{"type":"ein","value":"582179236"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.03,"providers":[{"billed_charge":17.00,"npi":[1467467845]}]}]},{"tin":{"type":"ein","value":"582422542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.28,"providers":[{"billed_charge":4.10,"npi":[1174501902]}]}]},{"tin":{"type":"ein","value":"721436612"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.69,"providers":[{"billed_charge":15.00,"npi":[1861794851]}]}]},{"tin":{"type":"ein","value":"800966359"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.69,"providers":[{"billed_charge":5.24,"npi":[1932521010]}]}]},{"tin":{"type":"ein","value":"812122050"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.48,"providers":[{"billed_charge":10.00,"npi":[1962957639]}]}]},{"tin":{"type":"ein","value":"812145825"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.69,"providers":[{"billed_charge":5.00,"npi":[1679937205]}]}]},{"tin":{"type":"ein","value":"822146009"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.13,"providers":[{"billed_charge":4.00,"npi":[1386163822]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.80,"providers":[{"billed_charge":6.00,"npi":[1902305063]}]}]},{"tin":{"type":"ein","value":"824841527"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.96,"providers":[{"billed_charge":10.00,"npi":[1457849457]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.13,"providers":[{"billed_charge":6.00,"npi":[1265908479]}]}]}]},{"billing_code":"81002","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"URINALYSIS NONAUTO W/O SCOPE","allowed_amounts":[{"tin":{"type":"ein","value":"160743209"},"billing_class":"institutional","payments":[{"allowed_amount":2.61,"providers":[{"billed_charge":14.00,"npi":[1346285657]}]}]},{"tin":{"type":"ein","value":"556000381"},"billing_class":"institutional","payments":[{"allowed_amount":35.18,"providers":[{"billed_charge":39.00,"npi":[1609842251]}]}]}]},{"billing_code":"81003","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"URINALYSIS AUTO W/O SCOPE","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2.03,"providers":[{"billed_charge":32.55,"npi":[1053191148]}]}]},{"tin":{"type":"ein","value":"205497203"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":8.00,"npi":[1831744176]}]}]},{"tin":{"type":"ein","value":"208251779"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.01,"providers":[{"billed_charge":20.00,"npi":[1891067658]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":95.00,"npi":[1457579617]}]},{"allowed_amount":2.03,"providers":[{"billed_charge":8.00,"npi":[1457579617]},{"billed_charge":95.00,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"233079507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.14,"providers":[{"billed_charge":25.00,"npi":[1043271539]}]}]},{"tin":{"type":"ein","value":"263838232"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.03,"providers":[{"billed_charge":5.00,"npi":[1659517993]}]}]},{"tin":{"type":"ein","value":"273255459"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":22.00,"npi":[1841506458]}]}]},{"tin":{"type":"ein","value":"320502543"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":4.00,"npi":[1801341862]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.70,"providers":[{"billed_charge":15.00,"npi":[1982143269]}]}]},{"tin":{"type":"ein","value":"364615049"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.70,"providers":[{"billed_charge":20.00,"npi":[1487838652]}]}]},{"tin":{"type":"ein","value":"453123110"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":30.00,"npi":[1215219878]}]}]},{"tin":{"type":"ein","value":"453279277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.74,"providers":[{"billed_charge":11.47,"npi":[1720374283]}]}]},{"tin":{"type":"ein","value":"460782127"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":7.02,"providers":[{"billed_charge":32.00,"npi":[1124713383]}]}]},{"tin":{"type":"ein","value":"462456505"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.83,"providers":[{"billed_charge":9.00,"npi":[1578969465]}]}]},{"tin":{"type":"ein","value":"463111963"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":13.00,"npi":[1770916983]}]}]},{"tin":{"type":"ein","value":"464770041"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":8.00,"npi":[1932521630]}]}]},{"tin":{"type":"ein","value":"465137699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":6.27,"npi":[1962821322]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":7.00,"npi":[1154721272]},{"billed_charge":15.00,"npi":[1154721272]}]},{"allowed_amount":2.03,"providers":[{"billed_charge":15.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"473832952"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":1.38,"providers":[{"billed_charge":12.00,"npi":[1114302965]}]},{"allowed_amount":9.00,"providers":[{"billed_charge":12.00,"npi":[1114302965]}]}]},{"tin":{"type":"ein","value":"474459800"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.03,"providers":[{"billed_charge":21.00,"npi":[1912381203]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.03,"providers":[{"billed_charge":6.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.03,"providers":[{"billed_charge":8.00,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":10.00,"npi":[1780623207]}]},{"allowed_amount":2.03,"providers":[{"billed_charge":10.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"566000296"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":3.00,"providers":[{"billed_charge":5.00,"npi":[1235198177]}]}]},{"tin":{"type":"ein","value":"581351195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.62,"providers":[{"billed_charge":15.00,"npi":[1386763514]}]}]},{"tin":{"type":"ein","value":"581719867"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.93,"providers":[{"billed_charge":9.00,"npi":[1790733244]}]}]},{"tin":{"type":"ein","value":"581728803"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.03,"providers":[{"billed_charge":12.00,"npi":[1477276699]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.00,"providers":[{"billed_charge":90.00,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"582069754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":35.00,"npi":[1316973472]}]},{"allowed_amount":2.03,"providers":[{"billed_charge":35.00,"npi":[1316973472]}]}]},{"tin":{"type":"ein","value":"582380955"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":20.00,"npi":[1144279670]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.60,"providers":[{"billed_charge":8.00,"npi":[1134766694]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":13.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"630810661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":10.00,"npi":[1740397751]}]}]},{"tin":{"type":"ein","value":"631245407"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.59,"providers":[{"billed_charge":4.50,"npi":[1598796542]}]}]},{"tin":{"type":"ein","value":"752613493"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.13,"providers":[{"billed_charge":10.00,"npi":[1174573596]}]}]},{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.03,"providers":[{"billed_charge":5.00,"npi":[1366912586]}]}]},{"tin":{"type":"ein","value":"811762230"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":10.00,"npi":[1912368457]}]}]},{"tin":{"type":"ein","value":"813425340"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.03,"providers":[{"billed_charge":9.00,"npi":[1194277186]}]}]},{"tin":{"type":"ein","value":"813969470"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.28,"providers":[{"billed_charge":10.00,"npi":[1154870533]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.60,"providers":[{"billed_charge":7.00,"npi":[1902305063]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":5.00,"npi":[1609342815]}]},{"allowed_amount":2.03,"providers":[{"billed_charge":5.00,"npi":[1609342815,1265908479]}]}]},{"tin":{"type":"ein","value":"834172038"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.00,"providers":[{"billed_charge":20.00,"npi":[1811458177]}]}]},{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":10.00,"npi":[1255950325]}]},{"allowed_amount":2.03,"providers":[{"billed_charge":10.00,"npi":[1255950325]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":22.00,"npi":[1144803040]}]},{"allowed_amount":2.03,"providers":[{"billed_charge":22.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"880643076"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":6.00,"npi":[1679293104]}]}]},{"tin":{"type":"ein","value":"920943759"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":10.00,"npi":[1851000855]}]}]},{"tin":{"type":"ein","value":"923479126"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.90,"providers":[{"billed_charge":7.00,"npi":[1982381299]}]}]},{"tin":{"type":"ein","value":"934104475"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":9.00,"npi":[1629841788]}]},{"allowed_amount":2.03,"providers":[{"billed_charge":9.00,"npi":[1629841788]}]}]}]},{"billing_code":"81003","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"URINALYSIS AUTO W/O SCOPE","allowed_amounts":[{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":28.70,"providers":[{"billed_charge":35.00,"npi":[1790717650]}]}]},{"tin":{"type":"ein","value":"160743032"},"billing_class":"institutional","payments":[{"allowed_amount":2.64,"providers":[{"billed_charge":6.75,"npi":[1952418352]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":8.65,"providers":[{"billed_charge":49.51,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"208488713"},"billing_class":"institutional","payments":[{"allowed_amount":18.41,"providers":[{"billed_charge":180.05,"npi":[1073893020]}]}]},{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":3.78,"providers":[{"billed_charge":14.30,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"222592333"},"billing_class":"institutional","payments":[{"allowed_amount":24.80,"providers":[{"billed_charge":32.00,"npi":[1306871223]}]}]},{"tin":{"type":"ein","value":"272844563"},"billing_class":"institutional","payments":[{"allowed_amount":45.60,"providers":[{"billed_charge":95.00,"npi":[1922310200]}]}]},{"tin":{"type":"ein","value":"350211370"},"billing_class":"institutional","payments":[{"allowed_amount":7.46,"providers":[{"billed_charge":55.86,"npi":[1386683316]}]}]},{"tin":{"type":"ein","value":"351814660"},"billing_class":"institutional","payments":[{"allowed_amount":10.38,"providers":[{"billed_charge":12.00,"npi":[1063443455]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":26.61,"providers":[{"billed_charge":45.10,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":15.72,"providers":[{"billed_charge":168.36,"npi":[1205263423]}]},{"allowed_amount":17.61,"providers":[{"billed_charge":168.36,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":11.36,"providers":[{"billed_charge":100.53,"npi":[1316997356]}]},{"allowed_amount":18.00,"providers":[{"billed_charge":100.53,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"550525724"},"billing_class":"institutional","payments":[{"allowed_amount":33.25,"providers":[{"billed_charge":35.00,"npi":[1184606600]}]}]},{"tin":{"type":"ein","value":"560532309"},"billing_class":"institutional","payments":[{"allowed_amount":9.80,"providers":[{"billed_charge":69.00,"npi":[1396746228]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":5.45,"providers":[{"billed_charge":88.24,"npi":[1073557559]}]},{"allowed_amount":26.40,"providers":[{"billed_charge":126.22,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":13.04,"providers":[{"billed_charge":105.00,"npi":[1649218579]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":11.64,"providers":[{"billed_charge":48.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":193.20,"providers":[{"billed_charge":276.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"621762420"},"billing_class":"institutional","payments":[{"allowed_amount":53.81,"providers":[{"billed_charge":131.25,"npi":[1528026267]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":25.69,"providers":[{"billed_charge":107.00,"npi":[1376540138]}]}]},{"tin":{"type":"ein","value":"650666516"},"billing_class":"institutional","payments":[{"allowed_amount":31.20,"providers":[{"billed_charge":39.00,"npi":[1487760906]}]}]},{"tin":{"type":"ein","value":"730717979"},"billing_class":"institutional","payments":[{"allowed_amount":6.27,"providers":[{"billed_charge":25.00,"npi":[1659347623]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":7.48,"providers":[{"billed_charge":30.00,"npi":[1144211301]}]},{"allowed_amount":13.16,"providers":[{"billed_charge":30.00,"npi":[1144211301]}]},{"allowed_amount":16.09,"providers":[{"billed_charge":30.00,"npi":[1144211301]}]},{"allowed_amount":16.28,"providers":[{"billed_charge":30.00,"npi":[1144211301]}]}]},{"tin":{"type":"ein","value":"922451946"},"billing_class":"institutional","payments":[{"allowed_amount":100.05,"providers":[{"billed_charge":145.00,"npi":[1740981430]}]}]}]},{"billing_code":"81015","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"MICROSCOPIC EXAM OF URINE","allowed_amounts":[{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":2.98,"providers":[{"billed_charge":2.98,"npi":[1740377423]}]}]}]},{"billing_code":"81025","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"URINE PREGNANCY TEST","allowed_amounts":[{"tin":{"type":"ein","value":"200602254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.73,"providers":[{"billed_charge":20.00,"npi":[1730244872]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":7.74,"providers":[{"billed_charge":21.53,"npi":[1457579617]}]},{"allowed_amount":7.75,"providers":[{"billed_charge":21.53,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.05,"providers":[{"billed_charge":31.00,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"271689066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.89,"providers":[{"billed_charge":43.00,"npi":[1750752291]}]}]},{"tin":{"type":"ein","value":"272801896"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":7.74,"providers":[{"billed_charge":63.00,"npi":[1063718013]}]}]},{"tin":{"type":"ein","value":"273054323"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.61,"providers":[{"billed_charge":10.76,"npi":[1790021517]}]}]},{"tin":{"type":"ein","value":"274666463"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":10.76,"providers":[{"billed_charge":32.00,"npi":[1538466107]}]}]},{"tin":{"type":"ein","value":"383316559"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":9.44,"providers":[{"billed_charge":16.00,"npi":[1992937023]}]}]},{"tin":{"type":"ein","value":"431771217"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.76,"providers":[{"billed_charge":22.00,"npi":[1851335228]}]}]},{"tin":{"type":"ein","value":"453279277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.47,"providers":[{"billed_charge":32.28,"npi":[1720374283]}]}]},{"tin":{"type":"ein","value":"460782127"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":9.21,"providers":[{"billed_charge":42.00,"npi":[1124713383]}]}]},{"tin":{"type":"ein","value":"465137699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.75,"providers":[{"billed_charge":35.00,"npi":[1962821322]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":7.74,"providers":[{"billed_charge":25.00,"npi":[1154721272]}]},{"allowed_amount":7.75,"providers":[{"billed_charge":25.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"474870066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.74,"providers":[{"billed_charge":25.00,"npi":[1457020315]}]}]},{"tin":{"type":"ein","value":"522077594"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.74,"providers":[{"billed_charge":30.00,"npi":[1891849832]}]}]},{"tin":{"type":"ein","value":"541820401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.74,"providers":[{"billed_charge":30.00,"npi":[1699365072]}]},{"allowed_amount":7.75,"providers":[{"billed_charge":30.00,"npi":[1699365072]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":7.74,"providers":[{"billed_charge":21.53,"npi":[1356345920]}]},{"allowed_amount":7.75,"providers":[{"billed_charge":21.53,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"562032082"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.70,"providers":[{"billed_charge":87.00,"npi":[1427016138]}]},{"allowed_amount":13.05,"providers":[{"billed_charge":87.00,"npi":[1427016138]}]}]},{"tin":{"type":"ein","value":"566000351"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":25.00,"npi":[1467507640]}]}]},{"tin":{"type":"ein","value":"566000805"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.74,"providers":[{"billed_charge":15.00,"npi":[1356845309]}]},{"allowed_amount":7.75,"providers":[{"billed_charge":15.00,"npi":[1356845309]}]}]},{"tin":{"type":"ein","value":"570969793"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":8.55,"providers":[{"billed_charge":30.00,"npi":[1154510352]}]}]},{"tin":{"type":"ein","value":"571122647"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":6.22,"providers":[{"billed_charge":10.00,"npi":[1831151976]}]}]},{"tin":{"type":"ein","value":"576000286"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":9.75,"providers":[{"billed_charge":13.17,"npi":[1902989163,1841374485,1023191707]}]}]},{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.60,"providers":[{"billed_charge":14.50,"npi":[1750314183]}]}]},{"tin":{"type":"ein","value":"582047612"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.36,"providers":[{"billed_charge":20.00,"npi":[1801908272]}]}]},{"tin":{"type":"ein","value":"621013399"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.40,"providers":[{"billed_charge":18.00,"npi":[1487695862]}]}]},{"tin":{"type":"ein","value":"811793240"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.00,"providers":[{"billed_charge":10.00,"npi":[1942742325]}]}]},{"tin":{"type":"ein","value":"812145825"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.74,"providers":[{"billed_charge":12.95,"npi":[1679937205]}]}]},{"tin":{"type":"ein","value":"823762961"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":7.40,"providers":[{"billed_charge":20.00,"npi":[1003308305]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.75,"providers":[{"billed_charge":15.00,"npi":[1609342815]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":7.74,"providers":[{"billed_charge":30.00,"npi":[1144803040]}]},{"allowed_amount":7.75,"providers":[{"billed_charge":30.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"883795285"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.75,"providers":[{"billed_charge":12.00,"npi":[1669190088]}]}]},{"tin":{"type":"ein","value":"933254155"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":7.75,"providers":[{"billed_charge":18.00,"npi":[1861274169]}]}]}]},{"billing_code":"81025","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"URINE PREGNANCY TEST","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":57.04,"providers":[{"billed_charge":62.00,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"060646554"},"billing_class":"institutional","payments":[{"allowed_amount":55.25,"providers":[{"billed_charge":65.00,"npi":[1992910152]}]}]},{"tin":{"type":"ein","value":"160743209"},"billing_class":"institutional","payments":[{"allowed_amount":5.40,"providers":[{"billed_charge":29.00,"npi":[1346285657]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":62.44,"providers":[{"billed_charge":76.14,"npi":[1548315401]}]},{"allowed_amount":65.71,"providers":[{"billed_charge":79.94,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"201508140"},"billing_class":"institutional","payments":[{"allowed_amount":5.16,"providers":[{"billed_charge":11.00,"npi":[1548236524]}]}]},{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":27.53,"providers":[{"billed_charge":104.20,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":47.53,"providers":[{"billed_charge":115.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"311322863"},"billing_class":"institutional","payments":[{"allowed_amount":52.29,"providers":[{"billed_charge":63.00,"npi":[1124127683]}]}]},{"tin":{"type":"ein","value":"352528741"},"billing_class":"institutional","payments":[{"allowed_amount":13.35,"providers":[{"billed_charge":111.00,"npi":[1396882205]}]}]},{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":60.15,"providers":[{"billed_charge":75.19,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":36.99,"providers":[{"billed_charge":353.57,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":42.90,"providers":[{"billed_charge":215.00,"npi":[1750333282]}]},{"allowed_amount":238.41,"providers":[{"billed_charge":238.41,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":38.95,"providers":[{"billed_charge":187.33,"npi":[1568417798]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":8.42,"providers":[{"billed_charge":8.42,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"586025393"},"billing_class":"institutional","payments":[{"allowed_amount":50.15,"providers":[{"billed_charge":59.00,"npi":[1487684122]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":170.10,"providers":[{"billed_charge":243.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"650252846"},"billing_class":"institutional","payments":[{"allowed_amount":921.60,"providers":[{"billed_charge":1772.31,"npi":[1417901406]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":108.00,"npi":[1144211301]}]}]}]},{"billing_code":"81050","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"URINALYSIS VOLUME MEASURE","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":29.45,"providers":[{"billed_charge":31.00,"npi":[1083249577]}]}]}]},{"billing_code":"81162","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"BRCA1&2 GEN FULL SEQ DUP/DEL","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":1199.40,"providers":[{"billed_charge":1999.00,"npi":[1558672279]}]}]}]},{"billing_code":"81173","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"AR GENE FULL GENE SEQUENCE","allowed_amounts":[{"tin":{"type":"ein","value":"830343803"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":271.22,"providers":[{"billed_charge":885.00,"npi":[1114140571]}]}]}]},{"billing_code":"81206","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"BCR/ABL1 GENE MAJOR BP","allowed_amounts":[{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":114.78,"providers":[{"billed_charge":281.00,"npi":[1396408829]}]}]}]},{"billing_code":"81207","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"BCR/ABL1 GENE MINOR BP","allowed_amounts":[{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":102.71,"providers":[{"billed_charge":248.00,"npi":[1396408829]}]}]}]},{"billing_code":"81210","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"BRAF GENE","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":104.31,"providers":[{"billed_charge":175.00,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":120.66,"providers":[{"billed_charge":263.00,"npi":[1447437355]}]}]}]},{"billing_code":"81220","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CFTR GENE COM VARIANTS","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.00,"npi":[1558672279]}]},{"allowed_amount":774.55,"providers":[{"billed_charge":3500.00,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"811082020"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":417.45,"providers":[{"billed_charge":4452.80,"npi":[1598314437]}]}]}]},{"billing_code":"81225","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CYP2C19 GENE COM VARIANTS","allowed_amounts":[{"tin":{"type":"ein","value":"465193717"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":258.48,"providers":[{"billed_charge":608.66,"npi":[1467850859]}]}]}]},{"billing_code":"81226","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CYP2D6 GENE COM VARIANTS","allowed_amounts":[{"tin":{"type":"ein","value":"465193717"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":405.81,"providers":[{"billed_charge":1065.17,"npi":[1467850859]}]}]}]},{"billing_code":"81227","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CYP2C9 GENE COM VARIANTS","allowed_amounts":[{"tin":{"type":"ein","value":"465193717"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":157.32,"providers":[{"billed_charge":456.50,"npi":[1467850859]}]}]}]},{"billing_code":"81230","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CYP3A4 GENE COMMON VARIANTS","allowed_amounts":[{"tin":{"type":"ein","value":"465193717"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":157.32,"providers":[{"billed_charge":304.33,"npi":[1467850859]}]}]}]},{"billing_code":"81231","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CYP3A5 GENE COMMON VARIANTS","allowed_amounts":[{"tin":{"type":"ein","value":"465193717"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":157.32,"providers":[{"billed_charge":304.33,"npi":[1467850859]}]}]}]},{"billing_code":"81240","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"F2 GENE","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":304.00,"providers":[{"billed_charge":320.00,"npi":[1528039484]}]}]}]},{"billing_code":"81240","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"F2 GENE","allowed_amounts":[{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":126.00,"providers":[{"billed_charge":168.00,"npi":[1942294814]}]}]}]},{"billing_code":"81241","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"F5 GENE","allowed_amounts":[{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":112.50,"providers":[{"billed_charge":150.00,"npi":[1942294814]}]}]}]},{"billing_code":"81245","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"FLT3 GENE","allowed_amounts":[{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":486.75,"providers":[{"billed_charge":649.00,"npi":[1174582050]}]}]}]},{"billing_code":"81246","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"FLT3 GENE ANALYSIS","allowed_amounts":[{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":486.75,"providers":[{"billed_charge":649.00,"npi":[1174582050]}]}]}]},{"billing_code":"81267","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CHIMERISM ANAL NO CELL SELEC","allowed_amounts":[{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":1254.75,"providers":[{"billed_charge":1673.00,"npi":[1174582050]}]}]}]},{"billing_code":"81275","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"KRAS GENE VARIANTS EXON 2","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":113.25,"providers":[{"billed_charge":190.00,"npi":[1558672279]}]}]}]},{"billing_code":"81276","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"KRAS GENE ADDL VARIANTS","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":113.25,"providers":[{"billed_charge":190.00,"npi":[1558672279]}]}]}]},{"billing_code":"81291","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"MTHFR GENE","allowed_amounts":[{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":260.25,"providers":[{"billed_charge":347.00,"npi":[1942294814]}]}]}]},{"billing_code":"81301","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"MICROSATELLITE INSTABILITY","allowed_amounts":[{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":283.31,"providers":[{"billed_charge":539.00,"npi":[1447437355]}]}]}]},{"billing_code":"81310","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"NPM1 GENE","allowed_amounts":[{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":177.23,"providers":[{"billed_charge":420.00,"npi":[1447437355]}]}]}]},{"billing_code":"81315","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"PML/RARALPHA COM BREAKPOINTS","allowed_amounts":[{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":202.83,"providers":[{"billed_charge":355.00,"npi":[1447437355]}]}]}]},{"billing_code":"81328","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"SLCO1B1 GENE COM VARIANTS","allowed_amounts":[{"tin":{"type":"ein","value":"465193717"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":157.32,"providers":[{"billed_charge":266.69,"npi":[1467850859]}]}]}]},{"billing_code":"81329","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"SMN1 GENE DOS/DELETION ALYS","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":28.02,"providers":[{"billed_charge":200.00,"npi":[1558672279]}]},{"allowed_amount":35.94,"providers":[{"billed_charge":200.00,"npi":[1558672279]}]},{"allowed_amount":44.26,"providers":[{"billed_charge":200.00,"npi":[1558672279]}]},{"allowed_amount":105.65,"providers":[{"billed_charge":200.00,"npi":[1558672279]}]},{"allowed_amount":106.24,"providers":[{"billed_charge":200.00,"npi":[1558672279]}]},{"allowed_amount":108.52,"providers":[{"billed_charge":200.00,"npi":[1558672279]}]},{"allowed_amount":108.69,"providers":[{"billed_charge":200.00,"npi":[1558672279]}]},{"allowed_amount":111.80,"providers":[{"billed_charge":200.00,"npi":[1558672279]}]},{"allowed_amount":112.81,"providers":[{"billed_charge":200.00,"npi":[1558672279]}]},{"allowed_amount":121.66,"providers":[{"billed_charge":200.00,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"811082020"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":102.75,"providers":[{"billed_charge":1096.00,"npi":[1598314437]}]}]}]},{"billing_code":"81345","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TERT GENE TARGETED SEQ ALYS","allowed_amounts":[{"tin":{"type":"ein","value":"205455398"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":120.38,"providers":[{"billed_charge":395.00,"npi":[1134438427]}]}]}]},{"billing_code":"81361","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HBB GENE COM VARIANTS","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":38.73,"providers":[{"billed_charge":175.00,"npi":[1558672279]}]},{"allowed_amount":92.96,"providers":[{"billed_charge":175.00,"npi":[1558672279]}]},{"allowed_amount":98.71,"providers":[{"billed_charge":175.00,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"811082020"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":131.11,"providers":[{"billed_charge":1398.48,"npi":[1598314437]}]},{"allowed_amount":157.33,"providers":[{"billed_charge":1398.48,"npi":[1598314437]}]}]}]},{"billing_code":"81364","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HBB FULL GENE SEQUENCE","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":178.81,"providers":[{"billed_charge":300.00,"npi":[1558672279]}]}]}]},{"billing_code":"81380","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HLA I TYPING 1 LOCUS HR","allowed_amounts":[{"tin":{"type":"ein","value":"465193717"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":159.52,"providers":[{"billed_charge":342.37,"npi":[1467850859]}]}]}]},{"billing_code":"81400","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"MOPATH PROCEDURE LEVEL 1","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":60.00,"npi":[1558672279]}]},{"allowed_amount":44.26,"providers":[{"billed_charge":200.00,"npi":[1558672279]}]},{"allowed_amount":49.50,"providers":[{"billed_charge":200.00,"npi":[1558672279]}]}]}]},{"billing_code":"81401","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"MOPATH PROCEDURE LEVEL 2","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":49.50,"providers":[{"billed_charge":200.00,"npi":[1558672279]}]}]}]},{"billing_code":"81402","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"MOPATH PROCEDURE LEVEL 3","allowed_amounts":[{"tin":{"type":"ein","value":"465193717"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":135.29,"providers":[{"billed_charge":228.25,"npi":[1467850859]}]}]}]},{"billing_code":"81403","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"MOPATH PROCEDURE LEVEL 4","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":138.90,"providers":[{"billed_charge":1481.60,"npi":[1598314437]}]}]}]},{"billing_code":"81404","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"MOPATH PROCEDURE LEVEL 5","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":596.04,"providers":[{"billed_charge":1000.00,"npi":[1558672279]}]}]}]},{"billing_code":"81405","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"MOPATH PROCEDURE LEVEL 6","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":34.30,"providers":[{"billed_charge":155.00,"npi":[1558672279]}]},{"allowed_amount":82.34,"providers":[{"billed_charge":155.00,"npi":[1558672279]}]},{"allowed_amount":166.89,"providers":[{"billed_charge":280.00,"npi":[1558672279]}]}]}]},{"billing_code":"81407","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"MOPATH PROCEDURE LEVEL 8","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":473.86,"providers":[{"billed_charge":795.00,"npi":[1558672279]}]}]}]},{"billing_code":"81408","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"MOPATH PROCEDURE LEVEL 9","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":1017.98,"providers":[{"billed_charge":4600.00,"npi":[1558672279]}]},{"allowed_amount":1215.03,"providers":[{"billed_charge":2300.00,"npi":[1558672279]}]},{"allowed_amount":2384.19,"providers":[{"billed_charge":4000.00,"npi":[1558672279]}]},{"allowed_amount":2443.62,"providers":[{"billed_charge":4600.00,"npi":[1558672279]}]}]}]},{"billing_code":"81418","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"RX METAB GEN SEQ ALYS PNL 6","allowed_amounts":[{"tin":{"type":"ein","value":"933074252"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":825.37,"providers":[{"billed_charge":918.00,"npi":[1376312272]}]}]}]},{"billing_code":"81420","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"FETAL CHRMOML ANEUPLOIDY","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":683.14,"providers":[{"billed_charge":3900.00,"npi":[1558672279]}]},{"allowed_amount":749.00,"providers":[{"billed_charge":3900.00,"npi":[1558672279]}]},{"allowed_amount":786.45,"providers":[{"billed_charge":3900.00,"npi":[1558672279]}]},{"allowed_amount":863.07,"providers":[{"billed_charge":3900.00,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"811082020"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":6072.40,"npi":[1598314437]}]}]}]},{"billing_code":"81422","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"FETAL CHRMOML MICRODELTJ","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":221.08,"providers":[{"billed_charge":999.00,"npi":[1558672279]}]},{"allowed_amount":455.43,"providers":[{"billed_charge":999.00,"npi":[1558672279]}]},{"allowed_amount":599.40,"providers":[{"billed_charge":999.00,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"811082020"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.20,"npi":[1598314437]}]}]}]},{"billing_code":"81443","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"GENETIC TSTG SEVERE INH COND","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":1836.42,"providers":[{"billed_charge":8995.00,"npi":[1558672279]},{"billed_charge":13987.00,"npi":[1558672279]}]},{"allowed_amount":1947.36,"providers":[{"billed_charge":10837.00,"npi":[1558672279]}]},{"allowed_amount":1959.44,"providers":[{"billed_charge":13987.00,"npi":[1558672279]}]},{"allowed_amount":1990.59,"providers":[{"billed_charge":8995.00,"npi":[1558672279]}]},{"allowed_amount":3095.32,"providers":[{"billed_charge":13987.00,"npi":[1558672279]}]}]}]},{"billing_code":"81455","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"SO/HL 51/> DNA/DNA&RNA","allowed_amounts":[{"tin":{"type":"ein","value":"473985440"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3159.06,"providers":[{"billed_charge":6500.00,"npi":[1053980276]}]}]},{"tin":{"type":"ein","value":"474903308"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2280.00,"providers":[{"billed_charge":3800.00,"npi":[1740733708]}]},{"allowed_amount":2414.01,"providers":[{"billed_charge":3800.00,"npi":[1740733708]}]},{"allowed_amount":2567.63,"providers":[{"billed_charge":3800.00,"npi":[1972272276]}]}]},{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1880.00,"providers":[{"billed_charge":5000.00,"npi":[1447437355]}]}]}]},{"billing_code":"81456","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"SO/HL 51/> RNA ALYS","allowed_amounts":[{"tin":{"type":"ein","value":"474903308"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2627.64,"providers":[{"billed_charge":3800.00,"npi":[1740733708,1972272276]}]}]}]},{"billing_code":"81503","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ONCO (OVAR) FIVE PROTEINS","allowed_amounts":[{"tin":{"type":"ein","value":"753013577"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":790.49,"providers":[{"billed_charge":1495.00,"npi":[1982021564]}]}]}]},{"billing_code":"81513","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"NFCT DS BV RNA VAG FLU ALG","allowed_amounts":[{"tin":{"type":"ein","value":"364257926"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":236.78,"providers":[{"billed_charge":364.27,"npi":[1881630614]}]}]},{"tin":{"type":"ein","value":"582422542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.05,"providers":[{"billed_charge":175.00,"npi":[1174501902]}]}]}]},{"billing_code":"81514","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"NFCT DS BV&VAGINITIS DNA ALG","allowed_amounts":[{"tin":{"type":"ein","value":"362167864"},"billing_class":"institutional","payments":[{"allowed_amount":262.13,"providers":[{"billed_charge":758.00,"npi":[1790739977]}]}]}]},{"billing_code":"81518","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ONC BRST MRNA 11 GENES","allowed_amounts":[{"tin":{"type":"ein","value":"260691876"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2965.53,"providers":[{"billed_charge":5200.00,"npi":[1043344435]}]}]}]},{"billing_code":"81519","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ONCOLOGY BREAST MRNA","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3873.00,"providers":[{"billed_charge":4620.00,"npi":[1215003603]}]}]}]},{"billing_code":"81529","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ONC CUTAN MLNMA MRNA 31 GENE","allowed_amounts":[{"tin":{"type":"ein","value":"770701774"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6357.89,"providers":[{"billed_charge":8500.00,"npi":[1770734253]}]}]}]},{"billing_code":"81542","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ONC PROSTATE MRNA 22 CNT GEN","allowed_amounts":[{"tin":{"type":"ein","value":"990373279"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3800.00,"providers":[{"billed_charge":5150.00,"npi":[1770833121]}]}]}]},{"billing_code":"81546","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ONC THYR MRNA 10,196 GEN ALG","allowed_amounts":[{"tin":{"type":"ein","value":"205455398"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3600.00,"providers":[{"billed_charge":6400.00,"npi":[1134438427]}]}]}]},{"billing_code":"81551","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ONC PROSTATE 3 GENES","allowed_amounts":[{"tin":{"type":"ein","value":"470916074"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":1320.80,"providers":[{"billed_charge":3300.00,"npi":[1720359698]}]}]}]},{"billing_code":"81595","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CARDIOLOGY HRT TRNSPL MRNA","allowed_amounts":[{"tin":{"type":"ein","value":"943316839"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2821.00,"providers":[{"billed_charge":4300.00,"npi":[1689607384]}]}]}]},{"billing_code":"82009","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"TEST FOR ACETONE/KETONES","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":16.51,"providers":[{"billed_charge":160.32,"npi":[1457719312]}]},{"allowed_amount":16.81,"providers":[{"billed_charge":160.32,"npi":[1457719312]}]}]}]},{"billing_code":"82024","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF ACTH","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":173.43,"providers":[{"billed_charge":218.69,"npi":[1548315401]}]},{"allowed_amount":179.32,"providers":[{"billed_charge":218.69,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":146.37,"providers":[{"billed_charge":215.25,"npi":[1154377166]}]}]}]},{"billing_code":"82040","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF SERUM ALBUMIN","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":55.22,"providers":[{"billed_charge":83.67,"npi":[1245720820]}]}]}]},{"billing_code":"82040","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF SERUM ALBUMIN","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":18.18,"providers":[{"billed_charge":282.01,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"540853898"},"billing_class":"institutional","payments":[{"allowed_amount":13.27,"providers":[{"billed_charge":69.00,"npi":[1548366404]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":14.81,"providers":[{"billed_charge":180.01,"npi":[1558311357]}]},{"allowed_amount":16.46,"providers":[{"billed_charge":180.01,"npi":[1619350261]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":58.96,"providers":[{"billed_charge":67.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":3.20,"providers":[{"billed_charge":47.00,"npi":[1174582050]}]}]}]},{"billing_code":"82043","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"UR ALBUMIN QUANTITATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"050524222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.20,"providers":[{"billed_charge":84.00,"npi":[1285713859]}]}]},{"tin":{"type":"ein","value":"112981029"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.20,"providers":[{"billed_charge":90.50,"npi":[1376587113]}]}]},{"tin":{"type":"ein","value":"203059260"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.30,"providers":[{"billed_charge":22.00,"npi":[1598958431]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.78,"providers":[{"billed_charge":9.49,"npi":[1922259753]}]}]},{"tin":{"type":"ein","value":"233079507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.09,"providers":[{"billed_charge":42.00,"npi":[1043271539]}]}]},{"tin":{"type":"ein","value":"382084239"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.84,"providers":[{"billed_charge":83.64,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":82.65,"providers":[{"billed_charge":87.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":5.59,"providers":[{"billed_charge":157.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.84,"providers":[{"billed_charge":20.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"710897031"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.44,"providers":[{"billed_charge":83.64,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"923479126"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.60,"providers":[{"billed_charge":18.00,"npi":[1982381299]}]}]}]},{"billing_code":"82043","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"UR ALBUMIN QUANTITATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"351064295"},"billing_class":"institutional","payments":[{"allowed_amount":103.28,"providers":[{"billed_charge":151.00,"npi":[1902897937]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":6.68,"providers":[{"billed_charge":143.51,"npi":[1750333282]}]},{"allowed_amount":9.71,"providers":[{"billed_charge":144.79,"npi":[1457719312]}]},{"allowed_amount":10.64,"providers":[{"billed_charge":144.79,"npi":[1477504280]}]},{"allowed_amount":13.50,"providers":[{"billed_charge":144.79,"npi":[1457719312]}]},{"allowed_amount":14.11,"providers":[{"billed_charge":101.22,"npi":[1073557559]}]},{"allowed_amount":19.33,"providers":[{"billed_charge":144.79,"npi":[1477504280]}]},{"allowed_amount":25.35,"providers":[{"billed_charge":144.79,"npi":[1477504280]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":10.80,"providers":[{"billed_charge":112.75,"npi":[1124422308]}]},{"allowed_amount":15.44,"providers":[{"billed_charge":112.75,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":6.45,"providers":[{"billed_charge":115.32,"npi":[1558311357]}]},{"allowed_amount":10.55,"providers":[{"billed_charge":115.32,"npi":[1619350261]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":4.93,"providers":[{"billed_charge":112.75,"npi":[1083669030]}]},{"allowed_amount":11.30,"providers":[{"billed_charge":111.47,"npi":[1992754758]}]},{"allowed_amount":13.33,"providers":[{"billed_charge":112.75,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":5.88,"providers":[{"billed_charge":120.44,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":12.41,"providers":[{"billed_charge":18.25,"npi":[1154377166]}]}]}]},{"billing_code":"82044","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"UR ALBUMIN SEMIQUANTITATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"581109078"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.56,"providers":[{"billed_charge":50.00,"npi":[1033180625]}]}]}]},{"billing_code":"82075","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF BREATH ETHANOL","allowed_amounts":[{"tin":{"type":"ein","value":"813016029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.00,"providers":[{"billed_charge":30.00,"npi":[1184851677]}]}]}]},{"billing_code":"82085","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF ALDOLASE","allowed_amounts":[{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.73,"providers":[{"billed_charge":18.00,"npi":[1497797088]}]}]}]},{"billing_code":"82088","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF ALDOSTERONE","allowed_amounts":[{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":36.67,"providers":[{"billed_charge":75.00,"npi":[1497797088]}]}]}]},{"billing_code":"82105","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ALPHA-FETOPROTEIN SERUM","allowed_amounts":[{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":60.00,"npi":[1144211301]}]}]}]},{"billing_code":"82108","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF ALUMINUM","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":342.71,"providers":[{"billed_charge":519.25,"npi":[1245720820]}]}]}]},{"billing_code":"82120","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"AMINES VAGINAL FLUID QUAL","allowed_amounts":[{"tin":{"type":"ein","value":"566000299"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":5.39,"providers":[{"billed_charge":16.00,"npi":[1619058955]}]}]},{"tin":{"type":"ein","value":"566000351"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":10.00,"npi":[1467507640]}]}]}]},{"billing_code":"82140","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF AMMONIA","allowed_amounts":[{"tin":{"type":"ein","value":"823146637"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.11,"providers":[{"billed_charge":43.71,"npi":[1861994600]}]}]},{"tin":{"type":"ein","value":"881559059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":145.00,"npi":[1134864663]}]}]},{"tin":{"type":"ein","value":"883286578"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.52,"providers":[{"billed_charge":134.15,"npi":[1366150773]}]}]},{"tin":{"type":"ein","value":"954896039"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.11,"providers":[{"billed_charge":53.97,"npi":[1477556876]}]}]}]},{"billing_code":"82150","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF AMYLASE","allowed_amounts":[{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":7.38,"providers":[{"billed_charge":16.00,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":14.64,"providers":[{"billed_charge":83.80,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"222592333"},"billing_class":"institutional","payments":[{"allowed_amount":44.95,"providers":[{"billed_charge":58.00,"npi":[1306871223]}]}]}]},{"billing_code":"82157","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF ANDROSTENEDIONE","allowed_amounts":[{"tin":{"type":"ein","value":"930958965"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.35,"providers":[{"billed_charge":33.00,"npi":[1962559617]}]}]}]},{"billing_code":"82160","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF ANDROSTERONE","allowed_amounts":[{"tin":{"type":"ein","value":"930958965"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":23.00,"providers":[{"billed_charge":26.00,"npi":[1962559617]}]}]}]},{"billing_code":"82166","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ANTI MULLERIAN HORM","allowed_amounts":[{"tin":{"type":"ein","value":"262679473"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":59.85,"providers":[{"billed_charge":79.80,"npi":[1003078403]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":34.76,"providers":[{"billed_charge":97.00,"npi":[1598761967]}]}]}]},{"billing_code":"82172","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF APOLIPOPROTEIN","allowed_amounts":[{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":38.40,"providers":[{"billed_charge":64.00,"npi":[1922259753]}]}]}]},{"billing_code":"82180","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF ASCORBIC ACID","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.80,"providers":[{"billed_charge":29.67,"npi":[1053584482]}]}]}]},{"billing_code":"82232","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF BETA-2 PROTEIN","allowed_amounts":[{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.00,"providers":[{"billed_charge":28.00,"npi":[1811955917]}]}]}]},{"billing_code":"82232","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF BETA-2 PROTEIN","allowed_amounts":[{"tin":{"type":"ein","value":"042263040"},"billing_class":"institutional","payments":[{"allowed_amount":214.20,"providers":[{"billed_charge":238.00,"npi":[1851333686]}]}]}]},{"billing_code":"82247","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"BILIRUBIN TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2.19,"providers":[{"billed_charge":3.13,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"382084239"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2.89,"providers":[{"billed_charge":49.54,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"561025986"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.52,"providers":[{"billed_charge":12.55,"npi":[1699722389]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.51,"providers":[{"billed_charge":18.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.51,"providers":[{"billed_charge":12.00,"npi":[1619443827]}]}]}]},{"billing_code":"82247","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"BILIRUBIN TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"540853898"},"billing_class":"institutional","payments":[{"allowed_amount":13.27,"providers":[{"billed_charge":69.00,"npi":[1548366404]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":3.97,"providers":[{"billed_charge":107.04,"npi":[1992754758]}]},{"allowed_amount":4.14,"providers":[{"billed_charge":108.28,"npi":[1083669030]}]},{"allowed_amount":4.73,"providers":[{"billed_charge":108.28,"npi":[1083669030]}]},{"allowed_amount":5.28,"providers":[{"billed_charge":107.04,"npi":[1992754758]}]},{"allowed_amount":8.10,"providers":[{"billed_charge":108.28,"npi":[1083669030]}]},{"allowed_amount":12.23,"providers":[{"billed_charge":108.28,"npi":[1083669030]}]},{"allowed_amount":13.41,"providers":[{"billed_charge":108.28,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":106.48,"providers":[{"billed_charge":121.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":38.25,"providers":[{"billed_charge":51.00,"npi":[1174582050]}]},{"allowed_amount":51.00,"providers":[{"billed_charge":51.00,"npi":[1174582050]}]}]}]},{"billing_code":"82248","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"BILIRUBIN DIRECT","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2.89,"providers":[{"billed_charge":49.54,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.51,"providers":[{"billed_charge":7.53,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"561025986"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.52,"providers":[{"billed_charge":12.55,"npi":[1699722389]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.51,"providers":[{"billed_charge":18.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"811896675"},"billing_class":"professional","service_code":["55"],"payments":[{"allowed_amount":4.52,"providers":[{"billed_charge":61.90,"npi":[1083061261]}]}]}]},{"billing_code":"82248","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"BILIRUBIN DIRECT","allowed_amounts":[{"tin":{"type":"ein","value":"020222140"},"billing_class":"institutional","payments":[{"allowed_amount":34.80,"providers":[{"billed_charge":40.00,"npi":[1023092053]}]}]},{"tin":{"type":"ein","value":"030179418"},"billing_class":"institutional","payments":[{"allowed_amount":70.59,"providers":[{"billed_charge":74.30,"npi":[1730199647]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":26.00,"providers":[{"billed_charge":148.76,"npi":[1548315401]}]},{"allowed_amount":60.99,"providers":[{"billed_charge":74.38,"npi":[1548315401]}]},{"allowed_amount":63.92,"providers":[{"billed_charge":78.09,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"311322863"},"billing_class":"institutional","payments":[{"allowed_amount":24.90,"providers":[{"billed_charge":30.00,"npi":[1124127683]}]}]},{"tin":{"type":"ein","value":"386006309"},"billing_class":"institutional","payments":[{"allowed_amount":24.65,"providers":[{"billed_charge":29.00,"npi":[1003878539]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":93.50,"providers":[{"billed_charge":110.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":10.63,"providers":[{"billed_charge":183.44,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"550525724"},"billing_class":"institutional","payments":[{"allowed_amount":41.80,"providers":[{"billed_charge":44.00,"npi":[1184606600]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":4.99,"providers":[{"billed_charge":145.71,"npi":[1750333282]}]},{"allowed_amount":6.35,"providers":[{"billed_charge":102.78,"npi":[1073557559]}]},{"allowed_amount":9.03,"providers":[{"billed_charge":145.71,"npi":[1750333282]}]},{"allowed_amount":9.86,"providers":[{"billed_charge":147.01,"npi":[1457719312]}]},{"allowed_amount":11.12,"providers":[{"billed_charge":147.01,"npi":[1457719312]}]},{"allowed_amount":11.74,"providers":[{"billed_charge":147.01,"npi":[1477504280]}]},{"allowed_amount":13.57,"providers":[{"billed_charge":291.42,"npi":[1750333282]}]},{"allowed_amount":14.03,"providers":[{"billed_charge":147.01,"npi":[1457719312]}]},{"allowed_amount":14.33,"providers":[{"billed_charge":102.78,"npi":[1073557559]}]},{"allowed_amount":14.86,"providers":[{"billed_charge":147.01,"npi":[1457719312]}]},{"allowed_amount":18.56,"providers":[{"billed_charge":102.78,"npi":[1073557559]}]},{"allowed_amount":19.63,"providers":[{"billed_charge":147.01,"npi":[1477504280]}]},{"allowed_amount":19.90,"providers":[{"billed_charge":145.71,"npi":[1750333282]}]},{"allowed_amount":20.53,"providers":[{"billed_charge":147.01,"npi":[1457719312]}]},{"allowed_amount":20.94,"providers":[{"billed_charge":102.78,"npi":[1073557559]}]},{"allowed_amount":23.03,"providers":[{"billed_charge":102.78,"npi":[1073557559]}]},{"allowed_amount":23.67,"providers":[{"billed_charge":102.78,"npi":[1073557559]}]},{"allowed_amount":23.86,"providers":[{"billed_charge":145.71,"npi":[1750333282]}]},{"allowed_amount":25.22,"providers":[{"billed_charge":102.78,"npi":[1073557559]}]},{"allowed_amount":25.74,"providers":[{"billed_charge":147.01,"npi":[1477504280]}]},{"allowed_amount":25.92,"providers":[{"billed_charge":147.01,"npi":[1457719312]}]},{"allowed_amount":71.95,"providers":[{"billed_charge":102.78,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":14.80,"providers":[{"billed_charge":114.49,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":46.24,"providers":[{"billed_charge":68.00,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":106.48,"providers":[{"billed_charge":121.00,"npi":[1477643690]}]}]}]},{"billing_code":"82270","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"OCCULT BLOOD FECES","allowed_amounts":[{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":84.90,"npi":[1578514030]}]}]}]},{"billing_code":"82272","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"OCCULT BLD FECES 1-3 TESTS","allowed_amounts":[{"tin":{"type":"ein","value":"570646674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.50,"providers":[{"billed_charge":15.00,"npi":[1427160845]}]}]}]},{"billing_code":"82274","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY TEST FOR BLOOD FECAL","allowed_amounts":[{"tin":{"type":"ein","value":"205657908"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":90.95,"providers":[{"billed_charge":107.00,"npi":[1710064811]}]}]},{"tin":{"type":"ein","value":"263844242"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.01,"providers":[{"billed_charge":39.80,"npi":[1346472859]}]}]},{"tin":{"type":"ein","value":"461243081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.80,"providers":[{"billed_charge":32.00,"npi":[1750626495]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":97.60,"providers":[{"billed_charge":122.00,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.69,"providers":[{"billed_charge":88.78,"npi":[1790523249]}]}]},{"tin":{"type":"ein","value":"820676989"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":60.00,"npi":[1346754041]}]}]}]},{"billing_code":"82274","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY TEST FOR BLOOD FECAL","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":14.24,"providers":[{"billed_charge":157.09,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":14.24,"providers":[{"billed_charge":122.03,"npi":[1992754758]}]}]}]},{"billing_code":"82306","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"VITAMIN D 25 HYDROXY","allowed_amounts":[{"tin":{"type":"ein","value":"043248020"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":25.43,"providers":[{"billed_charge":348.92,"npi":[1952347791]}]}]},{"tin":{"type":"ein","value":"050524222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.12,"providers":[{"billed_charge":241.00,"npi":[1285713859]}]}]},{"tin":{"type":"ein","value":"112981029"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":20.72,"providers":[{"billed_charge":110.00,"npi":[1376587113]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.15,"providers":[{"billed_charge":266.02,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.34,"providers":[{"billed_charge":88.80,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"205657908"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":190.40,"providers":[{"billed_charge":224.00,"npi":[1710064811]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.40,"providers":[{"billed_charge":44.00,"npi":[1922259753]}]}]},{"tin":{"type":"ein","value":"260070193"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.64,"providers":[{"billed_charge":59.20,"npi":[1780001859]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.12,"providers":[{"billed_charge":88.80,"npi":[1447592308]}]},{"allowed_amount":26.64,"providers":[{"billed_charge":88.80,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"341720429"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":81.43,"providers":[{"billed_charge":98.11,"npi":[1619980430]}]}]},{"tin":{"type":"ein","value":"352539778"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":20.72,"providers":[{"billed_charge":37.00,"npi":[1972971265]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":228.00,"providers":[{"billed_charge":240.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"460218851"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.00,"providers":[{"billed_charge":67.00,"npi":[1487602843]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.64,"providers":[{"billed_charge":44.40,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"541634477"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.59,"providers":[{"billed_charge":106.00,"npi":[1902848294]}]}]},{"tin":{"type":"ein","value":"561378000"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.64,"providers":[{"billed_charge":122.00,"npi":[1972656262]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.64,"providers":[{"billed_charge":50.00,"npi":[1720794944]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.64,"providers":[{"billed_charge":100.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"581351195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.00,"providers":[{"billed_charge":100.00,"npi":[1386763514]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":226.40,"providers":[{"billed_charge":283.00,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.12,"providers":[{"billed_charge":103.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":398.21,"providers":[{"billed_charge":603.35,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"630810661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.56,"providers":[{"billed_charge":60.00,"npi":[1740397751]}]}]},{"tin":{"type":"ein","value":"710897031"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":25.43,"providers":[{"billed_charge":276.66,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"753028076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":200.00,"providers":[{"billed_charge":200.00,"npi":[1396955431]}]}]},{"tin":{"type":"ein","value":"810576059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":56.57,"providers":[{"billed_charge":124.08,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"811896675"},"billing_class":"professional","service_code":["55"],"payments":[{"allowed_amount":26.64,"providers":[{"billed_charge":365.50,"npi":[1083061261]}]}]},{"tin":{"type":"ein","value":"813689317"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.80,"providers":[{"billed_charge":29.60,"npi":[1710438171]}]}]},{"tin":{"type":"ein","value":"823971792"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":22.20,"providers":[{"billed_charge":44.00,"npi":[1114435492]}]}]},{"tin":{"type":"ein","value":"845117964"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":23.59,"providers":[{"billed_charge":88.80,"npi":[1811524572]}]}]},{"tin":{"type":"ein","value":"923479126"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":79.10,"providers":[{"billed_charge":113.00,"npi":[1982381299]}]}]},{"tin":{"type":"ein","value":"954896039"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.64,"providers":[{"billed_charge":109.65,"npi":[1477556876]}]}]}]},{"billing_code":"82306","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"VITAMIN D 25 HYDROXY","allowed_amounts":[{"tin":{"type":"ein","value":"010238552"},"billing_class":"institutional","payments":[{"allowed_amount":213.69,"providers":[{"billed_charge":220.30,"npi":[1346299815]}]}]},{"tin":{"type":"ein","value":"160743209"},"billing_class":"institutional","payments":[{"allowed_amount":32.80,"providers":[{"billed_charge":155.00,"npi":[1346285657]}]}]},{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":301.03,"providers":[{"billed_charge":452.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"251550350"},"billing_class":"institutional","payments":[{"allowed_amount":111.89,"providers":[{"billed_charge":485.00,"npi":[1437182847]}]}]},{"tin":{"type":"ein","value":"311322863"},"billing_class":"institutional","payments":[{"allowed_amount":91.30,"providers":[{"billed_charge":110.00,"npi":[1124127683]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":275.40,"providers":[{"billed_charge":324.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"362513909"},"billing_class":"institutional","payments":[{"allowed_amount":209.94,"providers":[{"billed_charge":273.00,"npi":[1003864810]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":150.13,"providers":[{"billed_charge":254.45,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":467.88,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"560535674"},"billing_class":"institutional","payments":[{"allowed_amount":14.48,"providers":[{"billed_charge":28.96,"npi":[1366401648]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":12.74,"providers":[{"billed_charge":371.65,"npi":[1750333282]}]},{"allowed_amount":24.93,"providers":[{"billed_charge":371.65,"npi":[1457719312]}]},{"allowed_amount":27.31,"providers":[{"billed_charge":371.65,"npi":[1477504280]}]},{"allowed_amount":28.13,"providers":[{"billed_charge":371.65,"npi":[1457719312]}]},{"allowed_amount":29.09,"providers":[{"billed_charge":371.65,"npi":[1457719312]}]},{"allowed_amount":36.54,"providers":[{"billed_charge":262.15,"npi":[1073557559]}]},{"allowed_amount":38.25,"providers":[{"billed_charge":371.65,"npi":[1457719312]}]},{"allowed_amount":60.37,"providers":[{"billed_charge":262.15,"npi":[1073557559]}]},{"allowed_amount":80.84,"providers":[{"billed_charge":374.97,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":27.98,"providers":[{"billed_charge":292.01,"npi":[1124422308]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":24.82,"providers":[{"billed_charge":298.65,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":24.04,"providers":[{"billed_charge":292.01,"npi":[1083669030]}]},{"allowed_amount":34.51,"providers":[{"billed_charge":292.01,"npi":[1083669030]}]},{"allowed_amount":36.15,"providers":[{"billed_charge":292.01,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570720016"},"billing_class":"institutional","payments":[{"allowed_amount":20.11,"providers":[{"billed_charge":305.28,"npi":[1659320620]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":311.92,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"580625140"},"billing_class":"institutional","payments":[{"allowed_amount":55.17,"providers":[{"billed_charge":68.96,"npi":[1740272095]}]}]},{"tin":{"type":"ein","value":"580968382"},"billing_class":"institutional","payments":[{"allowed_amount":597.52,"providers":[{"billed_charge":776.00,"npi":[1467420448]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":31.28,"providers":[{"billed_charge":46.00,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":94.71,"providers":[{"billed_charge":135.30,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"590973502"},"billing_class":"institutional","payments":[{"allowed_amount":229.12,"providers":[{"billed_charge":327.32,"npi":[1063426823]}]}]},{"tin":{"type":"ein","value":"596001217"},"billing_class":"institutional","payments":[{"allowed_amount":85.22,"providers":[{"billed_charge":134.00,"npi":[1811991227]}]}]},{"tin":{"type":"ein","value":"630845288"},"billing_class":"institutional","payments":[{"allowed_amount":144.80,"providers":[{"billed_charge":181.00,"npi":[1447221056]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":18.11,"providers":[{"billed_charge":266.00,"npi":[1174582050]}]}]}]},{"billing_code":"82308","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF CALCITONIN","allowed_amounts":[{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":25.73,"providers":[{"billed_charge":378.00,"npi":[1174582050]}]}]}]},{"billing_code":"82310","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF CALCIUM","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":69.41,"providers":[{"billed_charge":105.16,"npi":[1245720820]}]}]}]},{"billing_code":"82310","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF CALCIUM","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":23.47,"providers":[{"billed_charge":245.92,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":19.20,"providers":[{"billed_charge":189.34,"npi":[1023056488]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":3.20,"providers":[{"billed_charge":47.00,"npi":[1174582050]}]}]}]},{"billing_code":"82374","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY BLOOD CARBON DIOXIDE","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":65.74,"providers":[{"billed_charge":99.61,"npi":[1245720820]}]}]}]},{"billing_code":"82378","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CARCINOEMBRYONIC ANTIGEN","allowed_amounts":[{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":26.17,"providers":[{"billed_charge":736.00,"npi":[1235417288]}]}]},{"tin":{"type":"ein","value":"741161944"},"billing_class":"institutional","payments":[{"allowed_amount":15.59,"providers":[{"billed_charge":207.65,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":11.98,"providers":[{"billed_charge":176.00,"npi":[1174582050]}]}]}]},{"billing_code":"82397","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CHEMILUMINESCENT ASSAY","allowed_amounts":[{"tin":{"type":"ein","value":"262679473"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":100.00,"npi":[1003078403]}]}]},{"tin":{"type":"ein","value":"275370465"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.71,"providers":[{"billed_charge":192.00,"npi":[1225580392]}]}]}]},{"billing_code":"82435","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF BLOOD CHLORIDE","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":61.80,"providers":[{"billed_charge":93.63,"npi":[1245720820]}]}]}]},{"billing_code":"82465","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY BLD/SERUM CHOLESTEROL","allowed_amounts":[{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.91,"providers":[{"billed_charge":6.53,"npi":[1104258995]}]}]}]},{"billing_code":"82495","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF CHROMIUM","allowed_amounts":[{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":22.99,"providers":[{"billed_charge":205.75,"npi":[1043270564]}]}]}]},{"billing_code":"82525","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF COPPER","allowed_amounts":[{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":96.05,"providers":[{"billed_charge":113.00,"npi":[1669475950]}]}]}]},{"billing_code":"82533","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TOTAL CORTISOL","allowed_amounts":[{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.26,"providers":[{"billed_charge":25.00,"npi":[1922259753]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.67,"providers":[{"billed_charge":48.90,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.18,"providers":[{"billed_charge":90.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"930958965"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.67,"providers":[{"billed_charge":18.11,"npi":[1962559617]}]}]}]},{"billing_code":"82533","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"TOTAL CORTISOL","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":100.87,"providers":[{"billed_charge":123.01,"npi":[1548315401]}]},{"allowed_amount":292.67,"providers":[{"billed_charge":369.03,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":51.17,"providers":[{"billed_charge":75.25,"npi":[1154377166]}]},{"allowed_amount":102.34,"providers":[{"billed_charge":150.50,"npi":[1154377166]}]}]}]},{"billing_code":"82542","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"COL CHROMOTOGRAPHY QUAL/QUAN","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":21.44,"providers":[{"billed_charge":72.27,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":21.60,"providers":[{"billed_charge":36.00,"npi":[1922259753]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":279.30,"providers":[{"billed_charge":294.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"930958965"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":6.00,"npi":[1962559617]}]},{"allowed_amount":21.00,"providers":[{"billed_charge":21.00,"npi":[1962559617]}]},{"allowed_amount":21.68,"providers":[{"billed_charge":22.00,"npi":[1962559617]},{"billed_charge":23.00,"npi":[1962559617]}]}]}]},{"billing_code":"82550","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF CK (CPK)","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.86,"providers":[{"billed_charge":65.63,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.85,"providers":[{"billed_charge":31.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.51,"providers":[{"billed_charge":35.00,"npi":[1902980865]}]}]}]},{"billing_code":"82550","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF CK (CPK)","allowed_amounts":[{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":79.54,"providers":[{"billed_charge":97.00,"npi":[1790717650]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":29.25,"providers":[{"billed_charge":76.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"386006309"},"billing_class":"institutional","payments":[{"allowed_amount":73.95,"providers":[{"billed_charge":87.00,"npi":[1003878539]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":27.32,"providers":[{"billed_charge":46.30,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":24.81,"providers":[{"billed_charge":265.78,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":10.83,"providers":[{"billed_charge":210.03,"npi":[1477504280]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":21.34,"providers":[{"billed_charge":165.03,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"596012065"},"billing_class":"institutional","payments":[{"allowed_amount":150.36,"providers":[{"billed_charge":187.95,"npi":[1376571323]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":217.50,"providers":[{"billed_charge":290.00,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":37.56,"providers":[{"billed_charge":252.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"882288563"},"billing_class":"institutional","payments":[{"allowed_amount":84.65,"providers":[{"billed_charge":120.93,"npi":[1861102345]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":355.95,"providers":[{"billed_charge":493.00,"npi":[1407637531]}]}]}]},{"billing_code":"82565","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF CREATININE","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2.19,"providers":[{"billed_charge":3.13,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"273054323"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.12,"providers":[{"billed_charge":6.40,"npi":[1790021517]}]}]},{"tin":{"type":"ein","value":"371128706"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.38,"providers":[{"billed_charge":21.05,"npi":[1114471737]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":68.94,"providers":[{"billed_charge":104.45,"npi":[1245720820]}]}]}]},{"billing_code":"82565","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF CREATININE","allowed_amounts":[{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":44.19,"providers":[{"billed_charge":473.40,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"540853898"},"billing_class":"institutional","payments":[{"allowed_amount":29.42,"providers":[{"billed_charge":153.00,"npi":[1548366404]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":5.89,"providers":[{"billed_charge":194.80,"npi":[1457719312]}]},{"allowed_amount":11.22,"providers":[{"billed_charge":193.08,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":5.56,"providers":[{"billed_charge":149.98,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":2.38,"providers":[{"billed_charge":35.00,"npi":[1174582050]}]},{"allowed_amount":26.25,"providers":[{"billed_charge":35.00,"npi":[1174582050]}]},{"allowed_amount":35.00,"providers":[{"billed_charge":35.00,"npi":[1174582050]}]}]}]},{"billing_code":"82570","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF URINE CREATININE","allowed_amounts":[{"tin":{"type":"ein","value":"050524222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.66,"providers":[{"billed_charge":50.00,"npi":[1285713859]}]}]},{"tin":{"type":"ein","value":"112981029"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.66,"providers":[{"billed_charge":26.40,"npi":[1376587113]}]}]},{"tin":{"type":"ein","value":"203059260"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.00,"providers":[{"billed_charge":20.00,"npi":[1598958431]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.28,"providers":[{"billed_charge":8.51,"npi":[1922259753]}]}]},{"tin":{"type":"ein","value":"233079507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.23,"providers":[{"billed_charge":21.69,"npi":[1043271539]},{"billed_charge":35.00,"npi":[1043271539]}]}]},{"tin":{"type":"ein","value":"382084239"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.27,"providers":[{"billed_charge":65.63,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":47.50,"providers":[{"billed_charge":50.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":4.97,"providers":[{"billed_charge":27.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"582483738"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.63,"providers":[{"billed_charge":50.00,"npi":[1356560569]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.27,"providers":[{"billed_charge":25.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":69.59,"providers":[{"billed_charge":105.44,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"710897031"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.45,"providers":[{"billed_charge":65.63,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"811762230"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.45,"providers":[{"billed_charge":22.00,"npi":[1912368457]}]}]},{"tin":{"type":"ein","value":"923479126"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.20,"providers":[{"billed_charge":16.00,"npi":[1982381299]}]}]}]},{"billing_code":"82570","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF URINE CREATININE","allowed_amounts":[{"tin":{"type":"ein","value":"042104693"},"billing_class":"institutional","payments":[{"allowed_amount":59.25,"providers":[{"billed_charge":79.00,"npi":[1396738159]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":40.22,"providers":[{"billed_charge":49.06,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":2.47,"providers":[{"billed_charge":114.34,"npi":[1750333282]}]},{"allowed_amount":5.85,"providers":[{"billed_charge":125.59,"npi":[1750333282]}]},{"allowed_amount":8.50,"providers":[{"billed_charge":126.71,"npi":[1457719312]}]},{"allowed_amount":9.31,"providers":[{"billed_charge":126.71,"npi":[1477504280]}]},{"allowed_amount":11.82,"providers":[{"billed_charge":126.71,"npi":[1457719312]}]},{"allowed_amount":12.35,"providers":[{"billed_charge":88.58,"npi":[1073557559]}]},{"allowed_amount":16.92,"providers":[{"billed_charge":126.71,"npi":[1477504280]}]},{"allowed_amount":22.18,"providers":[{"billed_charge":126.71,"npi":[1477504280]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":9.45,"providers":[{"billed_charge":98.67,"npi":[1124422308]}]},{"allowed_amount":13.51,"providers":[{"billed_charge":98.67,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":98.67,"npi":[1083669030]}]},{"allowed_amount":9.89,"providers":[{"billed_charge":97.55,"npi":[1992754758]}]},{"allowed_amount":11.66,"providers":[{"billed_charge":98.67,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":5.14,"providers":[{"billed_charge":105.40,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":11.56,"providers":[{"billed_charge":17.00,"npi":[1154377166]}]}]}]},{"billing_code":"82607","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"VITAMIN B-12","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.30,"providers":[{"billed_charge":103.10,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.34,"providers":[{"billed_charge":137.70,"npi":[1932145778]}]},{"allowed_amount":13.37,"providers":[{"billed_charge":132.40,"npi":[1932145778]}]},{"allowed_amount":13.57,"providers":[{"billed_charge":137.70,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.42,"providers":[{"billed_charge":45.24,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"205657908"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":97.75,"providers":[{"billed_charge":115.00,"npi":[1710064811]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.40,"providers":[{"billed_charge":24.00,"npi":[1922259753]}]}]},{"tin":{"type":"ein","value":"222405059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.57,"providers":[{"billed_charge":89.00,"npi":[1134277494]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.30,"providers":[{"billed_charge":45.24,"npi":[1447592308]}]},{"allowed_amount":13.57,"providers":[{"billed_charge":45.24,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"310993406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.57,"providers":[{"billed_charge":30.00,"npi":[1861451437]}]}]},{"tin":{"type":"ein","value":"341720429"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":27.45,"providers":[{"billed_charge":33.07,"npi":[1619980430]}]}]},{"tin":{"type":"ein","value":"352528741"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.57,"providers":[{"billed_charge":119.00,"npi":[1396882205]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.30,"providers":[{"billed_charge":22.62,"npi":[1104258995]}]},{"allowed_amount":13.57,"providers":[{"billed_charge":22.62,"npi":[1104258995]}]},{"allowed_amount":18.10,"providers":[{"billed_charge":22.62,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.51,"providers":[{"billed_charge":40.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"550527104"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.41,"providers":[{"billed_charge":139.00,"npi":[1043258783]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.57,"providers":[{"billed_charge":32.00,"npi":[1720794944]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.30,"providers":[{"billed_charge":46.00,"npi":[1750567970]}]}]},{"tin":{"type":"ein","value":"581132913"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":10.03,"providers":[{"billed_charge":28.00,"npi":[1508848300]}]}]},{"tin":{"type":"ein","value":"581351195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":62.56,"providers":[{"billed_charge":89.00,"npi":[1386763514]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.30,"providers":[{"billed_charge":28.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":202.77,"providers":[{"billed_charge":307.23,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.57,"providers":[{"billed_charge":75.00,"npi":[1902980865]}]},{"allowed_amount":15.08,"providers":[{"billed_charge":75.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"710897031"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.04,"providers":[{"billed_charge":132.40,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"810576059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":28.81,"providers":[{"billed_charge":63.18,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"833807646"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.66,"providers":[{"billed_charge":45.24,"npi":[1407461304]}]}]},{"tin":{"type":"ein","value":"881559059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.40,"providers":[{"billed_charge":160.00,"npi":[1134864663]}]}]},{"tin":{"type":"ein","value":"923479126"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.20,"providers":[{"billed_charge":46.00,"npi":[1982381299]}]}]}]},{"billing_code":"82607","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"VITAMIN B-12","allowed_amounts":[{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":256.41,"providers":[{"billed_charge":385.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"251550350"},"billing_class":"institutional","payments":[{"allowed_amount":55.60,"providers":[{"billed_charge":241.00,"npi":[1437182847]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":103.50,"providers":[{"billed_charge":138.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":140.25,"providers":[{"billed_charge":165.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"381360526"},"billing_class":"institutional","payments":[{"allowed_amount":99.84,"providers":[{"billed_charge":124.80,"npi":[1568416311]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":14.08,"providers":[{"billed_charge":102.30,"npi":[1114923406]}]},{"allowed_amount":60.36,"providers":[{"billed_charge":102.30,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":36.85,"providers":[{"billed_charge":37.22,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":10.40,"providers":[{"billed_charge":290.00,"npi":[1457719312]}]},{"allowed_amount":14.95,"providers":[{"billed_charge":290.00,"npi":[1477504280]}]},{"allowed_amount":29.31,"providers":[{"billed_charge":290.00,"npi":[1457719312]}]},{"allowed_amount":29.85,"providers":[{"billed_charge":290.00,"npi":[1457719312]}]},{"allowed_amount":30.12,"providers":[{"billed_charge":287.44,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":10.21,"providers":[{"billed_charge":230.98,"npi":[1558311357]}]},{"allowed_amount":19.19,"providers":[{"billed_charge":230.98,"npi":[1558311357]}]},{"allowed_amount":21.13,"providers":[{"billed_charge":230.98,"npi":[1619350261]}]},{"allowed_amount":25.16,"providers":[{"billed_charge":210.98,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":11.07,"providers":[{"billed_charge":223.28,"npi":[1992754758]}]},{"allowed_amount":11.76,"providers":[{"billed_charge":223.28,"npi":[1992754758]}]},{"allowed_amount":12.94,"providers":[{"billed_charge":225.84,"npi":[1083669030]}]},{"allowed_amount":14.80,"providers":[{"billed_charge":225.84,"npi":[1083669030]}]},{"allowed_amount":18.60,"providers":[{"billed_charge":225.84,"npi":[1083669030]}]},{"allowed_amount":22.64,"providers":[{"billed_charge":223.28,"npi":[1023056488]}]},{"allowed_amount":26.69,"providers":[{"billed_charge":225.84,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570720016"},"billing_class":"institutional","payments":[{"allowed_amount":15.54,"providers":[{"billed_charge":236.11,"npi":[1659320620]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":11.77,"providers":[{"billed_charge":241.24,"npi":[1578514030]}]},{"allowed_amount":29.96,"providers":[{"billed_charge":241.24,"npi":[1649218579]}]}]},{"tin":{"type":"ein","value":"580625140"},"billing_class":"institutional","payments":[{"allowed_amount":40.74,"providers":[{"billed_charge":50.92,"npi":[1740272095]}]}]},{"tin":{"type":"ein","value":"580968382"},"billing_class":"institutional","payments":[{"allowed_amount":517.44,"providers":[{"billed_charge":672.00,"npi":[1467420448]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":35.95,"providers":[{"billed_charge":56.00,"npi":[1528056066]}]}]},{"tin":{"type":"ein","value":"581954432"},"billing_class":"institutional","payments":[{"allowed_amount":222.60,"providers":[{"billed_charge":371.00,"npi":[1457396079]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":34.00,"providers":[{"billed_charge":50.00,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":167.72,"providers":[{"billed_charge":239.60,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"590973502"},"billing_class":"institutional","payments":[{"allowed_amount":149.16,"providers":[{"billed_charge":213.09,"npi":[1063426823]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":92.52,"providers":[{"billed_charge":264.34,"npi":[1831148253]}]}]}]},{"billing_code":"82608","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"B-12 BINDING CAPACITY","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":27.50,"providers":[{"billed_charge":197.25,"npi":[1073557559]}]}]}]},{"billing_code":"82626","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"DEHYDROEPIANDROSTERONE","allowed_amounts":[{"tin":{"type":"ein","value":"930958965"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":22.74,"providers":[{"billed_charge":28.08,"npi":[1962559617]}]}]}]},{"billing_code":"82627","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"DEHYDROEPIANDROSTERONE","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":19.78,"providers":[{"billed_charge":66.69,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":66.69,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"813168134"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":33.35,"npi":[1639621659]}]}]}]},{"billing_code":"82627","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"DEHYDROEPIANDROSTERONE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":324.30,"providers":[{"billed_charge":324.30,"npi":[1457719312]}]}]}]},{"billing_code":"82652","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"VIT D 1 25-DIHYDROXY","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":34.27,"providers":[{"billed_charge":115.50,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"233079507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":53.78,"providers":[{"billed_charge":209.56,"npi":[1043271539]}]}]}]},{"billing_code":"82652","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"VIT D 1 25-DIHYDROXY","allowed_amounts":[{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":36.83,"providers":[{"billed_charge":447.62,"npi":[1558311357]}]},{"allowed_amount":40.94,"providers":[{"billed_charge":447.62,"npi":[1619350261]}]}]}]},{"billing_code":"82653","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"EL-1 FECAL QUANTITATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":20.67,"providers":[{"billed_charge":50.00,"npi":[1598761967]}]}]}]},{"billing_code":"82656","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"EL-1 FECAL QUAL/SEMIQ","allowed_amounts":[{"tin":{"type":"ein","value":"263844242"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.15,"providers":[{"billed_charge":30.00,"npi":[1346472859]}]}]}]},{"billing_code":"82668","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF ERYTHROPOIETIN","allowed_amounts":[{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":55.21,"providers":[{"billed_charge":86.00,"npi":[1528056066]}]}]}]},{"billing_code":"82670","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF TOTAL ESTRADIOL","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":24.87,"providers":[{"billed_charge":83.82,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"272046755"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":20.00,"npi":[1225466527]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":25.15,"providers":[{"billed_charge":83.82,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"522077594"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.14,"providers":[{"billed_charge":70.00,"npi":[1891849832]}]}]},{"tin":{"type":"ein","value":"813168134"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":25.15,"providers":[{"billed_charge":41.91,"npi":[1639621659]}]},{"allowed_amount":35.62,"providers":[{"billed_charge":41.91,"npi":[1639621659]}]}]},{"tin":{"type":"ein","value":"813704980"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.14,"providers":[{"billed_charge":70.00,"npi":[1487100202]}]},{"allowed_amount":35.00,"providers":[{"billed_charge":70.00,"npi":[1487100202]}]}]},{"tin":{"type":"ein","value":"930958965"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":25.15,"providers":[{"billed_charge":30.00,"npi":[1962559617]}]}]}]},{"billing_code":"82670","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF TOTAL ESTRADIOL","allowed_amounts":[{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":79.73,"providers":[{"billed_charge":117.25,"npi":[1154377166]}]}]}]},{"billing_code":"82677","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF ESTRIOL","allowed_amounts":[{"tin":{"type":"ein","value":"930958965"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.90,"providers":[{"billed_charge":16.90,"npi":[1962559617]}]}]}]},{"billing_code":"82677","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF ESTRIOL","allowed_amounts":[{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":12.51,"providers":[{"billed_charge":21.00,"npi":[1144211301]}]}]}]},{"billing_code":"82679","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF ESTRONE","allowed_amounts":[{"tin":{"type":"ein","value":"930958965"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":22.46,"providers":[{"billed_charge":27.73,"npi":[1962559617]}]}]}]},{"billing_code":"82681","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ASSAY DIR MEAS FR ESTRADIOL","allowed_amounts":[{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":50.00,"npi":[1447239355]}]}]}]},{"billing_code":"82696","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF ETIOCHOLANOLONE","allowed_amounts":[{"tin":{"type":"ein","value":"930958965"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":20.71,"providers":[{"billed_charge":20.71,"npi":[1962559617]}]}]}]},{"billing_code":"82705","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"FATS/LIPIDS FECES QUAL","allowed_amounts":[{"tin":{"type":"ein","value":"043740411"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.32,"providers":[{"billed_charge":12.75,"npi":[1396858791]}]}]}]},{"billing_code":"82725","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF BLOOD FATTY ACIDS","allowed_amounts":[{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":22.87,"providers":[{"billed_charge":79.00,"npi":[1922259753]}]}]}]},{"billing_code":"82728","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF FERRITIN","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.26,"providers":[{"billed_charge":82.95,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.26,"providers":[{"billed_charge":128.69,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"222405059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.27,"providers":[{"billed_charge":80.00,"npi":[1134277494]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.27,"providers":[{"billed_charge":40.89,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"362169147"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.57,"providers":[{"billed_charge":89.00,"npi":[1700824455]}]}]},{"tin":{"type":"ein","value":"383422836"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.26,"providers":[{"billed_charge":76.00,"npi":[1265610570]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.27,"providers":[{"billed_charge":20.45,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.26,"providers":[{"billed_charge":35.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.27,"providers":[{"billed_charge":29.00,"npi":[1720794944]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.27,"providers":[{"billed_charge":63.00,"npi":[1598761967]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.26,"providers":[{"billed_charge":42.00,"npi":[1750567970]}]}]},{"tin":{"type":"ein","value":"562086200"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":12.04,"providers":[{"billed_charge":18.00,"npi":[1710145529]}]}]},{"tin":{"type":"ein","value":"576000254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.27,"providers":[{"billed_charge":32.00,"npi":[1053437301]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":32.20,"providers":[{"billed_charge":46.00,"npi":[1134766694]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.26,"providers":[{"billed_charge":65.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.27,"providers":[{"billed_charge":277.63,"npi":[1245720820]}]},{"allowed_amount":183.24,"providers":[{"billed_charge":277.63,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"620532345"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":13.65,"providers":[{"billed_charge":40.00,"npi":[1255428736]}]}]},{"tin":{"type":"ein","value":"630810661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":23.00,"npi":[1740397751]}]}]}]},{"billing_code":"82728","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF FERRITIN","allowed_amounts":[{"tin":{"type":"ein","value":"010238552"},"billing_class":"institutional","payments":[{"allowed_amount":166.50,"providers":[{"billed_charge":171.65,"npi":[1346299815]}]}]},{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":255.75,"providers":[{"billed_charge":384.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"250965404"},"billing_class":"institutional","payments":[{"allowed_amount":44.50,"providers":[{"billed_charge":121.00,"npi":[1356334510]}]}]},{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":18.16,"providers":[{"billed_charge":511.00,"npi":[1235417288]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":95.51,"providers":[{"billed_charge":126.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":126.65,"providers":[{"billed_charge":149.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"381360529"},"billing_class":"institutional","payments":[{"allowed_amount":41.40,"providers":[{"billed_charge":46.00,"npi":[1922090554]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":148.75,"providers":[{"billed_charge":175.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"426004813"},"billing_class":"institutional","payments":[{"allowed_amount":185.40,"providers":[{"billed_charge":206.00,"npi":[1376544320]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":418.13,"npi":[1457719312]}]},{"allowed_amount":39.01,"providers":[{"billed_charge":418.13,"npi":[1457719312]}]},{"allowed_amount":43.43,"providers":[{"billed_charge":414.43,"npi":[1457719312]}]},{"allowed_amount":58.41,"providers":[{"billed_charge":418.13,"npi":[1457719312]}]},{"allowed_amount":71.73,"providers":[{"billed_charge":292.32,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":14.72,"providers":[{"billed_charge":333.03,"npi":[1558311357]}]},{"allowed_amount":28.38,"providers":[{"billed_charge":333.03,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":15.97,"providers":[{"billed_charge":321.93,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"580655369"},"billing_class":"institutional","payments":[{"allowed_amount":32.00,"providers":[{"billed_charge":40.00,"npi":[1720189517]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":177.19,"providers":[{"billed_charge":276.00,"npi":[1528056066]}]}]},{"tin":{"type":"ein","value":"581954432"},"billing_class":"institutional","payments":[{"allowed_amount":210.00,"providers":[{"billed_charge":350.00,"npi":[1457396079]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":51.17,"providers":[{"billed_charge":75.25,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":148.47,"providers":[{"billed_charge":212.10,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"655369000"},"billing_class":"institutional","payments":[{"allowed_amount":32.00,"providers":[{"billed_charge":40.00,"npi":[1720189517]}]}]},{"tin":{"type":"ein","value":"810851756"},"billing_class":"institutional","payments":[{"allowed_amount":55.44,"providers":[{"billed_charge":72.00,"npi":[1750312997]}]}]},{"tin":{"type":"ein","value":"916001537"},"billing_class":"institutional","payments":[{"allowed_amount":31.89,"providers":[{"billed_charge":158.12,"npi":[1326002049]}]}]}]},{"billing_code":"82746","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF FOLIC ACID SERUM","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.68,"providers":[{"billed_charge":100.60,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.23,"providers":[{"billed_charge":135.12,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.08,"providers":[{"billed_charge":44.10,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"205657908"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":84.15,"providers":[{"billed_charge":99.00,"npi":[1710064811]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.23,"providers":[{"billed_charge":44.10,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"352528741"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.23,"providers":[{"billed_charge":116.00,"npi":[1396882205]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.68,"providers":[{"billed_charge":22.05,"npi":[1104258995]}]},{"allowed_amount":13.23,"providers":[{"billed_charge":22.05,"npi":[1104258995]}]},{"allowed_amount":17.64,"providers":[{"billed_charge":22.05,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.17,"providers":[{"billed_charge":38.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":197.79,"providers":[{"billed_charge":299.68,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"833807646"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.55,"providers":[{"billed_charge":44.10,"npi":[1407461304]}]}]},{"tin":{"type":"ein","value":"881559059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.53,"providers":[{"billed_charge":150.00,"npi":[1134864663]}]}]}]},{"billing_code":"82746","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF FOLIC ACID SERUM","allowed_amounts":[{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":137.70,"providers":[{"billed_charge":162.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":11.49,"providers":[{"billed_charge":320.44,"npi":[1457719312]}]},{"allowed_amount":31.51,"providers":[{"billed_charge":226.03,"npi":[1073557559]}]},{"allowed_amount":32.39,"providers":[{"billed_charge":320.44,"npi":[1457719312]}]},{"allowed_amount":33.58,"providers":[{"billed_charge":320.44,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":11.38,"providers":[{"billed_charge":257.50,"npi":[1558311357]}]},{"allowed_amount":21.40,"providers":[{"billed_charge":257.50,"npi":[1558311357]}]},{"allowed_amount":23.56,"providers":[{"billed_charge":257.50,"npi":[1619350261]}]},{"allowed_amount":27.98,"providers":[{"billed_charge":234.60,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":12.34,"providers":[{"billed_charge":248.92,"npi":[1992754758]}]},{"allowed_amount":13.11,"providers":[{"billed_charge":248.92,"npi":[1992754758]}]},{"allowed_amount":14.43,"providers":[{"billed_charge":251.78,"npi":[1083669030]}]},{"allowed_amount":20.73,"providers":[{"billed_charge":251.78,"npi":[1083669030]}]},{"allowed_amount":25.24,"providers":[{"billed_charge":248.92,"npi":[1023056488]}]},{"allowed_amount":29.76,"providers":[{"billed_charge":251.78,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":13.12,"providers":[{"billed_charge":268.94,"npi":[1578514030]}]},{"allowed_amount":33.40,"providers":[{"billed_charge":268.94,"npi":[1649218579]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":32.10,"providers":[{"billed_charge":50.00,"npi":[1528056066]}]}]},{"tin":{"type":"ein","value":"581954432"},"billing_class":"institutional","payments":[{"allowed_amount":222.60,"providers":[{"billed_charge":371.00,"npi":[1457396079]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":167.72,"providers":[{"billed_charge":239.60,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":103.14,"providers":[{"billed_charge":294.69,"npi":[1831148253]}]}]}]},{"billing_code":"82747","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF FOLIC ACID RBC","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.71,"providers":[{"billed_charge":52.95,"npi":[1053584482]}]}]}]},{"billing_code":"82784","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY IGA/IGD/IGG/IGM EACH","allowed_amounts":[{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.00,"providers":[{"billed_charge":48.00,"npi":[1811955917]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.88,"providers":[{"billed_charge":21.33,"npi":[1790523249]}]}]}]},{"billing_code":"82784","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY IGA/IGD/IGG/IGM EACH","allowed_amounts":[{"tin":{"type":"ein","value":"042263040"},"billing_class":"institutional","payments":[{"allowed_amount":442.80,"providers":[{"billed_charge":492.00,"npi":[1851333686]}]}]},{"tin":{"type":"ein","value":"222592333"},"billing_class":"institutional","payments":[{"allowed_amount":42.63,"providers":[{"billed_charge":55.00,"npi":[1306871223]}]}]},{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":161.17,"providers":[{"billed_charge":242.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":110.54,"providers":[{"billed_charge":111.66,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":45.69,"providers":[{"billed_charge":709.11,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":8.93,"providers":[{"billed_charge":147.52,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":146.38,"providers":[{"billed_charge":228.00,"npi":[1528056066]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":19.38,"providers":[{"billed_charge":28.50,"npi":[1154377166]}]}]}]},{"billing_code":"82785","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF IGE","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.46,"providers":[{"billed_charge":120.45,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"222405059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.81,"providers":[{"billed_charge":35.00,"npi":[1134277494]}]}]},{"tin":{"type":"ein","value":"341720429"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":27.90,"providers":[{"billed_charge":33.62,"npi":[1619980430]}]}]},{"tin":{"type":"ein","value":"830653027"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.81,"providers":[{"billed_charge":34.40,"npi":[1639642564]}]}]}]},{"billing_code":"82785","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF IGE","allowed_amounts":[{"tin":{"type":"ein","value":"042768256"},"billing_class":"institutional","payments":[{"allowed_amount":67.19,"providers":[{"billed_charge":132.00,"npi":[1578677811]}]}]}]},{"billing_code":"82787","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"IGG 1 2 3 OR 4 EACH","allowed_amounts":[{"tin":{"type":"ein","value":"830653027"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":28.88,"providers":[{"billed_charge":672.00,"npi":[1639642564]}]}]}]},{"billing_code":"82787","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"IGG 1 2 3 OR 4 EACH","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":13.93,"providers":[{"billed_charge":216.21,"npi":[1619927027]}]}]}]},{"billing_code":"82805","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"BLOOD GASES W/O2 SATURATION","allowed_amounts":[{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":65.68,"providers":[{"billed_charge":196.93,"npi":[1801803903]}]},{"allowed_amount":67.75,"providers":[{"billed_charge":196.93,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"593458145"},"billing_class":"institutional","payments":[{"allowed_amount":704.20,"providers":[{"billed_charge":1006.00,"npi":[1235196510]}]}]}]},{"billing_code":"82947","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY GLUCOSE BLOOD QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2.19,"providers":[{"billed_charge":3.13,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"263985043"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":25.00,"npi":[1407957632]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":47.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"954896039"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":14.55,"npi":[1477556876]}]}]}]},{"billing_code":"82947","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY GLUCOSE BLOOD QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":29.30,"providers":[{"billed_charge":313.98,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"540853898"},"billing_class":"institutional","payments":[{"allowed_amount":20.19,"providers":[{"billed_charge":105.00,"npi":[1548366404]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":16.41,"providers":[{"billed_charge":92.98,"npi":[1083669030]}]},{"allowed_amount":20.21,"providers":[{"billed_charge":92.98,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":56.00,"providers":[{"billed_charge":80.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":46.63,"providers":[{"billed_charge":66.62,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":31.50,"providers":[{"billed_charge":42.00,"npi":[1174582050]}]},{"allowed_amount":42.00,"providers":[{"billed_charge":42.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"882288563"},"billing_class":"institutional","payments":[{"allowed_amount":62.05,"providers":[{"billed_charge":88.64,"npi":[1861102345]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":110.60,"providers":[{"billed_charge":158.00,"npi":[1861194086]}]}]}]},{"billing_code":"82948","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"REAGENT STRIP/BLOOD GLUCOSE","allowed_amounts":[{"tin":{"type":"ein","value":"561031244"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.54,"providers":[{"billed_charge":11.03,"npi":[1114978582]}]}]}]},{"billing_code":"82948","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"REAGENT STRIP/BLOOD GLUCOSE","allowed_amounts":[{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":3.81,"providers":[{"billed_charge":11.08,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":77.52,"providers":[{"billed_charge":114.00,"npi":[1154377166]}]}]}]},{"billing_code":"82950","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"GLUCOSE TEST","allowed_amounts":[{"tin":{"type":"ein","value":"593443182"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.85,"providers":[{"billed_charge":23.00,"npi":[1013902923]}]}]}]},{"billing_code":"82950","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"GLUCOSE TEST","allowed_amounts":[{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":40.00,"npi":[1144211301]}]}]}]},{"billing_code":"82951","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"GLUCOSE TOLERANCE TEST (GTT)","allowed_amounts":[{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":12.12,"providers":[{"billed_charge":106.00,"npi":[1144211301]}]},{"allowed_amount":12.94,"providers":[{"billed_charge":106.00,"npi":[1144211301]}]}]}]},{"billing_code":"82952","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"GTT-ADDED SAMPLES","allowed_amounts":[{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":3.31,"providers":[{"billed_charge":29.00,"npi":[1144211301]}]},{"allowed_amount":3.54,"providers":[{"billed_charge":29.00,"npi":[1144211301]}]}]}]},{"billing_code":"82955","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF G6PD ENZYME","allowed_amounts":[{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":22.00,"npi":[1497797088]}]}]}]},{"billing_code":"82960","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"TEST FOR G6PD ENZYME","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":10.57,"npi":[1578597993]}]}]}]},{"billing_code":"82962","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"GLUCOSE BLOOD TEST","allowed_amounts":[{"tin":{"type":"ein","value":"030465688"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.58,"providers":[{"billed_charge":17.00,"npi":[1982885901]}]},{"allowed_amount":2.95,"providers":[{"billed_charge":17.00,"npi":[1982885901]}]}]},{"tin":{"type":"ein","value":"237313346"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.48,"providers":[{"billed_charge":10.00,"npi":[1538360425]}]}]},{"tin":{"type":"ein","value":"465562958"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":3.28,"providers":[{"billed_charge":10.00,"npi":[1053729814]}]}]},{"tin":{"type":"ein","value":"473997859"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":3.17,"providers":[{"billed_charge":7.00,"npi":[1962869446]}]}]},{"tin":{"type":"ein","value":"521576648"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.95,"providers":[{"billed_charge":14.00,"npi":[1003887118]}]}]},{"tin":{"type":"ein","value":"561463611"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":5.58,"providers":[{"billed_charge":20.00,"npi":[1437175700]}]}]},{"tin":{"type":"ein","value":"561768044"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":20.00,"npi":[1992840003]}]}]},{"tin":{"type":"ein","value":"561991438"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.95,"providers":[{"billed_charge":15.00,"npi":[1063712727]}]}]},{"tin":{"type":"ein","value":"562143419"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":3.17,"providers":[{"billed_charge":8.00,"npi":[1326627399]}]}]},{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.40,"providers":[{"billed_charge":5.50,"npi":[1750314183]}]}]},{"tin":{"type":"ein","value":"581646191"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.39,"providers":[{"billed_charge":20.00,"npi":[1366624199]}]}]},{"tin":{"type":"ein","value":"585515533"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.95,"providers":[{"billed_charge":12.00,"npi":[1457467037]}]}]},{"tin":{"type":"ein","value":"611459826"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":12.00,"npi":[1396782710]}]}]},{"tin":{"type":"ein","value":"630897654"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":6.00,"npi":[1083772560]}]}]},{"tin":{"type":"ein","value":"650692105"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.80,"providers":[{"billed_charge":7.00,"npi":[1902885270]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.95,"providers":[{"billed_charge":6.00,"npi":[1609342815]}]}]},{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.58,"providers":[{"billed_charge":13.00,"npi":[1255950325]}]}]}]},{"billing_code":"82962","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"GLUCOSE BLOOD TEST","allowed_amounts":[{"tin":{"type":"ein","value":"043399616"},"billing_class":"institutional","payments":[{"allowed_amount":12.57,"providers":[{"billed_charge":25.00,"npi":[1730121633]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":3.13,"providers":[{"billed_charge":59.87,"npi":[1992754758]}]},{"allowed_amount":5.91,"providers":[{"billed_charge":59.87,"npi":[1992754758]}]},{"allowed_amount":6.07,"providers":[{"billed_charge":59.87,"npi":[1992754758]}]},{"allowed_amount":14.11,"providers":[{"billed_charge":59.87,"npi":[1083669030]}]},{"allowed_amount":14.51,"providers":[{"billed_charge":59.87,"npi":[1023056488]}]}]},{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":18.05,"providers":[{"billed_charge":19.00,"npi":[1275531956]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":34.53,"providers":[{"billed_charge":64.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":8.20,"providers":[{"billed_charge":34.00,"npi":[1437119310]}]}]}]},{"billing_code":"82977","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF GGT","allowed_amounts":[{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.20,"providers":[{"billed_charge":12.00,"npi":[1922259753]}]}]},{"tin":{"type":"ein","value":"811896675"},"billing_class":"professional","service_code":["55"],"payments":[{"allowed_amount":6.48,"providers":[{"billed_charge":88.90,"npi":[1083061261]}]}]}]},{"billing_code":"82977","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF GGT","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":53.53,"providers":[{"billed_charge":65.39,"npi":[1548315401]}]},{"allowed_amount":53.62,"providers":[{"billed_charge":65.39,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":92.57,"providers":[{"billed_charge":139.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":16.87,"providers":[{"billed_charge":114.00,"npi":[1558311357]}]},{"allowed_amount":114.00,"providers":[{"billed_charge":114.00,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":6.44,"providers":[{"billed_charge":122.33,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":132.88,"providers":[{"billed_charge":151.00,"npi":[1477643690]}]}]}]},{"billing_code":"83001","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF GONADOTROPIN (FSH)","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.54,"providers":[{"billed_charge":55.74,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"272046755"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.25,"providers":[{"billed_charge":20.00,"npi":[1225466527]}]},{"allowed_amount":16.72,"providers":[{"billed_charge":20.00,"npi":[1225466527]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.72,"providers":[{"billed_charge":55.74,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"522077594"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.71,"providers":[{"billed_charge":70.00,"npi":[1891849832]}]}]},{"tin":{"type":"ein","value":"813168134"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.72,"providers":[{"billed_charge":27.87,"npi":[1639621659]}]}]}]},{"billing_code":"83001","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF GONADOTROPIN (FSH)","allowed_amounts":[{"tin":{"type":"ein","value":"231365353"},"billing_class":"institutional","payments":[{"allowed_amount":128.25,"providers":[{"billed_charge":135.00,"npi":[1104875103]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":312.07,"npi":[1477504280]}]},{"allowed_amount":17.97,"providers":[{"billed_charge":309.31,"npi":[1750333282]}]},{"allowed_amount":312.07,"providers":[{"billed_charge":312.07,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":20.45,"providers":[{"billed_charge":248.55,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":54.91,"providers":[{"billed_charge":80.75,"npi":[1154377166]}]}]}]},{"billing_code":"83002","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF GONADOTROPIN (LH)","allowed_amounts":[{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.67,"providers":[{"billed_charge":55.56,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"522077594"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.66,"providers":[{"billed_charge":70.00,"npi":[1891849832]}]}]},{"tin":{"type":"ein","value":"813168134"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.67,"providers":[{"billed_charge":27.78,"npi":[1639621659]}]}]}]},{"billing_code":"83002","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF GONADOTROPIN (LH)","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":17.99,"providers":[{"billed_charge":309.68,"npi":[1750333282]}]},{"allowed_amount":312.45,"providers":[{"billed_charge":312.45,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":20.48,"providers":[{"billed_charge":248.85,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":40.29,"providers":[{"billed_charge":59.25,"npi":[1154377166]}]}]}]},{"billing_code":"83010","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF HAPTOGLOBIN QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.07,"providers":[{"billed_charge":38.00,"npi":[1497797088]}]}]}]},{"billing_code":"83010","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF HAPTOGLOBIN QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":34.03,"providers":[{"billed_charge":53.00,"npi":[1528056066]}]}]}]},{"billing_code":"83013","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"H PYLORI (C-13) BREATH","allowed_amounts":[{"tin":{"type":"ein","value":"812122050"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.36,"providers":[{"billed_charge":202.00,"npi":[1962957639]}]}]}]},{"billing_code":"83018","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HEAVY METAL QUANT EACH NES","allowed_amounts":[{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":34.43,"providers":[{"billed_charge":308.15,"npi":[1043270564]}]}]}]},{"billing_code":"83020","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HEMOGLOBIN ELECTROPHORESIS","allowed_amounts":[{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":48.79,"providers":[{"billed_charge":76.00,"npi":[1528056066]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":115.57,"providers":[{"billed_charge":165.10,"npi":[1043270564]}]}]}]},{"billing_code":"83036","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HEMOGLOBIN GLYCOSYLATED A1C","allowed_amounts":[{"tin":{"type":"ein","value":"050524222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.73,"providers":[{"billed_charge":82.00,"npi":[1285713859]}]}]},{"tin":{"type":"ein","value":"112981029"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.80,"providers":[{"billed_charge":58.50,"npi":[1376587113]}]}]},{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.73,"providers":[{"billed_charge":69.30,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.73,"providers":[{"billed_charge":81.68,"npi":[1932145778]}]},{"allowed_amount":8.74,"providers":[{"billed_charge":84.95,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.64,"providers":[{"billed_charge":29.13,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"204700877"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.80,"providers":[{"billed_charge":47.25,"npi":[1407864168]}]}]},{"tin":{"type":"ein","value":"205657908"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":57.80,"providers":[{"billed_charge":68.00,"npi":[1710064811]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.60,"providers":[{"billed_charge":16.00,"npi":[1922259753]}]}]},{"tin":{"type":"ein","value":"233079507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.56,"providers":[{"billed_charge":55.00,"npi":[1043271539]}]}]},{"tin":{"type":"ein","value":"237313346"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.69,"providers":[{"billed_charge":30.00,"npi":[1538360425]}]}]},{"tin":{"type":"ein","value":"260070193"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.74,"providers":[{"billed_charge":19.42,"npi":[1780001859]}]}]},{"tin":{"type":"ein","value":"262900141"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.74,"providers":[{"billed_charge":40.00,"npi":[1962658740]}]}]},{"tin":{"type":"ein","value":"270123687"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":68.80,"providers":[{"billed_charge":86.00,"npi":[1437194156]}]}]},{"tin":{"type":"ein","value":"270592929"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":8.04,"providers":[{"billed_charge":26.00,"npi":[1801129549]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.73,"providers":[{"billed_charge":29.13,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"300270600"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.42,"providers":[{"billed_charge":60.00,"npi":[1518032564]}]}]},{"tin":{"type":"ein","value":"310993406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.74,"providers":[{"billed_charge":30.00,"npi":[1861451437]}]}]},{"tin":{"type":"ein","value":"320306944"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.39,"providers":[{"billed_charge":32.00,"npi":[1154636066]}]}]},{"tin":{"type":"ein","value":"341720429"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":19.22,"providers":[{"billed_charge":23.15,"npi":[1619980430]}]}]},{"tin":{"type":"ein","value":"352539778"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.80,"providers":[{"billed_charge":12.14,"npi":[1972971265]}]}]},{"tin":{"type":"ein","value":"382084239"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.73,"providers":[{"billed_charge":84.95,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"391824445"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":90.95,"providers":[{"billed_charge":107.00,"npi":[1598784555]}]}]},{"tin":{"type":"ein","value":"421638714"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.00,"providers":[{"billed_charge":20.00,"npi":[1619342706]}]}]},{"tin":{"type":"ein","value":"461243081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.00,"providers":[{"billed_charge":20.00,"npi":[1750626495]}]}]},{"tin":{"type":"ein","value":"462456505"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.20,"providers":[{"billed_charge":40.00,"npi":[1578969465]}]}]},{"tin":{"type":"ein","value":"465679478"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.50,"providers":[{"billed_charge":60.50,"npi":[1124430020]}]}]},{"tin":{"type":"ein","value":"520591612"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":19.42,"providers":[{"billed_charge":19.42,"npi":[1982600771]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.74,"providers":[{"billed_charge":14.57,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"521923448"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.90,"providers":[{"billed_charge":30.00,"npi":[1083667067]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.73,"providers":[{"billed_charge":26.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"541937835"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.74,"providers":[{"billed_charge":86.00,"npi":[1205815420]}]}]},{"tin":{"type":"ein","value":"561031244"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.74,"providers":[{"billed_charge":33.28,"npi":[1114978582]}]}]},{"tin":{"type":"ein","value":"561074754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.74,"providers":[{"billed_charge":25.00,"npi":[1922132620]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":9.52,"providers":[{"billed_charge":77.00,"npi":[1558308080]}]},{"allowed_amount":9.72,"providers":[{"billed_charge":77.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"561378000"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.74,"providers":[{"billed_charge":50.00,"npi":[1972656262]}]}]},{"tin":{"type":"ein","value":"561768044"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":9.72,"providers":[{"billed_charge":51.00,"npi":[1992840003]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.74,"providers":[{"billed_charge":21.00,"npi":[1457423907,1720794944]}]}]},{"tin":{"type":"ein","value":"561991438"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.74,"providers":[{"billed_charge":50.00,"npi":[1063712727]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.73,"providers":[{"billed_charge":30.00,"npi":[1750567970,1780623207]}]}]},{"tin":{"type":"ein","value":"562143419"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":8.00,"providers":[{"billed_charge":8.00,"npi":[1326627399]}]},{"allowed_amount":9.71,"providers":[{"billed_charge":9.71,"npi":[1326627399]}]}]},{"tin":{"type":"ein","value":"566000296"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":20.00,"npi":[1235198177]}]}]},{"tin":{"type":"ein","value":"570342027"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.73,"providers":[{"billed_charge":50.00,"npi":[1700890084]}]}]},{"tin":{"type":"ein","value":"570604703"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":9.72,"providers":[{"billed_charge":15.00,"npi":[1003827304]}]}]},{"tin":{"type":"ein","value":"570650154"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.40,"providers":[{"billed_charge":21.00,"npi":[1306979521]}]}]},{"tin":{"type":"ein","value":"571186418"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.73,"providers":[{"billed_charge":55.00,"npi":[1376564625]}]}]},{"tin":{"type":"ein","value":"581109078"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.77,"providers":[{"billed_charge":83.00,"npi":[1033180625]}]}]},{"tin":{"type":"ein","value":"581351195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.22,"providers":[{"billed_charge":55.00,"npi":[1386763514]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":126.40,"providers":[{"billed_charge":158.00,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"582092768"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":40.00,"npi":[1912956046]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":23.10,"providers":[{"billed_charge":33.00,"npi":[1134766694]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.73,"providers":[{"billed_charge":35.00,"npi":[1497797088]},{"billed_charge":49.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.45,"providers":[{"billed_charge":57.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":130.55,"providers":[{"billed_charge":197.80,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"593337028"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":126.35,"providers":[{"billed_charge":133.00,"npi":[1285621631]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.74,"providers":[{"billed_charge":55.00,"npi":[1902980865]}]},{"allowed_amount":9.71,"providers":[{"billed_charge":55.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"621508884"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":60.00,"npi":[1346250057]}]},{"allowed_amount":16.12,"providers":[{"billed_charge":60.00,"npi":[1346250057]}]}]},{"tin":{"type":"ein","value":"710897031"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.19,"providers":[{"billed_charge":84.95,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"800966359"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.73,"providers":[{"billed_charge":30.00,"npi":[1932521010]}]}]},{"tin":{"type":"ein","value":"810576059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":18.56,"providers":[{"billed_charge":40.68,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"813689317"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.86,"providers":[{"billed_charge":9.71,"npi":[1710438171]}]}]},{"tin":{"type":"ein","value":"823762961"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":9.16,"providers":[{"billed_charge":20.00,"npi":[1003308305]}]}]},{"tin":{"type":"ein","value":"823971792"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.28,"providers":[{"billed_charge":15.00,"npi":[1114435492]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.73,"providers":[{"billed_charge":24.00,"npi":[1265908479]}]}]},{"tin":{"type":"ein","value":"845117964"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.73,"providers":[{"billed_charge":29.13,"npi":[1811524572]}]}]},{"tin":{"type":"ein","value":"850760576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.65,"providers":[{"billed_charge":60.00,"npi":[1376153437]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":27.00,"npi":[1447239355]}]}]},{"tin":{"type":"ein","value":"910851599"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.66,"providers":[{"billed_charge":26.00,"npi":[1992759427]}]}]},{"tin":{"type":"ein","value":"923479126"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.00,"providers":[{"billed_charge":30.00,"npi":[1982381299]}]}]}]},{"billing_code":"83036","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"GLYCOSYLATED HEMOGLOBIN TEST","allowed_amounts":[{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":125.46,"providers":[{"billed_charge":153.00,"npi":[1790717650]}]}]},{"tin":{"type":"ein","value":"251550350"},"billing_class":"institutional","payments":[{"allowed_amount":65.29,"providers":[{"billed_charge":283.00,"npi":[1437182847]}]}]},{"tin":{"type":"ein","value":"311524546"},"billing_class":"institutional","payments":[{"allowed_amount":81.75,"providers":[{"billed_charge":109.00,"npi":[1699704254]}]}]},{"tin":{"type":"ein","value":"311626179"},"billing_class":"institutional","payments":[{"allowed_amount":76.30,"providers":[{"billed_charge":109.00,"npi":[1538164090]}]}]},{"tin":{"type":"ein","value":"351064295"},"billing_class":"institutional","payments":[{"allowed_amount":82.76,"providers":[{"billed_charge":121.00,"npi":[1902897937]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":90.10,"providers":[{"billed_charge":106.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"362513909"},"billing_class":"institutional","payments":[{"allowed_amount":128.42,"providers":[{"billed_charge":167.00,"npi":[1003864810]}]}]},{"tin":{"type":"ein","value":"370618939"},"billing_class":"institutional","payments":[{"allowed_amount":112.80,"providers":[{"billed_charge":141.00,"npi":[1356435135]}]}]},{"tin":{"type":"ein","value":"381360526"},"billing_class":"institutional","payments":[{"allowed_amount":77.52,"providers":[{"billed_charge":96.90,"npi":[1568416311]}]}]},{"tin":{"type":"ein","value":"382146751"},"billing_class":"institutional","payments":[{"allowed_amount":10.31,"providers":[{"billed_charge":91.20,"npi":[1992812580]}]},{"allowed_amount":13.23,"providers":[{"billed_charge":91.20,"npi":[1992812580]}]}]},{"tin":{"type":"ein","value":"386006309"},"billing_class":"institutional","payments":[{"allowed_amount":82.45,"providers":[{"billed_charge":97.00,"npi":[1003878539]}]}]},{"tin":{"type":"ein","value":"426004813"},"billing_class":"institutional","payments":[{"allowed_amount":134.10,"providers":[{"billed_charge":149.00,"npi":[1376544320]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":12.06,"providers":[{"billed_charge":87.65,"npi":[1114923406]}]},{"allowed_amount":51.71,"providers":[{"billed_charge":87.65,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":6.10,"providers":[{"billed_charge":135.46,"npi":[1073557559]}]},{"allowed_amount":8.37,"providers":[{"billed_charge":135.46,"npi":[1073557559]}]},{"allowed_amount":8.60,"providers":[{"billed_charge":135.46,"npi":[1750333282]}]},{"allowed_amount":8.95,"providers":[{"billed_charge":192.05,"npi":[1750333282]}]},{"allowed_amount":9.99,"providers":[{"billed_charge":193.76,"npi":[1477504280]}]},{"allowed_amount":12.99,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]},{"allowed_amount":14.23,"providers":[{"billed_charge":193.76,"npi":[1477504280]}]},{"allowed_amount":14.66,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]},{"allowed_amount":15.16,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]},{"allowed_amount":18.08,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]},{"allowed_amount":18.49,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]},{"allowed_amount":18.88,"providers":[{"billed_charge":135.46,"npi":[1073557559]}]},{"allowed_amount":19.59,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]},{"allowed_amount":19.95,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]},{"allowed_amount":24.46,"providers":[{"billed_charge":135.46,"npi":[1073557559]}]},{"allowed_amount":25.87,"providers":[{"billed_charge":193.76,"npi":[1477504280]}]},{"allowed_amount":27.07,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]},{"allowed_amount":30.36,"providers":[{"billed_charge":135.46,"npi":[1073557559]}]},{"allowed_amount":31.19,"providers":[{"billed_charge":135.46,"npi":[1073557559]}]},{"allowed_amount":33.24,"providers":[{"billed_charge":135.46,"npi":[1073557559]}]},{"allowed_amount":33.93,"providers":[{"billed_charge":193.76,"npi":[1477504280]}]},{"allowed_amount":34.16,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":8.41,"providers":[{"billed_charge":150.89,"npi":[1578516902]}]},{"allowed_amount":9.56,"providers":[{"billed_charge":150.89,"npi":[1578516902]}]},{"allowed_amount":14.46,"providers":[{"billed_charge":150.89,"npi":[1124422308]}]},{"allowed_amount":18.58,"providers":[{"billed_charge":150.89,"npi":[1306189451]}]},{"allowed_amount":20.66,"providers":[{"billed_charge":150.89,"npi":[1972974392]}]},{"allowed_amount":24.64,"providers":[{"billed_charge":150.89,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":8.63,"providers":[{"billed_charge":154.32,"npi":[1558311357]}]},{"allowed_amount":13.15,"providers":[{"billed_charge":154.32,"npi":[1558311357]}]},{"allowed_amount":14.11,"providers":[{"billed_charge":154.32,"npi":[1619350261]}]},{"allowed_amount":16.73,"providers":[{"billed_charge":140.31,"npi":[1558311357]}]},{"allowed_amount":20.32,"providers":[{"billed_charge":154.32,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":7.35,"providers":[{"billed_charge":149.18,"npi":[1992754758]}]},{"allowed_amount":7.39,"providers":[{"billed_charge":149.18,"npi":[1992754758]}]},{"allowed_amount":7.86,"providers":[{"billed_charge":149.18,"npi":[1992754758]}]},{"allowed_amount":8.65,"providers":[{"billed_charge":150.89,"npi":[1083669030]}]},{"allowed_amount":12.43,"providers":[{"billed_charge":150.89,"npi":[1083669030]}]},{"allowed_amount":17.05,"providers":[{"billed_charge":150.89,"npi":[1083669030]}]},{"allowed_amount":17.39,"providers":[{"billed_charge":150.89,"npi":[1083669030]}]},{"allowed_amount":17.83,"providers":[{"billed_charge":150.89,"npi":[1083669030]}]},{"allowed_amount":18.68,"providers":[{"billed_charge":150.89,"npi":[1083669030]}]},{"allowed_amount":19.51,"providers":[{"billed_charge":150.89,"npi":[1083669030]}]},{"allowed_amount":26.63,"providers":[{"billed_charge":150.89,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"566017737"},"billing_class":"institutional","payments":[{"allowed_amount":11.71,"providers":[{"billed_charge":33.00,"npi":[1972579837]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":7.86,"providers":[{"billed_charge":161.18,"npi":[1578514030]}]},{"allowed_amount":20.02,"providers":[{"billed_charge":161.18,"npi":[1649218579]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":37.23,"providers":[{"billed_charge":54.75,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":93.10,"providers":[{"billed_charge":133.00,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"590675143"},"billing_class":"institutional","payments":[{"allowed_amount":10.14,"providers":[{"billed_charge":118.00,"npi":[1144211020]}]}]},{"tin":{"type":"ein","value":"616001218"},"billing_class":"institutional","payments":[{"allowed_amount":146.65,"providers":[{"billed_charge":172.53,"npi":[1518911338]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":58.14,"providers":[{"billed_charge":166.12,"npi":[1831148253]}]},{"allowed_amount":61.82,"providers":[{"billed_charge":176.61,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":73.50,"providers":[{"billed_charge":98.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"730717979"},"billing_class":"institutional","payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":58.00,"npi":[1659347623]}]}]},{"tin":{"type":"ein","value":"810851756"},"billing_class":"institutional","payments":[{"allowed_amount":40.04,"providers":[{"billed_charge":52.00,"npi":[1750312997]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":96.00,"npi":[1144211301]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":21.98,"providers":[{"billed_charge":103.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":66.50,"providers":[{"billed_charge":70.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"911352172"},"billing_class":"institutional","payments":[{"allowed_amount":31.68,"providers":[{"billed_charge":44.00,"npi":[1366556227]}]}]}]},{"billing_code":"83036","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HEMOGLOBIN GLYCOSYLATED A1C","allowed_amounts":[{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":125.46,"providers":[{"billed_charge":153.00,"npi":[1790717650]}]}]},{"tin":{"type":"ein","value":"251550350"},"billing_class":"institutional","payments":[{"allowed_amount":65.29,"providers":[{"billed_charge":283.00,"npi":[1437182847]}]}]},{"tin":{"type":"ein","value":"311524546"},"billing_class":"institutional","payments":[{"allowed_amount":81.75,"providers":[{"billed_charge":109.00,"npi":[1699704254]}]}]},{"tin":{"type":"ein","value":"311626179"},"billing_class":"institutional","payments":[{"allowed_amount":76.30,"providers":[{"billed_charge":109.00,"npi":[1538164090]}]}]},{"tin":{"type":"ein","value":"351064295"},"billing_class":"institutional","payments":[{"allowed_amount":82.76,"providers":[{"billed_charge":121.00,"npi":[1902897937]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":90.10,"providers":[{"billed_charge":106.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"362513909"},"billing_class":"institutional","payments":[{"allowed_amount":128.42,"providers":[{"billed_charge":167.00,"npi":[1003864810]}]}]},{"tin":{"type":"ein","value":"370618939"},"billing_class":"institutional","payments":[{"allowed_amount":112.80,"providers":[{"billed_charge":141.00,"npi":[1356435135]}]}]},{"tin":{"type":"ein","value":"381360526"},"billing_class":"institutional","payments":[{"allowed_amount":77.52,"providers":[{"billed_charge":96.90,"npi":[1568416311]}]}]},{"tin":{"type":"ein","value":"382146751"},"billing_class":"institutional","payments":[{"allowed_amount":10.31,"providers":[{"billed_charge":91.20,"npi":[1992812580]}]},{"allowed_amount":13.23,"providers":[{"billed_charge":91.20,"npi":[1992812580]}]}]},{"tin":{"type":"ein","value":"386006309"},"billing_class":"institutional","payments":[{"allowed_amount":82.45,"providers":[{"billed_charge":97.00,"npi":[1003878539]}]}]},{"tin":{"type":"ein","value":"426004813"},"billing_class":"institutional","payments":[{"allowed_amount":134.10,"providers":[{"billed_charge":149.00,"npi":[1376544320]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":12.06,"providers":[{"billed_charge":87.65,"npi":[1114923406]}]},{"allowed_amount":51.71,"providers":[{"billed_charge":87.65,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":6.10,"providers":[{"billed_charge":135.46,"npi":[1073557559]}]},{"allowed_amount":8.37,"providers":[{"billed_charge":135.46,"npi":[1073557559]}]},{"allowed_amount":8.60,"providers":[{"billed_charge":135.46,"npi":[1750333282]}]},{"allowed_amount":8.95,"providers":[{"billed_charge":192.05,"npi":[1750333282]}]},{"allowed_amount":9.99,"providers":[{"billed_charge":193.76,"npi":[1477504280]}]},{"allowed_amount":12.99,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]},{"allowed_amount":14.23,"providers":[{"billed_charge":193.76,"npi":[1477504280]}]},{"allowed_amount":14.66,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]},{"allowed_amount":15.16,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]},{"allowed_amount":18.08,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]},{"allowed_amount":18.49,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]},{"allowed_amount":18.88,"providers":[{"billed_charge":135.46,"npi":[1073557559]}]},{"allowed_amount":19.59,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]},{"allowed_amount":19.95,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]},{"allowed_amount":24.46,"providers":[{"billed_charge":135.46,"npi":[1073557559]}]},{"allowed_amount":25.87,"providers":[{"billed_charge":193.76,"npi":[1477504280]}]},{"allowed_amount":27.07,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]},{"allowed_amount":30.36,"providers":[{"billed_charge":135.46,"npi":[1073557559]}]},{"allowed_amount":31.19,"providers":[{"billed_charge":135.46,"npi":[1073557559]}]},{"allowed_amount":33.24,"providers":[{"billed_charge":135.46,"npi":[1073557559]}]},{"allowed_amount":33.93,"providers":[{"billed_charge":193.76,"npi":[1477504280]}]},{"allowed_amount":34.16,"providers":[{"billed_charge":193.76,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":8.41,"providers":[{"billed_charge":150.89,"npi":[1578516902]}]},{"allowed_amount":9.56,"providers":[{"billed_charge":150.89,"npi":[1578516902]}]},{"allowed_amount":14.46,"providers":[{"billed_charge":150.89,"npi":[1124422308]}]},{"allowed_amount":18.58,"providers":[{"billed_charge":150.89,"npi":[1306189451]}]},{"allowed_amount":20.66,"providers":[{"billed_charge":150.89,"npi":[1972974392]}]},{"allowed_amount":24.64,"providers":[{"billed_charge":150.89,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":8.63,"providers":[{"billed_charge":154.32,"npi":[1558311357]}]},{"allowed_amount":13.15,"providers":[{"billed_charge":154.32,"npi":[1558311357]}]},{"allowed_amount":14.11,"providers":[{"billed_charge":154.32,"npi":[1619350261]}]},{"allowed_amount":16.73,"providers":[{"billed_charge":140.31,"npi":[1558311357]}]},{"allowed_amount":20.32,"providers":[{"billed_charge":154.32,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":7.35,"providers":[{"billed_charge":149.18,"npi":[1992754758]}]},{"allowed_amount":7.39,"providers":[{"billed_charge":149.18,"npi":[1992754758]}]},{"allowed_amount":7.86,"providers":[{"billed_charge":149.18,"npi":[1992754758]}]},{"allowed_amount":8.65,"providers":[{"billed_charge":150.89,"npi":[1083669030]}]},{"allowed_amount":12.43,"providers":[{"billed_charge":150.89,"npi":[1083669030]}]},{"allowed_amount":17.05,"providers":[{"billed_charge":150.89,"npi":[1083669030]}]},{"allowed_amount":17.39,"providers":[{"billed_charge":150.89,"npi":[1083669030]}]},{"allowed_amount":17.83,"providers":[{"billed_charge":150.89,"npi":[1083669030]}]},{"allowed_amount":18.68,"providers":[{"billed_charge":150.89,"npi":[1083669030]}]},{"allowed_amount":19.51,"providers":[{"billed_charge":150.89,"npi":[1083669030]}]},{"allowed_amount":26.63,"providers":[{"billed_charge":150.89,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"566017737"},"billing_class":"institutional","payments":[{"allowed_amount":11.71,"providers":[{"billed_charge":33.00,"npi":[1972579837]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":7.86,"providers":[{"billed_charge":161.18,"npi":[1578514030]}]},{"allowed_amount":20.02,"providers":[{"billed_charge":161.18,"npi":[1649218579]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":37.23,"providers":[{"billed_charge":54.75,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":93.10,"providers":[{"billed_charge":133.00,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"590675143"},"billing_class":"institutional","payments":[{"allowed_amount":10.14,"providers":[{"billed_charge":118.00,"npi":[1144211020]}]}]},{"tin":{"type":"ein","value":"616001218"},"billing_class":"institutional","payments":[{"allowed_amount":146.65,"providers":[{"billed_charge":172.53,"npi":[1518911338]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":58.14,"providers":[{"billed_charge":166.12,"npi":[1831148253]}]},{"allowed_amount":61.82,"providers":[{"billed_charge":176.61,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":73.50,"providers":[{"billed_charge":98.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"730717979"},"billing_class":"institutional","payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":58.00,"npi":[1659347623]}]}]},{"tin":{"type":"ein","value":"810851756"},"billing_class":"institutional","payments":[{"allowed_amount":40.04,"providers":[{"billed_charge":52.00,"npi":[1750312997]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":96.00,"npi":[1144211301]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":21.98,"providers":[{"billed_charge":103.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":66.50,"providers":[{"billed_charge":70.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"911352172"},"billing_class":"institutional","payments":[{"allowed_amount":31.68,"providers":[{"billed_charge":44.00,"npi":[1366556227]}]}]}]},{"billing_code":"83037","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HB GLYCOSYLATED A1C HOME DEV","allowed_amounts":[{"tin":{"type":"ein","value":"570969793"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":9.30,"providers":[{"billed_charge":64.00,"npi":[1154510352]}]}]}]},{"billing_code":"83090","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF HOMOCYSTEINE","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.13,"providers":[{"billed_charge":259.94,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.95,"providers":[{"billed_charge":53.76,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.20,"providers":[{"billed_charge":27.00,"npi":[1922259753]}]}]}]},{"billing_code":"83498","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF PROGESTERONE 17-D","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":368.21,"providers":[{"billed_charge":368.21,"npi":[1457719312]}]}]}]},{"billing_code":"83498","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASY HYDROXYPROGESTERONE 17-D","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":368.21,"providers":[{"billed_charge":368.21,"npi":[1457719312]}]}]}]},{"billing_code":"83516","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"IMMUNOASSAY NONANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.38,"providers":[{"billed_charge":149.00,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"521022572"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.38,"providers":[{"billed_charge":94.00,"npi":[1164420568]}]}]}]},{"billing_code":"83516","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"IMMUNOASSAY NONANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"222592333"},"billing_class":"institutional","payments":[{"allowed_amount":68.98,"providers":[{"billed_charge":89.00,"npi":[1306871223]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":79.61,"providers":[{"billed_charge":124.00,"npi":[1528056066]}]}]}]},{"billing_code":"83519","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"RIA NONANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":60.96,"providers":[{"billed_charge":101.60,"npi":[1922259753]}]}]}]},{"billing_code":"83520","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"IMMUNOASSAY QUANT NOS NONAB","allowed_amounts":[{"tin":{"type":"ein","value":"043740411"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.23,"providers":[{"billed_charge":43.18,"npi":[1396858791]}]}]},{"tin":{"type":"ein","value":"200434866"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.54,"providers":[{"billed_charge":86.35,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.60,"providers":[{"billed_charge":26.00,"npi":[1922259753]}]}]},{"tin":{"type":"ein","value":"222405059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.54,"providers":[{"billed_charge":59.00,"npi":[1134277494]}]}]},{"tin":{"type":"ein","value":"263844242"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.40,"providers":[{"billed_charge":86.34,"npi":[1346472859]}]}]},{"tin":{"type":"ein","value":"454486874"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":20.72,"providers":[{"billed_charge":34.54,"npi":[1053686964]}]}]},{"tin":{"type":"ein","value":"830653027"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":62.16,"providers":[{"billed_charge":556.00,"npi":[1639642564]}]}]}]},{"billing_code":"83521","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"IG LIGHT CHAINS FREE EACH","allowed_amounts":[{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.00,"providers":[{"billed_charge":60.00,"npi":[1811955917]}]}]}]},{"billing_code":"83521","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"IG LIGHT CHAINS FREE EACH","allowed_amounts":[{"tin":{"type":"ein","value":"042263040"},"billing_class":"institutional","payments":[{"allowed_amount":516.60,"providers":[{"billed_charge":574.00,"npi":[1851333686]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":107.86,"providers":[{"billed_charge":168.00,"npi":[1528056066]}]}]}]},{"billing_code":"83525","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF INSULIN","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.17,"providers":[{"billed_charge":34.29,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"205657908"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":24.08,"providers":[{"billed_charge":95.00,"npi":[1710064811]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.40,"providers":[{"billed_charge":19.00,"npi":[1922259753]}]}]}]},{"billing_code":"83540","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF IRON","allowed_amounts":[{"tin":{"type":"ein","value":"043397450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.55,"providers":[{"billed_charge":26.00,"npi":[1871639914]}]}]},{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2.19,"providers":[{"billed_charge":3.13,"npi":[1538144910]}]},{"allowed_amount":5.80,"providers":[{"billed_charge":33.05,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.81,"providers":[{"billed_charge":43.55,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.87,"providers":[{"billed_charge":11.00,"npi":[1922259753]}]}]},{"tin":{"type":"ein","value":"341720429"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.99,"providers":[{"billed_charge":13.23,"npi":[1619980430]}]}]},{"tin":{"type":"ein","value":"362169147"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.82,"providers":[{"billed_charge":33.00,"npi":[1700824455]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.82,"providers":[{"billed_charge":9.71,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.54,"providers":[{"billed_charge":17.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.82,"providers":[{"billed_charge":15.00,"npi":[1720794944]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.82,"providers":[{"billed_charge":34.00,"npi":[1598761967]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.79,"providers":[{"billed_charge":20.00,"npi":[1750567970]}]}]},{"tin":{"type":"ein","value":"576000254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.82,"providers":[{"billed_charge":54.00,"npi":[1053437301]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.79,"providers":[{"billed_charge":31.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.82,"providers":[{"billed_charge":132.05,"npi":[1245720820]}]},{"allowed_amount":87.15,"providers":[{"billed_charge":132.05,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.82,"providers":[{"billed_charge":25.00,"npi":[1902980865]}]},{"allowed_amount":6.47,"providers":[{"billed_charge":25.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"620532345"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":6.48,"providers":[{"billed_charge":20.00,"npi":[1255428736]}]}]}]},{"billing_code":"83540","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF IRON","allowed_amounts":[{"tin":{"type":"ein","value":"010238552"},"billing_class":"institutional","payments":[{"allowed_amount":136.77,"providers":[{"billed_charge":141.00,"npi":[1346299815]}]}]},{"tin":{"type":"ein","value":"060646554"},"billing_class":"institutional","payments":[{"allowed_amount":56.95,"providers":[{"billed_charge":67.00,"npi":[1992910152]}]}]},{"tin":{"type":"ein","value":"250965404"},"billing_class":"institutional","payments":[{"allowed_amount":38.62,"providers":[{"billed_charge":105.00,"npi":[1356334510]}]}]},{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":5.34,"providers":[{"billed_charge":150.00,"npi":[1235417288]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":44.72,"providers":[{"billed_charge":59.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":61.20,"providers":[{"billed_charge":72.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"381360529"},"billing_class":"institutional","payments":[{"allowed_amount":19.80,"providers":[{"billed_charge":22.00,"npi":[1922090554]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":110.50,"providers":[{"billed_charge":130.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"426004813"},"billing_class":"institutional","payments":[{"allowed_amount":73.80,"providers":[{"billed_charge":82.00,"npi":[1376544320]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":9.06,"providers":[{"billed_charge":252.42,"npi":[1457719312]}]},{"allowed_amount":23.55,"providers":[{"billed_charge":252.42,"npi":[1457719312]}]},{"allowed_amount":26.21,"providers":[{"billed_charge":250.19,"npi":[1457719312]}]},{"allowed_amount":35.26,"providers":[{"billed_charge":252.42,"npi":[1457719312]}]},{"allowed_amount":43.30,"providers":[{"billed_charge":176.47,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":8.89,"providers":[{"billed_charge":201.04,"npi":[1558311357]}]},{"allowed_amount":17.14,"providers":[{"billed_charge":201.04,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":9.64,"providers":[{"billed_charge":194.34,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"580655369"},"billing_class":"institutional","payments":[{"allowed_amount":13.60,"providers":[{"billed_charge":17.00,"npi":[1720189517]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":193.24,"providers":[{"billed_charge":301.00,"npi":[1528056066]}]}]},{"tin":{"type":"ein","value":"581954432"},"billing_class":"institutional","payments":[{"allowed_amount":137.40,"providers":[{"billed_charge":229.00,"npi":[1457396079]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":17.00,"providers":[{"billed_charge":25.00,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":121.66,"providers":[{"billed_charge":173.80,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"655369000"},"billing_class":"institutional","payments":[{"allowed_amount":13.60,"providers":[{"billed_charge":17.00,"npi":[1720189517]}]}]},{"tin":{"type":"ein","value":"810851756"},"billing_class":"institutional","payments":[{"allowed_amount":26.18,"providers":[{"billed_charge":34.00,"npi":[1750312997]}]}]}]},{"billing_code":"83550","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"IRON BINDING TEST","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.86,"providers":[{"billed_charge":44.65,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.86,"providers":[{"billed_charge":58.81,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"341720429"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":19.21,"providers":[{"billed_charge":23.15,"npi":[1619980430]}]}]},{"tin":{"type":"ein","value":"362169147"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.91,"providers":[{"billed_charge":50.00,"npi":[1700824455]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.87,"providers":[{"billed_charge":13.11,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.86,"providers":[{"billed_charge":23.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.87,"providers":[{"billed_charge":40.00,"npi":[1598761967]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.86,"providers":[{"billed_charge":28.00,"npi":[1750567970]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.86,"providers":[{"billed_charge":42.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.87,"providers":[{"billed_charge":178.16,"npi":[1245720820]}]},{"allowed_amount":117.59,"providers":[{"billed_charge":178.16,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.87,"providers":[{"billed_charge":25.00,"npi":[1902980865]}]},{"allowed_amount":8.74,"providers":[{"billed_charge":25.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"620532345"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":8.75,"providers":[{"billed_charge":25.00,"npi":[1255428736]}]}]}]},{"billing_code":"83550","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"IRON BINDING TEST","allowed_amounts":[{"tin":{"type":"ein","value":"010238552"},"billing_class":"institutional","payments":[{"allowed_amount":178.09,"providers":[{"billed_charge":183.60,"npi":[1346299815]}]}]},{"tin":{"type":"ein","value":"250965404"},"billing_class":"institutional","payments":[{"allowed_amount":42.66,"providers":[{"billed_charge":116.00,"npi":[1356334510]}]}]},{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":165.00,"npi":[1235417288]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":61.40,"providers":[{"billed_charge":81.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":80.75,"providers":[{"billed_charge":95.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"381360529"},"billing_class":"institutional","payments":[{"allowed_amount":27.00,"providers":[{"billed_charge":30.00,"npi":[1922090554]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":119.00,"providers":[{"billed_charge":140.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":33.54,"providers":[{"billed_charge":320.08,"npi":[1457719312]}]},{"allowed_amount":45.11,"providers":[{"billed_charge":322.94,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"580655369"},"billing_class":"institutional","payments":[{"allowed_amount":30.40,"providers":[{"billed_charge":38.00,"npi":[1720189517]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":186.82,"providers":[{"billed_charge":291.00,"npi":[1528056066]}]}]},{"tin":{"type":"ein","value":"581954432"},"billing_class":"institutional","payments":[{"allowed_amount":137.40,"providers":[{"billed_charge":229.00,"npi":[1457396079]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":19.38,"providers":[{"billed_charge":28.50,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"655369000"},"billing_class":"institutional","payments":[{"allowed_amount":30.40,"providers":[{"billed_charge":38.00,"npi":[1720189517]}]}]},{"tin":{"type":"ein","value":"810851756"},"billing_class":"institutional","payments":[{"allowed_amount":35.42,"providers":[{"billed_charge":46.00,"npi":[1750312997]}]}]}]},{"billing_code":"83605","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF LACTIC ACID","allowed_amounts":[{"tin":{"type":"ein","value":"521022572"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.41,"providers":[{"billed_charge":30.00,"npi":[1164420568]}]}]}]},{"billing_code":"83605","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF LACTIC ACID","allowed_amounts":[{"tin":{"type":"ein","value":"030179418"},"billing_class":"institutional","payments":[{"allowed_amount":134.57,"providers":[{"billed_charge":141.66,"npi":[1730199647]}]}]},{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":27.56,"providers":[{"billed_charge":46.00,"npi":[1760426969]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":134.32,"providers":[{"billed_charge":325.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":69.70,"providers":[{"billed_charge":82.00,"npi":[1326028978]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":355.60,"providers":[{"billed_charge":508.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"593458145"},"billing_class":"institutional","payments":[{"allowed_amount":256.90,"providers":[{"billed_charge":367.00,"npi":[1235196510]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":263.11,"providers":[{"billed_charge":317.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":44.87,"providers":[{"billed_charge":186.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":104.50,"providers":[{"billed_charge":110.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":58.48,"providers":[{"billed_charge":81.00,"npi":[1407637531]}]}]}]},{"billing_code":"83615","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"LACTATE (LD) (LDH) ENZYME","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2.19,"providers":[{"billed_charge":3.13,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200677400"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.38,"providers":[{"billed_charge":30.00,"npi":[1841228871]}]}]},{"tin":{"type":"ein","value":"222405059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.44,"providers":[{"billed_charge":46.00,"npi":[1134277494]}]}]},{"tin":{"type":"ein","value":"582483738"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.41,"providers":[{"billed_charge":23.00,"npi":[1356560569]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.43,"providers":[{"billed_charge":22.00,"npi":[1497797088]},{"billed_charge":29.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.44,"providers":[{"billed_charge":122.95,"npi":[1245720820]}]},{"allowed_amount":81.15,"providers":[{"billed_charge":122.95,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.00,"providers":[{"billed_charge":11.00,"npi":[1811955917]}]}]}]},{"billing_code":"83615","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"LACTATE (LD) (LDH) ENZYME","allowed_amounts":[{"tin":{"type":"ein","value":"042263040"},"billing_class":"institutional","payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":100.00,"npi":[1851333686]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":50.83,"providers":[{"billed_charge":62.09,"npi":[1548315401]}]},{"allowed_amount":50.92,"providers":[{"billed_charge":62.09,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"231365353"},"billing_class":"institutional","payments":[{"allowed_amount":41.80,"providers":[{"billed_charge":44.00,"npi":[1104875103]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":26.53,"providers":[{"billed_charge":35.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":85.31,"providers":[{"billed_charge":100.36,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":13.50,"providers":[{"billed_charge":119.53,"npi":[1316997356]}]},{"allowed_amount":15.45,"providers":[{"billed_charge":119.53,"npi":[1174800585]}]}]},{"tin":{"type":"ein","value":"580968382"},"billing_class":"institutional","payments":[{"allowed_amount":163.24,"providers":[{"billed_charge":212.00,"npi":[1467420448]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":135.46,"providers":[{"billed_charge":211.00,"npi":[1528056066]}]}]},{"tin":{"type":"ein","value":"581954432"},"billing_class":"institutional","payments":[{"allowed_amount":98.40,"providers":[{"billed_charge":164.00,"npi":[1457396079]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"institutional","payments":[{"allowed_amount":13.80,"providers":[{"billed_charge":48.00,"npi":[1033112230]}]}]}]},{"billing_code":"83631","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"LACTOFERRIN FECAL (QUANT)","allowed_amounts":[{"tin":{"type":"ein","value":"263844242"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":17.27,"providers":[{"billed_charge":49.07,"npi":[1346472859]}]}]}]},{"billing_code":"83655","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF LEAD","allowed_amounts":[{"tin":{"type":"ein","value":"471049674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.89,"providers":[{"billed_charge":33.78,"npi":[1609281641]}]}]},{"tin":{"type":"ein","value":"521130579"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.79,"providers":[{"billed_charge":23.85,"npi":[1487639381]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.89,"providers":[{"billed_charge":23.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"813080176"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.14,"providers":[{"billed_charge":22.00,"npi":[1942651054]}]}]}]},{"billing_code":"83690","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF LIPASE","allowed_amounts":[{"tin":{"type":"ein","value":"562086200"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":7.71,"providers":[{"billed_charge":9.50,"npi":[1710145529]}]}]},{"tin":{"type":"ein","value":"571122647"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":6.47,"providers":[{"billed_charge":10.00,"npi":[1831151976]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":25.00,"npi":[1942526298]}]}]}]},{"billing_code":"83690","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF LIPASE","allowed_amounts":[{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":6.77,"providers":[{"billed_charge":20.30,"npi":[1801803903]}]},{"allowed_amount":6.98,"providers":[{"billed_charge":20.30,"npi":[1801803903]}]},{"allowed_amount":9.10,"providers":[{"billed_charge":20.30,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":7.38,"providers":[{"billed_charge":16.00,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":12.33,"providers":[{"billed_charge":70.55,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"208488713"},"billing_class":"institutional","payments":[{"allowed_amount":39.45,"providers":[{"billed_charge":385.80,"npi":[1073893020]}]}]},{"tin":{"type":"ein","value":"222592333"},"billing_class":"institutional","payments":[{"allowed_amount":43.40,"providers":[{"billed_charge":56.00,"npi":[1306871223]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":59.93,"providers":[{"billed_charge":145.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":30.41,"providers":[{"billed_charge":79.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"263734606"},"billing_class":"institutional","payments":[{"allowed_amount":313.95,"providers":[{"billed_charge":483.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"272844563"},"billing_class":"institutional","payments":[{"allowed_amount":75.36,"providers":[{"billed_charge":157.00,"npi":[1922310200]}]}]},{"tin":{"type":"ein","value":"351814660"},"billing_class":"institutional","payments":[{"allowed_amount":31.14,"providers":[{"billed_charge":36.00,"npi":[1063443455]}]}]},{"tin":{"type":"ein","value":"381459362"},"billing_class":"institutional","payments":[{"allowed_amount":8.21,"providers":[{"billed_charge":30.00,"npi":[1932396017]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":174.25,"providers":[{"billed_charge":205.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":40.27,"providers":[{"billed_charge":68.25,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":40.04,"providers":[{"billed_charge":114.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":47.01,"providers":[{"billed_charge":287.08,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":6.74,"providers":[{"billed_charge":6.74,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"580566257"},"billing_class":"institutional","payments":[{"allowed_amount":115.20,"providers":[{"billed_charge":144.00,"npi":[1679664395]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":39.04,"providers":[{"billed_charge":161.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":244.30,"providers":[{"billed_charge":349.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"592951990"},"billing_class":"institutional","payments":[{"allowed_amount":159.43,"providers":[{"billed_charge":227.75,"npi":[1679678486]}]}]},{"tin":{"type":"ein","value":"593458145"},"billing_class":"institutional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":12.61,"npi":[1235196510]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":110.39,"providers":[{"billed_charge":133.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"606000080"},"billing_class":"institutional","payments":[{"allowed_amount":243.90,"providers":[{"billed_charge":483.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"611334601"},"billing_class":"institutional","payments":[{"allowed_amount":147.20,"providers":[{"billed_charge":184.00,"npi":[1992701429]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":51.75,"providers":[{"billed_charge":69.00,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"621762420"},"billing_class":"institutional","payments":[{"allowed_amount":129.56,"providers":[{"billed_charge":316.00,"npi":[1528026267]}]}]},{"tin":{"type":"ein","value":"650666516"},"billing_class":"institutional","payments":[{"allowed_amount":48.00,"providers":[{"billed_charge":60.00,"npi":[1487760906]}]}]},{"tin":{"type":"ein","value":"734606000"},"billing_class":"institutional","payments":[{"allowed_amount":30.99,"providers":[{"billed_charge":483.00,"npi":[1710314141]}]},{"allowed_amount":37.58,"providers":[{"billed_charge":483.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"741282696"},"billing_class":"institutional","payments":[{"allowed_amount":151.51,"providers":[{"billed_charge":281.00,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":6.40,"providers":[{"billed_charge":115.00,"npi":[1447200233]}]}]},{"tin":{"type":"ein","value":"821969974"},"billing_class":"institutional","payments":[{"allowed_amount":153.85,"providers":[{"billed_charge":181.00,"npi":[1053824292]}]}]},{"tin":{"type":"ein","value":"841321373"},"billing_class":"institutional","payments":[{"allowed_amount":679.11,"providers":[{"billed_charge":1086.58,"npi":[1659327013]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":42.03,"providers":[{"billed_charge":282.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":184.60,"providers":[{"billed_charge":284.00,"npi":[1174512792]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":57.00,"providers":[{"billed_charge":60.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":403.52,"providers":[{"billed_charge":416.00,"npi":[1194706655]}]}]},{"tin":{"type":"ein","value":"876000525"},"billing_class":"institutional","payments":[{"allowed_amount":28.67,"providers":[{"billed_charge":38.48,"npi":[1588656870]}]}]}]},{"billing_code":"83695","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF LIPOPROTEIN(A)","allowed_amounts":[{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.60,"providers":[{"billed_charge":21.00,"npi":[1922259753]}]}]}]},{"billing_code":"83695","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF LIPOPROTEIN(A)","allowed_amounts":[{"tin":{"type":"ein","value":"311340739"},"billing_class":"institutional","payments":[{"allowed_amount":41.00,"providers":[{"billed_charge":51.00,"npi":[1447359997]}]}]}]},{"billing_code":"83698","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY LIPOPROTEIN PLA2","allowed_amounts":[{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":35.40,"providers":[{"billed_charge":59.00,"npi":[1922259753]}]}]}]},{"billing_code":"83721","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF BLOOD LIPOPROTEIN","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.35,"providers":[{"billed_charge":31.50,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.80,"providers":[{"billed_charge":18.00,"npi":[1922259753]}]}]}]},{"billing_code":"83721","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF BLOOD LIPOPROTEIN","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":15.40,"providers":[{"billed_charge":165.12,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":50.30,"providers":[{"billed_charge":143.71,"npi":[1831148253]}]},{"allowed_amount":52.68,"providers":[{"billed_charge":150.50,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"730717979"},"billing_class":"institutional","payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":58.00,"npi":[1659347623]}]}]}]},{"billing_code":"83722","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"LIPOPRTN DIR MEAS SD LDL CHL","allowed_amounts":[{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":17.53,"providers":[{"billed_charge":51.00,"npi":[1922259753]}]}]}]},{"billing_code":"83735","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF MAGNESIUM","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.70,"providers":[{"billed_charge":38.85,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.03,"providers":[{"billed_charge":63.06,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"203639329"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.03,"providers":[{"billed_charge":14.00,"npi":[1649228966]}]}]},{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":20.10,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.04,"providers":[{"billed_charge":12.00,"npi":[1922259753]}]}]},{"tin":{"type":"ein","value":"222405059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.95,"providers":[{"billed_charge":35.60,"npi":[1134277494]}]},{"allowed_amount":6.03,"providers":[{"billed_charge":35.60,"npi":[1134277494]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":57.00,"providers":[{"billed_charge":60.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.03,"providers":[{"billed_charge":10.05,"npi":[1104258995]}]},{"allowed_amount":8.04,"providers":[{"billed_charge":10.05,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"562086200"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":8.26,"providers":[{"billed_charge":16.00,"npi":[1710145529]}]}]},{"tin":{"type":"ein","value":"571186418"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":35.00,"npi":[1376564625]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":90.16,"providers":[{"billed_charge":136.61,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.70,"providers":[{"billed_charge":40.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"710897031"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.88,"providers":[{"billed_charge":60.63,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"811896675"},"billing_class":"professional","service_code":["55"],"payments":[{"allowed_amount":6.03,"providers":[{"billed_charge":110.00,"npi":[1083061261]}]}]}]},{"billing_code":"83735","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF MAGNESIUM","allowed_amounts":[{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":8.05,"providers":[{"billed_charge":23.40,"npi":[1801803903]}]},{"allowed_amount":10.49,"providers":[{"billed_charge":23.40,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":58.42,"providers":[{"billed_charge":71.36,"npi":[1548315401]}]},{"allowed_amount":58.52,"providers":[{"billed_charge":71.36,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"232973511"},"billing_class":"institutional","payments":[{"allowed_amount":429.10,"providers":[{"billed_charge":613.00,"npi":[1417947490]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":38.10,"providers":[{"billed_charge":77.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"272844563"},"billing_class":"institutional","payments":[{"allowed_amount":61.44,"providers":[{"billed_charge":128.00,"npi":[1922310200]}]}]},{"tin":{"type":"ein","value":"311322863"},"billing_class":"institutional","payments":[{"allowed_amount":55.61,"providers":[{"billed_charge":67.00,"npi":[1124127683]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":39.75,"providers":[{"billed_charge":53.00,"npi":[1679525919]}]},{"allowed_amount":40.17,"providers":[{"billed_charge":53.00,"npi":[1679525919]}]},{"allowed_amount":40.18,"providers":[{"billed_charge":53.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"381360526"},"billing_class":"institutional","payments":[{"allowed_amount":68.00,"providers":[{"billed_charge":85.00,"npi":[1568416311]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":56.52,"providers":[{"billed_charge":95.80,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":19.55,"providers":[{"billed_charge":173.09,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"550525724"},"billing_class":"institutional","payments":[{"allowed_amount":89.30,"providers":[{"billed_charge":94.00,"npi":[1184606600]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":13.36,"providers":[{"billed_charge":215.40,"npi":[1750333282]}]},{"allowed_amount":14.58,"providers":[{"billed_charge":217.32,"npi":[1457719312]}]},{"allowed_amount":21.17,"providers":[{"billed_charge":151.93,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":14.38,"providers":[{"billed_charge":173.09,"npi":[1558311357]}]},{"allowed_amount":14.76,"providers":[{"billed_charge":173.09,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":8.24,"providers":[{"billed_charge":167.32,"npi":[1992754758]}]},{"allowed_amount":8.29,"providers":[{"billed_charge":167.32,"npi":[1992754758]}]},{"allowed_amount":16.96,"providers":[{"billed_charge":167.32,"npi":[1023056488]}]},{"allowed_amount":20.00,"providers":[{"billed_charge":169.24,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"581966795"},"billing_class":"institutional","payments":[{"allowed_amount":89.60,"providers":[{"billed_charge":112.00,"npi":[1093716979]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":69.70,"providers":[{"billed_charge":82.00,"npi":[1326028978]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":98.70,"providers":[{"billed_charge":141.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":100.00,"providers":[{"billed_charge":125.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"institutional","payments":[{"allowed_amount":15.23,"providers":[{"billed_charge":53.00,"npi":[1033112230]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":91.00,"providers":[{"billed_charge":140.00,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":24.15,"providers":[{"billed_charge":162.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":11.70,"providers":[{"billed_charge":18.00,"npi":[1174512792]}]}]},{"tin":{"type":"ein","value":"882288563"},"billing_class":"institutional","payments":[{"allowed_amount":114.96,"providers":[{"billed_charge":164.23,"npi":[1861102345]}]}]},{"tin":{"type":"ein","value":"911352172"},"billing_class":"institutional","payments":[{"allowed_amount":21.60,"providers":[{"billed_charge":30.00,"npi":[1366556227]}]}]},{"tin":{"type":"ein","value":"922451946"},"billing_class":"institutional","payments":[{"allowed_amount":114.54,"providers":[{"billed_charge":166.00,"npi":[1740981430]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":33.93,"providers":[{"billed_charge":47.00,"npi":[1407637531]}]}]}]},{"billing_code":"83789","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"MASS SPECTROMETRY QUAL/QUAN","allowed_amounts":[{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":14.72,"providers":[{"billed_charge":303.31,"npi":[1558311357]}]},{"allowed_amount":15.23,"providers":[{"billed_charge":303.31,"npi":[1558311357]}]},{"allowed_amount":16.97,"providers":[{"billed_charge":303.31,"npi":[1558311357]}]}]}]},{"billing_code":"83835","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF METANEPHRINES","allowed_amounts":[{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":5.65,"providers":[{"billed_charge":83.00,"npi":[1174582050]}]}]}]},{"billing_code":"83874","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF MYOGLOBIN","allowed_amounts":[{"tin":{"type":"ein","value":"386006309"},"billing_class":"institutional","payments":[{"allowed_amount":160.65,"providers":[{"billed_charge":189.00,"npi":[1003878539]}]}]}]},{"billing_code":"83876","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY MYELOPEROXIDASE","allowed_amounts":[{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":38.40,"providers":[{"billed_charge":64.00,"npi":[1922259753]}]}]}]},{"billing_code":"83880","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF NATRIURETIC PEPTIDE","allowed_amounts":[{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":377.20,"providers":[{"billed_charge":460.00,"npi":[1790717650]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":53.15,"providers":[{"billed_charge":118.58,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"160743032"},"billing_class":"institutional","payments":[{"allowed_amount":46.14,"providers":[{"billed_charge":117.78,"npi":[1952418352]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":38.10,"providers":[{"billed_charge":390.85,"npi":[1992754758]}]},{"allowed_amount":51.39,"providers":[{"billed_charge":397.43,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"611334601"},"billing_class":"institutional","payments":[{"allowed_amount":235.20,"providers":[{"billed_charge":294.00,"npi":[1992701429]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":62.30,"providers":[{"billed_charge":418.00,"npi":[1639797913]}]},{"allowed_amount":63.64,"providers":[{"billed_charge":418.00,"npi":[1639797913]}]}]}]},{"billing_code":"83921","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ORGANIC ACID SINGLE QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":28.20,"providers":[{"billed_charge":47.00,"npi":[1922259753]}]}]}]},{"billing_code":"83921","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ORGANIC ACID SINGLE QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":98.25,"providers":[{"billed_charge":99.24,"npi":[1578597993]}]}]}]},{"billing_code":"83935","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF URINE OSMOLALITY","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":70.30,"providers":[{"billed_charge":74.00,"npi":[1083249577]}]}]}]},{"billing_code":"83935","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF URINE OSMOLALITY","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":49.51,"providers":[{"billed_charge":60.37,"npi":[1548315401]}]}]}]},{"billing_code":"83970","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF PARATHORMONE","allowed_amounts":[{"tin":{"type":"ein","value":"205657908"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":73.10,"providers":[{"billed_charge":180.00,"npi":[1710064811]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":263.15,"providers":[{"billed_charge":277.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":37.15,"providers":[{"billed_charge":841.28,"npi":[1245720820]}]},{"allowed_amount":555.24,"providers":[{"billed_charge":841.28,"npi":[1245720820]}]}]}]},{"billing_code":"83970","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF PARATHORMONE","allowed_amounts":[{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":208.46,"providers":[{"billed_charge":313.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":28.25,"providers":[{"billed_charge":1311.20,"npi":[1750333282]}]},{"allowed_amount":49.88,"providers":[{"billed_charge":1454.26,"npi":[1750333282]}]}]}]},{"billing_code":"83986","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY PH BODY FLUID NOS","allowed_amounts":[{"tin":{"type":"ein","value":"233079507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":25.00,"npi":[1043271539]}]}]},{"tin":{"type":"ein","value":"371342029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.22,"providers":[{"billed_charge":30.00,"npi":[1699838276]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":3.22,"providers":[{"billed_charge":15.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":2.87,"providers":[{"billed_charge":23.00,"npi":[1245272657]}]}]}]},{"billing_code":"83993","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY FOR CALPROTECTIN FECAL","allowed_amounts":[{"tin":{"type":"ein","value":"043740411"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.76,"providers":[{"billed_charge":49.08,"npi":[1396858791]}]}]},{"tin":{"type":"ein","value":"263844242"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":17.27,"providers":[{"billed_charge":49.07,"npi":[1346472859]}]}]},{"tin":{"type":"ein","value":"454486874"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":23.56,"providers":[{"billed_charge":39.26,"npi":[1053686964]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":17.67,"providers":[{"billed_charge":67.00,"npi":[1598761967]}]}]},{"tin":{"type":"ein","value":"823021953"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":17.66,"providers":[{"billed_charge":58.89,"npi":[1447760814]}]},{"allowed_amount":17.67,"providers":[{"billed_charge":58.89,"npi":[1447760814]}]}]}]},{"billing_code":"84075","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY ALKALINE PHOSPHATASE","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2.19,"providers":[{"billed_charge":3.13,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.66,"providers":[{"billed_charge":105.44,"npi":[1245720820]}]},{"allowed_amount":69.59,"providers":[{"billed_charge":105.44,"npi":[1245720820]}]}]}]},{"billing_code":"84075","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY ALKALINE PHOSPHATASE","allowed_amounts":[{"tin":{"type":"ein","value":"540853898"},"billing_class":"institutional","payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":156.00,"npi":[1548366404]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":176.11,"npi":[1992754758]}]},{"allowed_amount":6.81,"providers":[{"billed_charge":178.13,"npi":[1083669030]}]},{"allowed_amount":7.79,"providers":[{"billed_charge":178.13,"npi":[1083669030]}]},{"allowed_amount":8.67,"providers":[{"billed_charge":176.11,"npi":[1992754758]}]},{"allowed_amount":13.33,"providers":[{"billed_charge":178.13,"npi":[1083669030]}]},{"allowed_amount":20.13,"providers":[{"billed_charge":178.13,"npi":[1083669030]}]},{"allowed_amount":22.05,"providers":[{"billed_charge":178.13,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":80.96,"providers":[{"billed_charge":92.00,"npi":[1477643690]}]}]}]},{"billing_code":"84100","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF PHOSPHORUS","allowed_amounts":[{"tin":{"type":"ein","value":"362169147"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.46,"providers":[{"billed_charge":27.00,"npi":[1700824455]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":33.25,"providers":[{"billed_charge":35.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":63.77,"providers":[{"billed_charge":96.62,"npi":[1245720820]}]}]}]},{"billing_code":"84100","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF PHOSPHORUS","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":28.18,"providers":[{"billed_charge":138.34,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":27.10,"providers":[{"billed_charge":154.10,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":81.84,"providers":[{"billed_charge":93.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":2.58,"providers":[{"billed_charge":38.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"911352172"},"billing_class":"institutional","payments":[{"allowed_amount":15.84,"providers":[{"billed_charge":22.00,"npi":[1366556227]}]}]}]},{"billing_code":"84132","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF SERUM POTASSIUM","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2.19,"providers":[{"billed_charge":3.13,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":61.80,"providers":[{"billed_charge":93.63,"npi":[1245720820]}]}]}]},{"billing_code":"84132","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF SERUM POTASSIUM","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":42.18,"providers":[{"billed_charge":51.31,"npi":[1548315401]}]}]}]},{"billing_code":"84134","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF PREALBUMIN","allowed_amounts":[{"tin":{"type":"ein","value":"560552787"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.13,"providers":[{"billed_charge":178.40,"npi":[1144211301]}]}]}]},{"billing_code":"84134","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF PREALBUMIN","allowed_amounts":[{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":174.66,"providers":[{"billed_charge":213.00,"npi":[1790717650]}]}]},{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":12.08,"providers":[{"billed_charge":340.00,"npi":[1235417288]}]}]}]},{"billing_code":"84135","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF PREGNANEDIOL","allowed_amounts":[{"tin":{"type":"ein","value":"930958965"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.79,"providers":[{"billed_charge":14.79,"npi":[1962559617]}]}]}]},{"billing_code":"84144","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF PROGESTERONE","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":18.57,"providers":[{"billed_charge":62.58,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"272046755"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.45,"providers":[{"billed_charge":25.00,"npi":[1225466527]}]},{"allowed_amount":18.77,"providers":[{"billed_charge":25.00,"npi":[1225466527]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":18.77,"providers":[{"billed_charge":62.58,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"813168134"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":18.77,"providers":[{"billed_charge":31.29,"npi":[1639621659]}]},{"allowed_amount":26.60,"providers":[{"billed_charge":31.29,"npi":[1639621659]}]}]},{"tin":{"type":"ein","value":"813704980"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.80,"providers":[{"billed_charge":70.00,"npi":[1487100202]}]},{"allowed_amount":35.00,"providers":[{"billed_charge":70.00,"npi":[1487100202]}]}]}]},{"billing_code":"84144","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF PROGESTERONE","allowed_amounts":[{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":44.20,"providers":[{"billed_charge":65.00,"npi":[1154377166]}]}]}]},{"billing_code":"84145","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"PROCALCITONIN (PCT)","allowed_amounts":[{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":68.90,"providers":[{"billed_charge":106.00,"npi":[1174512792]}]}]}]},{"billing_code":"84146","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF PROLACTIN","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":17.25,"providers":[{"billed_charge":58.14,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"813168134"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":17.44,"providers":[{"billed_charge":29.07,"npi":[1639621659]}]}]}]},{"billing_code":"84146","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF PROLACTIN","allowed_amounts":[{"tin":{"type":"ein","value":"370618939"},"billing_class":"institutional","payments":[{"allowed_amount":221.60,"providers":[{"billed_charge":277.00,"npi":[1356435135]}]}]},{"tin":{"type":"ein","value":"541691022"},"billing_class":"institutional","payments":[{"allowed_amount":18.09,"providers":[{"billed_charge":295.57,"npi":[1841242377]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":355.32,"providers":[{"billed_charge":355.32,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":354.96,"providers":[{"billed_charge":522.00,"npi":[1154377166]}]}]}]},{"billing_code":"84153","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF PSA TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.11,"providers":[{"billed_charge":112.35,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"205657908"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":89.25,"providers":[{"billed_charge":105.00,"npi":[1710064811]}]}]},{"tin":{"type":"ein","value":"272528143"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.11,"providers":[{"billed_charge":96.00,"npi":[1568767002]}]}]},{"tin":{"type":"ein","value":"310993406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.55,"providers":[{"billed_charge":35.00,"npi":[1861451437]}]}]},{"tin":{"type":"ein","value":"352539778"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.87,"providers":[{"billed_charge":22.99,"npi":[1972971265]}]}]},{"tin":{"type":"ein","value":"382084239"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.11,"providers":[{"billed_charge":169.86,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"460218851"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.00,"providers":[{"billed_charge":41.00,"npi":[1487602843]}]}]},{"tin":{"type":"ein","value":"461243081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.30,"providers":[{"billed_charge":37.00,"npi":[1750626495]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.72,"providers":[{"billed_charge":47.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":44.10,"providers":[{"billed_charge":63.00,"npi":[1134766694]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.11,"providers":[{"billed_charge":68.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"621508884"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.71,"providers":[{"billed_charge":92.00,"npi":[1346250057]}]}]},{"tin":{"type":"ein","value":"813168134"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.55,"providers":[{"billed_charge":27.59,"npi":[1639621659]}]}]},{"tin":{"type":"ein","value":"850760576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":58.08,"providers":[{"billed_charge":60.00,"npi":[1376153437]}]}]},{"tin":{"type":"ein","value":"990352380"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.87,"providers":[{"billed_charge":63.00,"npi":[1134195357]}]}]}]},{"billing_code":"84153","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF PSA TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":16.14,"providers":[{"billed_charge":492.00,"npi":[1235417288]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":122.25,"providers":[{"billed_charge":163.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351064295"},"billing_class":"institutional","payments":[{"allowed_amount":121.75,"providers":[{"billed_charge":178.00,"npi":[1902897937]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":58.20,"providers":[{"billed_charge":98.65,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":28.80,"providers":[{"billed_charge":222.75,"npi":[1174800585]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":12.09,"providers":[{"billed_charge":195.53,"npi":[1073557559]}]},{"allowed_amount":12.41,"providers":[{"billed_charge":195.53,"npi":[1750333282]}]},{"allowed_amount":16.11,"providers":[{"billed_charge":277.20,"npi":[1750333282]}]},{"allowed_amount":17.83,"providers":[{"billed_charge":277.20,"npi":[1750333282,1457719312]}]},{"allowed_amount":20.55,"providers":[{"billed_charge":279.68,"npi":[1477504280]}]},{"allowed_amount":22.35,"providers":[{"billed_charge":279.68,"npi":[1477504280]}]},{"allowed_amount":56.01,"providers":[{"billed_charge":277.20,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":18.51,"providers":[{"billed_charge":222.75,"npi":[1558311357]}]},{"allowed_amount":24.54,"providers":[{"billed_charge":205.82,"npi":[1558311357]}]},{"allowed_amount":29.34,"providers":[{"billed_charge":222.75,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":9.53,"providers":[{"billed_charge":217.80,"npi":[1083669030]}]},{"allowed_amount":10.61,"providers":[{"billed_charge":215.33,"npi":[1992754758]}]},{"allowed_amount":11.24,"providers":[{"billed_charge":217.80,"npi":[1083669030]}]},{"allowed_amount":17.93,"providers":[{"billed_charge":217.80,"npi":[1083669030]}]},{"allowed_amount":26.96,"providers":[{"billed_charge":217.80,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":40.97,"providers":[{"billed_charge":60.25,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":18.54,"providers":[{"billed_charge":166.00,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":85.28,"providers":[{"billed_charge":243.67,"npi":[1831148253]}]},{"allowed_amount":89.23,"providers":[{"billed_charge":254.93,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"730717979"},"billing_class":"institutional","payments":[{"allowed_amount":22.32,"providers":[{"billed_charge":89.00,"npi":[1659347623]}]}]}]},{"billing_code":"84154","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF PSA FREE","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":122.25,"providers":[{"billed_charge":163.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":9.70,"providers":[{"billed_charge":156.99,"npi":[1073557559]}]}]}]},{"billing_code":"84155","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF PROTEIN SERUM","allowed_amounts":[{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.25,"providers":[{"billed_charge":18.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.30,"providers":[{"billed_charge":74.71,"npi":[1245720820]}]},{"allowed_amount":49.31,"providers":[{"billed_charge":74.71,"npi":[1245720820]}]}]}]},{"billing_code":"84155","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF PROTEIN SERUM","allowed_amounts":[{"tin":{"type":"ein","value":"540853898"},"billing_class":"institutional","payments":[{"allowed_amount":25.19,"providers":[{"billed_charge":131.00,"npi":[1548366404]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":5.82,"providers":[{"billed_charge":168.29,"npi":[1750333282]}]}]}]},{"billing_code":"84156","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF PROTEIN URINE","allowed_amounts":[{"tin":{"type":"ein","value":"233079507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.12,"providers":[{"billed_charge":18.38,"npi":[1043271539]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":39.90,"providers":[{"billed_charge":42.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"582483738"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.53,"providers":[{"billed_charge":40.00,"npi":[1356560569]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.06,"providers":[{"billed_charge":18.00,"npi":[1497797088]}]}]}]},{"billing_code":"84156","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF PROTEIN URINE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":2.71,"providers":[{"billed_charge":125.74,"npi":[1750333282]}]}]}]},{"billing_code":"84165","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"PROTEIN E-PHORESIS SERUM","allowed_amounts":[{"tin":{"type":"ein","value":"381983505"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":17.25,"providers":[{"billed_charge":55.00,"npi":[1487747473]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":17.22,"providers":[{"billed_charge":66.24,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.66,"providers":[{"billed_charge":51.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.00,"providers":[{"billed_charge":19.00,"npi":[1811955917]}]}]}]},{"billing_code":"84165","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"PROTEIN E-PHORESIS SERUM","allowed_amounts":[{"tin":{"type":"ein","value":"042263040"},"billing_class":"institutional","payments":[{"allowed_amount":161.10,"providers":[{"billed_charge":179.00,"npi":[1851333686]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":19.64,"providers":[{"billed_charge":304.62,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":8.36,"providers":[{"billed_charge":241.96,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":34.67,"providers":[{"billed_charge":54.00,"npi":[1528056066]}]}]}]},{"billing_code":"84244","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF RENIN","allowed_amounts":[{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":19.55,"providers":[{"billed_charge":41.00,"npi":[1497797088]}]}]}]},{"billing_code":"84255","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF SELENIUM","allowed_amounts":[{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":198.90,"providers":[{"billed_charge":234.00,"npi":[1669475950]}]}]}]},{"billing_code":"84270","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF SEX HORMONE GLOBUL","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":19.34,"providers":[{"billed_charge":65.19,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":19.56,"providers":[{"billed_charge":65.19,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"610981097"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":37.95,"providers":[{"billed_charge":76.00,"npi":[1881697464]}]}]},{"tin":{"type":"ein","value":"813168134"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":19.56,"providers":[{"billed_charge":32.60,"npi":[1639621659]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":33.00,"npi":[1447239355]}]}]}]},{"billing_code":"84270","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF SEX HORMONE GLOBUL","allowed_amounts":[{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":13.96,"providers":[{"billed_charge":169.68,"npi":[1558311357]}]},{"allowed_amount":15.52,"providers":[{"billed_charge":169.68,"npi":[1619350261]}]}]}]},{"billing_code":"84300","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF URINE SODIUM","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":36.25,"providers":[{"billed_charge":44.21,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":18.63,"providers":[{"billed_charge":133.67,"npi":[1073557559]}]}]}]},{"billing_code":"84305","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF SOMATOMEDIN","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":18.92,"providers":[{"billed_charge":63.78,"npi":[1053584482]}]}]}]},{"billing_code":"84305","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF SOMATOMEDIN","allowed_amounts":[{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":44.88,"providers":[{"billed_charge":66.00,"npi":[1154377166]}]}]}]},{"billing_code":"84311","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"SPECTROPHOTOMETRY","allowed_amounts":[{"tin":{"type":"ein","value":"233079507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.77,"providers":[{"billed_charge":50.00,"npi":[1043271539]}]}]}]},{"billing_code":"84402","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF FREE TESTOSTERONE","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":22.67,"providers":[{"billed_charge":76.41,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":22.77,"providers":[{"billed_charge":47.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"710897031"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":22.76,"providers":[{"billed_charge":490.56,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"813168134"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":22.92,"providers":[{"billed_charge":38.21,"npi":[1639621659]}]}]}]},{"billing_code":"84402","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF FREE TESTOSTERONE","allowed_amounts":[{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":77.59,"providers":[{"billed_charge":131.50,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":19.15,"providers":[{"billed_charge":224.77,"npi":[1073557559]}]},{"allowed_amount":321.51,"providers":[{"billed_charge":321.51,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":57.29,"providers":[{"billed_charge":84.25,"npi":[1154377166]}]}]}]},{"billing_code":"84403","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF TOTAL TESTOSTERONE","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":22.97,"providers":[{"billed_charge":77.43,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"272046755"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.22,"providers":[{"billed_charge":55.00,"npi":[1225466527]}]},{"allowed_amount":23.23,"providers":[{"billed_charge":55.00,"npi":[1225466527]}]}]},{"tin":{"type":"ein","value":"272528143"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.23,"providers":[{"billed_charge":136.00,"npi":[1568767002]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":23.23,"providers":[{"billed_charge":77.43,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"352539778"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":32.26,"npi":[1972971265]}]}]},{"tin":{"type":"ein","value":"562086200"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":20.17,"providers":[{"billed_charge":24.50,"npi":[1710145529]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":23.22,"providers":[{"billed_charge":48.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"610981097"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":45.10,"providers":[{"billed_charge":90.00,"npi":[1881697464]}]}]},{"tin":{"type":"ein","value":"710897031"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":23.22,"providers":[{"billed_charge":242.52,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"813168134"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":23.23,"providers":[{"billed_charge":38.72,"npi":[1639621659]}]},{"allowed_amount":32.91,"providers":[{"billed_charge":38.72,"npi":[1639621659]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.00,"npi":[1447239355]}]}]},{"tin":{"type":"ein","value":"930958965"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":23.23,"providers":[{"billed_charge":28.68,"npi":[1962559617]}]}]}]},{"billing_code":"84403","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF TOTAL TESTOSTERONE","allowed_amounts":[{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":24.82,"providers":[{"billed_charge":757.00,"npi":[1235417288]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":81.33,"providers":[{"billed_charge":137.85,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":19.40,"providers":[{"billed_charge":333.54,"npi":[1750333282]}]},{"allowed_amount":20.04,"providers":[{"billed_charge":235.26,"npi":[1073557559]}]},{"allowed_amount":21.16,"providers":[{"billed_charge":333.54,"npi":[1750333282]}]},{"allowed_amount":336.51,"providers":[{"billed_charge":336.51,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":22.05,"providers":[{"billed_charge":268.02,"npi":[1558311357]}]},{"allowed_amount":24.52,"providers":[{"billed_charge":268.02,"npi":[1619350261]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":19.84,"providers":[{"billed_charge":259.71,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":72.08,"providers":[{"billed_charge":106.00,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":102.89,"providers":[{"billed_charge":293.96,"npi":[1831148253]}]},{"allowed_amount":107.35,"providers":[{"billed_charge":306.73,"npi":[1831148253]}]}]}]},{"billing_code":"84410","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TESTOSTERONE BIOAVAILABLE","allowed_amounts":[{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":46.15,"providers":[{"billed_charge":61.54,"npi":[1447592308]}]}]}]},{"billing_code":"84425","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF VITAMIN B-1","allowed_amounts":[{"tin":{"type":"ein","value":"205657908"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":19.10,"providers":[{"billed_charge":161.00,"npi":[1710064811]}]}]}]},{"billing_code":"84425","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF VITAMIN B-1","allowed_amounts":[{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":169.15,"providers":[{"billed_charge":199.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":20.94,"providers":[{"billed_charge":228.88,"npi":[1619350261]}]}]},{"tin":{"type":"ein","value":"580968382"},"billing_class":"institutional","payments":[{"allowed_amount":708.40,"providers":[{"billed_charge":920.00,"npi":[1467420448]}]}]}]},{"billing_code":"84432","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF THYROGLOBULIN","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":11.36,"providers":[{"billed_charge":198.26,"npi":[1083669030]}]}]}]},{"billing_code":"84436","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF TOTAL THYROXINE","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.18,"providers":[{"billed_charge":56.62,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"233079507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.61,"providers":[{"billed_charge":28.00,"npi":[1043271539]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.18,"providers":[{"billed_charge":10.31,"npi":[1104258995]}]},{"allowed_amount":8.25,"providers":[{"billed_charge":10.31,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"562086200"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":8.19,"providers":[{"billed_charge":10.00,"npi":[1710145529]}]}]}]},{"billing_code":"84439","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF FREE THYROXINE","allowed_amounts":[{"tin":{"type":"ein","value":"112981029"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":74.25,"npi":[1376587113]}]}]},{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.03,"providers":[{"billed_charge":27.06,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"270592929"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":26.00,"npi":[1801129549]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.12,"providers":[{"billed_charge":27.06,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"383111008"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.86,"providers":[{"billed_charge":40.00,"npi":[1053314146]}]}]},{"tin":{"type":"ein","value":"462456505"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.34,"providers":[{"billed_charge":37.00,"npi":[1578969465]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.11,"providers":[{"billed_charge":13.53,"npi":[1104258995]}]},{"allowed_amount":8.12,"providers":[{"billed_charge":13.53,"npi":[1104258995]}]},{"allowed_amount":10.82,"providers":[{"billed_charge":13.53,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"541634477"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.11,"providers":[{"billed_charge":52.00,"npi":[1902848294]}]}]},{"tin":{"type":"ein","value":"561378000"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.12,"providers":[{"billed_charge":50.00,"npi":[1972656262]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.12,"providers":[{"billed_charge":19.00,"npi":[1720794944]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.11,"providers":[{"billed_charge":28.00,"npi":[1750567970]}]}]},{"tin":{"type":"ein","value":"571122647"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":7.88,"providers":[{"billed_charge":13.00,"npi":[1831151976]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":21.70,"providers":[{"billed_charge":31.00,"npi":[1134766694]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.11,"providers":[{"billed_charge":33.00,"npi":[1497797088]},{"billed_charge":43.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.12,"providers":[{"billed_charge":65.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"621695507"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":9.37,"providers":[{"billed_charge":21.51,"npi":[1003863580]}]}]},{"tin":{"type":"ein","value":"720399647"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.82,"providers":[{"billed_charge":27.06,"npi":[1831180637]}]}]},{"tin":{"type":"ein","value":"810576059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":17.23,"providers":[{"billed_charge":37.80,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"811896675"},"billing_class":"professional","service_code":["55"],"payments":[{"allowed_amount":8.12,"providers":[{"billed_charge":185.00,"npi":[1083061261]}]}]},{"tin":{"type":"ein","value":"823146637"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.12,"providers":[{"billed_charge":30.06,"npi":[1861994600]}]}]},{"tin":{"type":"ein","value":"833807646"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.11,"providers":[{"billed_charge":27.06,"npi":[1407461304]}]}]},{"tin":{"type":"ein","value":"883286578"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.11,"providers":[{"billed_charge":83.00,"npi":[1366150773]}]}]}]},{"billing_code":"84439","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF FREE THYROXINE","allowed_amounts":[{"tin":{"type":"ein","value":"160743209"},"billing_class":"institutional","payments":[{"allowed_amount":10.15,"providers":[{"billed_charge":48.00,"npi":[1346285657]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":64.99,"providers":[{"billed_charge":81.96,"npi":[1548315401]}]},{"allowed_amount":67.21,"providers":[{"billed_charge":81.96,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"311524546"},"billing_class":"institutional","payments":[{"allowed_amount":102.60,"providers":[{"billed_charge":108.00,"npi":[1699704254]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":79.50,"providers":[{"billed_charge":106.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":121.06,"providers":[{"billed_charge":151.32,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"381359063"},"billing_class":"institutional","payments":[{"allowed_amount":47.25,"providers":[{"billed_charge":63.00,"npi":[1023088168]}]}]},{"tin":{"type":"ein","value":"381360529"},"billing_class":"institutional","payments":[{"allowed_amount":27.90,"providers":[{"billed_charge":31.00,"npi":[1922090554]}]}]},{"tin":{"type":"ein","value":"382146751"},"billing_class":"institutional","payments":[{"allowed_amount":17.17,"providers":[{"billed_charge":152.00,"npi":[1992812580]}]},{"allowed_amount":19.76,"providers":[{"billed_charge":146.20,"npi":[1992812580]}]}]},{"tin":{"type":"ein","value":"382156872"},"billing_class":"institutional","payments":[{"allowed_amount":9.59,"providers":[{"billed_charge":84.48,"npi":[1134220031]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":58.94,"providers":[{"billed_charge":99.90,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"460224743"},"billing_class":"institutional","payments":[{"allowed_amount":219.45,"providers":[{"billed_charge":231.00,"npi":[1568460772]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":22.99,"providers":[{"billed_charge":177.80,"npi":[1174800585]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":34.98,"providers":[{"billed_charge":156.06,"npi":[1073557559]}]},{"allowed_amount":35.94,"providers":[{"billed_charge":156.06,"npi":[1073557559]}]},{"allowed_amount":223.23,"providers":[{"billed_charge":223.23,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":14.78,"providers":[{"billed_charge":177.80,"npi":[1558311357]}]},{"allowed_amount":19.44,"providers":[{"billed_charge":163.02,"npi":[1558311357]}]},{"allowed_amount":24.12,"providers":[{"billed_charge":163.02,"npi":[1558311357]}]},{"allowed_amount":163.02,"providers":[{"billed_charge":163.02,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":20.54,"providers":[{"billed_charge":173.84,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"580625140"},"billing_class":"institutional","payments":[{"allowed_amount":117.12,"providers":[{"billed_charge":146.40,"npi":[1740272095]}]}]},{"tin":{"type":"ein","value":"581954432"},"billing_class":"institutional","payments":[{"allowed_amount":195.60,"providers":[{"billed_charge":326.00,"npi":[1457396079]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":22.44,"providers":[{"billed_charge":33.00,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582032904"},"billing_class":"institutional","payments":[{"allowed_amount":44.21,"providers":[{"billed_charge":57.42,"npi":[1649248626]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":336.70,"providers":[{"billed_charge":481.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"630845288"},"billing_class":"institutional","payments":[{"allowed_amount":112.40,"providers":[{"billed_charge":140.50,"npi":[1447221056]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":39.75,"providers":[{"billed_charge":53.00,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":10.96,"providers":[{"billed_charge":161.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"810851756"},"billing_class":"institutional","payments":[{"allowed_amount":44.21,"providers":[{"billed_charge":57.42,"npi":[1750312997]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":49.18,"providers":[{"billed_charge":330.00,"npi":[1639797913]}]}]}]},{"billing_code":"84443","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY THYROID STIM HORMONE","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.80,"providers":[{"billed_charge":84.45,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"133971298"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":270.52,"providers":[{"billed_charge":322.05,"npi":[1801992631]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.07,"providers":[{"billed_charge":149.28,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":60.00,"npi":[1922259753]}]}]},{"tin":{"type":"ein","value":"222405059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.43,"providers":[{"billed_charge":98.50,"npi":[1134277494]}]},{"allowed_amount":15.12,"providers":[{"billed_charge":98.50,"npi":[1134277494]}]}]},{"tin":{"type":"ein","value":"260070193"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":33.60,"npi":[1780001859]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":50.40,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"300270600"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.89,"providers":[{"billed_charge":56.00,"npi":[1518032564]}]}]},{"tin":{"type":"ein","value":"383111008"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.92,"providers":[{"billed_charge":48.00,"npi":[1053314146]}]}]},{"tin":{"type":"ein","value":"383422836"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.56,"providers":[{"billed_charge":73.00,"npi":[1265610570]}]}]},{"tin":{"type":"ein","value":"391824445"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":153.00,"providers":[{"billed_charge":180.00,"npi":[1598784555]}]}]},{"tin":{"type":"ein","value":"391994216"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":134.40,"providers":[{"billed_charge":168.00,"npi":[1003811993]}]}]},{"tin":{"type":"ein","value":"522077594"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.75,"providers":[{"billed_charge":70.00,"npi":[1891849832]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.33,"providers":[{"billed_charge":45.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"541634477"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.33,"providers":[{"billed_charge":60.00,"npi":[1902848294]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":16.10,"providers":[{"billed_charge":122.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"561434867"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.60,"providers":[{"billed_charge":95.00,"npi":[1679566954]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.03,"providers":[{"billed_charge":62.00,"npi":[1750567970]}]}]},{"tin":{"type":"ein","value":"571122647"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":11.70,"providers":[{"billed_charge":23.00,"npi":[1831151976]}]}]},{"tin":{"type":"ein","value":"581132913"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":11.17,"providers":[{"billed_charge":39.00,"npi":[1508848300]}]}]},{"tin":{"type":"ein","value":"581351195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":69.26,"providers":[{"billed_charge":75.00,"npi":[1386763514]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":39.90,"providers":[{"billed_charge":57.00,"npi":[1134766694]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.03,"providers":[{"billed_charge":59.00,"npi":[1497797088]},{"billed_charge":78.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":50.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"710897031"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.73,"providers":[{"billed_charge":143.54,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"810576059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":32.11,"providers":[{"billed_charge":70.41,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"825415284"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.63,"providers":[{"billed_charge":60.00,"npi":[1144719311]}]}]},{"tin":{"type":"ein","value":"833807646"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":50.40,"npi":[1407461304]}]}]},{"tin":{"type":"ein","value":"840591617"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":44.40,"npi":[1518071067]}]}]}]},{"billing_code":"84443","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY THYROID STIM HORMONE","allowed_amounts":[{"tin":{"type":"ein","value":"160743209"},"billing_class":"institutional","payments":[{"allowed_amount":19.47,"providers":[{"billed_charge":92.00,"npi":[1346285657]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":161.80,"providers":[{"billed_charge":204.02,"npi":[1548315401]}]},{"allowed_amount":167.30,"providers":[{"billed_charge":204.02,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"222592333"},"billing_class":"institutional","payments":[{"allowed_amount":103.85,"providers":[{"billed_charge":134.00,"npi":[1306871223]}]}]},{"tin":{"type":"ein","value":"251550350"},"billing_class":"institutional","payments":[{"allowed_amount":62.75,"providers":[{"billed_charge":272.00,"npi":[1437182847]}]}]},{"tin":{"type":"ein","value":"311524546"},"billing_class":"institutional","payments":[{"allowed_amount":137.25,"providers":[{"billed_charge":183.00,"npi":[1699704254]}]},{"allowed_amount":173.85,"providers":[{"billed_charge":183.00,"npi":[1699704254]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":115.50,"providers":[{"billed_charge":154.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":102.85,"providers":[{"billed_charge":121.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":126.90,"providers":[{"billed_charge":158.62,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"362513909"},"billing_class":"institutional","payments":[{"allowed_amount":178.41,"providers":[{"billed_charge":232.00,"npi":[1003864810]}]}]},{"tin":{"type":"ein","value":"370618939"},"billing_class":"institutional","payments":[{"allowed_amount":196.80,"providers":[{"billed_charge":246.00,"npi":[1356435135]}]}]},{"tin":{"type":"ein","value":"381359063"},"billing_class":"institutional","payments":[{"allowed_amount":39.75,"providers":[{"billed_charge":53.00,"npi":[1023088168]}]}]},{"tin":{"type":"ein","value":"381360526"},"billing_class":"institutional","payments":[{"allowed_amount":122.40,"providers":[{"billed_charge":153.00,"npi":[1568416311]}]}]},{"tin":{"type":"ein","value":"381360529"},"billing_class":"institutional","payments":[{"allowed_amount":58.50,"providers":[{"billed_charge":65.00,"npi":[1922090554]}]}]},{"tin":{"type":"ein","value":"382146751"},"billing_class":"institutional","payments":[{"allowed_amount":18.13,"providers":[{"billed_charge":160.60,"npi":[1992812580]}]},{"allowed_amount":20.87,"providers":[{"billed_charge":154.40,"npi":[1992812580]}]}]},{"tin":{"type":"ein","value":"426004813"},"billing_class":"institutional","payments":[{"allowed_amount":192.60,"providers":[{"billed_charge":214.00,"npi":[1376544320]}]}]},{"tin":{"type":"ein","value":"460224743"},"billing_class":"institutional","payments":[{"allowed_amount":254.60,"providers":[{"billed_charge":268.00,"npi":[1568460772]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":15.77,"providers":[{"billed_charge":306.08,"npi":[1477504280]}]},{"allowed_amount":23.16,"providers":[{"billed_charge":306.08,"npi":[1457719312]}]},{"allowed_amount":306.08,"providers":[{"billed_charge":306.08,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":13.30,"providers":[{"billed_charge":238.37,"npi":[1578516902]}]},{"allowed_amount":23.61,"providers":[{"billed_charge":224.33,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":32.11,"providers":[{"billed_charge":243.78,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":11.61,"providers":[{"billed_charge":235.66,"npi":[1992754758]}]},{"allowed_amount":13.66,"providers":[{"billed_charge":238.37,"npi":[1083669030]}]},{"allowed_amount":17.84,"providers":[{"billed_charge":238.37,"npi":[1083669030]}]},{"allowed_amount":19.63,"providers":[{"billed_charge":238.37,"npi":[1083669030]}]},{"allowed_amount":29.51,"providers":[{"billed_charge":238.37,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":12.42,"providers":[{"billed_charge":254.62,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"580625140"},"billing_class":"institutional","payments":[{"allowed_amount":36.50,"providers":[{"billed_charge":45.62,"npi":[1740272095]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":107.21,"providers":[{"billed_charge":167.00,"npi":[1528056066]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":41.82,"providers":[{"billed_charge":61.50,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582032904"},"billing_class":"institutional","payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":164.88,"npi":[1649248626]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":155.72,"providers":[{"billed_charge":222.45,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":385.00,"providers":[{"billed_charge":550.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590973502"},"billing_class":"institutional","payments":[{"allowed_amount":181.04,"providers":[{"billed_charge":258.63,"npi":[1063426823]}]}]},{"tin":{"type":"ein","value":"593650609"},"billing_class":"institutional","payments":[{"allowed_amount":40.90,"providers":[{"billed_charge":97.75,"npi":[1861078651]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":91.90,"providers":[{"billed_charge":262.57,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"630845288"},"billing_class":"institutional","payments":[{"allowed_amount":112.40,"providers":[{"billed_charge":140.50,"npi":[1447221056]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":69.75,"providers":[{"billed_charge":93.00,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"730717979"},"billing_class":"institutional","payments":[{"allowed_amount":29.59,"providers":[{"billed_charge":118.00,"npi":[1659347623]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":20.15,"providers":[{"billed_charge":296.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"810851756"},"billing_class":"institutional","payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":164.88,"npi":[1750312997]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":47.84,"providers":[{"billed_charge":321.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":109.25,"providers":[{"billed_charge":115.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"911352172"},"billing_class":"institutional","payments":[{"allowed_amount":54.72,"providers":[{"billed_charge":76.00,"npi":[1366556227]}]}]}]},{"billing_code":"84446","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF VITAMIN E","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.62,"providers":[{"billed_charge":42.54,"npi":[1053584482]}]}]}]},{"billing_code":"84446","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF VITAMIN E","allowed_amounts":[{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":113.90,"providers":[{"billed_charge":134.00,"npi":[1669475950]}]}]}]},{"billing_code":"84450","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TRANSFERASE (AST) (SGOT)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.66,"providers":[{"billed_charge":105.44,"npi":[1245720820]}]},{"allowed_amount":69.59,"providers":[{"billed_charge":105.44,"npi":[1245720820]}]}]}]},{"billing_code":"84450","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"TRANSFERASE (AST) (SGOT)","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":183.00,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"540853898"},"billing_class":"institutional","payments":[{"allowed_amount":24.04,"providers":[{"billed_charge":125.00,"npi":[1548366404]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":4.19,"providers":[{"billed_charge":112.92,"npi":[1992754758]}]},{"allowed_amount":4.36,"providers":[{"billed_charge":114.22,"npi":[1083669030]}]},{"allowed_amount":4.99,"providers":[{"billed_charge":114.22,"npi":[1083669030]}]},{"allowed_amount":5.57,"providers":[{"billed_charge":112.92,"npi":[1992754758]}]},{"allowed_amount":8.54,"providers":[{"billed_charge":114.22,"npi":[1083669030]}]},{"allowed_amount":12.91,"providers":[{"billed_charge":114.22,"npi":[1083669030]}]},{"allowed_amount":14.14,"providers":[{"billed_charge":114.22,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":97.68,"providers":[{"billed_charge":111.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":80.25,"providers":[{"billed_charge":107.00,"npi":[1174582050]}]},{"allowed_amount":107.00,"providers":[{"billed_charge":107.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":61.75,"providers":[{"billed_charge":65.00,"npi":[1154392231]}]}]}]},{"billing_code":"84460","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ALANINE AMINO (ALT) (SGPT)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.77,"providers":[{"billed_charge":107.86,"npi":[1245720820]}]},{"allowed_amount":71.19,"providers":[{"billed_charge":107.86,"npi":[1245720820]}]}]}]},{"billing_code":"84460","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ALANINE AMINO (ALT) (SGPT)","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":11.78,"providers":[{"billed_charge":182.78,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"540853898"},"billing_class":"institutional","payments":[{"allowed_amount":13.27,"providers":[{"billed_charge":69.00,"npi":[1548366404]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":4.18,"providers":[{"billed_charge":112.78,"npi":[1992754758]}]},{"allowed_amount":4.36,"providers":[{"billed_charge":114.07,"npi":[1083669030]}]},{"allowed_amount":4.98,"providers":[{"billed_charge":114.07,"npi":[1083669030]}]},{"allowed_amount":5.56,"providers":[{"billed_charge":112.78,"npi":[1992754758]}]},{"allowed_amount":8.53,"providers":[{"billed_charge":114.07,"npi":[1083669030]}]},{"allowed_amount":12.89,"providers":[{"billed_charge":114.07,"npi":[1083669030]}]},{"allowed_amount":14.12,"providers":[{"billed_charge":114.07,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":91.52,"providers":[{"billed_charge":104.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":38.25,"providers":[{"billed_charge":51.00,"npi":[1174582050]}]},{"allowed_amount":51.00,"providers":[{"billed_charge":51.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":47.50,"providers":[{"billed_charge":50.00,"npi":[1154392231]}]}]}]},{"billing_code":"84466","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF TRANSFERRIN","allowed_amounts":[{"tin":{"type":"ein","value":"043397450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.80,"providers":[{"billed_charge":52.00,"npi":[1871639914]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.48,"providers":[{"billed_charge":27.00,"npi":[1720794944]}]}]}]},{"billing_code":"84466","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF TRANSFERRIN","allowed_amounts":[{"tin":{"type":"ein","value":"060646554"},"billing_class":"institutional","payments":[{"allowed_amount":111.35,"providers":[{"billed_charge":131.00,"npi":[1992910152]}]}]},{"tin":{"type":"ein","value":"426004813"},"billing_class":"institutional","payments":[{"allowed_amount":107.10,"providers":[{"billed_charge":119.00,"npi":[1376544320]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":15.29,"providers":[{"billed_charge":426.47,"npi":[1457719312]}]},{"allowed_amount":39.79,"providers":[{"billed_charge":426.47,"npi":[1457719312]}]},{"allowed_amount":73.16,"providers":[{"billed_charge":298.15,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":15.01,"providers":[{"billed_charge":339.67,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":16.28,"providers":[{"billed_charge":328.35,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":132.41,"providers":[{"billed_charge":189.15,"npi":[1043270564]}]}]}]},{"billing_code":"84479","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF THYROID (T3 OR T4)","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.82,"providers":[{"billed_charge":57.91,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"233079507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":32.25,"npi":[1043271539]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.82,"providers":[{"billed_charge":9.71,"npi":[1104258995]}]},{"allowed_amount":7.77,"providers":[{"billed_charge":9.71,"npi":[1104258995]}]}]}]},{"billing_code":"84480","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY TRIIODOTHYRONINE (T3)","allowed_amounts":[{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.19,"providers":[{"billed_charge":21.27,"npi":[1104258995]}]},{"allowed_amount":12.76,"providers":[{"billed_charge":21.27,"npi":[1104258995]}]},{"allowed_amount":17.02,"providers":[{"billed_charge":21.27,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.19,"providers":[{"billed_charge":45.00,"npi":[1750567970]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.19,"providers":[{"billed_charge":68.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"823146637"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.76,"providers":[{"billed_charge":122.57,"npi":[1861994600]}]}]}]},{"billing_code":"84480","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY TRIIODOTHYRONINE (T3)","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":100.50,"providers":[{"billed_charge":134.00,"npi":[1679525919]}]}]}]},{"billing_code":"84481","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"FREE ASSAY (FT-3)","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":50.82,"npi":[1053584482]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.25,"providers":[{"billed_charge":50.82,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"462456505"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.30,"providers":[{"billed_charge":69.00,"npi":[1578969465]}]}]},{"tin":{"type":"ein","value":"561378000"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.25,"providers":[{"billed_charge":50.00,"npi":[1972656262]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.25,"providers":[{"billed_charge":36.00,"npi":[1720794944]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":62.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.25,"providers":[{"billed_charge":50.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"811896675"},"billing_class":"professional","service_code":["55"],"payments":[{"allowed_amount":15.25,"providers":[{"billed_charge":345.00,"npi":[1083061261]}]}]},{"tin":{"type":"ein","value":"883286578"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":155.90,"npi":[1366150773]}]}]}]},{"billing_code":"84481","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"FREE ASSAY (FT-3)","allowed_amounts":[{"tin":{"type":"ein","value":"381360529"},"billing_class":"institutional","payments":[{"allowed_amount":52.20,"providers":[{"billed_charge":58.00,"npi":[1922090554]}]}]},{"tin":{"type":"ein","value":"382156872"},"billing_class":"institutional","payments":[{"allowed_amount":15.46,"providers":[{"billed_charge":136.17,"npi":[1134220031]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":46.01,"providers":[{"billed_charge":199.83,"npi":[1073557559]}]},{"allowed_amount":139.88,"providers":[{"billed_charge":199.83,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":47.26,"providers":[{"billed_charge":69.50,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"810851756"},"billing_class":"institutional","payments":[{"allowed_amount":68.82,"providers":[{"billed_charge":89.38,"npi":[1750312997]}]}]}]},{"billing_code":"84484","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF TROPONIN QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"562086200"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.72,"providers":[{"billed_charge":24.50,"npi":[1710145529]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":19.13,"providers":[{"billed_charge":36.00,"npi":[1942526298]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":8.17,"providers":[{"billed_charge":36.00,"npi":[1942526298]}]}]},{"tin":{"type":"ein","value":"823762961"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":19.44,"providers":[{"billed_charge":40.00,"npi":[1003308305]}]}]}]},{"billing_code":"84484","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF TROPONIN QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":134.48,"providers":[{"billed_charge":164.00,"npi":[1790717650]}]}]},{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":28.76,"providers":[{"billed_charge":48.00,"npi":[1760426969]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":13.97,"providers":[{"billed_charge":31.18,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"160743032"},"billing_class":"institutional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":37.41,"npi":[1952418352]}]}]},{"tin":{"type":"ein","value":"232973511"},"billing_class":"institutional","payments":[{"allowed_amount":613.20,"providers":[{"billed_charge":876.00,"npi":[1417947490]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":47.72,"providers":[{"billed_charge":131.00,"npi":[1326161662]}]},{"allowed_amount":64.82,"providers":[{"billed_charge":131.00,"npi":[1326161662]}]},{"allowed_amount":100.84,"providers":[{"billed_charge":262.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"250965480"},"billing_class":"institutional","payments":[{"allowed_amount":320.60,"providers":[{"billed_charge":458.00,"npi":[1821007881]}]}]},{"tin":{"type":"ein","value":"351814660"},"billing_class":"institutional","payments":[{"allowed_amount":51.04,"providers":[{"billed_charge":59.00,"npi":[1063443455]}]}]},{"tin":{"type":"ein","value":"475259919"},"billing_class":"institutional","payments":[{"allowed_amount":384.88,"providers":[{"billed_charge":566.00,"npi":[1033228168]}]}]},{"tin":{"type":"ein","value":"540853898"},"billing_class":"institutional","payments":[{"allowed_amount":101.16,"providers":[{"billed_charge":526.00,"npi":[1548366404]}]}]},{"tin":{"type":"ein","value":"550525724"},"billing_class":"institutional","payments":[{"allowed_amount":141.55,"providers":[{"billed_charge":149.00,"npi":[1184606600]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":12.20,"providers":[{"billed_charge":12.20,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"580566200"},"billing_class":"institutional","payments":[{"allowed_amount":520.00,"providers":[{"billed_charge":650.00,"npi":[1144203563]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":53.84,"providers":[{"billed_charge":222.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":348.60,"providers":[{"billed_charge":498.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"591713947"},"billing_class":"institutional","payments":[{"allowed_amount":78.30,"providers":[{"billed_charge":221.00,"npi":[1225033020]}]}]},{"tin":{"type":"ein","value":"593650609"},"billing_class":"institutional","payments":[{"allowed_amount":63.28,"providers":[{"billed_charge":151.25,"npi":[1861078651]}]},{"allowed_amount":63.29,"providers":[{"billed_charge":151.25,"npi":[1861078651]}]}]},{"tin":{"type":"ein","value":"611334601"},"billing_class":"institutional","payments":[{"allowed_amount":385.60,"providers":[{"billed_charge":482.00,"npi":[1992701429]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":472.31,"providers":[{"billed_charge":629.75,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"841321373"},"billing_class":"institutional","payments":[{"allowed_amount":885.01,"providers":[{"billed_charge":1416.02,"npi":[1659327013]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":55.75,"providers":[{"billed_charge":374.00,"npi":[1639797913]}]},{"allowed_amount":56.94,"providers":[{"billed_charge":374.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"882288563"},"billing_class":"institutional","payments":[{"allowed_amount":285.21,"providers":[{"billed_charge":407.45,"npi":[1861102345]}]}]},{"tin":{"type":"ein","value":"922451946"},"billing_class":"institutional","payments":[{"allowed_amount":149.04,"providers":[{"billed_charge":216.00,"npi":[1740981430]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":506.12,"providers":[{"billed_charge":701.00,"npi":[1407637531]}]}]}]},{"billing_code":"84520","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF UREA NITROGEN","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":53.06,"providers":[{"billed_charge":80.40,"npi":[1245720820]}]}]}]},{"billing_code":"84520","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF UREA NITROGEN","allowed_amounts":[{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":27.22,"providers":[{"billed_charge":291.66,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"540853898"},"billing_class":"institutional","payments":[{"allowed_amount":23.85,"providers":[{"billed_charge":124.00,"npi":[1548366404]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":84.70,"providers":[{"billed_charge":121.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":2.58,"providers":[{"billed_charge":38.00,"npi":[1174582050]}]},{"allowed_amount":28.50,"providers":[{"billed_charge":38.00,"npi":[1174582050]}]},{"allowed_amount":38.00,"providers":[{"billed_charge":38.00,"npi":[1174582050]}]}]}]},{"billing_code":"84540","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF URINE/UREA-N","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":63.86,"providers":[{"billed_charge":96.76,"npi":[1245720820]}]}]}]},{"billing_code":"84540","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF URINE/UREA-N","allowed_amounts":[{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":13.65,"providers":[{"billed_charge":120.83,"npi":[1316997356]}]},{"allowed_amount":15.62,"providers":[{"billed_charge":120.83,"npi":[1174800585]}]}]}]},{"billing_code":"84550","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF BLOOD/URIC ACID","allowed_amounts":[{"tin":{"type":"ein","value":"203059260"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":17.00,"npi":[1598958431]}]}]},{"tin":{"type":"ein","value":"582483738"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.28,"providers":[{"billed_charge":26.00,"npi":[1356560569]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.06,"providers":[{"billed_charge":22.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"800198515"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.06,"providers":[{"billed_charge":13.00,"npi":[1033128822]}]}]}]},{"billing_code":"84550","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF BLOOD/URIC ACID","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":30.55,"providers":[{"billed_charge":37.32,"npi":[1548315401]}]},{"allowed_amount":30.60,"providers":[{"billed_charge":37.32,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":25.16,"providers":[{"billed_charge":42.65,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":126.08,"npi":[1750333282]}]},{"allowed_amount":7.82,"providers":[{"billed_charge":126.08,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":13.70,"providers":[{"billed_charge":92.66,"npi":[1558311357]}]},{"allowed_amount":92.66,"providers":[{"billed_charge":92.66,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":4.86,"providers":[{"billed_charge":97.94,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":22.75,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"institutional","payments":[{"allowed_amount":10.06,"providers":[{"billed_charge":35.00,"npi":[1033112230]}]}]}]},{"billing_code":"84590","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF VITAMIN A","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.33,"providers":[{"billed_charge":34.83,"npi":[1053584482]}]}]}]},{"billing_code":"84590","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF VITAMIN A","allowed_amounts":[{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":91.80,"providers":[{"billed_charge":108.00,"npi":[1669475950]}]}]}]},{"billing_code":"84597","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY OF VITAMIN K","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.21,"providers":[{"billed_charge":41.16,"npi":[1053584482]}]}]}]},{"billing_code":"84630","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF ZINC","allowed_amounts":[{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":195.14,"providers":[{"billed_charge":293.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":37.40,"providers":[{"billed_charge":44.00,"npi":[1669475950]}]}]}]},{"billing_code":"84681","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ASSAY OF C-PEPTIDE","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":36.07,"providers":[{"billed_charge":222.15,"npi":[1083669030]}]}]}]},{"billing_code":"84702","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CHORIONIC GONADOTROPIN TEST","allowed_amounts":[{"tin":{"type":"ein","value":"562143419"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":31.05,"npi":[1326627399]}]}]},{"tin":{"type":"ein","value":"813704980"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.54,"providers":[{"billed_charge":70.00,"npi":[1487100202]}]}]},{"tin":{"type":"ein","value":"883286578"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.54,"providers":[{"billed_charge":138.60,"npi":[1366150773]}]}]}]},{"billing_code":"84702","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CHORIONIC GONADOTROPIN TEST","allowed_amounts":[{"tin":{"type":"ein","value":"060646554"},"billing_class":"institutional","payments":[{"allowed_amount":102.00,"providers":[{"billed_charge":120.00,"npi":[1992910152]}]}]},{"tin":{"type":"ein","value":"111562701"},"billing_class":"institutional","payments":[{"allowed_amount":349.58,"providers":[{"billed_charge":454.00,"npi":[1366459570]}]}]},{"tin":{"type":"ein","value":"274814831"},"billing_class":"institutional","payments":[{"allowed_amount":208.60,"providers":[{"billed_charge":298.00,"npi":[1225323983]}]}]},{"tin":{"type":"ein","value":"382800065"},"billing_class":"institutional","payments":[{"allowed_amount":26.10,"providers":[{"billed_charge":29.00,"npi":[1871672618]}]}]},{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":28.97,"providers":[{"billed_charge":101.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"475259919"},"billing_class":"institutional","payments":[{"allowed_amount":93.84,"providers":[{"billed_charge":138.00,"npi":[1033228168]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":14.37,"providers":[{"billed_charge":283.40,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"580566200"},"billing_class":"institutional","payments":[{"allowed_amount":127.20,"providers":[{"billed_charge":159.00,"npi":[1144203563]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":157.29,"providers":[{"billed_charge":224.70,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"596012065"},"billing_class":"institutional","payments":[{"allowed_amount":192.80,"providers":[{"billed_charge":241.00,"npi":[1265460232]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":267.26,"providers":[{"billed_charge":322.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":16.09,"providers":[{"billed_charge":27.00,"npi":[1144211301]}]}]}]},{"billing_code":"84703","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CHORIONIC GONADOTROPIN ASSAY","allowed_amounts":[{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":6.45,"providers":[{"billed_charge":52.00,"npi":[1942526298]}]}]},{"tin":{"type":"ein","value":"823146637"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.77,"providers":[{"billed_charge":65.03,"npi":[1861994600]}]}]}]},{"billing_code":"84703","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CHORIONIC GONADOTROPIN ASSAY","allowed_amounts":[{"tin":{"type":"ein","value":"160743032"},"billing_class":"institutional","payments":[{"allowed_amount":8.84,"providers":[{"billed_charge":22.56,"npi":[1952418352]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":65.44,"providers":[{"billed_charge":79.94,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"222592333"},"billing_class":"institutional","payments":[{"allowed_amount":44.95,"providers":[{"billed_charge":58.00,"npi":[1306871223]}]}]},{"tin":{"type":"ein","value":"250965480"},"billing_class":"institutional","payments":[{"allowed_amount":74.90,"providers":[{"billed_charge":107.00,"npi":[1821007881]}]}]},{"tin":{"type":"ein","value":"274814831"},"billing_class":"institutional","payments":[{"allowed_amount":115.50,"providers":[{"billed_charge":165.00,"npi":[1225323983]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":174.25,"providers":[{"billed_charge":205.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":100.56,"providers":[{"billed_charge":118.31,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":303.81,"providers":[{"billed_charge":303.81,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":127.20,"providers":[{"billed_charge":159.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":103.30,"providers":[{"billed_charge":305.18,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"590566256"},"billing_class":"institutional","payments":[{"allowed_amount":127.20,"providers":[{"billed_charge":159.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"590634434"},"billing_class":"institutional","payments":[{"allowed_amount":32.09,"providers":[{"billed_charge":55.60,"npi":[1922032424]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":308.70,"providers":[{"billed_charge":441.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"591917016"},"billing_class":"institutional","payments":[{"allowed_amount":21.01,"providers":[{"billed_charge":154.05,"npi":[1437177664]}]}]},{"tin":{"type":"ein","value":"596012065"},"billing_class":"institutional","payments":[{"allowed_amount":43.68,"providers":[{"billed_charge":54.60,"npi":[1376571323]}]}]},{"tin":{"type":"ein","value":"611334601"},"billing_class":"institutional","payments":[{"allowed_amount":102.40,"providers":[{"billed_charge":128.00,"npi":[1992701429]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":57.00,"providers":[{"billed_charge":76.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":57.00,"providers":[{"billed_charge":76.00,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"640524079"},"billing_class":"institutional","payments":[{"allowed_amount":23.98,"providers":[{"billed_charge":68.00,"npi":[1154310514]}]}]},{"tin":{"type":"ein","value":"650666516"},"billing_class":"institutional","payments":[{"allowed_amount":55.20,"providers":[{"billed_charge":69.00,"npi":[1487760906]}]}]},{"tin":{"type":"ein","value":"741282696"},"billing_class":"institutional","payments":[{"allowed_amount":173.61,"providers":[{"billed_charge":322.00,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"821969974"},"billing_class":"institutional","payments":[{"allowed_amount":45.05,"providers":[{"billed_charge":53.00,"npi":[1053824292]}]}]},{"tin":{"type":"ein","value":"841321373"},"billing_class":"institutional","payments":[{"allowed_amount":371.39,"providers":[{"billed_charge":594.22,"npi":[1659327013]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":152.75,"providers":[{"billed_charge":235.00,"npi":[1174512792]}]}]}]},{"billing_code":"84704","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HCG FREE BETACHAIN TEST","allowed_amounts":[{"tin":{"type":"ein","value":"833807646"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.97,"providers":[{"billed_charge":45.87,"npi":[1407461304]}]}]}]},{"billing_code":"85007","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"BL SMEAR W/DIFF WBC COUNT","allowed_amounts":[{"tin":{"type":"ein","value":"274971159"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.23,"providers":[{"billed_charge":19.00,"npi":[1336480862]}]}]},{"tin":{"type":"ein","value":"810576059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.57,"providers":[{"billed_charge":14.43,"npi":[1235186800]}]}]}]},{"billing_code":"85007","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"BL SMEAR W/DIFF WBC COUNT","allowed_amounts":[{"tin":{"type":"ein","value":"250965404"},"billing_class":"institutional","payments":[{"allowed_amount":12.51,"providers":[{"billed_charge":34.00,"npi":[1356334510]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":80.00,"npi":[1174582050]}]},{"allowed_amount":80.00,"providers":[{"billed_charge":80.00,"npi":[1174582050]}]}]}]},{"billing_code":"85014","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HEMATOCRIT","allowed_amounts":[{"tin":{"type":"ein","value":"391102739"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":1.50,"providers":[{"billed_charge":11.00,"npi":[1689695934]}]}]},{"tin":{"type":"ein","value":"630810661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.61,"providers":[{"billed_charge":6.00,"npi":[1740397751]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":12.60,"providers":[{"billed_charge":21.00,"npi":[1942526298]}]}]}]},{"billing_code":"85014","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HEMATOCRIT","allowed_amounts":[{"tin":{"type":"ein","value":"272953799"},"billing_class":"institutional","payments":[{"allowed_amount":29.75,"providers":[{"billed_charge":35.00,"npi":[1265740195]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":54.56,"providers":[{"billed_charge":62.00,"npi":[1477643690]}]}]}]},{"billing_code":"85018","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HEMOGLOBIN","allowed_amounts":[{"tin":{"type":"ein","value":"060883545"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.12,"providers":[{"billed_charge":10.30,"npi":[1104803444]}]}]},{"tin":{"type":"ein","value":"208251779"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.00,"providers":[{"billed_charge":16.00,"npi":[1891067658]}]}]},{"tin":{"type":"ein","value":"421638714"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.00,"providers":[{"billed_charge":46.00,"npi":[1619342706]}]}]},{"tin":{"type":"ein","value":"471049674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.13,"providers":[{"billed_charge":6.62,"npi":[1609281641]}]}]},{"tin":{"type":"ein","value":"474870066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.10,"providers":[{"billed_charge":20.00,"npi":[1457020315]}]},{"allowed_amount":2.13,"providers":[{"billed_charge":20.00,"npi":[1457020315]}]}]},{"tin":{"type":"ein","value":"561634662"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.13,"providers":[{"billed_charge":7.11,"npi":[1417083783]}]}]},{"tin":{"type":"ein","value":"566000805"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.13,"providers":[{"billed_charge":10.00,"npi":[1356845309]}]}]},{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.09,"providers":[{"billed_charge":7.50,"npi":[1750314183]}]}]},{"tin":{"type":"ein","value":"581143684"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.80,"providers":[{"billed_charge":11.00,"npi":[1194962100]}]}]},{"tin":{"type":"ein","value":"582179236"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.06,"providers":[{"billed_charge":16.00,"npi":[1467467845]}]}]},{"tin":{"type":"ein","value":"582422542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.06,"providers":[{"billed_charge":3.82,"npi":[1174501902]}]},{"allowed_amount":4.87,"providers":[{"billed_charge":20.00,"npi":[1174501902]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.84,"providers":[{"billed_charge":48.24,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"630810661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.61,"providers":[{"billed_charge":5.00,"npi":[1740397751]}]}]},{"tin":{"type":"ein","value":"813080176"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.96,"providers":[{"billed_charge":10.00,"npi":[1942651054]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.13,"providers":[{"billed_charge":6.00,"npi":[1609342815,1265908479]}]}]}]},{"billing_code":"85018","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HEMOGLOBIN","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":55.44,"providers":[{"billed_charge":63.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":57.00,"providers":[{"billed_charge":60.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"916001537"},"billing_class":"institutional","payments":[{"allowed_amount":9.76,"providers":[{"billed_charge":35.67,"npi":[1326002049]}]}]}]},{"billing_code":"85025","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"COMPLETE CBC W/AUTO DIFF WBC","allowed_amounts":[{"tin":{"type":"ein","value":"050524222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":50.00,"npi":[1285713859]}]}]},{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":32.55,"npi":[1538144910]}]},{"allowed_amount":7.77,"providers":[{"billed_charge":32.55,"npi":[1538144910]},{"billed_charge":39.07,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.55,"providers":[{"billed_charge":52.05,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"200677400"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.92,"providers":[{"billed_charge":35.00,"npi":[1841228871]}]}]},{"tin":{"type":"ein","value":"202999870"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":70.00,"npi":[1629022868]}]}]},{"tin":{"type":"ein","value":"203639329"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":16.00,"npi":[1649228966]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.85,"providers":[{"billed_charge":12.00,"npi":[1922259753]}]}]},{"tin":{"type":"ein","value":"233079507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.86,"providers":[{"billed_charge":45.00,"npi":[1043271539]}]}]},{"tin":{"type":"ein","value":"260070193"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":15.54,"npi":[1780001859]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.86,"providers":[{"billed_charge":15.54,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"272046755"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.58,"providers":[{"billed_charge":20.00,"npi":[1225466527]}]},{"allowed_amount":6.99,"providers":[{"billed_charge":20.00,"npi":[1225466527]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":23.31,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"273818647"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":9.49,"providers":[{"billed_charge":39.00,"npi":[1275992240]}]}]},{"tin":{"type":"ein","value":"310993406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":20.00,"npi":[1861451437]}]}]},{"tin":{"type":"ein","value":"352539778"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.44,"providers":[{"billed_charge":9.71,"npi":[1972971265]}]}]},{"tin":{"type":"ein","value":"362169147"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.59,"providers":[{"billed_charge":48.00,"npi":[1700824455]}]}]},{"tin":{"type":"ein","value":"382084239"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":52.05,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"383422836"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.02,"providers":[{"billed_charge":41.00,"npi":[1265610570]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":68.40,"providers":[{"billed_charge":72.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"453367409"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.58,"providers":[{"billed_charge":36.00,"npi":[1700162203]}]}]},{"tin":{"type":"ein","value":"455523028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.69,"providers":[{"billed_charge":17.00,"npi":[1528323268]}]}]},{"tin":{"type":"ein","value":"461243081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.40,"providers":[{"billed_charge":16.00,"npi":[1750626495]}]}]},{"tin":{"type":"ein","value":"461564050"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":35.80,"npi":[1538400098]}]}]},{"tin":{"type":"ein","value":"471359076"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":23.31,"npi":[1134538713]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":11.66,"npi":[1104258995]}]},{"allowed_amount":7.77,"providers":[{"billed_charge":11.66,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.58,"providers":[{"billed_charge":21.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"560949974"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":45.00,"npi":[1144332404]}]}]},{"tin":{"type":"ein","value":"561434867"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.83,"providers":[{"billed_charge":40.00,"npi":[1679566954]}]}]},{"tin":{"type":"ein","value":"561752222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":83.00,"npi":[1386605608]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":15.00,"npi":[1720794944]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":29.00,"npi":[1598761967]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":24.00,"npi":[1780623207]}]},{"allowed_amount":6.99,"providers":[{"billed_charge":24.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"562086200"},"billing_class":"professional","service_code":["22","23"],"payments":[{"allowed_amount":8.21,"providers":[{"billed_charge":11.50,"npi":[1710145529]},{"billed_charge":11.50,"npi":[1710145529]}]}]},{"tin":{"type":"ein","value":"562143419"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":7.77,"npi":[1326627399]}]}]},{"tin":{"type":"ein","value":"562227967"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.18,"providers":[{"billed_charge":10.26,"npi":[1598926743]}]}]},{"tin":{"type":"ein","value":"571122647"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":6.90,"providers":[{"billed_charge":10.00,"npi":[1831151976]}]}]},{"tin":{"type":"ein","value":"571186418"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":39.00,"npi":[1376564625]}]}]},{"tin":{"type":"ein","value":"576000254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":30.00,"npi":[1053437301]}]}]},{"tin":{"type":"ein","value":"576000934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.58,"providers":[{"billed_charge":111.00,"npi":[1235170077]}]}]},{"tin":{"type":"ein","value":"576001153"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":36.00,"npi":[1740293422]}]}]},{"tin":{"type":"ein","value":"581132913"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":5.17,"providers":[{"billed_charge":23.50,"npi":[1508848300]}]}]},{"tin":{"type":"ein","value":"582483738"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.96,"providers":[{"billed_charge":30.00,"npi":[1356560569]}]}]},{"tin":{"type":"ein","value":"582566360"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.41,"providers":[{"billed_charge":58.00,"npi":[1073885828]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":28.00,"npi":[1497797088]},{"billed_charge":37.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":158.52,"npi":[1245720820]}]},{"allowed_amount":104.62,"providers":[{"billed_charge":158.52,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"593337028"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":94.05,"providers":[{"billed_charge":99.00,"npi":[1285621631]}]}]},{"tin":{"type":"ein","value":"593443182"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.90,"providers":[{"billed_charge":42.00,"npi":[1013902923]}]}]},{"tin":{"type":"ein","value":"593514857"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.00,"providers":[{"billed_charge":32.00,"npi":[1275575888]}]}]},{"tin":{"type":"ein","value":"621508884"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.22,"providers":[{"billed_charge":38.00,"npi":[1346250057]}]},{"allowed_amount":12.91,"providers":[{"billed_charge":38.00,"npi":[1346250057]}]}]},{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.00,"providers":[{"billed_charge":14.00,"npi":[1811955917]}]}]},{"tin":{"type":"ein","value":"630897654"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.71,"providers":[{"billed_charge":22.00,"npi":[1083772560]}]}]},{"tin":{"type":"ein","value":"631252822"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.95,"providers":[{"billed_charge":17.00,"npi":[1083652036]}]}]},{"tin":{"type":"ein","value":"640848862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":40.00,"npi":[1043421357]}]}]},{"tin":{"type":"ein","value":"813168134"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":11.66,"npi":[1639621659]}]}]},{"tin":{"type":"ein","value":"823762961"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":8.21,"providers":[{"billed_charge":20.00,"npi":[1003308305]}]}]},{"tin":{"type":"ein","value":"830653027"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":28.75,"npi":[1639642564]}]}]},{"tin":{"type":"ein","value":"845117964"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.58,"providers":[{"billed_charge":23.31,"npi":[1811524572]}]}]},{"tin":{"type":"ein","value":"850760576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.55,"providers":[{"billed_charge":100.00,"npi":[1376153437]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.20,"providers":[{"billed_charge":36.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":13.00,"npi":[1447239355]}]}]},{"tin":{"type":"ein","value":"883286578"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.50,"providers":[{"billed_charge":57.20,"npi":[1366150773]}]}]},{"tin":{"type":"ein","value":"954896039"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":28.77,"npi":[1477556876]}]}]}]},{"billing_code":"85025","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"COMPLETE CBC W/AUTO DIFF WBC","allowed_amounts":[{"tin":{"type":"ein","value":"010238552"},"billing_class":"institutional","payments":[{"allowed_amount":17.05,"providers":[{"billed_charge":130.40,"npi":[1346299815]}]},{"allowed_amount":126.49,"providers":[{"billed_charge":130.40,"npi":[1346299815]}]}]},{"tin":{"type":"ein","value":"020222140"},"billing_class":"institutional","payments":[{"allowed_amount":70.47,"providers":[{"billed_charge":81.00,"npi":[1023092053]}]},{"allowed_amount":72.21,"providers":[{"billed_charge":83.00,"npi":[1023092053]}]}]},{"tin":{"type":"ein","value":"030179418"},"billing_class":"institutional","payments":[{"allowed_amount":80.55,"providers":[{"billed_charge":84.79,"npi":[1730199647]}]}]},{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":44.26,"providers":[{"billed_charge":53.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"042104693"},"billing_class":"institutional","payments":[{"allowed_amount":87.75,"providers":[{"billed_charge":117.00,"npi":[1396738159]}]}]},{"tin":{"type":"ein","value":"042263040"},"billing_class":"institutional","payments":[{"allowed_amount":126.00,"providers":[{"billed_charge":140.00,"npi":[1851333686]}]}]},{"tin":{"type":"ein","value":"042768256"},"billing_class":"institutional","payments":[{"allowed_amount":45.81,"providers":[{"billed_charge":90.00,"npi":[1578677811]}]}]},{"tin":{"type":"ein","value":"050524222"},"billing_class":"institutional","payments":[{"allowed_amount":18.61,"providers":[{"billed_charge":50.00,"npi":[1770662348]}]}]},{"tin":{"type":"ein","value":"060646554"},"billing_class":"institutional","payments":[{"allowed_amount":39.63,"providers":[{"billed_charge":46.62,"npi":[1992910152]}]}]},{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":29.36,"providers":[{"billed_charge":49.00,"npi":[1760426969]}]}]},{"tin":{"type":"ein","value":"160743032"},"billing_class":"institutional","payments":[{"allowed_amount":9.13,"providers":[{"billed_charge":23.31,"npi":[1952418352]}]}]},{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":10.14,"providers":[{"billed_charge":22.00,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":64.65,"providers":[{"billed_charge":78.84,"npi":[1548315401]}]},{"allowed_amount":65.39,"providers":[{"billed_charge":78.84,"npi":[1548315401]}]},{"allowed_amount":67.76,"providers":[{"billed_charge":82.78,"npi":[1548315401]}]},{"allowed_amount":67.88,"providers":[{"billed_charge":82.78,"npi":[1548315401]}]},{"allowed_amount":68.05,"providers":[{"billed_charge":82.78,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"203391873"},"billing_class":"institutional","payments":[{"allowed_amount":27.75,"providers":[{"billed_charge":153.00,"npi":[1023061405]}]}]},{"tin":{"type":"ein","value":"208488713"},"billing_class":"institutional","payments":[{"allowed_amount":43.11,"providers":[{"billed_charge":421.51,"npi":[1073893020]}]}]},{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":46.44,"providers":[{"billed_charge":175.75,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"217981300"},"billing_class":"institutional","payments":[{"allowed_amount":41.88,"providers":[{"billed_charge":106.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"222592333"},"billing_class":"institutional","payments":[{"allowed_amount":48.05,"providers":[{"billed_charge":62.00,"npi":[1306871223]}]},{"allowed_amount":49.15,"providers":[{"billed_charge":64.00,"npi":[1306871223]}]}]},{"tin":{"type":"ein","value":"231352204"},"billing_class":"institutional","payments":[{"allowed_amount":108.57,"providers":[{"billed_charge":141.00,"npi":[1669530069]}]}]},{"tin":{"type":"ein","value":"231365353"},"billing_class":"institutional","payments":[{"allowed_amount":54.15,"providers":[{"billed_charge":57.00,"npi":[1104875103]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":97.13,"providers":[{"billed_charge":235.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"232973511"},"billing_class":"institutional","payments":[{"allowed_amount":532.00,"providers":[{"billed_charge":760.00,"npi":[1417947490]}]}]},{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":80.58,"providers":[{"billed_charge":121.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":24.40,"providers":[{"billed_charge":67.00,"npi":[1326161662]}]},{"allowed_amount":25.79,"providers":[{"billed_charge":67.00,"npi":[1326161662]}]},{"allowed_amount":33.15,"providers":[{"billed_charge":67.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"250965480"},"billing_class":"institutional","payments":[{"allowed_amount":265.30,"providers":[{"billed_charge":379.00,"npi":[1821007881]}]}]},{"tin":{"type":"ein","value":"251244202"},"billing_class":"institutional","payments":[{"allowed_amount":9.97,"providers":[{"billed_charge":45.00,"npi":[1275620536]}]}]},{"tin":{"type":"ein","value":"251550350"},"billing_class":"institutional","payments":[{"allowed_amount":38.30,"providers":[{"billed_charge":166.00,"npi":[1437182847]}]}]},{"tin":{"type":"ein","value":"263734606"},"billing_class":"institutional","payments":[{"allowed_amount":167.05,"providers":[{"billed_charge":257.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":7.59,"providers":[{"billed_charge":238.00,"npi":[1235417288]}]},{"allowed_amount":7.80,"providers":[{"billed_charge":238.00,"npi":[1235417288]}]},{"allowed_amount":8.46,"providers":[{"billed_charge":238.00,"npi":[1235417288]}]},{"allowed_amount":9.06,"providers":[{"billed_charge":238.00,"npi":[1235417288]}]}]},{"tin":{"type":"ein","value":"274814831"},"billing_class":"institutional","payments":[{"allowed_amount":120.40,"providers":[{"billed_charge":172.00,"npi":[1225323983]}]}]},{"tin":{"type":"ein","value":"311322863"},"billing_class":"institutional","payments":[{"allowed_amount":107.90,"providers":[{"billed_charge":130.00,"npi":[1124127683]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":54.00,"providers":[{"billed_charge":72.00,"npi":[1679525919]}]},{"allowed_amount":54.58,"providers":[{"billed_charge":72.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"340715726"},"billing_class":"institutional","payments":[{"allowed_amount":63.05,"providers":[{"billed_charge":126.09,"npi":[1134179799]}]}]},{"tin":{"type":"ein","value":"350211370"},"billing_class":"institutional","payments":[{"allowed_amount":10.59,"providers":[{"billed_charge":79.24,"npi":[1386683316]}]}]},{"tin":{"type":"ein","value":"351064295"},"billing_class":"institutional","payments":[{"allowed_amount":54.03,"providers":[{"billed_charge":79.00,"npi":[1902897937]}]}]},{"tin":{"type":"ein","value":"351814660"},"billing_class":"institutional","payments":[{"allowed_amount":37.20,"providers":[{"billed_charge":43.00,"npi":[1063443455]}]}]},{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":99.20,"providers":[{"billed_charge":124.00,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"362179813"},"billing_class":"institutional","payments":[{"allowed_amount":24.56,"providers":[{"billed_charge":106.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"362222696"},"billing_class":"institutional","payments":[{"allowed_amount":120.08,"providers":[{"billed_charge":190.00,"npi":[1760542732]}]}]},{"tin":{"type":"ein","value":"362513909"},"billing_class":"institutional","payments":[{"allowed_amount":100.73,"providers":[{"billed_charge":131.00,"npi":[1003864810]}]},{"allowed_amount":100.74,"providers":[{"billed_charge":131.00,"npi":[1003864810]}]}]},{"tin":{"type":"ein","value":"370618939"},"billing_class":"institutional","payments":[{"allowed_amount":144.80,"providers":[{"billed_charge":181.00,"npi":[1356435135]}]}]},{"tin":{"type":"ein","value":"381360526"},"billing_class":"institutional","payments":[{"allowed_amount":76.00,"providers":[{"billed_charge":95.00,"npi":[1568416311]}]}]},{"tin":{"type":"ein","value":"381360529"},"billing_class":"institutional","payments":[{"allowed_amount":26.10,"providers":[{"billed_charge":29.00,"npi":[1922090554]}]}]},{"tin":{"type":"ein","value":"381434090"},"billing_class":"institutional","payments":[{"allowed_amount":66.48,"providers":[{"billed_charge":83.10,"npi":[1134104672]}]}]},{"tin":{"type":"ein","value":"381459362"},"billing_class":"institutional","payments":[{"allowed_amount":9.85,"providers":[{"billed_charge":36.00,"npi":[1932396017]}]}]},{"tin":{"type":"ein","value":"382146751"},"billing_class":"institutional","payments":[{"allowed_amount":9.39,"providers":[{"billed_charge":83.10,"npi":[1992812580]}]},{"allowed_amount":10.79,"providers":[{"billed_charge":79.90,"npi":[1992812580]}]},{"allowed_amount":12.06,"providers":[{"billed_charge":83.10,"npi":[1992812580]}]}]},{"tin":{"type":"ein","value":"382800065"},"billing_class":"institutional","payments":[{"allowed_amount":56.70,"providers":[{"billed_charge":63.00,"npi":[1871672618]}]}]},{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":22.65,"providers":[{"billed_charge":79.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"386006309"},"billing_class":"institutional","payments":[{"allowed_amount":70.55,"providers":[{"billed_charge":83.00,"npi":[1003878539]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":114.75,"providers":[{"billed_charge":135.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"453576100"},"billing_class":"institutional","payments":[{"allowed_amount":17.81,"providers":[{"billed_charge":165.00,"npi":[1306123344]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":43.13,"providers":[{"billed_charge":73.10,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"460600008"},"billing_class":"institutional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":257.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":43.72,"providers":[{"billed_charge":468.40,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"473393862"},"billing_class":"institutional","payments":[{"allowed_amount":139.57,"providers":[{"billed_charge":236.56,"npi":[1528442357]}]}]},{"tin":{"type":"ein","value":"475259919"},"billing_class":"institutional","payments":[{"allowed_amount":83.64,"providers":[{"billed_charge":123.00,"npi":[1033228168]}]}]},{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":22.98,"providers":[{"billed_charge":23.21,"npi":[1578597993]}]},{"allowed_amount":26.24,"providers":[{"billed_charge":26.50,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":186.75,"providers":[{"billed_charge":219.70,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":17.91,"providers":[{"billed_charge":277.80,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"540853898"},"billing_class":"institutional","payments":[{"allowed_amount":35.77,"providers":[{"billed_charge":186.00,"npi":[1548366404]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":31.77,"providers":[{"billed_charge":177.32,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"550525724"},"billing_class":"institutional","payments":[{"allowed_amount":72.20,"providers":[{"billed_charge":76.00,"npi":[1184606600]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":28.80,"providers":[{"billed_charge":82.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560532309"},"billing_class":"institutional","payments":[{"allowed_amount":23.74,"providers":[{"billed_charge":167.00,"npi":[1396746228]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":6.73,"providers":[{"billed_charge":222.63,"npi":[1457719312]}]},{"allowed_amount":7.98,"providers":[{"billed_charge":222.63,"npi":[1457719312]}]},{"allowed_amount":9.62,"providers":[{"billed_charge":155.65,"npi":[1073557559]}]},{"allowed_amount":9.88,"providers":[{"billed_charge":155.65,"npi":[1750333282]}]},{"allowed_amount":10.28,"providers":[{"billed_charge":220.66,"npi":[1750333282]}]},{"allowed_amount":13.69,"providers":[{"billed_charge":220.66,"npi":[1750333282]}]},{"allowed_amount":16.36,"providers":[{"billed_charge":222.63,"npi":[1477504280]}]},{"allowed_amount":17.43,"providers":[{"billed_charge":222.63,"npi":[1457719312]}]},{"allowed_amount":17.79,"providers":[{"billed_charge":222.63,"npi":[1477504280]}]},{"allowed_amount":22.92,"providers":[{"billed_charge":222.63,"npi":[1457719312]}]},{"allowed_amount":23.33,"providers":[{"billed_charge":222.63,"npi":[1457719312]}]},{"allowed_amount":28.10,"providers":[{"billed_charge":155.65,"npi":[1073557559]}]},{"allowed_amount":29.72,"providers":[{"billed_charge":222.63,"npi":[1477504280]}]},{"allowed_amount":36.14,"providers":[{"billed_charge":220.66,"npi":[1750333282]}]},{"allowed_amount":38.19,"providers":[{"billed_charge":155.65,"npi":[1073557559]}]},{"allowed_amount":40.48,"providers":[{"billed_charge":202.85,"npi":[1750333282]}]},{"allowed_amount":48.00,"providers":[{"billed_charge":222.63,"npi":[1457719312]}]},{"allowed_amount":56.40,"providers":[{"billed_charge":220.66,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":173.38,"npi":[1578516902]}]},{"allowed_amount":11.11,"providers":[{"billed_charge":163.77,"npi":[1578516902]}]},{"allowed_amount":21.35,"providers":[{"billed_charge":173.38,"npi":[1306189451]}]},{"allowed_amount":25.88,"providers":[{"billed_charge":173.38,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":8.90,"providers":[{"billed_charge":177.32,"npi":[1558311357]}]},{"allowed_amount":9.91,"providers":[{"billed_charge":177.32,"npi":[1558311357]}]},{"allowed_amount":23.35,"providers":[{"billed_charge":177.32,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":7.60,"providers":[{"billed_charge":7.60,"npi":[1740377423]}]},{"allowed_amount":15.20,"providers":[{"billed_charge":15.20,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":7.59,"providers":[{"billed_charge":173.38,"npi":[1083669030]}]},{"allowed_amount":8.44,"providers":[{"billed_charge":171.41,"npi":[1992754758]}]},{"allowed_amount":8.95,"providers":[{"billed_charge":173.38,"npi":[1083669030]}]},{"allowed_amount":9.03,"providers":[{"billed_charge":171.41,"npi":[1992754758]}]},{"allowed_amount":9.93,"providers":[{"billed_charge":173.38,"npi":[1083669030]}]},{"allowed_amount":11.18,"providers":[{"billed_charge":169.35,"npi":[1992754758]}]},{"allowed_amount":12.94,"providers":[{"billed_charge":169.35,"npi":[1992754758]}]},{"allowed_amount":12.98,"providers":[{"billed_charge":173.38,"npi":[1083669030]}]},{"allowed_amount":14.28,"providers":[{"billed_charge":173.38,"npi":[1083669030]}]},{"allowed_amount":17.38,"providers":[{"billed_charge":171.41,"npi":[1992754758]}]},{"allowed_amount":19.59,"providers":[{"billed_charge":173.38,"npi":[1083669030]}]},{"allowed_amount":21.46,"providers":[{"billed_charge":173.38,"npi":[1083669030]}]},{"allowed_amount":22.42,"providers":[{"billed_charge":173.38,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"566017737"},"billing_class":"institutional","payments":[{"allowed_amount":9.40,"providers":[{"billed_charge":26.50,"npi":[1972579837]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":185.20,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"580566200"},"billing_class":"institutional","payments":[{"allowed_amount":98.40,"providers":[{"billed_charge":123.00,"npi":[1144203563]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":98.40,"providers":[{"billed_charge":123.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580566257"},"billing_class":"institutional","payments":[{"allowed_amount":98.40,"providers":[{"billed_charge":123.00,"npi":[1679664395]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":10.43,"providers":[{"billed_charge":43.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"580625140"},"billing_class":"institutional","payments":[{"allowed_amount":69.59,"providers":[{"billed_charge":86.99,"npi":[1740272095]}]}]},{"tin":{"type":"ein","value":"580655369"},"billing_class":"institutional","payments":[{"allowed_amount":46.48,"providers":[{"billed_charge":58.10,"npi":[1720189517]}]}]},{"tin":{"type":"ein","value":"580968382"},"billing_class":"institutional","payments":[{"allowed_amount":194.04,"providers":[{"billed_charge":252.00,"npi":[1467420448]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":181.04,"providers":[{"billed_charge":282.00,"npi":[1528056066]}]}]},{"tin":{"type":"ein","value":"581966795"},"billing_class":"institutional","payments":[{"allowed_amount":98.40,"providers":[{"billed_charge":123.00,"npi":[1093716979]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":22.44,"providers":[{"billed_charge":33.00,"npi":[1154377166]}]},{"allowed_amount":55.08,"providers":[{"billed_charge":81.00,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":122.78,"providers":[{"billed_charge":175.40,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":60.35,"providers":[{"billed_charge":71.00,"npi":[1326028978]}]}]},{"tin":{"type":"ein","value":"590566256"},"billing_class":"institutional","payments":[{"allowed_amount":98.40,"providers":[{"billed_charge":123.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":354.20,"providers":[{"billed_charge":506.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":97.60,"providers":[{"billed_charge":122.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"590973502"},"billing_class":"institutional","payments":[{"allowed_amount":236.60,"providers":[{"billed_charge":338.00,"npi":[1063426823]}]}]},{"tin":{"type":"ein","value":"591713947"},"billing_class":"institutional","payments":[{"allowed_amount":74.05,"providers":[{"billed_charge":209.00,"npi":[1225033020]}]}]},{"tin":{"type":"ein","value":"591917016"},"billing_class":"institutional","payments":[{"allowed_amount":43.43,"providers":[{"billed_charge":318.38,"npi":[1437177664]}]}]},{"tin":{"type":"ein","value":"592951990"},"billing_class":"institutional","payments":[{"allowed_amount":236.60,"providers":[{"billed_charge":338.00,"npi":[1679678486]}]}]},{"tin":{"type":"ein","value":"593458145"},"billing_class":"institutional","payments":[{"allowed_amount":245.70,"providers":[{"billed_charge":351.00,"npi":[1235196510]}]}]},{"tin":{"type":"ein","value":"593650609"},"billing_class":"institutional","payments":[{"allowed_amount":57.95,"providers":[{"billed_charge":138.50,"npi":[1861078651]}]},{"allowed_amount":57.96,"providers":[{"billed_charge":138.50,"npi":[1861078651]}]}]},{"tin":{"type":"ein","value":"596012065"},"billing_class":"institutional","payments":[{"allowed_amount":122.40,"providers":[{"billed_charge":153.00,"npi":[1265460232]}]},{"allowed_amount":205.60,"providers":[{"billed_charge":257.00,"npi":[1376571323]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":102.09,"providers":[{"billed_charge":123.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"606000080"},"billing_class":"institutional","payments":[{"allowed_amount":129.77,"providers":[{"billed_charge":257.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"611334601"},"billing_class":"institutional","payments":[{"allowed_amount":135.20,"providers":[{"billed_charge":169.00,"npi":[1992701429]}]}]},{"tin":{"type":"ein","value":"611739000"},"billing_class":"institutional","payments":[{"allowed_amount":52.08,"providers":[{"billed_charge":84.00,"npi":[1801897038]}]}]},{"tin":{"type":"ein","value":"616001218"},"billing_class":"institutional","payments":[{"allowed_amount":157.25,"providers":[{"billed_charge":185.00,"npi":[1518911338]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":67.09,"providers":[{"billed_charge":191.68,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":67.50,"providers":[{"billed_charge":90.00,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"621762420"},"billing_class":"institutional","payments":[{"allowed_amount":125.67,"providers":[{"billed_charge":306.50,"npi":[1528026267]}]}]},{"tin":{"type":"ein","value":"621798130"},"billing_class":"institutional","payments":[{"allowed_amount":46.05,"providers":[{"billed_charge":106.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":89.30,"providers":[{"billed_charge":94.00,"npi":[1275531956]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":123.50,"providers":[{"billed_charge":190.00,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"637346060"},"billing_class":"institutional","payments":[{"allowed_amount":23.41,"providers":[{"billed_charge":257.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":8.70,"providers":[{"billed_charge":140.00,"npi":[1306876065]}]},{"allowed_amount":59.76,"providers":[{"billed_charge":140.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"640524079"},"billing_class":"institutional","payments":[{"allowed_amount":33.51,"providers":[{"billed_charge":95.00,"npi":[1154310514]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":44.65,"providers":[{"billed_charge":186.00,"npi":[1376540138]}]},{"allowed_amount":44.87,"providers":[{"billed_charge":186.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"650666516"},"billing_class":"institutional","payments":[{"allowed_amount":52.00,"providers":[{"billed_charge":65.00,"npi":[1487760906]}]}]},{"tin":{"type":"ein","value":"655369000"},"billing_class":"institutional","payments":[{"allowed_amount":46.48,"providers":[{"billed_charge":58.10,"npi":[1720189517]}]}]},{"tin":{"type":"ein","value":"680561190"},"billing_class":"institutional","payments":[{"allowed_amount":24.69,"providers":[{"billed_charge":48.00,"npi":[1124193511]}]}]},{"tin":{"type":"ein","value":"730717979"},"billing_class":"institutional","payments":[{"allowed_amount":7.82,"providers":[{"billed_charge":31.18,"npi":[1659347623]}]}]},{"tin":{"type":"ein","value":"734606000"},"billing_class":"institutional","payments":[{"allowed_amount":16.49,"providers":[{"billed_charge":257.00,"npi":[1710314141]}]},{"allowed_amount":19.99,"providers":[{"billed_charge":257.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":149.60,"providers":[{"billed_charge":170.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":204.00,"providers":[{"billed_charge":272.00,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"741282696"},"billing_class":"institutional","payments":[{"allowed_amount":112.15,"providers":[{"billed_charge":208.00,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"810851756"},"billing_class":"institutional","payments":[{"allowed_amount":32.59,"providers":[{"billed_charge":42.33,"npi":[1750312997]}]},{"allowed_amount":32.60,"providers":[{"billed_charge":42.33,"npi":[1750312997]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":172.00,"npi":[1447200233]}]},{"allowed_amount":49.93,"providers":[{"billed_charge":140.00,"npi":[1932208576]}]}]},{"tin":{"type":"ein","value":"820161600"},"billing_class":"institutional","payments":[{"allowed_amount":27.23,"providers":[{"billed_charge":33.00,"npi":[1770586794]}]}]},{"tin":{"type":"ein","value":"822913146"},"billing_class":"institutional","payments":[{"allowed_amount":307.45,"providers":[{"billed_charge":473.00,"npi":[1972517365]}]}]},{"tin":{"type":"ein","value":"840255530"},"billing_class":"institutional","payments":[{"allowed_amount":60.35,"providers":[{"billed_charge":71.00,"npi":[1194792762]}]}]},{"tin":{"type":"ein","value":"841179794"},"billing_class":"institutional","payments":[{"allowed_amount":124.25,"providers":[{"billed_charge":177.50,"npi":[1477531580]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":16.01,"providers":[{"billed_charge":75.00,"npi":[1639797913]}]},{"allowed_amount":48.29,"providers":[{"billed_charge":324.00,"npi":[1639797913]}]},{"allowed_amount":49.33,"providers":[{"billed_charge":324.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":132.60,"providers":[{"billed_charge":204.00,"npi":[1174512792]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":34.20,"providers":[{"billed_charge":36.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"876000525"},"billing_class":"institutional","payments":[{"allowed_amount":47.20,"providers":[{"billed_charge":63.36,"npi":[1588656870]}]}]},{"tin":{"type":"ein","value":"882288563"},"billing_class":"institutional","payments":[{"allowed_amount":236.60,"providers":[{"billed_charge":338.00,"npi":[1861102345]}]}]},{"tin":{"type":"ein","value":"911352172"},"billing_class":"institutional","payments":[{"allowed_amount":25.92,"providers":[{"billed_charge":36.00,"npi":[1366556227]}]}]},{"tin":{"type":"ein","value":"922451946"},"billing_class":"institutional","payments":[{"allowed_amount":102.81,"providers":[{"billed_charge":149.00,"npi":[1740981430]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":39.71,"providers":[{"billed_charge":55.00,"npi":[1407637531]}]}]}]},{"billing_code":"85027","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"COMPLETE CBC AUTOMATED","allowed_amounts":[{"tin":{"type":"ein","value":"133971298"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":113.69,"providers":[{"billed_charge":135.35,"npi":[1801992631]}]}]},{"tin":{"type":"ein","value":"202998046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.51,"providers":[{"billed_charge":28.00,"npi":[1770782450]}]},{"allowed_amount":5.82,"providers":[{"billed_charge":28.00,"npi":[1770782450]}]},{"allowed_amount":6.40,"providers":[{"billed_charge":28.00,"npi":[1770782450]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.86,"providers":[{"billed_charge":11.00,"npi":[1922259753]}]}]},{"tin":{"type":"ein","value":"352585434"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.32,"providers":[{"billed_charge":35.00,"npi":[1932640349]}]}]},{"tin":{"type":"ein","value":"560552787"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.82,"providers":[{"billed_charge":34.40,"npi":[1144211301]}]}]},{"tin":{"type":"ein","value":"562086200"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":8.08,"providers":[{"billed_charge":10.00,"npi":[1710145529]},{"billed_charge":10.00,"npi":[1710145529]}]}]},{"tin":{"type":"ein","value":"571122647"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":6.79,"providers":[{"billed_charge":10.00,"npi":[1831151976]}]}]},{"tin":{"type":"ein","value":"581132913"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":4.30,"providers":[{"billed_charge":28.50,"npi":[1508848300]}]}]},{"tin":{"type":"ein","value":"582483738"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.29,"providers":[{"billed_charge":24.00,"npi":[1356560569]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.40,"providers":[{"billed_charge":22.00,"npi":[1134766694]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.51,"providers":[{"billed_charge":31.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":87.06,"providers":[{"billed_charge":131.91,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.82,"providers":[{"billed_charge":50.00,"npi":[1902980865]}]},{"allowed_amount":6.47,"providers":[{"billed_charge":50.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"620532345"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":6.48,"providers":[{"billed_charge":17.00,"npi":[1255428736]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":16.20,"providers":[{"billed_charge":27.00,"npi":[1942526298]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":6.79,"providers":[{"billed_charge":27.00,"npi":[1942526298]}]}]},{"tin":{"type":"ein","value":"825415284"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.63,"providers":[{"billed_charge":22.00,"npi":[1144719311]}]}]},{"tin":{"type":"ein","value":"833807646"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.45,"providers":[{"billed_charge":19.41,"npi":[1407461304]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.00,"providers":[{"billed_charge":40.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"954896039"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.82,"providers":[{"billed_charge":23.94,"npi":[1477556876]}]}]}]},{"billing_code":"85027","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"COMPLETE CBC AUTOMATED","allowed_amounts":[{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":76.26,"providers":[{"billed_charge":93.00,"npi":[1790717650]}]},{"allowed_amount":82.82,"providers":[{"billed_charge":101.00,"npi":[1790717650]}]}]},{"tin":{"type":"ein","value":"111562701"},"billing_class":"institutional","payments":[{"allowed_amount":46.97,"providers":[{"billed_charge":61.00,"npi":[1366459570]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":9.05,"providers":[{"billed_charge":27.15,"npi":[1801803903]}]},{"allowed_amount":9.34,"providers":[{"billed_charge":27.15,"npi":[1801803903]}]},{"allowed_amount":12.17,"providers":[{"billed_charge":27.15,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"141364536"},"billing_class":"institutional","payments":[{"allowed_amount":12.78,"providers":[{"billed_charge":108.00,"npi":[1609875772]}]}]},{"tin":{"type":"ein","value":"208316475"},"billing_class":"institutional","payments":[{"allowed_amount":29.25,"providers":[{"billed_charge":39.00,"npi":[1225272552]}]}]},{"tin":{"type":"ein","value":"217981300"},"billing_class":"institutional","payments":[{"allowed_amount":25.29,"providers":[{"billed_charge":64.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"231365353"},"billing_class":"institutional","payments":[{"allowed_amount":44.65,"providers":[{"billed_charge":47.00,"npi":[1104875103]}]}]},{"tin":{"type":"ein","value":"250965404"},"billing_class":"institutional","payments":[{"allowed_amount":29.42,"providers":[{"billed_charge":80.00,"npi":[1356334510]}]}]},{"tin":{"type":"ein","value":"272844563"},"billing_class":"institutional","payments":[{"allowed_amount":40.80,"providers":[{"billed_charge":85.00,"npi":[1922310200]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":61.20,"providers":[{"billed_charge":72.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"362179813"},"billing_class":"institutional","payments":[{"allowed_amount":14.83,"providers":[{"billed_charge":64.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":39.65,"providers":[{"billed_charge":44.05,"npi":[1922487966]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":4.63,"providers":[{"billed_charge":214.84,"npi":[1750333282]}]},{"allowed_amount":36.01,"providers":[{"billed_charge":190.49,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":6.84,"providers":[{"billed_charge":185.17,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":20.06,"providers":[{"billed_charge":29.50,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":84.28,"providers":[{"billed_charge":120.40,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"590675143"},"billing_class":"institutional","payments":[{"allowed_amount":7.89,"providers":[{"billed_charge":92.00,"npi":[1144211020]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":48.75,"providers":[{"billed_charge":65.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"institutional","payments":[{"allowed_amount":14.66,"providers":[{"billed_charge":51.00,"npi":[1033112230]}]}]},{"tin":{"type":"ein","value":"620976863"},"billing_class":"institutional","payments":[{"allowed_amount":518.72,"providers":[{"billed_charge":1017.10,"npi":[1699721589]}]}]},{"tin":{"type":"ein","value":"621798130"},"billing_class":"institutional","payments":[{"allowed_amount":27.81,"providers":[{"billed_charge":64.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"650252846"},"billing_class":"institutional","payments":[{"allowed_amount":734.74,"providers":[{"billed_charge":1412.96,"npi":[1417901406]}]}]},{"tin":{"type":"ein","value":"741161944"},"billing_class":"institutional","payments":[{"allowed_amount":12.15,"providers":[{"billed_charge":161.82,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":75.75,"providers":[{"billed_charge":101.00,"npi":[1174582050]}]},{"allowed_amount":101.00,"providers":[{"billed_charge":101.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":11.00,"providers":[{"billed_charge":90.00,"npi":[1144211301]}]},{"allowed_amount":22.44,"providers":[{"billed_charge":90.00,"npi":[1144211301]}]}]},{"tin":{"type":"ein","value":"821969974"},"billing_class":"institutional","payments":[{"allowed_amount":173.40,"providers":[{"billed_charge":204.00,"npi":[1053824292]}]}]},{"tin":{"type":"ein","value":"841321373"},"billing_class":"institutional","payments":[{"allowed_amount":496.76,"providers":[{"billed_charge":794.81,"npi":[1659327013]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":104.95,"providers":[{"billed_charge":129.44,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":38.00,"providers":[{"billed_charge":40.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":197.88,"providers":[{"billed_charge":204.00,"npi":[1194706655]}]}]},{"tin":{"type":"ein","value":"954176924"},"billing_class":"institutional","payments":[{"allowed_amount":293.76,"providers":[{"billed_charge":576.00,"npi":[1992751879]}]}]}]},{"billing_code":"85045","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"AUTOMATED RETICULOCYTE COUNT","allowed_amounts":[{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":5.99,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":53.91,"providers":[{"billed_charge":81.68,"npi":[1245720820]}]}]}]},{"billing_code":"85045","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"AUTOMATED RETICULOCYTE COUNT","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":29.56,"providers":[{"billed_charge":39.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":97.43,"npi":[1558311357]}]}]}]},{"billing_code":"85046","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"RETICYTE/HGB CONCENTRATE","allowed_amounts":[{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":3.16,"providers":[{"billed_charge":89.00,"npi":[1235417288]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":116.20,"providers":[{"billed_charge":181.00,"npi":[1528056066]}]}]}]},{"billing_code":"85060","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"BLOOD SMEAR INTERPRETATION","allowed_amounts":[{"tin":{"type":"ein","value":"251244202"},"billing_class":"institutional","payments":[{"allowed_amount":7.08,"providers":[{"billed_charge":32.00,"npi":[1275620536]}]}]}]},{"billing_code":"85097","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"BONE MARROW INTERPRETATION","allowed_amounts":[{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":36.17,"providers":[{"billed_charge":130.00,"npi":[1447437355]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":194.40,"providers":[{"billed_charge":216.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"650819138"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":53.97,"providers":[{"billed_charge":157.00,"npi":[1194797993]}]}]},{"tin":{"type":"ein","value":"760273984"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":171.04,"providers":[{"billed_charge":389.00,"npi":[1073574810]}]}]}]},{"billing_code":"85300","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ANTITHROMBIN III ACTIVITY","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":194.75,"providers":[{"billed_charge":205.00,"npi":[1528039484]}]}]}]},{"billing_code":"85300","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ANTITHROMBIN III ACTIVITY","allowed_amounts":[{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":89.25,"providers":[{"billed_charge":119.00,"npi":[1942294814]}]}]}]},{"billing_code":"85302","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CLOT INHIBIT PROT C ANTIGEN","allowed_amounts":[{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":72.75,"providers":[{"billed_charge":97.00,"npi":[1942294814]}]}]}]},{"billing_code":"85303","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CLOT INHIBIT PROT C ACTIVITY","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":223.25,"providers":[{"billed_charge":235.00,"npi":[1528039484]}]}]}]},{"billing_code":"85303","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CLOT INHIBIT PROT C ACTIVITY","allowed_amounts":[{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":99.75,"providers":[{"billed_charge":133.00,"npi":[1942294814]}]}]}]},{"billing_code":"85306","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CLOT INHIBIT PROT S FREE","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":266.00,"providers":[{"billed_charge":280.00,"npi":[1528039484]}]}]}]},{"billing_code":"85306","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CLOT INHIBIT PROT S FREE","allowed_amounts":[{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":78.75,"providers":[{"billed_charge":105.00,"npi":[1942294814]}]}]}]},{"billing_code":"85307","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ASSAY ACTIVATED PROTEIN C","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":204.25,"providers":[{"billed_charge":215.00,"npi":[1528039484]}]}]}]},{"billing_code":"85378","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"FIBRIN DEGRADE SEMIQUANT","allowed_amounts":[{"tin":{"type":"ein","value":"132997301"},"billing_class":"institutional","payments":[{"allowed_amount":63.00,"providers":[{"billed_charge":90.00,"npi":[1104982917]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":42.99,"providers":[{"billed_charge":118.00,"npi":[1326161662]}]},{"allowed_amount":45.42,"providers":[{"billed_charge":118.00,"npi":[1326161662]}]}]}]},{"billing_code":"85379","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"FIBRIN DEGRADATION QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":190.00,"providers":[{"billed_charge":200.00,"npi":[1528039484]}]}]}]},{"billing_code":"85379","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"FIBRIN DEGRADATION QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":31.75,"providers":[{"billed_charge":53.00,"npi":[1760426969]}]}]},{"tin":{"type":"ein","value":"160743032"},"billing_class":"institutional","payments":[{"allowed_amount":11.96,"providers":[{"billed_charge":30.54,"npi":[1952418352]}]}]},{"tin":{"type":"ein","value":"250965480"},"billing_class":"institutional","payments":[{"allowed_amount":102.20,"providers":[{"billed_charge":146.00,"npi":[1821007881]}]}]},{"tin":{"type":"ein","value":"475259919"},"billing_class":"institutional","payments":[{"allowed_amount":119.00,"providers":[{"billed_charge":175.00,"npi":[1033228168]}]}]},{"tin":{"type":"ein","value":"593650609"},"billing_class":"institutional","payments":[{"allowed_amount":30.75,"providers":[{"billed_charge":73.50,"npi":[1861078651]}]}]},{"tin":{"type":"ein","value":"611334601"},"billing_class":"institutional","payments":[{"allowed_amount":220.00,"providers":[{"billed_charge":275.00,"npi":[1992701429]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":33.09,"providers":[{"billed_charge":222.00,"npi":[1639797913]}]}]}]},{"billing_code":"85384","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"FIBRINOGEN ACTIVITY","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":114.00,"providers":[{"billed_charge":120.00,"npi":[1528039484]}]}]}]},{"billing_code":"85610","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"PROTHROMBIN TIME","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.86,"providers":[{"billed_charge":44.62,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":34.20,"providers":[{"billed_charge":36.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.86,"providers":[{"billed_charge":6.44,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.72,"providers":[{"billed_charge":19.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":12.60,"providers":[{"billed_charge":21.00,"npi":[1942526298]}]}]},{"tin":{"type":"ein","value":"823762961"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":5.74,"providers":[{"billed_charge":20.00,"npi":[1003308305]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.00,"npi":[1528039484]}]}]}]},{"billing_code":"85610","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"PROTHROMBIN TIME","allowed_amounts":[{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":19.17,"providers":[{"billed_charge":32.00,"npi":[1760426969]}]}]},{"tin":{"type":"ein","value":"160743032"},"billing_class":"institutional","payments":[{"allowed_amount":5.04,"providers":[{"billed_charge":12.87,"npi":[1952418352]}]}]},{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":3.41,"providers":[{"billed_charge":96.00,"npi":[1235417288]}]}]},{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":20.07,"providers":[{"billed_charge":70.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"550525724"},"billing_class":"institutional","payments":[{"allowed_amount":54.15,"providers":[{"billed_charge":57.00,"npi":[1184606600]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":10.10,"providers":[{"billed_charge":162.89,"npi":[1750333282]}]},{"allowed_amount":16.61,"providers":[{"billed_charge":164.35,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":126.53,"npi":[1992754758]}]},{"allowed_amount":8.67,"providers":[{"billed_charge":126.53,"npi":[1023056488]}]},{"allowed_amount":12.83,"providers":[{"billed_charge":126.53,"npi":[1992754758]}]},{"allowed_amount":16.55,"providers":[{"billed_charge":127.99,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"580566257"},"billing_class":"institutional","payments":[{"allowed_amount":63.20,"providers":[{"billed_charge":79.00,"npi":[1679664395]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":57.60,"providers":[{"billed_charge":72.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":40.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":1.61,"providers":[{"billed_charge":26.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"680561190"},"billing_class":"institutional","payments":[{"allowed_amount":23.15,"providers":[{"billed_charge":45.00,"npi":[1124193511]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":66.00,"providers":[{"billed_charge":88.00,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":3.63,"providers":[{"billed_charge":17.00,"npi":[1639797913]}]},{"allowed_amount":16.24,"providers":[{"billed_charge":109.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":21.66,"providers":[{"billed_charge":30.00,"npi":[1407637531]}]}]}]},{"billing_code":"85611","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"PROTHROMBIN TEST","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":61.75,"providers":[{"billed_charge":65.00,"npi":[1528039484]}]}]}]},{"billing_code":"85613","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"RUSSELL VIPER VENOM DILUTED","allowed_amounts":[{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.52,"providers":[{"billed_charge":46.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":242.25,"providers":[{"billed_charge":255.00,"npi":[1528039484]}]}]}]},{"billing_code":"85613","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"RUSSELL VIPER VENOM DILUTED","allowed_amounts":[{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":21.00,"providers":[{"billed_charge":28.00,"npi":[1942294814]}]}]}]},{"billing_code":"85651","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"RBC SED RATE NONAUTOMATED","allowed_amounts":[{"tin":{"type":"ein","value":"825415284"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.72,"providers":[{"billed_charge":12.00,"npi":[1144719311]}]}]}]},{"billing_code":"85651","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"RBC SED RATE NONAUTOMATED","allowed_amounts":[{"tin":{"type":"ein","value":"340715726"},"billing_class":"institutional","payments":[{"allowed_amount":43.49,"providers":[{"billed_charge":86.98,"npi":[1134179799]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":48.95,"providers":[{"billed_charge":58.98,"npi":[1245294826]}]}]}]},{"billing_code":"85652","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"RBC SED RATE AUTOMATED","allowed_amounts":[{"tin":{"type":"ein","value":"590704934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":10.00,"npi":[1316940695]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2.32,"providers":[{"billed_charge":20.00,"npi":[1497797088]}]}]}]},{"billing_code":"85652","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"RBC SED RATE AUTOMATED","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":35.07,"providers":[{"billed_charge":42.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":3.31,"providers":[{"billed_charge":109.29,"npi":[1457719312]}]},{"allowed_amount":3.75,"providers":[{"billed_charge":108.33,"npi":[1750333282]}]},{"allowed_amount":6.72,"providers":[{"billed_charge":108.33,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"580968382"},"billing_class":"institutional","payments":[{"allowed_amount":99.33,"providers":[{"billed_charge":129.00,"npi":[1467420448]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":134.18,"providers":[{"billed_charge":209.00,"npi":[1528056066]}]}]},{"tin":{"type":"ein","value":"630845288"},"billing_class":"institutional","payments":[{"allowed_amount":96.00,"providers":[{"billed_charge":120.00,"npi":[1447221056]}]}]}]},{"billing_code":"85670","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"THROMBIN TIME PLASMA","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":76.00,"providers":[{"billed_charge":80.00,"npi":[1528039484]}]}]}]},{"billing_code":"85670","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"THROMBIN TIME PLASMA","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":4.83,"providers":[{"billed_charge":130.37,"npi":[1992754758]}]},{"allowed_amount":5.51,"providers":[{"billed_charge":131.87,"npi":[1083669030]}]},{"allowed_amount":13.22,"providers":[{"billed_charge":130.37,"npi":[1992754758]}]},{"allowed_amount":21.41,"providers":[{"billed_charge":131.87,"npi":[1083669030]}]}]}]},{"billing_code":"85730","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"THROMBOPLASTIN TIME PARTIAL","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":57.00,"providers":[{"billed_charge":60.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.80,"providers":[{"billed_charge":58.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":41.40,"providers":[{"billed_charge":69.00,"npi":[1942526298]}]}]},{"tin":{"type":"ein","value":"823762961"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":7.10,"providers":[{"billed_charge":20.00,"npi":[1003308305]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":45.60,"providers":[{"billed_charge":48.00,"npi":[1528039484]}]}]}]},{"billing_code":"85730","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"THROMBOPLASTIN TIME PARTIAL","allowed_amounts":[{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":37.00,"npi":[1760426969]}]}]},{"tin":{"type":"ein","value":"160743032"},"billing_class":"institutional","payments":[{"allowed_amount":7.06,"providers":[{"billed_charge":18.03,"npi":[1952418352]}]}]},{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":4.01,"providers":[{"billed_charge":113.00,"npi":[1235417288]}]}]},{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":18.64,"providers":[{"billed_charge":65.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"550525724"},"billing_class":"institutional","payments":[{"allowed_amount":84.55,"providers":[{"billed_charge":89.00,"npi":[1184606600]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":14.30,"providers":[{"billed_charge":230.54,"npi":[1750333282]}]},{"allowed_amount":23.51,"providers":[{"billed_charge":232.60,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":18.16,"providers":[{"billed_charge":179.08,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":69.60,"providers":[{"billed_charge":87.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":16.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":6.78,"providers":[{"billed_charge":109.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":50.63,"providers":[{"billed_charge":67.50,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":10.88,"providers":[{"billed_charge":51.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":45.60,"providers":[{"billed_charge":48.00,"npi":[1154392231]}]}]}]},{"billing_code":"86001","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ALLERGEN SPECIFIC IGG","allowed_amounts":[{"tin":{"type":"ein","value":"830653027"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":84.48,"providers":[{"billed_charge":281.40,"npi":[1639642564]}]}]}]},{"billing_code":"86003","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ALLG SPEC IGE CRUDE XTRC EA","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":187.92,"providers":[{"billed_charge":1383.15,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"341720429"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.14,"providers":[{"billed_charge":11.02,"npi":[1619980430]}]},{"allowed_amount":9.15,"providers":[{"billed_charge":11.02,"npi":[1619980430]}]}]}]},{"billing_code":"86003","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ALLG SPEC IGE CRUDE XTRC EA","allowed_amounts":[{"tin":{"type":"ein","value":"042768256"},"billing_class":"institutional","payments":[{"allowed_amount":335.94,"providers":[{"billed_charge":660.00,"npi":[1578677811]}]}]},{"tin":{"type":"ein","value":"222592333"},"billing_class":"institutional","payments":[{"allowed_amount":616.13,"providers":[{"billed_charge":795.00,"npi":[1306871223]}]}]}]},{"billing_code":"86008","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ALLG SPEC IGE RECOMB EA","allowed_amounts":[{"tin":{"type":"ein","value":"341720429"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.24,"providers":[{"billed_charge":17.16,"npi":[1619980430]}]},{"allowed_amount":56.97,"providers":[{"billed_charge":68.64,"npi":[1619980430]}]}]},{"tin":{"type":"ein","value":"830653027"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":1049.10,"providers":[{"billed_charge":4374.50,"npi":[1639642564]}]}]}]},{"billing_code":"86038","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ANTINUCLEAR ANTIBODIES","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.88,"providers":[{"billed_charge":60.45,"npi":[1245494517]}]}]}]},{"billing_code":"86038","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ANTINUCLEAR ANTIBODIES","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":11.61,"providers":[{"billed_charge":225.29,"npi":[1477504280]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":22.69,"providers":[{"billed_charge":175.45,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":110.42,"providers":[{"billed_charge":172.00,"npi":[1528056066]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":124.39,"providers":[{"billed_charge":177.70,"npi":[1043270564]}]}]}]},{"billing_code":"86039","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ANTINUCLEAR ANTIBODIES (ANA)","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.04,"providers":[{"billed_charge":55.80,"npi":[1245494517]}]}]}]},{"billing_code":"86039","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ANTINUCLEAR ANTIBODIES (ANA)","allowed_amounts":[{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":31.46,"providers":[{"billed_charge":49.00,"npi":[1528056066]}]}]}]},{"billing_code":"86052","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"AQUAPORIN-4 ANTB CBA EACH","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":36.86,"providers":[{"billed_charge":37.23,"npi":[1578597993]}]}]}]},{"billing_code":"86140","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"C-REACTIVE PROTEIN","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.33,"providers":[{"billed_charge":71.40,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"352585434"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.07,"providers":[{"billed_charge":28.00,"npi":[1932640349]}]}]},{"tin":{"type":"ein","value":"590704934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.75,"providers":[{"billed_charge":18.00,"npi":[1316940695]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.33,"providers":[{"billed_charge":19.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.00,"providers":[{"billed_charge":9.00,"npi":[1811955917]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.29,"providers":[{"billed_charge":11.85,"npi":[1790523249]}]}]},{"tin":{"type":"ein","value":"825415284"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.51,"providers":[{"billed_charge":18.00,"npi":[1144719311]}]}]},{"tin":{"type":"ein","value":"954896039"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.66,"providers":[{"billed_charge":110.00,"npi":[1477556876]}]}]}]},{"billing_code":"86140","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"C-REACTIVE PROTEIN","allowed_amounts":[{"tin":{"type":"ein","value":"030179418"},"billing_class":"institutional","payments":[{"allowed_amount":68.76,"providers":[{"billed_charge":72.38,"npi":[1730199647]}]}]},{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":41.75,"providers":[{"billed_charge":50.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":68.06,"providers":[{"billed_charge":83.00,"npi":[1790717650]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":41.44,"providers":[{"billed_charge":50.62,"npi":[1548315401]}]},{"allowed_amount":41.51,"providers":[{"billed_charge":50.62,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":135.86,"providers":[{"billed_charge":204.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":62.92,"providers":[{"billed_charge":83.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"340715726"},"billing_class":"institutional","payments":[{"allowed_amount":52.90,"providers":[{"billed_charge":105.79,"npi":[1134179799]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":24.25,"providers":[{"billed_charge":100.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":124.39,"providers":[{"billed_charge":177.70,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":79.05,"providers":[{"billed_charge":93.00,"npi":[1326028978]}]}]},{"tin":{"type":"ein","value":"593458145"},"billing_class":"institutional","payments":[{"allowed_amount":227.50,"providers":[{"billed_charge":325.00,"npi":[1235196510]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":57.11,"providers":[{"billed_charge":68.81,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"620976863"},"billing_class":"institutional","payments":[{"allowed_amount":233.74,"providers":[{"billed_charge":458.30,"npi":[1699721589]}]}]},{"tin":{"type":"ein","value":"650666516"},"billing_class":"institutional","payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":75.00,"npi":[1487760906]}]}]},{"tin":{"type":"ein","value":"840255530"},"billing_class":"institutional","payments":[{"allowed_amount":76.50,"providers":[{"billed_charge":90.00,"npi":[1194792762]}]}]},{"tin":{"type":"ein","value":"841179794"},"billing_class":"institutional","payments":[{"allowed_amount":120.95,"providers":[{"billed_charge":172.78,"npi":[1477531580]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":61.75,"providers":[{"billed_charge":65.00,"npi":[1154392231]}]}]}]},{"billing_code":"86141","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"C-REACTIVE PROTEIN HS","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.66,"providers":[{"billed_charge":104.90,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"208833340"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.60,"providers":[{"billed_charge":21.00,"npi":[1922259753]}]}]}]},{"billing_code":"86141","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"C-REACTIVE PROTEIN HS","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":22.33,"providers":[{"billed_charge":172.69,"npi":[1083669030]}]}]}]},{"billing_code":"86146","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"BETA-2 GLYCOPROTEIN ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":22.91,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]},{"allowed_amount":45.81,"providers":[{"billed_charge":254.50,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":45.80,"providers":[{"billed_charge":102.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":332.50,"providers":[{"billed_charge":350.00,"npi":[1528039484]}]}]}]},{"billing_code":"86146","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"BETA-2 GLYCOPROTEIN ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":64.50,"providers":[{"billed_charge":86.00,"npi":[1942294814]}]}]}]},{"billing_code":"86147","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CARDIOLIPIN ANTIBODY EA IG","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":22.91,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]},{"allowed_amount":45.81,"providers":[{"billed_charge":254.50,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":45.80,"providers":[{"billed_charge":140.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":323.00,"providers":[{"billed_charge":340.00,"npi":[1528039484]}]}]}]},{"billing_code":"86147","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CARDIOLIPIN ANTIBODY EA IG","allowed_amounts":[{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":64.50,"providers":[{"billed_charge":86.00,"npi":[1942294814]}]}]}]},{"billing_code":"86148","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ANTI-PHOSPHOLIPID ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.46,"providers":[{"billed_charge":80.35,"npi":[1245494517]}]}]}]},{"billing_code":"86160","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"COMPLEMENT ANTIGEN","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.80,"providers":[{"billed_charge":60.00,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":20.12,"providers":[{"billed_charge":116.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"825415284"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.91,"providers":[{"billed_charge":66.00,"npi":[1144719311]}]}]}]},{"billing_code":"86160","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"COMPLEMENT ANTIGEN","allowed_amounts":[{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":155.80,"providers":[{"billed_charge":190.00,"npi":[1790717650]}]}]}]},{"billing_code":"86200","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CCP ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.25,"providers":[{"billed_charge":195.00,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.65,"providers":[{"billed_charge":62.00,"npi":[1497797088]}]}]}]},{"billing_code":"86200","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CCP ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":20.50,"providers":[{"billed_charge":158.54,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":149.28,"providers":[{"billed_charge":213.25,"npi":[1043270564]}]}]}]},{"billing_code":"86225","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"DNA ANTIBODY NATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":68.70,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.36,"providers":[{"billed_charge":66.00,"npi":[1497797088]}]}]}]},{"billing_code":"86225","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"DNA ANTIBODY NATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":232.90,"npi":[1477504280]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":65.48,"providers":[{"billed_charge":102.00,"npi":[1528056066]}]}]}]},{"billing_code":"86235","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"NUCLEAR ANTIGEN ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.14,"providers":[{"billed_charge":89.65,"npi":[1245494517]},{"billed_charge":268.95,"npi":[1245494517]}]},{"allowed_amount":48.41,"providers":[{"billed_charge":89.65,"npi":[1245494517]},{"billed_charge":268.95,"npi":[1245494517]}]},{"allowed_amount":129.10,"providers":[{"billed_charge":717.20,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":129.04,"providers":[{"billed_charge":317.00,"npi":[1497797088]}]}]}]},{"billing_code":"86235","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"NUCLEAR ANTIGEN ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":42.58,"providers":[{"billed_charge":329.30,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":414.09,"providers":[{"billed_charge":645.00,"npi":[1528056066]}]},{"allowed_amount":480.22,"providers":[{"billed_charge":748.00,"npi":[1528056066]}]}]}]},{"billing_code":"86255","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"FLUORESCENT ANTIBODY SCREEN","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":17.22,"providers":[{"billed_charge":85.04,"npi":[1578516902]}]}]}]},{"billing_code":"86255","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"FLUORESCENT ANTIBODY SCREEN","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":13.60,"providers":[{"billed_charge":224.44,"npi":[1578516902]}]}]}]},{"billing_code":"86300","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"IMMUNOASSAY TUMOR CA 15-3","allowed_amounts":[{"tin":{"type":"ein","value":"580655369"},"billing_class":"institutional","payments":[{"allowed_amount":188.80,"providers":[{"billed_charge":236.00,"npi":[1720189517]}]}]},{"tin":{"type":"ein","value":"655369000"},"billing_class":"institutional","payments":[{"allowed_amount":188.80,"providers":[{"billed_charge":236.00,"npi":[1720189517]}]}]},{"tin":{"type":"ein","value":"741161944"},"billing_class":"institutional","payments":[{"allowed_amount":37.62,"providers":[{"billed_charge":501.12,"npi":[1477516466]}]}]}]},{"billing_code":"86304","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"IMMUNOASSAY TUMOR CA 125","allowed_amounts":[{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":18.72,"providers":[{"billed_charge":100.00,"npi":[1497797088]}]}]}]},{"billing_code":"86304","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"IMMUNOASSAY TUMOR CA 125","allowed_amounts":[{"tin":{"type":"ein","value":"251244202"},"billing_class":"institutional","payments":[{"allowed_amount":28.57,"providers":[{"billed_charge":129.00,"npi":[1275620536]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":121.28,"providers":[{"billed_charge":160.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"611739000"},"billing_class":"institutional","payments":[{"allowed_amount":183.52,"providers":[{"billed_charge":296.00,"npi":[1801897038]}]}]},{"tin":{"type":"ein","value":"741161944"},"billing_class":"institutional","payments":[{"allowed_amount":16.21,"providers":[{"billed_charge":215.87,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":212.25,"providers":[{"billed_charge":283.00,"npi":[1174582050]}]},{"allowed_amount":283.00,"providers":[{"billed_charge":283.00,"npi":[1174582050]}]}]}]},{"billing_code":"86308","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HETEROPHILE ANTIBODY SCREEN","allowed_amounts":[{"tin":{"type":"ein","value":"133971298"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":164.39,"providers":[{"billed_charge":195.70,"npi":[1801992631]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.62,"providers":[{"billed_charge":57.91,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"202998046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":30.00,"npi":[1770782450]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":4.66,"providers":[{"billed_charge":15.98,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"271467095"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":4.66,"providers":[{"billed_charge":51.00,"npi":[1326364100]}]}]},{"tin":{"type":"ein","value":"453123110"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":4.66,"providers":[{"billed_charge":25.00,"npi":[1215219878]}]}]},{"tin":{"type":"ein","value":"453191160"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":21.23,"providers":[{"billed_charge":30.00,"npi":[1235411547]}]}]},{"tin":{"type":"ein","value":"561175704"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.66,"providers":[{"billed_charge":25.00,"npi":[1477510659]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":4.66,"providers":[{"billed_charge":15.98,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"576000254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.66,"providers":[{"billed_charge":32.00,"npi":[1053437301]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":25.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"593209688"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":18.90,"providers":[{"billed_charge":27.00,"npi":[1073565610]}]}]},{"tin":{"type":"ein","value":"593514857"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.84,"providers":[{"billed_charge":24.00,"npi":[1275575888]}]}]},{"tin":{"type":"ein","value":"630825248"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.07,"providers":[{"billed_charge":8.00,"npi":[1669429080]}]}]},{"tin":{"type":"ein","value":"630897654"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.19,"providers":[{"billed_charge":22.00,"npi":[1083772560]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":4.66,"providers":[{"billed_charge":45.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"873542162"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":5.50,"providers":[{"billed_charge":11.00,"npi":[1437860889]}]}]}]},{"billing_code":"86308","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HETEROPHILE ANTIBODY SCREEN","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":51.77,"providers":[{"billed_charge":62.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"222592333"},"billing_class":"institutional","payments":[{"allowed_amount":43.40,"providers":[{"billed_charge":56.00,"npi":[1306871223]}]}]}]},{"billing_code":"86317","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"IMMUNOASSAY INFECTIOUS AGENT","allowed_amounts":[{"tin":{"type":"ein","value":"316025986"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.05,"providers":[{"billed_charge":53.00,"npi":[1942274410]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":36.70,"providers":[{"billed_charge":43.18,"npi":[1063463768]}]}]}]},{"billing_code":"86318","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"IA INFECTIOUS AGENT ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":16.28,"providers":[{"billed_charge":54.00,"npi":[1144803040]}]}]}]},{"billing_code":"86320","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"SERUM IMMUNOELECTROPHORESIS","allowed_amounts":[{"tin":{"type":"ein","value":"621517065"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.84,"providers":[{"billed_charge":40.00,"npi":[1275595449]}]}]}]},{"billing_code":"86334","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"IMMUNOFIX E-PHORESIS SERUM","allowed_amounts":[{"tin":{"type":"ein","value":"381983505"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":17.25,"providers":[{"billed_charge":41.00,"npi":[1487747473]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":20.10,"providers":[{"billed_charge":107.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"621517065"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.84,"providers":[{"billed_charge":40.00,"npi":[1275595449]}]}]},{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.00,"providers":[{"billed_charge":38.00,"npi":[1811955917]}]}]}]},{"billing_code":"86334","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"IMMUNOFIX E-PHORESIS SERUM","allowed_amounts":[{"tin":{"type":"ein","value":"042263040"},"billing_class":"institutional","payments":[{"allowed_amount":468.00,"providers":[{"billed_charge":520.00,"npi":[1851333686]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":45.58,"providers":[{"billed_charge":71.00,"npi":[1528056066]}]}]}]},{"billing_code":"86336","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"INHIBIN A","allowed_amounts":[{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":10.13,"providers":[{"billed_charge":17.00,"npi":[1144211301]}]}]}]},{"billing_code":"86340","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"INTRINSIC FACTOR ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":85.98,"providers":[{"billed_charge":86.85,"npi":[1578597993]}]}]}]},{"billing_code":"86341","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ISLET CELL ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":20.98,"providers":[{"billed_charge":70.71,"npi":[1053584482]}]}]}]},{"billing_code":"86352","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CELL FUNCTION ASSAY W/STIM","allowed_amounts":[{"tin":{"type":"ein","value":"362181973"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":118.52,"providers":[{"billed_charge":118.52,"npi":[1073622254]}]}]}]},{"billing_code":"86355","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"B CELLS TOTAL COUNT","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":122.83,"providers":[{"billed_charge":124.07,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":30.44,"providers":[{"billed_charge":472.27,"npi":[1619927027]}]}]}]},{"billing_code":"86357","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"NK CELLS TOTAL COUNT","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":122.83,"providers":[{"billed_charge":124.07,"npi":[1578597993]}]}]}]},{"billing_code":"86359","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"T CELLS TOTAL COUNT","allowed_amounts":[{"tin":{"type":"ein","value":"850760576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":60.00,"npi":[1376153437]}]}]}]},{"billing_code":"86359","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"T CELLS TOTAL COUNT","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":122.83,"providers":[{"billed_charge":124.07,"npi":[1578597993]}]}]}]},{"billing_code":"86360","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"T CELL ABSOLUTE COUNT/RATIO","allowed_amounts":[{"tin":{"type":"ein","value":"850760576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":60.00,"npi":[1376153437]}]}]}]},{"billing_code":"86360","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"T CELL ABSOLUTE COUNT/RATIO","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":245.61,"providers":[{"billed_charge":248.09,"npi":[1578597993]}]}]}]},{"billing_code":"86362","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"MOG-IGG1 ANTB CBA EACH","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":36.86,"providers":[{"billed_charge":37.23,"npi":[1578597993]}]}]}]},{"billing_code":"86363","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"MOG-IGG1 ANTB FLO CYTMTRY EA","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":342.38,"providers":[{"billed_charge":345.84,"npi":[1578597993]}]}]}]},{"billing_code":"86364","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"TISS TRNSGLTMNASE EA IG CLAS","allowed_amounts":[{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.45,"providers":[{"billed_charge":46.08,"npi":[1790523249]}]}]}]},{"billing_code":"86364","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"TISS TRNSGLTMNASE EA IG CLAS","allowed_amounts":[{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":99.90,"providers":[{"billed_charge":150.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":9.89,"providers":[{"billed_charge":163.13,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":24.31,"providers":[{"billed_charge":35.75,"npi":[1154377166]}]}]}]},{"billing_code":"86376","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"MICROSOMAL ANTIBODY EACH","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.10,"providers":[{"billed_charge":72.75,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.10,"providers":[{"billed_charge":43.65,"npi":[1447592308]}]}]}]},{"billing_code":"86376","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"MICROSOMAL ANTIBODY EACH","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":33.70,"providers":[{"billed_charge":146.36,"npi":[1073557559]}]}]}]},{"billing_code":"86430","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"RHEUMATOID FACTOR TEST QUAL","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":17.91,"providers":[{"billed_charge":138.54,"npi":[1083669030]}]}]}]},{"billing_code":"86431","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"RHEUMATOID FACTOR QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.10,"providers":[{"billed_charge":30.00,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":27.00,"npi":[1497797088]}]}]}]},{"billing_code":"86431","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"RHEUMATOID FACTOR QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"581519911"},"billing_class":"institutional","payments":[{"allowed_amount":304.31,"providers":[{"billed_charge":474.00,"npi":[1528056066]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":80.64,"providers":[{"billed_charge":115.20,"npi":[1043270564]}]}]}]},{"billing_code":"86480","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TB TEST CELL IMMUN MEASURE","allowed_amounts":[{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":53.48,"providers":[{"billed_charge":118.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"811896675"},"billing_class":"professional","service_code":["55"],"payments":[{"allowed_amount":55.78,"providers":[{"billed_charge":154.95,"npi":[1083061261]}]}]},{"tin":{"type":"ein","value":"881559059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":52.82,"providers":[{"billed_charge":620.00,"npi":[1134864663]}]}]}]},{"billing_code":"86480","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"TB TEST CELL IMMUN MEASURE","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":32.55,"providers":[{"billed_charge":561.62,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":87.19,"providers":[{"billed_charge":450.09,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"616001218"},"billing_class":"institutional","payments":[{"allowed_amount":113.63,"providers":[{"billed_charge":350.75,"npi":[1518911338]}]}]},{"tin":{"type":"ein","value":"911858433"},"billing_class":"institutional","payments":[{"allowed_amount":272.70,"providers":[{"billed_charge":303.00,"npi":[1356307581]}]}]}]},{"billing_code":"86481","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TB AG RESPONSE T-CELL SUSP","allowed_amounts":[{"tin":{"type":"ein","value":"823146637"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":300.00,"npi":[1861994600]}]}]},{"tin":{"type":"ein","value":"883286578"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":76.65,"providers":[{"billed_charge":570.45,"npi":[1366150773]}]}]}]},{"billing_code":"86580","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TB INTRADERMAL TEST","allowed_amounts":[{"tin":{"type":"ein","value":"270705510"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.40,"providers":[{"billed_charge":9.00,"npi":[1336474964]}]}]},{"tin":{"type":"ein","value":"352640776"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.80,"providers":[{"billed_charge":8.00,"npi":[1538634522]}]}]},{"tin":{"type":"ein","value":"411939629"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.73,"providers":[{"billed_charge":35.00,"npi":[1134191836]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":8.96,"providers":[{"billed_charge":33.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"566000351"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":21.00,"providers":[{"billed_charge":35.00,"npi":[1467507640]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.30,"providers":[{"billed_charge":58.00,"npi":[1063463768]}]}]}]},{"billing_code":"86592","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"SYPHILIS TEST NON-TREP QUAL","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.69,"providers":[{"billed_charge":42.06,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"205765514"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.73,"providers":[{"billed_charge":16.00,"npi":[1528198223]}]}]},{"tin":{"type":"ein","value":"364257926"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.63,"providers":[{"billed_charge":42.06,"npi":[1881630614]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.84,"providers":[{"billed_charge":6.41,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":4.27,"providers":[{"billed_charge":42.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":38.00,"npi":[1245272657]}]}]},{"tin":{"type":"ein","value":"731383996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.36,"providers":[{"billed_charge":40.00,"npi":[1881639367]}]}]},{"tin":{"type":"ein","value":"833807646"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.31,"providers":[{"billed_charge":12.81,"npi":[1407461304]}]}]},{"tin":{"type":"ein","value":"850760576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.48,"providers":[{"billed_charge":60.00,"npi":[1376153437]}]}]},{"tin":{"type":"ein","value":"881014763"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.84,"providers":[{"billed_charge":16.00,"npi":[1932826328]}]}]},{"tin":{"type":"ein","value":"881559059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.62,"providers":[{"billed_charge":50.00,"npi":[1134864663]}]}]},{"tin":{"type":"ein","value":"883286578"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.31,"providers":[{"billed_charge":39.30,"npi":[1366150773]}]}]}]},{"billing_code":"86592","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"SYPHILIS TEST NON-TREP QUAL","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":9.36,"providers":[{"billed_charge":161.52,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":5.01,"providers":[{"billed_charge":103.10,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":10.11,"providers":[{"billed_charge":99.66,"npi":[1023056488]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":78.40,"providers":[{"billed_charge":98.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":8.92,"providers":[{"billed_charge":73.00,"npi":[1144211301]}]},{"allowed_amount":17.10,"providers":[{"billed_charge":40.20,"npi":[1295789907]}]}]}]},{"billing_code":"86593","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"SYPHILIS TEST NON-TREP QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"850760576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.91,"providers":[{"billed_charge":60.00,"npi":[1376153437]}]}]}]},{"billing_code":"86593","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"SYPHILIS TEST NON-TREP QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"820161600"},"billing_class":"institutional","payments":[{"allowed_amount":15.68,"providers":[{"billed_charge":19.00,"npi":[1770586794]}]}]}]},{"billing_code":"86618","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"LYME DISEASE ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"133971298"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":383.41,"providers":[{"billed_charge":456.44,"npi":[1801992631]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.32,"providers":[{"billed_charge":196.74,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.32,"providers":[{"billed_charge":59.00,"npi":[1497797088]}]}]}]},{"billing_code":"86618","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"LYME DISEASE ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":104.38,"providers":[{"billed_charge":125.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"386006309"},"billing_class":"institutional","payments":[{"allowed_amount":67.15,"providers":[{"billed_charge":79.00,"npi":[1003878539]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":14.72,"providers":[{"billed_charge":216.97,"npi":[1578516902]}]}]}]},{"billing_code":"86644","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CMV ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"386006309"},"billing_class":"institutional","payments":[{"allowed_amount":110.50,"providers":[{"billed_charge":130.00,"npi":[1003878539]}]}]}]},{"billing_code":"86645","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CMV ANTIBODY IGM","allowed_amounts":[{"tin":{"type":"ein","value":"386006309"},"billing_class":"institutional","payments":[{"allowed_amount":120.70,"providers":[{"billed_charge":142.00,"npi":[1003878539]}]}]}]},{"billing_code":"86663","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"EPSTEIN-BARR ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.68,"providers":[{"billed_charge":39.36,"npi":[1053584482]}]}]}]},{"billing_code":"86663","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"EPSTEIN-BARR ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"386006309"},"billing_class":"institutional","payments":[{"allowed_amount":123.25,"providers":[{"billed_charge":145.00,"npi":[1003878539]}]}]}]},{"billing_code":"86664","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"EPSTEIN-BARR NUCLEAR ANTIGEN","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.92,"providers":[{"billed_charge":123.59,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.61,"providers":[{"billed_charge":45.87,"npi":[1053584482]}]}]}]},{"billing_code":"86664","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"EPSTEIN-BARR NUCLEAR ANTIGEN","allowed_amounts":[{"tin":{"type":"ein","value":"386006309"},"billing_class":"institutional","payments":[{"allowed_amount":123.25,"providers":[{"billed_charge":145.00,"npi":[1003878539]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":11.35,"providers":[{"billed_charge":167.30,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":317.60,"providers":[{"billed_charge":397.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"630845288"},"billing_class":"institutional","payments":[{"allowed_amount":56.00,"providers":[{"billed_charge":70.00,"npi":[1447221056]}]}]}]},{"billing_code":"86665","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"EPSTEIN-BARR CAPSID VCA","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":32.64,"providers":[{"billed_charge":293.36,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"203734391"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":32.29,"providers":[{"billed_charge":108.84,"npi":[1053584482]}]}]}]},{"billing_code":"86665","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"EPSTEIN-BARR CAPSID VCA","allowed_amounts":[{"tin":{"type":"ein","value":"386006309"},"billing_class":"institutional","payments":[{"allowed_amount":321.30,"providers":[{"billed_charge":378.00,"npi":[1003878539]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":25.69,"providers":[{"billed_charge":378.82,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":744.00,"providers":[{"billed_charge":930.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"630845288"},"billing_class":"institutional","payments":[{"allowed_amount":131.20,"providers":[{"billed_charge":164.00,"npi":[1447221056]}]}]}]},{"billing_code":"86666","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"EHRLICHIA ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":123.12,"npi":[1932145778]},{"billed_charge":131.61,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":18.10,"providers":[{"billed_charge":98.00,"npi":[1497797088]}]}]}]},{"billing_code":"86695","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HERPES SIMPLEX TYPE 1 TEST","allowed_amounts":[{"tin":{"type":"ein","value":"364257926"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.20,"providers":[{"billed_charge":108.83,"npi":[1881630614]}]}]},{"tin":{"type":"ein","value":"823146637"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.87,"providers":[{"billed_charge":39.57,"npi":[1861994600]}]}]},{"tin":{"type":"ein","value":"881559059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.89,"providers":[{"billed_charge":140.00,"npi":[1134864663]}]}]}]},{"billing_code":"86696","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HERPES SIMPLEX TYPE 2 TEST","allowed_amounts":[{"tin":{"type":"ein","value":"364257926"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":17.41,"providers":[{"billed_charge":159.68,"npi":[1881630614]}]}]},{"tin":{"type":"ein","value":"823146637"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":58.05,"npi":[1861994600]}]}]},{"tin":{"type":"ein","value":"881559059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":17.41,"providers":[{"billed_charge":200.00,"npi":[1134864663]}]}]}]},{"billing_code":"86701","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HIV-1ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":109.00,"npi":[1558308080]}]}]}]},{"billing_code":"86701","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HIV-1ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":9.77,"providers":[{"billed_charge":185.31,"npi":[1992754758]}]},{"allowed_amount":14.03,"providers":[{"billed_charge":187.44,"npi":[1083669030]}]},{"allowed_amount":15.44,"providers":[{"billed_charge":187.44,"npi":[1083669030]}]}]}]},{"billing_code":"86702","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HIV-2 ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":10.32,"providers":[{"billed_charge":195.76,"npi":[1992754758]}]},{"allowed_amount":14.82,"providers":[{"billed_charge":198.01,"npi":[1083669030]}]},{"allowed_amount":16.31,"providers":[{"billed_charge":198.01,"npi":[1083669030]}]}]}]},{"billing_code":"86703","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HIV-1/HIV-2 1 RESULT ANTBDY","allowed_amounts":[{"tin":{"type":"ein","value":"391994216"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.20,"providers":[{"billed_charge":129.00,"npi":[1003811993]}]}]}]},{"billing_code":"86704","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HEP B CORE ANTIBODY TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"364257926"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.84,"providers":[{"billed_charge":105.18,"npi":[1881630614]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":162.10,"providers":[{"billed_charge":245.61,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"823146637"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.85,"providers":[{"billed_charge":104.16,"npi":[1861994600]}]}]}]},{"billing_code":"86704","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HEP B CORE ANTIBODY TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":83.50,"providers":[{"billed_charge":100.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":333.21,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":248.00,"providers":[{"billed_charge":310.00,"npi":[1588640692]}]}]}]},{"billing_code":"86705","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HEP B CORE ANTIBODY IGM","allowed_amounts":[{"tin":{"type":"ein","value":"823146637"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.59,"providers":[{"billed_charge":39.24,"npi":[1861994600]}]}]}]},{"billing_code":"86705","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HEP B CORE ANTIBODY IGM","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":20.60,"providers":[{"billed_charge":355.46,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":18.27,"providers":[{"billed_charge":221.85,"npi":[1083669030]}]}]}]},{"billing_code":"86706","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HEP B SURFACE ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"364257926"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.66,"providers":[{"billed_charge":96.50,"npi":[1881630614]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":144.45,"providers":[{"billed_charge":218.86,"npi":[1245720820]}]}]}]},{"billing_code":"86706","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HEP B SURFACE ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":32.06,"providers":[{"billed_charge":553.24,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":94.72,"providers":[{"billed_charge":439.45,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":19.25,"providers":[{"billed_charge":345.29,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":28.44,"providers":[{"billed_charge":345.29,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":176.00,"providers":[{"billed_charge":220.00,"npi":[1588640692]}]}]}]},{"billing_code":"86708","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HEPATITIS A ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"364257926"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.95,"providers":[{"billed_charge":121.26,"npi":[1881630614]}]}]},{"tin":{"type":"ein","value":"823146637"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.15,"providers":[{"billed_charge":118.93,"npi":[1861994600]}]}]}]},{"billing_code":"86709","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HEPATITIS A IGM ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"364257926"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.80,"providers":[{"billed_charge":142.30,"npi":[1881630614]}]}]},{"tin":{"type":"ein","value":"823146637"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.13,"providers":[{"billed_charge":33.78,"npi":[1861994600]}]}]},{"tin":{"type":"ein","value":"881559059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.42,"providers":[{"billed_charge":120.00,"npi":[1134864663]}]}]}]},{"billing_code":"86747","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"PARVOVIRUS ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":327.32,"providers":[{"billed_charge":392.00,"npi":[1568419976]}]}]}]},{"billing_code":"86753","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"PROTOZOA ANTIBODY NOS","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.38,"providers":[{"billed_charge":320.48,"npi":[1932145778]}]}]}]},{"billing_code":"86757","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"RICKETTSIA ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":34.82,"providers":[{"billed_charge":186.00,"npi":[1497797088]}]}]}]},{"billing_code":"86762","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"RUBELLA ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"820161600"},"billing_class":"institutional","payments":[{"allowed_amount":50.32,"providers":[{"billed_charge":61.00,"npi":[1770586794]}]}]}]},{"billing_code":"86780","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TREPONEMA PALLIDUM","allowed_amounts":[{"tin":{"type":"ein","value":"050382693"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.27,"providers":[{"billed_charge":25.00,"npi":[1861404121]}]}]},{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.91,"providers":[{"billed_charge":103.67,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"133971298"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":194.06,"providers":[{"billed_charge":231.02,"npi":[1801992631]}]}]},{"tin":{"type":"ein","value":"223487984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.03,"providers":[{"billed_charge":55.00,"npi":[1942254347]}]}]},{"tin":{"type":"ein","value":"273054323"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":16.55,"npi":[1790021517]}]}]},{"tin":{"type":"ein","value":"576000286"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.06,"providers":[{"billed_charge":14.95,"npi":[1407913874]}]}]},{"tin":{"type":"ein","value":"811896675"},"billing_class":"professional","service_code":["55"],"payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":55.00,"npi":[1083061261]}]}]}]},{"billing_code":"86780","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"TREPONEMA PALLIDUM","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":7.19,"providers":[{"billed_charge":128.84,"npi":[1578516902]}]}]}]},{"billing_code":"86780","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"TREPONEMA PALLIDUM","allowed_amounts":[{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":82.84,"providers":[{"billed_charge":103.55,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":44.52,"providers":[{"billed_charge":44.97,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":17.83,"providers":[{"billed_charge":128.84,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"730717979"},"billing_class":"institutional","payments":[{"allowed_amount":16.07,"providers":[{"billed_charge":64.07,"npi":[1659347623]}]}]}]},{"billing_code":"86787","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"VARICELLA-ZOSTER ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.54,"providers":[{"billed_charge":37.11,"npi":[1063463768]}]}]}]},{"billing_code":"86800","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"THYROGLOBULIN ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.32,"providers":[{"billed_charge":79.55,"npi":[1245494517]}]}]}]},{"billing_code":"86800","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"THYROGLOBULIN ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":51.17,"providers":[{"billed_charge":75.25,"npi":[1154377166]}]}]}]},{"billing_code":"86803","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HEPATITIS C AB TEST","allowed_amounts":[{"tin":{"type":"ein","value":"112981029"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.99,"providers":[{"billed_charge":138.00,"npi":[1376587113]}]}]},{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.62,"providers":[{"billed_charge":108.96,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"133971298"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":273.71,"providers":[{"billed_charge":325.85,"npi":[1801992631]}]}]},{"tin":{"type":"ein","value":"205657908"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":102.00,"providers":[{"billed_charge":120.00,"npi":[1710064811]}]}]},{"tin":{"type":"ein","value":"205765514"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.46,"providers":[{"billed_charge":80.00,"npi":[1528198223]}]}]},{"tin":{"type":"ein","value":"223487984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.13,"providers":[{"billed_charge":59.00,"npi":[1942254347]}]}]},{"tin":{"type":"ein","value":"273054323"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.27,"providers":[{"billed_charge":17.84,"npi":[1790021517]}]}]},{"tin":{"type":"ein","value":"364257926"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.81,"providers":[{"billed_charge":159.62,"npi":[1881630614]}]}]},{"tin":{"type":"ein","value":"576000286"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.51,"providers":[{"billed_charge":22.31,"npi":[1407913874]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.62,"providers":[{"billed_charge":68.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.30,"providers":[{"billed_charge":290.86,"npi":[1245720820]}]},{"allowed_amount":191.97,"providers":[{"billed_charge":290.86,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"823146637"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.84,"providers":[{"billed_charge":47.55,"npi":[1861994600]}]}]},{"tin":{"type":"ein","value":"850760576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.08,"providers":[{"billed_charge":60.00,"npi":[1376153437]}]}]},{"tin":{"type":"ein","value":"881559059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.48,"providers":[{"billed_charge":150.00,"npi":[1134864663]}]}]}]},{"billing_code":"86803","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HEPATITIS C AB TEST","allowed_amounts":[{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":259.08,"providers":[{"billed_charge":389.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"251550350"},"billing_class":"institutional","payments":[{"allowed_amount":50.75,"providers":[{"billed_charge":220.00,"npi":[1437182847]}]}]},{"tin":{"type":"ein","value":"362222696"},"billing_class":"institutional","payments":[{"allowed_amount":274.92,"providers":[{"billed_charge":435.00,"npi":[1760542732]}]}]},{"tin":{"type":"ein","value":"362513909"},"billing_class":"institutional","payments":[{"allowed_amount":174.56,"providers":[{"billed_charge":227.00,"npi":[1003864810]}]}]},{"tin":{"type":"ein","value":"381360526"},"billing_class":"institutional","payments":[{"allowed_amount":99.96,"providers":[{"billed_charge":124.95,"npi":[1568416311]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":19.12,"providers":[{"billed_charge":329.95,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":19.74,"providers":[{"billed_charge":205.93,"npi":[1124422308]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":19.26,"providers":[{"billed_charge":210.61,"npi":[1619350261]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":10.73,"providers":[{"billed_charge":203.59,"npi":[1992754758]}]},{"allowed_amount":15.41,"providers":[{"billed_charge":205.93,"npi":[1083669030]}]},{"allowed_amount":16.96,"providers":[{"billed_charge":205.93,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":289.60,"providers":[{"billed_charge":362.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":38.76,"providers":[{"billed_charge":57.00,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":90.37,"providers":[{"billed_charge":129.10,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"591713947"},"billing_class":"institutional","payments":[{"allowed_amount":26.93,"providers":[{"billed_charge":76.00,"npi":[1225033020]}]}]},{"tin":{"type":"ein","value":"821969974"},"billing_class":"institutional","payments":[{"allowed_amount":287.30,"providers":[{"billed_charge":338.00,"npi":[1053824292]}]}]}]},{"billing_code":"86832","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HLA CLASS I HIGH DEFIN QUAL","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":986.10,"providers":[{"billed_charge":1038.00,"npi":[1083249577]}]}]}]},{"billing_code":"86833","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HLA CLASS II HIGH DEFIN QUAL","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":761.90,"providers":[{"billed_charge":802.00,"npi":[1083249577]}]}]}]},{"billing_code":"86850","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"RBC ANTIBODY SCREEN","allowed_amounts":[{"tin":{"type":"ein","value":"562086200"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":8.75,"providers":[{"billed_charge":13.00,"npi":[1710145529]}]}]},{"tin":{"type":"ein","value":"823762961"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":26.25,"providers":[{"billed_charge":75.00,"npi":[1003308305]}]}]}]},{"billing_code":"86850","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"RBC ANTIBODY SCREEN","allowed_amounts":[{"tin":{"type":"ein","value":"250965404"},"billing_class":"institutional","payments":[{"allowed_amount":125.79,"providers":[{"billed_charge":342.00,"npi":[1356334510]}]}]},{"tin":{"type":"ein","value":"376000511"},"billing_class":"institutional","payments":[{"allowed_amount":13.05,"providers":[{"billed_charge":224.00,"npi":[1861431751]}]}]},{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":31.41,"providers":[{"billed_charge":31.73,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":51.00,"providers":[{"billed_charge":68.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"institutional","payments":[{"allowed_amount":81.07,"providers":[{"billed_charge":282.00,"npi":[1033112230]}]}]},{"tin":{"type":"ein","value":"680561190"},"billing_class":"institutional","payments":[{"allowed_amount":131.17,"providers":[{"billed_charge":255.00,"npi":[1124193511]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":45.67,"providers":[{"billed_charge":107.35,"npi":[1295789907]}]}]},{"tin":{"type":"ein","value":"820161600"},"billing_class":"institutional","payments":[{"allowed_amount":34.65,"providers":[{"billed_charge":42.00,"npi":[1770586794]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":66.50,"providers":[{"billed_charge":70.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":144.20,"providers":[{"billed_charge":206.00,"npi":[1861194086]}]}]}]},{"billing_code":"86891","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"AUTOLOGOUS BLOOD OP SALVAGE","allowed_amounts":[{"tin":{"type":"ein","value":"320078468"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":99.54,"providers":[{"billed_charge":750.00,"npi":[1780918193]}]}]}]},{"billing_code":"86900","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"BLOOD TYPING SEROLOGIC ABO","allowed_amounts":[{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2.69,"providers":[{"billed_charge":22.00,"npi":[1598761967]}]}]},{"tin":{"type":"ein","value":"562086200"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":5.09,"providers":[{"billed_charge":11.50,"npi":[1710145529]}]}]}]},{"billing_code":"86900","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"BLOOD TYPING SEROLOGIC ABO","allowed_amounts":[{"tin":{"type":"ein","value":"060646554"},"billing_class":"institutional","payments":[{"allowed_amount":21.17,"providers":[{"billed_charge":24.90,"npi":[1992910152]}]}]},{"tin":{"type":"ein","value":"250965404"},"billing_class":"institutional","payments":[{"allowed_amount":132.41,"providers":[{"billed_charge":360.00,"npi":[1356334510]}]}]},{"tin":{"type":"ein","value":"274814831"},"billing_class":"institutional","payments":[{"allowed_amount":46.38,"providers":[{"billed_charge":66.25,"npi":[1225323983]}]}]},{"tin":{"type":"ein","value":"376000511"},"billing_class":"institutional","payments":[{"allowed_amount":5.48,"providers":[{"billed_charge":94.00,"npi":[1861431751]}]}]},{"tin":{"type":"ein","value":"382800065"},"billing_class":"institutional","payments":[{"allowed_amount":14.40,"providers":[{"billed_charge":16.00,"npi":[1871672618]}]}]},{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":10.57,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":524.25,"providers":[{"billed_charge":699.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"institutional","payments":[{"allowed_amount":190.30,"providers":[{"billed_charge":662.00,"npi":[1033112230]}]}]},{"tin":{"type":"ein","value":"680561190"},"billing_class":"institutional","payments":[{"allowed_amount":24.18,"providers":[{"billed_charge":47.00,"npi":[1124193511]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":14.23,"providers":[{"billed_charge":33.45,"npi":[1295789907]}]}]},{"tin":{"type":"ein","value":"820161600"},"billing_class":"institutional","payments":[{"allowed_amount":10.73,"providers":[{"billed_charge":13.00,"npi":[1770586794]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":42.75,"providers":[{"billed_charge":45.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":124.60,"providers":[{"billed_charge":178.00,"npi":[1861194086]}]}]}]},{"billing_code":"86901","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"BLOOD TYPING SEROLOGIC RH(D)","allowed_amounts":[{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2.69,"providers":[{"billed_charge":15.00,"npi":[1598761967]}]}]},{"tin":{"type":"ein","value":"562086200"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":5.49,"providers":[{"billed_charge":11.50,"npi":[1710145529]}]}]}]},{"billing_code":"86901","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"BLOOD TYPING SEROLOGIC RH(D)","allowed_amounts":[{"tin":{"type":"ein","value":"060646554"},"billing_class":"institutional","payments":[{"allowed_amount":65.45,"providers":[{"billed_charge":77.00,"npi":[1992910152]}]}]},{"tin":{"type":"ein","value":"250965404"},"billing_class":"institutional","payments":[{"allowed_amount":125.79,"providers":[{"billed_charge":342.00,"npi":[1356334510]}]}]},{"tin":{"type":"ein","value":"274814831"},"billing_class":"institutional","payments":[{"allowed_amount":164.50,"providers":[{"billed_charge":235.00,"npi":[1225323983]}]}]},{"tin":{"type":"ein","value":"376000511"},"billing_class":"institutional","payments":[{"allowed_amount":5.77,"providers":[{"billed_charge":99.00,"npi":[1861431751]}]}]},{"tin":{"type":"ein","value":"382800065"},"billing_class":"institutional","payments":[{"allowed_amount":11.70,"providers":[{"billed_charge":13.00,"npi":[1871672618]}]}]},{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":10.57,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":51.00,"providers":[{"billed_charge":68.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"institutional","payments":[{"allowed_amount":57.78,"providers":[{"billed_charge":201.00,"npi":[1033112230]}]}]},{"tin":{"type":"ein","value":"680561190"},"billing_class":"institutional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":43.00,"npi":[1124193511]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":23.46,"providers":[{"billed_charge":55.15,"npi":[1295789907]}]}]},{"tin":{"type":"ein","value":"820161600"},"billing_class":"institutional","payments":[{"allowed_amount":10.73,"providers":[{"billed_charge":13.00,"npi":[1770586794]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":42.75,"providers":[{"billed_charge":45.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":144.90,"providers":[{"billed_charge":207.00,"npi":[1861194086]}]}]}]},{"billing_code":"86923","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"COMPATIBILITY TEST ELECTRIC","allowed_amounts":[{"tin":{"type":"ein","value":"250965404"},"billing_class":"institutional","payments":[{"allowed_amount":211.85,"providers":[{"billed_charge":576.00,"npi":[1356334510]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":190.00,"providers":[{"billed_charge":200.00,"npi":[1154392231]}]}]}]},{"billing_code":"86985","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"SPLIT BLOOD OR PRODUCTS","allowed_amounts":[{"tin":{"type":"ein","value":"620646012"},"billing_class":"institutional","payments":[{"allowed_amount":136.55,"providers":[{"billed_charge":475.00,"npi":[1033112230]}]}]}]},{"billing_code":"87040","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"BLOOD CULTURE FOR BACTERIA","allowed_amounts":[{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":49.13,"providers":[{"billed_charge":82.00,"npi":[1760426969]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":153.00,"providers":[{"billed_charge":180.00,"npi":[1326028978]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":49.95,"providers":[{"billed_charge":207.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":90.25,"providers":[{"billed_charge":95.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":103.96,"providers":[{"billed_charge":144.00,"npi":[1407637531]}]}]},{"tin":{"type":"ein","value":"954176924"},"billing_class":"institutional","payments":[{"allowed_amount":509.49,"providers":[{"billed_charge":999.00,"npi":[1992751879]}]}]}]},{"billing_code":"87045","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"FECES CULTURE AEROBIC BACT","allowed_amounts":[{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.50,"providers":[{"billed_charge":89.00,"npi":[1598761967]}]}]}]},{"billing_code":"87046","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"STOOL CULTR AEROBIC BACT EA","allowed_amounts":[{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.50,"providers":[{"billed_charge":26.00,"npi":[1598761967]}]}]}]},{"billing_code":"87070","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CULTURE OTHR SPECIMN AEROBIC","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.75,"providers":[{"billed_charge":70.00,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"223487984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.07,"providers":[{"billed_charge":36.00,"npi":[1881653822]}]}]},{"tin":{"type":"ein","value":"521022572"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.76,"providers":[{"billed_charge":25.00,"npi":[1164420568]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":7.75,"providers":[{"billed_charge":58.00,"npi":[1245272657]}]},{"allowed_amount":7.76,"providers":[{"billed_charge":58.00,"npi":[1245272657]}]}]},{"tin":{"type":"ein","value":"582409645"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.73,"providers":[{"billed_charge":40.00,"npi":[1477638575]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.30,"providers":[{"billed_charge":29.00,"npi":[1801569728]}]}]}]},{"billing_code":"87070","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CULTURE OTHR SPECIMN AEROBIC","allowed_amounts":[{"tin":{"type":"ein","value":"030179418"},"billing_class":"institutional","payments":[{"allowed_amount":160.11,"providers":[{"billed_charge":168.54,"npi":[1730199647]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":29.45,"providers":[{"billed_charge":168.50,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"222592333"},"billing_class":"institutional","payments":[{"allowed_amount":52.68,"providers":[{"billed_charge":68.00,"npi":[1306871223]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":180.32,"providers":[{"billed_charge":184.00,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":50.98,"providers":[{"billed_charge":370.59,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":73.95,"providers":[{"billed_charge":87.00,"npi":[1326028978]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":71.25,"providers":[{"billed_charge":95.00,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":38.64,"providers":[{"billed_charge":155.00,"npi":[1144211301]}]}]},{"tin":{"type":"ein","value":"821883948"},"billing_class":"institutional","payments":[{"allowed_amount":104.48,"providers":[{"billed_charge":475.00,"npi":[1649794157]}]}]},{"tin":{"type":"ein","value":"831651180"},"billing_class":"institutional","payments":[{"allowed_amount":8.08,"providers":[{"billed_charge":55.00,"npi":[1407313760]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":174.74,"providers":[{"billed_charge":215.53,"npi":[1730761065]}]}]}]},{"billing_code":"87071","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CULTURE AEROBIC QUANT OTHER","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":109.76,"providers":[{"billed_charge":112.00,"npi":[1548212988]}]}]}]},{"billing_code":"87075","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CULTR BACTERIA EXCEPT BLOOD","allowed_amounts":[{"tin":{"type":"ein","value":"521022572"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.52,"providers":[{"billed_charge":25.00,"npi":[1164420568]}]}]}]},{"billing_code":"87076","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CULTURE ANAEROBE IDENT EACH","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":29.28,"providers":[{"billed_charge":169.22,"npi":[1760420855]}]}]}]},{"billing_code":"87077","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CULTURE AEROBIC IDENTIFY","allowed_amounts":[{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.27,"providers":[{"billed_charge":12.12,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"590704934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.53,"providers":[{"billed_charge":28.00,"npi":[1316940695]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.60,"providers":[{"billed_charge":25.00,"npi":[1497797088]},{"billed_charge":33.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":7.53,"providers":[{"billed_charge":30.00,"npi":[1942526298]}]}]}]},{"billing_code":"87077","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CULTURE AEROBIC IDENTIFY","allowed_amounts":[{"tin":{"type":"ein","value":"060646554"},"billing_class":"institutional","payments":[{"allowed_amount":70.55,"providers":[{"billed_charge":83.00,"npi":[1992910152]}]}]},{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":27.56,"providers":[{"billed_charge":46.00,"npi":[1760426969]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":156.80,"providers":[{"billed_charge":160.00,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":53.82,"providers":[{"billed_charge":71.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":63.75,"providers":[{"billed_charge":75.00,"npi":[1669475950]}]}]}]},{"billing_code":"87081","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CULTURE SCREEN ONLY","allowed_amounts":[{"tin":{"type":"ein","value":"202998046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.34,"providers":[{"billed_charge":19.00,"npi":[1770782450]}]},{"allowed_amount":5.96,"providers":[{"billed_charge":19.00,"npi":[1770782450]}]},{"allowed_amount":5.97,"providers":[{"billed_charge":19.00,"npi":[1770782450]}]}]},{"tin":{"type":"ein","value":"576001153"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.97,"providers":[{"billed_charge":21.00,"npi":[1740293422]}]}]},{"tin":{"type":"ein","value":"582483738"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.61,"providers":[{"billed_charge":37.50,"npi":[1356560569]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":21.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.40,"providers":[{"billed_charge":10.00,"npi":[1124102595]}]}]}]},{"billing_code":"87081","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CULTURE SCREEN ONLY","allowed_amounts":[{"tin":{"type":"ein","value":"540715569"},"billing_class":"institutional","payments":[{"allowed_amount":43.23,"providers":[{"billed_charge":149.00,"npi":[1770693939]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":5.80,"providers":[{"billed_charge":11.00,"npi":[1427030774]}]}]}]},{"billing_code":"87086","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"URINE CULTURE/COLONY COUNT","allowed_amounts":[{"tin":{"type":"ein","value":"050524222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.70,"providers":[{"billed_charge":119.00,"npi":[1285713859]}]}]},{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.70,"providers":[{"billed_charge":28.00,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"364257926"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.70,"providers":[{"billed_charge":66.83,"npi":[1881630614]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":57.00,"providers":[{"billed_charge":60.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"453279277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.87,"providers":[{"billed_charge":41.25,"npi":[1720374283]}]}]},{"tin":{"type":"ein","value":"471691290"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.71,"providers":[{"billed_charge":8.07,"npi":[1235533779]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.70,"providers":[{"billed_charge":12.11,"npi":[1104258995]}]},{"allowed_amount":7.26,"providers":[{"billed_charge":12.11,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.26,"providers":[{"billed_charge":20.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"561434867"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.05,"providers":[{"billed_charge":60.00,"npi":[1679566954]}]}]},{"tin":{"type":"ein","value":"581728803"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.26,"providers":[{"billed_charge":42.00,"npi":[1477276699]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.70,"providers":[{"billed_charge":29.00,"npi":[1497797088]},{"billed_charge":39.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":30.00,"npi":[1942526298]}]}]}]},{"billing_code":"87086","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"URINE CULTURE/COLONY COUNT","allowed_amounts":[{"tin":{"type":"ein","value":"042104693"},"billing_class":"institutional","payments":[{"allowed_amount":135.75,"providers":[{"billed_charge":181.00,"npi":[1396738159]}]}]},{"tin":{"type":"ein","value":"060646554"},"billing_class":"institutional","payments":[{"allowed_amount":70.55,"providers":[{"billed_charge":83.00,"npi":[1992910152]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":9.70,"providers":[{"billed_charge":28.20,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"160743209"},"billing_class":"institutional","payments":[{"allowed_amount":8.20,"providers":[{"billed_charge":44.00,"npi":[1346285657]}]}]},{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":10.14,"providers":[{"billed_charge":22.00,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"208316475"},"billing_class":"institutional","payments":[{"allowed_amount":45.00,"providers":[{"billed_charge":60.00,"npi":[1225272552]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":54.58,"providers":[{"billed_charge":72.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":75.65,"providers":[{"billed_charge":89.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"351720796"},"billing_class":"institutional","payments":[{"allowed_amount":39.69,"providers":[{"billed_charge":44.00,"npi":[1205860335]}]}]},{"tin":{"type":"ein","value":"370960170"},"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":132.00,"npi":[1497859649]}]}]},{"tin":{"type":"ein","value":"475259919"},"billing_class":"institutional","payments":[{"allowed_amount":119.00,"providers":[{"billed_charge":175.00,"npi":[1033228168]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":35.99,"providers":[{"billed_charge":200.92,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":52.30,"providers":[{"billed_charge":250.03,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":7.89,"providers":[{"billed_charge":7.89,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":75.46,"providers":[{"billed_charge":107.80,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"590973502"},"billing_class":"institutional","payments":[{"allowed_amount":184.29,"providers":[{"billed_charge":263.27,"npi":[1063426823]}]}]},{"tin":{"type":"ein","value":"650844880"},"billing_class":"institutional","payments":[{"allowed_amount":93.86,"providers":[{"billed_charge":142.00,"npi":[1083644033]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":267.57,"providers":[{"billed_charge":356.75,"npi":[1730132234]}]}]}]},{"billing_code":"87088","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"URINE BACTERIA CULTURE","allowed_amounts":[{"tin":{"type":"ein","value":"590704934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":28.00,"npi":[1316940695]}]}]},{"tin":{"type":"ein","value":"610714497"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":14.14,"providers":[{"billed_charge":30.00,"npi":[1336148683]}]}]}]},{"billing_code":"87088","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"URINE BACTERIA CULTURE","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":22.99,"providers":[{"billed_charge":131.55,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"370960170"},"billing_class":"institutional","payments":[{"allowed_amount":4.47,"providers":[{"billed_charge":100.00,"npi":[1497859649]}]}]},{"tin":{"type":"ein","value":"556000821"},"billing_class":"institutional","payments":[{"allowed_amount":85.29,"providers":[{"billed_charge":89.78,"npi":[1134158900]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":18.24,"providers":[{"billed_charge":184.48,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":41.60,"providers":[{"billed_charge":52.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"610523304"},"billing_class":"institutional","payments":[{"allowed_amount":7.81,"providers":[{"billed_charge":128.00,"npi":[1104890714]}]}]},{"tin":{"type":"ein","value":"626002604"},"billing_class":"institutional","payments":[{"allowed_amount":41.95,"providers":[{"billed_charge":194.00,"npi":[1760476659]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":29.85,"providers":[{"billed_charge":68.00,"npi":[1144211301]}]},{"allowed_amount":36.48,"providers":[{"billed_charge":68.00,"npi":[1144211301]}]}]},{"tin":{"type":"ein","value":"920056274"},"billing_class":"institutional","payments":[{"allowed_amount":7.72,"providers":[{"billed_charge":89.10,"npi":[1720062524]}]}]}]},{"billing_code":"87102","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"FUNGUS ISOLATION CULTURE","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":233.24,"providers":[{"billed_charge":238.00,"npi":[1548212988]}]}]}]},{"billing_code":"87103","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"BLOOD FUNGUS CULTURE","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":66.50,"providers":[{"billed_charge":70.00,"npi":[1154392231]}]}]}]},{"billing_code":"87109","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"MYCOPLASMA","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":16.49,"providers":[{"billed_charge":295.73,"npi":[1578516902]}]}]}]},{"billing_code":"87150","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"DNA/RNA AMPLIFIED PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"582483738"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.50,"providers":[{"billed_charge":50.00,"npi":[1356560569]}]}]}]},{"billing_code":"87150","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"DNA/RNA AMPLIFIED PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":124.61,"providers":[{"billed_charge":208.00,"npi":[1760426969]}]}]}]},{"billing_code":"87158","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CULTURE TYPING ADDED METHOD","allowed_amounts":[{"tin":{"type":"ein","value":"160743209"},"billing_class":"institutional","payments":[{"allowed_amount":5.59,"providers":[{"billed_charge":30.00,"npi":[1346285657]}]}]}]},{"billing_code":"87177","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"OVA AND PARASITES SMEARS","allowed_amounts":[{"tin":{"type":"ein","value":"043740411"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.79,"providers":[{"billed_charge":22.25,"npi":[1396858791]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.01,"providers":[{"billed_charge":54.00,"npi":[1598761967]}]}]}]},{"billing_code":"87181","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"MICROBE SUSCEPTIBLE DIFFUSE","allowed_amounts":[{"tin":{"type":"ein","value":"465330784"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":3.33,"providers":[{"billed_charge":12.38,"npi":[1932586427]}]}]}]},{"billing_code":"87184","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"MICROBE SUSCEPTIBLE DISK","allowed_amounts":[{"tin":{"type":"ein","value":"160743209"},"billing_class":"institutional","payments":[{"allowed_amount":7.27,"providers":[{"billed_charge":39.00,"npi":[1346285657]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":182.24,"npi":[1457719312]}]}]}]},{"billing_code":"87186","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"MICROBE SUSCEPTIBLE MIC","allowed_amounts":[{"tin":{"type":"ein","value":"471358089"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.38,"providers":[{"billed_charge":50.00,"npi":[1861913576]}]},{"allowed_amount":41.52,"providers":[{"billed_charge":200.00,"npi":[1861913576]}]},{"allowed_amount":124.56,"providers":[{"billed_charge":600.00,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"471691290"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":23.34,"providers":[{"billed_charge":40.02,"npi":[1235533779]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.79,"providers":[{"billed_charge":12.98,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"590704934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.27,"providers":[{"billed_charge":30.00,"npi":[1316940695]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":7.78,"providers":[{"billed_charge":42.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"610714497"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":15.10,"providers":[{"billed_charge":30.00,"npi":[1336148683]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":64.00,"npi":[1942526298]}]}]}]},{"billing_code":"87186","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"MICROBE SUSCEPTIBLE MIC","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":78.40,"providers":[{"billed_charge":80.00,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":28.90,"providers":[{"billed_charge":34.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"370960170"},"billing_class":"institutional","payments":[{"allowed_amount":13.44,"providers":[{"billed_charge":301.00,"npi":[1497859649]}]}]},{"tin":{"type":"ein","value":"610523304"},"billing_class":"institutional","payments":[{"allowed_amount":5.25,"providers":[{"billed_charge":86.00,"npi":[1104890714]}]}]}]},{"billing_code":"87205","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"SMEAR GRAM STAIN","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":32.30,"providers":[{"billed_charge":34.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.84,"providers":[{"billed_charge":44.00,"npi":[1598761967]}]}]}]},{"billing_code":"87205","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"SMEAR GRAM STAIN","allowed_amounts":[{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":31.75,"providers":[{"billed_charge":53.00,"npi":[1760426969]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":13.69,"providers":[{"billed_charge":78.37,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":105.84,"providers":[{"billed_charge":108.00,"npi":[1548212988]}]}]}]},{"billing_code":"87209","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"SMEAR COMPLEX STAIN","allowed_amounts":[{"tin":{"type":"ein","value":"043740411"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.69,"providers":[{"billed_charge":44.95,"npi":[1396858791]}]}]},{"tin":{"type":"ein","value":"454486874"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":21.58,"providers":[{"billed_charge":35.96,"npi":[1053686964]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.18,"providers":[{"billed_charge":50.00,"npi":[1598761967]}]}]}]},{"billing_code":"87210","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"SMEAR WET MOUNT SALINE/INK","allowed_amounts":[{"tin":{"type":"ein","value":"043708805"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.24,"providers":[{"billed_charge":15.00,"npi":[1972576536]}]}]},{"tin":{"type":"ein","value":"371342029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.24,"providers":[{"billed_charge":30.00,"npi":[1699838276]}]}]},{"tin":{"type":"ein","value":"566000299"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":5.24,"providers":[{"billed_charge":25.00,"npi":[1619058955]}]}]},{"tin":{"type":"ein","value":"566000351"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":9.00,"providers":[{"billed_charge":15.00,"npi":[1467507640]}]}]},{"tin":{"type":"ein","value":"581711627"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.00,"providers":[{"billed_charge":20.00,"npi":[1164584512]}]}]},{"tin":{"type":"ein","value":"630810661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.80,"providers":[{"billed_charge":16.00,"npi":[1740397751]}]}]},{"tin":{"type":"ein","value":"842167967"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.60,"providers":[{"billed_charge":10.00,"npi":[1013568567]}]}]}]},{"billing_code":"87220","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TISSUE EXAM FOR FUNGI","allowed_amounts":[{"tin":{"type":"ein","value":"581711627"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":15.00,"npi":[1164584512]}]}]},{"tin":{"type":"ein","value":"912197705"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":30.00,"npi":[1114022167]}]}]}]},{"billing_code":"87275","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"INFLUENZA B AG IF","allowed_amounts":[{"tin":{"type":"ein","value":"590634433"},"billing_class":"institutional","payments":[{"allowed_amount":130.26,"providers":[{"billed_charge":167.00,"npi":[1245520386]}]}]}]},{"billing_code":"87276","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"INFLUENZA A AG IF","allowed_amounts":[{"tin":{"type":"ein","value":"590634433"},"billing_class":"institutional","payments":[{"allowed_amount":130.26,"providers":[{"billed_charge":167.00,"npi":[1245520386]}]}]}]},{"billing_code":"87324","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CLOSTRIDIUM AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.38,"providers":[{"billed_charge":23.96,"npi":[1053686964]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.78,"providers":[{"billed_charge":40.00,"npi":[1598761967]}]}]}]},{"billing_code":"87329","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"GIARDIA AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.78,"providers":[{"billed_charge":86.00,"npi":[1598761967]}]}]}]},{"billing_code":"87338","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HPYLORI STOOL AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"043740411"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.35,"providers":[{"billed_charge":35.95,"npi":[1396858791]}]}]},{"tin":{"type":"ein","value":"263844242"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.65,"providers":[{"billed_charge":35.95,"npi":[1346472859]}]}]},{"tin":{"type":"ein","value":"454486874"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":17.26,"providers":[{"billed_charge":28.76,"npi":[1053686964]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":12.94,"providers":[{"billed_charge":100.00,"npi":[1598761967]}]}]}]},{"billing_code":"87340","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HEPATITIS B SURFACE AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.29,"providers":[{"billed_charge":78.84,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"205765514"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.59,"providers":[{"billed_charge":54.00,"npi":[1528198223]}]}]},{"tin":{"type":"ein","value":"223487984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.09,"providers":[{"billed_charge":43.00,"npi":[1942254347]}]}]},{"tin":{"type":"ein","value":"364257926"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.29,"providers":[{"billed_charge":92.80,"npi":[1881630614]}]}]},{"tin":{"type":"ein","value":"593205549"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":138.90,"providers":[{"billed_charge":210.46,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"881559059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.29,"providers":[{"billed_charge":110.00,"npi":[1134864663]}]}]}]},{"billing_code":"87340","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HEPATITIS B SURFACE AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":32.02,"providers":[{"billed_charge":552.52,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":19.23,"providers":[{"billed_charge":344.84,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":28.40,"providers":[{"billed_charge":344.84,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":164.00,"providers":[{"billed_charge":205.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":26.93,"providers":[{"billed_charge":63.30,"npi":[1295789907]}]}]},{"tin":{"type":"ein","value":"820161600"},"billing_class":"institutional","payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":44.00,"npi":[1770586794]}]}]}]},{"billing_code":"87341","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HEP B SURFACE AG NEUTRLZJ IA","allowed_amounts":[{"tin":{"type":"ein","value":"823146637"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.30,"providers":[{"billed_charge":34.44,"npi":[1861994600]}]}]}]},{"billing_code":"87389","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HIV-1 AG W/HIV-1&-2 AB AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"050382693"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.86,"providers":[{"billed_charge":52.00,"npi":[1861404121]}]}]},{"tin":{"type":"ein","value":"112981029"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.86,"providers":[{"billed_charge":121.00,"npi":[1376587113]}]}]},{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":18.89,"providers":[{"billed_charge":177.88,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"133971298"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":357.94,"providers":[{"billed_charge":426.11,"npi":[1801992631]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":20.64,"providers":[{"billed_charge":118.98,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"205765514"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":69.52,"providers":[{"billed_charge":102.00,"npi":[1528198223]}]}]},{"tin":{"type":"ein","value":"223487984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.16,"providers":[{"billed_charge":99.00,"npi":[1942254347]}]}]},{"tin":{"type":"ein","value":"273054323"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":24.08,"providers":[{"billed_charge":30.10,"npi":[1790021517]}]}]},{"tin":{"type":"ein","value":"364257926"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":21.16,"providers":[{"billed_charge":118.98,"npi":[1881630614]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":21.67,"providers":[{"billed_charge":36.12,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"576000254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.58,"providers":[{"billed_charge":45.00,"npi":[1053437301]}]}]},{"tin":{"type":"ein","value":"576000286"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":13.42,"npi":[1407913874]}]}]},{"tin":{"type":"ein","value":"582483738"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.61,"providers":[{"billed_charge":102.00,"npi":[1356560569]}]}]},{"tin":{"type":"ein","value":"731383996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.96,"providers":[{"billed_charge":30.00,"npi":[1881639367]}]}]},{"tin":{"type":"ein","value":"811896675"},"billing_class":"professional","service_code":["55"],"payments":[{"allowed_amount":21.67,"providers":[{"billed_charge":238.00,"npi":[1083061261]}]}]},{"tin":{"type":"ein","value":"823146637"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":21.67,"providers":[{"billed_charge":80.25,"npi":[1861994600]}]}]},{"tin":{"type":"ein","value":"833807646"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":19.32,"providers":[{"billed_charge":48.16,"npi":[1407461304]}]}]},{"tin":{"type":"ein","value":"881559059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":18.66,"providers":[{"billed_charge":250.00,"npi":[1134864663]}]}]},{"tin":{"type":"ein","value":"883286578"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":19.32,"providers":[{"billed_charge":221.65,"npi":[1366150773]}]}]}]},{"billing_code":"87389","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HIV-1 AG W/HIV-1 & HIV-2 AB","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":81.83,"providers":[{"billed_charge":98.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":255.75,"providers":[{"billed_charge":384.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":22.62,"providers":[{"billed_charge":229.68,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":10.06,"providers":[{"billed_charge":180.46,"npi":[1578516902]}]},{"allowed_amount":17.29,"providers":[{"billed_charge":180.46,"npi":[1124422308]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":10.32,"providers":[{"billed_charge":184.56,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"566017737"},"billing_class":"institutional","payments":[{"allowed_amount":22.89,"providers":[{"billed_charge":64.50,"npi":[1972579837]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":166.40,"providers":[{"billed_charge":208.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":51.17,"providers":[{"billed_charge":75.25,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":171.78,"providers":[{"billed_charge":245.40,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"591713947"},"billing_class":"institutional","payments":[{"allowed_amount":58.11,"providers":[{"billed_charge":164.00,"npi":[1225033020]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":12.46,"providers":[{"billed_charge":102.00,"npi":[1144211301]}]},{"allowed_amount":107.03,"providers":[{"billed_charge":251.60,"npi":[1295789907]}]}]},{"tin":{"type":"ein","value":"820161600"},"billing_class":"institutional","payments":[{"allowed_amount":84.13,"providers":[{"billed_charge":102.00,"npi":[1770586794]}]}]}]},{"billing_code":"87389","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HIV-1 AG W/HIV-1&-2 AB AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":81.83,"providers":[{"billed_charge":98.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":255.75,"providers":[{"billed_charge":384.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":22.62,"providers":[{"billed_charge":229.68,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":10.06,"providers":[{"billed_charge":180.46,"npi":[1578516902]}]},{"allowed_amount":17.29,"providers":[{"billed_charge":180.46,"npi":[1124422308]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":10.32,"providers":[{"billed_charge":184.56,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"566017737"},"billing_class":"institutional","payments":[{"allowed_amount":22.89,"providers":[{"billed_charge":64.50,"npi":[1972579837]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":166.40,"providers":[{"billed_charge":208.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":51.17,"providers":[{"billed_charge":75.25,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":171.78,"providers":[{"billed_charge":245.40,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"591713947"},"billing_class":"institutional","payments":[{"allowed_amount":58.11,"providers":[{"billed_charge":164.00,"npi":[1225033020]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":12.46,"providers":[{"billed_charge":102.00,"npi":[1144211301]}]},{"allowed_amount":107.03,"providers":[{"billed_charge":251.60,"npi":[1295789907]}]}]},{"tin":{"type":"ein","value":"820161600"},"billing_class":"institutional","payments":[{"allowed_amount":84.13,"providers":[{"billed_charge":102.00,"npi":[1770586794]}]}]}]},{"billing_code":"87400","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"INFLUENZA A/B EACH AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"043397450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.06,"providers":[{"billed_charge":98.00,"npi":[1871639914]}]}]},{"tin":{"type":"ein","value":"800278187"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.71,"providers":[{"billed_charge":26.00,"npi":[1639323744]}]}]},{"tin":{"type":"ein","value":"863641751"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":11.46,"providers":[{"billed_charge":13.00,"npi":[1215511043]}]}]}]},{"billing_code":"87400","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"INFLUENZA A/B AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":23.86,"providers":[{"billed_charge":228.06,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"626002604"},"billing_class":"institutional","payments":[{"allowed_amount":63.80,"providers":[{"billed_charge":295.00,"npi":[1760476659]}]},{"allowed_amount":75.76,"providers":[{"billed_charge":295.00,"npi":[1760476659]}]}]}]},{"billing_code":"87400","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"INFLUENZA A/B EACH AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":23.86,"providers":[{"billed_charge":228.06,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"626002604"},"billing_class":"institutional","payments":[{"allowed_amount":63.80,"providers":[{"billed_charge":295.00,"npi":[1760476659]}]},{"allowed_amount":75.76,"providers":[{"billed_charge":295.00,"npi":[1760476659]}]}]}]},{"billing_code":"87420","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"RESP SYNCYTIAL VIRUS AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":12.52,"providers":[{"billed_charge":43.00,"npi":[1255950325]}]}]}]},{"billing_code":"87426","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"COVID-19","description":"SARSCOV CORONAVIRUS AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"141973790"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":31.79,"providers":[{"billed_charge":65.00,"npi":[1285735605]}]}]},{"tin":{"type":"ein","value":"205392766"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":144.00,"providers":[{"billed_charge":180.00,"npi":[1619105244]}]}]},{"tin":{"type":"ein","value":"205497203"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":45.00,"providers":[{"billed_charge":75.00,"npi":[1831744176]}]}]},{"tin":{"type":"ein","value":"273698244"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":25.00,"providers":[{"billed_charge":50.00,"npi":[1811297070]}]}]},{"tin":{"type":"ein","value":"300994598"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":31.80,"providers":[{"billed_charge":71.00,"npi":[1205350584]}]}]},{"tin":{"type":"ein","value":"411939629"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":120.00,"npi":[1134191836]}]}]},{"tin":{"type":"ein","value":"421638714"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.00,"providers":[{"billed_charge":54.00,"npi":[1619342706]}]}]},{"tin":{"type":"ein","value":"453191160"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":93.60,"providers":[{"billed_charge":117.00,"npi":[1235411547]}]}]},{"tin":{"type":"ein","value":"454639427"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.79,"providers":[{"billed_charge":50.00,"npi":[1225383243]}]}]},{"tin":{"type":"ein","value":"465246139"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":31.80,"providers":[{"billed_charge":65.00,"npi":[1285064972]}]}]},{"tin":{"type":"ein","value":"472221436"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.96,"providers":[{"billed_charge":128.00,"npi":[1013313857]}]}]},{"tin":{"type":"ein","value":"474459800"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":31.80,"providers":[{"billed_charge":100.00,"npi":[1912381203]}]}]},{"tin":{"type":"ein","value":"541217184"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.79,"providers":[{"billed_charge":71.00,"npi":[1265485270]}]},{"allowed_amount":31.80,"providers":[{"billed_charge":71.00,"npi":[1265485270]}]}]},{"tin":{"type":"ein","value":"581335405"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.23,"providers":[{"billed_charge":50.00,"npi":[1063436624]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.40,"providers":[{"billed_charge":124.00,"npi":[1689610149]}]}]},{"tin":{"type":"ein","value":"591961248"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":60.00,"npi":[1699809236]}]}]},{"tin":{"type":"ein","value":"593209688"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":45.50,"providers":[{"billed_charge":65.00,"npi":[1073565610]}]}]},{"tin":{"type":"ein","value":"631274310"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.86,"providers":[{"billed_charge":100.00,"npi":[1689689481]}]}]},{"tin":{"type":"ein","value":"800278187"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.79,"providers":[{"billed_charge":75.00,"npi":[1639323744]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":30.95,"providers":[{"billed_charge":62.00,"npi":[1942526298]}]}]},{"tin":{"type":"ein","value":"822446908"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":31.79,"providers":[{"billed_charge":114.00,"npi":[1700397304]}]}]},{"tin":{"type":"ein","value":"833107705"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.30,"providers":[{"billed_charge":45.00,"npi":[1003380759]}]}]},{"tin":{"type":"ein","value":"851136657"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":45.23,"providers":[{"billed_charge":130.00,"npi":[1275146045]}]}]},{"tin":{"type":"ein","value":"990909070"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":64.88,"providers":[{"billed_charge":89.00,"npi":[1144084856]}]}]}]},{"billing_code":"87426","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CORONAVIRUS AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":20.61,"providers":[{"billed_charge":78.00,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":20.40,"providers":[{"billed_charge":195.00,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"626002604"},"billing_class":"institutional","payments":[{"allowed_amount":7.13,"providers":[{"billed_charge":33.00,"npi":[1760476659]}]},{"allowed_amount":8.47,"providers":[{"billed_charge":33.00,"npi":[1760476659]}]}]}]},{"billing_code":"87426","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"SARSCOV CORONAVIRUS AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":20.61,"providers":[{"billed_charge":78.00,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":20.40,"providers":[{"billed_charge":195.00,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"626002604"},"billing_class":"institutional","payments":[{"allowed_amount":7.13,"providers":[{"billed_charge":33.00,"npi":[1760476659]}]},{"allowed_amount":8.47,"providers":[{"billed_charge":33.00,"npi":[1760476659]}]}]}]},{"billing_code":"87427","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"SHIGA-LIKE TOXIN AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.38,"providers":[{"billed_charge":23.96,"npi":[1053686964]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.78,"providers":[{"billed_charge":80.00,"npi":[1598761967]}]}]}]},{"billing_code":"87428","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"COVID-19","description":"SARSCOV & INF VIR A&B AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"133884168"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":111.30,"providers":[{"billed_charge":159.00,"npi":[1881653822]}]}]},{"tin":{"type":"ein","value":"202998046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":90.00,"npi":[1770782450]}]},{"allowed_amount":63.26,"providers":[{"billed_charge":90.00,"npi":[1770782450]}]}]},{"tin":{"type":"ein","value":"260706444"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":73.49,"providers":[{"billed_charge":158.00,"npi":[1487848800]}]}]},{"tin":{"type":"ein","value":"383878115"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":63.26,"providers":[{"billed_charge":204.00,"npi":[1477087658]}]}]},{"tin":{"type":"ein","value":"561768044"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.00,"providers":[{"billed_charge":25.00,"npi":[1992840003]}]}]},{"tin":{"type":"ein","value":"576001153"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.00,"providers":[{"billed_charge":50.00,"npi":[1740293422]}]}]},{"tin":{"type":"ein","value":"581435386"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":100.00,"npi":[1407894165]}]}]},{"tin":{"type":"ein","value":"582069754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.18,"providers":[{"billed_charge":130.00,"npi":[1316973472]}]}]},{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":126.40,"providers":[{"billed_charge":158.00,"npi":[1184679482]}]}]},{"tin":{"type":"ein","value":"582566360"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":240.00,"providers":[{"billed_charge":300.00,"npi":[1073885828]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":347.65,"providers":[{"billed_charge":409.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"593405327"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":73.49,"providers":[{"billed_charge":150.00,"npi":[1609965441]}]}]},{"tin":{"type":"ein","value":"636001138"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":77.32,"providers":[{"billed_charge":80.00,"npi":[1467599399]}]}]},{"tin":{"type":"ein","value":"741159753"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":60.00,"npi":[1942237466]}]}]},{"tin":{"type":"ein","value":"752424925"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":50.63,"providers":[{"billed_charge":100.00,"npi":[1548231046]}]}]},{"tin":{"type":"ein","value":"800107731"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":73.49,"providers":[{"billed_charge":158.00,"npi":[1205885035]}]}]},{"tin":{"type":"ein","value":"800966359"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.26,"providers":[{"billed_charge":87.50,"npi":[1932521010]}]}]},{"tin":{"type":"ein","value":"812704779"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":63.26,"providers":[{"billed_charge":204.00,"npi":[1548702616]}]}]},{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.26,"providers":[{"billed_charge":230.00,"npi":[1386195865]}]}]},{"tin":{"type":"ein","value":"814632899"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":63.26,"providers":[{"billed_charge":204.00,"npi":[1093248288]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":63.26,"providers":[{"billed_charge":405.00,"npi":[1932679446]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.26,"providers":[{"billed_charge":93.00,"npi":[1609342815]}]}]},{"tin":{"type":"ein","value":"846000545"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":73.49,"providers":[{"billed_charge":160.00,"npi":[1528156437]}]}]},{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":63.26,"providers":[{"billed_charge":130.00,"npi":[1255950325]}]}]},{"tin":{"type":"ein","value":"873542162"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":35.00,"providers":[{"billed_charge":70.00,"npi":[1437860889]}]}]}]},{"billing_code":"87428","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"SARSCOV & INF VIR A&B AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":306.00,"providers":[{"billed_charge":408.00,"npi":[1154435824]}]}]}]},{"billing_code":"87430","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"STREP A AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"272208011"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":60.00,"npi":[1902124647]}]},{"allowed_amount":15.13,"providers":[{"billed_charge":60.00,"npi":[1902124647]}]}]},{"tin":{"type":"ein","value":"570359174"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.13,"providers":[{"billed_charge":60.00,"npi":[1760848006]}]}]},{"tin":{"type":"ein","value":"630897654"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.24,"providers":[{"billed_charge":28.00,"npi":[1083772560]}]}]},{"tin":{"type":"ein","value":"800278187"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":26.00,"npi":[1639323744]}]}]}]},{"billing_code":"87430","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"STREP A AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":28.67,"providers":[{"billed_charge":307.20,"npi":[1205263423]}]},{"allowed_amount":32.13,"providers":[{"billed_charge":307.20,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":34.57,"providers":[{"billed_charge":251.37,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"821883948"},"billing_class":"institutional","payments":[{"allowed_amount":15.61,"providers":[{"billed_charge":71.00,"npi":[1649794157]}]}]},{"tin":{"type":"ein","value":"841321373"},"billing_class":"institutional","payments":[{"allowed_amount":468.75,"providers":[{"billed_charge":750.00,"npi":[1659327013]}]}]}]},{"billing_code":"87449","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"NOS EACH ORGANISM AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.38,"providers":[{"billed_charge":23.96,"npi":[1053686964]}]}]},{"tin":{"type":"ein","value":"521022572"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":32.34,"providers":[{"billed_charge":75.00,"npi":[1164420568]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":10.78,"providers":[{"billed_charge":150.00,"npi":[1598761967]}]}]}]},{"billing_code":"87451","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"POLYVALENT MULT ORG EA AG IA","allowed_amounts":[{"tin":{"type":"ein","value":"460782127"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":15.14,"providers":[{"billed_charge":69.00,"npi":[1124713383]}]}]}]},{"billing_code":"87468","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ANAPLSMA PHGCYTOPHLM AMP PRB","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":104.38,"providers":[{"billed_charge":125.00,"npi":[1568419976]}]}]}]},{"billing_code":"87468","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ANAPLSMA PHGCYTOPHLM AMP PRB","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":104.38,"providers":[{"billed_charge":125.00,"npi":[1568419976]}]}]}]},{"billing_code":"87471","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"BARTONELLA DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":49.81,"providers":[{"billed_charge":734.37,"npi":[1578516902]}]}]}]},{"billing_code":"87480","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CANDIDA DNA DIR PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"223487984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.60,"providers":[{"billed_charge":28.00,"npi":[1942254347]}]},{"allowed_amount":28.00,"providers":[{"billed_charge":28.00,"npi":[1942254347]}]}]},{"tin":{"type":"ein","value":"853861695"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.04,"providers":[{"billed_charge":130.00,"npi":[1841878006]}]}]}]},{"billing_code":"87480","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CANDIDA DNA DIR PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"382589966"},"billing_class":"institutional","payments":[{"allowed_amount":83.53,"providers":[{"billed_charge":101.00,"npi":[1831132133]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":19.63,"providers":[{"billed_charge":177.27,"npi":[1578514030]}]}]}]},{"billing_code":"87481","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CANDIDA DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"364257926"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":29.10,"providers":[{"billed_charge":151.25,"npi":[1881630614]}]},{"allowed_amount":31.05,"providers":[{"billed_charge":151.25,"npi":[1881630614]}]}]},{"tin":{"type":"ein","value":"582422542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.29,"providers":[{"billed_charge":84.00,"npi":[1174501902]}]}]},{"tin":{"type":"ein","value":"751093698"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":29.11,"providers":[{"billed_charge":60.00,"npi":[1962481820]}]}]},{"tin":{"type":"ein","value":"830814475"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":157.90,"providers":[{"billed_charge":210.55,"npi":[1174009245]}]}]}]},{"billing_code":"87486","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CHLMYD PNEUM DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.26,"providers":[{"billed_charge":55.90,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"270730954"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":29.22,"providers":[{"billed_charge":38.99,"npi":[1477076941]}]}]},{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":52.64,"npi":[1396175196]}]}]},{"tin":{"type":"ein","value":"873826903"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":21.93,"providers":[{"billed_charge":43.86,"npi":[1881352979]}]},{"allowed_amount":30.70,"providers":[{"billed_charge":43.86,"npi":[1881352979]}]}]}]},{"billing_code":"87486","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CHLMYD PNEUM DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"550261260"},"billing_class":"institutional","payments":[{"allowed_amount":193.16,"providers":[{"billed_charge":227.25,"npi":[1629015698]}]}]},{"tin":{"type":"ein","value":"840255530"},"billing_class":"institutional","payments":[{"allowed_amount":46.75,"providers":[{"billed_charge":55.00,"npi":[1194792762]}]}]}]},{"billing_code":"87486","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CHYLMD PNEUM DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"550261260"},"billing_class":"institutional","payments":[{"allowed_amount":193.16,"providers":[{"billed_charge":227.25,"npi":[1629015698]}]}]},{"tin":{"type":"ein","value":"840255530"},"billing_class":"institutional","payments":[{"allowed_amount":46.75,"providers":[{"billed_charge":55.00,"npi":[1194792762]}]}]}]},{"billing_code":"87491","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CHLMYD TRACH DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"050382693"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":73.69,"providers":[{"billed_charge":195.00,"npi":[1861404121]}]}]},{"tin":{"type":"ein","value":"133971298"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":1035.00,"providers":[{"billed_charge":1232.14,"npi":[1801992631]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":113.84,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"205765514"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.67,"providers":[{"billed_charge":120.00,"npi":[1528198223]}]}]},{"tin":{"type":"ein","value":"223487984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.32,"providers":[{"billed_charge":110.00,"npi":[1942254347]}]},{"allowed_amount":71.64,"providers":[{"billed_charge":110.00,"npi":[1942254347]}]}]},{"tin":{"type":"ein","value":"273054323"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":105.27,"providers":[{"billed_charge":131.58,"npi":[1790021517]}]}]},{"tin":{"type":"ein","value":"364257926"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.22,"providers":[{"billed_charge":113.84,"npi":[1881630614]}]},{"allowed_amount":43.00,"providers":[{"billed_charge":113.84,"npi":[1881630614]}]}]},{"tin":{"type":"ein","value":"391994216"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":226.40,"providers":[{"billed_charge":283.00,"npi":[1003811993]}]}]},{"tin":{"type":"ein","value":"460782127"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":43.87,"providers":[{"billed_charge":200.00,"npi":[1124713383]}]}]},{"tin":{"type":"ein","value":"462899487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":75.49,"providers":[{"billed_charge":100.00,"npi":[1205835600]}]}]},{"tin":{"type":"ein","value":"465330784"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":24.56,"providers":[{"billed_charge":60.00,"npi":[1932586427]}]}]},{"tin":{"type":"ein","value":"471358089"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":42.11,"providers":[{"billed_charge":70.18,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":27.69,"providers":[{"billed_charge":105.00,"npi":[1245272657]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":105.00,"npi":[1245272657]}]},{"allowed_amount":55.38,"providers":[{"billed_charge":210.00,"npi":[1245272657]}]}]},{"tin":{"type":"ein","value":"576000254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.50,"providers":[{"billed_charge":22.50,"npi":[1053437301]}]}]},{"tin":{"type":"ein","value":"576000286"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.06,"providers":[{"billed_charge":19.00,"npi":[1407913874]}]}]},{"tin":{"type":"ein","value":"582422542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.29,"providers":[{"billed_charge":120.00,"npi":[1174501902]}]}]},{"tin":{"type":"ein","value":"630810661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":60.00,"npi":[1740397751]}]}]},{"tin":{"type":"ein","value":"731383996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.64,"providers":[{"billed_charge":63.00,"npi":[1881639367]}]}]},{"tin":{"type":"ein","value":"751093698"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":34.00,"providers":[{"billed_charge":75.00,"npi":[1962481820]}]}]},{"tin":{"type":"ein","value":"830814475"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]}]},{"tin":{"type":"ein","value":"832849989"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.25,"providers":[{"billed_charge":125.00,"npi":[1023582178]}]}]},{"tin":{"type":"ein","value":"850760576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":180.00,"providers":[{"billed_charge":180.00,"npi":[1376153437]}]}]},{"tin":{"type":"ein","value":"881014763"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":120.00,"npi":[1932826328]}]}]},{"tin":{"type":"ein","value":"910845805"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.98,"providers":[{"billed_charge":71.50,"npi":[1326086745]}]}]},{"tin":{"type":"ein","value":"920056274"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.20,"providers":[{"billed_charge":187.00,"npi":[1942284765]}]}]}]},{"billing_code":"87491","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CHLMYD TRACH DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":73.48,"providers":[{"billed_charge":88.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"060646554"},"billing_class":"institutional","payments":[{"allowed_amount":306.85,"providers":[{"billed_charge":361.00,"npi":[1992910152]}]}]},{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":331.68,"providers":[{"billed_charge":498.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"382589966"},"billing_class":"institutional","payments":[{"allowed_amount":107.51,"providers":[{"billed_charge":130.00,"npi":[1831132133]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":53.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":54.89,"providers":[{"billed_charge":335.15,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"566017737"},"billing_class":"institutional","payments":[{"allowed_amount":29.80,"providers":[{"billed_charge":84.00,"npi":[1972579837]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":31.15,"providers":[{"billed_charge":281.29,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":178.40,"providers":[{"billed_charge":223.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":106.72,"providers":[{"billed_charge":152.45,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":26.61,"providers":[{"billed_charge":117.00,"npi":[1477591055]}]},{"allowed_amount":37.14,"providers":[{"billed_charge":149.00,"npi":[1144211301]}]}]}]},{"billing_code":"87491","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CHYLMD TRACH DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":73.48,"providers":[{"billed_charge":88.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"060646554"},"billing_class":"institutional","payments":[{"allowed_amount":306.85,"providers":[{"billed_charge":361.00,"npi":[1992910152]}]}]},{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":331.68,"providers":[{"billed_charge":498.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"382589966"},"billing_class":"institutional","payments":[{"allowed_amount":107.51,"providers":[{"billed_charge":130.00,"npi":[1831132133]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":53.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":54.89,"providers":[{"billed_charge":335.15,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"566017737"},"billing_class":"institutional","payments":[{"allowed_amount":29.80,"providers":[{"billed_charge":84.00,"npi":[1972579837]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":31.15,"providers":[{"billed_charge":281.29,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":178.40,"providers":[{"billed_charge":223.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":106.72,"providers":[{"billed_charge":152.45,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":26.61,"providers":[{"billed_charge":117.00,"npi":[1477591055]}]},{"allowed_amount":37.14,"providers":[{"billed_charge":149.00,"npi":[1144211301]}]}]}]},{"billing_code":"87493","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"C DIFF AMPLIFIED PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":33.54,"providers":[{"billed_charge":55.91,"npi":[1396175196]}]}]},{"tin":{"type":"ein","value":"830814475"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.11,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]},{"allowed_amount":33.54,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]}]},{"tin":{"type":"ein","value":"884055316"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":33.54,"providers":[{"billed_charge":74.54,"npi":[1770207607]}]}]}]},{"billing_code":"87493","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"C DIFF AMPLIFIED PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":71.86,"providers":[{"billed_charge":121.80,"npi":[1114923406]}]}]}]},{"billing_code":"87496","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CYTOMEG DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":52.64,"npi":[1396175196]}]}]}]},{"billing_code":"87497","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CYTOMEG DNA QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":385.50,"providers":[{"billed_charge":514.00,"npi":[1679525919]}]}]}]},{"billing_code":"87498","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ENTEROVIRUS PROBE&REVRS TRNS","allowed_amounts":[{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":52.64,"npi":[1396175196]}]}]}]},{"billing_code":"87500","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"VANOMYCIN DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"452815598"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.53,"providers":[{"billed_charge":105.00,"npi":[1659031433]}]}]},{"tin":{"type":"ein","value":"453194060"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":50.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"465330784"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":24.56,"providers":[{"billed_charge":60.00,"npi":[1932586427]}]}]},{"tin":{"type":"ein","value":"471358089"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":42.11,"providers":[{"billed_charge":175.00,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"830814475"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.41,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]}]},{"tin":{"type":"ein","value":"863569910"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":29.44,"providers":[{"billed_charge":55.00,"npi":[1851966105]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":55.00,"npi":[1851966105]}]}]},{"tin":{"type":"ein","value":"872266063"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.59,"providers":[{"billed_charge":52.65,"npi":[1376206425]}]}]},{"tin":{"type":"ein","value":"884055316"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":52.64,"npi":[1770207607]}]}]}]},{"billing_code":"87502","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"INFLUENZA DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"203348922"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.06,"providers":[{"billed_charge":149.00,"npi":[1457323164]}]}]},{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":86.22,"providers":[{"billed_charge":307.88,"npi":[1396175196]}]}]},{"tin":{"type":"ein","value":"591198552"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":78.56,"providers":[{"billed_charge":240.00,"npi":[1639138480]}]}]},{"tin":{"type":"ein","value":"611141828"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.80,"providers":[{"billed_charge":128.00,"npi":[1053316596]}]}]}]},{"billing_code":"87502","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"INFLUENZA DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"251002937"},"billing_class":"institutional","payments":[{"allowed_amount":272.17,"providers":[{"billed_charge":416.15,"npi":[1548263973]}]}]},{"tin":{"type":"ein","value":"351814660"},"billing_class":"institutional","payments":[{"allowed_amount":385.79,"providers":[{"billed_charge":446.00,"npi":[1063443455]}]}]},{"tin":{"type":"ein","value":"371119538"},"billing_class":"institutional","payments":[{"allowed_amount":404.91,"providers":[{"billed_charge":495.00,"npi":[1013071653]}]}]},{"tin":{"type":"ein","value":"556000526"},"billing_class":"institutional","payments":[{"allowed_amount":187.46,"providers":[{"billed_charge":224.50,"npi":[1265484893]}]}]}]},{"billing_code":"87503","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"INFLUENZA DNA AMP PROB ADDL","allowed_amounts":[{"tin":{"type":"ein","value":"351814660"},"billing_class":"institutional","payments":[{"allowed_amount":117.64,"providers":[{"billed_charge":136.00,"npi":[1063443455]}]}]}]},{"billing_code":"87505","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"NFCT AGENT DETECTION GI","allowed_amounts":[{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":115.46,"providers":[{"billed_charge":748.84,"npi":[1396175196]},{"billed_charge":789.60,"npi":[1396175196]}]}]}]},{"billing_code":"87506","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"IADNA-DNA/RNA PROBE TQ 6-11","allowed_amounts":[{"tin":{"type":"ein","value":"043740411"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":170.94,"providers":[{"billed_charge":657.48,"npi":[1396858791]}]}]},{"tin":{"type":"ein","value":"263844242"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":262.99,"providers":[{"billed_charge":1051.00,"npi":[1346472859]}]}]},{"tin":{"type":"ein","value":"454486874"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":315.59,"providers":[{"billed_charge":525.98,"npi":[1053686964]}]}]}]},{"billing_code":"87507","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"IADNA-DNA/RNA PROBE TQ 12-25","allowed_amounts":[{"tin":{"type":"ein","value":"352585434"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":300.00,"providers":[{"billed_charge":500.00,"npi":[1932640349]}]}]}]},{"billing_code":"87507","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"IADNA-DNA/RNA PROBE TQ 12-25","allowed_amounts":[{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":386.42,"providers":[{"billed_charge":654.95,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":309.35,"providers":[{"billed_charge":1488.16,"npi":[1568417798]}]}]}]},{"billing_code":"87510","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"GARDNER VAG DNA DIR PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"223487984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.60,"providers":[{"billed_charge":28.00,"npi":[1942254347]}]},{"allowed_amount":28.00,"providers":[{"billed_charge":28.00,"npi":[1942254347]}]}]},{"tin":{"type":"ein","value":"853861695"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.04,"providers":[{"billed_charge":130.00,"npi":[1841878006]}]}]}]},{"billing_code":"87510","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"GARDNER VAG DNA DIR PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"382589966"},"billing_class":"institutional","payments":[{"allowed_amount":81.05,"providers":[{"billed_charge":98.00,"npi":[1831132133]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":19.43,"providers":[{"billed_charge":175.45,"npi":[1578514030]}]}]}]},{"billing_code":"87511","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"GARDNER VAG DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":52.64,"npi":[1396175196]}]}]},{"tin":{"type":"ein","value":"453194060"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":50.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"751093698"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":18.60,"providers":[{"billed_charge":60.00,"npi":[1962481820]}]}]},{"tin":{"type":"ein","value":"830814475"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]}]}]},{"billing_code":"87529","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HSV DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"640507572"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":63.16,"providers":[{"billed_charge":496.00,"npi":[1740213446]}]}]},{"tin":{"type":"ein","value":"830814475"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":57.62,"providers":[{"billed_charge":84.22,"npi":[1174009245]}]},{"allowed_amount":63.16,"providers":[{"billed_charge":84.22,"npi":[1174009245]}]}]}]},{"billing_code":"87532","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HHV-6 DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":52.64,"npi":[1396175196]}]}]}]},{"billing_code":"87536","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HIV-1 QUANT&REVRSE TRNSCRPJ","allowed_amounts":[{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":84.66,"providers":[{"billed_charge":414.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"850760576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":200.00,"providers":[{"billed_charge":200.00,"npi":[1376153437]}]}]}]},{"billing_code":"87536","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HIV-1 QUANT&REVRSE TRNSCRPJ","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":91.57,"providers":[{"billed_charge":661.50,"npi":[1083669030]}]}]}]},{"billing_code":"87541","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"LEGION PNEUMO DNA AMP PROB","allowed_amounts":[{"tin":{"type":"ein","value":"270730954"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.73,"providers":[{"billed_charge":39.00,"npi":[1477076941]}]}]},{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":52.64,"npi":[1396175196]}]}]},{"tin":{"type":"ein","value":"873826903"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.70,"providers":[{"billed_charge":43.86,"npi":[1881352979]}]}]}]},{"billing_code":"87556","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"M.TUBERCULO DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":37.51,"providers":[{"billed_charge":65.85,"npi":[1396175196]}]}]},{"tin":{"type":"ein","value":"830814475"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":36.47,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]},{"allowed_amount":37.51,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]}]}]},{"billing_code":"87563","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"M. GENITALIUM AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":52.64,"npi":[1396175196]}]}]},{"tin":{"type":"ein","value":"465330784"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":24.56,"providers":[{"billed_charge":60.00,"npi":[1932586427]}]}]},{"tin":{"type":"ein","value":"471358089"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":42.11,"providers":[{"billed_charge":87.72,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"582422542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.50,"providers":[{"billed_charge":125.00,"npi":[1174501902]}]}]},{"tin":{"type":"ein","value":"823971792"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.32,"providers":[{"billed_charge":53.00,"npi":[1114435492]}]}]},{"tin":{"type":"ein","value":"830814475"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.43,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]}]}]},{"billing_code":"87563","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"M. GENITALIUM AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"351720796"},"billing_class":"institutional","payments":[{"allowed_amount":165.07,"providers":[{"billed_charge":183.00,"npi":[1205860335]}]}]}]},{"billing_code":"87581","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"M.PNEUMON DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.32,"providers":[{"billed_charge":56.01,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"270730954"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":28.58,"providers":[{"billed_charge":38.99,"npi":[1477076941]}]}]},{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":52.64,"npi":[1396175196]}]}]},{"tin":{"type":"ein","value":"873826903"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":21.93,"providers":[{"billed_charge":43.86,"npi":[1881352979]}]},{"allowed_amount":30.70,"providers":[{"billed_charge":43.86,"npi":[1881352979]}]}]}]},{"billing_code":"87581","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"M.PNEUMON DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"550261260"},"billing_class":"institutional","payments":[{"allowed_amount":193.16,"providers":[{"billed_charge":227.25,"npi":[1629015698]}]}]},{"tin":{"type":"ein","value":"840255530"},"billing_class":"institutional","payments":[{"allowed_amount":46.75,"providers":[{"billed_charge":55.00,"npi":[1194792762]}]}]}]},{"billing_code":"87591","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"N.GONORRHOEAE DNA AMP PROB","allowed_amounts":[{"tin":{"type":"ein","value":"050382693"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":73.69,"providers":[{"billed_charge":195.00,"npi":[1861404121]}]}]},{"tin":{"type":"ein","value":"133971298"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":1034.99,"providers":[{"billed_charge":1232.14,"npi":[1801992631]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":113.83,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"205765514"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.67,"providers":[{"billed_charge":120.00,"npi":[1528198223]}]}]},{"tin":{"type":"ein","value":"223487984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.32,"providers":[{"billed_charge":110.00,"npi":[1942254347]}]},{"allowed_amount":71.64,"providers":[{"billed_charge":110.00,"npi":[1942254347]}]}]},{"tin":{"type":"ein","value":"273054323"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":105.27,"providers":[{"billed_charge":131.58,"npi":[1790021517]}]}]},{"tin":{"type":"ein","value":"364257926"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.84,"providers":[{"billed_charge":113.83,"npi":[1881630614]}]},{"allowed_amount":43.00,"providers":[{"billed_charge":113.83,"npi":[1881630614]}]}]},{"tin":{"type":"ein","value":"391994216"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":226.40,"providers":[{"billed_charge":283.00,"npi":[1003811993]}]}]},{"tin":{"type":"ein","value":"462899487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":75.49,"providers":[{"billed_charge":100.00,"npi":[1205835600]}]}]},{"tin":{"type":"ein","value":"465330784"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":24.56,"providers":[{"billed_charge":60.00,"npi":[1932586427]}]}]},{"tin":{"type":"ein","value":"471358089"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":42.11,"providers":[{"billed_charge":70.18,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":30.85,"providers":[{"billed_charge":117.00,"npi":[1245272657]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":117.00,"npi":[1245272657]}]},{"allowed_amount":61.70,"providers":[{"billed_charge":234.00,"npi":[1245272657]}]}]},{"tin":{"type":"ein","value":"576000254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.50,"providers":[{"billed_charge":22.50,"npi":[1053437301]}]}]},{"tin":{"type":"ein","value":"576000286"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":14.06,"providers":[{"billed_charge":19.00,"npi":[1407913874]}]}]},{"tin":{"type":"ein","value":"582422542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.29,"providers":[{"billed_charge":120.00,"npi":[1174501902]}]}]},{"tin":{"type":"ein","value":"630810661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":60.00,"npi":[1740397751]}]}]},{"tin":{"type":"ein","value":"731383996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.64,"providers":[{"billed_charge":63.00,"npi":[1881639367]}]}]},{"tin":{"type":"ein","value":"751093698"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":34.00,"providers":[{"billed_charge":75.00,"npi":[1962481820]}]}]},{"tin":{"type":"ein","value":"830814475"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]}]},{"tin":{"type":"ein","value":"832849989"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.25,"providers":[{"billed_charge":125.00,"npi":[1023582178]}]}]},{"tin":{"type":"ein","value":"850760576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":180.00,"providers":[{"billed_charge":180.00,"npi":[1376153437]}]}]},{"tin":{"type":"ein","value":"881014763"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":120.00,"npi":[1932826328]}]}]},{"tin":{"type":"ein","value":"910845805"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.98,"providers":[{"billed_charge":71.25,"npi":[1326086745]}]}]},{"tin":{"type":"ein","value":"920056274"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.87,"providers":[{"billed_charge":186.45,"npi":[1942284765]}]}]}]},{"billing_code":"87591","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"N.GONORRHOEAE DNA AMP PROB","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":73.48,"providers":[{"billed_charge":88.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"060646554"},"billing_class":"institutional","payments":[{"allowed_amount":306.85,"providers":[{"billed_charge":361.00,"npi":[1992910152]}]}]},{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":300.36,"providers":[{"billed_charge":451.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"382589966"},"billing_class":"institutional","payments":[{"allowed_amount":124.05,"providers":[{"billed_charge":150.00,"npi":[1831132133]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":53.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":54.01,"providers":[{"billed_charge":329.75,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"566017737"},"billing_class":"institutional","payments":[{"allowed_amount":29.81,"providers":[{"billed_charge":84.00,"npi":[1972579837]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":30.66,"providers":[{"billed_charge":276.75,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":164.80,"providers":[{"billed_charge":206.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":106.72,"providers":[{"billed_charge":152.45,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":27.07,"providers":[{"billed_charge":119.00,"npi":[1477591055]}]},{"allowed_amount":36.89,"providers":[{"billed_charge":148.00,"npi":[1144211301]}]}]}]},{"billing_code":"87624","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HPV HIGH-RISK TYPES","allowed_amounts":[{"tin":{"type":"ein","value":"043248020"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.15,"providers":[{"billed_charge":149.72,"npi":[1952347791]}]}]},{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":182.95,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"223487984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.32,"providers":[{"billed_charge":144.00,"npi":[1942254347]}]}]},{"tin":{"type":"ein","value":"310917085"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":207.00,"providers":[{"billed_charge":230.00,"npi":[1508817248]}]}]},{"tin":{"type":"ein","value":"462899487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":100.00,"npi":[1205835600]}]}]},{"tin":{"type":"ein","value":"541120844"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":70.00,"npi":[1598863821]}]}]},{"tin":{"type":"ein","value":"582483738"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.50,"providers":[{"billed_charge":100.00,"npi":[1356560569]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":29.01,"providers":[{"billed_charge":118.00,"npi":[1497797088]}]},{"allowed_amount":72.00,"providers":[{"billed_charge":90.00,"npi":[1497797088]}]},{"allowed_amount":94.40,"providers":[{"billed_charge":118.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"592099699"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":39.75,"providers":[{"billed_charge":75.00,"npi":[1417960626]}]}]},{"tin":{"type":"ein","value":"751093698"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":24.56,"providers":[{"billed_charge":150.00,"npi":[1962481820]}]}]},{"tin":{"type":"ein","value":"830814475"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]}]},{"tin":{"type":"ein","value":"870292280"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":81.00,"providers":[{"billed_charge":135.00,"npi":[1760679443]}]}]},{"tin":{"type":"ein","value":"881014763"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.88,"providers":[{"billed_charge":100.00,"npi":[1932826328]}]}]},{"tin":{"type":"ein","value":"910845805"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.98,"providers":[{"billed_charge":71.00,"npi":[1326086745]}]}]}]},{"billing_code":"87624","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"HPV HIGH-RISK TYPES","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":223.50,"providers":[{"billed_charge":298.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"546001796"},"billing_class":"institutional","payments":[{"allowed_amount":34.04,"providers":[{"billed_charge":308.00,"npi":[1780630608]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":30.80,"providers":[{"billed_charge":286.70,"npi":[1750333282]}]},{"allowed_amount":44.71,"providers":[{"billed_charge":309.39,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"566017737"},"billing_class":"institutional","payments":[{"allowed_amount":23.78,"providers":[{"billed_charge":67.00,"npi":[1972579837]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":28.77,"providers":[{"billed_charge":259.67,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":75.58,"providers":[{"billed_charge":345.10,"npi":[1043270564]}]},{"allowed_amount":241.57,"providers":[{"billed_charge":345.10,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":118.22,"providers":[{"billed_charge":852.00,"npi":[1144211301]}]}]},{"tin":{"type":"ein","value":"911858433"},"billing_class":"institutional","payments":[{"allowed_amount":107.71,"providers":[{"billed_charge":119.68,"npi":[1356307581]}]}]}]},{"billing_code":"87625","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HPV TYPES 16 & 18 ONLY","allowed_amounts":[{"tin":{"type":"ein","value":"830814475"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":36.49,"providers":[{"billed_charge":48.66,"npi":[1174009245]}]},{"allowed_amount":36.50,"providers":[{"billed_charge":48.66,"npi":[1174009245]}]}]}]},{"billing_code":"87631","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"RESP VIRUS 3-5 TARGETS","allowed_amounts":[{"tin":{"type":"ein","value":"270730954"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":128.36,"providers":[{"billed_charge":142.63,"npi":[1477076941]}]}]},{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":128.37,"providers":[{"billed_charge":1315.12,"npi":[1396175196]},{"billed_charge":1350.12,"npi":[1396175196]}]}]},{"tin":{"type":"ein","value":"873826903"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":89.15,"providers":[{"billed_charge":178.29,"npi":[1881352979]}]},{"allowed_amount":124.80,"providers":[{"billed_charge":178.29,"npi":[1881352979]}]}]}]},{"billing_code":"87631","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"RESP VIRUS 3-5 TARGETS","allowed_amounts":[{"tin":{"type":"ein","value":"030179418"},"billing_class":"institutional","payments":[{"allowed_amount":386.04,"providers":[{"billed_charge":406.36,"npi":[1730199647]}]}]}]},{"billing_code":"87632","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"RESP VIRUS 6-11 TARGETS","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":303.94,"providers":[{"billed_charge":364.00,"npi":[1568419976]}]}]}]},{"billing_code":"87633","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"RESP VIRUS 12-25 TARGETS","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":324.10,"providers":[{"billed_charge":1017.35,"npi":[1932145778]}]}]}]},{"billing_code":"87633","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"RESP VIRUS 12-25 TARGETS","allowed_amounts":[{"tin":{"type":"ein","value":"550261260"},"billing_class":"institutional","payments":[{"allowed_amount":2274.60,"providers":[{"billed_charge":2676.00,"npi":[1629015698]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":410.42,"providers":[{"billed_charge":2056.60,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"840255530"},"billing_class":"institutional","payments":[{"allowed_amount":598.40,"providers":[{"billed_charge":704.00,"npi":[1194792762]}]}]}]},{"billing_code":"87634","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"RSV DNA/RNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":63.18,"providers":[{"billed_charge":100.00,"npi":[1144803040]}]}]}]},{"billing_code":"87634","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"RSV DNA/RNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"251002937"},"billing_class":"institutional","payments":[{"allowed_amount":118.24,"providers":[{"billed_charge":180.80,"npi":[1548263973]}]}]}]},{"billing_code":"87635","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"COVID-19","description":"SARS-COV-2 COVID-19 AMP PRB","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":76.96,"providers":[{"billed_charge":114.40,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"270581401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.20,"providers":[{"billed_charge":77.00,"npi":[1891028379]}]}]},{"tin":{"type":"ein","value":"270730954"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":55.00,"providers":[{"billed_charge":55.00,"npi":[1477076941]}]}]},{"tin":{"type":"ein","value":"272208011"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":71.83,"providers":[{"billed_charge":150.00,"npi":[1902124647]}]},{"allowed_amount":74.78,"providers":[{"billed_charge":150.00,"npi":[1902124647]}]}]},{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":92.36,"providers":[{"billed_charge":200.00,"npi":[1396175196]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":71.83,"providers":[{"billed_charge":115.00,"npi":[1154721272]}]},{"allowed_amount":74.78,"providers":[{"billed_charge":115.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"560554202"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.61,"providers":[{"billed_charge":100.00,"npi":[1417962150]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":26.02,"providers":[{"billed_charge":62.00,"npi":[1942526298]}]}]},{"tin":{"type":"ein","value":"820934227"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":51.31,"providers":[{"billed_charge":110.00,"npi":[1487181897]}]}]},{"tin":{"type":"ein","value":"873826903"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":62.50,"providers":[{"billed_charge":125.00,"npi":[1881352979]}]},{"allowed_amount":87.50,"providers":[{"billed_charge":125.00,"npi":[1881352979]}]}]},{"tin":{"type":"ein","value":"900036573"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":96.00,"providers":[{"billed_charge":120.00,"npi":[1770533077]}]}]}]},{"billing_code":"87635","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"SARS-COV-2 COVID-19 AMP PRB","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":87.68,"providers":[{"billed_charge":105.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"251002937"},"billing_class":"institutional","payments":[{"allowed_amount":86.59,"providers":[{"billed_charge":132.40,"npi":[1548263973]}]}]},{"tin":{"type":"ein","value":"351814660"},"billing_class":"institutional","payments":[{"allowed_amount":184.25,"providers":[{"billed_charge":213.00,"npi":[1063443455]}]}]},{"tin":{"type":"ein","value":"371119538"},"billing_class":"institutional","payments":[{"allowed_amount":167.69,"providers":[{"billed_charge":205.00,"npi":[1013071653]}]}]},{"tin":{"type":"ein","value":"540715569"},"billing_class":"institutional","payments":[{"allowed_amount":70.67,"providers":[{"billed_charge":324.00,"npi":[1912018094]}]}]},{"tin":{"type":"ein","value":"556000526"},"billing_class":"institutional","payments":[{"allowed_amount":97.07,"providers":[{"billed_charge":116.25,"npi":[1265484893]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":51.31,"providers":[{"billed_charge":235.00,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":255.00,"providers":[{"billed_charge":300.00,"npi":[1326028978]}]}]},{"tin":{"type":"ein","value":"820984034"},"billing_class":"institutional","payments":[{"allowed_amount":55.59,"providers":[{"billed_charge":450.00,"npi":[1558838607]}]}]}]},{"billing_code":"87636","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"COVID-19","description":"SARSCOV2 & INF A&B AMP PRB","allowed_amounts":[{"tin":{"type":"ein","value":"208785833"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":171.16,"providers":[{"billed_charge":175.00,"npi":[1013163914]}]}]},{"tin":{"type":"ein","value":"582366697"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":142.86,"providers":[{"billed_charge":160.00,"npi":[1922468826]}]}]}]},{"billing_code":"87636","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"SARSCOV2 & INF A&B AMP PRB","allowed_amounts":[{"tin":{"type":"ein","value":"362179813"},"billing_class":"institutional","payments":[{"allowed_amount":39.62,"providers":[{"billed_charge":171.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":52.92,"providers":[{"billed_charge":279.97,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":310.10,"providers":[{"billed_charge":443.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":110.18,"providers":[{"billed_charge":428.00,"npi":[1417958331]}]}]},{"tin":{"type":"ein","value":"841321373"},"billing_class":"institutional","payments":[{"allowed_amount":86.97,"providers":[{"billed_charge":139.15,"npi":[1659327013]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":722.00,"providers":[{"billed_charge":1000.00,"npi":[1407637531]}]}]}]},{"billing_code":"87637","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"COVID-19","description":"SARSCOV2&INF A&B&RSV AMP PRB","allowed_amounts":[{"tin":{"type":"ein","value":"562136828"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.00,"providers":[{"billed_charge":200.00,"npi":[1518971910]}]}]},{"tin":{"type":"ein","value":"832532149"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.36,"providers":[{"billed_charge":140.00,"npi":[1720557002]}]}]},{"tin":{"type":"ein","value":"842110076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.36,"providers":[{"billed_charge":275.00,"npi":[1992351910]}]}]}]},{"billing_code":"87637","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"SARSCOV2&INF A&B&RSV AMP PRB","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":216.03,"providers":[{"billed_charge":285.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"340827442"},"billing_class":"institutional","payments":[{"allowed_amount":306.27,"providers":[{"billed_charge":369.00,"npi":[1164481677]}]}]},{"tin":{"type":"ein","value":"475259919"},"billing_class":"institutional","payments":[{"allowed_amount":128.52,"providers":[{"billed_charge":189.00,"npi":[1033228168]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":89.30,"providers":[{"billed_charge":852.20,"npi":[1457719312]}]},{"allowed_amount":127.92,"providers":[{"billed_charge":595.79,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"592951990"},"billing_class":"institutional","payments":[{"allowed_amount":378.47,"providers":[{"billed_charge":540.67,"npi":[1679678486]}]}]}]},{"billing_code":"87640","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"STAPH A DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"270730954"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":38.99,"npi":[1477076941]}]}]},{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":52.64,"npi":[1396175196]}]}]},{"tin":{"type":"ein","value":"452815598"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":28.37,"providers":[{"billed_charge":60.00,"npi":[1659031433]}]}]},{"tin":{"type":"ein","value":"453194060"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":50.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"465330784"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":24.56,"providers":[{"billed_charge":60.00,"npi":[1932586427]}]},{"allowed_amount":29.44,"providers":[{"billed_charge":60.00,"npi":[1932586427]}]}]},{"tin":{"type":"ein","value":"471358089"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":42.11,"providers":[{"billed_charge":115.00,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"471691290"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":28.71,"providers":[{"billed_charge":60.00,"npi":[1235533779]}]},{"allowed_amount":35.09,"providers":[{"billed_charge":60.00,"npi":[1235533779]}]}]},{"tin":{"type":"ein","value":"830814475"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]}]},{"tin":{"type":"ein","value":"863569910"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.34,"providers":[{"billed_charge":55.00,"npi":[1851966105]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":55.00,"npi":[1851966105]}]}]},{"tin":{"type":"ein","value":"872266063"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.59,"providers":[{"billed_charge":52.65,"npi":[1376206425]}]}]},{"tin":{"type":"ein","value":"873826903"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.70,"providers":[{"billed_charge":43.86,"npi":[1881352979]}]}]},{"tin":{"type":"ein","value":"884055316"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":52.64,"npi":[1770207607]}]}]}]},{"billing_code":"87641","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"MR-STAPH DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"452815598"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.03,"providers":[{"billed_charge":105.00,"npi":[1659031433]}]}]},{"tin":{"type":"ein","value":"471358089"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":42.11,"providers":[{"billed_charge":175.00,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"830814475"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.14,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]}]},{"tin":{"type":"ein","value":"872266063"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.59,"providers":[{"billed_charge":52.65,"npi":[1376206425]}]}]},{"tin":{"type":"ein","value":"884055316"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":52.64,"npi":[1770207607]}]}]}]},{"billing_code":"87641","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"MR-STAPH DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":236.18,"providers":[{"billed_charge":241.00,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":20.02,"providers":[{"billed_charge":303.40,"npi":[1992754758]}]}]}]},{"billing_code":"87651","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"STREP A DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.31,"providers":[{"billed_charge":90.00,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":108.33,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"232919472"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":92.25,"providers":[{"billed_charge":123.00,"npi":[1881683100]}]}]},{"tin":{"type":"ein","value":"351128943"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":42.11,"providers":[{"billed_charge":103.00,"npi":[1609074921]}]}]},{"tin":{"type":"ein","value":"411939629"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.60,"providers":[{"billed_charge":59.65,"npi":[1134191836]}]}]},{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":52.64,"npi":[1396175196]}]}]},{"tin":{"type":"ein","value":"452815598"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":29.68,"providers":[{"billed_charge":60.00,"npi":[1659031433]}]}]},{"tin":{"type":"ein","value":"471358089"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":42.11,"providers":[{"billed_charge":145.00,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"471691290"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.03,"providers":[{"billed_charge":60.00,"npi":[1235533779]}]},{"allowed_amount":35.09,"providers":[{"billed_charge":60.00,"npi":[1235533779]}]}]},{"tin":{"type":"ein","value":"561463611"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":59.65,"providers":[{"billed_charge":113.00,"npi":[1437175700]}]}]},{"tin":{"type":"ein","value":"562136828"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":54.60,"providers":[{"billed_charge":78.00,"npi":[1518971910]}]}]},{"tin":{"type":"ein","value":"591198552"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.90,"providers":[{"billed_charge":88.00,"npi":[1639138480]}]},{"allowed_amount":28.77,"providers":[{"billed_charge":88.00,"npi":[1639138480]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.24,"providers":[{"billed_charge":101.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"621483206"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.60,"providers":[{"billed_charge":56.00,"npi":[1548284060]}]}]},{"tin":{"type":"ein","value":"752485366"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":78.20,"providers":[{"billed_charge":92.00,"npi":[1750369203]}]}]},{"tin":{"type":"ein","value":"830814475"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":28.91,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]}]},{"tin":{"type":"ein","value":"832532149"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":40.00,"npi":[1720557002]}]}]},{"tin":{"type":"ein","value":"872266063"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.59,"providers":[{"billed_charge":52.65,"npi":[1376206425]}]}]},{"tin":{"type":"ein","value":"873826903"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.70,"providers":[{"billed_charge":43.86,"npi":[1881352979]}]}]},{"tin":{"type":"ein","value":"884055316"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":52.64,"npi":[1770207607]}]}]}]},{"billing_code":"87651","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"STREP A DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":121.91,"providers":[{"billed_charge":146.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"390813416"},"billing_class":"institutional","payments":[{"allowed_amount":208.05,"providers":[{"billed_charge":219.00,"npi":[1376593442]}]}]},{"tin":{"type":"ein","value":"550383321"},"billing_class":"institutional","payments":[{"allowed_amount":195.70,"providers":[{"billed_charge":206.00,"npi":[1457389249]}]}]},{"tin":{"type":"ein","value":"556000526"},"billing_class":"institutional","payments":[{"allowed_amount":101.87,"providers":[{"billed_charge":122.00,"npi":[1265484893]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":368.20,"providers":[{"billed_charge":526.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"611259833"},"billing_class":"institutional","payments":[{"allowed_amount":493.63,"providers":[{"billed_charge":967.90,"npi":[1639128820]}]}]}]},{"billing_code":"87652","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"STREP A DNA QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"863569910"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":33.18,"providers":[{"billed_charge":65.00,"npi":[1851966105]}]},{"allowed_amount":37.58,"providers":[{"billed_charge":65.00,"npi":[1851966105]}]}]}]},{"billing_code":"87653","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"STREP B DNA AMP PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":52.64,"npi":[1396175196]}]}]},{"tin":{"type":"ein","value":"452815598"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":27.38,"providers":[{"billed_charge":105.00,"npi":[1659031433]}]}]},{"tin":{"type":"ein","value":"453194060"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":50.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"465330784"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":24.56,"providers":[{"billed_charge":60.00,"npi":[1932586427]}]},{"allowed_amount":29.96,"providers":[{"billed_charge":60.00,"npi":[1932586427]}]}]},{"tin":{"type":"ein","value":"471358089"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":42.11,"providers":[{"billed_charge":160.00,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"471691290"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":27.70,"providers":[{"billed_charge":60.00,"npi":[1235533779]}]},{"allowed_amount":35.09,"providers":[{"billed_charge":60.00,"npi":[1235533779]}]}]},{"tin":{"type":"ein","value":"830814475"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.25,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]}]},{"tin":{"type":"ein","value":"872266063"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.59,"providers":[{"billed_charge":52.65,"npi":[1376206425]}]}]},{"tin":{"type":"ein","value":"873826903"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.70,"providers":[{"billed_charge":43.86,"npi":[1881352979]}]}]},{"tin":{"type":"ein","value":"884055316"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":52.64,"npi":[1770207607]}]}]}]},{"billing_code":"87660","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TRICHOMONAS VAGIN DIR PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"223487984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.60,"providers":[{"billed_charge":28.00,"npi":[1942254347]}]},{"allowed_amount":28.00,"providers":[{"billed_charge":28.00,"npi":[1942254347]}]}]},{"tin":{"type":"ein","value":"853861695"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.04,"providers":[{"billed_charge":130.00,"npi":[1841878006]}]}]}]},{"billing_code":"87660","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"TRICHOMONAS VAGIN DIR PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"382589966"},"billing_class":"institutional","payments":[{"allowed_amount":84.35,"providers":[{"billed_charge":102.00,"npi":[1831132133]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":18.84,"providers":[{"billed_charge":170.13,"npi":[1578514030]}]}]}]},{"billing_code":"87661","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TRICHOMONAS VAGINALIS AMPLIF","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.73,"providers":[{"billed_charge":190.55,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"205765514"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.60,"providers":[{"billed_charge":132.00,"npi":[1528198223]}]}]},{"tin":{"type":"ein","value":"223487984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.00,"providers":[{"billed_charge":49.00,"npi":[1942254347]}]}]},{"tin":{"type":"ein","value":"364257926"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":123.86,"providers":[{"billed_charge":190.55,"npi":[1881630614]}]}]},{"tin":{"type":"ein","value":"462899487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":100.00,"npi":[1205835600]}]}]},{"tin":{"type":"ein","value":"465330784"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":24.56,"providers":[{"billed_charge":60.00,"npi":[1932586427]}]}]},{"tin":{"type":"ein","value":"471358089"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":42.11,"providers":[{"billed_charge":70.18,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":30.42,"providers":[{"billed_charge":101.00,"npi":[1245272657]}]}]},{"tin":{"type":"ein","value":"576000286"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":25.97,"providers":[{"billed_charge":35.09,"npi":[1407913874]}]}]},{"tin":{"type":"ein","value":"582422542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.50,"providers":[{"billed_charge":120.00,"npi":[1174501902]}]}]},{"tin":{"type":"ein","value":"751093698"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":24.59,"providers":[{"billed_charge":60.00,"npi":[1962481820]}]}]},{"tin":{"type":"ein","value":"823971792"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.32,"providers":[{"billed_charge":53.00,"npi":[1114435492]}]}]},{"tin":{"type":"ein","value":"830814475"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":42.11,"npi":[1174009245]}]}]},{"tin":{"type":"ein","value":"881014763"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":132.00,"npi":[1932826328]}]}]}]},{"billing_code":"87661","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"TRICHOMONAS VAGINALIS AMPLIF","allowed_amounts":[{"tin":{"type":"ein","value":"351720796"},"billing_class":"institutional","payments":[{"allowed_amount":165.05,"providers":[{"billed_charge":183.00,"npi":[1205860335]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":53.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":277.42,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"566017737"},"billing_class":"institutional","payments":[{"allowed_amount":29.64,"providers":[{"billed_charge":83.50,"npi":[1972579837]}]}]}]},{"billing_code":"87798","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"DETECT AGENT NOS DNA AMP","allowed_amounts":[{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":29.56,"providers":[{"billed_charge":266.37,"npi":[1932145778]},{"billed_charge":266.38,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"270730954"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":145.15,"providers":[{"billed_charge":195.00,"npi":[1477076941]}]},{"allowed_amount":157.90,"providers":[{"billed_charge":195.00,"npi":[1477076941]}]}]},{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":84.17,"providers":[{"billed_charge":140.28,"npi":[1396175196]}]},{"allowed_amount":410.55,"providers":[{"billed_charge":684.32,"npi":[1396175196]}]}]},{"tin":{"type":"ein","value":"453194060"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":410.54,"providers":[{"billed_charge":1200.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"465330784"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":319.32,"providers":[{"billed_charge":1140.36,"npi":[1932586427]}]}]},{"tin":{"type":"ein","value":"471358089"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":547.40,"providers":[{"billed_charge":1625.00,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"471691290"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":401.96,"providers":[{"billed_charge":780.00,"npi":[1235533779]}]},{"allowed_amount":456.17,"providers":[{"billed_charge":780.00,"npi":[1235533779]}]}]},{"tin":{"type":"ein","value":"830814475"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":366.34,"providers":[{"billed_charge":547.43,"npi":[1174009245]}]},{"allowed_amount":410.54,"providers":[{"billed_charge":547.43,"npi":[1174009245]}]}]},{"tin":{"type":"ein","value":"873826903"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":87.72,"providers":[{"billed_charge":175.44,"npi":[1881352979]}]},{"allowed_amount":337.72,"providers":[{"billed_charge":482.46,"npi":[1881352979]}]}]}]},{"billing_code":"87798","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"DETECT AGENT NOS DNA AMP","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":276.39,"providers":[{"billed_charge":331.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"550261260"},"billing_class":"institutional","payments":[{"allowed_amount":193.16,"providers":[{"billed_charge":227.25,"npi":[1629015698]}]}]},{"tin":{"type":"ein","value":"840255530"},"billing_class":"institutional","payments":[{"allowed_amount":326.40,"providers":[{"billed_charge":384.00,"npi":[1194792762]}]}]}]},{"billing_code":"87799","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"DETECT AGENT NOS DNA QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":207.10,"providers":[{"billed_charge":218.00,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"863569910"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":38.56,"providers":[{"billed_charge":55.00,"npi":[1851966105]}]},{"allowed_amount":115.68,"providers":[{"billed_charge":165.00,"npi":[1851966105]}]}]}]},{"billing_code":"87799","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"DETECT AGENT NOS DNA QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"386006309"},"billing_class":"institutional","payments":[{"allowed_amount":93.50,"providers":[{"billed_charge":110.00,"npi":[1003878539]}]}]}]},{"billing_code":"87801","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"DETECT AGNT MULT DNA AMPLI","allowed_amounts":[{"tin":{"type":"ein","value":"431580575"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":63.18,"providers":[{"billed_charge":157.92,"npi":[1396175196]},{"billed_charge":263.20,"npi":[1396175196]},{"billed_charge":842.24,"npi":[1396175196]}]},{"allowed_amount":126.36,"providers":[{"billed_charge":315.84,"npi":[1396175196]},{"billed_charge":894.88,"npi":[1396175196]},{"billed_charge":1105.44,"npi":[1396175196]}]},{"allowed_amount":189.54,"providers":[{"billed_charge":1158.08,"npi":[1396175196]},{"billed_charge":1263.36,"npi":[1396175196]}]}]},{"tin":{"type":"ein","value":"453194060"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":189.54,"providers":[{"billed_charge":300.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"576000254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.00,"providers":[{"billed_charge":45.00,"npi":[1053437301]}]}]}]},{"billing_code":"87804","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"INFLUENZA ASSAY W/OPTIC","allowed_amounts":[{"tin":{"type":"ein","value":"141973790"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":30.00,"npi":[1285735605]}]}]},{"tin":{"type":"ein","value":"202013359"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":5.15,"providers":[{"billed_charge":40.80,"npi":[1407893100]}]}]},{"tin":{"type":"ein","value":"203639329"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":35.00,"npi":[1649228966]}]}]},{"tin":{"type":"ein","value":"205392766"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.14,"providers":[{"billed_charge":38.00,"npi":[1619105244]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":82.76,"npi":[1457579617]}]},{"allowed_amount":14.90,"providers":[{"billed_charge":41.38,"npi":[1457579617]},{"billed_charge":82.76,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"261882832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.80,"providers":[{"billed_charge":48.00,"npi":[1326294414]}]}]},{"tin":{"type":"ein","value":"263750502"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":23.66,"providers":[{"billed_charge":50.00,"npi":[1891011979]}]}]},{"tin":{"type":"ein","value":"270123687"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":32.75,"providers":[{"billed_charge":40.94,"npi":[1437194156]}]}]},{"tin":{"type":"ein","value":"270851352"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":41.00,"npi":[1134452865]}]}]},{"tin":{"type":"ein","value":"271382032"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":55.00,"npi":[1720503972]}]}]},{"tin":{"type":"ein","value":"271467095"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.90,"providers":[{"billed_charge":50.00,"npi":[1326364100]}]}]},{"tin":{"type":"ein","value":"272208011"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":67.00,"npi":[1902124647]}]},{"allowed_amount":14.90,"providers":[{"billed_charge":67.00,"npi":[1902124647]}]}]},{"tin":{"type":"ein","value":"273698244"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":12.50,"providers":[{"billed_charge":25.00,"npi":[1811297070]}]}]},{"tin":{"type":"ein","value":"300994598"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.90,"providers":[{"billed_charge":33.00,"npi":[1205350584]},{"billed_charge":34.00,"npi":[1205350584]}]}]},{"tin":{"type":"ein","value":"453123110"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":50.00,"npi":[1215219878]}]},{"allowed_amount":14.90,"providers":[{"billed_charge":50.00,"npi":[1215219878]}]}]},{"tin":{"type":"ein","value":"453191160"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":46.01,"providers":[{"billed_charge":46.55,"npi":[1235411547]}]}]},{"tin":{"type":"ein","value":"454639427"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":30.00,"npi":[1225383243]}]}]},{"tin":{"type":"ein","value":"465246139"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.90,"providers":[{"billed_charge":35.00,"npi":[1285064972]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":32.00,"npi":[1154721272]}]},{"allowed_amount":14.90,"providers":[{"billed_charge":32.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"472221436"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.17,"providers":[{"billed_charge":49.00,"npi":[1013313857]}]}]},{"tin":{"type":"ein","value":"474459800"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.90,"providers":[{"billed_charge":47.00,"npi":[1912381203]}]}]},{"tin":{"type":"ein","value":"541217184"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":34.00,"npi":[1265485270]}]}]},{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.90,"providers":[{"billed_charge":50.00,"npi":[1144655903]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":82.76,"npi":[1356345920]}]},{"allowed_amount":14.90,"providers":[{"billed_charge":41.38,"npi":[1356345920]},{"billed_charge":82.76,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"561826996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":60.00,"npi":[1467449728]}]}]},{"tin":{"type":"ein","value":"561908886"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.90,"providers":[{"billed_charge":55.00,"npi":[1326074592]}]}]},{"tin":{"type":"ein","value":"562197985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":70.00,"npi":[1952579807]}]}]},{"tin":{"type":"ein","value":"581335405"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.89,"providers":[{"billed_charge":25.00,"npi":[1063436624]}]}]},{"tin":{"type":"ein","value":"581413626"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":35.00,"npi":[1063594430]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":116.00,"providers":[{"billed_charge":116.00,"npi":[1689610149]}]}]},{"tin":{"type":"ein","value":"582409645"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.00,"providers":[{"billed_charge":50.00,"npi":[1477638575]}]}]},{"tin":{"type":"ein","value":"591741277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.79,"providers":[{"billed_charge":40.00,"npi":[1609827211]}]}]},{"tin":{"type":"ein","value":"591961248"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.00,"providers":[{"billed_charge":35.00,"npi":[1699809236]}]}]},{"tin":{"type":"ein","value":"593209688"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":34.30,"providers":[{"billed_charge":49.00,"npi":[1073565610]}]}]},{"tin":{"type":"ein","value":"626021046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.73,"providers":[{"billed_charge":39.00,"npi":[1568570273]}]},{"allowed_amount":29.46,"providers":[{"billed_charge":78.00,"npi":[1568570273]}]}]},{"tin":{"type":"ein","value":"630897654"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.00,"providers":[{"billed_charge":33.00,"npi":[1083772560]}]}]},{"tin":{"type":"ein","value":"631274310"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.41,"providers":[{"billed_charge":76.00,"npi":[1689689481]}]}]},{"tin":{"type":"ein","value":"753028076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.00,"providers":[{"billed_charge":70.00,"npi":[1396955431]}]}]},{"tin":{"type":"ein","value":"812838296"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":26.00,"npi":[1669825162]}]}]},{"tin":{"type":"ein","value":"822146009"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.78,"providers":[{"billed_charge":40.00,"npi":[1386163822]}]}]},{"tin":{"type":"ein","value":"822446908"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":42.00,"npi":[1700397304]}]}]},{"tin":{"type":"ein","value":"833107705"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.50,"providers":[{"billed_charge":25.00,"npi":[1003380759]}]}]},{"tin":{"type":"ein","value":"842154457"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":29.00,"npi":[1770135808]}]},{"allowed_amount":14.90,"providers":[{"billed_charge":29.00,"npi":[1770135808]}]}]},{"tin":{"type":"ein","value":"851136657"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":12.91,"providers":[{"billed_charge":30.00,"npi":[1275146045]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":35.00,"npi":[1144803040]}]},{"allowed_amount":14.90,"providers":[{"billed_charge":35.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"871690090"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":50.00,"npi":[1346913415]}]}]},{"tin":{"type":"ein","value":"881926722"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.90,"providers":[{"billed_charge":25.00,"npi":[1063159630]}]}]},{"tin":{"type":"ein","value":"900036573"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":25.49,"providers":[{"billed_charge":40.00,"npi":[1770533077]}]}]},{"tin":{"type":"ein","value":"933254155"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":34.00,"npi":[1861274169]}]}]},{"tin":{"type":"ein","value":"934104475"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":50.00,"npi":[1629841788]}]},{"allowed_amount":14.90,"providers":[{"billed_charge":50.00,"npi":[1629841788]}]}]}]},{"billing_code":"87804","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"INFLUENZA ASSAY W/OPTIC","allowed_amounts":[{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":65.07,"providers":[{"billed_charge":246.25,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":47.60,"providers":[{"billed_charge":56.00,"npi":[1326028978]}]}]}]},{"billing_code":"87807","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"RSV ASSAY W/OPTIC","allowed_amounts":[{"tin":{"type":"ein","value":"454965405"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":30.00,"npi":[1447508478]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":11.79,"providers":[{"billed_charge":37.00,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"581435386"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.00,"providers":[{"billed_charge":47.00,"npi":[1407894165]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.10,"providers":[{"billed_charge":46.00,"npi":[1689610149]}]}]},{"tin":{"type":"ein","value":"591741277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.79,"providers":[{"billed_charge":60.00,"npi":[1609827211]}]}]},{"tin":{"type":"ein","value":"822146009"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.79,"providers":[{"billed_charge":18.00,"npi":[1386163822]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":11.79,"providers":[{"billed_charge":45.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"871690090"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":11.79,"providers":[{"billed_charge":45.00,"npi":[1346913415]}]}]}]},{"billing_code":"87809","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ADENOVIRUS ASSAY W/OPTIC","allowed_amounts":[{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":19.58,"providers":[{"billed_charge":45.00,"npi":[1144803040]}]}]}]},{"billing_code":"87811","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"COVID-19","description":"SARS-COV-2 COVID19 W/OPTIC","allowed_amounts":[{"tin":{"type":"ein","value":"202013359"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":40.90,"providers":[{"billed_charge":324.00,"npi":[1407893100]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":250.00,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"261882832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.38,"providers":[{"billed_charge":80.00,"npi":[1326294414]}]}]},{"tin":{"type":"ein","value":"263750502"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":56.00,"providers":[{"billed_charge":80.00,"npi":[1891011979]}]}]},{"tin":{"type":"ein","value":"270123687"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":100.00,"npi":[1437194156]}]}]},{"tin":{"type":"ein","value":"270851352"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.38,"providers":[{"billed_charge":103.00,"npi":[1134452865]}]}]},{"tin":{"type":"ein","value":"271467095"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":192.00,"npi":[1326364100]}]}]},{"tin":{"type":"ein","value":"453123110"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":80.00,"npi":[1215219878]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":115.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":58.00,"npi":[1144655903]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":250.00,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"561826996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.00,"providers":[{"billed_charge":52.00,"npi":[1467449728]}]}]},{"tin":{"type":"ein","value":"561908886"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":50.00,"npi":[1326074592]}]}]},{"tin":{"type":"ein","value":"562197985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":125.00,"npi":[1952579807]}]}]},{"tin":{"type":"ein","value":"591741277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.60,"providers":[{"billed_charge":6.00,"npi":[1609827211]}]}]},{"tin":{"type":"ein","value":"626021046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.38,"providers":[{"billed_charge":62.00,"npi":[1568570273]}]}]},{"tin":{"type":"ein","value":"630897654"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.75,"providers":[{"billed_charge":35.00,"npi":[1083772560]}]}]},{"tin":{"type":"ein","value":"753028076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":100.00,"npi":[1396955431]}]}]},{"tin":{"type":"ein","value":"812838296"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":65.00,"npi":[1669825162]}]},{"allowed_amount":41.38,"providers":[{"billed_charge":65.00,"npi":[1669825162]}]}]},{"tin":{"type":"ein","value":"820687318"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.38,"providers":[{"billed_charge":83.00,"npi":[1033649868]}]}]},{"tin":{"type":"ein","value":"822146009"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":55.00,"npi":[1386163822]}]}]},{"tin":{"type":"ein","value":"842154457"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":150.00,"npi":[1770135808]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":70.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"871690090"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":130.00,"npi":[1346913415]}]}]},{"tin":{"type":"ein","value":"872642408"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":41.38,"providers":[{"billed_charge":325.00,"npi":[1154089241]}]}]},{"tin":{"type":"ein","value":"881926722"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":124.00,"npi":[1063159630]}]}]},{"tin":{"type":"ein","value":"883046892"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":90.00,"npi":[1508592114]}]}]},{"tin":{"type":"ein","value":"933254155"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":83.00,"npi":[1861274169]}]}]},{"tin":{"type":"ein","value":"934104475"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":324.00,"npi":[1629841788]}]}]}]},{"billing_code":"87880","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"STREP A ASSAY W/OPTIC","allowed_amounts":[{"tin":{"type":"ein","value":"043397450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.94,"providers":[{"billed_charge":49.00,"npi":[1871639914]}]}]},{"tin":{"type":"ein","value":"133884168"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":22.61,"providers":[{"billed_charge":65.00,"npi":[1881653822]}]}]},{"tin":{"type":"ein","value":"202998046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.31,"providers":[{"billed_charge":32.00,"npi":[1770782450]}]},{"allowed_amount":14.87,"providers":[{"billed_charge":32.00,"npi":[1770782450]}]},{"allowed_amount":14.88,"providers":[{"billed_charge":32.00,"npi":[1770782450]}]}]},{"tin":{"type":"ein","value":"202999870"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.88,"providers":[{"billed_charge":61.00,"npi":[1629022868]}]}]},{"tin":{"type":"ein","value":"203348922"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.18,"providers":[{"billed_charge":35.00,"npi":[1457323164]}]}]},{"tin":{"type":"ein","value":"203639329"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":35.00,"npi":[1649228966]}]}]},{"tin":{"type":"ein","value":"205064238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":32.51,"providers":[{"billed_charge":34.00,"npi":[1790875037]}]}]},{"tin":{"type":"ein","value":"208785833"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":19.84,"providers":[{"billed_charge":35.00,"npi":[1013163914]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":41.33,"npi":[1457579617]}]},{"allowed_amount":14.88,"providers":[{"billed_charge":41.33,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"236291113"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":154.70,"providers":[{"billed_charge":182.00,"npi":[1164716643]}]}]},{"tin":{"type":"ein","value":"250965591"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":30.00,"npi":[1396147823]}]}]},{"tin":{"type":"ein","value":"263717616"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":33.00,"npi":[1245475771]}]}]},{"tin":{"type":"ein","value":"263750502"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":23.66,"providers":[{"billed_charge":50.00,"npi":[1891011979]}]}]},{"tin":{"type":"ein","value":"270123687"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":54.40,"providers":[{"billed_charge":68.00,"npi":[1437194156]}]}]},{"tin":{"type":"ein","value":"270851352"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.01,"providers":[{"billed_charge":41.00,"npi":[1134452865]}]}]},{"tin":{"type":"ein","value":"271467095"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.88,"providers":[{"billed_charge":62.00,"npi":[1326364100]}]}]},{"tin":{"type":"ein","value":"273698244"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":25.00,"providers":[{"billed_charge":50.00,"npi":[1811297070]}]}]},{"tin":{"type":"ein","value":"453123110"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":50.00,"npi":[1215219878]}]},{"allowed_amount":14.88,"providers":[{"billed_charge":50.00,"npi":[1215219878]}]}]},{"tin":{"type":"ein","value":"453191160"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":44.45,"providers":[{"billed_charge":47.00,"npi":[1235411547]}]},{"allowed_amount":46.01,"providers":[{"billed_charge":47.00,"npi":[1235411547]}]},{"allowed_amount":47.00,"providers":[{"billed_charge":47.00,"npi":[1235411547]}]}]},{"tin":{"type":"ein","value":"454639427"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":30.00,"npi":[1225383243]}]},{"allowed_amount":24.00,"providers":[{"billed_charge":30.00,"npi":[1225383243]}]}]},{"tin":{"type":"ein","value":"465246139"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.88,"providers":[{"billed_charge":35.00,"npi":[1285064972]}]},{"allowed_amount":17.50,"providers":[{"billed_charge":35.00,"npi":[1285064972]}]}]},{"tin":{"type":"ein","value":"465562958"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":30.00,"npi":[1053729814]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":32.00,"npi":[1154721272]}]},{"allowed_amount":14.88,"providers":[{"billed_charge":32.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"471758444"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.88,"providers":[{"billed_charge":32.00,"npi":[1679970891]}]}]},{"tin":{"type":"ein","value":"472146421"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.07,"providers":[{"billed_charge":18.76,"npi":[1871343053]}]}]},{"tin":{"type":"ein","value":"474123699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.00,"providers":[{"billed_charge":20.00,"npi":[1245614049]}]}]},{"tin":{"type":"ein","value":"474413635"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.88,"providers":[{"billed_charge":27.00,"npi":[1225491426]}]}]},{"tin":{"type":"ein","value":"474459800"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.88,"providers":[{"billed_charge":85.00,"npi":[1912381203]}]}]},{"tin":{"type":"ein","value":"540505977"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.88,"providers":[{"billed_charge":28.00,"npi":[1942540208]}]}]},{"tin":{"type":"ein","value":"541217184"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":34.00,"npi":[1265485270]}]},{"allowed_amount":14.88,"providers":[{"billed_charge":34.00,"npi":[1265485270]}]}]},{"tin":{"type":"ein","value":"561175704"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":20.00,"npi":[1477510659]}]},{"allowed_amount":14.88,"providers":[{"billed_charge":20.00,"npi":[1477510659]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":41.33,"npi":[1356345920]}]},{"allowed_amount":14.88,"providers":[{"billed_charge":41.33,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.00,"providers":[{"billed_charge":56.00,"npi":[1194904706]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":62.00,"npi":[1639366214]}]}]},{"tin":{"type":"ein","value":"562197985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":55.00,"npi":[1952579807]}]}]},{"tin":{"type":"ein","value":"576000254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.88,"providers":[{"billed_charge":44.00,"npi":[1053437301]}]}]},{"tin":{"type":"ein","value":"576001153"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.88,"providers":[{"billed_charge":21.00,"npi":[1740293422]}]}]},{"tin":{"type":"ein","value":"581335405"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.87,"providers":[{"billed_charge":17.00,"npi":[1063436624]}]}]},{"tin":{"type":"ein","value":"581435386"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.00,"providers":[{"billed_charge":46.00,"npi":[1407894165]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.50,"providers":[{"billed_charge":58.00,"npi":[1689610149]}]}]},{"tin":{"type":"ein","value":"582069754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":65.00,"npi":[1316973472]}]}]},{"tin":{"type":"ein","value":"582409645"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":40.00,"npi":[1477638575]}]}]},{"tin":{"type":"ein","value":"582566360"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.00,"providers":[{"billed_charge":74.00,"npi":[1073885828]}]}]},{"tin":{"type":"ein","value":"591961248"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.80,"providers":[{"billed_charge":13.00,"npi":[1699809236]}]}]},{"tin":{"type":"ein","value":"593209688"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":34.30,"providers":[{"billed_charge":49.00,"npi":[1073565610]}]}]},{"tin":{"type":"ein","value":"593405327"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.17,"providers":[{"billed_charge":25.00,"npi":[1609965441]}]}]},{"tin":{"type":"ein","value":"593514857"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.00,"providers":[{"billed_charge":46.00,"npi":[1275575888]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.53,"providers":[{"billed_charge":55.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"620475697"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.40,"providers":[{"billed_charge":25.00,"npi":[1801121074]}]}]},{"tin":{"type":"ein","value":"630825248"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.16,"providers":[{"billed_charge":25.00,"npi":[1669429080]}]}]},{"tin":{"type":"ein","value":"636001138"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.18,"providers":[{"billed_charge":30.00,"npi":[1467599399]}]}]},{"tin":{"type":"ein","value":"721567745"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":19.84,"providers":[{"billed_charge":50.83,"npi":[1982786620]}]}]},{"tin":{"type":"ein","value":"741159753"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":25.00,"npi":[1942237466]}]}]},{"tin":{"type":"ein","value":"752424925"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":16.55,"providers":[{"billed_charge":25.00,"npi":[1548231046]}]}]},{"tin":{"type":"ein","value":"752947630"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.80,"providers":[{"billed_charge":50.00,"npi":[1710006598]}]}]},{"tin":{"type":"ein","value":"800107731"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.30,"providers":[{"billed_charge":45.00,"npi":[1205885035]}]}]},{"tin":{"type":"ein","value":"800966359"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.88,"providers":[{"billed_charge":25.00,"npi":[1932521010]}]}]},{"tin":{"type":"ein","value":"812838296"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":60.00,"npi":[1669825162]}]}]},{"tin":{"type":"ein","value":"813425340"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":46.00,"npi":[1194277186]}]},{"allowed_amount":14.88,"providers":[{"billed_charge":46.00,"npi":[1194277186]}]}]},{"tin":{"type":"ein","value":"814632899"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":50.00,"npi":[1093248288]}]},{"allowed_amount":14.88,"providers":[{"billed_charge":50.00,"npi":[1093248288]}]}]},{"tin":{"type":"ein","value":"820687318"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.57,"providers":[{"billed_charge":33.00,"npi":[1033649868]}]}]},{"tin":{"type":"ein","value":"822146009"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":20.00,"npi":[1386163822]}]}]},{"tin":{"type":"ein","value":"822146009"},"billing_class":"professional","service_code":["11","20"],"payments":[{"allowed_amount":14.88,"providers":[{"billed_charge":20.00,"npi":[1386163822]},{"billed_charge":20.00,"npi":[1386163822]}]}]},{"tin":{"type":"ein","value":"830230892"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":31.00,"npi":[1487818605]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":50.00,"npi":[1932679446]}]},{"allowed_amount":14.88,"providers":[{"billed_charge":50.00,"npi":[1932679446]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":28.00,"npi":[1609342815]}]},{"allowed_amount":14.88,"providers":[{"billed_charge":28.00,"npi":[1609342815]}]}]},{"tin":{"type":"ein","value":"833107705"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.20,"providers":[{"billed_charge":30.00,"npi":[1003380759]}]}]},{"tin":{"type":"ein","value":"842154457"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":29.00,"npi":[1770135808]}]},{"allowed_amount":14.88,"providers":[{"billed_charge":29.00,"npi":[1770135808]}]}]},{"tin":{"type":"ein","value":"846000545"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.40,"providers":[{"billed_charge":35.00,"npi":[1528156437]}]}]},{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":35.00,"npi":[1255950325]}]},{"allowed_amount":14.88,"providers":[{"billed_charge":35.00,"npi":[1255950325]}]}]},{"tin":{"type":"ein","value":"851136657"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":12.89,"providers":[{"billed_charge":50.00,"npi":[1275146045]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":43.00,"npi":[1144803040]}]},{"allowed_amount":14.88,"providers":[{"billed_charge":43.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.71,"providers":[{"billed_charge":36.00,"npi":[1124102595]}]}]},{"tin":{"type":"ein","value":"871690090"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":50.00,"npi":[1346913415]}]}]},{"tin":{"type":"ein","value":"873542162"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":17.00,"providers":[{"billed_charge":34.00,"npi":[1437860889]}]}]},{"tin":{"type":"ein","value":"933254155"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":34.00,"npi":[1861274169]}]}]},{"tin":{"type":"ein","value":"934104475"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.87,"providers":[{"billed_charge":50.00,"npi":[1629841788]}]}]},{"tin":{"type":"ein","value":"990909070"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.63,"providers":[{"billed_charge":42.00,"npi":[1144084856]}]}]}]},{"billing_code":"87880","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"STREP A ASSAY W/OPTIC","allowed_amounts":[{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":49.41,"providers":[{"billed_charge":187.00,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"540715569"},"billing_class":"institutional","payments":[{"allowed_amount":46.14,"providers":[{"billed_charge":159.00,"npi":[1770693939]}]}]},{"tin":{"type":"ein","value":"626002604"},"billing_class":"institutional","payments":[{"allowed_amount":53.64,"providers":[{"billed_charge":248.00,"npi":[1760476659]}]},{"allowed_amount":63.69,"providers":[{"billed_charge":248.00,"npi":[1760476659]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":58.50,"providers":[{"billed_charge":78.00,"npi":[1154435824]}]}]}]},{"billing_code":"87900","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"PHENOTYPE INFECT AGENT DRUG","allowed_amounts":[{"tin":{"type":"ein","value":"863569910"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":117.31,"providers":[{"billed_charge":200.00,"npi":[1851966105]}]},{"allowed_amount":117.32,"providers":[{"billed_charge":200.00,"npi":[1851966105]}]}]}]},{"billing_code":"87905","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"SIALIDASE ENZYME ASSAY","allowed_amounts":[{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":11.00,"providers":[{"billed_charge":37.70,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":11.00,"providers":[{"billed_charge":37.70,"npi":[1356345920]}]}]}]},{"billing_code":"88108","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CYTOPATH CONCENTRATE TECH","allowed_amounts":[{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":147.60,"providers":[{"billed_charge":164.00,"npi":[1306335088]}]}]}]},{"billing_code":"88108","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CYTOPATH CONCENTRATE TECH","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":531.16,"providers":[{"billed_charge":542.00,"npi":[1548212988]}]}]}]},{"billing_code":"88112","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CYTOPATH CELL ENHANCE TECH","allowed_amounts":[{"tin":{"type":"ein","value":"208473531"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":59.08,"providers":[{"billed_charge":352.92,"npi":[1427273598]}]},{"allowed_amount":70.33,"providers":[{"billed_charge":352.92,"npi":[1427273598]}]}]}]},{"billing_code":"88112","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CYTOPATH CELL ENHANCE TECH","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":100.45,"providers":[{"billed_charge":574.88,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"311322863"},"billing_class":"institutional","payments":[{"allowed_amount":171.81,"providers":[{"billed_charge":207.00,"npi":[1124127683]}]}]}]},{"billing_code":"88120","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CYTP URNE 3-5 PROBES EA SPEC","allowed_amounts":[{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":280.41,"providers":[{"billed_charge":858.00,"npi":[1003245317]}]}]}]},{"billing_code":"88141","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CYTOPATH C/V INTERPRET","allowed_amounts":[{"tin":{"type":"ein","value":"223487984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.00,"providers":[{"billed_charge":109.00,"npi":[1942254347]}]}]},{"tin":{"type":"ein","value":"382084239"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":18.00,"providers":[{"billed_charge":81.08,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"462899487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":19.56,"providers":[{"billed_charge":80.00,"npi":[1205835600]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":21.32,"providers":[{"billed_charge":101.97,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"592099699"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":34.45,"providers":[{"billed_charge":65.00,"npi":[1417960626]}]}]},{"tin":{"type":"ein","value":"621695507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":19.70,"providers":[{"billed_charge":71.99,"npi":[1003863580]}]}]},{"tin":{"type":"ein","value":"840690326"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.31,"providers":[{"billed_charge":60.00,"npi":[1205897220]}]}]},{"tin":{"type":"ein","value":"870292280"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":78.00,"npi":[1760679443]}]}]}]},{"billing_code":"88141","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CYTOPATH C/V INTERPRET","allowed_amounts":[{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":33.31,"providers":[{"billed_charge":164.51,"npi":[1578514030]}]}]}]},{"billing_code":"88142","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CYTOPATH C/V THIN LAYER","allowed_amounts":[{"tin":{"type":"ein","value":"310917085"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.70,"providers":[{"billed_charge":123.00,"npi":[1508817248]}]}]},{"tin":{"type":"ein","value":"576000286"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.84,"providers":[{"billed_charge":21.40,"npi":[1407913874]}]}]}]},{"billing_code":"88142","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CYTOPATH C/V THIN LAYER","allowed_amounts":[{"tin":{"type":"ein","value":"391370626"},"billing_class":"institutional","payments":[{"allowed_amount":120.60,"providers":[{"billed_charge":134.00,"npi":[1831279793]}]}]},{"tin":{"type":"ein","value":"546001796"},"billing_class":"institutional","payments":[{"allowed_amount":17.68,"providers":[{"billed_charge":160.00,"npi":[1780630608]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":38.82,"providers":[{"billed_charge":191.68,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":34.39,"providers":[{"billed_charge":157.10,"npi":[1043270564]}]},{"allowed_amount":109.97,"providers":[{"billed_charge":157.10,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":15.54,"providers":[{"billed_charge":112.00,"npi":[1144211301]}]}]},{"tin":{"type":"ein","value":"911858433"},"billing_class":"institutional","payments":[{"allowed_amount":49.93,"providers":[{"billed_charge":55.47,"npi":[1356307581]}]}]}]},{"billing_code":"88172","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CYTP DX EVAL FNA 1ST EA SITE","allowed_amounts":[{"tin":{"type":"ein","value":"204881619"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":50.40,"providers":[{"billed_charge":84.00,"npi":[1669499414]}]}]}]},{"billing_code":"88172","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CYTP DX EVAL FNA 1ST EA SITE","allowed_amounts":[{"tin":{"type":"ein","value":"264827222"},"billing_class":"institutional","payments":[{"allowed_amount":134.46,"providers":[{"billed_charge":162.00,"npi":[1609189604]}]}]}]},{"billing_code":"88173","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CYTOPATH EVAL FNA REPORT","allowed_amounts":[{"tin":{"type":"ein","value":"204881619"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":119.35,"providers":[{"billed_charge":200.00,"npi":[1669499414]}]}]},{"tin":{"type":"ein","value":"205455398"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":82.96,"providers":[{"billed_charge":490.00,"npi":[1134438427]}]}]},{"tin":{"type":"ein","value":"320098824"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":111.68,"providers":[{"billed_charge":375.00,"npi":[1205834769]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":78.37,"providers":[{"billed_charge":380.10,"npi":[1992754758]}]}]}]},{"billing_code":"88173","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CYTOPATH EVAL FNA REPORT","allowed_amounts":[{"tin":{"type":"ein","value":"264827222"},"billing_class":"institutional","payments":[{"allowed_amount":190.90,"providers":[{"billed_charge":230.00,"npi":[1609189604]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":63.41,"providers":[{"billed_charge":299.85,"npi":[1992754758]}]}]}]},{"billing_code":"88175","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CYTOPATH C/V AUTO FLUID REDO","allowed_amounts":[{"tin":{"type":"ein","value":"043248020"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.25,"providers":[{"billed_charge":125.46,"npi":[1952347791]}]}]},{"tin":{"type":"ein","value":"043397450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.37,"providers":[{"billed_charge":106.00,"npi":[1871639914]}]}]},{"tin":{"type":"ein","value":"133757370"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.61,"providers":[{"billed_charge":129.95,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"161387862"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.25,"providers":[{"billed_charge":120.63,"npi":[1932145778]}]}]},{"tin":{"type":"ein","value":"205765514"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.00,"providers":[{"billed_charge":70.00,"npi":[1528198223]}]}]},{"tin":{"type":"ein","value":"223487984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.95,"providers":[{"billed_charge":105.00,"npi":[1942254347]}]}]},{"tin":{"type":"ein","value":"462899487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":23.95,"providers":[{"billed_charge":75.00,"npi":[1205835600]}]},{"allowed_amount":29.20,"providers":[{"billed_charge":75.00,"npi":[1205835600]}]}]},{"tin":{"type":"ein","value":"541120844"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":23.95,"providers":[{"billed_charge":55.00,"npi":[1598863821]}]}]},{"tin":{"type":"ein","value":"582483738"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.36,"providers":[{"billed_charge":80.00,"npi":[1356560569]}]}]},{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":23.94,"providers":[{"billed_charge":125.00,"npi":[1497797088]}]},{"allowed_amount":26.40,"providers":[{"billed_charge":33.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"592099699"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":26.50,"providers":[{"billed_charge":50.00,"npi":[1417960626]}]}]},{"tin":{"type":"ein","value":"621695507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":23.95,"providers":[{"billed_charge":94.00,"npi":[1003863580]}]}]},{"tin":{"type":"ein","value":"731085650"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.25,"providers":[{"billed_charge":58.54,"npi":[1750314076]}]}]},{"tin":{"type":"ein","value":"751093698"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":27.00,"providers":[{"billed_charge":85.00,"npi":[1962481820]}]}]},{"tin":{"type":"ein","value":"840690326"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.78,"providers":[{"billed_charge":107.00,"npi":[1205897220]}]}]},{"tin":{"type":"ein","value":"870292280"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.55,"providers":[{"billed_charge":134.00,"npi":[1760679443]}]}]},{"tin":{"type":"ein","value":"881014763"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.94,"providers":[{"billed_charge":80.00,"npi":[1932826328]}]}]},{"tin":{"type":"ein","value":"910845805"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.01,"providers":[{"billed_charge":59.00,"npi":[1326086745]}]}]}]},{"billing_code":"88175","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"CYTOPATH C/V AUTO FLUID REDO","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":120.75,"providers":[{"billed_charge":161.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":27.67,"providers":[{"billed_charge":257.64,"npi":[1750333282]}]},{"allowed_amount":40.69,"providers":[{"billed_charge":281.62,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":26.38,"providers":[{"billed_charge":116.00,"npi":[1477591055]}]}]}]},{"billing_code":"88182","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CELL MARKER STUDY","allowed_amounts":[{"tin":{"type":"ein","value":"362181973"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":156.33,"providers":[{"billed_charge":195.10,"npi":[1073622254]}]}]}]},{"billing_code":"88184","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"FLOWCYTOMETRY/ TC 1 MARKER","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":99.94,"providers":[{"billed_charge":440.40,"npi":[1245494517]}]},{"allowed_amount":101.60,"providers":[{"billed_charge":440.40,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"262679473"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":105.00,"providers":[{"billed_charge":140.00,"npi":[1003078403]}]}]},{"tin":{"type":"ein","value":"274971159"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":62.29,"providers":[{"billed_charge":462.80,"npi":[1336480862]}]}]},{"tin":{"type":"ein","value":"362181973"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":77.77,"providers":[{"billed_charge":136.11,"npi":[1073622254]}]}]},{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":34.02,"providers":[{"billed_charge":119.00,"npi":[1447437355,1396408829]}]},{"allowed_amount":74.73,"providers":[{"billed_charge":119.00,"npi":[1447437355]}]}]},{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.45,"providers":[{"billed_charge":117.00,"npi":[1811955917]}]}]},{"tin":{"type":"ein","value":"650819138"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":47.93,"providers":[{"billed_charge":143.00,"npi":[1194797993]}]}]},{"tin":{"type":"ein","value":"830653027"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":82.04,"providers":[{"billed_charge":200.00,"npi":[1639642564]}]}]}]},{"billing_code":"88184","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"FLOWCYTOMETRY/ TC 1 MARKER","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":155.39,"providers":[{"billed_charge":205.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":226.34,"providers":[{"billed_charge":1828.18,"npi":[1083669030]}]},{"allowed_amount":253.09,"providers":[{"billed_charge":1828.18,"npi":[1083669030]}]}]}]},{"billing_code":"88185","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"FLOWCYTOMETRY/TC ADD-ON","allowed_amounts":[{"tin":{"type":"ein","value":"262679473"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":80.00,"npi":[1003078403]}]}]},{"tin":{"type":"ein","value":"274971159"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":438.57,"providers":[{"billed_charge":6189.70,"npi":[1336480862]}]}]},{"tin":{"type":"ein","value":"362181973"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":197.97,"providers":[{"billed_charge":555.80,"npi":[1073622254]}]}]},{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":656.88,"providers":[{"billed_charge":1610.00,"npi":[1447437355]}]},{"allowed_amount":787.29,"providers":[{"billed_charge":1610.00,"npi":[1447437355,1396408829]}]}]},{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1094.80,"providers":[{"billed_charge":1288.00,"npi":[1811955917]}]}]},{"tin":{"type":"ein","value":"650819138"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":827.95,"providers":[{"billed_charge":2175.00,"npi":[1194797993]}]}]},{"tin":{"type":"ein","value":"830653027"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":49.96,"providers":[{"billed_charge":400.00,"npi":[1639642564]}]}]}]},{"billing_code":"88185","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"FLOWCYTOMETRY/TC ADD-ON","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":1050.59,"providers":[{"billed_charge":1386.00,"npi":[1679525919]}]}]}]},{"billing_code":"88189","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"FLOWCYTOMETRY/READ 16 & >","allowed_amounts":[{"tin":{"type":"ein","value":"274971159"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":76.00,"providers":[{"billed_charge":506.40,"npi":[1336480862]}]}]},{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":43.91,"providers":[{"billed_charge":153.00,"npi":[1396408829]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":225.90,"providers":[{"billed_charge":251.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.80,"providers":[{"billed_charge":128.00,"npi":[1811955917]}]}]},{"tin":{"type":"ein","value":"650819138"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":68.78,"providers":[{"billed_charge":330.50,"npi":[1194797993]}]}]},{"tin":{"type":"ein","value":"760273984"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":361.09,"providers":[{"billed_charge":2177.00,"npi":[1073574810]}]}]}]},{"billing_code":"88237","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TISSUE CULTURE BONE MARROW","allowed_amounts":[{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":142.80,"providers":[{"billed_charge":238.00,"npi":[1396408829]},{"billed_charge":238.00,"npi":[1447437355,1396408829]}]}]},{"tin":{"type":"ein","value":"650819138"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":155.58,"providers":[{"billed_charge":370.00,"npi":[1194797993]}]}]}]},{"billing_code":"88264","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CHROMOSOME ANALYSIS 20-25","allowed_amounts":[{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":121.91,"providers":[{"billed_charge":223.00,"npi":[1003245317]}]}]},{"tin":{"type":"ein","value":"650819138"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":153.54,"providers":[{"billed_charge":434.00,"npi":[1194797993]}]}]}]},{"billing_code":"88275","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CYTOGENETICS 100-300","allowed_amounts":[{"tin":{"type":"ein","value":"650819138"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":445.23,"providers":[{"billed_charge":4135.50,"npi":[1194797993]}]}]}]},{"billing_code":"88291","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"CYTO/MOLECULAR REPORT","allowed_amounts":[{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.92,"providers":[{"billed_charge":56.00,"npi":[1740240753]}]}]}]},{"billing_code":"88300","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"SURGICAL PATH GROSS","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":4.23,"providers":[{"billed_charge":15.52,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"562164799"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":4.23,"providers":[{"billed_charge":35.00,"npi":[1386600054]}]}]}]},{"billing_code":"88300","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"SURGICAL PATH GROSS","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":45.88,"providers":[{"billed_charge":188.80,"npi":[1750333282]}]},{"allowed_amount":47.07,"providers":[{"billed_charge":188.80,"npi":[1750333282]}]}]}]},{"billing_code":"88304","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TISSUE EXAM BY PATHOLOGIST","allowed_amounts":[{"tin":{"type":"ein","value":"043452130"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":29.55,"providers":[{"billed_charge":233.00,"npi":[1477522910]}]}]},{"tin":{"type":"ein","value":"202879668"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":22.37,"providers":[{"billed_charge":119.00,"npi":[1215942933]}]}]},{"tin":{"type":"ein","value":"251210292"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":93.75,"providers":[{"billed_charge":125.00,"npi":[1013919331]}]}]},{"tin":{"type":"ein","value":"341192978"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":49.81,"providers":[{"billed_charge":95.00,"npi":[1336128164]}]}]},{"tin":{"type":"ein","value":"571122647"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":10.81,"providers":[{"billed_charge":150.00,"npi":[1831151976]}]}]},{"tin":{"type":"ein","value":"581749078"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":42.36,"providers":[{"billed_charge":240.00,"npi":[1942239637]}]}]},{"tin":{"type":"ein","value":"610714497"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":14.71,"providers":[{"billed_charge":95.00,"npi":[1336148683]}]}]},{"tin":{"type":"ein","value":"621436754"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":47.35,"providers":[{"billed_charge":80.24,"npi":[1073585774]}]}]},{"tin":{"type":"ein","value":"650120269"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.73,"providers":[{"billed_charge":101.00,"npi":[1760456172]}]}]},{"tin":{"type":"ein","value":"650641688"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":57.75,"providers":[{"billed_charge":77.00,"npi":[1952381477]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":10.81,"providers":[{"billed_charge":192.00,"npi":[1942526298]}]}]},{"tin":{"type":"ein","value":"823541643"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.65,"providers":[{"billed_charge":112.60,"npi":[1487168258]}]}]},{"tin":{"type":"ein","value":"872266063"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":32.21,"providers":[{"billed_charge":64.41,"npi":[1376206425]}]},{"allowed_amount":38.65,"providers":[{"billed_charge":64.41,"npi":[1376206425]}]}]}]},{"billing_code":"88304","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"TISSUE EXAM BY PATHOLOGIST","allowed_amounts":[{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":68.85,"providers":[{"billed_charge":196.00,"npi":[1427030774]}]}]}]},{"billing_code":"88305","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TISSUE EXAM BY PATHOLOGIST","allowed_amounts":[{"tin":{"type":"ein","value":"043452130"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":32.01,"providers":[{"billed_charge":166.48,"npi":[1477522910]}]},{"allowed_amount":34.58,"providers":[{"billed_charge":168.52,"npi":[1477522910]}]},{"allowed_amount":66.58,"providers":[{"billed_charge":204.00,"npi":[1477522910]},{"billed_charge":335.00,"npi":[1477522910]}]},{"allowed_amount":133.16,"providers":[{"billed_charge":408.00,"npi":[1477522910]}]}]},{"tin":{"type":"ein","value":"202879668"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":24.06,"providers":[{"billed_charge":155.00,"npi":[1215942933]}]},{"allowed_amount":103.76,"providers":[{"billed_charge":452.00,"npi":[1215942933]}]}]},{"tin":{"type":"ein","value":"204881619"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":63.00,"providers":[{"billed_charge":105.00,"npi":[1669499414]}]},{"allowed_amount":126.00,"providers":[{"billed_charge":210.00,"npi":[1669499414]}]}]},{"tin":{"type":"ein","value":"205455398"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":35.76,"providers":[{"billed_charge":284.00,"npi":[1134438427]}]}]},{"tin":{"type":"ein","value":"208473531"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":73.46,"providers":[{"billed_charge":389.10,"npi":[1427273598]}]},{"allowed_amount":73.47,"providers":[{"billed_charge":389.10,"npi":[1427273598]}]}]},{"tin":{"type":"ein","value":"208792025"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":71.58,"providers":[{"billed_charge":753.72,"npi":[1083895452]}]}]},{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":470.05,"providers":[{"billed_charge":553.00,"npi":[1548210198]}]},{"allowed_amount":498.10,"providers":[{"billed_charge":586.00,"npi":[1548210198]}]},{"allowed_amount":940.10,"providers":[{"billed_charge":1106.00,"npi":[1548210198]}]}]},{"tin":{"type":"ein","value":"232812220"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.91,"providers":[{"billed_charge":180.00,"npi":[1154422806]}]}]},{"tin":{"type":"ein","value":"271020375"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":73.86,"providers":[{"billed_charge":180.00,"npi":[1013245885]}]}]},{"tin":{"type":"ein","value":"272341992"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":158.77,"providers":[{"billed_charge":199.00,"npi":[1497072920]}]},{"allowed_amount":317.54,"providers":[{"billed_charge":398.00,"npi":[1497072920]}]},{"allowed_amount":793.85,"providers":[{"billed_charge":995.00,"npi":[1497072920]}]}]},{"tin":{"type":"ein","value":"273457392"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":62.61,"providers":[{"billed_charge":145.00,"npi":[1770889891]}]}]},{"tin":{"type":"ein","value":"273528936"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":143.38,"providers":[{"billed_charge":358.44,"npi":[1952619983]}]},{"allowed_amount":215.07,"providers":[{"billed_charge":537.66,"npi":[1952619983]}]}]},{"tin":{"type":"ein","value":"300047661"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":167.38,"providers":[{"billed_charge":180.00,"npi":[1548273733]}]}]},{"tin":{"type":"ein","value":"300700851"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.03,"providers":[{"billed_charge":96.00,"npi":[1457601601]}]}]},{"tin":{"type":"ein","value":"310744468"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":82.20,"providers":[{"billed_charge":150.00,"npi":[1881666741]}]}]},{"tin":{"type":"ein","value":"311186689"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":29.40,"providers":[{"billed_charge":60.00,"npi":[1912914144]}]},{"allowed_amount":54.17,"providers":[{"billed_charge":130.00,"npi":[1912914144]}]},{"allowed_amount":55.64,"providers":[{"billed_charge":120.00,"npi":[1912914144]}]},{"allowed_amount":103.76,"providers":[{"billed_charge":260.00,"npi":[1912914144]}]},{"allowed_amount":108.34,"providers":[{"billed_charge":260.00,"npi":[1912914144]}]}]},{"tin":{"type":"ein","value":"311751943"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":148.08,"providers":[{"billed_charge":300.00,"npi":[1023053493]}]}]},{"tin":{"type":"ein","value":"311838862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.80,"providers":[{"billed_charge":68.28,"npi":[1063460459]}]},{"allowed_amount":57.25,"providers":[{"billed_charge":150.00,"npi":[1811130420]}]},{"allowed_amount":150.00,"providers":[{"billed_charge":150.00,"npi":[1811130420]}]}]},{"tin":{"type":"ein","value":"320098824"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":50.39,"providers":[{"billed_charge":259.00,"npi":[1205834769]}]}]},{"tin":{"type":"ein","value":"340715726"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":246.82,"providers":[{"billed_charge":458.37,"npi":[1093764219]}]}]},{"tin":{"type":"ein","value":"341192978"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":84.38,"providers":[{"billed_charge":150.00,"npi":[1336128164]}]}]},{"tin":{"type":"ein","value":"352037910"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":48.15,"providers":[{"billed_charge":278.00,"npi":[1639911688]}]},{"allowed_amount":97.65,"providers":[{"billed_charge":432.00,"npi":[1639911688]}]},{"allowed_amount":318.11,"providers":[{"billed_charge":432.00,"npi":[1639911688]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":210.90,"providers":[{"billed_charge":222.00,"npi":[1922074434]}]}]},{"tin":{"type":"ein","value":"452815598"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":56.06,"providers":[{"billed_charge":350.00,"npi":[1548549066]}]},{"allowed_amount":64.03,"providers":[{"billed_charge":350.00,"npi":[1548549066]}]},{"allowed_amount":65.18,"providers":[{"billed_charge":350.00,"npi":[1548549066]}]},{"allowed_amount":168.18,"providers":[{"billed_charge":1050.00,"npi":[1548549066]}]},{"allowed_amount":256.12,"providers":[{"billed_charge":1400.00,"npi":[1548549066]}]}]},{"tin":{"type":"ein","value":"454312142"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":69.19,"providers":[{"billed_charge":85.00,"npi":[1598951303,1023016557]}]}]},{"tin":{"type":"ein","value":"454486874"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":40.49,"providers":[{"billed_charge":67.48,"npi":[1053686964]}]},{"allowed_amount":80.98,"providers":[{"billed_charge":134.96,"npi":[1053686964]}]},{"allowed_amount":153.02,"providers":[{"billed_charge":255.04,"npi":[1053686964]}]},{"allowed_amount":161.95,"providers":[{"billed_charge":269.92,"npi":[1053686964]}]},{"allowed_amount":306.05,"providers":[{"billed_charge":510.08,"npi":[1053686964]}]},{"allowed_amount":382.56,"providers":[{"billed_charge":637.60,"npi":[1053686964]}]}]},{"tin":{"type":"ein","value":"461168283"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":155.00,"providers":[{"billed_charge":155.00,"npi":[1922343623]}]}]},{"tin":{"type":"ein","value":"462288983"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":63.81,"providers":[{"billed_charge":300.00,"npi":[1528300837]}]},{"allowed_amount":63.82,"providers":[{"billed_charge":160.00,"npi":[1528300837]},{"billed_charge":300.00,"npi":[1528300837]}]},{"allowed_amount":255.24,"providers":[{"billed_charge":1200.00,"npi":[1528300837]}]}]},{"tin":{"type":"ein","value":"462863298"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":61.01,"providers":[{"billed_charge":150.00,"npi":[1033558416]}]}]},{"tin":{"type":"ein","value":"462899487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":54.69,"providers":[{"billed_charge":165.00,"npi":[1205835600]}]},{"allowed_amount":70.52,"providers":[{"billed_charge":165.00,"npi":[1205835600]}]}]},{"tin":{"type":"ein","value":"463666116"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":100.00,"providers":[{"billed_charge":100.00,"npi":[1376970236]}]}]},{"tin":{"type":"ein","value":"464338754"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":60.00,"npi":[1578960456]}]}]},{"tin":{"type":"ein","value":"471165832"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":56.37,"providers":[{"billed_charge":195.00,"npi":[1942601570]}]}]},{"tin":{"type":"ein","value":"471170019"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":139.60,"providers":[{"billed_charge":580.00,"npi":[1215330790]}]}]},{"tin":{"type":"ein","value":"540793767"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":28.28,"providers":[{"billed_charge":159.00,"npi":[1962464016]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":35.77,"providers":[{"billed_charge":138.73,"npi":[1750333282]}]},{"allowed_amount":465.01,"providers":[{"billed_charge":1803.49,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560948235"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":60.15,"providers":[{"billed_charge":161.00,"npi":[1023084340]}]}]},{"tin":{"type":"ein","value":"561033638"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":186.18,"providers":[{"billed_charge":1045.20,"npi":[1477704443]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":35.77,"providers":[{"billed_charge":202.48,"npi":[1992754758]},{"billed_charge":245.84,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"562164799"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":35.77,"providers":[{"billed_charge":170.00,"npi":[1386600054]}]}]},{"tin":{"type":"ein","value":"562211989"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.31,"providers":[{"billed_charge":125.00,"npi":[1922040419]}]}]},{"tin":{"type":"ein","value":"562555268"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":25.96,"providers":[{"billed_charge":126.00,"npi":[1366539595]}]}]},{"tin":{"type":"ein","value":"570977159"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":179.13,"providers":[{"billed_charge":774.00,"npi":[1922057843]}]}]},{"tin":{"type":"ein","value":"571122647"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":248.99,"providers":[{"billed_charge":1505.00,"npi":[1831151976]}]}]},{"tin":{"type":"ein","value":"581132913"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":94.92,"providers":[{"billed_charge":342.00,"npi":[1508848300]}]},{"allowed_amount":142.38,"providers":[{"billed_charge":513.00,"npi":[1508848300]}]}]},{"tin":{"type":"ein","value":"581267100"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":82.20,"providers":[{"billed_charge":117.00,"npi":[1760428247]}]},{"allowed_amount":164.40,"providers":[{"billed_charge":234.00,"npi":[1760428247]}]}]},{"tin":{"type":"ein","value":"581437914"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":156.00,"providers":[{"billed_charge":208.00,"npi":[1649494816]}]}]},{"tin":{"type":"ein","value":"581910975"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":81.32,"providers":[{"billed_charge":93.00,"npi":[1730262759]}]},{"allowed_amount":162.63,"providers":[{"billed_charge":186.00,"npi":[1730262759]}]},{"allowed_amount":243.95,"providers":[{"billed_charge":279.00,"npi":[1730262759]}]},{"allowed_amount":325.26,"providers":[{"billed_charge":372.00,"npi":[1730262759]}]}]},{"tin":{"type":"ein","value":"582089405"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":81.31,"providers":[{"billed_charge":219.69,"npi":[1801844469]}]}]},{"tin":{"type":"ein","value":"582325457"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":125.00,"providers":[{"billed_charge":201.00,"npi":[1821104704]}]},{"allowed_amount":375.00,"providers":[{"billed_charge":603.00,"npi":[1821104704]}]}]},{"tin":{"type":"ein","value":"591289552"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":36.16,"providers":[{"billed_charge":210.00,"npi":[1629138250]}]}]},{"tin":{"type":"ein","value":"591784470"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":274.00,"providers":[{"billed_charge":608.00,"npi":[1881644912]}]}]},{"tin":{"type":"ein","value":"610714497"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":49.56,"providers":[{"billed_charge":150.00,"npi":[1336148683]}]}]},{"tin":{"type":"ein","value":"610992673"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":99.13,"providers":[{"billed_charge":546.00,"npi":[1265465801]}]}]},{"tin":{"type":"ein","value":"611085679"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":65.86,"providers":[{"billed_charge":164.65,"npi":[1629083399]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":165.60,"providers":[{"billed_charge":184.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"621436754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.15,"providers":[{"billed_charge":105.00,"npi":[1073585774]}]},{"allowed_amount":217.24,"providers":[{"billed_charge":420.00,"npi":[1073585774]}]}]},{"tin":{"type":"ein","value":"621436754"},"billing_class":"professional","service_code":["11","26"],"payments":[{"allowed_amount":54.31,"providers":[{"billed_charge":105.00,"npi":[1073585774]},{"billed_charge":135.86,"npi":[1073585774]}]}]},{"tin":{"type":"ein","value":"621436754"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":70.08,"providers":[{"billed_charge":70.08,"npi":[1073585774]}]},{"allowed_amount":74.04,"providers":[{"billed_charge":135.86,"npi":[1073585774]}]},{"allowed_amount":148.08,"providers":[{"billed_charge":271.72,"npi":[1073585774]}]}]},{"tin":{"type":"ein","value":"621508558"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.18,"providers":[{"billed_charge":170.00,"npi":[1578529632]}]}]},{"tin":{"type":"ein","value":"621637129"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":103.73,"providers":[{"billed_charge":505.56,"npi":[1467433292]}]},{"allowed_amount":127.62,"providers":[{"billed_charge":408.00,"npi":[1467433292]}]},{"allowed_amount":133.16,"providers":[{"billed_charge":408.00,"npi":[1467433292]}]},{"allowed_amount":199.74,"providers":[{"billed_charge":612.00,"npi":[1467433292]}]},{"allowed_amount":399.49,"providers":[{"billed_charge":1224.00,"npi":[1467433292]}]}]},{"tin":{"type":"ein","value":"621695507"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":69.81,"providers":[{"billed_charge":92.64,"npi":[1003863580]}]}]},{"tin":{"type":"ein","value":"621695507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":57.78,"providers":[{"billed_charge":263.00,"npi":[1003863580]}]},{"allowed_amount":63.31,"providers":[{"billed_charge":186.00,"npi":[1003863580]}]}]},{"tin":{"type":"ein","value":"640899351"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":98.00,"providers":[{"billed_charge":280.00,"npi":[1356374912]}]}]},{"tin":{"type":"ein","value":"650003177"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":179.90,"providers":[{"billed_charge":257.00,"npi":[1215989298]}]}]},{"tin":{"type":"ein","value":"650120269"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.64,"providers":[{"billed_charge":174.00,"npi":[1760456172]}]},{"allowed_amount":174.00,"providers":[{"billed_charge":174.00,"npi":[1760456172]}]}]},{"tin":{"type":"ein","value":"650641688"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":82.20,"providers":[{"billed_charge":135.00,"npi":[1952381477]}]},{"allowed_amount":101.25,"providers":[{"billed_charge":135.00,"npi":[1699961086]}]},{"allowed_amount":164.40,"providers":[{"billed_charge":270.00,"npi":[1952381477]}]},{"allowed_amount":259.13,"providers":[{"billed_charge":810.00,"npi":[1699961086]}]}]},{"tin":{"type":"ein","value":"650773563"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.69,"providers":[{"billed_charge":295.00,"npi":[1467469536]}]}]},{"tin":{"type":"ein","value":"650819138"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":82.20,"providers":[{"billed_charge":163.00,"npi":[1194797993]}]},{"allowed_amount":164.40,"providers":[{"billed_charge":326.00,"npi":[1194797993]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":121.49,"providers":[{"billed_charge":233.00,"npi":[1790523249]}]},{"allowed_amount":419.40,"providers":[{"billed_charge":466.00,"npi":[1790523249]}]}]},{"tin":{"type":"ein","value":"710836130"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.82,"providers":[{"billed_charge":170.00,"npi":[1134207483]}]},{"allowed_amount":110.50,"providers":[{"billed_charge":170.00,"npi":[1134207483]}]},{"allowed_amount":221.00,"providers":[{"billed_charge":340.00,"npi":[1134207483]}]},{"allowed_amount":442.00,"providers":[{"billed_charge":680.00,"npi":[1134207483]}]}]},{"tin":{"type":"ein","value":"710847813"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":81.08,"providers":[{"billed_charge":157.08,"npi":[1821156035]}]}]},{"tin":{"type":"ein","value":"720703314"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":61.85,"providers":[{"billed_charge":171.00,"npi":[1093843450]}]}]},{"tin":{"type":"ein","value":"721111417"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":64.66,"providers":[{"billed_charge":106.00,"npi":[1871546911]}]},{"allowed_amount":129.33,"providers":[{"billed_charge":212.00,"npi":[1871546911]}]}]},{"tin":{"type":"ein","value":"731085650"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":93.02,"providers":[{"billed_charge":146.17,"npi":[1750314076]}]}]},{"tin":{"type":"ein","value":"741718997"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":96.93,"providers":[{"billed_charge":350.00,"npi":[1871630509]}]},{"allowed_amount":193.87,"providers":[{"billed_charge":700.00,"npi":[1871630509]}]}]},{"tin":{"type":"ein","value":"742958277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.80,"providers":[{"billed_charge":254.00,"npi":[1093779704]}]}]},{"tin":{"type":"ein","value":"760273984"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":269.27,"providers":[{"billed_charge":728.00,"npi":[1073574810]}]}]},{"tin":{"type":"ein","value":"800564919"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":35.57,"providers":[{"billed_charge":260.00,"npi":[1942526298]}]}]},{"tin":{"type":"ein","value":"830344890"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":35.72,"providers":[{"billed_charge":140.00,"npi":[1033193875]}]}]},{"tin":{"type":"ein","value":"840690326"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":491.04,"providers":[{"billed_charge":711.00,"npi":[1205897220]}]}]},{"tin":{"type":"ein","value":"851060029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.21,"providers":[{"billed_charge":86.70,"npi":[1851919005]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":218.50,"providers":[{"billed_charge":230.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"870292280"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.06,"providers":[{"billed_charge":375.00,"npi":[1760679443]}]}]},{"tin":{"type":"ein","value":"870468377"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":163.67,"providers":[{"billed_charge":239.58,"npi":[1922096114]}]}]}]},{"billing_code":"88305","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"TISSUE EXAM BY PATHOLOGIST","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":89.24,"providers":[{"billed_charge":510.68,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"222667354"},"billing_class":"institutional","payments":[{"allowed_amount":426.30,"providers":[{"billed_charge":609.00,"npi":[1760598700]}]}]},{"tin":{"type":"ein","value":"264827222"},"billing_class":"institutional","payments":[{"allowed_amount":760.28,"providers":[{"billed_charge":916.00,"npi":[1609189604]}]}]},{"tin":{"type":"ein","value":"274434451"},"billing_class":"institutional","payments":[{"allowed_amount":122.05,"providers":[{"billed_charge":486.89,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":1195.60,"providers":[{"billed_charge":1220.00,"npi":[1548212988]}]},{"allowed_amount":3586.80,"providers":[{"billed_charge":3660.00,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":224.37,"providers":[{"billed_charge":296.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"350876396"},"billing_class":"institutional","payments":[{"allowed_amount":279.66,"providers":[{"billed_charge":354.00,"npi":[1619975331]}]}]},{"tin":{"type":"ein","value":"352528741"},"billing_class":"institutional","payments":[{"allowed_amount":70.67,"providers":[{"billed_charge":250.00,"npi":[1396882205]}]}]},{"tin":{"type":"ein","value":"370661183"},"billing_class":"institutional","payments":[{"allowed_amount":663.53,"providers":[{"billed_charge":780.62,"npi":[1760571699]}]}]},{"tin":{"type":"ein","value":"381360529"},"billing_class":"institutional","payments":[{"allowed_amount":234.00,"providers":[{"billed_charge":260.00,"npi":[1922090554]}]}]},{"tin":{"type":"ein","value":"391370626"},"billing_class":"institutional","payments":[{"allowed_amount":185.40,"providers":[{"billed_charge":206.00,"npi":[1831279793]}]}]},{"tin":{"type":"ein","value":"410944601"},"billing_class":"institutional","payments":[{"allowed_amount":310.65,"providers":[{"billed_charge":327.00,"npi":[1841266194]}]}]},{"tin":{"type":"ein","value":"461382538"},"billing_class":"institutional","payments":[{"allowed_amount":338.64,"providers":[{"billed_charge":408.00,"npi":[1043641897]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":55.77,"providers":[{"billed_charge":386.02,"npi":[1750333282]}]},{"allowed_amount":66.36,"providers":[{"billed_charge":386.02,"npi":[1457719312]}]},{"allowed_amount":82.88,"providers":[{"billed_charge":386.02,"npi":[1073557559]}]},{"allowed_amount":625.30,"providers":[{"billed_charge":5018.26,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":194.49,"providers":[{"billed_charge":909.90,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"581954432"},"billing_class":"institutional","payments":[{"allowed_amount":424.80,"providers":[{"billed_charge":708.00,"npi":[1457396079]}]}]},{"tin":{"type":"ein","value":"582089405"},"billing_class":"institutional","payments":[{"allowed_amount":97.82,"providers":[{"billed_charge":296.41,"npi":[1801844469]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":41.73,"providers":[{"billed_charge":210.95,"npi":[1043270564]}]},{"allowed_amount":121.72,"providers":[{"billed_charge":421.90,"npi":[1043270564]}]},{"allowed_amount":443.00,"providers":[{"billed_charge":632.85,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"621113169"},"billing_class":"institutional","payments":[{"allowed_amount":32.55,"providers":[{"billed_charge":166.26,"npi":[1144213117]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":185.25,"providers":[{"billed_charge":195.00,"npi":[1154392231]}]}]}]},{"billing_code":"88307","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TISSUE EXAM BY PATHOLOGIST","allowed_amounts":[{"tin":{"type":"ein","value":"204881619"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":132.00,"providers":[{"billed_charge":220.00,"npi":[1669499414]}]}]},{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1723.80,"providers":[{"billed_charge":2028.00,"npi":[1548210198]}]},{"allowed_amount":4568.75,"providers":[{"billed_charge":5375.00,"npi":[1548210198]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":194.36,"providers":[{"billed_charge":275.00,"npi":[1477540904]}]}]},{"tin":{"type":"ein","value":"571122647"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":78.42,"providers":[{"billed_charge":400.00,"npi":[1831151976]},{"billed_charge":400.00,"npi":[1831151976]}]}]},{"tin":{"type":"ein","value":"581749078"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":154.44,"providers":[{"billed_charge":315.00,"npi":[1942239637]}]}]},{"tin":{"type":"ein","value":"591289552"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":160.36,"providers":[{"billed_charge":720.00,"npi":[1629138250]}]}]},{"tin":{"type":"ein","value":"752971017"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":231.81,"providers":[{"billed_charge":575.00,"npi":[1750489829]}]}]},{"tin":{"type":"ein","value":"862109896"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":78.88,"providers":[{"billed_charge":294.00,"npi":[1205553369]}]}]}]},{"billing_code":"88307","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"TISSUE EXAM BY PATHOLOGIST","allowed_amounts":[{"tin":{"type":"ein","value":"264827222"},"billing_class":"institutional","payments":[{"allowed_amount":518.75,"providers":[{"billed_charge":625.00,"npi":[1609189604]}]}]}]},{"billing_code":"88309","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TISSUE EXAM BY PATHOLOGIST","allowed_amounts":[{"tin":{"type":"ein","value":"720703314"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":274.06,"providers":[{"billed_charge":896.00,"npi":[1093843450]}]}]}]},{"billing_code":"88311","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"DECALCIFY TISSUE","allowed_amounts":[{"tin":{"type":"ein","value":"452815598"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.34,"providers":[{"billed_charge":62.00,"npi":[1548549066]}]},{"allowed_amount":18.35,"providers":[{"billed_charge":62.00,"npi":[1548549066]}]},{"allowed_amount":18.40,"providers":[{"billed_charge":62.00,"npi":[1548549066]}]},{"allowed_amount":55.02,"providers":[{"billed_charge":186.00,"npi":[1548549066]}]}]},{"tin":{"type":"ein","value":"462899487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":55.00,"npi":[1205835600]}]}]},{"tin":{"type":"ein","value":"471165832"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.02,"providers":[{"billed_charge":60.00,"npi":[1942601570]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":48.60,"providers":[{"billed_charge":54.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"650819138"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":11.65,"providers":[{"billed_charge":31.00,"npi":[1194797993]}]}]},{"tin":{"type":"ein","value":"752971017"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":16.74,"providers":[{"billed_charge":64.00,"npi":[1750489829]}]}]},{"tin":{"type":"ein","value":"760273984"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":43.10,"providers":[{"billed_charge":120.00,"npi":[1073574810]}]}]},{"tin":{"type":"ein","value":"872266063"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":30.47,"npi":[1376206425]}]},{"allowed_amount":18.28,"providers":[{"billed_charge":30.47,"npi":[1376206425]}]}]}]},{"billing_code":"88312","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"SPECIAL STAINS GROUP 1","allowed_amounts":[{"tin":{"type":"ein","value":"208473531"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":110.00,"providers":[{"billed_charge":462.32,"npi":[1427273598]}]},{"allowed_amount":117.80,"providers":[{"billed_charge":462.32,"npi":[1427273598]}]}]},{"tin":{"type":"ein","value":"272341992"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":139.08,"providers":[{"billed_charge":181.00,"npi":[1497072920]}]}]},{"tin":{"type":"ein","value":"300700851"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.22,"providers":[{"billed_charge":136.00,"npi":[1457601601]}]}]},{"tin":{"type":"ein","value":"311751943"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":207.62,"providers":[{"billed_charge":400.00,"npi":[1023053493]}]}]},{"tin":{"type":"ein","value":"340715726"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":58.73,"providers":[{"billed_charge":108.62,"npi":[1093764219]}]}]},{"tin":{"type":"ein","value":"352037910"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":114.08,"providers":[{"billed_charge":145.00,"npi":[1639911688]}]},{"allowed_amount":157.96,"providers":[{"billed_charge":290.00,"npi":[1639911688]}]}]},{"tin":{"type":"ein","value":"452815598"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":93.46,"providers":[{"billed_charge":196.00,"npi":[1548549066]}]},{"allowed_amount":186.92,"providers":[{"billed_charge":392.00,"npi":[1548549066]}]},{"allowed_amount":200.64,"providers":[{"billed_charge":392.00,"npi":[1548549066]}]},{"allowed_amount":206.76,"providers":[{"billed_charge":392.00,"npi":[1548549066]}]},{"allowed_amount":280.38,"providers":[{"billed_charge":588.00,"npi":[1548549066]}]}]},{"tin":{"type":"ein","value":"454312142"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":126.09,"providers":[{"billed_charge":230.00,"npi":[1598951303]}]}]},{"tin":{"type":"ein","value":"464338754"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":51.00,"providers":[{"billed_charge":85.00,"npi":[1578960456]}]}]},{"tin":{"type":"ein","value":"471165832"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":77.22,"providers":[{"billed_charge":295.00,"npi":[1942601570]}]},{"allowed_amount":154.44,"providers":[{"billed_charge":590.00,"npi":[1942601570]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":25.50,"providers":[{"billed_charge":98.61,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"582325457"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":59.00,"providers":[{"billed_charge":81.00,"npi":[1821104704]}]}]},{"tin":{"type":"ein","value":"591784470"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":387.00,"providers":[{"billed_charge":846.00,"npi":[1881644912]}]}]},{"tin":{"type":"ein","value":"621436754"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":103.81,"providers":[{"billed_charge":210.64,"npi":[1073585774]}]}]},{"tin":{"type":"ein","value":"621695507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":88.47,"providers":[{"billed_charge":158.45,"npi":[1003863580]}]},{"allowed_amount":181.40,"providers":[{"billed_charge":316.90,"npi":[1003863580]}]}]},{"tin":{"type":"ein","value":"640899351"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":142.00,"providers":[{"billed_charge":205.00,"npi":[1356374912]}]}]},{"tin":{"type":"ein","value":"650120269"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":102.73,"providers":[{"billed_charge":142.00,"npi":[1760456172]}]},{"allowed_amount":142.00,"providers":[{"billed_charge":142.00,"npi":[1760456172]}]}]},{"tin":{"type":"ein","value":"650641688"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":98.25,"providers":[{"billed_charge":131.00,"npi":[1952381477]}]}]},{"tin":{"type":"ein","value":"650773563"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":153.96,"providers":[{"billed_charge":580.00,"npi":[1467469536]}]}]},{"tin":{"type":"ein","value":"710836130"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":123.50,"providers":[{"billed_charge":190.00,"npi":[1134207483]}]},{"allowed_amount":247.00,"providers":[{"billed_charge":380.00,"npi":[1134207483]}]}]},{"tin":{"type":"ein","value":"870468377"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":241.54,"providers":[{"billed_charge":249.20,"npi":[1922096114]}]}]},{"tin":{"type":"ein","value":"872266063"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":168.77,"providers":[{"billed_charge":337.54,"npi":[1376206425]}]},{"allowed_amount":202.52,"providers":[{"billed_charge":337.54,"npi":[1376206425]}]}]}]},{"billing_code":"88312","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"SPECIAL STAINS GROUP 1","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":686.98,"providers":[{"billed_charge":701.00,"npi":[1548212988]}]}]}]},{"billing_code":"88313","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"SPECIAL STAINS GROUP 2","allowed_amounts":[{"tin":{"type":"ein","value":"311751943"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":152.20,"providers":[{"billed_charge":300.00,"npi":[1023053493]}]}]},{"tin":{"type":"ein","value":"320098824"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":8.48,"providers":[{"billed_charge":30.00,"npi":[1205834769]}]}]},{"tin":{"type":"ein","value":"352037910"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":66.27,"providers":[{"billed_charge":168.00,"npi":[1639911688]}]},{"allowed_amount":191.23,"providers":[{"billed_charge":208.00,"npi":[1639911688]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":176.70,"providers":[{"billed_charge":186.00,"npi":[1922074434]}]}]},{"tin":{"type":"ein","value":"454486874"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":170.40,"providers":[{"billed_charge":284.00,"npi":[1053686964]}]},{"allowed_amount":426.00,"providers":[{"billed_charge":710.00,"npi":[1053686964]}]}]},{"tin":{"type":"ein","value":"464338754"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":42.00,"providers":[{"billed_charge":70.00,"npi":[1578960456]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":11.54,"providers":[{"billed_charge":44.10,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":11.54,"providers":[{"billed_charge":78.15,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"591784470"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":190.00,"providers":[{"billed_charge":410.00,"npi":[1881644912]}]}]},{"tin":{"type":"ein","value":"621637129"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":76.18,"providers":[{"billed_charge":245.00,"npi":[1467433292]}]}]},{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.33,"providers":[{"billed_charge":107.00,"npi":[1811955917]}]}]},{"tin":{"type":"ein","value":"650819138"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":44.83,"providers":[{"billed_charge":110.00,"npi":[1194797993]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.10,"providers":[{"billed_charge":210.00,"npi":[1790523249]}]},{"allowed_amount":567.00,"providers":[{"billed_charge":630.00,"npi":[1790523249]}]}]},{"tin":{"type":"ein","value":"710847813"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":327.99,"providers":[{"billed_charge":546.65,"npi":[1821156035]}]}]},{"tin":{"type":"ein","value":"872266063"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":62.17,"providers":[{"billed_charge":124.34,"npi":[1376206425]}]},{"allowed_amount":74.60,"providers":[{"billed_charge":124.34,"npi":[1376206425]}]}]}]},{"billing_code":"88313","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"SPECIAL STAINS GROUP 2","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":2134.44,"providers":[{"billed_charge":2178.00,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"352528741"},"billing_class":"institutional","payments":[{"allowed_amount":144.17,"providers":[{"billed_charge":510.00,"npi":[1396882205]}]}]},{"tin":{"type":"ein","value":"410944601"},"billing_class":"institutional","payments":[{"allowed_amount":698.25,"providers":[{"billed_charge":735.00,"npi":[1841266194]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":57.80,"providers":[{"billed_charge":336.24,"npi":[1457719312]}]}]}]},{"billing_code":"88314","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"HISTOCHEMICAL STAINS ADD-ON","allowed_amounts":[{"tin":{"type":"ein","value":"273528936"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":176.94,"providers":[{"billed_charge":442.34,"npi":[1952619983]}]},{"allowed_amount":265.41,"providers":[{"billed_charge":663.51,"npi":[1952619983]}]}]},{"tin":{"type":"ein","value":"621637129"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":44.33,"providers":[{"billed_charge":211.92,"npi":[1467433292]}]},{"allowed_amount":140.50,"providers":[{"billed_charge":518.00,"npi":[1467433292]}]},{"allowed_amount":210.76,"providers":[{"billed_charge":777.00,"npi":[1467433292]}]}]}]},{"billing_code":"88319","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ENZYME HISTOCHEMISTRY","allowed_amounts":[{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":599.40,"providers":[{"billed_charge":666.00,"npi":[1306335088]}]}]}]},{"billing_code":"88321","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"MICROSLIDE CONSULTATION","allowed_amounts":[{"tin":{"type":"ein","value":"133365998"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":320.44,"providers":[{"billed_charge":465.00,"npi":[1710967369]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":159.00,"providers":[{"billed_charge":212.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"386006309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":228.15,"providers":[{"billed_charge":351.00,"npi":[1508890468]}]}]},{"tin":{"type":"ein","value":"453597157"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":83.92,"providers":[{"billed_charge":415.00,"npi":[1447520333]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":179.09,"providers":[{"billed_charge":400.00,"npi":[1447221726]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":82.18,"providers":[{"billed_charge":487.45,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":551.00,"providers":[{"billed_charge":580.00,"npi":[1558332494]}]}]}]},{"billing_code":"88321","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"MICROSLIDE CONSULTATION","allowed_amounts":[{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":205.00,"providers":[{"billed_charge":205.00,"npi":[1174582050]}]}]}]},{"billing_code":"88331","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"PATH CONSULT INTRAOP 1 BLOC","allowed_amounts":[{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":145.18,"providers":[{"billed_charge":203.00,"npi":[1477540904]}]}]}]},{"billing_code":"88341","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"IMMUNOHISTO ANTB ADDL SLIDE","allowed_amounts":[{"tin":{"type":"ein","value":"204881619"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":22.31,"providers":[{"billed_charge":54.00,"npi":[1669499414]}]}]},{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":997.05,"providers":[{"billed_charge":1173.00,"npi":[1548210198]}]}]},{"tin":{"type":"ein","value":"272341992"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":114.89,"providers":[{"billed_charge":169.00,"npi":[1497072920]}]}]},{"tin":{"type":"ein","value":"273528936"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":181.14,"providers":[{"billed_charge":452.84,"npi":[1952619983]}]},{"allowed_amount":271.71,"providers":[{"billed_charge":679.26,"npi":[1952619983]}]}]},{"tin":{"type":"ein","value":"311838862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":171.20,"providers":[{"billed_charge":214.00,"npi":[1811130420]}]}]},{"tin":{"type":"ein","value":"320098824"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":125.48,"providers":[{"billed_charge":454.00,"npi":[1205834769]}]}]},{"tin":{"type":"ein","value":"454486874"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":189.72,"providers":[{"billed_charge":316.20,"npi":[1053686964]}]}]},{"tin":{"type":"ein","value":"462899487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":91.89,"providers":[{"billed_charge":215.00,"npi":[1205835600]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":298.74,"providers":[{"billed_charge":552.00,"npi":[1477540904]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":81.39,"providers":[{"billed_charge":314.85,"npi":[1750333282]}]},{"allowed_amount":108.52,"providers":[{"billed_charge":419.80,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"581910975"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":195.50,"providers":[{"billed_charge":230.00,"npi":[1730262759]}]},{"allowed_amount":293.25,"providers":[{"billed_charge":345.00,"npi":[1730262759]}]},{"allowed_amount":879.75,"providers":[{"billed_charge":1035.00,"npi":[1730262759]}]}]},{"tin":{"type":"ein","value":"582325457"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":156.00,"providers":[{"billed_charge":195.00,"npi":[1821104704]}]}]},{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":90.09,"providers":[{"billed_charge":420.00,"npi":[1447437355]}]}]},{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":29.46,"providers":[{"billed_charge":126.00,"npi":[1396408829]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":217.80,"providers":[{"billed_charge":242.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"621695507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":954.59,"providers":[{"billed_charge":1755.00,"npi":[1003863580]}]}]},{"tin":{"type":"ein","value":"650641688"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":57.29,"providers":[{"billed_charge":155.00,"npi":[1952381477]}]}]},{"tin":{"type":"ein","value":"650819138"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":343.74,"providers":[{"billed_charge":888.00,"npi":[1194797993]}]}]},{"tin":{"type":"ein","value":"710836130"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":117.00,"providers":[{"billed_charge":180.00,"npi":[1134207483]}]}]},{"tin":{"type":"ein","value":"742958277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.02,"providers":[{"billed_charge":170.08,"npi":[1093779704]}]}]},{"tin":{"type":"ein","value":"760273984"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":45.61,"providers":[{"billed_charge":420.00,"npi":[1073574810]}]}]}]},{"billing_code":"88341","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"IMMUNOHISTO ANTB ADDL SLIDE","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":93.13,"providers":[{"billed_charge":532.96,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"264827222"},"billing_class":"institutional","payments":[{"allowed_amount":317.06,"providers":[{"billed_charge":382.00,"npi":[1609189604]}]}]},{"tin":{"type":"ein","value":"274434451"},"billing_class":"institutional","payments":[{"allowed_amount":59.29,"providers":[{"billed_charge":236.53,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"352528741"},"billing_class":"institutional","payments":[{"allowed_amount":60.50,"providers":[{"billed_charge":214.00,"npi":[1396882205]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":308.97,"providers":[{"billed_charge":1439.13,"npi":[1073557559]}]},{"allowed_amount":329.84,"providers":[{"billed_charge":1918.84,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":550.00,"providers":[{"billed_charge":550.00,"npi":[1174582050]}]}]}]},{"billing_code":"88342","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"IMMUNOHISTO ANTB 1ST STAIN","allowed_amounts":[{"tin":{"type":"ein","value":"043452130"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":30.81,"providers":[{"billed_charge":89.06,"npi":[1477522910]}]},{"allowed_amount":57.67,"providers":[{"billed_charge":190.94,"npi":[1477522910]}]},{"allowed_amount":88.48,"providers":[{"billed_charge":307.00,"npi":[1477522910]}]}]},{"tin":{"type":"ein","value":"204881619"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":207.00,"providers":[{"billed_charge":345.00,"npi":[1669499414]}]}]},{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":264.35,"providers":[{"billed_charge":311.00,"npi":[1548210198]}]}]},{"tin":{"type":"ein","value":"272341992"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":143.39,"providers":[{"billed_charge":266.00,"npi":[1497072920]}]}]},{"tin":{"type":"ein","value":"273528936"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":211.76,"providers":[{"billed_charge":529.40,"npi":[1952619983]}]},{"allowed_amount":317.64,"providers":[{"billed_charge":794.10,"npi":[1952619983]}]}]},{"tin":{"type":"ein","value":"300047661"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":150.00,"npi":[1548273733]}]}]},{"tin":{"type":"ein","value":"311838862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":126.00,"providers":[{"billed_charge":126.00,"npi":[1811130420]}]}]},{"tin":{"type":"ein","value":"320098824"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":71.70,"providers":[{"billed_charge":227.00,"npi":[1205834769]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":172.90,"providers":[{"billed_charge":182.00,"npi":[1922074434]}]}]},{"tin":{"type":"ein","value":"454486874"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":111.04,"providers":[{"billed_charge":185.06,"npi":[1053686964]}]},{"allowed_amount":222.07,"providers":[{"billed_charge":370.12,"npi":[1053686964]}]},{"allowed_amount":333.11,"providers":[{"billed_charge":555.18,"npi":[1053686964]}]}]},{"tin":{"type":"ein","value":"462899487"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":106.84,"providers":[{"billed_charge":250.00,"npi":[1205835600]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":103.44,"providers":[{"billed_charge":148.00,"npi":[1477540904]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":33.45,"providers":[{"billed_charge":129.65,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"571122647"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":33.26,"providers":[{"billed_charge":160.00,"npi":[1831151976]}]}]},{"tin":{"type":"ein","value":"581132913"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":140.78,"providers":[{"billed_charge":326.00,"npi":[1508848300]}]}]},{"tin":{"type":"ein","value":"581910975"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":108.75,"providers":[{"billed_charge":145.00,"npi":[1730262759]}]},{"allowed_amount":217.50,"providers":[{"billed_charge":290.00,"npi":[1730262759]}]}]},{"tin":{"type":"ein","value":"582325457"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":108.00,"npi":[1821104704]}]},{"allowed_amount":240.00,"providers":[{"billed_charge":324.00,"npi":[1821104704]}]}]},{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":17.62,"providers":[{"billed_charge":60.00,"npi":[1447437355]}]}]},{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":35.27,"providers":[{"billed_charge":126.00,"npi":[1396408829]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":244.80,"providers":[{"billed_charge":272.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"621436754"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":33.45,"providers":[{"billed_charge":199.10,"npi":[1073585774]}]}]},{"tin":{"type":"ein","value":"621637129"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":88.48,"providers":[{"billed_charge":307.00,"npi":[1467433292]}]},{"allowed_amount":92.43,"providers":[{"billed_charge":267.18,"npi":[1467433292]}]},{"allowed_amount":176.96,"providers":[{"billed_charge":614.00,"npi":[1467433292]}]},{"allowed_amount":265.44,"providers":[{"billed_charge":921.00,"npi":[1467433292]}]}]},{"tin":{"type":"ein","value":"621695507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":85.91,"providers":[{"billed_charge":233.00,"npi":[1003863580]}]}]},{"tin":{"type":"ein","value":"650120269"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":179.34,"providers":[{"billed_charge":252.00,"npi":[1760456172]}]}]},{"tin":{"type":"ein","value":"650641688"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":62.22,"providers":[{"billed_charge":155.00,"npi":[1952381477]}]}]},{"tin":{"type":"ein","value":"650819138"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":62.22,"providers":[{"billed_charge":148.00,"npi":[1194797993]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.05,"providers":[{"billed_charge":215.00,"npi":[1790523249]}]},{"allowed_amount":193.50,"providers":[{"billed_charge":215.00,"npi":[1790523249]}]}]},{"tin":{"type":"ein","value":"710836130"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":146.25,"providers":[{"billed_charge":225.00,"npi":[1134207483]}]}]},{"tin":{"type":"ein","value":"742958277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":58.20,"providers":[{"billed_charge":291.00,"npi":[1093779704]}]}]},{"tin":{"type":"ein","value":"760273984"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":156.75,"providers":[{"billed_charge":268.00,"npi":[1073574810]}]}]},{"tin":{"type":"ein","value":"840690326"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":160.29,"providers":[{"billed_charge":223.00,"npi":[1205897220]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":156.75,"providers":[{"billed_charge":165.00,"npi":[1558332494]}]}]}]},{"billing_code":"88342","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"IMMUNOHISTO ANTB 1ST STAIN","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":46.56,"providers":[{"billed_charge":266.48,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"264827222"},"billing_class":"institutional","payments":[{"allowed_amount":953.67,"providers":[{"billed_charge":1149.00,"npi":[1609189604]}]}]},{"tin":{"type":"ein","value":"274434451"},"billing_class":"institutional","payments":[{"allowed_amount":135.83,"providers":[{"billed_charge":541.77,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"352528741"},"billing_class":"institutional","payments":[{"allowed_amount":107.98,"providers":[{"billed_charge":382.00,"npi":[1396882205]}]}]},{"tin":{"type":"ein","value":"391370626"},"billing_class":"institutional","payments":[{"allowed_amount":150.30,"providers":[{"billed_charge":167.00,"npi":[1831279793]}]}]},{"tin":{"type":"ein","value":"410944601"},"billing_class":"institutional","payments":[{"allowed_amount":329.65,"providers":[{"billed_charge":347.00,"npi":[1841266194]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":174.46,"providers":[{"billed_charge":1014.88,"npi":[1457719312]}]},{"allowed_amount":217.89,"providers":[{"billed_charge":1014.88,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":256.50,"providers":[{"billed_charge":270.00,"npi":[1154392231]}]}]}]},{"billing_code":"88344","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"IMMUNOHISTO ANTIBODY SLIDE","allowed_amounts":[{"tin":{"type":"ein","value":"311838862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":162.40,"providers":[{"billed_charge":203.00,"npi":[1811130420]}]}]},{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":63.02,"providers":[{"billed_charge":258.00,"npi":[1396408829]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":204.02,"providers":[{"billed_charge":380.00,"npi":[1790523249]}]},{"allowed_amount":342.00,"providers":[{"billed_charge":380.00,"npi":[1790523249]}]}]}]},{"billing_code":"88346","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"IMMUNOFLUOR ANTB 1ST STAIN","allowed_amounts":[{"tin":{"type":"ein","value":"710847813"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":98.56,"providers":[{"billed_charge":164.27,"npi":[1821156035]}]}]}]},{"billing_code":"88346","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"IMMUNOFLUOR ANTB 1ST STAIN","allowed_amounts":[{"tin":{"type":"ein","value":"352528741"},"billing_class":"institutional","payments":[{"allowed_amount":137.67,"providers":[{"billed_charge":487.00,"npi":[1396882205]}]}]}]},{"billing_code":"88348","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ELECTRON MICROSCOPY","allowed_amounts":[{"tin":{"type":"ein","value":"710847813"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":396.90,"providers":[{"billed_charge":765.66,"npi":[1821156035]}]}]}]},{"billing_code":"88350","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"IMMUNOFLUOR ANTB ADDL STAIN","allowed_amounts":[{"tin":{"type":"ein","value":"710847813"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":675.04,"providers":[{"billed_charge":1314.16,"npi":[1821156035]}]}]}]},{"billing_code":"88350","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"IMMUNOFLUOR ANTB ADDL STAIN","allowed_amounts":[{"tin":{"type":"ein","value":"352528741"},"billing_class":"institutional","payments":[{"allowed_amount":542.74,"providers":[{"billed_charge":1920.00,"npi":[1396882205]}]}]}]},{"billing_code":"88356","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ANALYSIS NERVE","allowed_amounts":[{"tin":{"type":"ein","value":"273528936"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":235.50,"providers":[{"billed_charge":588.75,"npi":[1952619983]}]},{"allowed_amount":471.00,"providers":[{"billed_charge":1177.50,"npi":[1952619983]}]},{"allowed_amount":706.50,"providers":[{"billed_charge":1766.25,"npi":[1952619983]}]}]},{"tin":{"type":"ein","value":"621637129"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":174.42,"providers":[{"billed_charge":665.00,"npi":[1467433292]}]},{"allowed_amount":180.71,"providers":[{"billed_charge":795.26,"npi":[1467433292]}]},{"allowed_amount":271.07,"providers":[{"billed_charge":1192.89,"npi":[1467433292]}]},{"allowed_amount":523.26,"providers":[{"billed_charge":1995.00,"npi":[1467433292]}]}]}]},{"billing_code":"88360","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TUMOR IMMUNOHISTOCHEM/MANUAL","allowed_amounts":[{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":523.60,"providers":[{"billed_charge":616.00,"npi":[1548210198]}]},{"allowed_amount":1047.20,"providers":[{"billed_charge":1232.00,"npi":[1548210198]}]},{"allowed_amount":2094.40,"providers":[{"billed_charge":2464.00,"npi":[1548210198]}]}]},{"tin":{"type":"ein","value":"454139254"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":125.00,"providers":[{"billed_charge":250.00,"npi":[1184045619]}]}]},{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":63.71,"providers":[{"billed_charge":229.00,"npi":[1447437355]}]}]},{"tin":{"type":"ein","value":"650819138"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":149.92,"providers":[{"billed_charge":689.00,"npi":[1194797993]}]}]},{"tin":{"type":"ein","value":"760273984"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":206.46,"providers":[{"billed_charge":372.00,"npi":[1073574810]}]}]}]},{"billing_code":"88360","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"TUMOR IMMUNOHISTOCHEM/MANUAL","allowed_amounts":[{"tin":{"type":"ein","value":"621113169"},"billing_class":"institutional","payments":[{"allowed_amount":116.60,"providers":[{"billed_charge":595.50,"npi":[1144213117]}]}]}]},{"billing_code":"88361","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TUMOR IMMUNOHISTOCHEM/COMPUT","allowed_amounts":[{"tin":{"type":"ein","value":"208473531"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":492.96,"providers":[{"billed_charge":3179.84,"npi":[1427273598]}]}]}]},{"billing_code":"88364","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"INSITU HYBRIDIZATION (FISH)","allowed_amounts":[{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":15.70,"providers":[{"billed_charge":67.00,"npi":[1447437355]}]}]}]},{"billing_code":"88365","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"INSITU HYBRIDIZATION (FISH)","allowed_amounts":[{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":21.98,"providers":[{"billed_charge":67.00,"npi":[1447437355]}]}]},{"tin":{"type":"ein","value":"621695507"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":142.86,"providers":[{"billed_charge":326.08,"npi":[1003863580]}]}]}]},{"billing_code":"88374","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"M/PHMTRC ALYS ISHQUANT/SEMIQ","allowed_amounts":[{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":108.27,"providers":[{"billed_charge":624.00,"npi":[1003245317]}]}]}]},{"billing_code":"88377","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"M/PHMTRC ALYS ISHQUANT/SEMIQ","allowed_amounts":[{"tin":{"type":"ein","value":"593725585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":52.42,"providers":[{"billed_charge":208.00,"npi":[1396408829]}]}]}]},{"billing_code":"88381","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"MICRODISSECTION MANUAL","allowed_amounts":[{"tin":{"type":"ein","value":"260691876"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":200.00,"providers":[{"billed_charge":200.00,"npi":[1043344435]}]}]},{"tin":{"type":"ein","value":"473985440"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":140.94,"providers":[{"billed_charge":290.00,"npi":[1053980276]}]}]},{"tin":{"type":"ein","value":"990373279"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":259.11,"providers":[{"billed_charge":340.52,"npi":[1770833121]}]}]}]},{"billing_code":"88387","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"TISS EXAM MOLECULAR STUDY","allowed_amounts":[{"tin":{"type":"ein","value":"470916074"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":35.99,"providers":[{"billed_charge":114.74,"npi":[1720359698]}]}]}]},{"billing_code":"89051","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"BODY FLUID CELL COUNT","allowed_amounts":[{"tin":{"type":"ein","value":"262679473"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":39.00,"providers":[{"billed_charge":52.00,"npi":[1003078403]}]},{"allowed_amount":64.50,"providers":[{"billed_charge":86.00,"npi":[1003078403]}]}]},{"tin":{"type":"ein","value":"521022572"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":5.04,"providers":[{"billed_charge":20.00,"npi":[1164420568]}]}]}]},{"billing_code":"89055","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"LEUKOCYTE ASSESSMENT FECAL","allowed_amounts":[{"tin":{"type":"ein","value":"043740411"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":2.78,"providers":[{"billed_charge":10.68,"npi":[1396858791]}]}]}]},{"billing_code":"89055","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"LEUKOCYTE ASSESSMENT FECAL","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":20.89,"providers":[{"billed_charge":100.46,"npi":[1568417798]}]}]}]},{"billing_code":"89060","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"EXAM SYNOVIAL FLUID CRYSTALS","allowed_amounts":[{"tin":{"type":"ein","value":"521022572"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":6.60,"providers":[{"billed_charge":30.00,"npi":[1164420568]}]}]}]},{"billing_code":"89253","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"EMBRYO HATCHING","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":795.90,"providers":[{"billed_charge":1050.00,"npi":[1679525919]}]}]}]},{"billing_code":"89255","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"PREPARE EMBRYO FOR TRANSFER","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":530.60,"providers":[{"billed_charge":700.00,"npi":[1679525919]}]}]}]},{"billing_code":"89261","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"SPERM ISOLATION COMPLEX","allowed_amounts":[{"tin":{"type":"ein","value":"262679473"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":120.00,"npi":[1003078403]}]}]}]},{"billing_code":"89322","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"SEMEN ANAL STRICT CRITERIA","allowed_amounts":[{"tin":{"type":"ein","value":"474605481"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":13.95,"providers":[{"billed_charge":166.00,"npi":[1750752580]}]}]},{"tin":{"type":"ein","value":"833143986"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.95,"providers":[{"billed_charge":180.00,"npi":[1225502826]}]}]}]},{"billing_code":"89352","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"THAWING CRYOPRESRVED EMBRYO","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":1099.10,"providers":[{"billed_charge":1450.00,"npi":[1679525919]}]}]}]},{"billing_code":"90381","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"RSV MONOC ANTB SEASN 1 ML IM","allowed_amounts":[{"tin":{"type":"ein","value":"862800277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":380.36,"providers":[{"billed_charge":780.00,"npi":[1548849482]}]}]}]},{"billing_code":"90460","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"IM ADMIN 1ST/ONLY COMPONENT","allowed_amounts":[{"tin":{"type":"ein","value":"060883545"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.45,"providers":[{"billed_charge":15.45,"npi":[1104803444]}]}]},{"tin":{"type":"ein","value":"200063146"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.46,"providers":[{"billed_charge":90.00,"npi":[1861947905]}]}]},{"tin":{"type":"ein","value":"202998046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":90.48,"providers":[{"billed_charge":105.00,"npi":[1770782450]}]}]},{"tin":{"type":"ein","value":"311425710"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.25,"providers":[{"billed_charge":75.00,"npi":[1194917062]}]}]},{"tin":{"type":"ein","value":"311620193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":42.00,"providers":[{"billed_charge":60.00,"npi":[1285670646]}]}]},{"tin":{"type":"ein","value":"320466163"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.66,"providers":[{"billed_charge":56.00,"npi":[1942689138]}]}]},{"tin":{"type":"ein","value":"362169147"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.20,"providers":[{"billed_charge":48.00,"npi":[1003542184]}]}]},{"tin":{"type":"ein","value":"421638714"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.00,"providers":[{"billed_charge":42.00,"npi":[1619342706]}]}]},{"tin":{"type":"ein","value":"453367409"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.43,"providers":[{"billed_charge":32.00,"npi":[1700162203]}]}]},{"tin":{"type":"ein","value":"454965405"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.00,"providers":[{"billed_charge":30.00,"npi":[1447508478]}]}]},{"tin":{"type":"ein","value":"471049674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.11,"providers":[{"billed_charge":54.97,"npi":[1609281641]}]}]},{"tin":{"type":"ein","value":"540967672"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.94,"providers":[{"billed_charge":45.00,"npi":[1083793525]}]}]},{"tin":{"type":"ein","value":"541778786"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.27,"providers":[{"billed_charge":56.00,"npi":[1538214309]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.72,"providers":[{"billed_charge":54.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"561175704"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":58.20,"providers":[{"billed_charge":100.00,"npi":[1477510659]}]}]},{"tin":{"type":"ein","value":"561567536"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.10,"providers":[{"billed_charge":47.96,"npi":[1912987090]}]}]},{"tin":{"type":"ein","value":"562000200"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.30,"providers":[{"billed_charge":138.00,"npi":[1437187010]}]}]},{"tin":{"type":"ein","value":"562084142"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":58.20,"providers":[{"billed_charge":70.00,"npi":[1164500575]}]}]},{"tin":{"type":"ein","value":"570544595"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.00,"providers":[{"billed_charge":26.00,"npi":[1447383666]}]}]},{"tin":{"type":"ein","value":"576000286"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":9.62,"providers":[{"billed_charge":13.00,"npi":[1124102306]}]},{"allowed_amount":19.24,"providers":[{"billed_charge":26.00,"npi":[1972693885]}]}]},{"tin":{"type":"ein","value":"581136662"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":118.20,"providers":[{"billed_charge":120.00,"npi":[1841337896]}]}]},{"tin":{"type":"ein","value":"581308985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.92,"providers":[{"billed_charge":67.92,"npi":[1154453967]}]}]},{"tin":{"type":"ein","value":"581367701"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.40,"providers":[{"billed_charge":40.00,"npi":[1487772596]}]}]},{"tin":{"type":"ein","value":"581480658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":118.20,"providers":[{"billed_charge":120.00,"npi":[1003940909]}]}]},{"tin":{"type":"ein","value":"582566360"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":52.80,"providers":[{"billed_charge":66.00,"npi":[1073885828]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.50,"providers":[{"billed_charge":130.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"593343389"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":360.00,"providers":[{"billed_charge":600.00,"npi":[1942260245]}]}]},{"tin":{"type":"ein","value":"810568231"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":113.72,"providers":[{"billed_charge":120.00,"npi":[1437168135]}]}]},{"tin":{"type":"ein","value":"813080176"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.24,"providers":[{"billed_charge":40.00,"npi":[1942651054]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.16,"providers":[{"billed_charge":72.00,"npi":[1104368141]}]},{"allowed_amount":57.60,"providers":[{"billed_charge":72.00,"npi":[1104368141]}]}]},{"tin":{"type":"ein","value":"842099344"},"billing_class":"professional","service_code":["60"],"payments":[{"allowed_amount":30.27,"providers":[{"billed_charge":56.00,"npi":[1427649011]}]}]},{"tin":{"type":"ein","value":"862800277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.93,"providers":[{"billed_charge":49.00,"npi":[1548849482]}]}]},{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.00,"providers":[{"billed_charge":38.00,"npi":[1124102595]}]},{"allowed_amount":22.00,"providers":[{"billed_charge":76.00,"npi":[1124102595]}]}]}]},{"billing_code":"90461","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"IM ADMIN EACH ADDL COMPONENT","allowed_amounts":[{"tin":{"type":"ein","value":"060883545"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.30,"providers":[{"billed_charge":10.30,"npi":[1104803444]}]}]},{"tin":{"type":"ein","value":"200063146"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.64,"providers":[{"billed_charge":60.00,"npi":[1861947905]}]}]},{"tin":{"type":"ein","value":"202998046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.25,"providers":[{"billed_charge":175.00,"npi":[1770782450]}]}]},{"tin":{"type":"ein","value":"454965405"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.00,"providers":[{"billed_charge":30.00,"npi":[1447508478]}]}]},{"tin":{"type":"ein","value":"562000200"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":78.65,"providers":[{"billed_charge":120.00,"npi":[1437187010]}]}]},{"tin":{"type":"ein","value":"581136662"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":77.68,"providers":[{"billed_charge":140.00,"npi":[1841337896]}]}]},{"tin":{"type":"ein","value":"581308985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.20,"providers":[{"billed_charge":34.20,"npi":[1154453967]}]}]},{"tin":{"type":"ein","value":"581480658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":97.10,"providers":[{"billed_charge":125.00,"npi":[1003940909]}]}]},{"tin":{"type":"ein","value":"810568231"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":58.48,"providers":[{"billed_charge":120.00,"npi":[1437168135]}]}]},{"tin":{"type":"ein","value":"813080176"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.38,"providers":[{"billed_charge":80.00,"npi":[1942651054]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.76,"providers":[{"billed_charge":56.00,"npi":[1104368141]}]},{"allowed_amount":108.83,"providers":[{"billed_charge":140.00,"npi":[1104368141]}]}]},{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.50,"providers":[{"billed_charge":57.00,"npi":[1124102595]}]}]}]},{"billing_code":"90471","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"IMMUNIZATION ADMIN","allowed_amounts":[{"tin":{"type":"ein","value":"020222152"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.20,"providers":[{"billed_charge":19.00,"npi":[1144223702]}]}]},{"tin":{"type":"ein","value":"042810972"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":56.97,"providers":[{"billed_charge":74.00,"npi":[1437196359]}]}]},{"tin":{"type":"ein","value":"043397450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.68,"providers":[{"billed_charge":70.00,"npi":[1871639914]}]}]},{"tin":{"type":"ein","value":"061714706"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.04,"providers":[{"billed_charge":68.00,"npi":[1225109838]}]}]},{"tin":{"type":"ein","value":"160743209"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.31,"providers":[{"billed_charge":53.00,"npi":[1548583305]}]}]},{"tin":{"type":"ein","value":"202305158"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.25,"providers":[{"billed_charge":45.00,"npi":[1295862944]}]}]},{"tin":{"type":"ein","value":"203639329"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.96,"providers":[{"billed_charge":36.00,"npi":[1649228966]}]}]},{"tin":{"type":"ein","value":"204916014"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.49,"providers":[{"billed_charge":33.00,"npi":[1740212893]}]}]},{"tin":{"type":"ein","value":"205392766"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.88,"providers":[{"billed_charge":60.00,"npi":[1619105244]}]}]},{"tin":{"type":"ein","value":"208762724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.58,"providers":[{"billed_charge":25.00,"npi":[1982761896]}]}]},{"tin":{"type":"ein","value":"221179701"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.40,"providers":[{"billed_charge":47.00,"npi":[1336193838]}]}]},{"tin":{"type":"ein","value":"251838458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":58.00,"npi":[1134619356]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.26,"providers":[{"billed_charge":41.74,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"263985043"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.00,"providers":[{"billed_charge":30.00,"npi":[1407957632]}]}]},{"tin":{"type":"ein","value":"271119602"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":50.00,"npi":[1871823401]}]}]},{"tin":{"type":"ein","value":"271332228"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.97,"providers":[{"billed_charge":74.00,"npi":[1649500141]}]}]},{"tin":{"type":"ein","value":"310917085"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":134.10,"providers":[{"billed_charge":149.00,"npi":[1508817248]}]}]},{"tin":{"type":"ein","value":"311627920"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":46.75,"providers":[{"billed_charge":55.00,"npi":[1972020899]}]}]},{"tin":{"type":"ein","value":"316025986"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.75,"providers":[{"billed_charge":35.00,"npi":[1942274410]}]}]},{"tin":{"type":"ein","value":"330587303"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.39,"providers":[{"billed_charge":38.00,"npi":[1730180415]}]}]},{"tin":{"type":"ein","value":"350867977"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.00,"providers":[{"billed_charge":30.00,"npi":[1447499157]}]}]},{"tin":{"type":"ein","value":"351747218"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.75,"providers":[{"billed_charge":45.00,"npi":[1902032832]}]}]},{"tin":{"type":"ein","value":"381359247"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.20,"providers":[{"billed_charge":44.00,"npi":[1457704850]}]}]},{"tin":{"type":"ein","value":"383316559"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.69,"providers":[{"billed_charge":62.00,"npi":[1316379936]}]}]},{"tin":{"type":"ein","value":"386005984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":42.00,"npi":[1770646028]}]}]},{"tin":{"type":"ein","value":"391370626"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.75,"providers":[{"billed_charge":44.00,"npi":[1669871620]}]}]},{"tin":{"type":"ein","value":"391670223"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":40.00,"npi":[1659452878]}]}]},{"tin":{"type":"ein","value":"391678306"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.25,"providers":[{"billed_charge":65.00,"npi":[1427271378]}]}]},{"tin":{"type":"ein","value":"391824445"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.43,"providers":[{"billed_charge":60.50,"npi":[1598784555]}]}]},{"tin":{"type":"ein","value":"391994216"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.19,"providers":[{"billed_charge":91.00,"npi":[1003811993]}]}]},{"tin":{"type":"ein","value":"430653611"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.00,"providers":[{"billed_charge":55.00,"npi":[1558601518]}]}]},{"tin":{"type":"ein","value":"452702114"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.99,"providers":[{"billed_charge":47.00,"npi":[1568704831]}]}]},{"tin":{"type":"ein","value":"453007639"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.70,"providers":[{"billed_charge":41.00,"npi":[1619258225]}]}]},{"tin":{"type":"ein","value":"454083432"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.82,"providers":[{"billed_charge":65.00,"npi":[1326318627]}]}]},{"tin":{"type":"ein","value":"454951682"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.00,"providers":[{"billed_charge":51.00,"npi":[1588925457]}]}]},{"tin":{"type":"ein","value":"460224743"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.90,"providers":[{"billed_charge":52.00,"npi":[1376575514]}]}]},{"tin":{"type":"ein","value":"460530293"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":35.00,"npi":[1689005357]}]}]},{"tin":{"type":"ein","value":"460938716"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":11.00,"providers":[{"billed_charge":21.00,"npi":[1013269430]}]}]},{"tin":{"type":"ein","value":"461243081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":40.00,"npi":[1750626495]}]}]},{"tin":{"type":"ein","value":"474459800"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":23.65,"providers":[{"billed_charge":39.00,"npi":[1912381203]}]}]},{"tin":{"type":"ein","value":"510103684"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.62,"providers":[{"billed_charge":44.52,"npi":[1174508527]}]}]},{"tin":{"type":"ein","value":"521923448"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.25,"providers":[{"billed_charge":55.00,"npi":[1083667067]}]}]},{"tin":{"type":"ein","value":"540505977"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.00,"providers":[{"billed_charge":40.00,"npi":[1942540208]}]}]},{"tin":{"type":"ein","value":"546001775"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":20.33,"providers":[{"billed_charge":20.33,"npi":[1083675474]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":42.14,"providers":[{"billed_charge":52.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.99,"providers":[{"billed_charge":65.00,"npi":[1134372477]}]}]},{"tin":{"type":"ein","value":"560992353"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.86,"providers":[{"billed_charge":13.71,"npi":[1619244084]}]}]},{"tin":{"type":"ein","value":"561031244"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.25,"providers":[{"billed_charge":21.25,"npi":[1114978582]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":24.09,"providers":[{"billed_charge":45.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.47,"providers":[{"billed_charge":55.00,"npi":[1649525619]}]},{"allowed_amount":23.44,"providers":[{"billed_charge":55.00,"npi":[1649525619]}]}]},{"tin":{"type":"ein","value":"561826996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.65,"providers":[{"billed_charge":50.00,"npi":[1467449728]}]},{"allowed_amount":25.00,"providers":[{"billed_charge":50.00,"npi":[1467449728]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.65,"providers":[{"billed_charge":40.00,"npi":[1780623207]}]},{"allowed_amount":23.99,"providers":[{"billed_charge":40.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"562084959"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":23.99,"providers":[{"billed_charge":59.00,"npi":[1386383909,1447999057]}]}]},{"tin":{"type":"ein","value":"562143419"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":16.63,"providers":[{"billed_charge":33.25,"npi":[1326627399]}]}]},{"tin":{"type":"ein","value":"566000271"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":23.65,"providers":[{"billed_charge":25.00,"npi":[1316002629]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":21.00,"providers":[{"billed_charge":21.00,"npi":[1245272657]}]}]},{"tin":{"type":"ein","value":"566000312"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":21.55,"npi":[1851496269]}]}]},{"tin":{"type":"ein","value":"566000315"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":23.65,"providers":[{"billed_charge":27.00,"npi":[1740405745]}]}]},{"tin":{"type":"ein","value":"566000332"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":9.50,"providers":[{"billed_charge":19.00,"npi":[1306904917]}]}]},{"tin":{"type":"ein","value":"566000805"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.10,"providers":[{"billed_charge":16.10,"npi":[1356845309]}]}]},{"tin":{"type":"ein","value":"566001525"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":23.99,"providers":[{"billed_charge":53.00,"npi":[1134286321]}]}]},{"tin":{"type":"ein","value":"566001814"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":22.00,"providers":[{"billed_charge":22.00,"npi":[1992857841]}]}]},{"tin":{"type":"ein","value":"566015416"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.65,"providers":[{"billed_charge":50.00,"npi":[1215477591]}]}]},{"tin":{"type":"ein","value":"576000254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.00,"providers":[{"billed_charge":21.00,"npi":[1093990707]}]}]},{"tin":{"type":"ein","value":"576001153"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":15.00,"npi":[1740293422]}]}]},{"tin":{"type":"ein","value":"580625140"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.55,"providers":[{"billed_charge":39.00,"npi":[1255948717]}]}]},{"tin":{"type":"ein","value":"581085890"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.00,"providers":[{"billed_charge":35.00,"npi":[1497865935]}]}]},{"tin":{"type":"ein","value":"581413626"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.40,"providers":[{"billed_charge":40.00,"npi":[1063594430]}]}]},{"tin":{"type":"ein","value":"581480658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.40,"providers":[{"billed_charge":42.00,"npi":[1003940909]}]}]},{"tin":{"type":"ein","value":"581719867"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.93,"providers":[{"billed_charge":69.00,"npi":[1790733244]}]}]},{"tin":{"type":"ein","value":"581896468"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.00,"providers":[{"billed_charge":84.00,"npi":[1235296054]}]}]},{"tin":{"type":"ein","value":"581958398"},"billing_class":"professional","service_code":["11","50"],"payments":[{"allowed_amount":23.65,"providers":[{"billed_charge":54.88,"npi":[1215932215]},{"billed_charge":54.88,"npi":[1215932215]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.00,"providers":[{"billed_charge":66.00,"npi":[1689610149]}]}]},{"tin":{"type":"ein","value":"581999394"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.40,"providers":[{"billed_charge":40.00,"npi":[1164695458]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.20,"providers":[{"billed_charge":119.00,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"582092768"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.93,"providers":[{"billed_charge":69.00,"npi":[1912956046]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":40.00,"npi":[1679599088]}]}]},{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.27,"providers":[{"billed_charge":59.00,"npi":[1184679482]}]},{"allowed_amount":42.10,"providers":[{"billed_charge":59.00,"npi":[1184679482]}]}]},{"tin":{"type":"ein","value":"582409645"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":40.00,"npi":[1477638575]}]}]},{"tin":{"type":"ein","value":"586001998"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.00,"providers":[{"billed_charge":25.00,"npi":[1811098817]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":98.60,"providers":[{"billed_charge":116.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"592292041"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.46,"providers":[{"billed_charge":75.00,"npi":[1417987124]}]}]},{"tin":{"type":"ein","value":"593443182"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":82.65,"providers":[{"billed_charge":87.00,"npi":[1013902923]}]}]},{"tin":{"type":"ein","value":"593659218"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":28.00,"npi":[1003923731]}]}]},{"tin":{"type":"ein","value":"621508884"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.97,"providers":[{"billed_charge":56.00,"npi":[1346250057]}]}]},{"tin":{"type":"ein","value":"621585063"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.95,"providers":[{"billed_charge":47.00,"npi":[1548349186]}]}]},{"tin":{"type":"ein","value":"630520830"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":20.00,"npi":[1144961293]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.25,"providers":[{"billed_charge":27.00,"npi":[1407995186]}]}]},{"tin":{"type":"ein","value":"640362400"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":35.00,"npi":[1598105447]}]}]},{"tin":{"type":"ein","value":"721561246"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.99,"providers":[{"billed_charge":35.00,"npi":[1346486891]}]}]},{"tin":{"type":"ein","value":"760528576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.81,"providers":[{"billed_charge":62.00,"npi":[1528061157]}]}]},{"tin":{"type":"ein","value":"800107731"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.58,"providers":[{"billed_charge":25.00,"npi":[1205885035]}]}]},{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.65,"providers":[{"billed_charge":61.00,"npi":[1366912586]}]},{"allowed_amount":23.99,"providers":[{"billed_charge":61.00,"npi":[1366912586]}]}]},{"tin":{"type":"ein","value":"823372345"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.04,"providers":[{"billed_charge":69.00,"npi":[1245746783]}]}]},{"tin":{"type":"ein","value":"830641538"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":30.00,"npi":[1972092054]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":23.99,"providers":[{"billed_charge":60.00,"npi":[1932679446]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.65,"providers":[{"billed_charge":61.00,"npi":[1265908479]}]},{"allowed_amount":23.99,"providers":[{"billed_charge":61.00,"npi":[1619443827,1265908479]}]}]},{"tin":{"type":"ein","value":"832053115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.45,"providers":[{"billed_charge":61.00,"npi":[1093284010]}]}]},{"tin":{"type":"ein","value":"840832336"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.92,"providers":[{"billed_charge":48.00,"npi":[1760599724]}]}]},{"tin":{"type":"ein","value":"842099344"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.96,"providers":[{"billed_charge":56.00,"npi":[1427649011]}]}]},{"tin":{"type":"ein","value":"842207973"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.18,"providers":[{"billed_charge":53.50,"npi":[1053972331]}]}]},{"tin":{"type":"ein","value":"842256769"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.90,"providers":[{"billed_charge":23.16,"npi":[1083693857]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":23.99,"providers":[{"billed_charge":40.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"870286381"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.00,"providers":[{"billed_charge":32.00,"npi":[1578550083]}]}]},{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.00,"providers":[{"billed_charge":38.00,"npi":[1124102595]}]}]},{"tin":{"type":"ein","value":"921682481"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.26,"providers":[{"billed_charge":89.47,"npi":[1467141721]}]}]},{"tin":{"type":"ein","value":"932208118"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.30,"providers":[{"billed_charge":59.00,"npi":[1093493637]}]}]}]},{"billing_code":"90471","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"IMMUNIZATION ADMIN","allowed_amounts":[{"tin":{"type":"ein","value":"610444716"},"billing_class":"institutional","payments":[{"allowed_amount":151.96,"providers":[{"billed_charge":176.70,"npi":[1851346720]}]}]}]},{"billing_code":"90471","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"IMMUNIZATION ADMIN","allowed_amounts":[{"tin":{"type":"ein","value":"510103684"},"billing_class":"institutional","payments":[{"allowed_amount":13.04,"providers":[{"billed_charge":35.77,"npi":[1134194038]}]}]},{"tin":{"type":"ein","value":"560535674"},"billing_class":"institutional","payments":[{"allowed_amount":9.72,"providers":[{"billed_charge":19.44,"npi":[1366401648]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":47.00,"providers":[{"billed_charge":503.74,"npi":[1457719312]}]},{"allowed_amount":49.09,"providers":[{"billed_charge":352.17,"npi":[1073557559]}]},{"allowed_amount":50.92,"providers":[{"billed_charge":503.74,"npi":[1457719312]}]},{"allowed_amount":63.60,"providers":[{"billed_charge":352.17,"npi":[1073557559]}]},{"allowed_amount":81.10,"providers":[{"billed_charge":352.17,"npi":[1073557559]}]},{"allowed_amount":83.87,"providers":[{"billed_charge":499.28,"npi":[1750333282]}]},{"allowed_amount":86.42,"providers":[{"billed_charge":352.17,"npi":[1073557559]}]},{"allowed_amount":88.19,"providers":[{"billed_charge":503.74,"npi":[1477504280]}]},{"allowed_amount":97.59,"providers":[{"billed_charge":503.74,"npi":[1457719312]}]},{"allowed_amount":102.63,"providers":[{"billed_charge":352.17,"npi":[1073557559]},{"billed_charge":503.74,"npi":[1457719312]}]},{"allowed_amount":112.99,"providers":[{"billed_charge":499.28,"npi":[1750333282]}]},{"allowed_amount":114.30,"providers":[{"billed_charge":503.74,"npi":[1457719312]}]},{"allowed_amount":116.37,"providers":[{"billed_charge":503.74,"npi":[1457719312]}]},{"allowed_amount":127.29,"providers":[{"billed_charge":503.74,"npi":[1457719312]}]},{"allowed_amount":133.51,"providers":[{"billed_charge":503.74,"npi":[1457719312]}]},{"allowed_amount":134.44,"providers":[{"billed_charge":352.17,"npi":[1073557559]}]},{"allowed_amount":139.89,"providers":[{"billed_charge":503.74,"npi":[1457719312]}]},{"allowed_amount":150.52,"providers":[{"billed_charge":503.74,"npi":[1457719312]}]},{"allowed_amount":155.16,"providers":[{"billed_charge":503.74,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":95.84,"providers":[{"billed_charge":436.87,"npi":[1619350261]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":46.36,"providers":[{"billed_charge":392.30,"npi":[1083669030]}]},{"allowed_amount":50.72,"providers":[{"billed_charge":392.30,"npi":[1083669030]}]},{"allowed_amount":85.62,"providers":[{"billed_charge":392.30,"npi":[1083669030]}]},{"allowed_amount":92.90,"providers":[{"billed_charge":383.38,"npi":[1023056488]}]},{"allowed_amount":94.06,"providers":[{"billed_charge":392.30,"npi":[1083669030]}]},{"allowed_amount":120.21,"providers":[{"billed_charge":383.38,"npi":[1023056488]}]},{"allowed_amount":134.04,"providers":[{"billed_charge":392.30,"npi":[1083669030]}]},{"allowed_amount":152.25,"providers":[{"billed_charge":383.38,"npi":[1023056488]}]},{"allowed_amount":153.00,"providers":[{"billed_charge":383.38,"npi":[1023056488]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":85.28,"providers":[{"billed_charge":583.98,"npi":[1649218579]}]}]},{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":45.69,"providers":[{"billed_charge":135.00,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"610444716"},"billing_class":"institutional","payments":[{"allowed_amount":151.96,"providers":[{"billed_charge":176.70,"npi":[1851346720]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":50.42,"providers":[{"billed_charge":94.00,"npi":[1144211301]}]}]}]},{"billing_code":"90472","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"IMMUNIZATION ADMIN EACH ADD","allowed_amounts":[{"tin":{"type":"ein","value":"351747218"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":25.00,"npi":[1902032832]}]}]},{"tin":{"type":"ein","value":"546001775"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":14.43,"providers":[{"billed_charge":14.43,"npi":[1083675474]}]}]},{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.84,"providers":[{"billed_charge":24.00,"npi":[1134372477]}]}]},{"tin":{"type":"ein","value":"560992353"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.84,"providers":[{"billed_charge":17.68,"npi":[1619244084]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":20.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"566000315"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":42.56,"providers":[{"billed_charge":54.00,"npi":[1740405745]}]}]},{"tin":{"type":"ein","value":"581896468"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.50,"providers":[{"billed_charge":33.39,"npi":[1235296054]}]}]},{"tin":{"type":"ein","value":"840832336"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.73,"providers":[{"billed_charge":34.80,"npi":[1760599724]}]}]},{"tin":{"type":"ein","value":"921682481"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.07,"providers":[{"billed_charge":44.60,"npi":[1467141721]}]}]}]},{"billing_code":"90472","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"IMMUNIZATION ADMIN EACH ADD","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":18.08,"providers":[{"billed_charge":103.27,"npi":[1477504280]}]},{"allowed_amount":23.86,"providers":[{"billed_charge":103.27,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":24.64,"providers":[{"billed_charge":78.60,"npi":[1023056488]}]}]}]},{"billing_code":"90473","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"IMMUNE ADMIN ORAL/NASAL","allowed_amounts":[{"tin":{"type":"ein","value":"582234927"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.78,"providers":[{"billed_charge":50.00,"npi":[1679599088]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":23.75,"providers":[{"billed_charge":32.00,"npi":[1144803040]}]},{"allowed_amount":24.38,"providers":[{"billed_charge":32.00,"npi":[1144803040]}]}]}]},{"billing_code":"90474","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"IMMUNE ADMIN ORAL/NASAL ADDL","allowed_amounts":[{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.90,"providers":[{"billed_charge":18.00,"npi":[1134372477]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.77,"providers":[{"billed_charge":28.00,"npi":[1104368141]}]}]}]},{"billing_code":"90480","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ADMN SARSCOV2 VACC 1 DOSE","allowed_amounts":[{"tin":{"type":"ein","value":"251838458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":125.00,"npi":[1134619356]}]}]},{"tin":{"type":"ein","value":"391824445"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.75,"providers":[{"billed_charge":55.00,"npi":[1598784555]}]}]},{"tin":{"type":"ein","value":"430653611"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":78.00,"providers":[{"billed_charge":120.00,"npi":[1558601518]}]}]},{"tin":{"type":"ein","value":"460224743"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":59.20,"providers":[{"billed_charge":74.00,"npi":[1376575514]}]}]},{"tin":{"type":"ein","value":"546001775"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":20.10,"providers":[{"billed_charge":42.74,"npi":[1083675474]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":15.17,"providers":[{"billed_charge":29.00,"npi":[1245272657]}]}]},{"tin":{"type":"ein","value":"566000351"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":39.00,"providers":[{"billed_charge":65.00,"npi":[1467507640]}]}]},{"tin":{"type":"ein","value":"630520830"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.03,"providers":[{"billed_charge":43.00,"npi":[1144961293]}]}]}]},{"billing_code":"90480","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"ADMN SARSCOV2 VACC 1 DOSE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":34.89,"providers":[{"billed_charge":249.76,"npi":[1457719312]}]},{"allowed_amount":42.84,"providers":[{"billed_charge":174.61,"npi":[1073557559]}]},{"allowed_amount":44.04,"providers":[{"billed_charge":249.76,"npi":[1457719312]}]},{"allowed_amount":53.84,"providers":[{"billed_charge":249.76,"npi":[1457719312]}]},{"allowed_amount":76.94,"providers":[{"billed_charge":249.76,"npi":[1457719312]}]},{"allowed_amount":122.51,"providers":[{"billed_charge":249.76,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":75.48,"providers":[{"billed_charge":190.09,"npi":[1023056488]}]}]},{"tin":{"type":"ein","value":"610444716"},"billing_class":"institutional","payments":[{"allowed_amount":102.71,"providers":[{"billed_charge":119.43,"npi":[1851346720]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":58.89,"providers":[{"billed_charge":237.91,"npi":[1841237385]}]}]}]},{"billing_code":"90619","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"MENACWY-TT VACCINE IM","allowed_amounts":[{"tin":{"type":"ein","value":"200063146"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":198.46,"providers":[{"billed_charge":354.00,"npi":[1861947905]}]}]},{"tin":{"type":"ein","value":"453007639"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":200.23,"providers":[{"billed_charge":206.00,"npi":[1619258225]}]}]},{"tin":{"type":"ein","value":"561175704"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.74,"providers":[{"billed_charge":200.00,"npi":[1477510659]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":128.74,"providers":[{"billed_charge":156.12,"npi":[1245272657]}]}]}]},{"billing_code":"90620","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"MENB-4C VACC 2 DOSE IM","allowed_amounts":[{"tin":{"type":"ein","value":"540967672"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":232.66,"providers":[{"billed_charge":375.00,"npi":[1083793525]}]}]}]},{"billing_code":"90621","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"MENB-FHBP VACC 2/3 DOSE IM","allowed_amounts":[{"tin":{"type":"ein","value":"561175704"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":133.17,"providers":[{"billed_charge":165.00,"npi":[1477510659]}]}]}]},{"billing_code":"90633","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"HEPA VACC PED/ADOL 2 DOSE IM","allowed_amounts":[{"tin":{"type":"ein","value":"454965405"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.35,"providers":[{"billed_charge":100.00,"npi":[1447508478]}]}]},{"tin":{"type":"ein","value":"471049674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.37,"providers":[{"billed_charge":35.37,"npi":[1609281641]}]}]},{"tin":{"type":"ein","value":"562084142"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.72,"providers":[{"billed_charge":75.00,"npi":[1164500575]}]}]},{"tin":{"type":"ein","value":"813080176"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.38,"providers":[{"billed_charge":63.00,"npi":[1942651054]}]}]},{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.51,"providers":[{"billed_charge":55.00,"npi":[1124102595]}]}]}]},{"billing_code":"90636","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"HEP A/HEP B VACC ADULT IM","allowed_amounts":[{"tin":{"type":"ein","value":"546001775"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":116.17,"providers":[{"billed_charge":123.83,"npi":[1083675474]}]}]}]},{"billing_code":"90647","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"HIB PRP-OMP VACC 3 DOSE IM","allowed_amounts":[{"tin":{"type":"ein","value":"566001814"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":11.31,"providers":[{"billed_charge":30.00,"npi":[1992857841]}]}]}]},{"billing_code":"90648","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"HIB PRP-T VACCINE 4 DOSE IM","allowed_amounts":[{"tin":{"type":"ein","value":"593343389"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.44,"providers":[{"billed_charge":150.00,"npi":[1942260245]}]}]},{"tin":{"type":"ein","value":"810568231"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.73,"providers":[{"billed_charge":200.00,"npi":[1437168135]}]}]}]},{"billing_code":"90651","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"9VHPV VACCINE 2/3 DOSE IM","allowed_amounts":[{"tin":{"type":"ein","value":"200063146"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":182.20,"providers":[{"billed_charge":325.00,"npi":[1861947905]}]}]},{"tin":{"type":"ein","value":"311620193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":252.00,"providers":[{"billed_charge":360.00,"npi":[1285670646]}]}]},{"tin":{"type":"ein","value":"311627920"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":446.25,"providers":[{"billed_charge":525.00,"npi":[1972020899]}]}]},{"tin":{"type":"ein","value":"351747218"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":432.00,"providers":[{"billed_charge":576.00,"npi":[1902032832]}]}]},{"tin":{"type":"ein","value":"453007639"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":270.00,"providers":[{"billed_charge":270.00,"npi":[1619258225]}]}]},{"tin":{"type":"ein","value":"460938716"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1013269430]}]}]},{"tin":{"type":"ein","value":"581367701"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":390.00,"providers":[{"billed_charge":390.00,"npi":[1487772596]}]}]},{"tin":{"type":"ein","value":"586001998"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":280.00,"providers":[{"billed_charge":350.00,"npi":[1811098817]}]}]}]},{"billing_code":"90653","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"IIV ADJUVANT VACCINE IM","allowed_amounts":[{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":21.90,"providers":[{"billed_charge":149.90,"npi":[1649218579]}]}]}]},{"billing_code":"90656","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"IIV3 VACC NO PRSV 0.5 ML IM","allowed_amounts":[{"tin":{"type":"ein","value":"042810972"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.34,"providers":[{"billed_charge":49.00,"npi":[1437196359]}]}]},{"tin":{"type":"ein","value":"202305158"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.85,"providers":[{"billed_charge":41.00,"npi":[1295862944]}]}]},{"tin":{"type":"ein","value":"208762724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.85,"providers":[{"billed_charge":45.00,"npi":[1982761896]}]}]},{"tin":{"type":"ein","value":"251838458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.72,"providers":[{"billed_charge":39.00,"npi":[1134619356]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.81,"providers":[{"billed_charge":39.54,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"271119602"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.80,"providers":[{"billed_charge":76.00,"npi":[1871823401]}]}]},{"tin":{"type":"ein","value":"271332228"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.09,"providers":[{"billed_charge":68.00,"npi":[1649500141]}]}]},{"tin":{"type":"ein","value":"330587303"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.28,"providers":[{"billed_charge":58.00,"npi":[1730180415]}]}]},{"tin":{"type":"ein","value":"350867977"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.50,"providers":[{"billed_charge":25.00,"npi":[1447499157]}]}]},{"tin":{"type":"ein","value":"351747218"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.25,"providers":[{"billed_charge":31.00,"npi":[1902032832]}]}]},{"tin":{"type":"ein","value":"362169147"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.00,"providers":[{"billed_charge":35.00,"npi":[1003542184]}]}]},{"tin":{"type":"ein","value":"383316559"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.00,"providers":[{"billed_charge":27.00,"npi":[1316379936]}]}]},{"tin":{"type":"ein","value":"391670223"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":40.00,"npi":[1659452878]}]}]},{"tin":{"type":"ein","value":"391824445"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.10,"providers":[{"billed_charge":26.00,"npi":[1598784555]}]}]},{"tin":{"type":"ein","value":"391994216"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.30,"providers":[{"billed_charge":56.00,"npi":[1003811993]}]}]},{"tin":{"type":"ein","value":"452702114"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.01,"providers":[{"billed_charge":54.00,"npi":[1568704831]}]}]},{"tin":{"type":"ein","value":"453007639"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.15,"providers":[{"billed_charge":27.00,"npi":[1619258225]}]}]},{"tin":{"type":"ein","value":"453367409"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.51,"providers":[{"billed_charge":44.00,"npi":[1700162203]}]}]},{"tin":{"type":"ein","value":"454083432"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":20.00,"npi":[1326318627]}]}]},{"tin":{"type":"ein","value":"460224743"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.88,"providers":[{"billed_charge":22.35,"npi":[1376575514]}]}]},{"tin":{"type":"ein","value":"460530293"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.35,"providers":[{"billed_charge":35.00,"npi":[1689005357]}]}]},{"tin":{"type":"ein","value":"461243081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":40.00,"npi":[1750626495]}]}]},{"tin":{"type":"ein","value":"474459800"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":21.59,"providers":[{"billed_charge":40.00,"npi":[1912381203]}]}]},{"tin":{"type":"ein","value":"541778786"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.90,"providers":[{"billed_charge":35.00,"npi":[1538214309]}]}]},{"tin":{"type":"ein","value":"546001775"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":20.31,"providers":[{"billed_charge":20.31,"npi":[1083675474]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.18,"providers":[{"billed_charge":60.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"561031244"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.01,"providers":[{"billed_charge":35.00,"npi":[1114978582]}]}]},{"tin":{"type":"ein","value":"561567536"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.01,"providers":[{"billed_charge":24.00,"npi":[1912987090]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.45,"providers":[{"billed_charge":53.00,"npi":[1649525619]}]},{"allowed_amount":21.51,"providers":[{"billed_charge":53.00,"npi":[1649525619]}]}]},{"tin":{"type":"ein","value":"561826996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":30.00,"npi":[1467449728]}]}]},{"tin":{"type":"ein","value":"562084142"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.01,"providers":[{"billed_charge":38.50,"npi":[1164500575]}]}]},{"tin":{"type":"ein","value":"562084959"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":22.01,"providers":[{"billed_charge":29.00,"npi":[1447999057]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":19.00,"providers":[{"billed_charge":19.00,"npi":[1245272657]}]}]},{"tin":{"type":"ein","value":"566000315"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":20.00,"npi":[1740405745]}]}]},{"tin":{"type":"ein","value":"566000332"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":11.18,"providers":[{"billed_charge":22.35,"npi":[1306904917]}]}]},{"tin":{"type":"ein","value":"566015416"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.59,"providers":[{"billed_charge":45.00,"npi":[1215477591]}]}]},{"tin":{"type":"ein","value":"570544595"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.51,"providers":[{"billed_charge":30.00,"npi":[1447383666]}]}]},{"tin":{"type":"ein","value":"580625140"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.00,"providers":[{"billed_charge":30.00,"npi":[1255948717]}]}]},{"tin":{"type":"ein","value":"581085890"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.89,"providers":[{"billed_charge":45.00,"npi":[1497865935]}]}]},{"tin":{"type":"ein","value":"581413626"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.89,"providers":[{"billed_charge":25.00,"npi":[1063594430]}]}]},{"tin":{"type":"ein","value":"581480658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.89,"providers":[{"billed_charge":30.00,"npi":[1003940909]}]},{"allowed_amount":25.88,"providers":[{"billed_charge":30.00,"npi":[1003940909]}]}]},{"tin":{"type":"ein","value":"581719867"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.89,"providers":[{"billed_charge":67.00,"npi":[1790733244]}]}]},{"tin":{"type":"ein","value":"581958398"},"billing_class":"professional","service_code":["11","50"],"payments":[{"allowed_amount":21.59,"providers":[{"billed_charge":35.00,"npi":[1215932215]},{"billed_charge":25.76,"npi":[1215932215]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.95,"providers":[{"billed_charge":47.00,"npi":[1689610149]}]}]},{"tin":{"type":"ein","value":"581999394"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.89,"providers":[{"billed_charge":35.00,"npi":[1164695458]}]}]},{"tin":{"type":"ein","value":"582092768"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.89,"providers":[{"billed_charge":67.00,"npi":[1912956046]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.89,"providers":[{"billed_charge":30.00,"npi":[1679599088]}]}]},{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.38,"providers":[{"billed_charge":38.00,"npi":[1184679482]}]},{"allowed_amount":29.97,"providers":[{"billed_charge":38.00,"npi":[1184679482]}]}]},{"tin":{"type":"ein","value":"582566360"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.97,"providers":[{"billed_charge":79.00,"npi":[1073885828]}]}]},{"tin":{"type":"ein","value":"586001998"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":25.00,"npi":[1811098817]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.75,"providers":[{"billed_charge":35.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"630520830"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.50,"providers":[{"billed_charge":40.00,"npi":[1144961293]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.00,"providers":[{"billed_charge":32.00,"npi":[1407995186]}]}]},{"tin":{"type":"ein","value":"721561246"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.01,"providers":[{"billed_charge":65.00,"npi":[1346486891]}]}]},{"tin":{"type":"ein","value":"823372345"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.89,"providers":[{"billed_charge":67.00,"npi":[1245746783]}]}]},{"tin":{"type":"ein","value":"840832336"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.20,"providers":[{"billed_charge":31.20,"npi":[1760599724]}]}]},{"tin":{"type":"ein","value":"842207973"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.30,"providers":[{"billed_charge":30.50,"npi":[1053972331]}]}]}]},{"billing_code":"90656","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"IIV3 VACC NO PRSV 0.5 ML IM","allowed_amounts":[{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":89.91,"providers":[{"billed_charge":135.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":20.17,"providers":[{"billed_charge":20.37,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":10.48,"providers":[{"billed_charge":112.29,"npi":[1457719312]}]},{"allowed_amount":10.95,"providers":[{"billed_charge":78.50,"npi":[1073557559]}]},{"allowed_amount":11.35,"providers":[{"billed_charge":112.29,"npi":[1457719312]}]},{"allowed_amount":14.18,"providers":[{"billed_charge":78.50,"npi":[1073557559]}]},{"allowed_amount":19.27,"providers":[{"billed_charge":78.50,"npi":[1073557559]}]},{"allowed_amount":21.75,"providers":[{"billed_charge":112.29,"npi":[1457719312]}]},{"allowed_amount":22.87,"providers":[{"billed_charge":78.50,"npi":[1073557559]},{"billed_charge":112.29,"npi":[1457719312]}]},{"allowed_amount":29.76,"providers":[{"billed_charge":112.29,"npi":[1457719312]}]},{"allowed_amount":33.55,"providers":[{"billed_charge":112.29,"npi":[1457719312]}]},{"allowed_amount":34.59,"providers":[{"billed_charge":112.29,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":21.37,"providers":[{"billed_charge":97.38,"npi":[1619350261]}]}]},{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":117.44,"providers":[{"billed_charge":346.97,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"610444716"},"billing_class":"institutional","payments":[{"allowed_amount":37.77,"providers":[{"billed_charge":43.92,"npi":[1851346720]}]}]}]},{"billing_code":"90658","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"IIV3 VACCINE SPLT 0.5 ML IM","allowed_amounts":[{"tin":{"type":"ein","value":"200539417"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.75,"providers":[{"billed_charge":36.00,"npi":[1043311756]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.81,"providers":[{"billed_charge":37.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"566000805"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.81,"providers":[{"billed_charge":25.00,"npi":[1356845309]}]}]},{"tin":{"type":"ein","value":"760528576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.20,"providers":[{"billed_charge":33.00,"npi":[1528061157]}]}]}]},{"billing_code":"90658","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"IIV3 VACCINE SPLT 0.5 ML IM","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":7.84,"providers":[{"billed_charge":66.26,"npi":[1083669030]}]},{"allowed_amount":8.57,"providers":[{"billed_charge":66.26,"npi":[1083669030]}]},{"allowed_amount":14.46,"providers":[{"billed_charge":66.26,"npi":[1083669030]}]},{"allowed_amount":15.69,"providers":[{"billed_charge":64.76,"npi":[1023056488]}]},{"allowed_amount":15.89,"providers":[{"billed_charge":66.26,"npi":[1083669030]}]},{"allowed_amount":25.72,"providers":[{"billed_charge":64.76,"npi":[1023056488]}]}]}]},{"billing_code":"90660","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"LAIV3 VACCINE INTRANASAL","allowed_amounts":[{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.76,"providers":[{"billed_charge":45.00,"npi":[1124102595]}]}]}]},{"billing_code":"90661","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"CCIIV3 VAC NO PRSV 0.5 ML IM","allowed_amounts":[{"tin":{"type":"ein","value":"061714706"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":85.00,"npi":[1225109838]}]}]},{"tin":{"type":"ein","value":"160743209"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.00,"providers":[{"billed_charge":24.00,"npi":[1548583305]}]}]},{"tin":{"type":"ein","value":"205392766"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.00,"providers":[{"billed_charge":60.00,"npi":[1619105244]}]}]},{"tin":{"type":"ein","value":"263985043"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.09,"providers":[{"billed_charge":55.00,"npi":[1407957632]}]}]},{"tin":{"type":"ein","value":"311620193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.00,"providers":[{"billed_charge":40.00,"npi":[1285670646]}]}]},{"tin":{"type":"ein","value":"381359247"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.20,"providers":[{"billed_charge":44.00,"npi":[1457704850]}]}]},{"tin":{"type":"ein","value":"430653611"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":30.00,"npi":[1558601518]}]}]},{"tin":{"type":"ein","value":"454951682"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.85,"providers":[{"billed_charge":111.00,"npi":[1588925457]}]}]},{"tin":{"type":"ein","value":"540505977"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.00,"providers":[{"billed_charge":40.00,"npi":[1942540208]}]}]},{"tin":{"type":"ein","value":"581896468"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.50,"providers":[{"billed_charge":90.00,"npi":[1235296054]}]}]},{"tin":{"type":"ein","value":"593659218"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":55.00,"npi":[1003923731]}]}]},{"tin":{"type":"ein","value":"621585063"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.80,"providers":[{"billed_charge":48.00,"npi":[1548349186]}]}]},{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.61,"providers":[{"billed_charge":78.00,"npi":[1366912586]}]}]},{"tin":{"type":"ein","value":"830641538"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.50,"providers":[{"billed_charge":45.00,"npi":[1972092054]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.61,"providers":[{"billed_charge":78.00,"npi":[1265908479]}]}]},{"tin":{"type":"ein","value":"842099344"},"billing_class":"professional","service_code":["11","60"],"payments":[{"allowed_amount":32.89,"providers":[{"billed_charge":50.00,"npi":[1427649011]},{"billed_charge":50.00,"npi":[1427649011]}]}]},{"tin":{"type":"ein","value":"862800277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.88,"providers":[{"billed_charge":83.00,"npi":[1548849482]}]}]},{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":45.00,"npi":[1124102595]}]}]}]},{"billing_code":"90662","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"IIV NO PRSV INCREASED AG IM","allowed_amounts":[{"tin":{"type":"ein","value":"522375549"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":89.30,"providers":[{"billed_charge":95.00,"npi":[1134326176]}]}]},{"tin":{"type":"ein","value":"546001775"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":73.40,"providers":[{"billed_charge":73.40,"npi":[1083675474]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.31,"providers":[{"billed_charge":100.00,"npi":[1780623207]}]}]}]},{"billing_code":"90662","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"IIV NO PRSV INCREASED AG IM","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":49.98,"providers":[{"billed_charge":285.49,"npi":[1477504280]}]}]}]},{"billing_code":"90670","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"PCV13 VACCINE IM","allowed_amounts":[{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":211.00,"providers":[{"billed_charge":211.00,"npi":[1134372477]}]}]},{"tin":{"type":"ein","value":"562000200"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":285.00,"providers":[{"billed_charge":285.00,"npi":[1437187010]}]}]}]},{"billing_code":"90671","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"PCV15 VACCINE IM","allowed_amounts":[{"tin":{"type":"ein","value":"593343389"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":240.00,"providers":[{"billed_charge":400.00,"npi":[1942260245]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":512.19,"providers":[{"billed_charge":1296.00,"npi":[1104368141]}]}]}]},{"billing_code":"90672","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"LAIV4 VACCINE INTRANASAL","allowed_amounts":[{"tin":{"type":"ein","value":"582234927"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.68,"providers":[{"billed_charge":50.00,"npi":[1679599088]}]}]}]},{"billing_code":"90673","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"RIV3 VACCINE NO PRESERV IM","allowed_amounts":[{"tin":{"type":"ein","value":"221179701"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.80,"providers":[{"billed_charge":128.00,"npi":[1336193838]}]}]},{"tin":{"type":"ein","value":"561826996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.77,"providers":[{"billed_charge":85.00,"npi":[1467449728]}]}]},{"tin":{"type":"ein","value":"621508884"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.00,"providers":[{"billed_charge":100.00,"npi":[1346250057]}]}]},{"tin":{"type":"ein","value":"800107731"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":83.49,"providers":[{"billed_charge":95.00,"npi":[1205885035]}]}]}]},{"billing_code":"90674","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"CCIIV4 VAC NO PRSV 0.5 ML IM","allowed_amounts":[{"tin":{"type":"ein","value":"592292041"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.00,"providers":[{"billed_charge":75.00,"npi":[1417987124]}]}]}]},{"billing_code":"90675","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"RABIES VACCINE IM","allowed_amounts":[{"tin":{"type":"ein","value":"610444716"},"billing_class":"institutional","payments":[{"allowed_amount":872.13,"providers":[{"billed_charge":1014.10,"npi":[1851346720]}]}]}]},{"billing_code":"90677","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"PCV20 VACCINE IM","allowed_amounts":[{"tin":{"type":"ein","value":"202998046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":305.00,"providers":[{"billed_charge":305.00,"npi":[1770782450]}]}]},{"tin":{"type":"ein","value":"546001775"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":270.08,"providers":[{"billed_charge":270.08,"npi":[1083675474]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":424.33,"providers":[{"billed_charge":425.00,"npi":[1780623207]}]},{"allowed_amount":424.34,"providers":[{"billed_charge":425.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"581136662"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":345.15,"providers":[{"billed_charge":430.00,"npi":[1841337896]}]}]},{"tin":{"type":"ein","value":"581308985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":345.15,"providers":[{"billed_charge":400.00,"npi":[1154453967]}]}]},{"tin":{"type":"ein","value":"581480658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":345.15,"providers":[{"billed_charge":390.00,"npi":[1003940909]}]}]},{"tin":{"type":"ein","value":"810568231"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":400.00,"providers":[{"billed_charge":400.00,"npi":[1437168135]}]}]},{"tin":{"type":"ein","value":"813080176"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":372.55,"providers":[{"billed_charge":400.00,"npi":[1942651054]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":424.34,"providers":[{"billed_charge":863.00,"npi":[1619443827]}]}]},{"tin":{"type":"ein","value":"832053115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":388.35,"providers":[{"billed_charge":863.00,"npi":[1093284010]}]}]},{"tin":{"type":"ein","value":"842099344"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":416.32,"providers":[{"billed_charge":472.00,"npi":[1427649011]}]}]}]},{"billing_code":"90678","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"RSV VACC PREF BIVALENT IM","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":87.11,"providers":[{"billed_charge":497.52,"npi":[1477504280]}]},{"allowed_amount":114.94,"providers":[{"billed_charge":497.52,"npi":[1457719312]}]}]}]},{"billing_code":"90680","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"RV5 VACC 3 DOSE LIVE ORAL","allowed_amounts":[{"tin":{"type":"ein","value":"202998046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":73.68,"providers":[{"billed_charge":104.00,"npi":[1770782450]}]}]},{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.17,"providers":[{"billed_charge":85.00,"npi":[1134372477]}]}]},{"tin":{"type":"ein","value":"562000200"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.17,"providers":[{"billed_charge":120.00,"npi":[1437187010]}]}]},{"tin":{"type":"ein","value":"581136662"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.27,"providers":[{"billed_charge":135.00,"npi":[1841337896]}]}]},{"tin":{"type":"ein","value":"581308985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.27,"providers":[{"billed_charge":150.00,"npi":[1154453967]}]}]},{"tin":{"type":"ein","value":"581480658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":126.50,"providers":[{"billed_charge":130.00,"npi":[1003940909]}]}]},{"tin":{"type":"ein","value":"593343389"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":200.00,"npi":[1942260245]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":150.00,"npi":[1104368141]}]}]}]},{"billing_code":"90681","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"RV1 VACC 2 DOSE LIVE ORAL","allowed_amounts":[{"tin":{"type":"ein","value":"810568231"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.38,"providers":[{"billed_charge":350.00,"npi":[1437168135]}]}]}]},{"billing_code":"90686","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"IIV4 VACC NO PRSV 0.5 ML IM","allowed_amounts":[{"tin":{"type":"ein","value":"311425710"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.00,"providers":[{"billed_charge":60.00,"npi":[1194917062]}]}]},{"tin":{"type":"ein","value":"316025986"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.55,"providers":[{"billed_charge":23.00,"npi":[1942274410]}]}]},{"tin":{"type":"ein","value":"510103684"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":30.00,"npi":[1174508527]}]}]},{"tin":{"type":"ein","value":"581640184"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.00,"providers":[{"billed_charge":25.00,"npi":[1669500997]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":61.60,"providers":[{"billed_charge":77.00,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":32.39,"providers":[{"billed_charge":40.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"870286381"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.25,"providers":[{"billed_charge":35.00,"npi":[1578550083]}]}]}]},{"billing_code":"90686","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"IIV4 VACC NO PRSV 0.5 ML IM","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":38.69,"providers":[{"billed_charge":101.33,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"616001218"},"billing_class":"institutional","payments":[{"allowed_amount":21.99,"providers":[{"billed_charge":67.90,"npi":[1518911338]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":50.66,"providers":[{"billed_charge":94.45,"npi":[1144211301]}]}]}]},{"billing_code":"90688","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"IIV4 VACCINE SPLT 0.5 ML IM","allowed_amounts":[{"tin":{"type":"ein","value":"204916014"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":25.00,"npi":[1740212893]}]}]},{"tin":{"type":"ein","value":"576001153"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.00,"providers":[{"billed_charge":25.00,"npi":[1740293422]}]}]}]},{"billing_code":"90696","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"DTAP-IPV VACCINE 4-6 YRS IM","allowed_amounts":[{"tin":{"type":"ein","value":"921682481"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.83,"providers":[{"billed_charge":64.06,"npi":[1467141721]}]}]}]},{"billing_code":"90697","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"DTAP-IPV-HIB-HEPB VACCINE IM","allowed_amounts":[{"tin":{"type":"ein","value":"202998046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.10,"providers":[{"billed_charge":162.00,"npi":[1770782450]}]}]},{"tin":{"type":"ein","value":"562000200"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.29,"providers":[{"billed_charge":190.00,"npi":[1437187010]}]}]},{"tin":{"type":"ein","value":"581480658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":198.13,"providers":[{"billed_charge":215.00,"npi":[1003940909]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":300.00,"providers":[{"billed_charge":375.00,"npi":[1104368141]}]}]}]},{"billing_code":"90698","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"DTAP-IPV/HIB VACCINE IM","allowed_amounts":[{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":75.00,"npi":[1134372477]}]}]},{"tin":{"type":"ein","value":"581136662"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.35,"providers":[{"billed_charge":155.00,"npi":[1841337896]}]}]},{"tin":{"type":"ein","value":"581308985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.35,"providers":[{"billed_charge":200.00,"npi":[1154453967]}]}]}]},{"billing_code":"90700","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"DTAP VACCINE < 7 YRS IM","allowed_amounts":[{"tin":{"type":"ein","value":"593343389"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.44,"providers":[{"billed_charge":150.00,"npi":[1942260245]}]}]}]},{"billing_code":"90707","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"MMR VACCINE SC","allowed_amounts":[{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":90.47,"providers":[{"billed_charge":103.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"566000315"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":78.67,"providers":[{"billed_charge":93.00,"npi":[1740405745]}]}]},{"tin":{"type":"ein","value":"576000254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":83.95,"providers":[{"billed_charge":114.00,"npi":[1093990707]}]}]},{"tin":{"type":"ein","value":"813080176"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":58.84,"providers":[{"billed_charge":127.00,"npi":[1942651054]}]}]}]},{"billing_code":"90710","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"MMRV VACCINE SC","allowed_amounts":[{"tin":{"type":"ein","value":"454965405"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":255.85,"providers":[{"billed_charge":300.00,"npi":[1447508478]}]}]},{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":311.53,"providers":[{"billed_charge":499.00,"npi":[1124102595]}]}]},{"tin":{"type":"ein","value":"921682481"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":145.88,"providers":[{"billed_charge":324.18,"npi":[1467141721]}]}]}]},{"billing_code":"90714","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"TD VACC NO PRESV 7 YRS+ IM","allowed_amounts":[{"tin":{"type":"ein","value":"310917085"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.70,"providers":[{"billed_charge":143.00,"npi":[1508817248]}]}]},{"tin":{"type":"ein","value":"391370626"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.83,"providers":[{"billed_charge":79.00,"npi":[1669871620]}]}]}]},{"billing_code":"90715","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"TDAP VACCINE 7 YRS/> IM","allowed_amounts":[{"tin":{"type":"ein","value":"020222152"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":173.60,"providers":[{"billed_charge":217.00,"npi":[1144223702]}]}]},{"tin":{"type":"ein","value":"200063146"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.12,"providers":[{"billed_charge":68.00,"npi":[1861947905]}]}]},{"tin":{"type":"ein","value":"203639329"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.90,"providers":[{"billed_charge":58.00,"npi":[1649228966]}]}]},{"tin":{"type":"ein","value":"386005984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.52,"providers":[{"billed_charge":75.00,"npi":[1770646028]}]}]},{"tin":{"type":"ein","value":"521923448"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.31,"providers":[{"billed_charge":70.00,"npi":[1083667067]}]}]},{"tin":{"type":"ein","value":"540505977"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.40,"providers":[{"billed_charge":52.00,"npi":[1942540208]}]}]},{"tin":{"type":"ein","value":"560992353"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.53,"providers":[{"billed_charge":39.05,"npi":[1619244084]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":32.56,"providers":[{"billed_charge":87.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"561771748"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.92,"providers":[{"billed_charge":65.00,"npi":[1023050630]}]}]},{"tin":{"type":"ein","value":"562084959"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":48.00,"providers":[{"billed_charge":48.00,"npi":[1386383909]}]}]},{"tin":{"type":"ein","value":"566000312"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":34.78,"providers":[{"billed_charge":49.68,"npi":[1851496269]}]}]},{"tin":{"type":"ein","value":"581896468"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":64.06,"providers":[{"billed_charge":75.36,"npi":[1235296054]}]}]},{"tin":{"type":"ein","value":"593443182"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.45,"providers":[{"billed_charge":111.00,"npi":[1013902923]}]}]},{"tin":{"type":"ein","value":"822146009"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.63,"providers":[{"billed_charge":60.00,"npi":[1386163822]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.46,"providers":[{"billed_charge":150.00,"npi":[1104368141]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":59.57,"providers":[{"billed_charge":100.00,"npi":[1932679446]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":59.57,"providers":[{"billed_charge":116.19,"npi":[1265908479]}]}]},{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":59.57,"providers":[{"billed_charge":79.00,"npi":[1255950325]}]}]}]},{"billing_code":"90715","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"TDAP VACCINE 7 YRS/> IM","allowed_amounts":[{"tin":{"type":"ein","value":"510103684"},"billing_class":"institutional","payments":[{"allowed_amount":124.96,"providers":[{"billed_charge":342.70,"npi":[1134194038]}]}]},{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":50.90,"providers":[{"billed_charge":51.41,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":83.60,"providers":[{"billed_charge":368.46,"npi":[1457719312]}]},{"allowed_amount":85.11,"providers":[{"billed_charge":368.46,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":87.92,"providers":[{"billed_charge":280.42,"npi":[1023056488]}]}]}]},{"billing_code":"90716","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"VAR VACCINE LIVE SUBQ","allowed_amounts":[{"tin":{"type":"ein","value":"566000315"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":129.65,"providers":[{"billed_charge":162.00,"npi":[1740405745]}]}]},{"tin":{"type":"ein","value":"566001525"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":129.65,"providers":[{"billed_charge":230.00,"npi":[1134286321]}]}]},{"tin":{"type":"ein","value":"582409645"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":149.60,"providers":[{"billed_charge":185.00,"npi":[1477638575]}]}]},{"tin":{"type":"ein","value":"813080176"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":102.09,"providers":[{"billed_charge":220.00,"npi":[1942651054]}]}]}]},{"billing_code":"90723","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"DTAP-HEP B-IPV VACCINE IM","allowed_amounts":[{"tin":{"type":"ein","value":"810568231"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":89.13,"providers":[{"billed_charge":255.00,"npi":[1437168135]}]}]}]},{"billing_code":"90734","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"MENACWYD/MENACWYCRM VACC IM","allowed_amounts":[{"tin":{"type":"ein","value":"560992353"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.00,"providers":[{"billed_charge":142.00,"npi":[1619244084]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":107.91,"providers":[{"billed_charge":200.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":132.58,"providers":[{"billed_charge":413.00,"npi":[1104368141]}]}]}]},{"billing_code":"90744","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"HEPB VACC 3 DOSE PED/ADOL IM","allowed_amounts":[{"tin":{"type":"ein","value":"320466163"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.85,"providers":[{"billed_charge":70.00,"npi":[1942689138]}]}]}]},{"billing_code":"90746","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"HEPB VACCINE 3 DOSE ADULT IM","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":77.94,"providers":[{"billed_charge":344.43,"npi":[1750333282]}]}]}]},{"billing_code":"90750","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"HZV VACC RECOMBINANT IM","allowed_amounts":[{"tin":{"type":"ein","value":"391678306"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":340.00,"providers":[{"billed_charge":400.00,"npi":[1427271378]}]}]},{"tin":{"type":"ein","value":"840832336"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":182.40,"providers":[{"billed_charge":182.40,"npi":[1760599724]}]}]},{"tin":{"type":"ein","value":"932208118"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":273.70,"providers":[{"billed_charge":391.00,"npi":[1093493637]}]}]}]},{"billing_code":"90750","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"HZV VACC RECOMBINANT IM","allowed_amounts":[{"tin":{"type":"ein","value":"560535674"},"billing_class":"institutional","payments":[{"allowed_amount":97.21,"providers":[{"billed_charge":194.41,"npi":[1366401648]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":106.98,"providers":[{"billed_charge":477.29,"npi":[1073557559]}]},{"allowed_amount":109.90,"providers":[{"billed_charge":477.29,"npi":[1073557559]}]},{"allowed_amount":113.67,"providers":[{"billed_charge":676.66,"npi":[1750333282]}]},{"allowed_amount":172.51,"providers":[{"billed_charge":682.70,"npi":[1457719312]}]},{"allowed_amount":189.59,"providers":[{"billed_charge":682.70,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":162.92,"providers":[{"billed_charge":519.58,"npi":[1023056488]}]},{"allowed_amount":181.66,"providers":[{"billed_charge":531.66,"npi":[1083669030]}]},{"allowed_amount":207.36,"providers":[{"billed_charge":519.58,"npi":[1023056488]}]}]}]},{"billing_code":"90756","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"CCIIV4 VACC ABX FREE IM","allowed_amounts":[{"tin":{"type":"ein","value":"570722653"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":45.37,"providers":[{"billed_charge":46.00,"npi":[1588618441]}]}]}]},{"billing_code":"90785","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"PSYTX COMPLEX INTERACTIVE","allowed_amounts":[{"tin":{"type":"ein","value":"461227720"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.77,"providers":[{"billed_charge":33.60,"npi":[1023362852]}]}]},{"tin":{"type":"ein","value":"462563251"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.84,"providers":[{"billed_charge":22.50,"npi":[1710325766]}]}]},{"tin":{"type":"ein","value":"823666217"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":100.00,"npi":[1205341112]}]}]},{"tin":{"type":"ein","value":"883624704"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.00,"providers":[{"billed_charge":14.00,"npi":[1578291308]}]}]}]},{"billing_code":"90791","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"PSYCH DIAGNOSTIC EVALUATION","allowed_amounts":[{"tin":{"type":"ein","value":"010514750"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":267.79,"providers":[{"billed_charge":424.00,"npi":[1427169010]}]}]},{"tin":{"type":"ein","value":"020707661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":231.29,"providers":[{"billed_charge":360.00,"npi":[1558329243]}]},{"allowed_amount":241.90,"providers":[{"billed_charge":360.00,"npi":[1558329243]}]}]},{"tin":{"type":"ein","value":"201997771"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":231.29,"providers":[{"billed_charge":500.00,"npi":[1881246007]}]}]},{"tin":{"type":"ein","value":"205291806"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":172.00,"providers":[{"billed_charge":215.00,"npi":[1629233887]}]}]},{"tin":{"type":"ein","value":"262800202"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":175.00,"providers":[{"billed_charge":350.00,"npi":[1982864849]}]}]},{"tin":{"type":"ein","value":"270853981"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":150.00,"npi":[1477885903]}]}]},{"tin":{"type":"ein","value":"273210819"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.20,"providers":[{"billed_charge":187.00,"npi":[1548739170]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":936.00,"providers":[{"billed_charge":1248.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"364795577"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":95.00,"providers":[{"billed_charge":190.00,"npi":[1497100689]}]}]},{"tin":{"type":"ein","value":"383316559"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":193.51,"providers":[{"billed_charge":263.00,"npi":[1164137709]}]}]},{"tin":{"type":"ein","value":"452131675"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":212.23,"providers":[{"billed_charge":353.72,"npi":[1336292556]}]}]},{"tin":{"type":"ein","value":"460489059"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":241.90,"providers":[{"billed_charge":300.00,"npi":[1437603198]}]}]},{"tin":{"type":"ein","value":"460789547"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":241.90,"providers":[{"billed_charge":300.00,"npi":[1588912513]}]}]},{"tin":{"type":"ein","value":"461270007"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":241.90,"providers":[{"billed_charge":275.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"461273867"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":241.90,"providers":[{"billed_charge":275.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"461282897"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":505.75,"providers":[{"billed_charge":595.00,"npi":[1689919599]}]}]},{"tin":{"type":"ein","value":"462809502"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":241.90,"providers":[{"billed_charge":250.00,"npi":[1316362551]}]}]},{"tin":{"type":"ein","value":"463281605"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":150.00,"npi":[1396297545]}]},{"allowed_amount":92.32,"providers":[{"billed_charge":153.87,"npi":[1396297545]}]}]},{"tin":{"type":"ein","value":"473430749"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":241.90,"providers":[{"billed_charge":250.00,"npi":[1437574399]}]}]},{"tin":{"type":"ein","value":"475072912"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":135.00,"providers":[{"billed_charge":225.00,"npi":[1679704415]}]}]},{"tin":{"type":"ein","value":"541395005"},"billing_class":"professional","service_code":["53"],"payments":[{"allowed_amount":138.42,"providers":[{"billed_charge":197.75,"npi":[1255365599]}]}]},{"tin":{"type":"ein","value":"550686113"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.54,"providers":[{"billed_charge":257.00,"npi":[1437227766]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":224.45,"providers":[{"billed_charge":320.64,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"560746601"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.00,"providers":[{"billed_charge":100.00,"npi":[1093756819]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":214.16,"providers":[{"billed_charge":274.00,"npi":[1952597569]}]}]},{"tin":{"type":"ein","value":"560845796"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":241.90,"providers":[{"billed_charge":342.60,"npi":[1578996252]}]}]},{"tin":{"type":"ein","value":"561176030"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.00,"providers":[{"billed_charge":260.00,"npi":[1982156386]}]}]},{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":231.29,"providers":[{"billed_charge":645.00,"npi":[1629197744]}]},{"allowed_amount":241.90,"providers":[{"billed_charge":645.00,"npi":[1629197744]}]}]},{"tin":{"type":"ein","value":"561975885"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.73,"providers":[{"billed_charge":61.13,"npi":[1760420186]}]}]},{"tin":{"type":"ein","value":"562205282"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":241.90,"providers":[{"billed_charge":275.00,"npi":[1811053218]}]}]},{"tin":{"type":"ein","value":"576000922"},"billing_class":"professional","service_code":["53"],"payments":[{"allowed_amount":142.80,"providers":[{"billed_charge":204.00,"npi":[1760596480]}]}]},{"tin":{"type":"ein","value":"582082381"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":198.72,"providers":[{"billed_charge":200.00,"npi":[1801370614]}]}]},{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":357.60,"providers":[{"billed_charge":447.00,"npi":[1184679482]}]}]},{"tin":{"type":"ein","value":"582395737"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":123.91,"providers":[{"billed_charge":325.00,"npi":[1467403170]}]}]},{"tin":{"type":"ein","value":"800541906"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":150.00,"npi":[1821320334]}]}]},{"tin":{"type":"ein","value":"811741267"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":250.00,"npi":[1124559331]}]}]},{"tin":{"type":"ein","value":"812214687"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":247.35,"providers":[{"billed_charge":723.84,"npi":[1841654050]}]}]},{"tin":{"type":"ein","value":"812883992"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":122.50,"providers":[{"billed_charge":175.00,"npi":[1801381637]}]}]},{"tin":{"type":"ein","value":"813034097"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.00,"providers":[{"billed_charge":100.00,"npi":[1598117947]}]}]},{"tin":{"type":"ein","value":"813869097"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":241.90,"providers":[{"billed_charge":300.00,"npi":[1629588496]}]}]},{"tin":{"type":"ein","value":"815280341"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":241.90,"providers":[{"billed_charge":260.00,"npi":[1902318249]}]}]},{"tin":{"type":"ein","value":"833334328"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":300.00,"npi":[1720619968]}]}]},{"tin":{"type":"ein","value":"841960646"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":125.00,"providers":[{"billed_charge":250.00,"npi":[1730711722]}]},{"allowed_amount":150.00,"providers":[{"billed_charge":300.00,"npi":[1730711722]}]}]},{"tin":{"type":"ein","value":"844582670"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":212.18,"providers":[{"billed_charge":1050.00,"npi":[1639897077]}]}]},{"tin":{"type":"ein","value":"852831568"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":222.26,"npi":[1902411499]}]}]},{"tin":{"type":"ein","value":"853350363"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":138.16,"providers":[{"billed_charge":250.00,"npi":[1023550571]}]}]},{"tin":{"type":"ein","value":"854286982"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":153.73,"providers":[{"billed_charge":275.00,"npi":[1356937759]}]}]},{"tin":{"type":"ein","value":"862185021"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":241.90,"providers":[{"billed_charge":350.00,"npi":[1609460567]}]}]},{"tin":{"type":"ein","value":"863569633"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":241.90,"providers":[{"billed_charge":350.00,"npi":[1629857511]}]}]},{"tin":{"type":"ein","value":"871653220"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":231.29,"providers":[{"billed_charge":300.00,"npi":[1366116485]}]}]},{"tin":{"type":"ein","value":"881949057"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":150.00,"npi":[1972228963]}]}]},{"tin":{"type":"ein","value":"882512059"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":232.90,"providers":[{"billed_charge":525.45,"npi":[1134868300]}]}]},{"tin":{"type":"ein","value":"922014789"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":231.29,"providers":[{"billed_charge":250.00,"npi":[1023718715]}]}]},{"tin":{"type":"ein","value":"922789014"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":162.50,"providers":[{"billed_charge":250.00,"npi":[1023718715]}]}]},{"tin":{"type":"ein","value":"922804839"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":241.90,"providers":[{"billed_charge":300.00,"npi":[1366137549]}]}]},{"tin":{"type":"ein","value":"923285629"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":241.90,"providers":[{"billed_charge":285.00,"npi":[1497502140]}]}]},{"tin":{"type":"ein","value":"932266390"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":239.70,"providers":[{"billed_charge":250.00,"npi":[1427736404]}]}]},{"tin":{"type":"ein","value":"934799801"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":241.90,"providers":[{"billed_charge":275.00,"npi":[1194592915]}]}]}]},{"billing_code":"90791","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Psychological","description":"PSYCH DIAGNOSTIC EVALUATION","allowed_amounts":[{"tin":{"type":"ein","value":"223849199"},"billing_class":"institutional","payments":[{"allowed_amount":228.77,"providers":[{"billed_charge":502.00,"npi":[1603503032,1003803032]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":228.77,"providers":[{"billed_charge":454.00,"npi":[1811225428]}]}]},{"tin":{"type":"ein","value":"920562862"},"billing_class":"institutional","payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":1200.00,"npi":[1821715467]}]}]}]},{"billing_code":"90792","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"PSYCH DIAG EVAL W/MED SRVCS","allowed_amounts":[{"tin":{"type":"ein","value":"010745345"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":194.24,"providers":[{"billed_charge":270.00,"npi":[1730162819]}]}]},{"tin":{"type":"ein","value":"262976526"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":151.50,"providers":[{"billed_charge":500.00,"npi":[1386891497]}]}]},{"tin":{"type":"ein","value":"263447487"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":233.08,"providers":[{"billed_charge":395.00,"npi":[1215181300]}]},{"allowed_amount":300.49,"providers":[{"billed_charge":395.00,"npi":[1215181300]}]}]},{"tin":{"type":"ein","value":"270898372"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":283.05,"providers":[{"billed_charge":458.00,"npi":[1174808216]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":591.75,"providers":[{"billed_charge":789.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"383316559"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":254.80,"providers":[{"billed_charge":319.00,"npi":[1164137709]}]}]},{"tin":{"type":"ein","value":"391657627"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":421.60,"providers":[{"billed_charge":496.00,"npi":[1598728776]}]}]},{"tin":{"type":"ein","value":"461129417"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":243.99,"providers":[{"billed_charge":350.00,"npi":[1033582002]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":366.03,"providers":[{"billed_charge":418.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"561317433"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":101.25,"providers":[{"billed_charge":225.00,"npi":[1992701486]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":248.05,"providers":[{"billed_charge":414.37,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"576000922"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":233.08,"providers":[{"billed_charge":661.00,"npi":[1831338961]}]}]},{"tin":{"type":"ein","value":"825130853"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":248.05,"providers":[{"billed_charge":395.00,"npi":[1003303082]}]}]},{"tin":{"type":"ein","value":"834189934"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":297.93,"providers":[{"billed_charge":495.01,"npi":[1053971572]}]}]},{"tin":{"type":"ein","value":"882512059"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":222.51,"providers":[{"billed_charge":587.01,"npi":[1134868300]}]},{"allowed_amount":232.01,"providers":[{"billed_charge":587.01,"npi":[1134868300]}]}]},{"tin":{"type":"ein","value":"933926695"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":232.01,"providers":[{"billed_charge":325.00,"npi":[1588433502]}]}]}]},{"billing_code":"90792","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Psychological","description":"PSYCH DIAG EVAL W/MED SRVCS","allowed_amounts":[{"tin":{"type":"ein","value":"350869066"},"billing_class":"institutional","payments":[{"allowed_amount":132.00,"providers":[{"billed_charge":150.00,"npi":[1306898960]}]}]},{"tin":{"type":"ein","value":"521958352"},"billing_class":"institutional","payments":[{"allowed_amount":211.72,"providers":[{"billed_charge":1322.00,"npi":[1790789212]}]}]}]},{"billing_code":"90832","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Psychological","description":"PSYTX W PT 30 MINUTES","allowed_amounts":[{"tin":{"type":"ein","value":"020707661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":86.29,"providers":[{"billed_charge":160.00,"npi":[1558329243]}]},{"allowed_amount":89.59,"providers":[{"billed_charge":160.00,"npi":[1134654601]}]}]},{"tin":{"type":"ein","value":"111111111"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.50,"providers":[{"billed_charge":75.00,"npi":[1508982620,1588258198]}]}]},{"tin":{"type":"ein","value":"201993041"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":150.00,"npi":[1174590830]}]}]},{"tin":{"type":"ein","value":"300686416"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":89.59,"providers":[{"billed_charge":125.00,"npi":[1548553613]}]}]},{"tin":{"type":"ein","value":"383316559"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":102.37,"providers":[{"billed_charge":122.00,"npi":[1164137709]}]}]},{"tin":{"type":"ein","value":"421638714"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.00,"providers":[{"billed_charge":144.00,"npi":[1407881691]}]}]},{"tin":{"type":"ein","value":"463281605"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":50.00,"npi":[1396297545]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":85.52,"providers":[{"billed_charge":114.02,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":66.77,"providers":[{"billed_charge":114.02,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"541691022"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":86.29,"providers":[{"billed_charge":99.77,"npi":[1841242377]}]}]},{"tin":{"type":"ein","value":"550686113"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.91,"providers":[{"billed_charge":140.00,"npi":[1437227766]}]},{"allowed_amount":56.36,"providers":[{"billed_charge":140.00,"npi":[1437227766]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["02","19"],"payments":[{"allowed_amount":86.29,"providers":[{"billed_charge":141.55,"npi":[1457719312]},{"billed_charge":141.55,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":67.19,"providers":[{"billed_charge":141.55,"npi":[1477504280]}]},{"allowed_amount":89.59,"providers":[{"billed_charge":141.55,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"560845796"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":89.59,"providers":[{"billed_charge":167.63,"npi":[1578996252]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":89.59,"providers":[{"billed_charge":117.49,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"562265054"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.59,"providers":[{"billed_charge":57.00,"npi":[1417115429]}]}]},{"tin":{"type":"ein","value":"571092940"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":52.80,"providers":[{"billed_charge":88.00,"npi":[1396881066]}]}]},{"tin":{"type":"ein","value":"576000922"},"billing_class":"professional","service_code":["02","03"],"payments":[{"allowed_amount":61.60,"providers":[{"billed_charge":88.00,"npi":[1760596480]},{"billed_charge":88.00,"npi":[1760596480]}]}]},{"tin":{"type":"ein","value":"576000922"},"billing_class":"professional","service_code":["53"],"payments":[{"allowed_amount":87.59,"providers":[{"billed_charge":88.00,"npi":[1568476885]}]}]},{"tin":{"type":"ein","value":"581958398"},"billing_class":"professional","service_code":["11","50"],"payments":[{"allowed_amount":89.59,"providers":[{"billed_charge":110.88,"npi":[1215932215]},{"billed_charge":110.88,"npi":[1215932215]}]}]},{"tin":{"type":"ein","value":"611459826"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":80.00,"npi":[1396782710]}]}]},{"tin":{"type":"ein","value":"621545731"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.40,"providers":[{"billed_charge":84.00,"npi":[1306089206]}]}]},{"tin":{"type":"ein","value":"825130853"},"billing_class":"professional","service_code":["02","10"],"payments":[{"allowed_amount":89.59,"providers":[{"billed_charge":145.00,"npi":[1003303082]},{"billed_charge":145.00,"npi":[1003303082]}]}]},{"tin":{"type":"ein","value":"932266390"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":107.32,"providers":[{"billed_charge":125.00,"npi":[1427736404]}]}]}]},{"billing_code":"90832","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Psychological","description":"PSYTX W PT 30 MINUTES","allowed_amounts":[{"tin":{"type":"ein","value":"223849199"},"billing_class":"institutional","payments":[{"allowed_amount":183.17,"providers":[{"billed_charge":246.00,"npi":[1003803032]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":47.15,"providers":[{"billed_charge":458.06,"npi":[1457719312]}]},{"allowed_amount":61.16,"providers":[{"billed_charge":458.06,"npi":[1477504280]}]},{"allowed_amount":143.63,"providers":[{"billed_charge":458.06,"npi":[1477504280]}]},{"allowed_amount":183.17,"providers":[{"billed_charge":458.06,"npi":[1457719312]}]}]}]},{"billing_code":"90833","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Psychological","description":"PSYTX W PT W E/M 30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"043774404"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":68.57,"providers":[{"billed_charge":125.00,"npi":[1356497960]}]}]},{"tin":{"type":"ein","value":"223977578"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":59.50,"providers":[{"billed_charge":85.00,"npi":[1285884650]}]}]},{"tin":{"type":"ein","value":"260290325"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":75.00,"npi":[1801860515]}]}]},{"tin":{"type":"ein","value":"263447487"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":72.13,"providers":[{"billed_charge":155.00,"npi":[1215181300]}]},{"allowed_amount":94.54,"providers":[{"billed_charge":155.00,"npi":[1215181300]}]}]},{"tin":{"type":"ein","value":"264104889"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":75.00,"npi":[1699019810]}]}]},{"tin":{"type":"ein","value":"273762926"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":84.00,"providers":[{"billed_charge":105.00,"npi":[1700242260]}]}]},{"tin":{"type":"ein","value":"452131675"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":90.85,"providers":[{"billed_charge":320.00,"npi":[1336292556]}]},{"allowed_amount":192.00,"providers":[{"billed_charge":320.00,"npi":[1336292556]}]}]},{"tin":{"type":"ein","value":"461227720"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":59.04,"providers":[{"billed_charge":134.40,"npi":[1023362852]}]}]},{"tin":{"type":"ein","value":"471382791"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":90.85,"providers":[{"billed_charge":150.00,"npi":[1225538267]}]}]},{"tin":{"type":"ein","value":"471391498"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":82.48,"providers":[{"billed_charge":150.00,"npi":[1700385507]}]}]},{"tin":{"type":"ein","value":"482801837"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":82.48,"providers":[{"billed_charge":125.00,"npi":[1790762078]}]},{"allowed_amount":90.85,"providers":[{"billed_charge":125.00,"npi":[1790762078]}]}]},{"tin":{"type":"ein","value":"541436102"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":75.44,"providers":[{"billed_charge":103.79,"npi":[1588151294]}]}]},{"tin":{"type":"ein","value":"561484117"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":90.85,"providers":[{"billed_charge":160.00,"npi":[1366476681]}]}]},{"tin":{"type":"ein","value":"561703732"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":77.00,"providers":[{"billed_charge":110.00,"npi":[1750468328]}]},{"allowed_amount":90.85,"providers":[{"billed_charge":110.00,"npi":[1750468328]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":90.85,"providers":[{"billed_charge":114.52,"npi":[1811225428]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":82.48,"providers":[{"billed_charge":108.02,"npi":[1083669030]}]},{"allowed_amount":90.85,"providers":[{"billed_charge":108.02,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"561940010"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":100.00,"npi":[1548328560]}]}]},{"tin":{"type":"ein","value":"570988806"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.50,"providers":[{"billed_charge":65.00,"npi":[1114995099]}]}]},{"tin":{"type":"ein","value":"593795443"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":72.01,"providers":[{"billed_charge":150.00,"npi":[1891721981]}]}]},{"tin":{"type":"ein","value":"611284106"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":80.00,"npi":[1144250663]}]}]},{"tin":{"type":"ein","value":"815004100"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":59.75,"providers":[{"billed_charge":227.58,"npi":[1902346513]}]}]},{"tin":{"type":"ein","value":"820821437"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":88.81,"providers":[{"billed_charge":130.00,"npi":[1669985859]}]}]},{"tin":{"type":"ein","value":"820996688"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":88.81,"providers":[{"billed_charge":139.94,"npi":[1629517222]}]}]},{"tin":{"type":"ein","value":"823319408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":100.00,"npi":[1013420504]}]}]},{"tin":{"type":"ein","value":"823666217"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":100.00,"providers":[{"billed_charge":250.00,"npi":[1205341112]}]}]},{"tin":{"type":"ein","value":"825130853"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":90.85,"providers":[{"billed_charge":155.00,"npi":[1003303082]}]}]},{"tin":{"type":"ein","value":"831771051"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":100.00,"npi":[1740762160]}]}]},{"tin":{"type":"ein","value":"834189934"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":92.38,"providers":[{"billed_charge":120.00,"npi":[1053971572]}]},{"allowed_amount":108.68,"providers":[{"billed_charge":120.00,"npi":[1053971572]}]}]},{"tin":{"type":"ein","value":"834210598"},"billing_class":"professional","service_code":["02","10"],"payments":[{"allowed_amount":90.85,"providers":[{"billed_charge":125.00,"npi":[1396206330]},{"billed_charge":125.00,"npi":[1396206330]}]}]},{"tin":{"type":"ein","value":"843574638"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.00,"providers":[{"billed_charge":85.00,"npi":[1518503994]}]}]},{"tin":{"type":"ein","value":"871695793"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":91.15,"providers":[{"billed_charge":100.00,"npi":[1053549501]}]}]},{"tin":{"type":"ein","value":"882512059"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":90.85,"providers":[{"billed_charge":208.89,"npi":[1134868300]},{"billed_charge":208.89,"npi":[1134868300]}]}]},{"tin":{"type":"ein","value":"882512059"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.45,"providers":[{"billed_charge":208.89,"npi":[1134868300]}]}]},{"tin":{"type":"ein","value":"882566955"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":90.85,"providers":[{"billed_charge":135.00,"npi":[1427670413]}]}]},{"tin":{"type":"ein","value":"882977235"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":90.85,"providers":[{"billed_charge":198.00,"npi":[1659003457]}]}]},{"tin":{"type":"ein","value":"933926695"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":82.48,"providers":[{"billed_charge":120.00,"npi":[1588433502]}]},{"allowed_amount":90.85,"providers":[{"billed_charge":120.00,"npi":[1588433502]}]}]}]},{"billing_code":"90834","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Psychological","description":"PSYTX W PT 45 MINUTES","allowed_amounts":[{"tin":{"type":"ein","value":"061683422"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":118.63,"providers":[{"billed_charge":200.00,"npi":[1295756484]}]},{"allowed_amount":119.49,"providers":[{"billed_charge":200.00,"npi":[1295756484]}]}]},{"tin":{"type":"ein","value":"111111111"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.50,"providers":[{"billed_charge":115.00,"npi":[1588258198]}]}]},{"tin":{"type":"ein","value":"263447487"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":104.97,"providers":[{"billed_charge":175.00,"npi":[1215181300]}]}]},{"tin":{"type":"ein","value":"300205092"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.49,"providers":[{"billed_charge":125.00,"npi":[1760522528]}]}]},{"tin":{"type":"ein","value":"383316559"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":118.34,"providers":[{"billed_charge":147.00,"npi":[1164137709]}]}]},{"tin":{"type":"ein","value":"383683802"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":105.00,"providers":[{"billed_charge":150.00,"npi":[1891865218]}]}]},{"tin":{"type":"ein","value":"410873142"},"billing_class":"professional","service_code":["02","53"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":150.00,"npi":[1831177195]},{"billed_charge":150.00,"npi":[1831177195]}]}]},{"tin":{"type":"ein","value":"461282897"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":289.00,"providers":[{"billed_charge":340.00,"npi":[1689919599]}]}]},{"tin":{"type":"ein","value":"462755887"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":91.45,"providers":[{"billed_charge":250.00,"npi":[1164815106]}]}]},{"tin":{"type":"ein","value":"463281605"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.00,"providers":[{"billed_charge":75.00,"npi":[1396297545]}]},{"allowed_amount":60.00,"providers":[{"billed_charge":100.00,"npi":[1396297545]}]}]},{"tin":{"type":"ein","value":"471751649"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":144.43,"providers":[{"billed_charge":1400.00,"npi":[1649659244]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":89.39,"providers":[{"billed_charge":150.84,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":121.94,"providers":[{"billed_charge":187.21,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560845796"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.49,"providers":[{"billed_charge":223.18,"npi":[1578996252]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":119.49,"providers":[{"billed_charge":155.39,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"561977341"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":101.50,"providers":[{"billed_charge":145.00,"npi":[1518170687]}]}]},{"tin":{"type":"ein","value":"562098797"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.49,"providers":[{"billed_charge":200.00,"npi":[1740396779]}]}]},{"tin":{"type":"ein","value":"562205282"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":118.63,"providers":[{"billed_charge":225.00,"npi":[1811053218]},{"billed_charge":190.00,"npi":[1811053218]},{"billed_charge":200.00,"npi":[1811053218]}]}]},{"tin":{"type":"ein","value":"562205282"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.49,"providers":[{"billed_charge":150.00,"npi":[1811053218]},{"billed_charge":190.00,"npi":[1811053218]},{"billed_charge":200.00,"npi":[1811053218]},{"billed_charge":225.00,"npi":[1811053218]}]}]},{"tin":{"type":"ein","value":"576000922"},"billing_class":"professional","service_code":["02","03"],"payments":[{"allowed_amount":116.79,"providers":[{"billed_charge":175.00,"npi":[1760596480]},{"billed_charge":175.00,"npi":[1760596480]}]}]},{"tin":{"type":"ein","value":"576000922"},"billing_class":"professional","service_code":["53"],"payments":[{"allowed_amount":113.23,"providers":[{"billed_charge":175.00,"npi":[1316904857]}]}]},{"tin":{"type":"ein","value":"581958398"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":118.63,"providers":[{"billed_charge":142.24,"npi":[1215932215]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":135.35,"providers":[{"billed_charge":356.53,"npi":[1396798229]}]},{"allowed_amount":285.22,"providers":[{"billed_charge":356.53,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"593259553"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":209.30,"providers":[{"billed_charge":299.00,"npi":[1669429577]}]}]},{"tin":{"type":"ein","value":"721395500"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.93,"providers":[{"billed_charge":155.00,"npi":[1265548614]}]}]},{"tin":{"type":"ein","value":"812883992"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":102.90,"providers":[{"billed_charge":147.00,"npi":[1801381637]}]}]},{"tin":{"type":"ein","value":"815280341"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":119.49,"providers":[{"billed_charge":220.00,"npi":[1902318249]},{"billed_charge":220.00,"npi":[1902318249]}]}]},{"tin":{"type":"ein","value":"815280341"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":118.63,"providers":[{"billed_charge":220.00,"npi":[1902318249]}]}]},{"tin":{"type":"ein","value":"821745689"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":158.77,"providers":[{"billed_charge":175.00,"npi":[1114320587]}]}]},{"tin":{"type":"ein","value":"824003834"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":118.63,"providers":[{"billed_charge":120.00,"npi":[1326523903]}]}]},{"tin":{"type":"ein","value":"825130853"},"billing_class":"professional","service_code":["02","10"],"payments":[{"allowed_amount":119.49,"providers":[{"billed_charge":175.00,"npi":[1003303082]},{"billed_charge":175.00,"npi":[1003303082]}]}]},{"tin":{"type":"ein","value":"841740455"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":119.49,"providers":[{"billed_charge":175.00,"npi":[1366859167]}]}]},{"tin":{"type":"ein","value":"843091173"},"billing_class":"professional","service_code":["03"],"payments":[{"allowed_amount":99.84,"providers":[{"billed_charge":142.63,"npi":[1457993123]}]}]},{"tin":{"type":"ein","value":"844776866"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":119.49,"providers":[{"billed_charge":130.00,"npi":[1508341876]},{"billed_charge":130.00,"npi":[1508341876]}]}]},{"tin":{"type":"ein","value":"872888824"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.49,"providers":[{"billed_charge":220.00,"npi":[1841962602]}]}]},{"tin":{"type":"ein","value":"872966696"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.00,"providers":[{"billed_charge":150.00,"npi":[1598058661]}]}]},{"tin":{"type":"ein","value":"873451918"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.49,"providers":[{"billed_charge":150.00,"npi":[1821771338]}]}]},{"tin":{"type":"ein","value":"881672390"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":87.50,"providers":[{"billed_charge":125.00,"npi":[1407993892]}]}]},{"tin":{"type":"ein","value":"881949057"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":119.49,"providers":[{"billed_charge":125.00,"npi":[1972228963]}]}]},{"tin":{"type":"ein","value":"881977583"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":118.63,"providers":[{"billed_charge":220.00,"npi":[1710061791]}]}]},{"tin":{"type":"ein","value":"882512059"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":119.49,"providers":[{"billed_charge":301.86,"npi":[1134868300]}]}]},{"tin":{"type":"ein","value":"922432903"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.49,"providers":[{"billed_charge":175.00,"npi":[1306364187]}]}]},{"tin":{"type":"ein","value":"993980788"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":66.50,"providers":[{"billed_charge":95.00,"npi":[1134627078]}]}]},{"tin":{"type":"ein","value":"994146515"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":118.63,"providers":[{"billed_charge":200.00,"npi":[1366997876]}]},{"allowed_amount":119.49,"providers":[{"billed_charge":200.00,"npi":[1366997876]}]}]},{"tin":{"type":"ein","value":"994651071"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":118.63,"providers":[{"billed_charge":150.00,"npi":[1033701289]}]}]}]},{"billing_code":"90834","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Psychological","description":"PSYTX W PT 45 MINUTES","allowed_amounts":[{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":303.70,"providers":[{"billed_charge":456.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"521958352"},"billing_class":"institutional","payments":[{"allowed_amount":199.47,"providers":[{"billed_charge":922.00,"npi":[1790789212]}]},{"allowed_amount":553.20,"providers":[{"billed_charge":922.00,"npi":[1790789212]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":168.39,"providers":[{"billed_charge":571.56,"npi":[1619927027]}]}]}]},{"billing_code":"90836","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Psychological","description":"PSYTX W PT W E/M 45 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"593259553"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":184.80,"providers":[{"billed_charge":264.00,"npi":[1669429577]}]}]},{"tin":{"type":"ein","value":"821095497"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":100.00,"npi":[1184899395]},{"billed_charge":100.00,"npi":[1184899395]}]}]},{"tin":{"type":"ein","value":"834210598"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":117.04,"providers":[{"billed_charge":150.00,"npi":[1396206330]}]}]},{"tin":{"type":"ein","value":"881962061"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":78.14,"providers":[{"billed_charge":165.00,"npi":[1033849575]}]}]},{"tin":{"type":"ein","value":"882977235"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":117.04,"providers":[{"billed_charge":250.00,"npi":[1659003457]}]}]},{"tin":{"type":"ein","value":"933373287"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":117.04,"providers":[{"billed_charge":500.00,"npi":[1972177178]}]}]},{"tin":{"type":"ein","value":"933926695"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":117.04,"providers":[{"billed_charge":150.00,"npi":[1588433502]}]}]}]},{"billing_code":"90837","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Psychological","description":"PSYTX W PT 60 MINUTES","allowed_amounts":[{"tin":{"type":"ein","value":"009449764"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":117.00,"providers":[{"billed_charge":150.00,"npi":[1700803277]}]}]},{"tin":{"type":"ein","value":"020707661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":161.98,"providers":[{"billed_charge":210.00,"npi":[1558329243]}]}]},{"tin":{"type":"ein","value":"200462802"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.66,"providers":[{"billed_charge":312.50,"npi":[1477506343]}]}]},{"tin":{"type":"ein","value":"203795136"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":161.98,"providers":[{"billed_charge":175.00,"npi":[1720192107]}]}]},{"tin":{"type":"ein","value":"204357268"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.17,"providers":[{"billed_charge":126.33,"npi":[1932118551]}]}]},{"tin":{"type":"ein","value":"205291806"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":144.00,"providers":[{"billed_charge":180.00,"npi":[1629233887]}]}]},{"tin":{"type":"ein","value":"208701675"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":82.50,"providers":[{"billed_charge":165.00,"npi":[1326179318]}]}]},{"tin":{"type":"ein","value":"232866059"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":150.00,"npi":[1396880399]}]}]},{"tin":{"type":"ein","value":"251770865"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":108.50,"providers":[{"billed_charge":155.00,"npi":[1609432491]}]}]},{"tin":{"type":"ein","value":"261645718"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":250.00,"npi":[1437320892]}]}]},{"tin":{"type":"ein","value":"262329304"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":161.98,"providers":[{"billed_charge":185.00,"npi":[1821305426]}]}]},{"tin":{"type":"ein","value":"262800202"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.00,"providers":[{"billed_charge":140.00,"npi":[1982864849]}]}]},{"tin":{"type":"ein","value":"263432075"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":184.00,"npi":[1487805529]}]},{"allowed_amount":92.00,"providers":[{"billed_charge":184.00,"npi":[1487805529]}]}]},{"tin":{"type":"ein","value":"263447487"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":250.00,"npi":[1215181300]}]}]},{"tin":{"type":"ein","value":"263527045"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":161.98,"providers":[{"billed_charge":165.00,"npi":[1861625162]}]}]},{"tin":{"type":"ein","value":"270853981"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":212.30,"npi":[1477885903]}]}]},{"tin":{"type":"ein","value":"270943422"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":107.25,"providers":[{"billed_charge":195.00,"npi":[1194050435]}]}]},{"tin":{"type":"ein","value":"273028246"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":91.67,"providers":[{"billed_charge":147.85,"npi":[1225343502]}]}]},{"tin":{"type":"ein","value":"273094609"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.50,"providers":[{"billed_charge":115.00,"npi":[1902177520]}]},{"allowed_amount":90.00,"providers":[{"billed_charge":180.00,"npi":[1902177520]}]}]},{"tin":{"type":"ein","value":"273226073"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.66,"providers":[{"billed_charge":250.00,"npi":[1962597732]}]}]},{"tin":{"type":"ein","value":"273901564"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":161.98,"providers":[{"billed_charge":175.00,"npi":[1346553963]}]}]},{"tin":{"type":"ein","value":"300111894"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.70,"providers":[{"billed_charge":201.00,"npi":[1922277417]}]}]},{"tin":{"type":"ein","value":"352578142"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":114.00,"providers":[{"billed_charge":190.00,"npi":[1538503750]},{"billed_charge":190.00,"npi":[1538503750]}]}]},{"tin":{"type":"ein","value":"364795577"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":180.00,"npi":[1497100689]},{"billed_charge":180.00,"npi":[1497100689]}]}]},{"tin":{"type":"ein","value":"383316559"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":174.72,"providers":[{"billed_charge":216.00,"npi":[1164137709]}]}]},{"tin":{"type":"ein","value":"410873142"},"billing_class":"professional","service_code":["53"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":200.00,"npi":[1831177195]}]}]},{"tin":{"type":"ein","value":"416007513"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":241.39,"providers":[{"billed_charge":318.77,"npi":[1013137355]}]}]},{"tin":{"type":"ein","value":"449557601"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":126.00,"providers":[{"billed_charge":180.00,"npi":[1316197031]}]}]},{"tin":{"type":"ein","value":"453085864"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":224.37,"providers":[{"billed_charge":256.88,"npi":[1801246574]}]}]},{"tin":{"type":"ein","value":"453639114"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.00,"providers":[{"billed_charge":135.00,"npi":[1396724225]}]}]},{"tin":{"type":"ein","value":"454823934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.00,"providers":[{"billed_charge":200.00,"npi":[1114219177]}]}]},{"tin":{"type":"ein","value":"455015231"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":157.50,"providers":[{"billed_charge":225.00,"npi":[1477819712]},{"billed_charge":225.00,"npi":[1477819712]}]}]},{"tin":{"type":"ein","value":"460489059"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":161.98,"providers":[{"billed_charge":165.00,"npi":[1437603198]}]},{"allowed_amount":165.00,"providers":[{"billed_charge":165.00,"npi":[1437603198]}]}]},{"tin":{"type":"ein","value":"460722041"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":94.50,"providers":[{"billed_charge":135.00,"npi":[1962028217]}]}]},{"tin":{"type":"ein","value":"461270007"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":220.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"461273867"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":220.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"462563251"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":93.28,"providers":[{"billed_charge":138.86,"npi":[1710325766]}]}]},{"tin":{"type":"ein","value":"462809502"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":161.98,"providers":[{"billed_charge":250.00,"npi":[1316362551]},{"billed_charge":250.00,"npi":[1316362551]}]},{"allowed_amount":203.76,"providers":[{"billed_charge":250.00,"npi":[1316362551]},{"billed_charge":250.00,"npi":[1316362551]}]}]},{"tin":{"type":"ein","value":"462887524"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":186.54,"providers":[{"billed_charge":250.00,"npi":[1083051726]}]},{"allowed_amount":204.53,"providers":[{"billed_charge":250.00,"npi":[1083051726]}]}]},{"tin":{"type":"ein","value":"463281605"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":62.42,"providers":[{"billed_charge":104.04,"npi":[1396297545]}]},{"allowed_amount":90.00,"providers":[{"billed_charge":150.00,"npi":[1396297545]}]}]},{"tin":{"type":"ein","value":"463588744"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":215.00,"npi":[1417370818]}]}]},{"tin":{"type":"ein","value":"463896564"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":218.25,"providers":[{"billed_charge":250.00,"npi":[1699966937]}]}]},{"tin":{"type":"ein","value":"471524154"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":200.00,"npi":[1740689538]}]}]},{"tin":{"type":"ein","value":"472333450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.50,"providers":[{"billed_charge":215.00,"npi":[1437683802]}]}]},{"tin":{"type":"ein","value":"473152776"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":200.00,"npi":[1124473335]}]}]},{"tin":{"type":"ein","value":"473213587"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":133.00,"providers":[{"billed_charge":190.00,"npi":[1497134738]}]}]},{"tin":{"type":"ein","value":"473763776"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":180.00,"providers":[{"billed_charge":180.00,"npi":[1073889440]}]}]},{"tin":{"type":"ein","value":"473851320"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":240.00,"npi":[1063893568]}]}]},{"tin":{"type":"ein","value":"474681692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":195.00,"providers":[{"billed_charge":195.00,"npi":[1396113775]}]}]},{"tin":{"type":"ein","value":"475347782"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":118.00,"providers":[{"billed_charge":200.00,"npi":[1730694928]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":133.01,"providers":[{"billed_charge":222.11,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"541395005"},"billing_class":"professional","service_code":["11","53"],"payments":[{"allowed_amount":116.42,"providers":[{"billed_charge":166.32,"npi":[1255365599]},{"billed_charge":166.32,"npi":[1255365599]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":121.49,"providers":[{"billed_charge":275.72,"npi":[1457719312]}]},{"allowed_amount":169.84,"providers":[{"billed_charge":242.63,"npi":[1750333282]}]},{"allowed_amount":193.00,"providers":[{"billed_charge":275.72,"npi":[1750333282,1457719312]}]}]},{"tin":{"type":"ein","value":"560755775"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":180.75,"providers":[{"billed_charge":306.00,"npi":[1952597569]}]}]},{"tin":{"type":"ein","value":"560845796"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":335.05,"npi":[1578996252]},{"billed_charge":335.05,"npi":[1578996252]}]}]},{"tin":{"type":"ein","value":"560950370"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.00,"providers":[{"billed_charge":165.00,"npi":[1922022607]}]}]},{"tin":{"type":"ein","value":"561061160"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":205.00,"npi":[1871679464]},{"billed_charge":205.00,"npi":[1871679464]}]}]},{"tin":{"type":"ein","value":"561365920"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":161.98,"providers":[{"billed_charge":250.00,"npi":[1710017215]}]},{"allowed_amount":203.76,"providers":[{"billed_charge":250.00,"npi":[1710017215]}]}]},{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":618.00,"npi":[1629197744]},{"billed_charge":618.00,"npi":[1629197744]}]}]},{"tin":{"type":"ein","value":"561534447"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":129.00,"providers":[{"billed_charge":215.00,"npi":[1194846030]}]}]},{"tin":{"type":"ein","value":"561561976"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":172.00,"providers":[{"billed_charge":215.00,"npi":[1366534869]},{"billed_charge":215.00,"npi":[1366534869]}]}]},{"tin":{"type":"ein","value":"561791801"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":137.50,"providers":[{"billed_charge":250.00,"npi":[1023116910]}]}]},{"tin":{"type":"ein","value":"561819291"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":98.00,"providers":[{"billed_charge":140.00,"npi":[1730328667]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["02","11","19"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":269.21,"npi":[1992754758]},{"billed_charge":269.21,"npi":[1992754758]},{"billed_charge":228.85,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"561957343"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.00,"providers":[{"billed_charge":175.00,"npi":[1619988938]}]}]},{"tin":{"type":"ein","value":"561975885"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.21,"providers":[{"billed_charge":81.86,"npi":[1760420186]}]}]},{"tin":{"type":"ein","value":"562023092"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":150.00,"npi":[1154464089]},{"billed_charge":150.00,"npi":[1154464089]}]}]},{"tin":{"type":"ein","value":"562109587"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":91.04,"providers":[{"billed_charge":121.38,"npi":[1881623973]}]}]},{"tin":{"type":"ein","value":"562200514"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":161.98,"providers":[{"billed_charge":170.00,"npi":[1639556004]}]}]},{"tin":{"type":"ein","value":"562252617"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":87.50,"providers":[{"billed_charge":125.00,"npi":[1154375236]}]}]},{"tin":{"type":"ein","value":"562262937"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":64.46,"providers":[{"billed_charge":128.92,"npi":[1669858510]}]}]},{"tin":{"type":"ein","value":"576000922"},"billing_class":"professional","service_code":["02","03"],"payments":[{"allowed_amount":201.99,"providers":[{"billed_charge":265.00,"npi":[1760596480]},{"billed_charge":265.00,"npi":[1760596480]}]}]},{"tin":{"type":"ein","value":"576000922"},"billing_class":"professional","service_code":["53"],"payments":[{"allowed_amount":179.59,"providers":[{"billed_charge":265.00,"npi":[1316904857,1760596480]}]}]},{"tin":{"type":"ein","value":"582010734"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":139.53,"providers":[{"billed_charge":365.00,"npi":[1881990869]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":419.35,"providers":[{"billed_charge":524.19,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"582395737"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.66,"providers":[{"billed_charge":275.00,"npi":[1467403170]}]}]},{"tin":{"type":"ein","value":"621545731"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":241.40,"providers":[{"billed_charge":284.00,"npi":[1306089206]}]}]},{"tin":{"type":"ein","value":"800344395"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":118.55,"providers":[{"billed_charge":136.26,"npi":[1548582554]}]}]},{"tin":{"type":"ein","value":"810592983"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":62.50,"providers":[{"billed_charge":125.00,"npi":[1902820293]}]}]},{"tin":{"type":"ein","value":"811212096"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":300.00,"npi":[1669084430]}]}]},{"tin":{"type":"ein","value":"811563827"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":72.00,"providers":[{"billed_charge":120.00,"npi":[1740634773]}]}]},{"tin":{"type":"ein","value":"811741267"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":135.00,"providers":[{"billed_charge":225.00,"npi":[1124559331]}]}]},{"tin":{"type":"ein","value":"812883992"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":132.76,"providers":[{"billed_charge":196.00,"npi":[1801381637]}]}]},{"tin":{"type":"ein","value":"813034097"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":80.00,"npi":[1598117947]}]}]},{"tin":{"type":"ein","value":"813912161"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.50,"providers":[{"billed_charge":145.00,"npi":[1831567676]}]}]},{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":250.00,"npi":[1386195865]}]}]},{"tin":{"type":"ein","value":"814717078"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":150.00,"npi":[1679049464]}]}]},{"tin":{"type":"ein","value":"821277913"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":225.00,"npi":[1649739434]}]}]},{"tin":{"type":"ein","value":"821669982"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":153.95,"providers":[{"billed_charge":250.00,"npi":[1174892095]}]},{"allowed_amount":219.93,"providers":[{"billed_charge":250.00,"npi":[1174892095]}]}]},{"tin":{"type":"ein","value":"821800674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.50,"providers":[{"billed_charge":175.00,"npi":[1073012555]}]}]},{"tin":{"type":"ein","value":"823020329"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":360.00,"npi":[1447760871]}]}]},{"tin":{"type":"ein","value":"823170609"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":150.00,"npi":[1104337625]}]}]},{"tin":{"type":"ein","value":"823295774"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":250.00,"npi":[1821494873]}]}]},{"tin":{"type":"ein","value":"824560532"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":161.98,"providers":[{"billed_charge":200.00,"npi":[1346833183]}]}]},{"tin":{"type":"ein","value":"830992290"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":250.00,"npi":[1407335953]}]}]},{"tin":{"type":"ein","value":"831771051"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.00,"providers":[{"billed_charge":180.00,"npi":[1740762160]}]}]},{"tin":{"type":"ein","value":"831778173"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":250.00,"npi":[1538641485]}]}]},{"tin":{"type":"ein","value":"833334328"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":125.00,"providers":[{"billed_charge":250.00,"npi":[1720619968]}]}]},{"tin":{"type":"ein","value":"841740455"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":200.00,"providers":[{"billed_charge":200.00,"npi":[1366859167]}]}]},{"tin":{"type":"ein","value":"841960646"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.00,"providers":[{"billed_charge":200.00,"npi":[1730711722]}]}]},{"tin":{"type":"ein","value":"841971187"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":161.98,"providers":[{"billed_charge":175.00,"npi":[1912546573]},{"billed_charge":185.00,"npi":[1912546573]}]}]},{"tin":{"type":"ein","value":"842385835"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":100.20,"providers":[{"billed_charge":167.00,"npi":[1205462157]}]}]},{"tin":{"type":"ein","value":"852009928"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":160.00,"providers":[{"billed_charge":200.00,"npi":[1528678752]}]}]},{"tin":{"type":"ein","value":"852900262"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":120.67,"providers":[{"billed_charge":200.00,"npi":[1033724414]}]}]},{"tin":{"type":"ein","value":"853350363"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":140.00,"providers":[{"billed_charge":200.00,"npi":[1023550571]}]}]},{"tin":{"type":"ein","value":"854119573"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":250.00,"npi":[1912514670]}]}]},{"tin":{"type":"ein","value":"854286982"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":168.48,"providers":[{"billed_charge":225.00,"npi":[1356937759]}]}]},{"tin":{"type":"ein","value":"861369539"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":152.29,"providers":[{"billed_charge":250.00,"npi":[1710960406]}]},{"allowed_amount":207.90,"providers":[{"billed_charge":250.00,"npi":[1710960406]}]}]},{"tin":{"type":"ein","value":"862185021"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":250.00,"npi":[1609460567]}]}]},{"tin":{"type":"ein","value":"862266664"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":145.03,"providers":[{"billed_charge":150.00,"npi":[1255098232]}]}]},{"tin":{"type":"ein","value":"871665476"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":250.00,"npi":[1477221786]}]}]},{"tin":{"type":"ein","value":"872250791"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":200.00,"npi":[1275202913]}]}]},{"tin":{"type":"ein","value":"872966696"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":126.00,"providers":[{"billed_charge":180.00,"npi":[1598058661]}]}]},{"tin":{"type":"ein","value":"872966696"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":105.00,"providers":[{"billed_charge":150.00,"npi":[1598058661]},{"billed_charge":150.00,"npi":[1598058661]}]}]},{"tin":{"type":"ein","value":"874279597"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":220.00,"npi":[1922357607]}]}]},{"tin":{"type":"ein","value":"881754502"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":161.98,"providers":[{"billed_charge":220.00,"npi":[1275223950]}]},{"allowed_amount":203.76,"providers":[{"billed_charge":220.00,"npi":[1275223950]}]}]},{"tin":{"type":"ein","value":"881949057"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":125.00,"providers":[{"billed_charge":125.00,"npi":[1972228963]}]}]},{"tin":{"type":"ein","value":"881962061"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":89.86,"providers":[{"billed_charge":260.00,"npi":[1033849575]}]}]},{"tin":{"type":"ein","value":"882512059"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":443.55,"npi":[1134868300]}]}]},{"tin":{"type":"ein","value":"882977235"},"billing_class":"professional","service_code":["02","10"],"payments":[{"allowed_amount":203.76,"providers":[{"billed_charge":418.00,"npi":[1659003457]},{"billed_charge":418.00,"npi":[1659003457]}]}]},{"tin":{"type":"ein","value":"883140121"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":161.98,"providers":[{"billed_charge":165.00,"npi":[1508589516]}]}]},{"tin":{"type":"ein","value":"883624704"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":190.00,"providers":[{"billed_charge":190.00,"npi":[1578291308]}]}]},{"tin":{"type":"ein","value":"884192711"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":165.00,"providers":[{"billed_charge":165.00,"npi":[1477802379]}]}]},{"tin":{"type":"ein","value":"922014789"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":161.98,"providers":[{"billed_charge":250.00,"npi":[1023718715]}]}]},{"tin":{"type":"ein","value":"922789014"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":162.50,"providers":[{"billed_charge":250.00,"npi":[1023718715]}]}]},{"tin":{"type":"ein","value":"933526250"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":122.50,"providers":[{"billed_charge":175.00,"npi":[1831979178]}]}]}]},{"billing_code":"90837","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"PSYTX W PT 60 MINUTES","allowed_amounts":[{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":162.51,"providers":[{"billed_charge":454.00,"npi":[1811225428]}]}]}]},{"billing_code":"90837","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Psychological","description":"PSYTX W PT 60 MINUTES","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":162.46,"providers":[{"billed_charge":571.56,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":162.51,"providers":[{"billed_charge":454.00,"npi":[1811225428]}]}]},{"tin":{"type":"ein","value":"561858237"},"billing_class":"institutional","payments":[{"allowed_amount":162.51,"providers":[{"billed_charge":454.00,"npi":[1811225428]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":162.51,"providers":[{"billed_charge":356.72,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"920562862"},"billing_class":"institutional","payments":[{"allowed_amount":100.00,"providers":[{"billed_charge":185.00,"npi":[1821715467]}]},{"allowed_amount":162.51,"providers":[{"billed_charge":185.00,"npi":[1821715467]}]}]}]},{"billing_code":"90838","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Psychological","description":"PSYTX W PT W E/M 60 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"561940010"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":187.50,"providers":[{"billed_charge":250.00,"npi":[1548328560]}]}]},{"tin":{"type":"ein","value":"921560079"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":150.00,"npi":[1962117119]}]}]}]},{"billing_code":"90846","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Psychological","description":"FAMILY PSYTX W/O PT 50 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"460789547"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":138.82,"providers":[{"billed_charge":175.00,"npi":[1588912513]}]}]},{"tin":{"type":"ein","value":"540506321"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":250.54,"providers":[{"billed_charge":313.18,"npi":[1912919481]}]}]},{"tin":{"type":"ein","value":"621674308"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":138.82,"providers":[{"billed_charge":155.00,"npi":[1609482439]}]}]},{"tin":{"type":"ein","value":"824003834"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":120.00,"npi":[1326523903]}]}]},{"tin":{"type":"ein","value":"932266390"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":134.05,"providers":[{"billed_charge":225.00,"npi":[1427736404]}]}]}]},{"billing_code":"90847","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Psychological","description":"FAMILY PSYTX W/PT 50 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"300111894"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":121.10,"providers":[{"billed_charge":173.00,"npi":[1922277417]}]}]},{"tin":{"type":"ein","value":"421567375"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":136.90,"providers":[{"billed_charge":140.00,"npi":[1346205986]}]}]},{"tin":{"type":"ein","value":"452065197"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.64,"providers":[{"billed_charge":155.00,"npi":[1538994553]}]}]},{"tin":{"type":"ein","value":"463281605"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.00,"providers":[{"billed_charge":75.00,"npi":[1396297545]}]},{"allowed_amount":60.00,"providers":[{"billed_charge":100.00,"npi":[1396297545]}]}]},{"tin":{"type":"ein","value":"471524154"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.00,"providers":[{"billed_charge":95.00,"npi":[1740689538]}]}]},{"tin":{"type":"ein","value":"562023092"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":150.00,"npi":[1154464089]},{"billed_charge":150.00,"npi":[1154464089]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":284.42,"providers":[{"billed_charge":355.52,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"815280341"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":136.90,"providers":[{"billed_charge":220.00,"npi":[1902318249]}]}]},{"tin":{"type":"ein","value":"871665476"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":136.90,"providers":[{"billed_charge":150.00,"npi":[1477221786]},{"billed_charge":250.00,"npi":[1477221786]}]}]},{"tin":{"type":"ein","value":"932266390"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":133.82,"providers":[{"billed_charge":250.00,"npi":[1427736404]}]}]}]},{"billing_code":"90849","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Psychological","description":"MULTIPLE FAMILY GROUP PSYTX","allowed_amounts":[{"tin":{"type":"ein","value":"922901301"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.20,"providers":[{"billed_charge":475.00,"npi":[1033810916]}]}]}]},{"billing_code":"90853","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Psychological","description":"GROUP PSYCHOTHERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"020707661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.48,"providers":[{"billed_charge":160.00,"npi":[1558329243]}]},{"allowed_amount":35.35,"providers":[{"billed_charge":160.00,"npi":[1558329243,1295346948]}]}]},{"tin":{"type":"ein","value":"201997771"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":37.70,"providers":[{"billed_charge":480.00,"npi":[1144375767]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":27.19,"providers":[{"billed_charge":39.79,"npi":[1619927027]}]},{"allowed_amount":29.84,"providers":[{"billed_charge":39.79,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":30.42,"providers":[{"billed_charge":43.45,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561337065"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.35,"providers":[{"billed_charge":70.00,"npi":[1700892478]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":28.28,"providers":[{"billed_charge":56.78,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"562130300"},"billing_class":"professional","service_code":["57"],"payments":[{"allowed_amount":35.35,"providers":[{"billed_charge":250.00,"npi":[1558379396]}]}]},{"tin":{"type":"ein","value":"570526943"},"billing_class":"professional","service_code":["57"],"payments":[{"allowed_amount":34.56,"providers":[{"billed_charge":50.00,"npi":[1255334009]}]}]},{"tin":{"type":"ein","value":"576000922"},"billing_class":"professional","service_code":["53"],"payments":[{"allowed_amount":36.84,"providers":[{"billed_charge":84.00,"npi":[1316904857]}]}]}]},{"billing_code":"90853","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"GROUP PSYCHOTHERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":70.61,"providers":[{"billed_charge":484.72,"npi":[1619927027]}]},{"allowed_amount":96.57,"providers":[{"billed_charge":484.72,"npi":[1619927027]},{"billed_charge":969.44,"npi":[1619927027]}]},{"allowed_amount":102.96,"providers":[{"billed_charge":484.72,"npi":[1619927027]}]}]}]},{"billing_code":"90853","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Psychological","description":"GROUP PSYCHOTHERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"350869066"},"billing_class":"institutional","payments":[{"allowed_amount":616.00,"providers":[{"billed_charge":700.00,"npi":[1003866740]}]}]},{"tin":{"type":"ein","value":"521958352"},"billing_class":"institutional","payments":[{"allowed_amount":111.12,"providers":[{"billed_charge":873.00,"npi":[1790789212]}]},{"allowed_amount":523.80,"providers":[{"billed_charge":873.00,"npi":[1790789212]}]}]},{"tin":{"type":"ein","value":"823727468"},"billing_class":"institutional","payments":[{"allowed_amount":108.39,"providers":[{"billed_charge":1400.00,"npi":[1306443650]}]}]}]},{"billing_code":"90935","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dialysis","description":"HEMODIALYSIS ONE EVALUATION","allowed_amounts":[{"tin":{"type":"ein","value":"561378901"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":91.75,"providers":[{"billed_charge":390.00,"npi":[1083664189]}]}]}]},{"billing_code":"91065","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"BREATH HYDROGEN/METHANE TEST","allowed_amounts":[{"tin":{"type":"ein","value":"471300031"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":226.64,"providers":[{"billed_charge":502.50,"npi":[1982010963]}]}]},{"tin":{"type":"ein","value":"474725769"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":218.02,"providers":[{"billed_charge":549.00,"npi":[1831625342]},{"billed_charge":599.00,"npi":[1831625342]}]},{"allowed_amount":479.20,"providers":[{"billed_charge":599.00,"npi":[1831625342]}]}]},{"tin":{"type":"ein","value":"621094933"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.05,"providers":[{"billed_charge":213.50,"npi":[1417932492]}]}]},{"tin":{"type":"ein","value":"831332019"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":212.88,"providers":[{"billed_charge":349.00,"npi":[1376006932]}]},{"allowed_amount":214.18,"providers":[{"billed_charge":349.00,"npi":[1376006932]}]}]}]},{"billing_code":"91110","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"GI TRC IMG INTRAL ESOPH-ILE","allowed_amounts":[{"tin":{"type":"ein","value":"271198701"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1623.20,"providers":[{"billed_charge":2029.00,"npi":[1235455569]}]}]}]},{"billing_code":"91120","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"RECTAL SENSATION TEST","allowed_amounts":[{"tin":{"type":"ein","value":"203400983"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":442.38,"providers":[{"billed_charge":1343.00,"npi":[1487767133]}]}]}]},{"billing_code":"91122","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"ANAL PRESSURE RECORD","allowed_amounts":[{"tin":{"type":"ein","value":"203400983"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":241.82,"providers":[{"billed_charge":737.00,"npi":[1487767133]}]}]}]},{"billing_code":"91200","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Digestive","description":"LIVER ELASTOGRAPHY","allowed_amounts":[{"tin":{"type":"ein","value":"561251665"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.77,"providers":[{"billed_charge":85.00,"npi":[1336585561]}]}]}]},{"billing_code":"91318","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"SARSCOV2 VAC 3MCG TRS-SUC IM","allowed_amounts":[{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":60.00,"npi":[1245272657]}]}]}]},{"billing_code":"91320","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"SARSCV2 VAC 30MCG TRS-SUC IM","allowed_amounts":[{"tin":{"type":"ein","value":"251838458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":125.76,"providers":[{"billed_charge":262.00,"npi":[1134619356]}]}]},{"tin":{"type":"ein","value":"430653611"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.50,"providers":[{"billed_charge":170.00,"npi":[1558601518]}]}]},{"tin":{"type":"ein","value":"566000351"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":87.00,"providers":[{"billed_charge":145.00,"npi":[1467507640]}]}]}]},{"billing_code":"91320","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"SARSCV2 VAC 30MCG TRS-SUC IM","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":397.16,"npi":[1457719312]}]},{"allowed_amount":70.03,"providers":[{"billed_charge":397.16,"npi":[1457719312]}]},{"allowed_amount":85.62,"providers":[{"billed_charge":397.16,"npi":[1457719312]}]},{"allowed_amount":122.34,"providers":[{"billed_charge":397.16,"npi":[1457719312]}]},{"allowed_amount":194.81,"providers":[{"billed_charge":397.16,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":120.03,"providers":[{"billed_charge":302.26,"npi":[1023056488]}]}]}]},{"billing_code":"91322","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"SARSCOV2 VAC 50 MCG/0.5ML IM","allowed_amounts":[{"tin":{"type":"ein","value":"391824445"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":331.46,"providers":[{"billed_charge":389.95,"npi":[1598784555]}]}]},{"tin":{"type":"ein","value":"460224743"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":129.33,"providers":[{"billed_charge":161.66,"npi":[1376575514]}]}]},{"tin":{"type":"ein","value":"546001775"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":113.19,"providers":[{"billed_charge":113.19,"npi":[1083675474]}]}]},{"tin":{"type":"ein","value":"566000271"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":143.00,"providers":[{"billed_charge":143.00,"npi":[1316002629]}]}]},{"tin":{"type":"ein","value":"630520830"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":150.00,"npi":[1144961293]}]}]}]},{"billing_code":"91322","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"SARSCOV2 VAC 50 MCG/0.5ML IM","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":75.67,"providers":[{"billed_charge":308.35,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"610444716"},"billing_class":"institutional","payments":[{"allowed_amount":269.70,"providers":[{"billed_charge":313.60,"npi":[1851346720]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":232.84,"providers":[{"billed_charge":940.52,"npi":[1841237385]}]}]}]},{"billing_code":"92002","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"EYE EXAM NEW PATIENT","allowed_amounts":[{"tin":{"type":"ein","value":"200288837"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.00,"providers":[{"billed_charge":90.00,"npi":[1730280553]}]}]},{"tin":{"type":"ein","value":"203954936"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.00,"providers":[{"billed_charge":95.00,"npi":[1457586976]}]}]},{"tin":{"type":"ein","value":"640939893"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":113.33,"providers":[{"billed_charge":125.00,"npi":[1376576884]}]}]}]},{"billing_code":"92004","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"EYE EXAM NEW PATIENT","allowed_amounts":[{"tin":{"type":"ein","value":"202502972"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":141.50,"providers":[{"billed_charge":283.00,"npi":[1174695357]}]}]},{"tin":{"type":"ein","value":"274334751"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":183.00,"providers":[{"billed_charge":183.00,"npi":[1255532537]}]}]},{"tin":{"type":"ein","value":"412063404"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":161.54,"providers":[{"billed_charge":190.00,"npi":[1023067196]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":108.97,"providers":[{"billed_charge":234.16,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"541975727"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":168.82,"providers":[{"billed_charge":198.00,"npi":[1114939378]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":152.97,"providers":[{"billed_charge":152.97,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":110.97,"providers":[{"billed_charge":152.97,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"562191029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":96.85,"providers":[{"billed_charge":149.00,"npi":[1174564900]}]}]},{"tin":{"type":"ein","value":"593534775"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":139.90,"providers":[{"billed_charge":222.00,"npi":[1659321214]}]}]},{"tin":{"type":"ein","value":"611647677"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":190.00,"providers":[{"billed_charge":190.00,"npi":[1063704435]}]}]},{"tin":{"type":"ein","value":"753028236"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.30,"providers":[{"billed_charge":230.00,"npi":[1992794325]}]}]}]},{"billing_code":"92004","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"EYE EXAM NEW PATIENT","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":123.04,"providers":[{"billed_charge":579.21,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":48.69,"providers":[{"billed_charge":369.71,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":130.38,"providers":[{"billed_charge":361.50,"npi":[1083669030]}]},{"allowed_amount":132.29,"providers":[{"billed_charge":361.50,"npi":[1083669030]}]}]}]},{"billing_code":"92012","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"EYE EXAM ESTABLISH PATIENT","allowed_amounts":[{"tin":{"type":"ein","value":"460218851"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":98.77,"providers":[{"billed_charge":206.00,"npi":[1487602843]}]}]},{"tin":{"type":"ein","value":"562121397"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.60,"providers":[{"billed_charge":164.00,"npi":[1528007507]}]}]},{"tin":{"type":"ein","value":"651317623"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.40,"providers":[{"billed_charge":105.00,"npi":[1548439839]}]},{"allowed_amount":105.00,"providers":[{"billed_charge":105.00,"npi":[1548439839]}]}]},{"tin":{"type":"ein","value":"832841174"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":125.00,"npi":[1003818964]}]}]},{"tin":{"type":"ein","value":"833985589"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.53,"providers":[{"billed_charge":220.00,"npi":[1679046569]}]}]},{"tin":{"type":"ein","value":"840832336"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":136.93,"providers":[{"billed_charge":171.60,"npi":[1760599724]}]}]},{"tin":{"type":"ein","value":"844575668"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":94.97,"providers":[{"billed_charge":125.00,"npi":[1649802620]}]}]}]},{"billing_code":"92014","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"EYE EXAM&TX ESTAB PT 1/>VST","allowed_amounts":[{"tin":{"type":"ein","value":"010324279"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.31,"providers":[{"billed_charge":245.00,"npi":[1932284171]}]}]},{"tin":{"type":"ein","value":"202359956"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.67,"providers":[{"billed_charge":231.68,"npi":[1225094600]}]}]},{"tin":{"type":"ein","value":"205435934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":93.93,"providers":[{"billed_charge":143.00,"npi":[1225188071]}]}]},{"tin":{"type":"ein","value":"274334751"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":141.18,"providers":[{"billed_charge":153.00,"npi":[1255532537]}]},{"allowed_amount":153.00,"providers":[{"billed_charge":153.00,"npi":[1255532537]}]}]},{"tin":{"type":"ein","value":"282907844"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":141.18,"providers":[{"billed_charge":160.00,"npi":[1023446382]}]}]},{"tin":{"type":"ein","value":"363946906"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":147.71,"providers":[{"billed_charge":152.00,"npi":[1043330418]}]}]},{"tin":{"type":"ein","value":"463079193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.50,"providers":[{"billed_charge":175.00,"npi":[1700851045]}]}]},{"tin":{"type":"ein","value":"541472556"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":117.00,"providers":[{"billed_charge":180.00,"npi":[1306950431]}]}]},{"tin":{"type":"ein","value":"550740986"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.21,"providers":[{"billed_charge":240.00,"npi":[1336212075]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":153.94,"providers":[{"billed_charge":199.78,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":123.09,"providers":[{"billed_charge":123.09,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"562117108"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":153.94,"providers":[{"billed_charge":155.00,"npi":[1457049322]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":93.97,"providers":[{"billed_charge":101.29,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"582084692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":118.75,"providers":[{"billed_charge":125.00,"npi":[1851579569]}]}]},{"tin":{"type":"ein","value":"814653293"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":123.25,"providers":[{"billed_charge":124.00,"npi":[1558806414]}]}]},{"tin":{"type":"ein","value":"840832336"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":194.98,"providers":[{"billed_charge":241.20,"npi":[1760599724]}]}]}]},{"billing_code":"92014","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"EYE EXAM&TX ESTAB PT 1/>VST","allowed_amounts":[{"tin":{"type":"ein","value":"262037695"},"billing_class":"institutional","payments":[{"allowed_amount":266.00,"providers":[{"billed_charge":380.00,"npi":[1992799050]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":127.17,"providers":[{"billed_charge":361.50,"npi":[1083669030]}]},{"allowed_amount":133.16,"providers":[{"billed_charge":361.50,"npi":[1083669030]}]},{"allowed_amount":134.53,"providers":[{"billed_charge":361.50,"npi":[1083669030]}]},{"allowed_amount":168.25,"providers":[{"billed_charge":361.50,"npi":[1083669030]}]},{"allowed_amount":168.26,"providers":[{"billed_charge":361.50,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":127.96,"providers":[{"billed_charge":386.14,"npi":[1578514030]}]}]}]},{"billing_code":"92015","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"DETERMINE REFRACTIVE STATE","allowed_amounts":[{"tin":{"type":"ein","value":"010324279"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.90,"providers":[{"billed_charge":40.00,"npi":[1932284171]}]}]},{"tin":{"type":"ein","value":"203954936"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":50.00,"npi":[1457586976]}]}]},{"tin":{"type":"ein","value":"205435934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":45.00,"npi":[1225188071]}]}]},{"tin":{"type":"ein","value":"274334751"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.23,"providers":[{"billed_charge":50.00,"npi":[1255532537]}]},{"allowed_amount":29.24,"providers":[{"billed_charge":50.00,"npi":[1255532537]}]}]},{"tin":{"type":"ein","value":"282907844"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.23,"providers":[{"billed_charge":45.00,"npi":[1023446382]}]}]},{"tin":{"type":"ein","value":"460218851"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.00,"providers":[{"billed_charge":50.00,"npi":[1487602843]}]}]},{"tin":{"type":"ein","value":"463079193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":40.00,"npi":[1700851045]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":24.92,"providers":[{"billed_charge":45.48,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"541092710"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":95.00,"npi":[1346392248]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":29.23,"providers":[{"billed_charge":41.57,"npi":[1477504280,1457719312]}]},{"allowed_amount":29.24,"providers":[{"billed_charge":41.57,"npi":[1477504280,1457719312]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":27.21,"providers":[{"billed_charge":40.79,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":27.84,"providers":[{"billed_charge":27.84,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["11","19"],"payments":[{"allowed_amount":29.24,"providers":[{"billed_charge":48.80,"npi":[1992754758]},{"billed_charge":29.80,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":29.23,"providers":[{"billed_charge":29.80,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":27.21,"providers":[{"billed_charge":29.80,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"562117108"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.24,"providers":[{"billed_charge":35.00,"npi":[1457049322]}]}]},{"tin":{"type":"ein","value":"562191029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.75,"providers":[{"billed_charge":75.00,"npi":[1174564900]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":24.56,"providers":[{"billed_charge":24.56,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"611647677"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.64,"providers":[{"billed_charge":35.00,"npi":[1063704435]}]}]},{"tin":{"type":"ein","value":"753028236"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.36,"providers":[{"billed_charge":70.00,"npi":[1992794325]}]}]},{"tin":{"type":"ein","value":"840832336"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.89,"providers":[{"billed_charge":36.00,"npi":[1760599724]}]}]}]},{"billing_code":"92015","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"DETERMINE REFRACTIVE STATE","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":27.70,"providers":[{"billed_charge":130.43,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":16.52,"providers":[{"billed_charge":103.60,"npi":[1750333282]}]},{"allowed_amount":18.07,"providers":[{"billed_charge":104.53,"npi":[1457719312]}]},{"allowed_amount":19.07,"providers":[{"billed_charge":104.53,"npi":[1457719312]}]},{"allowed_amount":19.16,"providers":[{"billed_charge":104.53,"npi":[1477504280]}]},{"allowed_amount":21.20,"providers":[{"billed_charge":103.60,"npi":[1750333282]}]},{"allowed_amount":26.73,"providers":[{"billed_charge":104.53,"npi":[1477504280]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":6.91,"providers":[{"billed_charge":87.88,"npi":[1306189451]}]},{"allowed_amount":19.74,"providers":[{"billed_charge":81.40,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":10.96,"providers":[{"billed_charge":83.25,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":28.64,"providers":[{"billed_charge":81.40,"npi":[1083669030]}]},{"allowed_amount":29.35,"providers":[{"billed_charge":81.40,"npi":[1083669030]}]},{"allowed_amount":29.79,"providers":[{"billed_charge":81.40,"npi":[1083669030]}]},{"allowed_amount":30.29,"providers":[{"billed_charge":81.40,"npi":[1083669030]}]},{"allowed_amount":37.88,"providers":[{"billed_charge":81.40,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":28.82,"providers":[{"billed_charge":86.95,"npi":[1578514030]}]}]}]},{"billing_code":"92020","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"SPECIAL EYE EVALUATION","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":64.59,"npi":[1477504280]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":62.55,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"562118060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":40.00,"npi":[1790881076]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":27.89,"providers":[{"billed_charge":57.35,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"582209517"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":56.00,"providers":[{"billed_charge":70.00,"npi":[1548271992]}]}]},{"tin":{"type":"ein","value":"650942710"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.90,"providers":[{"billed_charge":75.00,"npi":[1326162553]}]}]}]},{"billing_code":"92020","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"SPECIAL EYE EVALUATION","allowed_amounts":[{"tin":{"type":"ein","value":"232810852"},"billing_class":"institutional","payments":[{"allowed_amount":45.60,"providers":[{"billed_charge":57.00,"npi":[1245207521]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":192.14,"providers":[{"billed_charge":751.56,"npi":[1477504280]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":205.89,"providers":[{"billed_charge":585.29,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":207.17,"providers":[{"billed_charge":625.19,"npi":[1578514030]}]}]}]},{"billing_code":"92025","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"CORNEAL TOPOGRAPHY","allowed_amounts":[{"tin":{"type":"ein","value":"562118060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.50,"providers":[{"billed_charge":75.00,"npi":[1790881076]}]}]}]},{"billing_code":"92060","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"SPECIAL EYE EVALUATION","allowed_amounts":[{"tin":{"type":"ein","value":"541092710"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.54,"providers":[{"billed_charge":150.00,"npi":[1346392248]}]}]}]},{"billing_code":"92082","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"VISUAL FIELD EXAMINATION(S)","allowed_amounts":[{"tin":{"type":"ein","value":"061657321"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.20,"providers":[{"billed_charge":72.00,"npi":[1649206814]}]}]}]},{"billing_code":"92083","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"VISUAL FIELD EXAMINATION(S)","allowed_amounts":[{"tin":{"type":"ein","value":"141853476"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":56.85,"providers":[{"billed_charge":155.00,"npi":[1801860796]}]}]},{"tin":{"type":"ein","value":"260270360"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.62,"providers":[{"billed_charge":140.00,"npi":[1659575926]}]}]},{"tin":{"type":"ein","value":"300888250"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.22,"providers":[{"billed_charge":120.00,"npi":[1235863846]}]}]},{"tin":{"type":"ein","value":"472080410"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.00,"providers":[{"billed_charge":105.00,"npi":[1205230588]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19","22"],"payments":[{"allowed_amount":36.20,"providers":[{"billed_charge":82.77,"npi":[1073557559]},{"billed_charge":85.47,"npi":[1457719312]},{"billed_charge":88.17,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561412280"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":52.00,"providers":[{"billed_charge":80.00,"npi":[1770562340]}]}]},{"tin":{"type":"ein","value":"561886725"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":82.67,"providers":[{"billed_charge":104.00,"npi":[1114969706]}]},{"allowed_amount":85.09,"providers":[{"billed_charge":104.00,"npi":[1114969706]}]},{"allowed_amount":92.36,"providers":[{"billed_charge":104.00,"npi":[1114969706]}]}]},{"tin":{"type":"ein","value":"561955882"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":120.00,"npi":[1447379490]}]}]},{"tin":{"type":"ein","value":"562118060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.00,"providers":[{"billed_charge":90.00,"npi":[1790881076]}]}]},{"tin":{"type":"ein","value":"581129515"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.26,"providers":[{"billed_charge":157.98,"npi":[1770679094]}]}]},{"tin":{"type":"ein","value":"582275306"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.62,"providers":[{"billed_charge":143.00,"npi":[1255357356]}]}]},{"tin":{"type":"ein","value":"651317623"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.09,"providers":[{"billed_charge":95.00,"npi":[1548439839]}]},{"allowed_amount":92.36,"providers":[{"billed_charge":95.00,"npi":[1548439839]}]}]},{"tin":{"type":"ein","value":"820946551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":64.00,"providers":[{"billed_charge":64.00,"npi":[1821529249]}]}]},{"tin":{"type":"ein","value":"842705367"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.36,"providers":[{"billed_charge":155.00,"npi":[1124674049]}]}]}]},{"billing_code":"92083","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"VISUAL FIELD EXAMINATION(S)","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":152.43,"providers":[{"billed_charge":744.91,"npi":[1750333282]}]},{"allowed_amount":180.35,"providers":[{"billed_charge":751.56,"npi":[1457719312]}]},{"allowed_amount":212.91,"providers":[{"billed_charge":525.43,"npi":[1073557559]}]}]}]},{"billing_code":"92133","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"CMPTR OPHTH IMG OPTIC NERVE","allowed_amounts":[{"tin":{"type":"ein","value":"010324279"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.16,"providers":[{"billed_charge":90.00,"npi":[1932284171]}]}]},{"tin":{"type":"ein","value":"274334751"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":52.38,"providers":[{"billed_charge":75.00,"npi":[1255532537]}]}]},{"tin":{"type":"ein","value":"472080410"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":52.19,"providers":[{"billed_charge":95.00,"npi":[1205230588]}]}]},{"tin":{"type":"ein","value":"541472556"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.10,"providers":[{"billed_charge":74.00,"npi":[1306950431]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":31.68,"providers":[{"billed_charge":67.96,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19","22"],"payments":[{"allowed_amount":31.26,"providers":[{"billed_charge":67.96,"npi":[1457719312]},{"billed_charge":70.11,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":31.68,"providers":[{"billed_charge":64.38,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"561886725"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.38,"providers":[{"billed_charge":86.00,"npi":[1114969706]}]},{"allowed_amount":47.96,"providers":[{"billed_charge":86.00,"npi":[1114969706]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["11","19"],"payments":[{"allowed_amount":31.68,"providers":[{"billed_charge":90.56,"npi":[1992754758]},{"billed_charge":65.81,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"562118060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.34,"providers":[{"billed_charge":75.00,"npi":[1790881076]}]},{"allowed_amount":37.50,"providers":[{"billed_charge":75.00,"npi":[1790881076]}]}]},{"tin":{"type":"ein","value":"562161489"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.80,"providers":[{"billed_charge":61.00,"npi":[1578749180]}]}]},{"tin":{"type":"ein","value":"582209517"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":100.00,"npi":[1548271992]}]}]},{"tin":{"type":"ein","value":"582275306"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.25,"providers":[{"billed_charge":130.00,"npi":[1255357356]}]}]},{"tin":{"type":"ein","value":"651317623"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.62,"providers":[{"billed_charge":40.00,"npi":[1548439839]}]}]},{"tin":{"type":"ein","value":"811097027"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.11,"providers":[{"billed_charge":36.00,"npi":[1639530454]}]}]},{"tin":{"type":"ein","value":"820946551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.20,"providers":[{"billed_charge":45.00,"npi":[1821529249]}]}]},{"tin":{"type":"ein","value":"842705367"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.96,"providers":[{"billed_charge":100.00,"npi":[1124674049]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":167.20,"providers":[{"billed_charge":176.00,"npi":[1558332494]}]}]}]},{"billing_code":"92133","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"CMPTR OPHTH IMG OPTIC NERVE","allowed_amounts":[{"tin":{"type":"ein","value":"262037695"},"billing_class":"institutional","payments":[{"allowed_amount":239.40,"providers":[{"billed_charge":342.00,"npi":[1992799050]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":76.17,"providers":[{"billed_charge":440.50,"npi":[1457719312]}]},{"allowed_amount":80.37,"providers":[{"billed_charge":440.50,"npi":[1457719312]}]},{"allowed_amount":89.34,"providers":[{"billed_charge":436.60,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":83.17,"providers":[{"billed_charge":343.04,"npi":[1972974392]}]},{"allowed_amount":83.18,"providers":[{"billed_charge":343.04,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":120.68,"providers":[{"billed_charge":343.04,"npi":[1083669030]}]}]}]},{"billing_code":"92134","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"CPTR OPHTH DX IMG POST SEGMT","allowed_amounts":[{"tin":{"type":"ein","value":"061657321"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.82,"providers":[{"billed_charge":92.00,"npi":[1649206814]}]}]},{"tin":{"type":"ein","value":"202359956"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.00,"providers":[{"billed_charge":85.00,"npi":[1225094600]}]}]},{"tin":{"type":"ein","value":"202502972"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.93,"providers":[{"billed_charge":86.00,"npi":[1174695357]}]}]},{"tin":{"type":"ein","value":"263755706"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.00,"providers":[{"billed_charge":55.00,"npi":[1598798100]}]}]},{"tin":{"type":"ein","value":"330788196"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.43,"providers":[{"billed_charge":75.00,"npi":[1922129865]}]}]},{"tin":{"type":"ein","value":"391093716"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":157.50,"providers":[{"billed_charge":175.00,"npi":[1740263458]}]}]},{"tin":{"type":"ein","value":"550740986"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.47,"providers":[{"billed_charge":120.00,"npi":[1336212075]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":36.97,"providers":[{"billed_charge":78.81,"npi":[1477504280]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":35.17,"providers":[{"billed_charge":81.30,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561088366"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.40,"providers":[{"billed_charge":124.00,"npi":[1679535504]}]}]},{"tin":{"type":"ein","value":"561886725"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.26,"providers":[{"billed_charge":86.00,"npi":[1114969706]}]}]},{"tin":{"type":"ein","value":"561955882"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.83,"providers":[{"billed_charge":80.00,"npi":[1447379490]}]}]},{"tin":{"type":"ein","value":"561987440"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":56.01,"providers":[{"billed_charge":134.00,"npi":[1558565473]}]}]},{"tin":{"type":"ein","value":"562117108"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":59.11,"providers":[{"billed_charge":60.00,"npi":[1457049322]}]}]},{"tin":{"type":"ein","value":"562118060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.83,"providers":[{"billed_charge":80.00,"npi":[1790881076]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":37.28,"providers":[{"billed_charge":69.97,"npi":[1578514030]}]}]}]},{"billing_code":"92134","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"CPTR OPHTH DX IMG POST SEGMT","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":174.34,"providers":[{"billed_charge":230.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":69.63,"providers":[{"billed_charge":436.60,"npi":[1750333282]}]},{"allowed_amount":112.61,"providers":[{"billed_charge":440.50,"npi":[1477504280]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":127.66,"providers":[{"billed_charge":343.04,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":121.43,"providers":[{"billed_charge":366.43,"npi":[1578514030]}]}]}]},{"billing_code":"92136","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"OPHTHALMIC BIOMETRY","allowed_amounts":[{"tin":{"type":"ein","value":"330788196"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":88.88,"providers":[{"billed_charge":140.00,"npi":[1922129865]}]}]},{"tin":{"type":"ein","value":"411000647"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.81,"providers":[{"billed_charge":193.00,"npi":[1881699197]}]},{"allowed_amount":65.07,"providers":[{"billed_charge":193.00,"npi":[1881699197]}]}]},{"tin":{"type":"ein","value":"753028236"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.99,"providers":[{"billed_charge":200.00,"npi":[1992794325]}]}]}]},{"billing_code":"92227","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"IMG RTA DETCJ/MNTR DS STAFF","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":25.80,"providers":[{"billed_charge":261.18,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":104.02,"providers":[{"billed_charge":297.21,"npi":[1831148253]}]}]}]},{"billing_code":"92228","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"IMG RTA DETC/MNTR DS PHY/QHP","allowed_amounts":[{"tin":{"type":"ein","value":"570650154"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.40,"providers":[{"billed_charge":51.00,"npi":[1306979521]}]}]}]},{"billing_code":"92228","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"IMG RTA DETC/MNTR DS PHY/QHP","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":40.24,"providers":[{"billed_charge":512.04,"npi":[1306189451]}]}]}]},{"billing_code":"92250","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"EYE EXAM WITH PHOTOS","allowed_amounts":[{"tin":{"type":"ein","value":"202143850"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.50,"providers":[{"billed_charge":129.00,"npi":[1588728166]}]}]},{"tin":{"type":"ein","value":"204178645"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.50,"providers":[{"billed_charge":93.00,"npi":[1053458000]}]}]},{"tin":{"type":"ein","value":"232919472"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":148.50,"providers":[{"billed_charge":198.00,"npi":[1881683100]}]}]},{"tin":{"type":"ein","value":"471450216"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.25,"providers":[{"billed_charge":185.00,"npi":[1518169663]}]}]},{"tin":{"type":"ein","value":"561412280"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.20,"providers":[{"billed_charge":68.00,"npi":[1770562340]}]}]},{"tin":{"type":"ein","value":"561886725"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.50,"providers":[{"billed_charge":84.00,"npi":[1114969706]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":30.39,"providers":[{"billed_charge":64.80,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"562118060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.95,"providers":[{"billed_charge":90.00,"npi":[1790881076]}]},{"allowed_amount":45.00,"providers":[{"billed_charge":90.00,"npi":[1790881076]}]}]},{"tin":{"type":"ein","value":"562191029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":52.00,"providers":[{"billed_charge":80.00,"npi":[1174564900]}]}]},{"tin":{"type":"ein","value":"621552614"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.83,"providers":[{"billed_charge":86.00,"npi":[1821125485]}]}]},{"tin":{"type":"ein","value":"650942710"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.26,"providers":[{"billed_charge":125.00,"npi":[1326162553]}]}]},{"tin":{"type":"ein","value":"820946551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.79,"providers":[{"billed_charge":80.00,"npi":[1821529249]}]}]}]},{"billing_code":"92250","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"EYE EXAM WITH PHOTOS","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":150.70,"providers":[{"billed_charge":585.29,"npi":[1083669030]}]},{"allowed_amount":215.58,"providers":[{"billed_charge":585.29,"npi":[1083669030]}]}]}]},{"billing_code":"92283","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"COLOR VISION EXAMINATION","allowed_amounts":[{"tin":{"type":"ein","value":"651317623"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.99,"providers":[{"billed_charge":65.00,"npi":[1548439839]}]}]}]},{"billing_code":"92285","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"EYE PHOTOGRAPHY","allowed_amounts":[{"tin":{"type":"ein","value":"200288837"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.00,"providers":[{"billed_charge":65.00,"npi":[1730280553]}]}]},{"tin":{"type":"ein","value":"263515916"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.47,"providers":[{"billed_charge":120.00,"npi":[1629220611]}]}]},{"tin":{"type":"ein","value":"562118060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.90,"providers":[{"billed_charge":70.00,"npi":[1790881076]}]}]}]},{"billing_code":"92310","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"CONTACT LENS FITTING","allowed_amounts":[{"tin":{"type":"ein","value":"463079193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":80.00,"npi":[1700851045]}]}]}]},{"billing_code":"92342","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"FIT SPECTACLES MULTIFOCAL","allowed_amounts":[{"tin":{"type":"ein","value":"460600008"},"billing_class":"institutional","payments":[{"allowed_amount":83.98,"providers":[{"billed_charge":3629.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"606000080"},"billing_class":"institutional","payments":[{"allowed_amount":1832.50,"providers":[{"billed_charge":3629.00,"npi":[1710314141]}]}]}]},{"billing_code":"92504","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"EAR MICROSCOPY EXAMINATION","allowed_amounts":[{"tin":{"type":"ein","value":"561872583"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.05,"providers":[{"billed_charge":74.00,"npi":[1538171871]}]}]}]},{"billing_code":"92507","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"SPEECH/HEARING THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"201311334"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":70.00,"providers":[{"billed_charge":140.00,"npi":[1740335918]}]}]},{"tin":{"type":"ein","value":"208222351"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.33,"providers":[{"billed_charge":150.00,"npi":[1255456513]}]},{"allowed_amount":73.37,"providers":[{"billed_charge":150.00,"npi":[1255456513]}]}]},{"tin":{"type":"ein","value":"232446104"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.43,"providers":[{"billed_charge":109.21,"npi":[1457759128]}]},{"allowed_amount":40.00,"providers":[{"billed_charge":109.21,"npi":[1457759128]}]}]},{"tin":{"type":"ein","value":"260767855"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":120.00,"npi":[1114233590]}]}]},{"tin":{"type":"ein","value":"262297218"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.00,"providers":[{"billed_charge":90.00,"npi":[1477725380]}]}]},{"tin":{"type":"ein","value":"262624323"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":193.43,"npi":[1932366044]}]}]},{"tin":{"type":"ein","value":"262897981"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.35,"providers":[{"billed_charge":600.00,"npi":[1568627826]}]},{"allowed_amount":73.37,"providers":[{"billed_charge":600.00,"npi":[1568627826]}]},{"allowed_amount":73.38,"providers":[{"billed_charge":600.00,"npi":[1568627826]}]},{"allowed_amount":93.46,"providers":[{"billed_charge":450.00,"npi":[1568627826]}]},{"allowed_amount":101.59,"providers":[{"billed_charge":300.00,"npi":[1568627826]}]},{"allowed_amount":152.38,"providers":[{"billed_charge":450.00,"npi":[1568627826]}]},{"allowed_amount":152.39,"providers":[{"billed_charge":450.00,"npi":[1568627826]}]}]},{"tin":{"type":"ein","value":"263134457"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.75,"providers":[{"billed_charge":100.00,"npi":[1124323381]}]}]},{"tin":{"type":"ein","value":"270054898"},"billing_class":"professional","service_code":["99"],"payments":[{"allowed_amount":73.37,"providers":[{"billed_charge":280.00,"npi":[1053468090]}]},{"allowed_amount":73.38,"providers":[{"billed_charge":280.00,"npi":[1053468090]}]}]},{"tin":{"type":"ein","value":"271337290"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.33,"providers":[{"billed_charge":73.00,"npi":[1841520509]}]},{"allowed_amount":74.75,"providers":[{"billed_charge":110.00,"npi":[1841520509]}]}]},{"tin":{"type":"ein","value":"272360466"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":94.40,"providers":[{"billed_charge":160.00,"npi":[1316264799]}]}]},{"tin":{"type":"ein","value":"300416446"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.93,"providers":[{"billed_charge":130.00,"npi":[1750579561]}]}]},{"tin":{"type":"ein","value":"301178706"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.75,"providers":[{"billed_charge":150.00,"npi":[1366860546]}]}]},{"tin":{"type":"ein","value":"383926492"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":58.07,"providers":[{"billed_charge":135.00,"npi":[1124445705]}]},{"allowed_amount":75.85,"providers":[{"billed_charge":180.00,"npi":[1124445705]}]}]},{"tin":{"type":"ein","value":"452582619"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.33,"providers":[{"billed_charge":100.00,"npi":[1992115414]}]},{"allowed_amount":74.75,"providers":[{"billed_charge":100.00,"npi":[1992115414]}]}]},{"tin":{"type":"ein","value":"453788777"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.33,"providers":[{"billed_charge":180.00,"npi":[1811260698]}]},{"allowed_amount":74.75,"providers":[{"billed_charge":180.00,"npi":[1811260698]}]}]},{"tin":{"type":"ein","value":"464687452"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.33,"providers":[{"billed_charge":130.00,"npi":[1164847752]},{"billed_charge":140.00,"npi":[1164847752]}]},{"allowed_amount":74.75,"providers":[{"billed_charge":130.00,"npi":[1164847752]}]}]},{"tin":{"type":"ein","value":"471818514"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.33,"providers":[{"billed_charge":180.00,"npi":[1750782462]}]}]},{"tin":{"type":"ein","value":"472667689"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.99,"providers":[{"billed_charge":375.00,"npi":[1639568231]}]},{"allowed_amount":58.00,"providers":[{"billed_charge":375.00,"npi":[1639568231]}]}]},{"tin":{"type":"ein","value":"475360734"},"billing_class":"professional","service_code":["12","99"],"payments":[{"allowed_amount":62.50,"providers":[{"billed_charge":125.00,"npi":[1841662954]},{"billed_charge":125.00,"npi":[1841662954]}]}]},{"tin":{"type":"ein","value":"475360734"},"billing_class":"professional","service_code":["99"],"payments":[{"allowed_amount":74.75,"providers":[{"billed_charge":125.00,"npi":[1841662954]}]}]},{"tin":{"type":"ein","value":"510471092"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.33,"providers":[{"billed_charge":150.00,"npi":[1528135035]}]},{"allowed_amount":75.00,"providers":[{"billed_charge":150.00,"npi":[1528135035]}]}]},{"tin":{"type":"ein","value":"510471092"},"billing_class":"professional","service_code":["11","99"],"payments":[{"allowed_amount":74.75,"providers":[{"billed_charge":150.00,"npi":[1528135035]},{"billed_charge":150.00,"npi":[1528135035]}]}]},{"tin":{"type":"ein","value":"542115074"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.75,"providers":[{"billed_charge":100.00,"npi":[1487824405]}]}]},{"tin":{"type":"ein","value":"561826561"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":125.00,"npi":[1891858692]}]}]},{"tin":{"type":"ein","value":"566000403"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.33,"providers":[{"billed_charge":108.00,"npi":[1043260474]}]}]},{"tin":{"type":"ein","value":"571118290"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":69.16,"providers":[{"billed_charge":175.00,"npi":[1477537207]}]}]},{"tin":{"type":"ein","value":"571127317"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":73.37,"providers":[{"billed_charge":162.00,"npi":[1285641308]}]},{"allowed_amount":73.38,"providers":[{"billed_charge":162.00,"npi":[1285641308]}]}]},{"tin":{"type":"ein","value":"811195846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.75,"providers":[{"billed_charge":132.16,"npi":[1699284448]}]}]},{"tin":{"type":"ein","value":"823975311"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":73.37,"providers":[{"billed_charge":180.00,"npi":[1770091670]}]},{"allowed_amount":73.38,"providers":[{"billed_charge":180.00,"npi":[1770091670]}]}]},{"tin":{"type":"ein","value":"831454512"},"billing_class":"professional","service_code":["10","12"],"payments":[{"allowed_amount":74.75,"providers":[{"billed_charge":100.00,"npi":[1619510559]},{"billed_charge":100.00,"npi":[1619510559]}]}]},{"tin":{"type":"ein","value":"831454512"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":59.08,"providers":[{"billed_charge":100.00,"npi":[1619510559]}]},{"allowed_amount":72.33,"providers":[{"billed_charge":100.00,"npi":[1619510559]}]}]},{"tin":{"type":"ein","value":"834236841"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.33,"providers":[{"billed_charge":150.00,"npi":[1750843942]}]},{"allowed_amount":74.75,"providers":[{"billed_charge":150.00,"npi":[1750843942]}]}]},{"tin":{"type":"ein","value":"834462721"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":74.75,"providers":[{"billed_charge":120.00,"npi":[1063051670]}]}]},{"tin":{"type":"ein","value":"834514857"},"billing_class":"professional","service_code":["11","12"],"payments":[{"allowed_amount":74.75,"providers":[{"billed_charge":100.00,"npi":[1356011076]},{"billed_charge":100.00,"npi":[1356011076]}]}]},{"tin":{"type":"ein","value":"834559245"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.33,"providers":[{"billed_charge":225.00,"npi":[1396328100]}]},{"allowed_amount":74.75,"providers":[{"billed_charge":225.00,"npi":[1396328100]}]}]},{"tin":{"type":"ein","value":"841749980"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.33,"providers":[{"billed_charge":100.00,"npi":[1285290353]}]}]},{"tin":{"type":"ein","value":"843650302"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":74.75,"providers":[{"billed_charge":140.00,"npi":[1093350779]}]}]},{"tin":{"type":"ein","value":"851267213"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":72.33,"providers":[{"billed_charge":160.00,"npi":[1649875857]}]},{"allowed_amount":74.75,"providers":[{"billed_charge":160.00,"npi":[1649875857]}]},{"allowed_amount":80.03,"providers":[{"billed_charge":160.00,"npi":[1649875857]}]},{"allowed_amount":90.41,"providers":[{"billed_charge":160.00,"npi":[1649875857]}]}]},{"tin":{"type":"ein","value":"863899707"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.75,"providers":[{"billed_charge":180.00,"npi":[1376117044]}]}]},{"tin":{"type":"ein","value":"882876635"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.75,"providers":[{"billed_charge":75.00,"npi":[1396476685]}]}]},{"tin":{"type":"ein","value":"943419490"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.75,"providers":[{"billed_charge":150.00,"npi":[1093734030]}]}]}]},{"billing_code":"92507","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"SPEECH/HEARING THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"720652905"},"billing_class":"institutional","payments":[{"allowed_amount":116.47,"providers":[{"billed_charge":145.59,"npi":[1912943184]}]},{"allowed_amount":174.11,"providers":[{"billed_charge":217.65,"npi":[1912943184]}]},{"allowed_amount":174.12,"providers":[{"billed_charge":217.65,"npi":[1912943184]}]}]}]},{"billing_code":"92521","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"EVALUATION OF SPEECH FLUENCY","allowed_amounts":[{"tin":{"type":"ein","value":"831454512"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":180.44,"providers":[{"billed_charge":200.00,"npi":[1619510559]}]}]},{"tin":{"type":"ein","value":"841749980"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":98.53,"providers":[{"billed_charge":125.00,"npi":[1285290353]}]}]}]},{"billing_code":"92522","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"EVALUATE SPEECH PRODUCTION","allowed_amounts":[{"tin":{"type":"ein","value":"272360466"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":168.00,"providers":[{"billed_charge":240.00,"npi":[1316264799]}]}]},{"tin":{"type":"ein","value":"834462721"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":125.00,"providers":[{"billed_charge":125.00,"npi":[1063051670]}]}]}]},{"billing_code":"92523","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"SPEECH SOUND LANG COMPREHEN","allowed_amounts":[{"tin":{"type":"ein","value":"262297218"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":165.00,"providers":[{"billed_charge":275.00,"npi":[1477725380]}]}]},{"tin":{"type":"ein","value":"270054898"},"billing_class":"professional","service_code":["99"],"payments":[{"allowed_amount":300.00,"providers":[{"billed_charge":300.00,"npi":[1053468090]}]}]},{"tin":{"type":"ein","value":"464687452"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":300.00,"npi":[1164847752]}]}]},{"tin":{"type":"ein","value":"471818514"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":323.77,"providers":[{"billed_charge":400.00,"npi":[1750782462]}]}]},{"tin":{"type":"ein","value":"472314555"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.75,"providers":[{"billed_charge":205.00,"npi":[1700264058]}]}]},{"tin":{"type":"ein","value":"510471092"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":250.00,"providers":[{"billed_charge":500.00,"npi":[1528135035]}]}]},{"tin":{"type":"ein","value":"823975311"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":162.50,"providers":[{"billed_charge":250.00,"npi":[1770091670]}]}]},{"tin":{"type":"ein","value":"831454512"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":216.70,"providers":[{"billed_charge":275.00,"npi":[1619510559]}]}]},{"tin":{"type":"ein","value":"834236841"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":260.00,"npi":[1750843942]}]}]},{"tin":{"type":"ein","value":"841749980"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":175.00,"providers":[{"billed_charge":175.00,"npi":[1285290353]}]}]},{"tin":{"type":"ein","value":"882813067"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":325.86,"providers":[{"billed_charge":395.00,"npi":[1780809111,1346464716]}]}]}]},{"billing_code":"92523","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"SPEECH SOUND LANG COMPREHEN","allowed_amounts":[{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":136.50,"providers":[{"billed_charge":182.00,"npi":[1942294814]}]}]}]},{"billing_code":"92526","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"ORAL FUNCTION THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"232446104"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":126.65,"npi":[1457759128]}]},{"allowed_amount":47.57,"providers":[{"billed_charge":126.65,"npi":[1457759128]}]}]},{"tin":{"type":"ein","value":"474400730"},"billing_class":"professional","service_code":["11","12"],"payments":[{"allowed_amount":120.01,"providers":[{"billed_charge":125.00,"npi":[1972986172]},{"billed_charge":125.00,"npi":[1972986172]}]}]},{"tin":{"type":"ein","value":"571118290"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.50,"providers":[{"billed_charge":175.00,"npi":[1477537207]}]}]}]},{"billing_code":"92526","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"ORAL FUNCTION THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":162.70,"providers":[{"billed_charge":163.05,"npi":[1083669030]}]}]}]},{"billing_code":"92550","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Auditory","description":"TYMPANOMETRY & REFLEX THRESH","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":224.31,"providers":[{"billed_charge":897.75,"npi":[1992754758]}]}]}]},{"billing_code":"92551","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"PURE TONE HEARING TEST AIR","allowed_amounts":[{"tin":{"type":"ein","value":"061477334"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.79,"providers":[{"billed_charge":40.00,"npi":[1396867958]}]}]},{"tin":{"type":"ein","value":"464770041"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.22,"providers":[{"billed_charge":35.00,"npi":[1932521630]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.89,"providers":[{"billed_charge":34.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"561175704"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.23,"providers":[{"billed_charge":19.00,"npi":[1477510659]}]}]},{"tin":{"type":"ein","value":"561567536"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.23,"providers":[{"billed_charge":24.36,"npi":[1912987090]}]}]},{"tin":{"type":"ein","value":"566000296"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":9.00,"providers":[{"billed_charge":15.00,"npi":[1235198177]}]}]},{"tin":{"type":"ein","value":"581367701"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.86,"providers":[{"billed_charge":25.00,"npi":[1487772596]}]}]},{"tin":{"type":"ein","value":"581480658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.86,"providers":[{"billed_charge":26.00,"npi":[1003940909]}]}]},{"tin":{"type":"ein","value":"591198552"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.17,"providers":[{"billed_charge":32.00,"npi":[1639138480]}]}]},{"tin":{"type":"ein","value":"593405327"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.59,"providers":[{"billed_charge":25.00,"npi":[1609965441]}]}]}]},{"billing_code":"92552","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"PURE TONE AUDIOMETRY AIR","allowed_amounts":[{"tin":{"type":"ein","value":"200063146"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.82,"providers":[{"billed_charge":30.00,"npi":[1861947905]}]}]},{"tin":{"type":"ein","value":"204916014"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.44,"providers":[{"billed_charge":73.00,"npi":[1740212893]}]}]},{"tin":{"type":"ein","value":"263049770"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.06,"providers":[{"billed_charge":45.00,"npi":[1265684856]}]}]},{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.27,"providers":[{"billed_charge":52.00,"npi":[1912957606]}]}]},{"tin":{"type":"ein","value":"582281023"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.51,"providers":[{"billed_charge":103.00,"npi":[1588607303]}]}]}]},{"billing_code":"92552","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Auditory","description":"PURE TONE AUDIOMETRY AIR","allowed_amounts":[{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":87.42,"providers":[{"billed_charge":93.00,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":142.98,"providers":[{"billed_charge":651.80,"npi":[1619350261]}]}]}]},{"billing_code":"92555","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"SPEECH THRESHOLD AUDIOMETRY","allowed_amounts":[{"tin":{"type":"ein","value":"582281023"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.83,"providers":[{"billed_charge":78.00,"npi":[1588607303]}]}]},{"tin":{"type":"ein","value":"752733623"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.84,"providers":[{"billed_charge":40.00,"npi":[1033264635]}]}]}]},{"billing_code":"92556","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"SPEECH AUDIOMETRY COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.37,"providers":[{"billed_charge":65.00,"npi":[1912957606]}]}]}]},{"billing_code":"92556","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Auditory","description":"SPEECH AUDIOMETRY COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":87.42,"providers":[{"billed_charge":93.00,"npi":[1841271459]}]}]}]},{"billing_code":"92557","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"COMPREHENSIVE HEARING TEST","allowed_amounts":[{"tin":{"type":"ein","value":"270726976"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.76,"providers":[{"billed_charge":109.00,"npi":[1306162193]}]}]},{"tin":{"type":"ein","value":"541871633"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.79,"providers":[{"billed_charge":110.00,"npi":[1255354130]}]}]},{"tin":{"type":"ein","value":"560603898"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.06,"providers":[{"billed_charge":93.68,"npi":[1629674106]}]}]},{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":52.85,"providers":[{"billed_charge":150.00,"npi":[1912957606]}]}]},{"tin":{"type":"ein","value":"561152782"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":52.85,"providers":[{"billed_charge":87.25,"npi":[1710932629]}]}]},{"tin":{"type":"ein","value":"561263118"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.20,"providers":[{"billed_charge":113.00,"npi":[1649216631]}]}]},{"tin":{"type":"ein","value":"562149579"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.75,"providers":[{"billed_charge":92.00,"npi":[1124034202]}]}]},{"tin":{"type":"ein","value":"581054951"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":129.90,"providers":[{"billed_charge":144.00,"npi":[1962449363]}]}]},{"tin":{"type":"ein","value":"811905859"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.00,"providers":[{"billed_charge":100.00,"npi":[1245692920]}]}]},{"tin":{"type":"ein","value":"911606533"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.30,"providers":[{"billed_charge":119.00,"npi":[1407223985]}]}]}]},{"billing_code":"92557","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Auditory","description":"COMPREHENSIVE HEARING TEST","allowed_amounts":[{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":191.69,"providers":[{"billed_charge":951.71,"npi":[1619350261]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":202.22,"providers":[{"billed_charge":854.59,"npi":[1083669030]}]},{"allowed_amount":206.53,"providers":[{"billed_charge":854.59,"npi":[1083669030]}]},{"allowed_amount":224.31,"providers":[{"billed_charge":897.75,"npi":[1992754758]}]}]}]},{"billing_code":"92558","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"EVOKED AUDITORY TEST QUAL","allowed_amounts":[{"tin":{"type":"ein","value":"453367409"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.92,"providers":[{"billed_charge":25.00,"npi":[1700162203]}]}]}]},{"billing_code":"92567","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"TYMPANOMETRY","allowed_amounts":[{"tin":{"type":"ein","value":"270726976"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.79,"providers":[{"billed_charge":30.00,"npi":[1306162193]}]}]},{"tin":{"type":"ein","value":"462659193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.11,"providers":[{"billed_charge":48.27,"npi":[1134564073]}]}]},{"tin":{"type":"ein","value":"541871633"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.11,"providers":[{"billed_charge":45.00,"npi":[1255354130]}]}]},{"tin":{"type":"ein","value":"560603898"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.05,"providers":[{"billed_charge":37.10,"npi":[1629674106]}]}]},{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.05,"providers":[{"billed_charge":59.00,"npi":[1912957606]}]},{"allowed_amount":21.33,"providers":[{"billed_charge":59.00,"npi":[1912957606]}]}]},{"tin":{"type":"ein","value":"561152782"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.33,"providers":[{"billed_charge":38.78,"npi":[1710932629]}]}]},{"tin":{"type":"ein","value":"561263118"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.31,"providers":[{"billed_charge":43.00,"npi":[1649216631]}]}]},{"tin":{"type":"ein","value":"562149579"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.45,"providers":[{"billed_charge":36.00,"npi":[1124034202]}]}]},{"tin":{"type":"ein","value":"581054951"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":58.46,"providers":[{"billed_charge":65.00,"npi":[1962449363]}]}]},{"tin":{"type":"ein","value":"582281023"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.51,"providers":[{"billed_charge":46.00,"npi":[1588607303]}]}]},{"tin":{"type":"ein","value":"593622718"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.66,"providers":[{"billed_charge":65.00,"npi":[1821163577]}]}]},{"tin":{"type":"ein","value":"911606533"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.20,"providers":[{"billed_charge":51.00,"npi":[1407223985]}]}]}]},{"billing_code":"92567","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Auditory","description":"TYMPANOMETRY","allowed_amounts":[{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":87.42,"providers":[{"billed_charge":93.00,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":48.23,"providers":[{"billed_charge":239.43,"npi":[1619350261]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":50.87,"providers":[{"billed_charge":215.00,"npi":[1083669030]}]},{"allowed_amount":51.96,"providers":[{"billed_charge":215.00,"npi":[1083669030]}]}]}]},{"billing_code":"92587","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"EVOKED AUDITORY TEST LIMITED","allowed_amounts":[{"tin":{"type":"ein","value":"562149579"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.06,"providers":[{"billed_charge":100.00,"npi":[1124034202]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.84,"providers":[{"billed_charge":48.00,"npi":[1104368141]}]}]}]},{"billing_code":"92588","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"EVOKED AUDITORY TST COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"541871633"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":52.20,"providers":[{"billed_charge":132.00,"npi":[1255354130]}]}]}]},{"billing_code":"92591","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Auditory","description":"HEARING AID EXAM BOTH EARS","allowed_amounts":[{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":125.69,"providers":[{"billed_charge":493.64,"npi":[1619350261]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":107.12,"providers":[{"billed_charge":443.26,"npi":[1083669030]}]},{"allowed_amount":108.03,"providers":[{"billed_charge":432.35,"npi":[1992754758]}]}]}]},{"billing_code":"92609","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"USE OF SPEECH DEVICE SERVICE","allowed_amounts":[{"tin":{"type":"ein","value":"262897981"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.54,"providers":[{"billed_charge":200.00,"npi":[1568627826]}]},{"allowed_amount":67.72,"providers":[{"billed_charge":200.00,"npi":[1568627826]}]}]},{"tin":{"type":"ein","value":"472667689"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":96.82,"providers":[{"billed_charge":150.00,"npi":[1639568231]}]},{"allowed_amount":99.30,"providers":[{"billed_charge":150.00,"npi":[1639568231]}]}]}]},{"billing_code":"92610","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"EVALUATE SWALLOWING FUNCTION","allowed_amounts":[{"tin":{"type":"ein","value":"474400730"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":121.90,"providers":[{"billed_charge":150.00,"npi":[1972986172]}]}]},{"tin":{"type":"ein","value":"562145102"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.20,"providers":[{"billed_charge":177.00,"npi":[1457332264]}]}]},{"tin":{"type":"ein","value":"834462721"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":121.90,"providers":[{"billed_charge":125.00,"npi":[1063051670]}]}]},{"tin":{"type":"ein","value":"841749980"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":121.90,"providers":[{"billed_charge":125.00,"npi":[1285290353]}]}]}]},{"billing_code":"92610","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"EVALUATE SWALLOWING FUNCTION","allowed_amounts":[{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":136.50,"providers":[{"billed_charge":182.00,"npi":[1942294814]}]}]}]},{"billing_code":"92611","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"MOTION FLUOROSCOPY/SWALLOW","allowed_amounts":[{"tin":{"type":"ein","value":"820161600"},"billing_class":"institutional","payments":[{"allowed_amount":185.62,"providers":[{"billed_charge":225.00,"npi":[1770586794]}]}]}]},{"billing_code":"92612","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"ENDOSCOPY SWALLOW (FEES) VID","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":392.99,"providers":[{"billed_charge":401.00,"npi":[1548212988]}]}]}]},{"billing_code":"92650","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"AEP SCR AUDITORY POTENTIAL","allowed_amounts":[{"tin":{"type":"ein","value":"650592449"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":225.00,"providers":[{"billed_charge":250.00,"npi":[1295827574]}]}]},{"tin":{"type":"ein","value":"650913387"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":225.00,"providers":[{"billed_charge":250.00,"npi":[1497852107]}]}]}]},{"billing_code":"92928","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"PRQ CARD STENT W/ANGIO 1 VSL","allowed_amounts":[{"tin":{"type":"ein","value":"264800380"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":771.46,"providers":[{"billed_charge":1290.00,"npi":[1376779892]}]}]}]},{"billing_code":"93000","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"ELECTROCARDIOGRAM COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"043397450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.16,"providers":[{"billed_charge":68.00,"npi":[1871639914]}]}]},{"tin":{"type":"ein","value":"202948293"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.31,"providers":[{"billed_charge":93.00,"npi":[1376527077]}]}]},{"tin":{"type":"ein","value":"222703314"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.97,"providers":[{"billed_charge":54.00,"npi":[1336137629]}]}]},{"tin":{"type":"ein","value":"232730785"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.75,"providers":[{"billed_charge":53.00,"npi":[1972906667]}]}]},{"tin":{"type":"ein","value":"251838458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.20,"providers":[{"billed_charge":40.00,"npi":[1063834315]}]}]},{"tin":{"type":"ein","value":"263049770"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.17,"providers":[{"billed_charge":35.00,"npi":[1265684856]}]}]},{"tin":{"type":"ein","value":"263557623"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.00,"providers":[{"billed_charge":33.00,"npi":[1376575035]}]}]},{"tin":{"type":"ein","value":"273426141"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.84,"providers":[{"billed_charge":60.00,"npi":[1093024101]}]}]},{"tin":{"type":"ein","value":"273818647"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":43.40,"providers":[{"billed_charge":58.00,"npi":[1275992240]}]}]},{"tin":{"type":"ein","value":"300802081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.52,"providers":[{"billed_charge":75.00,"npi":[1124450572]}]}]},{"tin":{"type":"ein","value":"352214929"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.36,"providers":[{"billed_charge":34.08,"npi":[1023209095]}]}]},{"tin":{"type":"ein","value":"452452126"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.52,"providers":[{"billed_charge":40.41,"npi":[1982998159]}]}]},{"tin":{"type":"ein","value":"472271936"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.47,"providers":[{"billed_charge":30.00,"npi":[1891152104]}]}]},{"tin":{"type":"ein","value":"521467441"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.18,"providers":[{"billed_charge":85.00,"npi":[1578598868]}]}]},{"tin":{"type":"ein","value":"521923448"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.33,"providers":[{"billed_charge":70.00,"npi":[1083667067]}]}]},{"tin":{"type":"ein","value":"522375549"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.32,"providers":[{"billed_charge":70.00,"npi":[1134326176]}]}]},{"tin":{"type":"ein","value":"540793767"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.40,"providers":[{"billed_charge":59.00,"npi":[1518102235]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":18.32,"providers":[{"billed_charge":39.75,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"561463611"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":16.56,"providers":[{"billed_charge":106.00,"npi":[1437175700]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.52,"providers":[{"billed_charge":95.00,"npi":[1881624807]}]}]},{"tin":{"type":"ein","value":"561908886"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.52,"providers":[{"billed_charge":51.00,"npi":[1326074592]}]}]},{"tin":{"type":"ein","value":"561991438"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.52,"providers":[{"billed_charge":32.00,"npi":[1063712727]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.32,"providers":[{"billed_charge":60.00,"npi":[1477992501,1780623207]}]},{"allowed_amount":19.52,"providers":[{"billed_charge":60.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"562143419"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":16.73,"providers":[{"billed_charge":31.80,"npi":[1326627399]}]}]},{"tin":{"type":"ein","value":"581581693"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":78.70,"providers":[{"billed_charge":95.00,"npi":[1780779363]}]}]},{"tin":{"type":"ein","value":"581896468"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.24,"providers":[{"billed_charge":82.95,"npi":[1235296054]}]}]},{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":78.70,"providers":[{"billed_charge":82.00,"npi":[1184679482]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":69.70,"providers":[{"billed_charge":82.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"592123944"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.80,"providers":[{"billed_charge":28.00,"npi":[1669405379]}]}]},{"tin":{"type":"ein","value":"592871302"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.64,"providers":[{"billed_charge":50.00,"npi":[1801826268]}]}]},{"tin":{"type":"ein","value":"593259553"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.50,"providers":[{"billed_charge":65.00,"npi":[1669429577]}]}]},{"tin":{"type":"ein","value":"593337028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":114.00,"providers":[{"billed_charge":120.00,"npi":[1790772317]}]}]},{"tin":{"type":"ein","value":"752254247"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.99,"providers":[{"billed_charge":47.00,"npi":[1417117912]}]}]},{"tin":{"type":"ein","value":"752536818"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.72,"providers":[{"billed_charge":51.39,"npi":[1235135906]}]}]},{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.32,"providers":[{"billed_charge":87.00,"npi":[1366912586]}]}]},{"tin":{"type":"ein","value":"812145825"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.32,"providers":[{"billed_charge":20.00,"npi":[1679937205]}]}]},{"tin":{"type":"ein","value":"820676989"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":66.72,"providers":[{"billed_charge":75.00,"npi":[1346754041]}]}]},{"tin":{"type":"ein","value":"822462657"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.52,"providers":[{"billed_charge":26.94,"npi":[1831392174]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.32,"providers":[{"billed_charge":87.00,"npi":[1609342815]}]}]},{"tin":{"type":"ein","value":"842516855"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.92,"providers":[{"billed_charge":69.20,"npi":[1124886965]}]}]},{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":18.32,"providers":[{"billed_charge":33.00,"npi":[1255950325]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.00,"providers":[{"billed_charge":100.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":19.52,"providers":[{"billed_charge":45.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"934104475"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":18.32,"providers":[{"billed_charge":69.00,"npi":[1629841788]}]}]},{"tin":{"type":"ein","value":"934646081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.32,"providers":[{"billed_charge":93.00,"npi":[1548021694]}]}]},{"tin":{"type":"ein","value":"993496991"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.40,"providers":[{"billed_charge":57.00,"npi":[1356186787]}]},{"allowed_amount":21.41,"providers":[{"billed_charge":57.00,"npi":[1356186787]}]}]}]},{"billing_code":"93005","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"ELECTROCARDIOGRAM TRACING","allowed_amounts":[{"tin":{"type":"ein","value":"264183569"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.00,"providers":[{"billed_charge":17.00,"npi":[1134484892]}]}]},{"tin":{"type":"ein","value":"581608892"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":6.69,"providers":[{"billed_charge":125.00,"npi":[1538211081]}]}]},{"tin":{"type":"ein","value":"720701964"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":311.00,"providers":[{"billed_charge":311.00,"npi":[1316943566]}]}]},{"tin":{"type":"ein","value":"843150686"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":50.00,"npi":[1295386662]}]}]}]},{"billing_code":"93005","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"ELECTROCARDIOGRAM TRACING","allowed_amounts":[{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":327.42,"providers":[{"billed_charge":730.50,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"160743032"},"billing_class":"institutional","payments":[{"allowed_amount":66.81,"providers":[{"billed_charge":170.55,"npi":[1952418352]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":490.95,"providers":[{"billed_charge":598.72,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":101.33,"providers":[{"billed_charge":383.50,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"232973511"},"billing_class":"institutional","payments":[{"allowed_amount":1115.80,"providers":[{"billed_charge":1594.00,"npi":[1417947490]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":88.87,"providers":[{"billed_charge":244.00,"npi":[1326161662]}]},{"allowed_amount":93.92,"providers":[{"billed_charge":244.00,"npi":[1326161662]}]},{"allowed_amount":120.73,"providers":[{"billed_charge":244.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"250965480"},"billing_class":"institutional","payments":[{"allowed_amount":480.20,"providers":[{"billed_charge":686.00,"npi":[1821007881]}]}]},{"tin":{"type":"ein","value":"263734606"},"billing_class":"institutional","payments":[{"allowed_amount":548.60,"providers":[{"billed_charge":844.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"311340739"},"billing_class":"institutional","payments":[{"allowed_amount":100.50,"providers":[{"billed_charge":125.00,"npi":[1447359997]}]}]},{"tin":{"type":"ein","value":"311626179"},"billing_class":"institutional","payments":[{"allowed_amount":162.75,"providers":[{"billed_charge":232.50,"npi":[1538164090]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":215.25,"providers":[{"billed_charge":287.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351814660"},"billing_class":"institutional","payments":[{"allowed_amount":230.09,"providers":[{"billed_charge":266.00,"npi":[1063443455]}]}]},{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":215.42,"providers":[{"billed_charge":269.28,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":463.25,"providers":[{"billed_charge":545.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"475259919"},"billing_class":"institutional","payments":[{"allowed_amount":159.80,"providers":[{"billed_charge":235.00,"npi":[1033228168]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":80.06,"providers":[{"billed_charge":549.65,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"540853898"},"billing_class":"institutional","payments":[{"allowed_amount":87.12,"providers":[{"billed_charge":453.00,"npi":[1548366404]}]}]},{"tin":{"type":"ein","value":"550525724"},"billing_class":"institutional","payments":[{"allowed_amount":368.60,"providers":[{"billed_charge":388.00,"npi":[1184606600]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":62.73,"providers":[{"billed_charge":307.96,"npi":[1073557559]}]},{"allowed_amount":72.18,"providers":[{"billed_charge":436.60,"npi":[1750333282]}]},{"allowed_amount":79.03,"providers":[{"billed_charge":440.50,"npi":[1457719312]}]},{"allowed_amount":89.60,"providers":[{"billed_charge":436.60,"npi":[1750333282]}]},{"allowed_amount":172.70,"providers":[{"billed_charge":877.10,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":49.11,"providers":[{"billed_charge":331.88,"npi":[1558311357]}]},{"allowed_amount":331.88,"providers":[{"billed_charge":331.88,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":5.91,"providers":[{"billed_charge":5.91,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"580566200"},"billing_class":"institutional","payments":[{"allowed_amount":188.00,"providers":[{"billed_charge":235.00,"npi":[1144203563]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":66.69,"providers":[{"billed_charge":275.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":295.80,"providers":[{"billed_charge":435.00,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":552.29,"providers":[{"billed_charge":789.00,"npi":[1306938071]}]},{"allowed_amount":552.30,"providers":[{"billed_charge":789.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"591726273"},"billing_class":"institutional","payments":[{"allowed_amount":532.00,"providers":[{"billed_charge":665.00,"npi":[1184709057]}]}]},{"tin":{"type":"ein","value":"593650609"},"billing_class":"institutional","payments":[{"allowed_amount":220.94,"providers":[{"billed_charge":528.00,"npi":[1861078651]}]},{"allowed_amount":221.12,"providers":[{"billed_charge":528.00,"npi":[1861078651]}]}]},{"tin":{"type":"ein","value":"611334601"},"billing_class":"institutional","payments":[{"allowed_amount":392.80,"providers":[{"billed_charge":491.00,"npi":[1992701429]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":140.53,"providers":[{"billed_charge":401.51,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":117.75,"providers":[{"billed_charge":157.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":213.75,"providers":[{"billed_charge":225.00,"npi":[1275531956]}]}]},{"tin":{"type":"ein","value":"630845288"},"billing_class":"institutional","payments":[{"allowed_amount":162.00,"providers":[{"billed_charge":202.50,"npi":[1447221056]}]}]},{"tin":{"type":"ein","value":"637346060"},"billing_class":"institutional","payments":[{"allowed_amount":76.88,"providers":[{"billed_charge":844.00,"npi":[1710314141]}]},{"allowed_amount":115.50,"providers":[{"billed_charge":844.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":77.29,"providers":[{"billed_charge":207.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":109.30,"providers":[{"billed_charge":453.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"680561190"},"billing_class":"institutional","payments":[{"allowed_amount":144.04,"providers":[{"billed_charge":280.00,"npi":[1124193511]}]}]},{"tin":{"type":"ein","value":"730717979"},"billing_class":"institutional","payments":[{"allowed_amount":57.67,"providers":[{"billed_charge":229.92,"npi":[1659347623]}]}]},{"tin":{"type":"ein","value":"734606000"},"billing_class":"institutional","payments":[{"allowed_amount":54.16,"providers":[{"billed_charge":844.00,"npi":[1710314141]}]},{"allowed_amount":65.68,"providers":[{"billed_charge":844.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":608.08,"providers":[{"billed_charge":691.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":677.44,"providers":[{"billed_charge":903.25,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"800764192"},"billing_class":"institutional","payments":[{"allowed_amount":509.54,"providers":[{"billed_charge":698.00,"npi":[1033475959]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":76.33,"providers":[{"billed_charge":240.00,"npi":[1144211301]}]}]},{"tin":{"type":"ein","value":"841321373"},"billing_class":"institutional","payments":[{"allowed_amount":624.50,"providers":[{"billed_charge":999.22,"npi":[1659327013]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":52.92,"providers":[{"billed_charge":355.00,"npi":[1639797913]}]},{"allowed_amount":54.05,"providers":[{"billed_charge":355.00,"npi":[1639797913]}]},{"allowed_amount":75.76,"providers":[{"billed_charge":355.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":209.98,"providers":[{"billed_charge":259.00,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":546.11,"providers":[{"billed_charge":563.00,"npi":[1194706655]}]}]},{"tin":{"type":"ein","value":"882288563"},"billing_class":"institutional","payments":[{"allowed_amount":488.49,"providers":[{"billed_charge":697.84,"npi":[1861102345]}]}]},{"tin":{"type":"ein","value":"922451946"},"billing_class":"institutional","payments":[{"allowed_amount":287.73,"providers":[{"billed_charge":417.00,"npi":[1740981430]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":580.49,"providers":[{"billed_charge":804.00,"npi":[1407637531]}]}]}]},{"billing_code":"93010","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"ELECTROCARDIOGRAM REPORT","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":29.75,"providers":[{"billed_charge":35.00,"npi":[1659309615]}]}]},{"tin":{"type":"ein","value":"133278552"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":31.91,"providers":[{"billed_charge":50.00,"npi":[1679544241]}]}]},{"tin":{"type":"ein","value":"202728271"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":59.00,"npi":[1023074580]}]}]},{"tin":{"type":"ein","value":"202728380"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":59.00,"npi":[1194781369]}]}]},{"tin":{"type":"ein","value":"203251115"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":11.67,"providers":[{"billed_charge":21.00,"npi":[1972648319]}]}]},{"tin":{"type":"ein","value":"204923281"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":11.10,"providers":[{"billed_charge":16.00,"npi":[1003985102]}]}]},{"tin":{"type":"ein","value":"232791808"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":113.00,"npi":[1316955875]},{"billed_charge":113.00,"npi":[1316955875]}]}]},{"tin":{"type":"ein","value":"232919472"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":23.25,"providers":[{"billed_charge":31.00,"npi":[1881683100]}]}]},{"tin":{"type":"ein","value":"237313346"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":25.00,"npi":[1538360425]}]}]},{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.20,"providers":[{"billed_charge":39.00,"npi":[1861675506]}]}]},{"tin":{"type":"ein","value":"261378489"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":15.98,"providers":[{"billed_charge":27.00,"npi":[1467612176]}]}]},{"tin":{"type":"ein","value":"264183569"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.40,"providers":[{"billed_charge":23.00,"npi":[1134484892]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":41.80,"providers":[{"billed_charge":44.00,"npi":[1609915784]}]}]},{"tin":{"type":"ein","value":"311369596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":25.50,"providers":[{"billed_charge":30.00,"npi":[1740231448]}]}]},{"tin":{"type":"ein","value":"311626179"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":13.54,"providers":[{"billed_charge":20.00,"npi":[1528384690]}]}]},{"tin":{"type":"ein","value":"311713993"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":11.50,"providers":[{"billed_charge":56.00,"npi":[1598723082]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":54.00,"providers":[{"billed_charge":72.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351955872"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":14.30,"providers":[{"billed_charge":35.00,"npi":[1376586719]}]}]},{"tin":{"type":"ein","value":"391678306"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":89.25,"providers":[{"billed_charge":105.00,"npi":[1427271378]}]}]},{"tin":{"type":"ein","value":"460837907"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":56.00,"npi":[1689923757]}]}]},{"tin":{"type":"ein","value":"462354804"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":17.50,"providers":[{"billed_charge":25.00,"npi":[1780100529]}]}]},{"tin":{"type":"ein","value":"462439952"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":15.64,"providers":[{"billed_charge":50.00,"npi":[1598008955]}]}]},{"tin":{"type":"ein","value":"463756713"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":15.88,"providers":[{"billed_charge":33.00,"npi":[1922435882]}]}]},{"tin":{"type":"ein","value":"464319695"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":47.60,"providers":[{"billed_charge":56.00,"npi":[1467873547]}]}]},{"tin":{"type":"ein","value":"464837698"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":13.14,"providers":[{"billed_charge":80.83,"npi":[1043635402]}]}]},{"tin":{"type":"ein","value":"471049674"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":10.51,"providers":[{"billed_charge":16.97,"npi":[1609281641]}]}]},{"tin":{"type":"ein","value":"475339746"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":11.39,"providers":[{"billed_charge":30.00,"npi":[1164954715]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":42.94,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"540793767"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":10.15,"providers":[{"billed_charge":28.00,"npi":[1518102235]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":17.59,"providers":[{"billed_charge":46.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":46.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"550526150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.38,"providers":[{"billed_charge":48.00,"npi":[1124248752]}]}]},{"tin":{"type":"ein","value":"560562304"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":10.51,"providers":[{"billed_charge":26.00,"npi":[1295904951]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":10.48,"providers":[{"billed_charge":47.01,"npi":[1750333282]}]},{"allowed_amount":10.51,"providers":[{"billed_charge":47.01,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":48.43,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560941982"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":44.00,"npi":[1649256983]}]},{"allowed_amount":19.14,"providers":[{"billed_charge":88.00,"npi":[1649256983]}]}]},{"tin":{"type":"ein","value":"560952955"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":10.10,"providers":[{"billed_charge":11.88,"npi":[1760479331]}]}]},{"tin":{"type":"ein","value":"561614999"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":40.00,"npi":[1790736973]},{"billed_charge":44.00,"npi":[1790736973]}]}]},{"tin":{"type":"ein","value":"561752877"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":64.00,"npi":[1003853409]}]}]},{"tin":{"type":"ein","value":"561763695"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":46.00,"npi":[1235562067,1619758018,1669253274,1912071903,1922063387,1699044669,1043492853,1033770292,1225268238]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":34.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"561928809"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":64.00,"npi":[1316264195]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":10.51,"providers":[{"billed_charge":59.17,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":10.48,"providers":[{"billed_charge":57.32,"npi":[1992754758]},{"billed_charge":57.32,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"562028878"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":73.00,"npi":[1609851138]}]}]},{"tin":{"type":"ein","value":"562066152"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":47.00,"npi":[1073562757]}]},{"allowed_amount":19.14,"providers":[{"billed_charge":94.00,"npi":[1073562757]}]}]},{"tin":{"type":"ein","value":"570720016"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.53,"providers":[{"billed_charge":47.61,"npi":[1659320620]}]}]},{"tin":{"type":"ein","value":"576000094"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":11.25,"providers":[{"billed_charge":25.00,"npi":[1336180165]}]}]},{"tin":{"type":"ein","value":"576000094"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.53,"providers":[{"billed_charge":25.00,"npi":[1336180165]}]}]},{"tin":{"type":"ein","value":"581519911"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":11.39,"providers":[{"billed_charge":25.00,"npi":[1528056066]}]}]},{"tin":{"type":"ein","value":"581871713"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.86,"providers":[{"billed_charge":139.00,"npi":[1235148727]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.00,"providers":[{"billed_charge":28.00,"npi":[1689610149]}]}]},{"tin":{"type":"ein","value":"591281714"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.90,"providers":[{"billed_charge":67.00,"npi":[1811983752]},{"billed_charge":87.00,"npi":[1811983752]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":39.95,"providers":[{"billed_charge":47.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"592180685"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.52,"providers":[{"billed_charge":14.00,"npi":[1457319329]}]}]},{"tin":{"type":"ein","value":"593474034"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.90,"providers":[{"billed_charge":151.00,"npi":[1326033341]}]}]},{"tin":{"type":"ein","value":"610945743"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":19.20,"providers":[{"billed_charge":24.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"611661781"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":14.44,"providers":[{"billed_charge":40.00,"npi":[1487912416]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":19.80,"providers":[{"billed_charge":22.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"621113733"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":10.15,"providers":[{"billed_charge":129.54,"npi":[1750768131]}]}]},{"tin":{"type":"ein","value":"621130266"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":76.00,"npi":[1427005008]},{"billed_charge":84.00,"npi":[1427005008]}]}]},{"tin":{"type":"ein","value":"640726501"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":16.00,"providers":[{"billed_charge":49.00,"npi":[1093112039]}]}]},{"tin":{"type":"ein","value":"640895480"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":11.18,"providers":[{"billed_charge":21.00,"npi":[1235173691]}]}]},{"tin":{"type":"ein","value":"640895480"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":10.33,"providers":[{"billed_charge":21.00,"npi":[1235173691]}]}]},{"tin":{"type":"ein","value":"650622862"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.90,"providers":[{"billed_charge":83.00,"npi":[1073556767]}]}]},{"tin":{"type":"ein","value":"650691102"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.53,"providers":[{"billed_charge":80.00,"npi":[1861430555]}]},{"allowed_amount":9.57,"providers":[{"billed_charge":83.00,"npi":[1861430555]}]}]},{"tin":{"type":"ein","value":"813642890"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.53,"providers":[{"billed_charge":174.00,"npi":[1730636168]}]},{"allowed_amount":11.63,"providers":[{"billed_charge":174.00,"npi":[1730636168]}]}]},{"tin":{"type":"ein","value":"815221323"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":10.15,"providers":[{"billed_charge":109.00,"npi":[1386183028]}]},{"allowed_amount":10.79,"providers":[{"billed_charge":109.00,"npi":[1386183028]}]}]},{"tin":{"type":"ein","value":"822031440"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":109.00,"npi":[1003337528]}]}]},{"tin":{"type":"ein","value":"831132382"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.86,"providers":[{"billed_charge":109.00,"npi":[1437629342]}]}]},{"tin":{"type":"ein","value":"832794560"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.57,"providers":[{"billed_charge":56.00,"npi":[1295206464]}]}]},{"tin":{"type":"ein","value":"872249377"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":17.30,"providers":[{"billed_charge":46.00,"npi":[1235808122]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":7.67,"providers":[{"billed_charge":19.00,"npi":[1477256303]}]}]},{"tin":{"type":"ein","value":"884128022"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":8.98,"providers":[{"billed_charge":24.00,"npi":[1588373872]}]}]},{"tin":{"type":"ein","value":"911753075"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":50.15,"providers":[{"billed_charge":59.00,"npi":[1235172370]}]}]},{"tin":{"type":"ein","value":"932543044"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":9.53,"providers":[{"billed_charge":75.00,"npi":[1821779695]}]}]}]},{"billing_code":"93010","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"ELECTROCARDIOGRAM REPORT","allowed_amounts":[{"tin":{"type":"ein","value":"160743032"},"billing_class":"institutional","payments":[{"allowed_amount":8.26,"providers":[{"billed_charge":21.10,"npi":[1952418352]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":16.02,"providers":[{"billed_charge":44.00,"npi":[1326161662]}]},{"allowed_amount":16.94,"providers":[{"billed_charge":44.00,"npi":[1326161662]}]},{"allowed_amount":21.77,"providers":[{"billed_charge":44.00,"npi":[1326161662]}]}]}]},{"billing_code":"93015","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"CARDIOVASCULAR STRESS TEST","allowed_amounts":[{"tin":{"type":"ein","value":"202948293"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":314.92,"providers":[{"billed_charge":438.00,"npi":[1376527077]}]}]},{"tin":{"type":"ein","value":"582563008"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":200.00,"providers":[{"billed_charge":250.00,"npi":[1891881827]}]}]},{"tin":{"type":"ein","value":"592123944"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.49,"providers":[{"billed_charge":139.00,"npi":[1669405379]}]}]},{"tin":{"type":"ein","value":"820676989"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":314.92,"providers":[{"billed_charge":350.00,"npi":[1346754041]}]}]}]},{"billing_code":"93016","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"CARDIOVASCULAR STRESS TEST","allowed_amounts":[{"tin":{"type":"ein","value":"454832340"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":52.24,"providers":[{"billed_charge":133.00,"npi":[1841557246]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":24.89,"providers":[{"billed_charge":124.66,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":22.94,"providers":[{"billed_charge":47.00,"npi":[1528195864]}]}]},{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":35.25,"providers":[{"billed_charge":47.00,"npi":[1528195864]}]}]}]},{"billing_code":"93017","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"CARDIOVASCULAR STRESS TEST","allowed_amounts":[{"tin":{"type":"ein","value":"221494440"},"billing_class":"institutional","payments":[{"allowed_amount":1245.60,"providers":[{"billed_charge":2076.00,"npi":[1396857488]}]}]},{"tin":{"type":"ein","value":"311340739"},"billing_class":"institutional","payments":[{"allowed_amount":665.71,"providers":[{"billed_charge":828.00,"npi":[1447359997]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":346.23,"providers":[{"billed_charge":2128.46,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"592477479"},"billing_class":"institutional","payments":[{"allowed_amount":1128.94,"providers":[{"billed_charge":1188.36,"npi":[1184691610]}]}]}]},{"billing_code":"93018","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"CARDIOVASCULAR STRESS TEST","allowed_amounts":[{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":19.68,"providers":[{"billed_charge":69.00,"npi":[1861675506]}]},{"allowed_amount":55.20,"providers":[{"billed_charge":69.00,"npi":[1861675506]}]}]},{"tin":{"type":"ein","value":"454832340"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":34.90,"providers":[{"billed_charge":88.00,"npi":[1841557246]}]}]},{"tin":{"type":"ein","value":"465137699"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":19.27,"providers":[{"billed_charge":29.62,"npi":[1962821322]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":16.44,"providers":[{"billed_charge":81.81,"npi":[1750333282]}]}]}]},{"billing_code":"93041","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"RHYTHM ECG TRACING","allowed_amounts":[{"tin":{"type":"ein","value":"431371367"},"billing_class":"professional","service_code":["42"],"payments":[{"allowed_amount":159.60,"providers":[{"billed_charge":168.00,"npi":[1740608033]}]}]},{"tin":{"type":"ein","value":"450439149"},"billing_class":"professional","service_code":["42"],"payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":168.00,"npi":[1972529154]}]}]}]},{"billing_code":"93041","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"RHYTHM ECG TRACING","allowed_amounts":[{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":6.87,"providers":[{"billed_charge":26.00,"npi":[1104086941]}]}]}]},{"billing_code":"93042","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"RHYTHM ECG REPORT","allowed_amounts":[{"tin":{"type":"ein","value":"261378489"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":13.30,"providers":[{"billed_charge":21.00,"npi":[1467612176]}]}]},{"tin":{"type":"ein","value":"263557648"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":8.77,"providers":[{"billed_charge":40.00,"npi":[1609015262]}]}]},{"tin":{"type":"ein","value":"540958905"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":8.13,"providers":[{"billed_charge":29.00,"npi":[1710991153]}]}]}]},{"billing_code":"93050","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"ART PRESSURE WAVEFORM ANALYS","allowed_amounts":[{"tin":{"type":"ein","value":"202948293"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.50,"providers":[{"billed_charge":60.00,"npi":[1376527077]}]},{"allowed_amount":48.00,"providers":[{"billed_charge":60.00,"npi":[1376527077]}]}]}]},{"billing_code":"93225","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"ECG MONIT/REPRT UP TO 48 HRS","allowed_amounts":[{"tin":{"type":"ein","value":"590657322"},"billing_class":"institutional","payments":[{"allowed_amount":159.37,"providers":[{"billed_charge":302.00,"npi":[1700979465]}]}]},{"tin":{"type":"ein","value":"610444716"},"billing_class":"institutional","payments":[{"allowed_amount":785.33,"providers":[{"billed_charge":913.17,"npi":[1851346720]}]}]}]},{"billing_code":"93226","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"ECG MONIT/REPRT UP TO 48 HRS","allowed_amounts":[{"tin":{"type":"ein","value":"274533011"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":88.85,"providers":[{"billed_charge":228.00,"npi":[1407471550]}]}]}]},{"billing_code":"93226","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"ECG MONIT/REPRT UP TO 48 HRS","allowed_amounts":[{"tin":{"type":"ein","value":"610444716"},"billing_class":"institutional","payments":[{"allowed_amount":1021.08,"providers":[{"billed_charge":1187.31,"npi":[1851346720]}]}]}]},{"billing_code":"93227","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"ECG MONIT/REPRT UP TO 48 HRS","allowed_amounts":[{"tin":{"type":"ein","value":"264183569"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":44.40,"providers":[{"billed_charge":53.00,"npi":[1134484892]}]}]}]},{"billing_code":"93228","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"REMOTE 30 DAY ECG REV/REPORT","allowed_amounts":[{"tin":{"type":"ein","value":"271528941"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":31.74,"providers":[{"billed_charge":73.00,"npi":[1710218508]}]}]},{"tin":{"type":"ein","value":"462021581"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.90,"providers":[{"billed_charge":77.00,"npi":[1174955256]}]}]},{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.17,"providers":[{"billed_charge":129.00,"npi":[1174813224]}]}]},{"tin":{"type":"ein","value":"592123944"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.40,"providers":[{"billed_charge":49.00,"npi":[1669405379]}]}]},{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.17,"providers":[{"billed_charge":49.00,"npi":[1366912586]}]}]}]},{"billing_code":"93229","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"REMOTE 30 DAY ECG TECH SUPP","allowed_amounts":[{"tin":{"type":"ein","value":"274533011"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2036.02,"providers":[{"billed_charge":3955.00,"npi":[1407471550]}]}]},{"tin":{"type":"ein","value":"465119321"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":695.45,"providers":[{"billed_charge":4500.00,"npi":[1912375148]}]}]},{"tin":{"type":"ein","value":"592123944"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":918.60,"providers":[{"billed_charge":1531.00,"npi":[1669405379]}]}]}]},{"billing_code":"93243","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"EXT ECG>48HR<7D SCAN A/R","allowed_amounts":[{"tin":{"type":"ein","value":"274533011"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":443.27,"providers":[{"billed_charge":950.00,"npi":[1407471550]}]},{"allowed_amount":560.32,"providers":[{"billed_charge":950.00,"npi":[1407471550]}]}]},{"tin":{"type":"ein","value":"371891036"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":400.00,"providers":[{"billed_charge":895.00,"npi":[1477214906]}]}]}]},{"billing_code":"93246","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"EXT ECG>7D<15D RECORDING","allowed_amounts":[{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.33,"providers":[{"billed_charge":49.00,"npi":[1174813224]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.32,"providers":[{"billed_charge":35.00,"npi":[1477992501]}]}]}]},{"billing_code":"93247","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"EXT ECG>7D<15D SCAN A/R","allowed_amounts":[{"tin":{"type":"ein","value":"274533011"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":587.91,"providers":[{"billed_charge":1050.00,"npi":[1407471550]}]}]},{"tin":{"type":"ein","value":"371891036"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":400.00,"providers":[{"billed_charge":1095.00,"npi":[1932697729]}]}]}]},{"billing_code":"93248","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"EXT ECG>7D<15D REV&INTERPJ","allowed_amounts":[{"tin":{"type":"ein","value":"203639329"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":29.70,"providers":[{"billed_charge":53.00,"npi":[1649228966]}]}]}]},{"billing_code":"93261","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"INTERROGATE SUBQ DEFIB","allowed_amounts":[{"tin":{"type":"ein","value":"593214635"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":144.90,"providers":[{"billed_charge":207.00,"npi":[1225034234]}]}]}]},{"billing_code":"93270","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"REMOTE 30 DAY ECG REV/REPORT","allowed_amounts":[{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.42,"providers":[{"billed_charge":158.00,"npi":[1366912586]}]}]}]},{"billing_code":"93270","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"REMOTE 30 DAY ECG REV/REPORT","allowed_amounts":[{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":108.75,"providers":[{"billed_charge":145.00,"npi":[1942294814]}]}]}]},{"billing_code":"93271","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"ECG/MONITORING AND ANALYSIS","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.34,"providers":[{"billed_charge":2500.00,"npi":[1518906940]}]}]},{"tin":{"type":"ein","value":"274533011"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":277.72,"providers":[{"billed_charge":925.00,"npi":[1407471550]}]},{"allowed_amount":358.02,"providers":[{"billed_charge":925.00,"npi":[1407471550]}]}]}]},{"billing_code":"93272","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"ECG/REVIEW INTERPRET ONLY","allowed_amounts":[{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.79,"providers":[{"billed_charge":60.00,"npi":[1780623207]}]}]}]},{"billing_code":"93280","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"PM DEVICE PROGR EVAL DUAL","allowed_amounts":[{"tin":{"type":"ein","value":"272996872"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":178.80,"providers":[{"billed_charge":298.00,"npi":[1689984585]}]}]}]},{"billing_code":"93284","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"PRGRMG EVAL IMPLANTABLE DFB","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":84.54,"providers":[{"billed_charge":409.43,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"571228265"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.19,"providers":[{"billed_charge":207.00,"npi":[1518079102]}]}]}]},{"billing_code":"93294","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"REM INTERROG EVL PM/LDLS PM","allowed_amounts":[{"tin":{"type":"ein","value":"562179059"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.60,"providers":[{"billed_charge":61.00,"npi":[1487652442]}]}]},{"tin":{"type":"ein","value":"581581693"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":150.00,"npi":[1780779363]}]}]}]},{"billing_code":"93295","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"DEV INTERROG REMOTE 1/2/MLT","allowed_amounts":[{"tin":{"type":"ein","value":"571228265"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.98,"providers":[{"billed_charge":127.00,"npi":[1518079102]}]}]}]},{"billing_code":"93296","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"REM INTERROG EVL PM/IDS","allowed_amounts":[{"tin":{"type":"ein","value":"475404897"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.61,"providers":[{"billed_charge":126.00,"npi":[1548632771]}]},{"allowed_amount":47.27,"providers":[{"billed_charge":126.00,"npi":[1548632771]}]}]},{"tin":{"type":"ein","value":"562179059"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.80,"providers":[{"billed_charge":43.00,"npi":[1487652442]}]}]},{"tin":{"type":"ein","value":"571228265"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.23,"providers":[{"billed_charge":89.00,"npi":[1518079102]}]}]},{"tin":{"type":"ein","value":"581581693"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":100.00,"npi":[1780779363]}]}]}]},{"billing_code":"93296","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"REM INTERROG EVL PM/IDS","allowed_amounts":[{"tin":{"type":"ein","value":"381357020"},"billing_class":"institutional","payments":[{"allowed_amount":46.05,"providers":[{"billed_charge":249.00,"npi":[1134144801]}]}]}]},{"billing_code":"93297","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"REM INTERROG DEV EVAL ICPMS","allowed_amounts":[{"tin":{"type":"ein","value":"475404897"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":79.64,"providers":[{"billed_charge":240.00,"npi":[1548632771]}]},{"allowed_amount":80.65,"providers":[{"billed_charge":240.00,"npi":[1548632771]}]}]}]},{"billing_code":"93298","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"REM INTERROG DEV EVAL SCRMS","allowed_amounts":[{"tin":{"type":"ein","value":"232809585"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.75,"providers":[{"billed_charge":75.00,"npi":[1326093675]}]}]},{"tin":{"type":"ein","value":"475404897"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":162.52,"providers":[{"billed_charge":405.00,"npi":[1548632771]}]},{"allowed_amount":171.05,"providers":[{"billed_charge":405.00,"npi":[1548632771]}]}]}]},{"billing_code":"93298","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"REM INTERROG DEV EVAL SCRMS","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":23.23,"providers":[{"billed_charge":292.23,"npi":[1073557559]}]}]}]},{"billing_code":"93303","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"ECHO TRANSTHORACIC","allowed_amounts":[{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":238.40,"providers":[{"billed_charge":298.00,"npi":[1861675506]}]}]}]},{"billing_code":"93303","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"ECHO TRANSTHORACIC","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":3353.68,"providers":[{"billed_charge":3811.00,"npi":[1477643690]}]}]}]},{"billing_code":"93304","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"ECHO TRANSTHORACIC","allowed_amounts":[{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":56.24,"providers":[{"billed_charge":171.00,"npi":[1861675506]}]},{"allowed_amount":136.80,"providers":[{"billed_charge":171.00,"npi":[1861675506]}]}]}]},{"billing_code":"93304","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"ECHO TRANSTHORACIC","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":1767.04,"providers":[{"billed_charge":2008.00,"npi":[1477643690]}]}]}]},{"billing_code":"93306","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"TTE W/DOPPLER COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":269.45,"providers":[{"billed_charge":317.00,"npi":[1659309615]}]}]},{"tin":{"type":"ein","value":"043397450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":368.95,"providers":[{"billed_charge":679.00,"npi":[1871639914]}]}]},{"tin":{"type":"ein","value":"061660065"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":96.54,"providers":[{"billed_charge":149.63,"npi":[1689669046]}]},{"allowed_amount":102.97,"providers":[{"billed_charge":149.63,"npi":[1689669046]}]}]},{"tin":{"type":"ein","value":"202948293"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":740.00,"providers":[{"billed_charge":740.00,"npi":[1376527077]}]}]},{"tin":{"type":"ein","value":"232919472"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":216.00,"providers":[{"billed_charge":288.00,"npi":[1881683100]}]}]},{"tin":{"type":"ein","value":"264183569"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":147.75,"providers":[{"billed_charge":197.00,"npi":[1134484892]}]}]},{"tin":{"type":"ein","value":"264800380"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":78.00,"providers":[{"billed_charge":130.00,"npi":[1376779892]}]}]},{"tin":{"type":"ein","value":"264816439"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":82.07,"providers":[{"billed_charge":105.00,"npi":[1942511712]}]}]},{"tin":{"type":"ein","value":"271528941"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":68.67,"providers":[{"billed_charge":186.00,"npi":[1710218508]}]},{"allowed_amount":89.18,"providers":[{"billed_charge":186.00,"npi":[1710218508]}]}]},{"tin":{"type":"ein","value":"311626179"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":91.67,"providers":[{"billed_charge":170.00,"npi":[1386645158]}]}]},{"tin":{"type":"ein","value":"391670223"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":1127.70,"providers":[{"billed_charge":1253.00,"npi":[1033411822]}]}]},{"tin":{"type":"ein","value":"412279037"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":96.68,"providers":[{"billed_charge":234.00,"npi":[1952565210]}]}]},{"tin":{"type":"ein","value":"465137699"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":102.61,"providers":[{"billed_charge":128.26,"npi":[1962821322]}]}]},{"tin":{"type":"ein","value":"540793767"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":262.25,"providers":[{"billed_charge":1717.00,"npi":[1518102235]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":102.97,"providers":[{"billed_charge":362.04,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":96.54,"providers":[{"billed_charge":402.68,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":280.25,"providers":[{"billed_charge":1265.00,"npi":[1174813224]}]}]},{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":102.97,"providers":[{"billed_charge":360.00,"npi":[1174813224]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":96.54,"providers":[{"billed_charge":376.82,"npi":[1558311357]}]},{"allowed_amount":102.97,"providers":[{"billed_charge":376.82,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":102.97,"providers":[{"billed_charge":493.35,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":80.63,"providers":[{"billed_charge":493.35,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"581581693"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":501.44,"providers":[{"billed_charge":750.00,"npi":[1780779363]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":844.00,"providers":[{"billed_charge":1055.00,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":289.60,"providers":[{"billed_charge":362.00,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"582563008"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":702.02,"providers":[{"billed_charge":1050.00,"npi":[1891881827]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":331.50,"providers":[{"billed_charge":390.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"592123944"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":226.20,"providers":[{"billed_charge":377.00,"npi":[1669405379]}]}]},{"tin":{"type":"ein","value":"592579938"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":199.75,"providers":[{"billed_charge":235.00,"npi":[1083666523]}]}]},{"tin":{"type":"ein","value":"610945743"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":152.00,"providers":[{"billed_charge":190.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"752536818"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":89.86,"providers":[{"billed_charge":254.26,"npi":[1003811639]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":771.40,"providers":[{"billed_charge":812.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":65.40,"providers":[{"billed_charge":140.00,"npi":[1477256303]}]}]},{"tin":{"type":"ein","value":"990777114"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":56.89,"providers":[{"billed_charge":137.00,"npi":[1720843949]}]}]}]},{"billing_code":"93306","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"TTE W/DOPPLER COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"221494440"},"billing_class":"institutional","payments":[{"allowed_amount":2408.40,"providers":[{"billed_charge":4014.00,"npi":[1396857488]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":1887.00,"providers":[{"billed_charge":2516.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"481202402"},"billing_class":"institutional","payments":[{"allowed_amount":3289.07,"providers":[{"billed_charge":4991.00,"npi":[1649259656]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":632.82,"providers":[{"billed_charge":3748.40,"npi":[1750333282]}]},{"allowed_amount":677.56,"providers":[{"billed_charge":2643.96,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":677.56,"providers":[{"billed_charge":3012.11,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"591943502"},"billing_class":"institutional","payments":[{"allowed_amount":1598.00,"providers":[{"billed_charge":1880.00,"npi":[1699874248]}]}]},{"tin":{"type":"ein","value":"592477479"},"billing_class":"institutional","payments":[{"allowed_amount":2096.44,"providers":[{"billed_charge":2206.78,"npi":[1184691610]}]}]},{"tin":{"type":"ein","value":"610444716"},"billing_class":"institutional","payments":[{"allowed_amount":1795.11,"providers":[{"billed_charge":2087.34,"npi":[1851346720]}]}]},{"tin":{"type":"ein","value":"616001218"},"billing_class":"institutional","payments":[{"allowed_amount":3620.04,"providers":[{"billed_charge":4258.87,"npi":[1518911338]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":936.75,"providers":[{"billed_charge":1249.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":2633.40,"providers":[{"billed_charge":2772.00,"npi":[1154392231]}]}]}]},{"billing_code":"93306","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"TTE W/DOPPLER COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"616001218"},"billing_class":"institutional","payments":[{"allowed_amount":910.57,"providers":[{"billed_charge":4258.87,"npi":[1518911338]}]}]}]},{"billing_code":"93307","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"TTE W/O DOPPLER COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"560952955"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":64.77,"providers":[{"billed_charge":167.40,"npi":[1760479331]}]}]}]},{"billing_code":"93308","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"TTE F-UP OR LMTD","allowed_amounts":[{"tin":{"type":"ein","value":"464837698"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":245.87,"npi":[1043635402]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":36.78,"providers":[{"billed_charge":108.00,"npi":[1881624807]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":36.78,"providers":[{"billed_charge":177.02,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":240.30,"providers":[{"billed_charge":267.00,"npi":[1306335088]}]}]}]},{"billing_code":"93308","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"TTE F-UP OR LMTD","allowed_amounts":[{"tin":{"type":"ein","value":"910565546"},"billing_class":"institutional","payments":[{"allowed_amount":1516.49,"providers":[{"billed_charge":1719.38,"npi":[1518912609]}]}]}]},{"billing_code":"93312","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"ECHO TRANSESOPHAGEAL","allowed_amounts":[{"tin":{"type":"ein","value":"550638563"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":197.82,"providers":[{"billed_charge":305.00,"npi":[1184849200]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":158.66,"providers":[{"billed_charge":452.00,"npi":[1881624807]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":940.50,"providers":[{"billed_charge":990.00,"npi":[1558332494]}]}]}]},{"billing_code":"93312","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"ECHO TRANSESOPHAGEAL","allowed_amounts":[{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":680.47,"providers":[{"billed_charge":3522.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":2185.00,"providers":[{"billed_charge":2300.00,"npi":[1154392231]}]}]}]},{"billing_code":"93319","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"3D ECHO IMG CGEN CAR ANOMAL","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":498.75,"providers":[{"billed_charge":525.00,"npi":[1558332494]}]}]}]},{"billing_code":"93319","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"3D ECHO IMG CGEN CAR ANOMAL","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":1444.00,"providers":[{"billed_charge":1520.00,"npi":[1154392231]}]}]}]},{"billing_code":"93320","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"DOPPLER ECHO EXAM HEART","allowed_amounts":[{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.80,"providers":[{"billed_charge":86.00,"npi":[1861675506]}]}]},{"tin":{"type":"ein","value":"550638563"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":32.76,"providers":[{"billed_charge":51.00,"npi":[1184849200]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":26.56,"providers":[{"billed_charge":77.00,"npi":[1881624807]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":240.35,"providers":[{"billed_charge":253.00,"npi":[1558332494]}]}]}]},{"billing_code":"93320","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"DOPPLER ECHO EXAM HEART","allowed_amounts":[{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":186.45,"providers":[{"billed_charge":965.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":1791.68,"providers":[{"billed_charge":2036.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":750.50,"providers":[{"billed_charge":790.00,"npi":[1154392231]}]}]}]},{"billing_code":"93321","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"DOPPLER ECHO EXAM HEART","allowed_amounts":[{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.89,"providers":[{"billed_charge":35.00,"npi":[1861675506]}]},{"allowed_amount":28.00,"providers":[{"billed_charge":35.00,"npi":[1861675506]}]}]},{"tin":{"type":"ein","value":"311369596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":21.25,"providers":[{"billed_charge":25.00,"npi":[1740231448]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":10.63,"providers":[{"billed_charge":27.00,"npi":[1881624807]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":10.63,"providers":[{"billed_charge":49.88,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":63.00,"providers":[{"billed_charge":70.00,"npi":[1306335088]}]}]}]},{"billing_code":"93321","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"DOPPLER ECHO EXAM HEART","allowed_amounts":[{"tin":{"type":"ein","value":"311340739"},"billing_class":"institutional","payments":[{"allowed_amount":75.58,"providers":[{"billed_charge":94.00,"npi":[1447359997]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":830.72,"providers":[{"billed_charge":944.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"910565546"},"billing_class":"institutional","payments":[{"allowed_amount":690.07,"providers":[{"billed_charge":782.39,"npi":[1518912609]}]}]}]},{"billing_code":"93325","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"DOPPLER COLOR FLOW ADD-ON","allowed_amounts":[{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.11,"providers":[{"billed_charge":15.00,"npi":[1861675506]}]},{"allowed_amount":12.00,"providers":[{"billed_charge":15.00,"npi":[1861675506]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":9.12,"providers":[{"billed_charge":370.00,"npi":[1255315339]}]}]},{"tin":{"type":"ein","value":"550638563"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":5.67,"providers":[{"billed_charge":11.00,"npi":[1184849200]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":4.64,"providers":[{"billed_charge":17.00,"npi":[1881624807]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":4.64,"providers":[{"billed_charge":22.49,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":59.40,"providers":[{"billed_charge":66.00,"npi":[1306335088]}]}]}]},{"billing_code":"93325","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"DOPPLER COLOR FLOW ADD-ON","allowed_amounts":[{"tin":{"type":"ein","value":"540715569"},"billing_class":"institutional","payments":[{"allowed_amount":250.56,"providers":[{"billed_charge":877.00,"npi":[1770693939]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":620.80,"providers":[{"billed_charge":776.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":151.47,"providers":[{"billed_charge":784.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":752.40,"providers":[{"billed_charge":855.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"910565546"},"billing_class":"institutional","payments":[{"allowed_amount":1533.48,"providers":[{"billed_charge":1738.64,"npi":[1518912609]}]}]}]},{"billing_code":"93350","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"STRESS TTE ONLY","allowed_amounts":[{"tin":{"type":"ein","value":"311340739"},"billing_class":"institutional","payments":[{"allowed_amount":1194.75,"providers":[{"billed_charge":1486.00,"npi":[1447359997]}]}]}]},{"billing_code":"93351","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"STRESS TTE COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"311369596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":242.25,"providers":[{"billed_charge":285.00,"npi":[1740231448]}]}]}]},{"billing_code":"93352","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"ADMIN ECG CONTRAST AGENT","allowed_amounts":[{"tin":{"type":"ein","value":"311369596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":106.25,"providers":[{"billed_charge":125.00,"npi":[1740231448]}]}]}]},{"billing_code":"93352","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"ADMIN ECG CONTRAST AGENT","allowed_amounts":[{"tin":{"type":"ein","value":"311340739"},"billing_class":"institutional","payments":[{"allowed_amount":111.75,"providers":[{"billed_charge":139.00,"npi":[1447359997]}]}]}]},{"billing_code":"93356","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category III","description":"MYOCRD STRAIN IMG SPCKL TRCK","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":148.75,"providers":[{"billed_charge":175.00,"npi":[1659309615]}]}]},{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.80,"providers":[{"billed_charge":56.00,"npi":[1861675506]}]},{"allowed_amount":54.58,"providers":[{"billed_charge":56.00,"npi":[1861675506]}]}]},{"tin":{"type":"ein","value":"264183569"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":24.75,"providers":[{"billed_charge":33.00,"npi":[1134484892]}]}]},{"tin":{"type":"ein","value":"592123944"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":42.60,"providers":[{"billed_charge":71.00,"npi":[1669405379]}]}]},{"tin":{"type":"ein","value":"610945743"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":90.40,"providers":[{"billed_charge":113.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"752536818"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":16.42,"providers":[{"billed_charge":138.60,"npi":[1003811639]}]}]}]},{"billing_code":"93356","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"MYOCRD STRAIN IMG SPCKL TRCK","allowed_amounts":[{"tin":{"type":"ein","value":"616001218"},"billing_class":"institutional","payments":[{"allowed_amount":55.02,"providers":[{"billed_charge":257.35,"npi":[1518911338]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":143.44,"providers":[{"billed_charge":163.00,"npi":[1477643690]}]}]}]},{"billing_code":"93458","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"L HRT ARTERY/VENTRICLE ANGIO","allowed_amounts":[{"tin":{"type":"ein","value":"264800380"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":382.02,"providers":[{"billed_charge":645.00,"npi":[1376779892]}]}]},{"tin":{"type":"ein","value":"646010232"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":447.00,"providers":[{"billed_charge":4640.00,"npi":[1093142598]}]}]},{"tin":{"type":"ein","value":"752536818"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":363.71,"providers":[{"billed_charge":1035.48,"npi":[1003811639]}]}]}]},{"billing_code":"93460","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"R&L HRT ART/VENTRICLE ANGIO","allowed_amounts":[{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":5738.24,"providers":[{"billed_charge":29700.00,"npi":[1437119310]}]}]}]},{"billing_code":"93503","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"INSERT/PLACE HEART CATHETER","allowed_amounts":[{"tin":{"type":"ein","value":"541441839"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":104.56,"providers":[{"billed_charge":522.00,"npi":[1013910330]}]}]}]},{"billing_code":"93571","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"HEART FLOW RESERVE MEASURE","allowed_amounts":[{"tin":{"type":"ein","value":"646010232"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":139.00,"providers":[{"billed_charge":1180.00,"npi":[1093142598]}]}]}]},{"billing_code":"93880","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"EXTRACRANIAL BILAT STUDY","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":51.86,"providers":[{"billed_charge":133.00,"npi":[1639244478]}]}]},{"tin":{"type":"ein","value":"592123944"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":217.80,"providers":[{"billed_charge":363.00,"npi":[1669405379]}]}]},{"tin":{"type":"ein","value":"824944510"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":49.15,"providers":[{"billed_charge":140.00,"npi":[1598260515]}]}]}]},{"billing_code":"93922","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"UPR/L XTREMITY ART 2 LEVELS","allowed_amounts":[{"tin":{"type":"ein","value":"820676989"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":344.23,"providers":[{"billed_charge":350.00,"npi":[1346754041]}]}]}]},{"billing_code":"93923","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"UPR/LXTR ART STDY 3+ LVLS","allowed_amounts":[{"tin":{"type":"ein","value":"202502972"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":179.08,"providers":[{"billed_charge":257.00,"npi":[1174695357]}]}]}]},{"billing_code":"93970","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"EXTREMITY STUDY","allowed_amounts":[{"tin":{"type":"ein","value":"560942865"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":45.00,"providers":[{"billed_charge":622.00,"npi":[1821035999]}]}]},{"tin":{"type":"ein","value":"561072704"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":245.78,"providers":[{"billed_charge":400.00,"npi":[1659337046]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":42.21,"providers":[{"billed_charge":100.81,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"581589893"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":528.70,"providers":[{"billed_charge":660.00,"npi":[1861760027]}]}]},{"tin":{"type":"ein","value":"640548144"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":50.00,"providers":[{"billed_charge":125.00,"npi":[1861428351]}]}]},{"tin":{"type":"ein","value":"844464066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":245.78,"providers":[{"billed_charge":684.00,"npi":[1073148581]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":332.50,"providers":[{"billed_charge":350.00,"npi":[1558332494]}]}]}]},{"billing_code":"93970","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"EXTREMITY STUDY","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":1007.14,"providers":[{"billed_charge":1228.21,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"596012065"},"billing_class":"institutional","payments":[{"allowed_amount":1659.00,"providers":[{"billed_charge":2073.75,"npi":[1376571323]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":430.29,"providers":[{"billed_charge":1353.00,"npi":[1144211301]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":1117.20,"providers":[{"billed_charge":1176.00,"npi":[1154392231]}]}]}]},{"billing_code":"93971","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"EXTREMITY STUDY","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":162.24,"providers":[{"billed_charge":262.00,"npi":[1578842035]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":28.73,"providers":[{"billed_charge":69.53,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.08,"providers":[{"billed_charge":64.66,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"823378330"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":27.08,"providers":[{"billed_charge":42.76,"npi":[1306323845]}]}]},{"tin":{"type":"ein","value":"844464066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":162.24,"providers":[{"billed_charge":436.00,"npi":[1073148581]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":161.68,"providers":[{"billed_charge":371.00,"npi":[1093765851]}]},{"allowed_amount":162.24,"providers":[{"billed_charge":371.00,"npi":[1093765851]}]}]}]},{"billing_code":"93971","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"EXTREMITY STUDY","allowed_amounts":[{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":851.33,"providers":[{"billed_charge":1421.00,"npi":[1760426969]}]}]},{"tin":{"type":"ein","value":"132997301"},"billing_class":"institutional","payments":[{"allowed_amount":752.50,"providers":[{"billed_charge":1075.00,"npi":[1104982917]}]}]},{"tin":{"type":"ein","value":"590910342"},"billing_class":"institutional","payments":[{"allowed_amount":1005.55,"providers":[{"billed_charge":1183.00,"npi":[1528042884]}]}]},{"tin":{"type":"ein","value":"596012065"},"billing_class":"institutional","payments":[{"allowed_amount":754.32,"providers":[{"billed_charge":942.90,"npi":[1174551147]}]}]}]},{"billing_code":"93975","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"VASCULAR STUDY","allowed_amounts":[{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":270.30,"providers":[{"billed_charge":318.00,"npi":[1063463768]}]}]}]},{"billing_code":"93975","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"VASCULAR STUDY","allowed_amounts":[{"tin":{"type":"ein","value":"591943502"},"billing_class":"institutional","payments":[{"allowed_amount":718.25,"providers":[{"billed_charge":845.00,"npi":[1699874248]}]}]}]},{"billing_code":"93976","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cardiovascular","description":"VASCULAR STUDY","allowed_amounts":[{"tin":{"type":"ein","value":"262157500"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":79.80,"providers":[{"billed_charge":114.00,"npi":[1073785044]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":386.10,"providers":[{"billed_charge":429.00,"npi":[1306335088]}]}]}]},{"billing_code":"93976","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"VASCULAR STUDY","allowed_amounts":[{"tin":{"type":"ein","value":"591917016"},"billing_class":"institutional","payments":[{"allowed_amount":245.02,"providers":[{"billed_charge":1800.00,"npi":[1437177664]}]}]}]},{"billing_code":"94002","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"VENT MGMT INPAT INIT DAY","allowed_amounts":[{"tin":{"type":"ein","value":"450439149"},"billing_class":"professional","service_code":["42"],"payments":[{"allowed_amount":107.51,"providers":[{"billed_charge":745.00,"npi":[1043919095]}]}]}]},{"billing_code":"94002","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Respiratory","description":"VENT MGMT INPAT INIT DAY","allowed_amounts":[{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":2583.12,"providers":[{"billed_charge":2748.00,"npi":[1841271459]}]}]}]},{"billing_code":"94010","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"BREATHING CAPACITY TEST","allowed_amounts":[{"tin":{"type":"ein","value":"201403715"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":94.84,"providers":[{"billed_charge":100.00,"npi":[1730199662]}]}]},{"tin":{"type":"ein","value":"472252458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":58.73,"providers":[{"billed_charge":74.00,"npi":[1952799165]}]}]},{"tin":{"type":"ein","value":"562102406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.06,"providers":[{"billed_charge":64.00,"npi":[1538217179]}]}]},{"tin":{"type":"ein","value":"811026950"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.41,"providers":[{"billed_charge":85.00,"npi":[1184083479]}]}]},{"tin":{"type":"ein","value":"820676989"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":96.68,"providers":[{"billed_charge":108.00,"npi":[1346754041]}]}]}]},{"billing_code":"94010","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Respiratory","description":"BREATHING CAPACITY TEST","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":330.49,"providers":[{"billed_charge":436.00,"npi":[1679525919]}]}]}]},{"billing_code":"94014","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Respiratory","description":"PATIENT RECORDED SPIROMETRY","allowed_amounts":[{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":230.01,"providers":[{"billed_charge":293.60,"npi":[1730761065]}]}]}]},{"billing_code":"94060","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"EVALUATION OF WHEEZING","allowed_amounts":[{"tin":{"type":"ein","value":"201395801"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.03,"providers":[{"billed_charge":94.00,"npi":[1801999545]}]}]},{"tin":{"type":"ein","value":"201395801"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":17.28,"providers":[{"billed_charge":25.00,"npi":[1801999545]}]}]},{"tin":{"type":"ein","value":"270581401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.40,"providers":[{"billed_charge":140.00,"npi":[1891028379]}]},{"allowed_amount":37.35,"providers":[{"billed_charge":40.00,"npi":[1891028379]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":13.41,"providers":[{"billed_charge":30.81,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"541885550"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.30,"providers":[{"billed_charge":114.00,"npi":[1821057639]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":13.16,"providers":[{"billed_charge":31.03,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":13.16,"providers":[{"billed_charge":31.03,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.11,"providers":[{"billed_charge":88.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"730803441"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.34,"providers":[{"billed_charge":129.00,"npi":[1538270954]}]}]},{"tin":{"type":"ein","value":"870281028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":86.43,"providers":[{"billed_charge":124.00,"npi":[1093764805]}]}]}]},{"billing_code":"94060","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Respiratory","description":"EVALUATION OF WHEEZING","allowed_amounts":[{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":367.98,"providers":[{"billed_charge":1710.37,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":403.52,"providers":[{"billed_charge":1501.32,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":388.42,"providers":[{"billed_charge":1672.36,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":272.69,"providers":[{"billed_charge":770.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"916001537"},"billing_class":"institutional","payments":[{"allowed_amount":328.34,"providers":[{"billed_charge":1199.64,"npi":[1326002049]}]}]}]},{"billing_code":"94375","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"RESPIRATORY FLOW VOLUME LOOP","allowed_amounts":[{"tin":{"type":"ein","value":"203722480"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":55.00,"npi":[1811041015]}]}]},{"tin":{"type":"ein","value":"450796601"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":64.37,"providers":[{"billed_charge":75.30,"npi":[1831536879]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":216.80,"providers":[{"billed_charge":271.00,"npi":[1396798229]}]}]}]},{"billing_code":"94618","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"PULMONARY STRESS TESTING","allowed_amounts":[{"tin":{"type":"ein","value":"475454447"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.99,"providers":[{"billed_charge":125.00,"npi":[1467810663]}]},{"allowed_amount":47.61,"providers":[{"billed_charge":125.00,"npi":[1467810663]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.24,"providers":[{"billed_charge":52.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"870281028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":42.10,"providers":[{"billed_charge":79.00,"npi":[1093764805]}]}]}]},{"billing_code":"94621","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"CARDIOPULM EXERCISE TESTING","allowed_amounts":[{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":143.20,"providers":[{"billed_charge":179.00,"npi":[1861675506]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":315.40,"providers":[{"billed_charge":332.00,"npi":[1609915784]}]}]}]},{"billing_code":"94621","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"CARDIOPULM EXERCISE TESTING","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":3853.52,"providers":[{"billed_charge":4379.00,"npi":[1477643690]}]}]}]},{"billing_code":"94621","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Respiratory","description":"CARDIOPULM EXERCISE TESTING","allowed_amounts":[{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":4190.20,"providers":[{"billed_charge":5110.00,"npi":[1790717650]}]}]}]},{"billing_code":"94640","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"AIRWAY INHALATION TREATMENT","allowed_amounts":[{"tin":{"type":"ein","value":"133884168"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":32.91,"providers":[{"billed_charge":79.00,"npi":[1881653822]}]}]},{"tin":{"type":"ein","value":"273698244"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":17.50,"providers":[{"billed_charge":35.00,"npi":[1811297070]}]}]},{"tin":{"type":"ein","value":"581413626"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.82,"providers":[{"billed_charge":35.00,"npi":[1063594430]}]}]},{"tin":{"type":"ein","value":"810568231"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":30.00,"npi":[1437168135]}]}]},{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.50,"providers":[{"billed_charge":75.00,"npi":[1386195865]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":11.50,"providers":[{"billed_charge":70.00,"npi":[1932679446]}]}]},{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":11.50,"providers":[{"billed_charge":55.00,"npi":[1255950325]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":11.50,"providers":[{"billed_charge":38.00,"npi":[1144803040]}]},{"allowed_amount":11.51,"providers":[{"billed_charge":38.00,"npi":[1144803040]}]}]}]},{"billing_code":"94640","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Respiratory","description":"AIRWAY INHALATION TREATMENT","allowed_amounts":[{"tin":{"type":"ein","value":"340827442"},"billing_class":"institutional","payments":[{"allowed_amount":203.35,"providers":[{"billed_charge":245.00,"npi":[1164481677]}]}]},{"tin":{"type":"ein","value":"384105653"},"billing_class":"institutional","payments":[{"allowed_amount":145.84,"providers":[{"billed_charge":438.00,"npi":[1326020447]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":540.50,"providers":[{"billed_charge":575.00,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"800164702"},"billing_class":"institutional","payments":[{"allowed_amount":217.12,"providers":[{"billed_charge":366.50,"npi":[1558537282]}]}]}]},{"billing_code":"94660","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Respiratory","description":"POS AIRWAY PRESSURE CPAP","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":153.86,"providers":[{"billed_charge":781.38,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":278.00,"providers":[{"billed_charge":683.71,"npi":[1619350261]}]}]}]},{"billing_code":"94664","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"EVALUATE PT USE OF INHALER","allowed_amounts":[{"tin":{"type":"ein","value":"810568231"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.47,"providers":[{"billed_charge":30.00,"npi":[1437168135]}]}]},{"tin":{"type":"ein","value":"870281028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.15,"providers":[{"billed_charge":41.00,"npi":[1093764805]}]}]}]},{"billing_code":"94690","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"EXHALED AIR ANALYSIS","allowed_amounts":[{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.84,"providers":[{"billed_charge":100.00,"npi":[1720794944]}]}]},{"tin":{"type":"ein","value":"571186418"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.78,"providers":[{"billed_charge":44.27,"npi":[1376564625]}]}]}]},{"billing_code":"94726","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"PULM FUNCT TST PLETHYSMOGRAP","allowed_amounts":[{"tin":{"type":"ein","value":"201395801"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.84,"providers":[{"billed_charge":81.00,"npi":[1801999545]}]}]},{"tin":{"type":"ein","value":"201395801"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":13.48,"providers":[{"billed_charge":25.00,"npi":[1801999545]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":16.19,"providers":[{"billed_charge":36.12,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":15.40,"providers":[{"billed_charge":36.40,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":212.00,"providers":[{"billed_charge":265.00,"npi":[1396798229]}]}]}]},{"billing_code":"94726","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Respiratory","description":"PULM FUNCT TST PLETHYSMOGRAP","allowed_amounts":[{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":367.98,"providers":[{"billed_charge":1710.37,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":403.52,"providers":[{"billed_charge":1501.32,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":261.70,"providers":[{"billed_charge":739.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"916001537"},"billing_class":"institutional","payments":[{"allowed_amount":308.82,"providers":[{"billed_charge":1128.30,"npi":[1326002049]}]}]}]},{"billing_code":"94727","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"PULM FUNCTION TEST BY GAS","allowed_amounts":[{"tin":{"type":"ein","value":"270581401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.55,"providers":[{"billed_charge":80.00,"npi":[1891028379]}]},{"allowed_amount":43.58,"providers":[{"billed_charge":80.00,"npi":[1891028379]}]}]},{"tin":{"type":"ein","value":"541885550"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.89,"providers":[{"billed_charge":104.00,"npi":[1821057639]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.49,"providers":[{"billed_charge":65.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"870281028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":58.38,"providers":[{"billed_charge":102.00,"npi":[1093764805]}]}]}]},{"billing_code":"94729","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"CO/MEMBANE DIFFUSE CAPACITY","allowed_amounts":[{"tin":{"type":"ein","value":"201395801"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.32,"providers":[{"billed_charge":88.00,"npi":[1801999545]}]}]},{"tin":{"type":"ein","value":"201395801"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":8.99,"providers":[{"billed_charge":17.00,"npi":[1801999545]}]}]},{"tin":{"type":"ein","value":"270581401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.60,"providers":[{"billed_charge":100.00,"npi":[1891028379]}]},{"allowed_amount":64.10,"providers":[{"billed_charge":70.00,"npi":[1891028379]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":12.11,"providers":[{"billed_charge":26.56,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"541885550"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.64,"providers":[{"billed_charge":108.00,"npi":[1821057639]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":11.39,"providers":[{"billed_charge":26.76,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":220.80,"providers":[{"billed_charge":276.00,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":65.95,"providers":[{"billed_charge":82.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"870281028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":73.19,"providers":[{"billed_charge":128.00,"npi":[1093764805]}]}]}]},{"billing_code":"94729","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Respiratory","description":"CO/MEMBANE DIFFUSE CAPACITY","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":392.64,"providers":[{"billed_charge":518.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":136.65,"providers":[{"billed_charge":635.14,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":149.84,"providers":[{"billed_charge":557.51,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":198.67,"providers":[{"billed_charge":561.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"916001537"},"billing_class":"institutional","payments":[{"allowed_amount":221.68,"providers":[{"billed_charge":809.64,"npi":[1326002049]}]}]}]},{"billing_code":"94760","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"MEASURE BLOOD OXYGEN LEVEL","allowed_amounts":[{"tin":{"type":"ein","value":"223620876"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.58,"providers":[{"billed_charge":20.00,"npi":[1770658023]}]}]}]},{"billing_code":"94760","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Respiratory","description":"MEASURE BLOOD OXYGEN LEVEL","allowed_amounts":[{"tin":{"type":"ein","value":"250965480"},"billing_class":"institutional","payments":[{"allowed_amount":155.40,"providers":[{"billed_charge":222.00,"npi":[1821007881]}]}]},{"tin":{"type":"ein","value":"556000526"},"billing_class":"institutional","payments":[{"allowed_amount":43.21,"providers":[{"billed_charge":51.75,"npi":[1265484893]}]}]},{"tin":{"type":"ein","value":"741498067"},"billing_class":"institutional","payments":[{"allowed_amount":131.20,"providers":[{"billed_charge":164.00,"npi":[1023011657]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":47.00,"providers":[{"billed_charge":60.00,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"920937062"},"billing_class":"institutional","payments":[{"allowed_amount":86.30,"providers":[{"billed_charge":948.59,"npi":[1558056895]}]}]}]},{"billing_code":"94762","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Respiratory","description":"MEASURE BLOOD OXYGEN LEVEL","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.00,"npi":[1518906940]}]}]},{"tin":{"type":"ein","value":"474761522"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.75,"providers":[{"billed_charge":50.00,"npi":[1437525607]}]}]},{"tin":{"type":"ein","value":"562463082"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.18,"providers":[{"billed_charge":38.00,"npi":[1922060573]}]}]},{"tin":{"type":"ein","value":"593337028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":132.05,"providers":[{"billed_charge":139.00,"npi":[1790772317]}]}]}]},{"billing_code":"94762","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Respiratory","description":"MEASURE BLOOD OXYGEN LEVEL","allowed_amounts":[{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":197.26,"providers":[{"billed_charge":874.02,"npi":[1558311357]}]}]}]},{"billing_code":"95004","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"PERCUT ALLERGY SKIN TESTS","allowed_amounts":[{"tin":{"type":"ein","value":"561872583"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":98.10,"providers":[{"billed_charge":680.00,"npi":[1538171871]}]}]},{"tin":{"type":"ein","value":"561882674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":438.75,"providers":[{"billed_charge":675.00,"npi":[1598714297]}]}]},{"tin":{"type":"ein","value":"561913043"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":320.92,"providers":[{"billed_charge":780.00,"npi":[1013093038]}]}]}]},{"billing_code":"95012","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"EXHALED NITRIC OXIDE MEAS","allowed_amounts":[{"tin":{"type":"ein","value":"203722480"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.80,"providers":[{"billed_charge":33.00,"npi":[1811041015]}]}]}]},{"billing_code":"95018","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"PERQ&IC ALLG TEST DRUGS/BIOL","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":53.85,"providers":[{"billed_charge":276.08,"npi":[1457719312]}]}]}]},{"billing_code":"95024","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"IQ TESTS W/ALLERGENIC XTRCS","allowed_amounts":[{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.01,"providers":[{"billed_charge":23.00,"npi":[1275504508]}]}]}]},{"billing_code":"95076","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"INGEST CHALLENGE INI 120 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"863638185"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":138.46,"providers":[{"billed_charge":195.00,"npi":[1225611312]}]}]}]},{"billing_code":"95076","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"INGEST CHALLENGE INI 120 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":668.27,"providers":[{"billed_charge":3426.67,"npi":[1457719312]}]}]}]},{"billing_code":"95079","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"INGEST CHALLENGE ADDL 60 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":130.74,"providers":[{"billed_charge":670.36,"npi":[1457719312]}]}]}]},{"billing_code":"95115","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"IMMUNOTHERAPY ONE INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"202288402"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.00,"providers":[{"billed_charge":40.00,"npi":[1861449407]}]}]},{"tin":{"type":"ein","value":"271119602"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.20,"providers":[{"billed_charge":29.00,"npi":[1871823401]}]}]},{"tin":{"type":"ein","value":"460866399"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.96,"providers":[{"billed_charge":25.00,"npi":[1548511314]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.27,"providers":[{"billed_charge":30.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.96,"providers":[{"billed_charge":40.00,"npi":[1912957606]}]},{"allowed_amount":14.07,"providers":[{"billed_charge":40.00,"npi":[1912957606]}]}]}]},{"billing_code":"95115","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"IMMUNOTHERAPY ONE INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":38.21,"providers":[{"billed_charge":250.94,"npi":[1992754758]}]}]}]},{"billing_code":"95117","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"IMMUNOTHERAPY INJECTIONS","allowed_amounts":[{"tin":{"type":"ein","value":"460866399"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.40,"providers":[{"billed_charge":29.00,"npi":[1548511314]}]}]},{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.40,"providers":[{"billed_charge":52.00,"npi":[1912957606]}]},{"allowed_amount":17.41,"providers":[{"billed_charge":52.00,"npi":[1912957606]}]}]},{"tin":{"type":"ein","value":"561249571"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.41,"providers":[{"billed_charge":32.00,"npi":[1871725556]}]}]},{"tin":{"type":"ein","value":"576001153"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.17,"providers":[{"billed_charge":36.00,"npi":[1740293422]}]},{"allowed_amount":17.27,"providers":[{"billed_charge":36.00,"npi":[1740293422]}]}]},{"tin":{"type":"ein","value":"582488164"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.81,"providers":[{"billed_charge":64.00,"npi":[1598796195]}]},{"allowed_amount":58.47,"providers":[{"billed_charge":64.00,"npi":[1598796195]}]}]},{"tin":{"type":"ein","value":"620863368"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.27,"providers":[{"billed_charge":38.00,"npi":[1518242601,1073508347]}]},{"allowed_amount":36.34,"providers":[{"billed_charge":38.00,"npi":[1073508347]}]}]},{"tin":{"type":"ein","value":"630897654"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.50,"providers":[{"billed_charge":30.00,"npi":[1083772560]}]}]}]},{"billing_code":"95117","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"IMMUNOTHERAPY INJECTIONS","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":38.94,"providers":[{"billed_charge":300.58,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":38.94,"providers":[{"billed_charge":250.94,"npi":[1992754758]}]}]}]},{"billing_code":"95165","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"ANTIGEN THERAPY SERVICES","allowed_amounts":[{"tin":{"type":"ein","value":"205933043"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":363.00,"providers":[{"billed_charge":1062.00,"npi":[1598816621]}]}]},{"tin":{"type":"ein","value":"541048285"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":423.30,"providers":[{"billed_charge":862.20,"npi":[1225145477]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":302.40,"providers":[{"billed_charge":330.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":187.60,"providers":[{"billed_charge":350.00,"npi":[1912957606]}]},{"allowed_amount":201.00,"providers":[{"billed_charge":350.00,"npi":[1912957606]}]},{"allowed_amount":402.00,"providers":[{"billed_charge":700.00,"npi":[1912957606]}]}]},{"tin":{"type":"ein","value":"561882674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":312.00,"providers":[{"billed_charge":480.00,"npi":[1598714297]}]}]},{"tin":{"type":"ein","value":"582281023"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":338.90,"providers":[{"billed_charge":540.00,"npi":[1588607303]}]}]},{"tin":{"type":"ein","value":"620863368"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":376.52,"providers":[{"billed_charge":750.00,"npi":[1518242601]}]},{"allowed_amount":580.50,"providers":[{"billed_charge":750.00,"npi":[1073508347]}]}]},{"tin":{"type":"ein","value":"730803441"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":168.31,"providers":[{"billed_charge":390.00,"npi":[1538270954]}]}]}]},{"billing_code":"95165","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"ANTIGEN THERAPY SERVICES","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":44.49,"providers":[{"billed_charge":250.94,"npi":[1992754758]}]}]}]},{"billing_code":"95180","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"RAPID DESENSITIZATION","allowed_amounts":[{"tin":{"type":"ein","value":"202288402"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":399.50,"providers":[{"billed_charge":470.00,"npi":[1861449407]}]},{"allowed_amount":799.00,"providers":[{"billed_charge":940.00,"npi":[1861449407]}]}]}]},{"billing_code":"95251","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Endocrine","description":"CONT GLUC MNTR ANALYSIS I&R","allowed_amounts":[{"tin":{"type":"ein","value":"521576648"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.18,"providers":[{"billed_charge":95.00,"npi":[1003887118]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.54,"providers":[{"billed_charge":70.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":170.00,"providers":[{"billed_charge":200.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"616001218"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":100.80,"providers":[{"billed_charge":126.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"626002604"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":65.31,"providers":[{"billed_charge":89.00,"npi":[1760476659]}]}]},{"tin":{"type":"ein","value":"834172038"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.65,"providers":[{"billed_charge":35.30,"npi":[1811458177]}]}]}]},{"billing_code":"95720","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"EEG PHY/QHP EA INCR W/VEEG","allowed_amounts":[{"tin":{"type":"ein","value":"530196580"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":961.80,"providers":[{"billed_charge":1603.00,"npi":[1093972960]}]}]},{"tin":{"type":"ein","value":"593214635"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":574.70,"providers":[{"billed_charge":821.00,"npi":[1225034234]}]}]}]},{"billing_code":"95724","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"EEG PHY/QHP>60<84 HR W/VEEG","allowed_amounts":[{"tin":{"type":"ein","value":"933791726"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":459.04,"providers":[{"billed_charge":908.91,"npi":[1164294617]}]}]}]},{"billing_code":"95800","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"SLP STDY UNATTENDED","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":200.00,"providers":[{"billed_charge":450.00,"npi":[1518906940]}]}]},{"tin":{"type":"ein","value":"262531558"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":157.35,"providers":[{"billed_charge":1100.00,"npi":[1861655961]}]},{"allowed_amount":192.78,"providers":[{"billed_charge":1100.00,"npi":[1861655961]}]},{"allowed_amount":199.80,"providers":[{"billed_charge":1100.00,"npi":[1861655961]}]}]},{"tin":{"type":"ein","value":"340715726"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":88.88,"providers":[{"billed_charge":138.19,"npi":[1093764219]}]}]},{"tin":{"type":"ein","value":"561398929"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.03,"providers":[{"billed_charge":200.00,"npi":[1396986451]}]},{"allowed_amount":54.06,"providers":[{"billed_charge":200.00,"npi":[1396986451]}]}]}]},{"billing_code":"95805","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"MULTIPLE SLEEP LATENCY TEST","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":97.35,"providers":[{"billed_charge":98.33,"npi":[1578597993]}]}]}]},{"billing_code":"95806","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"SLEEP STUDY UNATT&RESP EFFT","allowed_amounts":[{"tin":{"type":"ein","value":"582222609"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":123.22,"providers":[{"billed_charge":600.00,"npi":[1912919739]}]}]},{"tin":{"type":"ein","value":"910851599"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":279.32,"providers":[{"billed_charge":429.00,"npi":[1992759427]}]}]}]},{"billing_code":"95806","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"SLEEP STUDY UNATT&RESP EFFT","allowed_amounts":[{"tin":{"type":"ein","value":"383769889"},"billing_class":"institutional","payments":[{"allowed_amount":643.64,"providers":[{"billed_charge":889.00,"npi":[1447406699]}]}]}]},{"billing_code":"95810","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"POLYSOM 6/> YRS 4/> PARAM","allowed_amounts":[{"tin":{"type":"ein","value":"273836076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":642.91,"providers":[{"billed_charge":1200.00,"npi":[1104875574]}]}]},{"tin":{"type":"ein","value":"383316559"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":151.58,"providers":[{"billed_charge":255.00,"npi":[1528309002]}]}]},{"tin":{"type":"ein","value":"582222609"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":830.39,"providers":[{"billed_charge":2200.00,"npi":[1912919739]}]}]},{"tin":{"type":"ein","value":"850988160"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":825.27,"providers":[{"billed_charge":1008.00,"npi":[1821679580]}]}]}]},{"billing_code":"95810","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"POLYSOM 6/> YRS 4/> PARAM","allowed_amounts":[{"tin":{"type":"ein","value":"383175878"},"billing_class":"institutional","payments":[{"allowed_amount":3506.19,"providers":[{"billed_charge":4803.00,"npi":[1780658443]}]}]}]},{"billing_code":"95811","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"POLYSOM 6/>YRS CPAP 4/> PARM","allowed_amounts":[{"tin":{"type":"ein","value":"550532650"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1168.41,"providers":[{"billed_charge":1700.00,"npi":[1427165596]}]}]},{"tin":{"type":"ein","value":"582222609"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":858.56,"providers":[{"billed_charge":2400.00,"npi":[1912919739]}]}]}]},{"billing_code":"95861","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"MUSCLE TEST 2 LIMBS","allowed_amounts":[{"tin":{"type":"ein","value":"204099354"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":94.35,"providers":[{"billed_charge":1389.00,"npi":[1750438487]}]}]},{"tin":{"type":"ein","value":"273606873"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":94.35,"providers":[{"billed_charge":880.00,"npi":[1598066730]}]}]},{"tin":{"type":"ein","value":"421648473"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":94.35,"providers":[{"billed_charge":880.00,"npi":[1740391293]}]}]},{"tin":{"type":"ein","value":"810934442"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":1329.75,"providers":[{"billed_charge":1773.00,"npi":[1306204805]}]}]},{"tin":{"type":"ein","value":"822645428"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":93.80,"providers":[{"billed_charge":7000.00,"npi":[1184142176]}]}]}]},{"billing_code":"95865","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"MUSCLE TEST LARYNX","allowed_amounts":[{"tin":{"type":"ein","value":"262188574"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":95.10,"providers":[{"billed_charge":1649.00,"npi":[1124253075]}]}]}]},{"billing_code":"95868","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"MUSCLE TEST CRAN NERVE BILAT","allowed_amounts":[{"tin":{"type":"ein","value":"204099354"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":72.18,"providers":[{"billed_charge":2140.00,"npi":[1750438487]}]}]},{"tin":{"type":"ein","value":"850542512"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":72.18,"providers":[{"billed_charge":1310.00,"npi":[1770111452]}]}]}]},{"billing_code":"95870","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"MUSCLE TEST NONPARASPINAL","allowed_amounts":[{"tin":{"type":"ein","value":"262188574"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":22.67,"providers":[{"billed_charge":388.00,"npi":[1124253075]}]}]},{"tin":{"type":"ein","value":"262188574"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":22.55,"providers":[{"billed_charge":388.00,"npi":[1124253075]}]}]},{"tin":{"type":"ein","value":"810934442"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":22.67,"providers":[{"billed_charge":388.00,"npi":[1306204805]}]},{"allowed_amount":291.00,"providers":[{"billed_charge":388.00,"npi":[1306204805]}]}]},{"tin":{"type":"ein","value":"815380953"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":2200.00,"providers":[{"billed_charge":4400.00,"npi":[1538600606]}]}]}]},{"billing_code":"95886","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"MUSC TEST DONE W/N TEST COMP","allowed_amounts":[{"tin":{"type":"ein","value":"472919141"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":138.11,"providers":[{"billed_charge":225.00,"npi":[1851783377]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":59.51,"providers":[{"billed_charge":137.15,"npi":[1073557559]}]}]}]},{"billing_code":"95886","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"MUSC TEST DONE W/N TEST COMP","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":115.05,"providers":[{"billed_charge":116.21,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":169.57,"providers":[{"billed_charge":553.63,"npi":[1073557559]}]}]}]},{"billing_code":"95910","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"NRV CNDJ TEST 7-8 STUDIES","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":135.03,"providers":[{"billed_charge":317.93,"npi":[1073557559]}]}]}]},{"billing_code":"95910","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"NRV CNDJ TEST 7-8 STUDIES","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":221.24,"providers":[{"billed_charge":223.49,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":459.85,"providers":[{"billed_charge":1501.32,"npi":[1073557559]}]}]}]},{"billing_code":"95911","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"NRV CNDJ TEST 9-10 STUDIES","allowed_amounts":[{"tin":{"type":"ein","value":"472919141"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":297.52,"providers":[{"billed_charge":415.00,"npi":[1851783377]}]}]}]},{"billing_code":"95937","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"NEUROMUSCULAR JUNCTION TEST","allowed_amounts":[{"tin":{"type":"ein","value":"815380953"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":40.12,"providers":[{"billed_charge":1200.00,"npi":[1538600606]}]},{"allowed_amount":600.00,"providers":[{"billed_charge":1200.00,"npi":[1538600606]}]}]}]},{"billing_code":"95938","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"SOMATOSENSORY TESTING","allowed_amounts":[{"tin":{"type":"ein","value":"204099354"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":52.55,"providers":[{"billed_charge":4987.00,"npi":[1750438487]}]}]},{"tin":{"type":"ein","value":"262188574"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":52.55,"providers":[{"billed_charge":3311.00,"npi":[1124253075]},{"billed_charge":3410.00,"npi":[1124253075]}]},{"allowed_amount":1157.52,"providers":[{"billed_charge":3410.00,"npi":[1124253075]}]}]},{"tin":{"type":"ein","value":"262188574"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":52.24,"providers":[{"billed_charge":3410.00,"npi":[1124253075]}]}]},{"tin":{"type":"ein","value":"273606873"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":52.55,"providers":[{"billed_charge":3200.00,"npi":[1598066730]}]}]},{"tin":{"type":"ein","value":"421648473"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":52.55,"providers":[{"billed_charge":3200.00,"npi":[1740391293]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":58.05,"providers":[{"billed_charge":188.72,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"810934442"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":52.55,"providers":[{"billed_charge":3410.00,"npi":[1306204805]}]},{"allowed_amount":2557.50,"providers":[{"billed_charge":3410.00,"npi":[1306204805]}]}]},{"tin":{"type":"ein","value":"815380953"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":52.55,"providers":[{"billed_charge":9400.00,"npi":[1538600606]}]},{"allowed_amount":4700.00,"providers":[{"billed_charge":9400.00,"npi":[1538600606]}]}]},{"tin":{"type":"ein","value":"822645428"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":52.24,"providers":[{"billed_charge":8500.00,"npi":[1184142176]}]}]}]},{"billing_code":"95939","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"C MOTOR EVOKED UPR&LWR LIMBS","allowed_amounts":[{"tin":{"type":"ein","value":"204099354"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":137.39,"providers":[{"billed_charge":6341.00,"npi":[1750438487]}]}]},{"tin":{"type":"ein","value":"262188574"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":137.39,"providers":[{"billed_charge":4061.00,"npi":[1124253075]},{"billed_charge":4183.00,"npi":[1124253075]}]}]},{"tin":{"type":"ein","value":"262188574"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":136.59,"providers":[{"billed_charge":4183.00,"npi":[1124253075]}]}]},{"tin":{"type":"ein","value":"810934442"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":137.39,"providers":[{"billed_charge":4183.00,"npi":[1306204805]}]},{"allowed_amount":3137.25,"providers":[{"billed_charge":4183.00,"npi":[1306204805]}]}]},{"tin":{"type":"ein","value":"815380953"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":137.39,"providers":[{"billed_charge":11900.00,"npi":[1538600606]}]},{"allowed_amount":5950.00,"providers":[{"billed_charge":11900.00,"npi":[1538600606]}]}]}]},{"billing_code":"95941","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"IONM REMOTE/>1 PT OR PER HR","allowed_amounts":[{"tin":{"type":"ein","value":"204099354"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":398.12,"providers":[{"billed_charge":2547.00,"npi":[1750438487]}]}]},{"tin":{"type":"ein","value":"262188574"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":687.18,"providers":[{"billed_charge":5570.00,"npi":[1124253075]}]},{"allowed_amount":1990.60,"providers":[{"billed_charge":13925.00,"npi":[1124253075]}]}]},{"tin":{"type":"ein","value":"262188574"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":377.67,"providers":[{"billed_charge":2785.00,"npi":[1124253075]}]}]},{"tin":{"type":"ein","value":"273606873"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":1990.60,"providers":[{"billed_charge":8000.00,"npi":[1598066730]}]}]},{"tin":{"type":"ein","value":"421648473"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":398.12,"providers":[{"billed_charge":1600.00,"npi":[1740391293]}]}]},{"tin":{"type":"ein","value":"810934442"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":1194.36,"providers":[{"billed_charge":8355.00,"npi":[1306204805]}]},{"allowed_amount":10443.75,"providers":[{"billed_charge":13925.00,"npi":[1306204805]}]},{"allowed_amount":14621.25,"providers":[{"billed_charge":19495.00,"npi":[1306204805]}]}]},{"tin":{"type":"ein","value":"815380953"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":398.12,"providers":[{"billed_charge":10300.00,"npi":[1538600606]}]},{"allowed_amount":20600.00,"providers":[{"billed_charge":41200.00,"npi":[1538600606]}]}]},{"tin":{"type":"ein","value":"822645428"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":385.38,"providers":[{"billed_charge":15000.00,"npi":[1184142176]}]}]},{"tin":{"type":"ein","value":"850542512"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":796.24,"providers":[{"billed_charge":5520.00,"npi":[1770111452]}]}]}]},{"billing_code":"95955","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"EEG DURING SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"822645428"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":61.39,"providers":[{"billed_charge":6000.00,"npi":[1184142176]}]}]}]},{"billing_code":"95992","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"CANALITH REPOSITIONING PROC","allowed_amounts":[{"tin":{"type":"ein","value":"871718320"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.74,"providers":[{"billed_charge":42.13,"npi":[1982358321]}]},{"allowed_amount":20.40,"providers":[{"billed_charge":42.13,"npi":[1982358321]}]}]}]},{"billing_code":"96040","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"GENETIC COUNSELING 30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"462244714"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.91,"providers":[{"billed_charge":350.00,"npi":[1932551017]}]}]},{"tin":{"type":"ein","value":"862109896"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.99,"providers":[{"billed_charge":120.00,"npi":[1205553369]}]}]}]},{"billing_code":"96040","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"GENETIC COUNSELING 30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"620646012"},"billing_class":"institutional","payments":[{"allowed_amount":21.57,"providers":[{"billed_charge":126.00,"npi":[1033112230]}]}]}]},{"billing_code":"96040","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"GENETIC COUNSELING 30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":264.41,"providers":[{"billed_charge":267.08,"npi":[1578597993]}]}]}]},{"billing_code":"96110","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"DEVELOPMENTAL SCREEN W/SCORE","allowed_amounts":[{"tin":{"type":"ein","value":"010619599"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.10,"providers":[{"billed_charge":30.00,"npi":[1821059650]}]}]},{"tin":{"type":"ein","value":"202998046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":12.00,"npi":[1770782450]}]}]},{"tin":{"type":"ein","value":"453367409"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.48,"providers":[{"billed_charge":14.00,"npi":[1700162203]}]}]},{"tin":{"type":"ein","value":"455218263"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.00,"providers":[{"billed_charge":28.00,"npi":[1699030890]}]}]},{"tin":{"type":"ein","value":"471049674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.53,"providers":[{"billed_charge":19.98,"npi":[1609281641]}]}]},{"tin":{"type":"ein","value":"582663026"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":20.00,"npi":[1417901216]}]}]},{"tin":{"type":"ein","value":"593343389"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.84,"providers":[{"billed_charge":300.00,"npi":[1942260245]}]}]},{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":11.76,"providers":[{"billed_charge":36.00,"npi":[1528195864]}]}]},{"tin":{"type":"ein","value":"813080176"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.24,"providers":[{"billed_charge":25.00,"npi":[1942651054]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.96,"providers":[{"billed_charge":23.00,"npi":[1104368141]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.63,"providers":[{"billed_charge":21.00,"npi":[1619443827]}]}]},{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.13,"providers":[{"billed_charge":16.00,"npi":[1124102595]}]}]}]},{"billing_code":"96112","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"DEVEL TST PHYS/QHP 1ST HR","allowed_amounts":[{"tin":{"type":"ein","value":"271950802"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":157.54,"providers":[{"billed_charge":200.00,"npi":[1124341276]}]}]},{"tin":{"type":"ein","value":"562033116"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":157.54,"providers":[{"billed_charge":198.00,"npi":[1679798029]}]}]},{"tin":{"type":"ein","value":"566000319"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":80.48,"providers":[{"billed_charge":114.97,"npi":[1396814331]}]}]},{"tin":{"type":"ein","value":"882813067"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":156.18,"providers":[{"billed_charge":198.00,"npi":[1568686988]}]}]}]},{"billing_code":"96113","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"DEVEL TST PHYS/QHP EA ADDL","allowed_amounts":[{"tin":{"type":"ein","value":"562033116"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":297.72,"providers":[{"billed_charge":360.00,"npi":[1679798029]}]}]},{"tin":{"type":"ein","value":"566000319"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":71.83,"providers":[{"billed_charge":102.62,"npi":[1396814331]}]}]},{"tin":{"type":"ein","value":"882813067"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":204.69,"providers":[{"billed_charge":270.00,"npi":[1568686988]}]}]}]},{"billing_code":"96116","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"NUBHVL XM PHYS/QHP 1ST HR","allowed_amounts":[{"tin":{"type":"ein","value":"204881619"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":116.17,"providers":[{"billed_charge":272.00,"npi":[1669499414]}]}]},{"tin":{"type":"ein","value":"232919472"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":279.00,"providers":[{"billed_charge":372.00,"npi":[1215995402]}]}]}]},{"billing_code":"96125","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"COGNITIVE TEST BY HC PRO","allowed_amounts":[{"tin":{"type":"ein","value":"822271029"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":120.91,"providers":[{"billed_charge":180.00,"npi":[1346767290]}]}]}]},{"billing_code":"96127","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Psychological","description":"BRIEF EMOTIONAL/BEHAV ASSMT","allowed_amounts":[{"tin":{"type":"ein","value":"010619599"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.05,"providers":[{"billed_charge":15.00,"npi":[1821059650]}]}]},{"tin":{"type":"ein","value":"050524222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.32,"providers":[{"billed_charge":30.00,"npi":[1285713859]}]}]},{"tin":{"type":"ein","value":"060867065"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":35.00,"npi":[1396750840]}]}]},{"tin":{"type":"ein","value":"200063146"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.41,"providers":[{"billed_charge":15.00,"npi":[1861947905]}]}]},{"tin":{"type":"ein","value":"201020476"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.00,"providers":[{"billed_charge":15.00,"npi":[1902875834]}]}]},{"tin":{"type":"ein","value":"204916014"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":25.00,"npi":[1740212893]}]}]},{"tin":{"type":"ein","value":"204923281"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":10.00,"npi":[1003985102]}]}]},{"tin":{"type":"ein","value":"208785833"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":6.41,"providers":[{"billed_charge":35.00,"npi":[1013163914]}]}]},{"tin":{"type":"ein","value":"208876699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.48,"providers":[{"billed_charge":8.00,"npi":[1427228998]}]}]},{"tin":{"type":"ein","value":"250815795"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.66,"providers":[{"billed_charge":18.00,"npi":[1245246644]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.21,"providers":[{"billed_charge":9.82,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"263049770"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":50.00,"npi":[1265684856]}]}]},{"tin":{"type":"ein","value":"264517010"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.97,"providers":[{"billed_charge":37.00,"npi":[1457640088]}]}]},{"tin":{"type":"ein","value":"270851352"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.26,"providers":[{"billed_charge":22.00,"npi":[1134452865]}]}]},{"tin":{"type":"ein","value":"311425710"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.25,"providers":[{"billed_charge":15.00,"npi":[1194917062]}]}]},{"tin":{"type":"ein","value":"311627920"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":21.25,"providers":[{"billed_charge":25.00,"npi":[1972020899]}]}]},{"tin":{"type":"ein","value":"364357589"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.33,"providers":[{"billed_charge":45.00,"npi":[1366433773]}]}]},{"tin":{"type":"ein","value":"453007639"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.50,"providers":[{"billed_charge":9.00,"npi":[1619258225]}]}]},{"tin":{"type":"ein","value":"453367409"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.37,"providers":[{"billed_charge":9.00,"npi":[1700162203]}]}]},{"tin":{"type":"ein","value":"460530293"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.56,"providers":[{"billed_charge":20.00,"npi":[1689005357]}]}]},{"tin":{"type":"ein","value":"461227720"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":30.00,"npi":[1023362852]}]}]},{"tin":{"type":"ein","value":"465137699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.32,"providers":[{"billed_charge":11.39,"npi":[1962821322]}]},{"allowed_amount":12.62,"providers":[{"billed_charge":22.78,"npi":[1962821322]}]},{"allowed_amount":12.64,"providers":[{"billed_charge":22.78,"npi":[1962821322]}]}]},{"tin":{"type":"ein","value":"472221436"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.66,"providers":[{"billed_charge":16.00,"npi":[1013313857]}]}]},{"tin":{"type":"ein","value":"540833259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.72,"providers":[{"billed_charge":50.00,"npi":[1457560732]}]}]},{"tin":{"type":"ein","value":"540967672"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.08,"providers":[{"billed_charge":31.00,"npi":[1083793525]}]}]},{"tin":{"type":"ein","value":"541820401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.14,"providers":[{"billed_charge":44.00,"npi":[1699365072]}]},{"allowed_amount":6.32,"providers":[{"billed_charge":44.00,"npi":[1699365072]}]},{"allowed_amount":6.55,"providers":[{"billed_charge":44.00,"npi":[1699365072]}]}]},{"tin":{"type":"ein","value":"541871633"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.55,"providers":[{"billed_charge":12.00,"npi":[1255354130]}]}]},{"tin":{"type":"ein","value":"561031244"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":6.00,"npi":[1114978582]}]}]},{"tin":{"type":"ein","value":"561175704"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.32,"providers":[{"billed_charge":15.00,"npi":[1477510659]}]}]},{"tin":{"type":"ein","value":"561209062"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.32,"providers":[{"billed_charge":39.00,"npi":[1154378933]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":5.26,"providers":[{"billed_charge":38.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"561567536"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.32,"providers":[{"billed_charge":8.92,"npi":[1912987090]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":11.00,"npi":[1720794944]}]},{"allowed_amount":6.32,"providers":[{"billed_charge":11.00,"npi":[1720794944]}]}]},{"tin":{"type":"ein","value":"562084959"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":58.00,"npi":[1447999057]}]},{"allowed_amount":6.32,"providers":[{"billed_charge":58.00,"npi":[1447999057]}]}]},{"tin":{"type":"ein","value":"566000311"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.92,"providers":[{"billed_charge":6.00,"npi":[1528157211]}]}]},{"tin":{"type":"ein","value":"581367701"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.64,"providers":[{"billed_charge":30.00,"npi":[1487772596]}]}]},{"tin":{"type":"ein","value":"581958398"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.32,"providers":[{"billed_charge":12.32,"npi":[1215932215]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.75,"providers":[{"billed_charge":15.00,"npi":[1689610149]}]}]},{"tin":{"type":"ein","value":"582566360"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":243.20,"providers":[{"billed_charge":304.00,"npi":[1073885828]}]}]},{"tin":{"type":"ein","value":"586001998"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.85,"providers":[{"billed_charge":10.00,"npi":[1811098817]}]}]},{"tin":{"type":"ein","value":"593475356"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.35,"providers":[{"billed_charge":9.44,"npi":[1326254962]}]}]},{"tin":{"type":"ein","value":"593514857"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.80,"providers":[{"billed_charge":21.00,"npi":[1275575888]}]}]},{"tin":{"type":"ein","value":"621483206"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.72,"providers":[{"billed_charge":12.00,"npi":[1548284060]}]}]},{"tin":{"type":"ein","value":"741159753"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.20,"providers":[{"billed_charge":12.00,"npi":[1942237466]}]}]},{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.32,"providers":[{"billed_charge":10.00,"npi":[1366912586]}]}]},{"tin":{"type":"ein","value":"811741267"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.00,"providers":[{"billed_charge":45.00,"npi":[1124559331]}]}]},{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":20.00,"npi":[1386195865]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":10.00,"npi":[1609342815,1265908479]}]},{"allowed_amount":6.32,"providers":[{"billed_charge":10.00,"npi":[1265908479]}]}]},{"tin":{"type":"ein","value":"832053115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.50,"providers":[{"billed_charge":10.00,"npi":[1093284010]}]}]},{"tin":{"type":"ein","value":"850760576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":52.00,"providers":[{"billed_charge":80.00,"npi":[1376153437]}]}]},{"tin":{"type":"ein","value":"863168533"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.32,"providers":[{"billed_charge":25.00,"npi":[1952981391]}]}]},{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.07,"providers":[{"billed_charge":18.00,"npi":[1124102595]}]}]},{"tin":{"type":"ein","value":"934946733"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.32,"providers":[{"billed_charge":12.75,"npi":[1417719378]}]}]},{"tin":{"type":"ein","value":"991936736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.32,"providers":[{"billed_charge":10.00,"npi":[1770342354]}]}]}]},{"billing_code":"96130","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"PSYCL TST EVAL PHYS/QHP 1ST","allowed_amounts":[{"tin":{"type":"ein","value":"460789547"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":159.29,"providers":[{"billed_charge":250.00,"npi":[1588912513]}]}]},{"tin":{"type":"ein","value":"473851320"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":159.29,"providers":[{"billed_charge":200.00,"npi":[1063893568]}]}]},{"tin":{"type":"ein","value":"561176030"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.50,"providers":[{"billed_charge":191.00,"npi":[1982156386]}]}]},{"tin":{"type":"ein","value":"562205282"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":159.29,"providers":[{"billed_charge":200.00,"npi":[1811053218]}]}]},{"tin":{"type":"ein","value":"812214687"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":185.75,"providers":[{"billed_charge":482.36,"npi":[1841654050]}]}]},{"tin":{"type":"ein","value":"881962061"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":98.02,"providers":[{"billed_charge":195.00,"npi":[1033849575]}]},{"allowed_amount":107.87,"providers":[{"billed_charge":195.00,"npi":[1033849575]}]}]}]},{"billing_code":"96131","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"PSYCL TST EVAL PHYS/QHP EA","allowed_amounts":[{"tin":{"type":"ein","value":"460789547"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":124.17,"providers":[{"billed_charge":200.00,"npi":[1588912513]}]},{"allowed_amount":372.51,"providers":[{"billed_charge":600.00,"npi":[1588912513]}]}]},{"tin":{"type":"ein","value":"473851320"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":620.85,"providers":[{"billed_charge":1000.00,"npi":[1063893568]}]}]},{"tin":{"type":"ein","value":"561176030"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":294.00,"providers":[{"billed_charge":588.00,"npi":[1982156386]}]}]},{"tin":{"type":"ein","value":"562205282"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":248.34,"providers":[{"billed_charge":400.00,"npi":[1811053218]}]}]},{"tin":{"type":"ein","value":"812214687"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":361.83,"providers":[{"billed_charge":1093.80,"npi":[1841654050]}]}]}]},{"billing_code":"96132","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"NRPSYC TST EVAL PHYS/QHP 1ST","allowed_amounts":[{"tin":{"type":"ein","value":"204881619"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":159.46,"providers":[{"billed_charge":330.00,"npi":[1669499414]}]}]},{"tin":{"type":"ein","value":"232919472"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":402.75,"providers":[{"billed_charge":537.00,"npi":[1215995402]}]}]},{"tin":{"type":"ein","value":"455218263"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":150.00,"npi":[1699030890]}]}]},{"tin":{"type":"ein","value":"460789547"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":190.11,"providers":[{"billed_charge":300.00,"npi":[1588912513]}]}]},{"tin":{"type":"ein","value":"461270007"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":190.11,"providers":[{"billed_charge":220.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"461273867"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":190.11,"providers":[{"billed_charge":220.00,"npi":[1999999992]}]}]}]},{"billing_code":"96133","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"NRPSYC TST EVAL PHYS/QHP EA","allowed_amounts":[{"tin":{"type":"ein","value":"204881619"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":372.34,"providers":[{"billed_charge":750.00,"npi":[1669499414]}]}]},{"tin":{"type":"ein","value":"460789547"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":142.06,"providers":[{"billed_charge":200.00,"npi":[1588912513]}]}]},{"tin":{"type":"ein","value":"461270007"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":284.12,"providers":[{"billed_charge":440.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"461273867"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":284.12,"providers":[{"billed_charge":440.00,"npi":[1999999992]}]}]}]},{"billing_code":"96136","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"PSYCL/NRPSYC TST PHY/QHP 1ST","allowed_amounts":[{"tin":{"type":"ein","value":"461273867"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":59.49,"providers":[{"billed_charge":110.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"561176030"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.00,"providers":[{"billed_charge":74.00,"npi":[1982156386]}]}]},{"tin":{"type":"ein","value":"562205282"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":59.49,"providers":[{"billed_charge":100.00,"npi":[1811053218]}]}]},{"tin":{"type":"ein","value":"811741267"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":50.00,"npi":[1124559331]}]}]},{"tin":{"type":"ein","value":"812214687"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":62.97,"providers":[{"billed_charge":190.64,"npi":[1841654050]}]}]},{"tin":{"type":"ein","value":"881962061"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":20.74,"providers":[{"billed_charge":80.00,"npi":[1033849575]}]},{"allowed_amount":36.50,"providers":[{"billed_charge":80.00,"npi":[1033849575]}]}]}]},{"billing_code":"96137","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"PSYCL/NRPSYC TST PHY/QHP EA","allowed_amounts":[{"tin":{"type":"ein","value":"561176030"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":136.00,"providers":[{"billed_charge":272.00,"npi":[1982156386]}]}]},{"tin":{"type":"ein","value":"562205282"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":275.35,"providers":[{"billed_charge":500.00,"npi":[1811053218]}]}]},{"tin":{"type":"ein","value":"811741267"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.00,"providers":[{"billed_charge":80.00,"npi":[1124559331]}]}]},{"tin":{"type":"ein","value":"812214687"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":119.50,"providers":[{"billed_charge":344.24,"npi":[1841654050]},{"billed_charge":344.24,"npi":[1841654050]}]}]}]},{"billing_code":"96138","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"PSYCL/NRPSYC TECH 1ST","allowed_amounts":[{"tin":{"type":"ein","value":"204881619"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.86,"providers":[{"billed_charge":90.00,"npi":[1669499414]}]}]},{"tin":{"type":"ein","value":"455218263"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.00,"providers":[{"billed_charge":56.00,"npi":[1699030890]}]}]}]},{"billing_code":"96139","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Nervous","description":"PSYCL/NRPSYC TST TECH EA","allowed_amounts":[{"tin":{"type":"ein","value":"204881619"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":167.43,"providers":[{"billed_charge":360.00,"npi":[1669499414]}]}]}]},{"billing_code":"96158","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"HLTH BHV IVNTJ INDIV 1ST 30","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":72.32,"providers":[{"billed_charge":121.59,"npi":[1073557559]}]}]}]},{"billing_code":"96158","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Psychological","description":"HLTH BHV IVNTJ INDIV 1ST 30","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":212.28,"providers":[{"billed_charge":303.26,"npi":[1073557559]}]}]}]},{"billing_code":"96160","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PT-FOCUSED HLTH RISK ASSMT","allowed_amounts":[{"tin":{"type":"ein","value":"202998046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.72,"providers":[{"billed_charge":8.00,"npi":[1770782450]}]},{"allowed_amount":3.84,"providers":[{"billed_charge":8.00,"npi":[1770782450]}]}]},{"tin":{"type":"ein","value":"203722480"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":20.00,"npi":[1811041015]}]}]},{"tin":{"type":"ein","value":"205455871"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.00,"providers":[{"billed_charge":5.00,"npi":[1619072204]}]}]},{"tin":{"type":"ein","value":"208876699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":10.00,"npi":[1427228998]}]}]},{"tin":{"type":"ein","value":"540967672"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.90,"providers":[{"billed_charge":100.00,"npi":[1083793525]}]}]},{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.85,"providers":[{"billed_charge":10.00,"npi":[1134372477]}]}]},{"tin":{"type":"ein","value":"581367701"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":15.00,"npi":[1487772596]}]}]},{"tin":{"type":"ein","value":"582422542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.43,"providers":[{"billed_charge":20.00,"npi":[1174501902]}]}]},{"tin":{"type":"ein","value":"582566360"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.80,"providers":[{"billed_charge":61.00,"npi":[1073885828]}]}]},{"tin":{"type":"ein","value":"813080176"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.69,"providers":[{"billed_charge":25.00,"npi":[1942651054]}]}]},{"tin":{"type":"ein","value":"991936736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.85,"providers":[{"billed_charge":7.00,"npi":[1770342354]}]}]}]},{"billing_code":"96161","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"CAREGIVER HEALTH RISK ASSMT","allowed_amounts":[{"tin":{"type":"ein","value":"208876699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":35.00,"npi":[1427228998]}]}]},{"tin":{"type":"ein","value":"541778786"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.14,"providers":[{"billed_charge":16.00,"npi":[1538214309]}]}]},{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.22,"providers":[{"billed_charge":10.00,"npi":[1134372477]}]}]},{"tin":{"type":"ein","value":"581136662"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.00,"providers":[{"billed_charge":20.00,"npi":[1841337896]}]}]},{"tin":{"type":"ein","value":"581308985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.94,"npi":[1154453967]}]}]},{"tin":{"type":"ein","value":"593343389"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":60.00,"npi":[1942260245]}]}]},{"tin":{"type":"ein","value":"810568231"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.04,"providers":[{"billed_charge":50.00,"npi":[1437168135]}]}]}]},{"billing_code":"96164","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"HLTH BHV IVNTJ GRP 1ST 30","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":10.80,"providers":[{"billed_charge":14.84,"npi":[1619927027]}]}]}]},{"billing_code":"96360","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cancer","description":"HYDRATION IV INFUSION INIT","allowed_amounts":[{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.88,"providers":[{"billed_charge":199.00,"npi":[1609191121]}]}]},{"tin":{"type":"ein","value":"834172038"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.00,"providers":[{"billed_charge":100.00,"npi":[1811458177]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":44.61,"providers":[{"billed_charge":116.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"990972972"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.61,"providers":[{"billed_charge":50.00,"npi":[1114780137]}]}]}]},{"billing_code":"96360","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"HYDRATION IV INFUSION INIT","allowed_amounts":[{"tin":{"type":"ein","value":"160743032"},"billing_class":"institutional","payments":[{"allowed_amount":245.56,"providers":[{"billed_charge":626.79,"npi":[1952418352]}]}]},{"tin":{"type":"ein","value":"232973511"},"billing_class":"institutional","payments":[{"allowed_amount":536.20,"providers":[{"billed_charge":766.00,"npi":[1417947490]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":146.92,"providers":[{"billed_charge":612.00,"npi":[1376540138]}]}]}]},{"billing_code":"96360","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"HYDRATION IV INFUSION INIT","allowed_amounts":[{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":488.40,"providers":[{"billed_charge":610.50,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"475259919"},"billing_class":"institutional","payments":[{"allowed_amount":393.04,"providers":[{"billed_charge":578.00,"npi":[1033228168]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":323.22,"providers":[{"billed_charge":926.34,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":611.80,"providers":[{"billed_charge":874.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"922451946"},"billing_class":"institutional","payments":[{"allowed_amount":605.13,"providers":[{"billed_charge":877.00,"npi":[1740981430]}]}]}]},{"billing_code":"96361","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cancer","description":"HYDRATE IV INFUSION ADD-ON","allowed_amounts":[{"tin":{"type":"ein","value":"834172038"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":40.00,"npi":[1811458177]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":102.60,"providers":[{"billed_charge":108.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":17.02,"providers":[{"billed_charge":30.00,"npi":[1144803040]}]}]}]},{"billing_code":"96361","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"HYDRATE IV INFUSION ADD-ON","allowed_amounts":[{"tin":{"type":"ein","value":"203391873"},"billing_class":"institutional","payments":[{"allowed_amount":68.39,"providers":[{"billed_charge":377.00,"npi":[1023061405]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":247.98,"providers":[{"billed_charge":600.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":160.51,"providers":[{"billed_charge":417.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"381459362"},"billing_class":"institutional","payments":[{"allowed_amount":60.78,"providers":[{"billed_charge":222.00,"npi":[1932396017]}]}]},{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":24.37,"providers":[{"billed_charge":85.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":51.00,"providers":[{"billed_charge":68.00,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"800764192"},"billing_class":"institutional","payments":[{"allowed_amount":162.06,"providers":[{"billed_charge":222.00,"npi":[1033475959]}]}]},{"tin":{"type":"ein","value":"822913146"},"billing_class":"institutional","payments":[{"allowed_amount":934.70,"providers":[{"billed_charge":1438.00,"npi":[1972517365]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":111.15,"providers":[{"billed_charge":171.00,"npi":[1174512792]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":336.30,"providers":[{"billed_charge":354.00,"npi":[1154392231]}]}]}]},{"billing_code":"96361","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"HYDRATE IV INFUSION ADD-ON","allowed_amounts":[{"tin":{"type":"ein","value":"042104693"},"billing_class":"institutional","payments":[{"allowed_amount":134.25,"providers":[{"billed_charge":179.00,"npi":[1396738159]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":38.25,"providers":[{"billed_charge":111.20,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"263734606"},"billing_class":"institutional","payments":[{"allowed_amount":364.65,"providers":[{"billed_charge":561.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":815.99,"providers":[{"billed_charge":960.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"453576100"},"billing_class":"institutional","payments":[{"allowed_amount":27.20,"providers":[{"billed_charge":252.00,"npi":[1306123344]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":44.16,"providers":[{"billed_charge":74.85,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"460600008"},"billing_class":"institutional","payments":[{"allowed_amount":12.98,"providers":[{"billed_charge":561.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"475259919"},"billing_class":"institutional","payments":[{"allowed_amount":108.12,"providers":[{"billed_charge":159.00,"npi":[1033228168]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":12.10,"providers":[{"billed_charge":12.10,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":88.56,"providers":[{"billed_charge":253.81,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":254.40,"providers":[{"billed_charge":318.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580566257"},"billing_class":"institutional","payments":[{"allowed_amount":127.20,"providers":[{"billed_charge":159.00,"npi":[1679664395]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":663.48,"providers":[{"billed_charge":2736.00,"npi":[1063406684]}]},{"allowed_amount":746.42,"providers":[{"billed_charge":3078.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":341.70,"providers":[{"billed_charge":402.00,"npi":[1326028978]}]},{"allowed_amount":455.60,"providers":[{"billed_charge":536.00,"npi":[1326028978]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":242.20,"providers":[{"billed_charge":346.00,"npi":[1306938071]}]},{"allowed_amount":726.60,"providers":[{"billed_charge":1038.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":154.40,"providers":[{"billed_charge":193.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"592951990"},"billing_class":"institutional","payments":[{"allowed_amount":216.95,"providers":[{"billed_charge":309.93,"npi":[1679678486]}]}]},{"tin":{"type":"ein","value":"606000080"},"billing_class":"institutional","payments":[{"allowed_amount":283.28,"providers":[{"billed_charge":561.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"637346060"},"billing_class":"institutional","payments":[{"allowed_amount":51.10,"providers":[{"billed_charge":561.00,"npi":[1710314141]}]},{"allowed_amount":76.77,"providers":[{"billed_charge":561.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"734606000"},"billing_class":"institutional","payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":561.00,"npi":[1710314141]}]},{"allowed_amount":43.65,"providers":[{"billed_charge":561.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":54.11,"providers":[{"billed_charge":363.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":973.88,"providers":[{"billed_charge":1004.00,"npi":[1194706655]}]}]},{"tin":{"type":"ein","value":"882288563"},"billing_class":"institutional","payments":[{"allowed_amount":650.85,"providers":[{"billed_charge":929.79,"npi":[1861102345]}]}]},{"tin":{"type":"ein","value":"922451946"},"billing_class":"institutional","payments":[{"allowed_amount":152.49,"providers":[{"billed_charge":221.00,"npi":[1740981430]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":244.75,"providers":[{"billed_charge":339.00,"npi":[1407637531]}]}]}]},{"billing_code":"96365","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cancer","description":"THER/PROPH/DIAG IV INF INIT","allowed_amounts":[{"tin":{"type":"ein","value":"621508884"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.23,"providers":[{"billed_charge":149.00,"npi":[1346250057]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":85.75,"providers":[{"billed_charge":140.00,"npi":[1144803040]}]}]}]},{"billing_code":"96365","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"THER/PROPH/DIAG IV INF INIT","allowed_amounts":[{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":457.30,"providers":[{"billed_charge":538.00,"npi":[1326028978]}]}]}]},{"billing_code":"96365","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"THER/PROPH/DIAG IV INF INIT","allowed_amounts":[{"tin":{"type":"ein","value":"030179418"},"billing_class":"institutional","payments":[{"allowed_amount":616.88,"providers":[{"billed_charge":649.35,"npi":[1730199647]}]}]},{"tin":{"type":"ein","value":"203391873"},"billing_class":"institutional","payments":[{"allowed_amount":314.00,"providers":[{"billed_charge":1731.00,"npi":[1023061405]}]}]},{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":155.79,"providers":[{"billed_charge":589.58,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":160.21,"providers":[{"billed_charge":664.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"800764192"},"billing_class":"institutional","payments":[{"allowed_amount":903.74,"providers":[{"billed_charge":1238.00,"npi":[1033475959]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":593.75,"providers":[{"billed_charge":625.00,"npi":[1154392231]}]}]}]},{"billing_code":"96365","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"THER/PROPH/DIAG IV INF INIT","allowed_amounts":[{"tin":{"type":"ein","value":"042104693"},"billing_class":"institutional","payments":[{"allowed_amount":374.25,"providers":[{"billed_charge":499.00,"npi":[1396738159]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":337.81,"providers":[{"billed_charge":753.68,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":552.75,"providers":[{"billed_charge":737.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":236.39,"providers":[{"billed_charge":673.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":204.29,"providers":[{"billed_charge":1247.33,"npi":[1750333282]}]},{"allowed_amount":225.91,"providers":[{"billed_charge":1132.01,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":60.26,"providers":[{"billed_charge":60.26,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"582453303"},"billing_class":"institutional","payments":[{"allowed_amount":455.68,"providers":[{"billed_charge":512.00,"npi":[1851388748]}]}]},{"tin":{"type":"ein","value":"591917016"},"billing_class":"institutional","payments":[{"allowed_amount":151.68,"providers":[{"billed_charge":1112.00,"npi":[1437177664]}]}]},{"tin":{"type":"ein","value":"630997281"},"billing_class":"institutional","payments":[{"allowed_amount":860.52,"providers":[{"billed_charge":1212.00,"npi":[1780648352]}]},{"allowed_amount":894.60,"providers":[{"billed_charge":1260.00,"npi":[1780648352]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":953.04,"providers":[{"billed_charge":1320.00,"npi":[1407637531]}]}]}]},{"billing_code":"96366","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cancer","description":"THER/PROPH/DIAG IV INF ADDON","allowed_amounts":[{"tin":{"type":"ein","value":"562227967"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":142.97,"providers":[{"billed_charge":204.24,"npi":[1598926743]}]}]}]},{"billing_code":"96366","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"THER/PROPH/DIAG IV INF ADDON","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":439.50,"providers":[{"billed_charge":586.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":56.95,"providers":[{"billed_charge":67.00,"npi":[1326028978]}]},{"allowed_amount":113.90,"providers":[{"billed_charge":134.00,"npi":[1326028978]}]}]}]},{"billing_code":"96367","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cancer","description":"TX/PROPH/DG ADDL SEQ IV INF","allowed_amounts":[{"tin":{"type":"ein","value":"562227967"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":56.21,"providers":[{"billed_charge":80.30,"npi":[1598926743]}]}]}]},{"billing_code":"96367","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"TX/PROPH/DG ADDL SEQ IV INF","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":259.83,"providers":[{"billed_charge":305.68,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":81.77,"providers":[{"billed_charge":499.28,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":56.95,"providers":[{"billed_charge":67.00,"npi":[1326028978]}]}]}]},{"billing_code":"96372","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cancer","description":"THER/PROPH/DIAG INJ SC/IM","allowed_amounts":[{"tin":{"type":"ein","value":"020781602"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.22,"providers":[{"billed_charge":60.00,"npi":[1639195126]}]}]},{"tin":{"type":"ein","value":"202095110"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.07,"providers":[{"billed_charge":38.00,"npi":[1154485779]}]}]},{"tin":{"type":"ein","value":"202305158"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.60,"providers":[{"billed_charge":56.00,"npi":[1295862944]}]}]},{"tin":{"type":"ein","value":"203601776"},"billing_class":"professional","service_code":["72"],"payments":[{"allowed_amount":18.36,"providers":[{"billed_charge":33.06,"npi":[1629114707]}]}]},{"tin":{"type":"ein","value":"205497203"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":24.00,"providers":[{"billed_charge":40.00,"npi":[1831744176]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":18.50,"providers":[{"billed_charge":48.28,"npi":[1457579617]}]},{"allowed_amount":28.97,"providers":[{"billed_charge":48.28,"npi":[1457579617]}]},{"allowed_amount":37.00,"providers":[{"billed_charge":96.56,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"237085643"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":18.50,"providers":[{"billed_charge":35.00,"npi":[1609646611]}]}]},{"tin":{"type":"ein","value":"264546400"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":16.99,"providers":[{"billed_charge":40.00,"npi":[1912133315]}]}]},{"tin":{"type":"ein","value":"271382032"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.04,"providers":[{"billed_charge":45.00,"npi":[1720503972]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.20,"providers":[{"billed_charge":116.00,"npi":[1922074434]}]}]},{"tin":{"type":"ein","value":"452474599"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.10,"providers":[{"billed_charge":31.00,"npi":[1750677241]}]}]},{"tin":{"type":"ein","value":"453123110"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":21.07,"providers":[{"billed_charge":40.00,"npi":[1215219878]}]}]},{"tin":{"type":"ein","value":"453191160"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":117.13,"providers":[{"billed_charge":120.00,"npi":[1235411547]}]}]},{"tin":{"type":"ein","value":"454639427"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.07,"providers":[{"billed_charge":30.00,"npi":[1225383243]}]},{"allowed_amount":42.14,"providers":[{"billed_charge":60.00,"npi":[1225383243]}]}]},{"tin":{"type":"ein","value":"460224743"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":53.00,"npi":[1376575514]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":20.22,"providers":[{"billed_charge":48.00,"npi":[1154721272]}]},{"allowed_amount":28.80,"providers":[{"billed_charge":48.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"474459800"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":20.22,"providers":[{"billed_charge":45.00,"npi":[1912381203]}]}]},{"tin":{"type":"ein","value":"541820401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.07,"providers":[{"billed_charge":80.00,"npi":[1699365072]}]}]},{"tin":{"type":"ein","value":"556000821"},"billing_class":"professional","service_code":["72"],"payments":[{"allowed_amount":33.51,"providers":[{"billed_charge":95.62,"npi":[1588749188]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":20.22,"providers":[{"billed_charge":48.28,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"561634662"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.22,"providers":[{"billed_charge":41.37,"npi":[1417083783]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.04,"providers":[{"billed_charge":77.00,"npi":[1639366214]}]}]},{"tin":{"type":"ein","value":"561752222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.04,"providers":[{"billed_charge":48.00,"npi":[1386605608]}]}]},{"tin":{"type":"ein","value":"561901819"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.22,"providers":[{"billed_charge":45.00,"npi":[1184705865]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.04,"providers":[{"billed_charge":40.00,"npi":[1366498297]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":20.22,"providers":[{"billed_charge":43.00,"npi":[1245272657]}]}]},{"tin":{"type":"ein","value":"566000351"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":18.00,"providers":[{"billed_charge":30.00,"npi":[1467507640]}]}]},{"tin":{"type":"ein","value":"566000805"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":15.00,"npi":[1356845309]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.95,"providers":[{"billed_charge":47.00,"npi":[1689610149]}]}]},{"tin":{"type":"ein","value":"582069754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.36,"providers":[{"billed_charge":85.00,"npi":[1316973472]}]},{"allowed_amount":18.50,"providers":[{"billed_charge":85.00,"npi":[1316973472]}]}]},{"tin":{"type":"ein","value":"582147112"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":30.22,"providers":[{"billed_charge":35.55,"npi":[1659425825]}]}]},{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.20,"providers":[{"billed_charge":164.00,"npi":[1184679482]}]}]},{"tin":{"type":"ein","value":"593209688"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":52.50,"providers":[{"billed_charge":75.00,"npi":[1073565610]}]}]},{"tin":{"type":"ein","value":"621586264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.10,"providers":[{"billed_charge":43.88,"npi":[1245251404]}]}]},{"tin":{"type":"ein","value":"631274310"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.78,"providers":[{"billed_charge":84.00,"npi":[1689689481]}]}]},{"tin":{"type":"ein","value":"636001138"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.39,"providers":[{"billed_charge":35.00,"npi":[1467599399]}]}]},{"tin":{"type":"ein","value":"720815739"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.03,"providers":[{"billed_charge":90.00,"npi":[1083713101]}]}]},{"tin":{"type":"ein","value":"731383996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.58,"providers":[{"billed_charge":45.00,"npi":[1881639367]}]}]},{"tin":{"type":"ein","value":"753028076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":56.00,"providers":[{"billed_charge":70.00,"npi":[1396955431]}]}]},{"tin":{"type":"ein","value":"813425340"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":18.36,"providers":[{"billed_charge":66.00,"npi":[1194277186]}]},{"allowed_amount":18.50,"providers":[{"billed_charge":66.00,"npi":[1194277186]}]}]},{"tin":{"type":"ein","value":"814632899"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":18.50,"providers":[{"billed_charge":73.00,"npi":[1093248288]}]}]},{"tin":{"type":"ein","value":"822146009"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.07,"providers":[{"billed_charge":30.00,"npi":[1386163822]}]},{"allowed_amount":21.08,"providers":[{"billed_charge":30.00,"npi":[1386163822]}]}]},{"tin":{"type":"ein","value":"824076059"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.00,"providers":[{"billed_charge":30.00,"npi":[1669022570]}]}]},{"tin":{"type":"ein","value":"830787459"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":13.97,"providers":[{"billed_charge":25.00,"npi":[1104311315]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":20.04,"providers":[{"billed_charge":60.00,"npi":[1932679446]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.04,"providers":[{"billed_charge":69.00,"npi":[1609342815]}]}]},{"tin":{"type":"ein","value":"832053115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.05,"providers":[{"billed_charge":69.00,"npi":[1093284010]}]},{"allowed_amount":62.10,"providers":[{"billed_charge":138.00,"npi":[1093284010]}]}]},{"tin":{"type":"ein","value":"833107705"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.00,"providers":[{"billed_charge":50.00,"npi":[1003380759]}]}]},{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":20.04,"providers":[{"billed_charge":28.00,"npi":[1255950325]}]}]},{"tin":{"type":"ein","value":"851136657"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":40.00,"npi":[1275146045]}]}]},{"tin":{"type":"ein","value":"862740897"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.36,"providers":[{"billed_charge":20.00,"npi":[1013598531]}]}]},{"tin":{"type":"ein","value":"863366964"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":25.00,"providers":[{"billed_charge":50.00,"npi":[1477135036]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":20.04,"providers":[{"billed_charge":50.00,"npi":[1144803040]}]},{"allowed_amount":20.22,"providers":[{"billed_charge":50.00,"npi":[1144803040]}]},{"allowed_amount":40.08,"providers":[{"billed_charge":100.00,"npi":[1144803040]}]},{"allowed_amount":40.44,"providers":[{"billed_charge":100.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.67,"providers":[{"billed_charge":50.00,"npi":[1447239355]}]}]},{"tin":{"type":"ein","value":"873542162"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":13.50,"providers":[{"billed_charge":27.00,"npi":[1437860889]}]},{"allowed_amount":20.22,"providers":[{"billed_charge":27.00,"npi":[1437860889]}]}]},{"tin":{"type":"ein","value":"881926722"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":20.75,"providers":[{"billed_charge":40.00,"npi":[1063159630]}]}]},{"tin":{"type":"ein","value":"900368027"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.50,"providers":[{"billed_charge":51.00,"npi":[1821257676]}]}]},{"tin":{"type":"ein","value":"920665139"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":17.99,"providers":[{"billed_charge":41.00,"npi":[1063123735]}]}]},{"tin":{"type":"ein","value":"933254155"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":20.04,"providers":[{"billed_charge":29.00,"npi":[1861274169]}]},{"allowed_amount":60.12,"providers":[{"billed_charge":87.00,"npi":[1861274169]}]}]},{"tin":{"type":"ein","value":"933582623"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.22,"providers":[{"billed_charge":30.00,"npi":[1780453464]}]}]},{"tin":{"type":"ein","value":"934104475"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.27,"providers":[{"billed_charge":44.00,"npi":[1629841788]}]}]},{"tin":{"type":"ein","value":"954112121"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.77,"providers":[{"billed_charge":123.54,"npi":[1265784912]}]}]},{"tin":{"type":"ein","value":"991936736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.22,"providers":[{"billed_charge":25.00,"npi":[1770342354]}]}]}]},{"billing_code":"96372","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"THER/PROPH/DIAG INJ SC/IM","allowed_amounts":[{"tin":{"type":"ein","value":"590872594"},"billing_class":"institutional","payments":[{"allowed_amount":178.50,"providers":[{"billed_charge":210.00,"npi":[1982688230]}]}]}]},{"billing_code":"96372","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"THER/PROPH/DIAG INJ SC/IM","allowed_amounts":[{"tin":{"type":"ein","value":"203391873"},"billing_class":"institutional","payments":[{"allowed_amount":68.39,"providers":[{"billed_charge":377.00,"npi":[1023061405]}]}]},{"tin":{"type":"ein","value":"203749695"},"billing_class":"institutional","payments":[{"allowed_amount":69.57,"providers":[{"billed_charge":305.22,"npi":[1265568638]}]}]},{"tin":{"type":"ein","value":"260479484"},"billing_class":"institutional","payments":[{"allowed_amount":108.56,"providers":[{"billed_charge":352.00,"npi":[1396926747]}]}]},{"tin":{"type":"ein","value":"562392010"},"billing_class":"institutional","payments":[{"allowed_amount":225.00,"providers":[{"billed_charge":250.00,"npi":[1053357244]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":75.75,"providers":[{"billed_charge":101.00,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":73.27,"providers":[{"billed_charge":189.96,"npi":[1972119782]}]}]},{"tin":{"type":"ein","value":"854247323"},"billing_class":"institutional","payments":[{"allowed_amount":719.46,"providers":[{"billed_charge":1410.71,"npi":[1871193664]}]}]}]},{"billing_code":"96372","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"THER/PROPH/DIAG INJ SC/IM","allowed_amounts":[{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":187.85,"providers":[{"billed_charge":221.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"381359087"},"billing_class":"institutional","payments":[{"allowed_amount":56.89,"providers":[{"billed_charge":146.85,"npi":[1831116441]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":89.25,"providers":[{"billed_charge":105.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":80.69,"providers":[{"billed_charge":499.28,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":103.30,"providers":[{"billed_charge":387.84,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"570720016"},"billing_class":"institutional","payments":[{"allowed_amount":166.59,"providers":[{"billed_charge":820.26,"npi":[1659320620]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":173.60,"providers":[{"billed_charge":217.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":82.94,"providers":[{"billed_charge":342.00,"npi":[1063406684]}]}]}]},{"billing_code":"96372","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"THER/PROPH/DIAG INJ SC/IM","allowed_amounts":[{"tin":{"type":"ein","value":"391390638"},"billing_class":"institutional","payments":[{"allowed_amount":122.40,"providers":[{"billed_charge":136.00,"npi":[1356391247]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":78.33,"providers":[{"billed_charge":223.00,"npi":[1427030774]}]}]}]},{"billing_code":"96374","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cancer","description":"THER/PROPH/DIAG INJ IV PUSH","allowed_amounts":[{"tin":{"type":"ein","value":"202948293"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":150.00,"npi":[1376527077]}]}]},{"tin":{"type":"ein","value":"450439149"},"billing_class":"professional","service_code":["42"],"payments":[{"allowed_amount":42.67,"providers":[{"billed_charge":340.00,"npi":[1043919095]}]}]},{"tin":{"type":"ein","value":"581146357"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.00,"providers":[{"billed_charge":100.00,"npi":[1538112016]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":228.00,"providers":[{"billed_charge":240.00,"npi":[1558332494]}]}]}]},{"billing_code":"96374","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"THER/PROPH/DIAG INJ IV PUSH","allowed_amounts":[{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":248.05,"providers":[{"billed_charge":538.00,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":407.10,"providers":[{"billed_charge":985.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":130.77,"providers":[{"billed_charge":359.00,"npi":[1326161662]}]},{"allowed_amount":138.19,"providers":[{"billed_charge":359.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"350211370"},"billing_class":"institutional","payments":[{"allowed_amount":21.54,"providers":[{"billed_charge":161.20,"npi":[1386683316]}]}]},{"tin":{"type":"ein","value":"381459362"},"billing_class":"institutional","payments":[{"allowed_amount":163.17,"providers":[{"billed_charge":596.00,"npi":[1932396017]}]}]},{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":88.04,"providers":[{"billed_charge":307.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":234.75,"providers":[{"billed_charge":313.00,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"621762420"},"billing_class":"institutional","payments":[{"allowed_amount":253.18,"providers":[{"billed_charge":617.50,"npi":[1528026267]}]}]},{"tin":{"type":"ein","value":"640524079"},"billing_class":"institutional","payments":[{"allowed_amount":172.82,"providers":[{"billed_charge":490.00,"npi":[1154310514]}]}]},{"tin":{"type":"ein","value":"650252846"},"billing_class":"institutional","payments":[{"allowed_amount":527.51,"providers":[{"billed_charge":1014.44,"npi":[1417901406]}]}]},{"tin":{"type":"ein","value":"822913146"},"billing_class":"institutional","payments":[{"allowed_amount":384.15,"providers":[{"billed_charge":591.00,"npi":[1972517365]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":379.60,"providers":[{"billed_charge":584.00,"npi":[1174512792]}]}]},{"tin":{"type":"ein","value":"876000525"},"billing_class":"institutional","payments":[{"allowed_amount":194.00,"providers":[{"billed_charge":260.40,"npi":[1588656870]}]}]}]},{"billing_code":"96374","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"THER/PROPH/DIAG INJ IV PUSH","allowed_amounts":[{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":218.99,"providers":[{"billed_charge":656.63,"npi":[1801803903]}]},{"allowed_amount":225.91,"providers":[{"billed_charge":656.63,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":213.37,"providers":[{"billed_charge":269.06,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"263734606"},"billing_class":"institutional","payments":[{"allowed_amount":431.60,"providers":[{"billed_charge":664.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"272844563"},"billing_class":"institutional","payments":[{"allowed_amount":212.64,"providers":[{"billed_charge":443.00,"npi":[1922310200]}]}]},{"tin":{"type":"ein","value":"384105653"},"billing_class":"institutional","payments":[{"allowed_amount":90.57,"providers":[{"billed_charge":272.00,"npi":[1326020447]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":140.25,"providers":[{"billed_charge":165.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"453576100"},"billing_class":"institutional","payments":[{"allowed_amount":40.27,"providers":[{"billed_charge":373.00,"npi":[1306123344]}]}]},{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":383.22,"providers":[{"billed_charge":425.80,"npi":[1922487966]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":24.63,"providers":[{"billed_charge":24.63,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":375.20,"providers":[{"billed_charge":469.00,"npi":[1588640692]}]},{"allowed_amount":431.20,"providers":[{"billed_charge":539.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580566257"},"billing_class":"institutional","payments":[{"allowed_amount":375.20,"providers":[{"billed_charge":469.00,"npi":[1679664395]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":96.76,"providers":[{"billed_charge":399.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"590566256"},"billing_class":"institutional","payments":[{"allowed_amount":431.20,"providers":[{"billed_charge":539.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":360.40,"providers":[{"billed_charge":424.00,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":270.20,"providers":[{"billed_charge":386.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":506.40,"providers":[{"billed_charge":633.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"590898901"},"billing_class":"institutional","payments":[{"allowed_amount":232.15,"providers":[{"billed_charge":331.64,"npi":[1568473015]}]}]},{"tin":{"type":"ein","value":"591713947"},"billing_class":"institutional","payments":[{"allowed_amount":88.22,"providers":[{"billed_charge":249.00,"npi":[1225033020]}]}]},{"tin":{"type":"ein","value":"592951990"},"billing_class":"institutional","payments":[{"allowed_amount":132.24,"providers":[{"billed_charge":188.92,"npi":[1679678486]}]}]},{"tin":{"type":"ein","value":"593458145"},"billing_class":"institutional","payments":[{"allowed_amount":409.50,"providers":[{"billed_charge":585.00,"npi":[1235196510]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":375.16,"providers":[{"billed_charge":452.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":401.49,"providers":[{"billed_charge":1147.10,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":183.55,"providers":[{"billed_charge":430.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"650666516"},"billing_class":"institutional","payments":[{"allowed_amount":313.60,"providers":[{"billed_charge":392.00,"npi":[1487760906]}]}]},{"tin":{"type":"ein","value":"721529708"},"billing_class":"institutional","payments":[{"allowed_amount":236.83,"providers":[{"billed_charge":458.00,"npi":[1558391771]}]}]},{"tin":{"type":"ein","value":"734606000"},"billing_class":"institutional","payments":[{"allowed_amount":42.61,"providers":[{"billed_charge":664.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"821969974"},"billing_class":"institutional","payments":[{"allowed_amount":215.90,"providers":[{"billed_charge":254.00,"npi":[1053824292]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":49.33,"providers":[{"billed_charge":331.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":441.35,"providers":[{"billed_charge":455.00,"npi":[1194706655]}]}]},{"tin":{"type":"ein","value":"882288563"},"billing_class":"institutional","payments":[{"allowed_amount":132.25,"providers":[{"billed_charge":188.92,"npi":[1861102345]}]}]}]},{"billing_code":"96374","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"THER/PROPH/DIAG INJ IV PUSH","allowed_amounts":[{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":91.24,"providers":[{"billed_charge":154.65,"npi":[1114923406]}]}]}]},{"billing_code":"96375","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cancer","description":"TX/PRO/DX INJ NEW DRUG ADDON","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.25,"providers":[{"billed_charge":135.00,"npi":[1558332494]}]}]}]},{"billing_code":"96375","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"TX/PRO/DX INJ NEW DRUG ADDON","allowed_amounts":[{"tin":{"type":"ein","value":"030179418"},"billing_class":"institutional","payments":[{"allowed_amount":200.39,"providers":[{"billed_charge":210.94,"npi":[1730199647]}]}]},{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":151.23,"providers":[{"billed_charge":328.00,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"203391873"},"billing_class":"institutional","payments":[{"allowed_amount":139.68,"providers":[{"billed_charge":770.00,"npi":[1023061405]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":219.05,"providers":[{"billed_charge":530.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":67.74,"providers":[{"billed_charge":176.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"381459362"},"billing_class":"institutional","payments":[{"allowed_amount":113.89,"providers":[{"billed_charge":416.00,"npi":[1932396017]}]}]},{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":47.89,"providers":[{"billed_charge":167.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":56.25,"providers":[{"billed_charge":75.00,"npi":[1528052578]}]},{"allowed_amount":168.75,"providers":[{"billed_charge":225.00,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"822913146"},"billing_class":"institutional","payments":[{"allowed_amount":430.95,"providers":[{"billed_charge":663.00,"npi":[1972517365]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":305.50,"providers":[{"billed_charge":470.00,"npi":[1174512792]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":376.20,"providers":[{"billed_charge":396.00,"npi":[1154392231]}]}]}]},{"billing_code":"96375","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"TX/PRO/DX INJ NEW DRUG ADDON","allowed_amounts":[{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":54.25,"providers":[{"billed_charge":162.66,"npi":[1801803903]}]},{"allowed_amount":55.97,"providers":[{"billed_charge":162.66,"npi":[1801803903]}]},{"allowed_amount":145.81,"providers":[{"billed_charge":325.32,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":126.47,"providers":[{"billed_charge":153.85,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"272844563"},"billing_class":"institutional","payments":[{"allowed_amount":101.28,"providers":[{"billed_charge":211.00,"npi":[1922310200]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":140.25,"providers":[{"billed_charge":165.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":743.67,"providers":[{"billed_charge":874.90,"npi":[1427145176]}]},{"allowed_amount":1487.33,"providers":[{"billed_charge":1749.80,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":52.02,"providers":[{"billed_charge":275.19,"npi":[1750333282]}]},{"allowed_amount":107.15,"providers":[{"billed_charge":654.24,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":10.25,"providers":[{"billed_charge":10.25,"npi":[1740377423]}]},{"allowed_amount":30.75,"providers":[{"billed_charge":30.75,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":72.42,"providers":[{"billed_charge":250.94,"npi":[1992754758]}]},{"allowed_amount":82.42,"providers":[{"billed_charge":253.81,"npi":[1992754758]}]},{"allowed_amount":83.35,"providers":[{"billed_charge":253.81,"npi":[1992754758]}]},{"allowed_amount":132.12,"providers":[{"billed_charge":507.62,"npi":[1992754758]}]},{"allowed_amount":248.97,"providers":[{"billed_charge":761.43,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":238.40,"providers":[{"billed_charge":298.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":171.69,"providers":[{"billed_charge":708.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"590566256"},"billing_class":"institutional","payments":[{"allowed_amount":238.40,"providers":[{"billed_charge":298.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":181.05,"providers":[{"billed_charge":213.00,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":269.50,"providers":[{"billed_charge":385.00,"npi":[1306938071]}]},{"allowed_amount":539.00,"providers":[{"billed_charge":770.00,"npi":[1306938071]}]},{"allowed_amount":808.50,"providers":[{"billed_charge":1155.00,"npi":[1306938071]}]},{"allowed_amount":1078.00,"providers":[{"billed_charge":1540.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":1260.00,"providers":[{"billed_charge":1575.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"590898901"},"billing_class":"institutional","payments":[{"allowed_amount":464.30,"providers":[{"billed_charge":663.28,"npi":[1568473015]}]}]},{"tin":{"type":"ein","value":"591917016"},"billing_class":"institutional","payments":[{"allowed_amount":181.68,"providers":[{"billed_charge":1332.00,"npi":[1437177664]}]}]},{"tin":{"type":"ein","value":"592951990"},"billing_class":"institutional","payments":[{"allowed_amount":132.24,"providers":[{"billed_charge":188.92,"npi":[1679678486]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":307.93,"providers":[{"billed_charge":371.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"650666516"},"billing_class":"institutional","payments":[{"allowed_amount":313.60,"providers":[{"billed_charge":392.00,"npi":[1487760906]}]}]},{"tin":{"type":"ein","value":"721529708"},"billing_class":"institutional","payments":[{"allowed_amount":469.53,"providers":[{"billed_charge":908.00,"npi":[1558391771]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":791.52,"providers":[{"billed_charge":816.00,"npi":[1194706655]}]}]},{"tin":{"type":"ein","value":"876000525"},"billing_class":"institutional","payments":[{"allowed_amount":163.97,"providers":[{"billed_charge":220.10,"npi":[1588656870]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":1633.17,"providers":[{"billed_charge":2262.00,"npi":[1407637531]}]}]}]},{"billing_code":"96375","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"TX/PRO/DX INJ NEW DRUG ADDON","allowed_amounts":[{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":91.25,"providers":[{"billed_charge":154.65,"npi":[1114923406]}]}]}]},{"billing_code":"96376","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"TX/PRO/DX INJ SAME DRUG ADON","allowed_amounts":[{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":21.79,"providers":[{"billed_charge":76.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":103.35,"providers":[{"billed_charge":159.00,"npi":[1174512792]}]}]}]},{"billing_code":"96376","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"TX/PRO/DX INJ SAME DRUG ADON","allowed_amounts":[{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":238.40,"providers":[{"billed_charge":298.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":34.44,"providers":[{"billed_charge":142.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"590566256"},"billing_class":"institutional","payments":[{"allowed_amount":238.40,"providers":[{"billed_charge":298.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":1215.50,"providers":[{"billed_charge":1430.00,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":268.10,"providers":[{"billed_charge":383.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"591917016"},"billing_class":"institutional","payments":[{"allowed_amount":60.56,"providers":[{"billed_charge":444.00,"npi":[1437177664]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":330.34,"providers":[{"billed_charge":398.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":127.51,"providers":[{"billed_charge":364.30,"npi":[1831148253]}]}]}]},{"billing_code":"96377","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"APPLICATON ON-BODY INJECTOR","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":184.01,"providers":[{"billed_charge":216.52,"npi":[1427145176]}]},{"allowed_amount":184.03,"providers":[{"billed_charge":216.52,"npi":[1427145176]}]}]}]},{"billing_code":"96380","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ADMN RSV MONOC ANTB IM CNSL","allowed_amounts":[{"tin":{"type":"ein","value":"862800277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.56,"providers":[{"billed_charge":48.00,"npi":[1548849482]}]}]}]},{"billing_code":"96402","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CHEMO HORMON ANTINEOPL SQ/IM","allowed_amounts":[{"tin":{"type":"ein","value":"311322863"},"billing_class":"institutional","payments":[{"allowed_amount":461.48,"providers":[{"billed_charge":556.00,"npi":[1124127683]}]}]},{"tin":{"type":"ein","value":"381434090"},"billing_class":"institutional","payments":[{"allowed_amount":300.96,"providers":[{"billed_charge":376.20,"npi":[1134104672]}]},{"allowed_amount":312.96,"providers":[{"billed_charge":391.20,"npi":[1134104672]}]}]}]},{"billing_code":"96409","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CHEMO IV PUSH SNGL DRUG","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":444.60,"providers":[{"billed_charge":536.01,"npi":[1548315401]}]},{"allowed_amount":462.65,"providers":[{"billed_charge":562.81,"npi":[1548315401]}]}]}]},{"billing_code":"96411","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CHEMO IV PUSH ADDL DRUG","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":357.62,"providers":[{"billed_charge":437.28,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":1412.82,"providers":[{"billed_charge":1662.14,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":102.72,"providers":[{"billed_charge":394.67,"npi":[1992754758]}]},{"allowed_amount":112.74,"providers":[{"billed_charge":394.54,"npi":[1992754758]}]},{"allowed_amount":113.86,"providers":[{"billed_charge":394.54,"npi":[1992754758]}]},{"allowed_amount":128.16,"providers":[{"billed_charge":394.67,"npi":[1992754758]}]},{"allowed_amount":129.05,"providers":[{"billed_charge":394.67,"npi":[1992754758]}]},{"allowed_amount":129.61,"providers":[{"billed_charge":394.67,"npi":[1992754758]}]}]}]},{"billing_code":"96413","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cancer","description":"CHEMO IV INFUSION 1 HR","allowed_amounts":[{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":176.59,"providers":[{"billed_charge":280.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"571085343"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":62.57,"providers":[{"billed_charge":350.00,"npi":[1265462659]}]},{"allowed_amount":139.88,"providers":[{"billed_charge":350.00,"npi":[1265462659]}]},{"allowed_amount":160.86,"providers":[{"billed_charge":350.00,"npi":[1265462659]}]},{"allowed_amount":173.18,"providers":[{"billed_charge":350.00,"npi":[1265462659]}]}]},{"tin":{"type":"ein","value":"832482124"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":182.32,"providers":[{"billed_charge":850.00,"npi":[1326517103]}]}]},{"tin":{"type":"ein","value":"852106942"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.37,"providers":[{"billed_charge":470.34,"npi":[1568071710]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":712.50,"providers":[{"billed_charge":750.00,"npi":[1558332494]}]}]}]},{"billing_code":"96413","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CHEMO IV INFUSION 1 HR","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":753.40,"providers":[{"billed_charge":921.23,"npi":[1548315401]}]},{"allowed_amount":791.85,"providers":[{"billed_charge":967.29,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":1512.97,"providers":[{"billed_charge":1996.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":1484.77,"providers":[{"billed_charge":1746.79,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":428.07,"providers":[{"billed_charge":1644.75,"npi":[1992754758]}]},{"allowed_amount":486.36,"providers":[{"billed_charge":1702.05,"npi":[1992754758]}]},{"allowed_amount":491.20,"providers":[{"billed_charge":1702.05,"npi":[1992754758]}]},{"allowed_amount":534.11,"providers":[{"billed_charge":1644.75,"npi":[1992754758]}]},{"allowed_amount":537.81,"providers":[{"billed_charge":1644.75,"npi":[1992754758]}]},{"allowed_amount":540.15,"providers":[{"billed_charge":1644.75,"npi":[1992754758]}]}]}]},{"billing_code":"96415","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CHEMO IV INFUSION ADDL HR","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":102.72,"providers":[{"billed_charge":394.67,"npi":[1992754758]}]}]}]},{"billing_code":"96416","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CHEMO PROLONG INFUSE W/PUMP","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":428.08,"providers":[{"billed_charge":1644.75,"npi":[1992754758]}]},{"allowed_amount":486.36,"providers":[{"billed_charge":1702.05,"npi":[1992754758]}]},{"allowed_amount":491.20,"providers":[{"billed_charge":1702.05,"npi":[1992754758]}]},{"allowed_amount":534.11,"providers":[{"billed_charge":1644.75,"npi":[1992754758]}]},{"allowed_amount":537.81,"providers":[{"billed_charge":1644.75,"npi":[1992754758]}]},{"allowed_amount":540.15,"providers":[{"billed_charge":1644.75,"npi":[1992754758]}]}]}]},{"billing_code":"96417","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cancer","description":"CHEMO IV INFUS EACH ADDL SEQ","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":427.50,"providers":[{"billed_charge":450.00,"npi":[1558332494]}]}]}]},{"billing_code":"96417","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"CHEMO IV INFUS EACH ADDL SEQ","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":180.00,"providers":[{"billed_charge":219.87,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":381.22,"providers":[{"billed_charge":448.55,"npi":[1427145176]}]},{"allowed_amount":381.27,"providers":[{"billed_charge":448.55,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":112.74,"providers":[{"billed_charge":394.54,"npi":[1992754758]}]},{"allowed_amount":113.86,"providers":[{"billed_charge":394.54,"npi":[1992754758]}]},{"allowed_amount":128.16,"providers":[{"billed_charge":394.67,"npi":[1992754758]}]},{"allowed_amount":129.05,"providers":[{"billed_charge":394.67,"npi":[1992754758]}]},{"allowed_amount":129.61,"providers":[{"billed_charge":394.67,"npi":[1992754758]}]}]}]},{"billing_code":"96450","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Cancer","description":"CHEMOTHERAPY INTO CNS","allowed_amounts":[{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":466.20,"providers":[{"billed_charge":518.00,"npi":[1306335088]}]}]}]},{"billing_code":"97010","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"HOT OR COLD PACKS THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"561932573"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.40,"providers":[{"billed_charge":20.00,"npi":[1588741631]}]}]}]},{"billing_code":"97012","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"MECHANICAL TRACTION THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"010823935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.33,"providers":[{"billed_charge":20.00,"npi":[1205055480]}]}]},{"tin":{"type":"ein","value":"020708788"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.92,"providers":[{"billed_charge":41.00,"npi":[1215951843]}]},{"allowed_amount":10.24,"providers":[{"billed_charge":41.00,"npi":[1215951843]}]},{"allowed_amount":16.52,"providers":[{"billed_charge":41.00,"npi":[1215951843]}]}]},{"tin":{"type":"ein","value":"203095898"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.40,"providers":[{"billed_charge":30.00,"npi":[1962578716]}]}]},{"tin":{"type":"ein","value":"205111133"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.70,"providers":[{"billed_charge":46.00,"npi":[1962562819]}]}]},{"tin":{"type":"ein","value":"263056148"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.17,"providers":[{"billed_charge":25.00,"npi":[1811148877]}]}]},{"tin":{"type":"ein","value":"271062911"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.81,"providers":[{"billed_charge":40.00,"npi":[1871820662]}]}]},{"tin":{"type":"ein","value":"363935049"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.51,"providers":[{"billed_charge":100.00,"npi":[1083820559]}]},{"allowed_amount":16.47,"providers":[{"billed_charge":100.00,"npi":[1083820559]}]}]},{"tin":{"type":"ein","value":"465165308"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.62,"providers":[{"billed_charge":40.00,"npi":[1013556315]}]},{"allowed_amount":19.30,"providers":[{"billed_charge":40.00,"npi":[1013556315]}]}]},{"tin":{"type":"ein","value":"474575483"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.40,"providers":[{"billed_charge":20.00,"npi":[1710343447]}]}]},{"tin":{"type":"ein","value":"561660546"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.40,"providers":[{"billed_charge":25.00,"npi":[1285622134]}]},{"allowed_amount":18.75,"providers":[{"billed_charge":25.00,"npi":[1285622134]}]}]},{"tin":{"type":"ein","value":"561932573"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.40,"providers":[{"billed_charge":32.00,"npi":[1588741631]}]}]},{"tin":{"type":"ein","value":"561971088"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.36,"providers":[{"billed_charge":25.00,"npi":[1093773392]},{"billed_charge":35.00,"npi":[1093773392]}]},{"allowed_amount":15.37,"providers":[{"billed_charge":35.00,"npi":[1093773392]}]}]},{"tin":{"type":"ein","value":"562412680"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.40,"providers":[{"billed_charge":35.00,"npi":[1780775221]}]}]},{"tin":{"type":"ein","value":"571128530"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.79,"providers":[{"billed_charge":30.00,"npi":[1720049687]}]},{"allowed_amount":16.08,"providers":[{"billed_charge":30.00,"npi":[1720049687]}]},{"allowed_amount":19.43,"providers":[{"billed_charge":30.00,"npi":[1720049687]}]}]},{"tin":{"type":"ein","value":"582068734"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.61,"providers":[{"billed_charge":17.80,"npi":[1013058742]}]}]},{"tin":{"type":"ein","value":"813609472"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.27,"providers":[{"billed_charge":35.00,"npi":[1306356845]}]}]},{"tin":{"type":"ein","value":"821761637"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.36,"providers":[{"billed_charge":20.00,"npi":[1790215333]}]},{"allowed_amount":15.37,"providers":[{"billed_charge":20.00,"npi":[1790215333]}]}]},{"tin":{"type":"ein","value":"841370759"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.43,"providers":[{"billed_charge":18.00,"npi":[1053507939]}]},{"allowed_amount":15.35,"providers":[{"billed_charge":18.00,"npi":[1053507939]}]}]},{"tin":{"type":"ein","value":"841857100"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.28,"providers":[{"billed_charge":15.00,"npi":[1689216863]}]}]},{"tin":{"type":"ein","value":"842367799"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.40,"providers":[{"billed_charge":35.00,"npi":[1992357347]}]}]},{"tin":{"type":"ein","value":"872615714"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.98,"providers":[{"billed_charge":35.00,"npi":[1376213256]}]}]},{"tin":{"type":"ein","value":"881023633"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.40,"providers":[{"billed_charge":30.00,"npi":[1154029155]}]}]}]},{"billing_code":"97014","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"ELECTRIC STIMULATION THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"020708788"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.37,"providers":[{"billed_charge":35.00,"npi":[1215951843]}]},{"allowed_amount":10.44,"providers":[{"billed_charge":35.00,"npi":[1215951843]}]},{"allowed_amount":10.80,"providers":[{"billed_charge":35.00,"npi":[1215951843]}]},{"allowed_amount":11.35,"providers":[{"billed_charge":35.00,"npi":[1215951843]}]},{"allowed_amount":12.37,"providers":[{"billed_charge":35.00,"npi":[1215951843]}]},{"allowed_amount":14.74,"providers":[{"billed_charge":35.00,"npi":[1215951843]}]}]},{"tin":{"type":"ein","value":"202313244"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.20,"providers":[{"billed_charge":26.60,"npi":[1033125240]}]}]},{"tin":{"type":"ein","value":"203095898"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.20,"providers":[{"billed_charge":30.00,"npi":[1962578716]}]}]},{"tin":{"type":"ein","value":"203729908"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.20,"providers":[{"billed_charge":30.00,"npi":[1073609665]}]}]},{"tin":{"type":"ein","value":"205111133"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.64,"providers":[{"billed_charge":40.00,"npi":[1962562819]}]}]},{"tin":{"type":"ein","value":"205738288"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.56,"providers":[{"billed_charge":39.00,"npi":[1558598532]}]},{"allowed_amount":10.11,"providers":[{"billed_charge":39.00,"npi":[1558598532]}]},{"allowed_amount":12.80,"providers":[{"billed_charge":39.00,"npi":[1558598532]}]}]},{"tin":{"type":"ein","value":"264482359"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.20,"providers":[{"billed_charge":30.00,"npi":[1780825893]}]}]},{"tin":{"type":"ein","value":"412095850"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.20,"providers":[{"billed_charge":20.00,"npi":[1174735013]}]}]},{"tin":{"type":"ein","value":"474878769"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.20,"providers":[{"billed_charge":40.00,"npi":[1679961437]}]}]},{"tin":{"type":"ein","value":"541869072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.35,"providers":[{"billed_charge":44.00,"npi":[1588605422]}]}]},{"tin":{"type":"ein","value":"541939946"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":15.00,"npi":[1649490855]}]},{"allowed_amount":13.20,"providers":[{"billed_charge":15.00,"npi":[1649490855]}]}]},{"tin":{"type":"ein","value":"561340456"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.59,"providers":[{"billed_charge":20.00,"npi":[1780680157]}]},{"allowed_amount":11.60,"providers":[{"billed_charge":20.00,"npi":[1780680157]}]}]},{"tin":{"type":"ein","value":"561368774"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.60,"providers":[{"billed_charge":50.00,"npi":[1457418311]}]}]},{"tin":{"type":"ein","value":"561660546"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.20,"providers":[{"billed_charge":25.00,"npi":[1285622134]}]},{"allowed_amount":18.75,"providers":[{"billed_charge":25.00,"npi":[1285622134]}]}]},{"tin":{"type":"ein","value":"561884471"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.40,"providers":[{"billed_charge":40.00,"npi":[1811174139]}]}]},{"tin":{"type":"ein","value":"561890570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.59,"providers":[{"billed_charge":50.00,"npi":[1528127099]}]}]},{"tin":{"type":"ein","value":"561932573"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.20,"providers":[{"billed_charge":31.00,"npi":[1588741631]}]},{"allowed_amount":15.50,"providers":[{"billed_charge":31.00,"npi":[1588741631]}]}]},{"tin":{"type":"ein","value":"561971088"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.60,"providers":[{"billed_charge":30.00,"npi":[1093773392]}]}]},{"tin":{"type":"ein","value":"562081368"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.20,"providers":[{"billed_charge":30.00,"npi":[1316959117]}]}]},{"tin":{"type":"ein","value":"562093072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.60,"providers":[{"billed_charge":30.00,"npi":[1063580447]}]}]},{"tin":{"type":"ein","value":"562412680"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.60,"providers":[{"billed_charge":35.00,"npi":[1780775221]}]},{"allowed_amount":13.20,"providers":[{"billed_charge":35.00,"npi":[1780775221]}]}]},{"tin":{"type":"ein","value":"582068734"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.81,"providers":[{"billed_charge":17.82,"npi":[1013058742]}]}]},{"tin":{"type":"ein","value":"753174935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.01,"providers":[{"billed_charge":30.00,"npi":[1548409626]}]}]},{"tin":{"type":"ein","value":"812812014"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.20,"providers":[{"billed_charge":25.00,"npi":[1811184351]}]}]},{"tin":{"type":"ein","value":"872615714"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.59,"providers":[{"billed_charge":35.00,"npi":[1376213256]}]}]},{"tin":{"type":"ein","value":"881023633"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.20,"providers":[{"billed_charge":25.00,"npi":[1154029155]}]}]},{"tin":{"type":"ein","value":"900297706"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.98,"providers":[{"billed_charge":55.00,"npi":[1649509019]}]}]}]},{"billing_code":"97014","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"ELECTRIC STIMULATION THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":27.37,"providers":[{"billed_charge":120.46,"npi":[1073557559]}]}]}]},{"billing_code":"97016","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"VASOPNEUMATIC DEVICE THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"020708788"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.81,"providers":[{"billed_charge":37.00,"npi":[1215951843]}]},{"allowed_amount":8.29,"providers":[{"billed_charge":37.00,"npi":[1215951843]}]},{"allowed_amount":8.52,"providers":[{"billed_charge":37.00,"npi":[1215951843]}]},{"allowed_amount":8.78,"providers":[{"billed_charge":37.00,"npi":[1215951843]}]},{"allowed_amount":8.80,"providers":[{"billed_charge":37.00,"npi":[1215951843]}]},{"allowed_amount":10.10,"providers":[{"billed_charge":37.00,"npi":[1215951843]}]}]},{"tin":{"type":"ein","value":"561079264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.03,"providers":[{"billed_charge":29.13,"npi":[1376592964]}]}]},{"tin":{"type":"ein","value":"561368774"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.31,"providers":[{"billed_charge":60.00,"npi":[1457418311]}]}]}]},{"billing_code":"97018","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"PARAFFIN BATH THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"561373175"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.82,"providers":[{"billed_charge":44.00,"npi":[1205894029]}]}]}]},{"billing_code":"97018","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"PARAFFIN BATH THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"520591685"},"billing_class":"institutional","payments":[{"allowed_amount":28.82,"providers":[{"billed_charge":29.11,"npi":[1487741427]}]},{"allowed_amount":29.06,"providers":[{"billed_charge":29.35,"npi":[1487741427]}]}]}]},{"billing_code":"97024","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"DIATHERMY EG MICROWAVE","allowed_amounts":[{"tin":{"type":"ein","value":"582068734"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":7.12,"npi":[1013058742]}]}]}]},{"billing_code":"97026","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"INFRARED THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"020708788"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":37.00,"npi":[1215951843]}]}]},{"tin":{"type":"ein","value":"473974204"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.23,"providers":[{"billed_charge":35.00,"npi":[1285012161]}]}]}]},{"billing_code":"97032","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"ELECTRICAL STIMULATION","allowed_amounts":[{"tin":{"type":"ein","value":"352588159"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.86,"providers":[{"billed_charge":30.00,"npi":[1841704244]}]},{"allowed_amount":11.30,"providers":[{"billed_charge":30.00,"npi":[1841704244]}]}]},{"tin":{"type":"ein","value":"363935049"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.48,"providers":[{"billed_charge":65.00,"npi":[1083820559]}]}]},{"tin":{"type":"ein","value":"571123400"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.86,"providers":[{"billed_charge":63.00,"npi":[1497348528]}]},{"allowed_amount":11.30,"providers":[{"billed_charge":63.00,"npi":[1497348528]}]}]},{"tin":{"type":"ein","value":"571128530"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.86,"providers":[{"billed_charge":40.00,"npi":[1720049687]}]},{"allowed_amount":11.30,"providers":[{"billed_charge":25.00,"npi":[1720049687]},{"billed_charge":40.00,"npi":[1720049687]}]},{"allowed_amount":25.67,"providers":[{"billed_charge":40.00,"npi":[1720049687]}]}]},{"tin":{"type":"ein","value":"841857100"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.04,"providers":[{"billed_charge":25.00,"npi":[1689216863]}]}]},{"tin":{"type":"ein","value":"933791726"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.55,"providers":[{"billed_charge":126.54,"npi":[1164294617]}]}]}]},{"billing_code":"97035","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"ULTRASOUND THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"205111133"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.12,"providers":[{"billed_charge":39.00,"npi":[1962562819]}]}]},{"tin":{"type":"ein","value":"264482359"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.00,"providers":[{"billed_charge":25.00,"npi":[1780825893]}]}]},{"tin":{"type":"ein","value":"371349655"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.98,"providers":[{"billed_charge":55.50,"npi":[1962417444]}]},{"allowed_amount":7.32,"providers":[{"billed_charge":55.50,"npi":[1962417444]}]}]},{"tin":{"type":"ein","value":"582068734"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.84,"providers":[{"billed_charge":14.23,"npi":[1013058742]}]}]}]},{"billing_code":"97110","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"THERAPEUTIC EXERCISES","allowed_amounts":[{"tin":{"type":"ein","value":"010823935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.32,"providers":[{"billed_charge":25.00,"npi":[1205055480]}]},{"allowed_amount":17.50,"providers":[{"billed_charge":25.00,"npi":[1205055480]}]}]},{"tin":{"type":"ein","value":"020708788"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.83,"providers":[{"billed_charge":110.00,"npi":[1215951843]}]},{"allowed_amount":29.63,"providers":[{"billed_charge":110.00,"npi":[1215951843]}]},{"allowed_amount":29.99,"providers":[{"billed_charge":165.00,"npi":[1215951843]}]},{"allowed_amount":37.50,"providers":[{"billed_charge":165.00,"npi":[1215951843]}]},{"allowed_amount":38.65,"providers":[{"billed_charge":165.00,"npi":[1215951843]}]},{"allowed_amount":41.30,"providers":[{"billed_charge":110.00,"npi":[1215951843]}]}]},{"tin":{"type":"ein","value":"200976522"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.00,"providers":[{"billed_charge":40.00,"npi":[1801923461]}]}]},{"tin":{"type":"ein","value":"201900475"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.80,"providers":[{"billed_charge":30.00,"npi":[1679768030]}]}]},{"tin":{"type":"ein","value":"202313244"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.80,"providers":[{"billed_charge":49.00,"npi":[1033125240]}]}]},{"tin":{"type":"ein","value":"203095898"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.80,"providers":[{"billed_charge":45.00,"npi":[1962578716]}]}]},{"tin":{"type":"ein","value":"204448841"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":98.67,"providers":[{"billed_charge":144.00,"npi":[1225082480]}]}]},{"tin":{"type":"ein","value":"205738288"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.11,"providers":[{"billed_charge":80.00,"npi":[1558598532]}]},{"allowed_amount":11.29,"providers":[{"billed_charge":80.00,"npi":[1558598532]}]},{"allowed_amount":11.81,"providers":[{"billed_charge":80.00,"npi":[1558598532]}]},{"allowed_amount":12.80,"providers":[{"billed_charge":80.00,"npi":[1558598532]}]},{"allowed_amount":14.62,"providers":[{"billed_charge":80.00,"npi":[1558598532]}]},{"allowed_amount":15.80,"providers":[{"billed_charge":80.00,"npi":[1558598532]}]},{"allowed_amount":18.01,"providers":[{"billed_charge":80.00,"npi":[1558598532]}]},{"allowed_amount":18.08,"providers":[{"billed_charge":80.00,"npi":[1558598532]}]},{"allowed_amount":18.15,"providers":[{"billed_charge":80.00,"npi":[1558598532]}]},{"allowed_amount":19.99,"providers":[{"billed_charge":80.00,"npi":[1558598532]}]},{"allowed_amount":23.13,"providers":[{"billed_charge":80.00,"npi":[1558598532]}]},{"allowed_amount":23.80,"providers":[{"billed_charge":80.00,"npi":[1558598532]}]},{"allowed_amount":28.98,"providers":[{"billed_charge":160.00,"npi":[1558598532]}]},{"allowed_amount":29.50,"providers":[{"billed_charge":160.00,"npi":[1558598532]}]},{"allowed_amount":36.68,"providers":[{"billed_charge":160.00,"npi":[1558598532]}]},{"allowed_amount":46.89,"providers":[{"billed_charge":160.00,"npi":[1558598532]}]}]},{"tin":{"type":"ein","value":"232446104"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":83.02,"npi":[1457759128]}]}]},{"tin":{"type":"ein","value":"260228494"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.88,"providers":[{"billed_charge":56.00,"npi":[1508053489]}]},{"allowed_amount":20.00,"providers":[{"billed_charge":56.00,"npi":[1508053489]}]},{"allowed_amount":40.00,"providers":[{"billed_charge":56.00,"npi":[1508053489]}]}]},{"tin":{"type":"ein","value":"261543398"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.75,"providers":[{"billed_charge":50.00,"npi":[1750567889]}]}]},{"tin":{"type":"ein","value":"263056148"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.16,"providers":[{"billed_charge":70.00,"npi":[1811148877]}]}]},{"tin":{"type":"ein","value":"264482359"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.80,"providers":[{"billed_charge":48.00,"npi":[1780825893]}]}]},{"tin":{"type":"ein","value":"270039366"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.21,"providers":[{"billed_charge":70.50,"npi":[1780636068]}]}]},{"tin":{"type":"ein","value":"271062911"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":65.00,"npi":[1871820662]}]}]},{"tin":{"type":"ein","value":"271304558"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":24.48,"providers":[{"billed_charge":56.35,"npi":[1902133689]}]},{"allowed_amount":48.94,"providers":[{"billed_charge":112.70,"npi":[1902133689]}]},{"allowed_amount":48.96,"providers":[{"billed_charge":112.70,"npi":[1902133689]}]},{"allowed_amount":73.41,"providers":[{"billed_charge":169.05,"npi":[1902133689]}]}]},{"tin":{"type":"ein","value":"271304558"},"billing_class":"professional","service_code":["13"],"payments":[{"allowed_amount":32.39,"providers":[{"billed_charge":112.70,"npi":[1902133689]}]}]},{"tin":{"type":"ein","value":"271909137"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.44,"providers":[{"billed_charge":50.00,"npi":[1063186708]}]}]},{"tin":{"type":"ein","value":"272108073"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.19,"providers":[{"billed_charge":70.50,"npi":[1811213341]}]},{"allowed_amount":19.93,"providers":[{"billed_charge":70.50,"npi":[1811213341]}]},{"allowed_amount":32.39,"providers":[{"billed_charge":141.00,"npi":[1811213341]}]},{"allowed_amount":33.02,"providers":[{"billed_charge":70.50,"npi":[1811213341]}]},{"allowed_amount":39.87,"providers":[{"billed_charge":141.00,"npi":[1811213341]}]}]},{"tin":{"type":"ein","value":"272413974"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.24,"providers":[{"billed_charge":116.00,"npi":[1811215742]}]}]},{"tin":{"type":"ein","value":"272760356"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.54,"providers":[{"billed_charge":80.00,"npi":[1063733442]}]},{"allowed_amount":62.30,"providers":[{"billed_charge":120.00,"npi":[1063733442]}]},{"allowed_amount":83.07,"providers":[{"billed_charge":160.00,"npi":[1063733442]}]}]},{"tin":{"type":"ein","value":"274979769"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.93,"providers":[{"billed_charge":50.00,"npi":[1942508700]}]},{"allowed_amount":39.87,"providers":[{"billed_charge":100.00,"npi":[1942508700]}]}]},{"tin":{"type":"ein","value":"320095955"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.70,"providers":[{"billed_charge":72.50,"npi":[1851335459]}]},{"allowed_amount":80.00,"providers":[{"billed_charge":145.00,"npi":[1851335459]}]},{"allowed_amount":83.34,"providers":[{"billed_charge":145.00,"npi":[1851335459]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":143.25,"providers":[{"billed_charge":191.00,"npi":[1679525919]}]},{"allowed_amount":361.38,"providers":[{"billed_charge":573.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"352565487"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":26.84,"providers":[{"billed_charge":70.50,"npi":[1356894604]}]}]},{"tin":{"type":"ein","value":"352565487"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.93,"providers":[{"billed_charge":70.50,"npi":[1356894604]}]},{"allowed_amount":43.84,"providers":[{"billed_charge":141.00,"npi":[1356894604]}]},{"allowed_amount":43.85,"providers":[{"billed_charge":141.00,"npi":[1356894604]}]}]},{"tin":{"type":"ein","value":"352585937"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":42.53,"providers":[{"billed_charge":195.94,"npi":[1063952646]}]}]},{"tin":{"type":"ein","value":"352588159"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.27,"providers":[{"billed_charge":45.00,"npi":[1841704244]}]},{"allowed_amount":26.18,"providers":[{"billed_charge":45.00,"npi":[1841704244]}]},{"allowed_amount":37.46,"providers":[{"billed_charge":90.00,"npi":[1841704244]}]},{"allowed_amount":46.11,"providers":[{"billed_charge":90.00,"npi":[1841704244]}]}]},{"tin":{"type":"ein","value":"363935049"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.81,"providers":[{"billed_charge":75.00,"npi":[1083820559]}]},{"allowed_amount":23.98,"providers":[{"billed_charge":75.00,"npi":[1083820559]}]},{"allowed_amount":41.94,"providers":[{"billed_charge":150.00,"npi":[1083820559]}]},{"allowed_amount":74.52,"providers":[{"billed_charge":225.00,"npi":[1083820559]}]}]},{"tin":{"type":"ein","value":"364727660"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":101.01,"providers":[{"billed_charge":680.00,"npi":[1912266420]}]}]},{"tin":{"type":"ein","value":"371349655"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.44,"providers":[{"billed_charge":70.50,"npi":[1962417444]}]},{"allowed_amount":15.17,"providers":[{"billed_charge":70.50,"npi":[1962417444]}]},{"allowed_amount":16.19,"providers":[{"billed_charge":70.50,"npi":[1962417444]}]},{"allowed_amount":19.93,"providers":[{"billed_charge":70.50,"npi":[1962417444]}]},{"allowed_amount":30.35,"providers":[{"billed_charge":141.00,"npi":[1962417444]}]},{"allowed_amount":33.40,"providers":[{"billed_charge":141.00,"npi":[1962417444]}]},{"allowed_amount":35.10,"providers":[{"billed_charge":141.00,"npi":[1962417444]}]}]},{"tin":{"type":"ein","value":"452173691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.93,"providers":[{"billed_charge":44.00,"npi":[1558653196]}]},{"allowed_amount":24.80,"providers":[{"billed_charge":44.00,"npi":[1558653196]}]},{"allowed_amount":30.15,"providers":[{"billed_charge":44.00,"npi":[1558653196]}]}]},{"tin":{"type":"ein","value":"460678839"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":25.00,"npi":[1275882995]}]}]},{"tin":{"type":"ein","value":"461306901"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.80,"providers":[{"billed_charge":35.00,"npi":[1821342346]}]}]},{"tin":{"type":"ein","value":"462666564"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.29,"providers":[{"billed_charge":37.00,"npi":[1912343765]}]},{"allowed_amount":34.69,"providers":[{"billed_charge":74.00,"npi":[1912343765]}]}]},{"tin":{"type":"ein","value":"465165308"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.04,"providers":[{"billed_charge":85.00,"npi":[1013556315]}]}]},{"tin":{"type":"ein","value":"472015578"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.37,"providers":[{"billed_charge":141.00,"npi":[1316345705]}]}]},{"tin":{"type":"ein","value":"472413464"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":73.70,"providers":[{"billed_charge":121.00,"npi":[1780077982]}]}]},{"tin":{"type":"ein","value":"474797980"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.19,"providers":[{"billed_charge":84.19,"npi":[1912378365]}]},{"allowed_amount":39.86,"providers":[{"billed_charge":168.38,"npi":[1912378365]}]},{"allowed_amount":66.04,"providers":[{"billed_charge":252.57,"npi":[1912378365]}]}]},{"tin":{"type":"ein","value":"541869072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.65,"providers":[{"billed_charge":76.00,"npi":[1588605422]}]}]},{"tin":{"type":"ein","value":"560941814"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.84,"providers":[{"billed_charge":110.00,"npi":[1497960629]}]},{"allowed_amount":43.85,"providers":[{"billed_charge":110.00,"npi":[1497960629]}]},{"allowed_amount":65.78,"providers":[{"billed_charge":165.00,"npi":[1497960629]}]}]},{"tin":{"type":"ein","value":"560963485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.92,"providers":[{"billed_charge":65.00,"npi":[1154384568]}]}]},{"tin":{"type":"ein","value":"561079264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.93,"providers":[{"billed_charge":72.46,"npi":[1376592964]}]}]},{"tin":{"type":"ein","value":"561368774"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.65,"providers":[{"billed_charge":75.00,"npi":[1457418311]}]},{"allowed_amount":21.12,"providers":[{"billed_charge":75.00,"npi":[1457418311]}]},{"allowed_amount":21.92,"providers":[{"billed_charge":75.00,"npi":[1457418311]}]},{"allowed_amount":21.93,"providers":[{"billed_charge":75.00,"npi":[1457418311]}]},{"allowed_amount":26.70,"providers":[{"billed_charge":75.00,"npi":[1457418311]}]},{"allowed_amount":28.55,"providers":[{"billed_charge":75.00,"npi":[1457418311]}]},{"allowed_amount":28.79,"providers":[{"billed_charge":75.00,"npi":[1457418311]}]},{"allowed_amount":37.56,"providers":[{"billed_charge":150.00,"npi":[1457418311]}]},{"allowed_amount":40.03,"providers":[{"billed_charge":150.00,"npi":[1457418311]}]},{"allowed_amount":43.84,"providers":[{"billed_charge":150.00,"npi":[1457418311]}]},{"allowed_amount":43.85,"providers":[{"billed_charge":150.00,"npi":[1457418311]}]},{"allowed_amount":44.01,"providers":[{"billed_charge":150.00,"npi":[1457418311]}]},{"allowed_amount":50.71,"providers":[{"billed_charge":150.00,"npi":[1457418311]}]},{"allowed_amount":50.73,"providers":[{"billed_charge":150.00,"npi":[1457418311]}]},{"allowed_amount":55.64,"providers":[{"billed_charge":225.00,"npi":[1457418311]}]},{"allowed_amount":62.23,"providers":[{"billed_charge":225.00,"npi":[1457418311]}]},{"allowed_amount":72.63,"providers":[{"billed_charge":225.00,"npi":[1457418311]}]}]},{"tin":{"type":"ein","value":"561373175"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.93,"providers":[{"billed_charge":98.00,"npi":[1760841985]}]},{"allowed_amount":28.80,"providers":[{"billed_charge":98.00,"npi":[1760841985]}]},{"allowed_amount":72.63,"providers":[{"billed_charge":303.00,"npi":[1205894029]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.19,"providers":[{"billed_charge":133.00,"npi":[1750606174]}]},{"allowed_amount":53.66,"providers":[{"billed_charge":399.00,"npi":[1750606174]}]}]},{"tin":{"type":"ein","value":"561832637"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.70,"providers":[{"billed_charge":95.00,"npi":[1023013836]}]}]},{"tin":{"type":"ein","value":"561971088"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.79,"providers":[{"billed_charge":50.00,"npi":[1093773392]},{"billed_charge":75.00,"npi":[1093773392]}]},{"allowed_amount":28.80,"providers":[{"billed_charge":75.00,"npi":[1093773392]}]},{"allowed_amount":72.65,"providers":[{"billed_charge":180.00,"npi":[1093773392]}]}]},{"tin":{"type":"ein","value":"562071315"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.72,"providers":[{"billed_charge":85.00,"npi":[1316554397]}]},{"allowed_amount":15.96,"providers":[{"billed_charge":85.00,"npi":[1326580150]}]},{"allowed_amount":16.38,"providers":[{"billed_charge":85.00,"npi":[1316554397]}]},{"allowed_amount":19.76,"providers":[{"billed_charge":85.00,"npi":[1316554397]}]},{"allowed_amount":19.90,"providers":[{"billed_charge":85.00,"npi":[1316554397]}]},{"allowed_amount":21.92,"providers":[{"billed_charge":85.00,"npi":[1326580150,1316554397]}]},{"allowed_amount":21.93,"providers":[{"billed_charge":85.00,"npi":[1326580150]}]},{"allowed_amount":25.11,"providers":[{"billed_charge":85.00,"npi":[1316554397]}]},{"allowed_amount":30.00,"providers":[{"billed_charge":85.00,"npi":[1316554397]},{"billed_charge":170.00,"npi":[1316554397]}]},{"allowed_amount":31.69,"providers":[{"billed_charge":170.00,"npi":[1316554397]}]},{"allowed_amount":31.87,"providers":[{"billed_charge":170.00,"npi":[1316554397]}]},{"allowed_amount":32.36,"providers":[{"billed_charge":85.00,"npi":[1326580150]}]},{"allowed_amount":43.84,"providers":[{"billed_charge":170.00,"npi":[1326580150]}]},{"allowed_amount":43.85,"providers":[{"billed_charge":170.00,"npi":[1326580150]}]},{"allowed_amount":64.72,"providers":[{"billed_charge":170.00,"npi":[1326580150]}]}]},{"tin":{"type":"ein","value":"562240567"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.79,"providers":[{"billed_charge":65.75,"npi":[1144309949]}]},{"allowed_amount":28.80,"providers":[{"billed_charge":65.75,"npi":[1144309949]}]},{"allowed_amount":50.73,"providers":[{"billed_charge":131.50,"npi":[1144309949]}]},{"allowed_amount":94.58,"providers":[{"billed_charge":263.00,"npi":[1144309949]}]}]},{"tin":{"type":"ein","value":"571123400"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.19,"providers":[{"billed_charge":85.00,"npi":[1497348528]}]},{"allowed_amount":19.93,"providers":[{"billed_charge":85.00,"npi":[1497348528]}]}]},{"tin":{"type":"ein","value":"571128530"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.27,"providers":[{"billed_charge":40.00,"npi":[1720049687]}]},{"allowed_amount":26.18,"providers":[{"billed_charge":40.00,"npi":[1720049687]}]},{"allowed_amount":37.46,"providers":[{"billed_charge":80.00,"npi":[1720049687]}]},{"allowed_amount":46.11,"providers":[{"billed_charge":80.00,"npi":[1720049687]}]},{"allowed_amount":56.36,"providers":[{"billed_charge":80.00,"npi":[1720049687]}]}]},{"tin":{"type":"ein","value":"581080740"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":195.44,"providers":[{"billed_charge":258.00,"npi":[1811912611]}]}]},{"tin":{"type":"ein","value":"581155460"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.90,"providers":[{"billed_charge":85.00,"npi":[1164461190]}]},{"allowed_amount":57.60,"providers":[{"billed_charge":170.00,"npi":[1164461190]}]},{"allowed_amount":82.49,"providers":[{"billed_charge":255.00,"npi":[1164461190]}]}]},{"tin":{"type":"ein","value":"582068734"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.76,"providers":[{"billed_charge":36.01,"npi":[1013058742]}]}]},{"tin":{"type":"ein","value":"582366270"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.44,"providers":[{"billed_charge":50.00,"npi":[1174243786]}]}]},{"tin":{"type":"ein","value":"586001998"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.48,"providers":[{"billed_charge":35.00,"npi":[1811098817]}]}]},{"tin":{"type":"ein","value":"593379430"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":90.09,"providers":[{"billed_charge":279.00,"npi":[1740373547]}]}]},{"tin":{"type":"ein","value":"611871902"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.53,"providers":[{"billed_charge":150.00,"npi":[1629568647]}]}]},{"tin":{"type":"ein","value":"741159753"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.43,"providers":[{"billed_charge":39.00,"npi":[1942237466]}]}]},{"tin":{"type":"ein","value":"742653603"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.31,"providers":[{"billed_charge":73.00,"npi":[1144294661]}]}]},{"tin":{"type":"ein","value":"743055729"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.93,"providers":[{"billed_charge":64.00,"npi":[1134229669]}]},{"allowed_amount":28.80,"providers":[{"billed_charge":64.00,"npi":[1134229669]}]},{"allowed_amount":29.24,"providers":[{"billed_charge":64.00,"npi":[1134229669]}]}]},{"tin":{"type":"ein","value":"753174935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.77,"providers":[{"billed_charge":65.00,"npi":[1548409626]}]},{"allowed_amount":21.93,"providers":[{"billed_charge":65.00,"npi":[1548409626]}]},{"allowed_amount":43.84,"providers":[{"billed_charge":130.00,"npi":[1548409626]}]},{"allowed_amount":43.85,"providers":[{"billed_charge":130.00,"npi":[1548409626]}]},{"allowed_amount":65.78,"providers":[{"billed_charge":195.00,"npi":[1548409626]}]}]},{"tin":{"type":"ein","value":"813338110"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.81,"providers":[{"billed_charge":95.00,"npi":[1679148787]}]},{"allowed_amount":18.43,"providers":[{"billed_charge":95.00,"npi":[1679148787]}]},{"allowed_amount":21.92,"providers":[{"billed_charge":95.00,"npi":[1679148787]}]},{"allowed_amount":21.93,"providers":[{"billed_charge":95.00,"npi":[1679148787]}]},{"allowed_amount":36.98,"providers":[{"billed_charge":190.00,"npi":[1679148787]}]},{"allowed_amount":50.73,"providers":[{"billed_charge":190.00,"npi":[1679148787]}]}]},{"tin":{"type":"ein","value":"815016066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.46,"providers":[{"billed_charge":120.00,"npi":[1689177222]}]}]},{"tin":{"type":"ein","value":"821126062"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.73,"providers":[{"billed_charge":64.00,"npi":[1437660891]}]},{"allowed_amount":26.74,"providers":[{"billed_charge":64.00,"npi":[1437660891]}]}]},{"tin":{"type":"ein","value":"823271634"},"billing_class":"professional","service_code":["11","12"],"payments":[{"allowed_amount":21.93,"providers":[{"billed_charge":34.00,"npi":[1922639939]},{"billed_charge":34.00,"npi":[1922639939]}]}]},{"tin":{"type":"ein","value":"823359202"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.93,"providers":[{"billed_charge":60.00,"npi":[1164921862]}]}]},{"tin":{"type":"ein","value":"825293370"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.65,"providers":[{"billed_charge":135.00,"npi":[1851518997]}]},{"allowed_amount":80.00,"providers":[{"billed_charge":135.00,"npi":[1851518997]}]}]},{"tin":{"type":"ein","value":"831395475"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":43.85,"providers":[{"billed_charge":84.44,"npi":[1942854351]}]}]},{"tin":{"type":"ein","value":"834599922"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.81,"providers":[{"billed_charge":106.00,"npi":[1407482805]}]}]},{"tin":{"type":"ein","value":"841370759"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.98,"providers":[{"billed_charge":37.00,"npi":[1053507939]}]}]},{"tin":{"type":"ein","value":"841857100"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":25.00,"npi":[1689216863]}]}]},{"tin":{"type":"ein","value":"842136648"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":66.95,"providers":[{"billed_charge":192.00,"npi":[1942860176]}]}]},{"tin":{"type":"ein","value":"842385985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.98,"providers":[{"billed_charge":200.00,"npi":[1144873274]}]}]},{"tin":{"type":"ein","value":"842963024"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":69.85,"providers":[{"billed_charge":160.00,"npi":[1710520978]}]}]},{"tin":{"type":"ein","value":"843145868"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.01,"providers":[{"billed_charge":72.00,"npi":[1073137410]}]},{"allowed_amount":9.22,"providers":[{"billed_charge":72.00,"npi":[1073137410]}]},{"allowed_amount":16.14,"providers":[{"billed_charge":144.00,"npi":[1073137410]}]},{"allowed_amount":16.24,"providers":[{"billed_charge":72.00,"npi":[1073137410]}]},{"allowed_amount":17.03,"providers":[{"billed_charge":72.00,"npi":[1073137410]}]},{"allowed_amount":17.58,"providers":[{"billed_charge":72.00,"npi":[1073137410]}]},{"allowed_amount":27.15,"providers":[{"billed_charge":144.00,"npi":[1073137410]}]},{"allowed_amount":33.56,"providers":[{"billed_charge":144.00,"npi":[1073137410]}]}]},{"tin":{"type":"ein","value":"844133585"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.93,"providers":[{"billed_charge":45.00,"npi":[1194344150]}]},{"allowed_amount":39.86,"providers":[{"billed_charge":90.00,"npi":[1194344150]}]},{"allowed_amount":46.11,"providers":[{"billed_charge":90.00,"npi":[1194344150]}]}]},{"tin":{"type":"ein","value":"850975202"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.19,"providers":[{"billed_charge":45.00,"npi":[1134742141]}]},{"allowed_amount":21.27,"providers":[{"billed_charge":45.00,"npi":[1134742141]}]},{"allowed_amount":26.18,"providers":[{"billed_charge":45.00,"npi":[1134742141]}]}]},{"tin":{"type":"ein","value":"870880734"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.93,"providers":[{"billed_charge":50.00,"npi":[1346818911]}]}]},{"tin":{"type":"ein","value":"871197400"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.81,"providers":[{"billed_charge":59.64,"npi":[1063083384]}]},{"allowed_amount":16.24,"providers":[{"billed_charge":59.64,"npi":[1063083384]}]}]},{"tin":{"type":"ein","value":"871718320"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.05,"providers":[{"billed_charge":28.69,"npi":[1982358321]}]},{"allowed_amount":21.18,"providers":[{"billed_charge":28.69,"npi":[1982358321]}]},{"allowed_amount":43.69,"providers":[{"billed_charge":57.38,"npi":[1982358321]}]}]},{"tin":{"type":"ein","value":"872752630"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.92,"providers":[{"billed_charge":45.00,"npi":[1427783596]}]},{"allowed_amount":28.79,"providers":[{"billed_charge":45.00,"npi":[1427783596]}]}]},{"tin":{"type":"ein","value":"874755542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.19,"providers":[{"billed_charge":50.00,"npi":[1306598677]}]}]},{"tin":{"type":"ein","value":"900991768"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.92,"providers":[{"billed_charge":82.30,"npi":[1275972135]}]},{"allowed_amount":43.85,"providers":[{"billed_charge":164.60,"npi":[1275972135]}]}]},{"tin":{"type":"ein","value":"921854857"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.04,"providers":[{"billed_charge":70.00,"npi":[1962196287]}]},{"allowed_amount":10.13,"providers":[{"billed_charge":70.00,"npi":[1962196287]}]},{"allowed_amount":17.78,"providers":[{"billed_charge":70.00,"npi":[1962196287]}]},{"allowed_amount":18.17,"providers":[{"billed_charge":70.00,"npi":[1962196287]}]},{"allowed_amount":22.04,"providers":[{"billed_charge":70.00,"npi":[1962196287]}]}]},{"tin":{"type":"ein","value":"922460948"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":16.19,"providers":[{"billed_charge":58.00,"npi":[1043910441]}]}]}]},{"billing_code":"97110","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"THERAPEUTIC EXERCISES","allowed_amounts":[{"tin":{"type":"ein","value":"020222140"},"billing_class":"institutional","payments":[{"allowed_amount":82.65,"providers":[{"billed_charge":95.00,"npi":[1023092053]}]}]},{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":69.17,"providers":[{"billed_charge":209.00,"npi":[1790717650]}]},{"allowed_amount":171.38,"providers":[{"billed_charge":209.00,"npi":[1790717650]}]},{"allowed_amount":181.22,"providers":[{"billed_charge":221.00,"npi":[1790717650]}]}]},{"tin":{"type":"ein","value":"060646649"},"billing_class":"institutional","payments":[{"allowed_amount":263.00,"providers":[{"billed_charge":343.92,"npi":[1730137753]}]}]},{"tin":{"type":"ein","value":"232896725"},"billing_class":"institutional","payments":[{"allowed_amount":261.02,"providers":[{"billed_charge":421.00,"npi":[1487640207]}]}]},{"tin":{"type":"ein","value":"300371539"},"billing_class":"institutional","payments":[{"allowed_amount":190.72,"providers":[{"billed_charge":276.40,"npi":[1366450710]}]},{"allowed_amount":286.07,"providers":[{"billed_charge":414.60,"npi":[1366450710]}]}]},{"tin":{"type":"ein","value":"311340739"},"billing_class":"institutional","payments":[{"allowed_amount":201.00,"providers":[{"billed_charge":250.00,"npi":[1447359997]}]},{"allowed_amount":201.01,"providers":[{"billed_charge":250.00,"npi":[1447359997]}]},{"allowed_amount":301.50,"providers":[{"billed_charge":375.00,"npi":[1447359997]}]}]},{"tin":{"type":"ein","value":"314379491"},"billing_class":"institutional","payments":[{"allowed_amount":79.95,"providers":[{"billed_charge":123.00,"npi":[1942256888]}]}]},{"tin":{"type":"ein","value":"520591685"},"billing_class":"institutional","payments":[{"allowed_amount":115.29,"providers":[{"billed_charge":116.45,"npi":[1487741427]}]},{"allowed_amount":116.25,"providers":[{"billed_charge":117.42,"npi":[1487741427]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":18.10,"providers":[{"billed_charge":79.65,"npi":[1073557559]}]},{"allowed_amount":20.77,"providers":[{"billed_charge":79.65,"npi":[1073557559]}]},{"allowed_amount":29.54,"providers":[{"billed_charge":68.05,"npi":[1750333282]},{"billed_charge":79.65,"npi":[1073557559]}]},{"allowed_amount":49.63,"providers":[{"billed_charge":136.10,"npi":[1750333282]}]},{"allowed_amount":59.08,"providers":[{"billed_charge":136.10,"npi":[1750333282]}]},{"allowed_amount":70.54,"providers":[{"billed_charge":136.10,"npi":[1750333282]}]},{"allowed_amount":88.62,"providers":[{"billed_charge":204.15,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":28.29,"providers":[{"billed_charge":68.48,"npi":[1811225428]}]},{"allowed_amount":41.09,"providers":[{"billed_charge":68.48,"npi":[1811225428]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":24.18,"providers":[{"billed_charge":65.50,"npi":[1083669030]}]},{"allowed_amount":59.08,"providers":[{"billed_charge":131.00,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570337132"},"billing_class":"institutional","payments":[{"allowed_amount":18.71,"providers":[{"billed_charge":41.34,"npi":[1326408535]}]},{"allowed_amount":19.38,"providers":[{"billed_charge":41.34,"npi":[1326408535]}]},{"allowed_amount":20.41,"providers":[{"billed_charge":41.34,"npi":[1326408535]}]},{"allowed_amount":37.44,"providers":[{"billed_charge":82.68,"npi":[1326408535]}]},{"allowed_amount":38.77,"providers":[{"billed_charge":82.68,"npi":[1326408535]}]},{"allowed_amount":40.83,"providers":[{"billed_charge":82.68,"npi":[1326408535]}]},{"allowed_amount":56.15,"providers":[{"billed_charge":124.02,"npi":[1326408535]}]},{"allowed_amount":58.15,"providers":[{"billed_charge":124.02,"npi":[1326408535]}]},{"allowed_amount":61.25,"providers":[{"billed_charge":124.02,"npi":[1326408535]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":226.44,"providers":[{"billed_charge":333.00,"npi":[1154377166]}]},{"allowed_amount":301.92,"providers":[{"billed_charge":444.00,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"720652905"},"billing_class":"institutional","payments":[{"allowed_amount":144.00,"providers":[{"billed_charge":180.00,"npi":[1912943184]}]},{"allowed_amount":216.00,"providers":[{"billed_charge":270.00,"npi":[1912943184]}]}]},{"tin":{"type":"ein","value":"800818718"},"billing_class":"institutional","payments":[{"allowed_amount":170.02,"providers":[{"billed_charge":193.20,"npi":[1568727048]}]},{"allowed_amount":510.06,"providers":[{"billed_charge":579.61,"npi":[1568727048]}]},{"allowed_amount":680.07,"providers":[{"billed_charge":772.81,"npi":[1568727048]}]}]}]},{"billing_code":"97112","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"NEUROMUSCULAR REEDUCATION","allowed_amounts":[{"tin":{"type":"ein","value":"020708788"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.54,"providers":[{"billed_charge":90.00,"npi":[1215951843]}]},{"allowed_amount":24.26,"providers":[{"billed_charge":90.00,"npi":[1215951843]}]},{"allowed_amount":24.33,"providers":[{"billed_charge":90.00,"npi":[1215951843]}]},{"allowed_amount":26.91,"providers":[{"billed_charge":135.00,"npi":[1215951843]}]},{"allowed_amount":27.90,"providers":[{"billed_charge":90.00,"npi":[1215951843]}]},{"allowed_amount":34.07,"providers":[{"billed_charge":45.00,"npi":[1215951843]}]}]},{"tin":{"type":"ein","value":"203218970"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.15,"providers":[{"billed_charge":250.00,"npi":[1861555278]}]}]},{"tin":{"type":"ein","value":"205738288"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":86.00,"npi":[1558598532]}]},{"allowed_amount":11.81,"providers":[{"billed_charge":86.00,"npi":[1558598532]}]},{"allowed_amount":12.00,"providers":[{"billed_charge":86.00,"npi":[1558598532]}]},{"allowed_amount":12.55,"providers":[{"billed_charge":86.00,"npi":[1558598532]}]},{"allowed_amount":13.60,"providers":[{"billed_charge":86.00,"npi":[1558598532]}]},{"allowed_amount":13.71,"providers":[{"billed_charge":86.00,"npi":[1558598532]}]},{"allowed_amount":13.89,"providers":[{"billed_charge":86.00,"npi":[1558598532]}]},{"allowed_amount":19.14,"providers":[{"billed_charge":86.00,"npi":[1558598532]}]},{"allowed_amount":19.28,"providers":[{"billed_charge":86.00,"npi":[1558598532]}]},{"allowed_amount":20.32,"providers":[{"billed_charge":86.00,"npi":[1558598532]}]},{"allowed_amount":24.58,"providers":[{"billed_charge":86.00,"npi":[1558598532]}]},{"allowed_amount":25.89,"providers":[{"billed_charge":86.00,"npi":[1558598532]}]},{"allowed_amount":28.22,"providers":[{"billed_charge":86.00,"npi":[1558598532]}]},{"allowed_amount":30.79,"providers":[{"billed_charge":172.00,"npi":[1558598532]}]},{"allowed_amount":31.07,"providers":[{"billed_charge":172.00,"npi":[1558598532]}]},{"allowed_amount":33.11,"providers":[{"billed_charge":86.00,"npi":[1558598532]}]},{"allowed_amount":33.60,"providers":[{"billed_charge":86.00,"npi":[1558598532]}]},{"allowed_amount":36.49,"providers":[{"billed_charge":172.00,"npi":[1558598532]}]},{"allowed_amount":39.08,"providers":[{"billed_charge":172.00,"npi":[1558598532]}]},{"allowed_amount":44.74,"providers":[{"billed_charge":172.00,"npi":[1558598532]}]}]},{"tin":{"type":"ein","value":"232446104"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":96.06,"npi":[1457759128]},{"billed_charge":144.09,"npi":[1457759128]}]}]},{"tin":{"type":"ein","value":"260228494"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":56.00,"npi":[1508053489]}]},{"allowed_amount":40.00,"providers":[{"billed_charge":56.00,"npi":[1508053489]}]}]},{"tin":{"type":"ein","value":"261543398"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.39,"providers":[{"billed_charge":56.00,"npi":[1750567889]}]}]},{"tin":{"type":"ein","value":"270039366"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.41,"providers":[{"billed_charge":138.00,"npi":[1780636068]}]}]},{"tin":{"type":"ein","value":"272108073"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.79,"providers":[{"billed_charge":69.00,"npi":[1811213341]}]},{"allowed_amount":22.58,"providers":[{"billed_charge":69.00,"npi":[1811213341]}]},{"allowed_amount":45.16,"providers":[{"billed_charge":138.00,"npi":[1811213341]}]}]},{"tin":{"type":"ein","value":"272760356"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.81,"providers":[{"billed_charge":40.00,"npi":[1063733442]}]},{"allowed_amount":42.06,"providers":[{"billed_charge":80.00,"npi":[1063733442]}]}]},{"tin":{"type":"ein","value":"352565487"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":25.96,"providers":[{"billed_charge":69.00,"npi":[1356894604]}]}]},{"tin":{"type":"ein","value":"352565487"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.34,"providers":[{"billed_charge":69.00,"npi":[1356894604]}]},{"allowed_amount":32.35,"providers":[{"billed_charge":69.00,"npi":[1356894604]}]},{"allowed_amount":48.67,"providers":[{"billed_charge":138.00,"npi":[1356894604]}]},{"allowed_amount":48.69,"providers":[{"billed_charge":138.00,"npi":[1356894604]}]}]},{"tin":{"type":"ein","value":"352585937"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.34,"providers":[{"billed_charge":95.89,"npi":[1063952646]}]}]},{"tin":{"type":"ein","value":"364727660"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":132.30,"providers":[{"billed_charge":708.00,"npi":[1912266420]}]},{"allowed_amount":189.12,"providers":[{"billed_charge":1062.00,"npi":[1912266420]}]}]},{"tin":{"type":"ein","value":"371349655"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.79,"providers":[{"billed_charge":69.00,"npi":[1962417444]}]},{"allowed_amount":23.14,"providers":[{"billed_charge":69.00,"npi":[1962417444]}]},{"allowed_amount":45.16,"providers":[{"billed_charge":138.00,"npi":[1962417444]}]}]},{"tin":{"type":"ein","value":"421690623"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.06,"providers":[{"billed_charge":70.00,"npi":[1649568676]}]},{"allowed_amount":19.04,"providers":[{"billed_charge":100.00,"npi":[1649568676]}]},{"allowed_amount":24.34,"providers":[{"billed_charge":100.00,"npi":[1649568676]}]},{"allowed_amount":37.51,"providers":[{"billed_charge":200.00,"npi":[1649568676]}]},{"allowed_amount":48.69,"providers":[{"billed_charge":200.00,"npi":[1649568676]}]}]},{"tin":{"type":"ein","value":"452173691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.58,"providers":[{"billed_charge":45.00,"npi":[1558653196]}]},{"allowed_amount":30.47,"providers":[{"billed_charge":45.00,"npi":[1558653196]}]},{"allowed_amount":45.16,"providers":[{"billed_charge":90.00,"npi":[1558653196]}]},{"allowed_amount":56.86,"providers":[{"billed_charge":90.00,"npi":[1558653196]}]}]},{"tin":{"type":"ein","value":"453687569"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.34,"providers":[{"billed_charge":35.00,"npi":[1386917896]}]}]},{"tin":{"type":"ein","value":"461424427"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.34,"providers":[{"billed_charge":70.00,"npi":[1457696361]}]}]},{"tin":{"type":"ein","value":"462666564"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.54,"providers":[{"billed_charge":84.00,"npi":[1912343765]}]},{"allowed_amount":37.06,"providers":[{"billed_charge":84.00,"npi":[1912343765]}]},{"allowed_amount":45.31,"providers":[{"billed_charge":84.00,"npi":[1912343765]}]}]},{"tin":{"type":"ein","value":"465165308"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.29,"providers":[{"billed_charge":88.00,"npi":[1013556315]}]}]},{"tin":{"type":"ein","value":"472015578"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.95,"providers":[{"billed_charge":69.00,"npi":[1316345705]}]}]},{"tin":{"type":"ein","value":"473014453"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.34,"providers":[{"billed_charge":65.00,"npi":[1720471154]}]}]},{"tin":{"type":"ein","value":"541869072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.64,"providers":[{"billed_charge":72.00,"npi":[1588605422]}]},{"allowed_amount":59.71,"providers":[{"billed_charge":144.00,"npi":[1588605422]}]}]},{"tin":{"type":"ein","value":"561079264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.35,"providers":[{"billed_charge":84.02,"npi":[1376592964]}]}]},{"tin":{"type":"ein","value":"561368774"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.04,"providers":[{"billed_charge":60.00,"npi":[1457418311]}]},{"allowed_amount":24.34,"providers":[{"billed_charge":60.00,"npi":[1457418311]}]},{"allowed_amount":28.05,"providers":[{"billed_charge":60.00,"npi":[1457418311]}]},{"allowed_amount":32.34,"providers":[{"billed_charge":60.00,"npi":[1457418311]}]},{"allowed_amount":32.35,"providers":[{"billed_charge":60.00,"npi":[1457418311]}]},{"allowed_amount":38.90,"providers":[{"billed_charge":120.00,"npi":[1457418311]}]},{"allowed_amount":48.67,"providers":[{"billed_charge":120.00,"npi":[1457418311]}]},{"allowed_amount":56.69,"providers":[{"billed_charge":120.00,"npi":[1457418311]}]}]},{"tin":{"type":"ein","value":"561373175"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.35,"providers":[{"billed_charge":98.00,"npi":[1760841985]}]},{"allowed_amount":48.67,"providers":[{"billed_charge":202.00,"npi":[1205894029]}]}]},{"tin":{"type":"ein","value":"561677267"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.74,"providers":[{"billed_charge":146.76,"npi":[1407932775]}]}]},{"tin":{"type":"ein","value":"562071315"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.29,"providers":[{"billed_charge":83.00,"npi":[1316554397]}]},{"allowed_amount":15.38,"providers":[{"billed_charge":83.00,"npi":[1316554397]}]},{"allowed_amount":15.81,"providers":[{"billed_charge":83.00,"npi":[1316554397]}]},{"allowed_amount":19.07,"providers":[{"billed_charge":83.00,"npi":[1316554397]}]},{"allowed_amount":19.20,"providers":[{"billed_charge":83.00,"npi":[1316554397]}]},{"allowed_amount":20.00,"providers":[{"billed_charge":83.00,"npi":[1316554397]}]},{"allowed_amount":24.24,"providers":[{"billed_charge":83.00,"npi":[1316554397]}]},{"allowed_amount":24.34,"providers":[{"billed_charge":83.00,"npi":[1326580150]}]},{"allowed_amount":30.00,"providers":[{"billed_charge":83.00,"npi":[1316554397]},{"billed_charge":166.00,"npi":[1316554397]}]},{"allowed_amount":30.80,"providers":[{"billed_charge":166.00,"npi":[1326580150]}]},{"allowed_amount":31.23,"providers":[{"billed_charge":83.00,"npi":[1326580150]}]},{"allowed_amount":32.34,"providers":[{"billed_charge":83.00,"npi":[1326580150]}]},{"allowed_amount":48.67,"providers":[{"billed_charge":166.00,"npi":[1316554397]}]},{"allowed_amount":48.69,"providers":[{"billed_charge":166.00,"npi":[1326580150]}]},{"allowed_amount":56.68,"providers":[{"billed_charge":166.00,"npi":[1326580150]}]},{"allowed_amount":56.69,"providers":[{"billed_charge":166.00,"npi":[1326580150]}]},{"allowed_amount":72.73,"providers":[{"billed_charge":166.00,"npi":[1326580150]}]},{"allowed_amount":81.01,"providers":[{"billed_charge":249.00,"npi":[1326580150]}]}]},{"tin":{"type":"ein","value":"562322824"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.10,"providers":[{"billed_charge":80.00,"npi":[1144406539]}]}]},{"tin":{"type":"ein","value":"586001998"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.90,"providers":[{"billed_charge":35.00,"npi":[1811098817]}]}]},{"tin":{"type":"ein","value":"611871902"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.73,"providers":[{"billed_charge":135.00,"npi":[1629568647]}]}]},{"tin":{"type":"ein","value":"742653603"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":52.50,"providers":[{"billed_charge":79.00,"npi":[1144294661]}]}]},{"tin":{"type":"ein","value":"743055729"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.69,"providers":[{"billed_charge":134.00,"npi":[1134229669]}]},{"allowed_amount":60.50,"providers":[{"billed_charge":134.00,"npi":[1134229669]}]}]},{"tin":{"type":"ein","value":"753174935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.81,"providers":[{"billed_charge":65.00,"npi":[1548409626]}]},{"allowed_amount":24.34,"providers":[{"billed_charge":65.00,"npi":[1548409626]}]},{"allowed_amount":32.35,"providers":[{"billed_charge":65.00,"npi":[1548409626]}]},{"allowed_amount":47.63,"providers":[{"billed_charge":130.00,"npi":[1548409626]}]},{"allowed_amount":48.69,"providers":[{"billed_charge":130.00,"npi":[1548409626]}]},{"allowed_amount":56.69,"providers":[{"billed_charge":130.00,"npi":[1548409626]}]}]},{"tin":{"type":"ein","value":"813338110"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.21,"providers":[{"billed_charge":95.00,"npi":[1679148787]}]},{"allowed_amount":24.28,"providers":[{"billed_charge":95.00,"npi":[1679148787]}]},{"allowed_amount":32.35,"providers":[{"billed_charge":95.00,"npi":[1679148787]}]},{"allowed_amount":42.54,"providers":[{"billed_charge":190.00,"npi":[1679148787]}]},{"allowed_amount":49.50,"providers":[{"billed_charge":285.00,"npi":[1679148787]}]}]},{"tin":{"type":"ein","value":"823271634"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":56.69,"providers":[{"billed_charge":74.00,"npi":[1922639939]}]}]},{"tin":{"type":"ein","value":"823271634"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":48.69,"providers":[{"billed_charge":74.00,"npi":[1922639939]}]}]},{"tin":{"type":"ein","value":"823359202"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.34,"providers":[{"billed_charge":60.00,"npi":[1164921862]}]}]},{"tin":{"type":"ein","value":"831395475"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":24.34,"providers":[{"billed_charge":48.42,"npi":[1942854351]}]}]},{"tin":{"type":"ein","value":"831585934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.36,"providers":[{"billed_charge":86.00,"npi":[1295219616]}]}]},{"tin":{"type":"ein","value":"834599922"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.07,"providers":[{"billed_charge":61.00,"npi":[1407482805]}]}]},{"tin":{"type":"ein","value":"843145868"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":82.00,"npi":[1073137410]}]},{"allowed_amount":10.37,"providers":[{"billed_charge":82.00,"npi":[1073137410]}]},{"allowed_amount":18.29,"providers":[{"billed_charge":82.00,"npi":[1073137410]}]},{"allowed_amount":18.89,"providers":[{"billed_charge":82.00,"npi":[1073137410]}]},{"allowed_amount":19.17,"providers":[{"billed_charge":82.00,"npi":[1073137410]}]},{"allowed_amount":20.29,"providers":[{"billed_charge":164.00,"npi":[1073137410]}]},{"allowed_amount":30.56,"providers":[{"billed_charge":164.00,"npi":[1073137410]}]},{"allowed_amount":46.09,"providers":[{"billed_charge":164.00,"npi":[1073137410]}]}]},{"tin":{"type":"ein","value":"870880734"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.58,"providers":[{"billed_charge":50.00,"npi":[1346818911]}]}]},{"tin":{"type":"ein","value":"871197400"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.85,"providers":[{"billed_charge":136.92,"npi":[1063083384]}]},{"allowed_amount":39.11,"providers":[{"billed_charge":136.92,"npi":[1063083384]}]}]},{"tin":{"type":"ein","value":"871718320"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.43,"providers":[{"billed_charge":32.90,"npi":[1982358321]}]},{"allowed_amount":23.05,"providers":[{"billed_charge":32.90,"npi":[1982358321]}]},{"allowed_amount":24.01,"providers":[{"billed_charge":32.90,"npi":[1982358321]}]},{"allowed_amount":24.44,"providers":[{"billed_charge":32.90,"npi":[1982358321]}]},{"allowed_amount":26.89,"providers":[{"billed_charge":65.80,"npi":[1982358321]}]},{"allowed_amount":32.35,"providers":[{"billed_charge":32.90,"npi":[1982358321]}]},{"allowed_amount":46.38,"providers":[{"billed_charge":65.80,"npi":[1982358321]}]},{"allowed_amount":56.69,"providers":[{"billed_charge":65.80,"npi":[1982358321]}]}]},{"tin":{"type":"ein","value":"874755542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.79,"providers":[{"billed_charge":50.00,"npi":[1306598677]}]}]},{"tin":{"type":"ein","value":"882236579"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.84,"providers":[{"billed_charge":72.18,"npi":[1215668751]}]},{"allowed_amount":18.36,"providers":[{"billed_charge":72.18,"npi":[1215668751]}]},{"allowed_amount":24.18,"providers":[{"billed_charge":72.18,"npi":[1215668751]}]}]},{"tin":{"type":"ein","value":"921854857"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.33,"providers":[{"billed_charge":80.00,"npi":[1962196287]}]},{"allowed_amount":20.08,"providers":[{"billed_charge":80.00,"npi":[1962196287]}]},{"allowed_amount":24.89,"providers":[{"billed_charge":80.00,"npi":[1962196287]}]}]}]},{"billing_code":"97112","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"NEUROMUSCULAR REEDUCATION","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":168.00,"providers":[{"billed_charge":224.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":41.00,"providers":[{"billed_charge":79.11,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"570337132"},"billing_class":"institutional","payments":[{"allowed_amount":23.40,"providers":[{"billed_charge":47.39,"npi":[1326408535]}]}]}]},{"billing_code":"97113","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"AQUATIC THERAPY/EXERCISES","allowed_amounts":[{"tin":{"type":"ein","value":"364727660"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":265.74,"providers":[{"billed_charge":1792.00,"npi":[1912266420]}]}]},{"tin":{"type":"ein","value":"582515886"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":133.85,"providers":[{"billed_charge":260.00,"npi":[1326247248]}]}]}]},{"billing_code":"97116","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"GAIT TRAINING THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"205738288"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.99,"providers":[{"billed_charge":138.00,"npi":[1558598532]}]}]},{"tin":{"type":"ein","value":"260228494"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":48.00,"npi":[1508053489]}]},{"allowed_amount":21.87,"providers":[{"billed_charge":48.00,"npi":[1508053489]}]}]},{"tin":{"type":"ein","value":"461424427"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.87,"providers":[{"billed_charge":60.00,"npi":[1457696361]}]}]},{"tin":{"type":"ein","value":"561368774"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.87,"providers":[{"billed_charge":45.00,"npi":[1457418311]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.68,"providers":[{"billed_charge":104.00,"npi":[1750606174]}]}]},{"tin":{"type":"ein","value":"871718320"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.84,"providers":[{"billed_charge":28.69,"npi":[1982358321]}]}]},{"tin":{"type":"ein","value":"874755542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.68,"providers":[{"billed_charge":40.00,"npi":[1306598677]}]}]}]},{"billing_code":"97124","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"MASSAGE THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"561660546"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.35,"providers":[{"billed_charge":25.00,"npi":[1285622134]}]}]},{"tin":{"type":"ein","value":"571128530"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.50,"providers":[{"billed_charge":80.00,"npi":[1720049687]}]}]}]},{"billing_code":"97124","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"MASSAGE THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":77.26,"providers":[{"billed_charge":161.48,"npi":[1073557559]}]}]}]},{"billing_code":"97140","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"MANUAL THERAPY 1/> REGIONS","allowed_amounts":[{"tin":{"type":"ein","value":"010906078"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.52,"providers":[{"billed_charge":40.00,"npi":[1902034846]}]}]},{"tin":{"type":"ein","value":"043813297"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.42,"providers":[{"billed_charge":60.00,"npi":[1932207693]}]}]},{"tin":{"type":"ein","value":"200344297"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.97,"providers":[{"billed_charge":30.00,"npi":[1598914947]}]}]},{"tin":{"type":"ein","value":"205738288"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.44,"providers":[{"billed_charge":75.00,"npi":[1558598532]}]},{"allowed_amount":10.56,"providers":[{"billed_charge":75.00,"npi":[1558598532]}]},{"allowed_amount":10.73,"providers":[{"billed_charge":75.00,"npi":[1558598532]}]},{"allowed_amount":12.26,"providers":[{"billed_charge":75.00,"npi":[1558598532]}]},{"allowed_amount":13.90,"providers":[{"billed_charge":75.00,"npi":[1558598532]}]},{"allowed_amount":14.01,"providers":[{"billed_charge":75.00,"npi":[1558598532]}]},{"allowed_amount":15.01,"providers":[{"billed_charge":75.00,"npi":[1558598532]}]},{"allowed_amount":17.18,"providers":[{"billed_charge":75.00,"npi":[1558598532]}]},{"allowed_amount":17.24,"providers":[{"billed_charge":75.00,"npi":[1558598532]}]},{"allowed_amount":17.43,"providers":[{"billed_charge":75.00,"npi":[1558598532]}]},{"allowed_amount":18.99,"providers":[{"billed_charge":75.00,"npi":[1558598532]}]},{"allowed_amount":20.48,"providers":[{"billed_charge":75.00,"npi":[1558598532]}]},{"allowed_amount":22.60,"providers":[{"billed_charge":75.00,"npi":[1558598532]}]}]},{"tin":{"type":"ein","value":"272108073"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.04,"providers":[{"billed_charge":69.00,"npi":[1811213341]}]},{"allowed_amount":20.05,"providers":[{"billed_charge":69.00,"npi":[1811213341]}]},{"allowed_amount":30.51,"providers":[{"billed_charge":69.00,"npi":[1811213341]}]},{"allowed_amount":40.08,"providers":[{"billed_charge":138.00,"npi":[1811213341]}]},{"allowed_amount":40.09,"providers":[{"billed_charge":138.00,"npi":[1811213341]}]}]},{"tin":{"type":"ein","value":"272760356"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.14,"providers":[{"billed_charge":44.00,"npi":[1063733442]}]}]},{"tin":{"type":"ein","value":"274979769"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.05,"providers":[{"billed_charge":50.00,"npi":[1942508700]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":211.81,"providers":[{"billed_charge":366.00,"npi":[1679525919]}]},{"allowed_amount":243.15,"providers":[{"billed_charge":366.00,"npi":[1679525919]}]},{"allowed_amount":349.06,"providers":[{"billed_charge":549.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"352565487"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.48,"providers":[{"billed_charge":69.00,"npi":[1356894604]}]},{"allowed_amount":40.96,"providers":[{"billed_charge":138.00,"npi":[1356894604]}]},{"allowed_amount":45.21,"providers":[{"billed_charge":138.00,"npi":[1356894604]}]},{"allowed_amount":47.02,"providers":[{"billed_charge":138.00,"npi":[1356894604]}]}]},{"tin":{"type":"ein","value":"363935049"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.04,"providers":[{"billed_charge":75.00,"npi":[1083820559]}]}]},{"tin":{"type":"ein","value":"364727660"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.48,"providers":[{"billed_charge":312.00,"npi":[1912266420]}]}]},{"tin":{"type":"ein","value":"371349655"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.43,"providers":[{"billed_charge":69.00,"npi":[1962417444]}]},{"allowed_amount":14.14,"providers":[{"billed_charge":69.00,"npi":[1962417444]}]},{"allowed_amount":28.28,"providers":[{"billed_charge":138.00,"npi":[1962417444]}]},{"allowed_amount":40.08,"providers":[{"billed_charge":138.00,"npi":[1962417444]}]}]},{"tin":{"type":"ein","value":"452173691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.05,"providers":[{"billed_charge":41.00,"npi":[1558653196]}]},{"allowed_amount":28.48,"providers":[{"billed_charge":41.00,"npi":[1558653196]}]}]},{"tin":{"type":"ein","value":"453687569"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.48,"providers":[{"billed_charge":35.00,"npi":[1386917896]}]}]},{"tin":{"type":"ein","value":"460678839"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.43,"providers":[{"billed_charge":29.00,"npi":[1275882995]}]}]},{"tin":{"type":"ein","value":"461424427"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.38,"providers":[{"billed_charge":112.00,"npi":[1457696361]}]}]},{"tin":{"type":"ein","value":"462666564"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.38,"providers":[{"billed_charge":34.00,"npi":[1912343765]}]}]},{"tin":{"type":"ein","value":"465165308"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.37,"providers":[{"billed_charge":120.00,"npi":[1013556315]}]}]},{"tin":{"type":"ein","value":"472015578"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.08,"providers":[{"billed_charge":69.00,"npi":[1316345705]}]}]},{"tin":{"type":"ein","value":"473014453"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.48,"providers":[{"billed_charge":55.00,"npi":[1720471154]}]}]},{"tin":{"type":"ein","value":"473974204"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.02,"providers":[{"billed_charge":90.00,"npi":[1285012161]}]},{"allowed_amount":59.79,"providers":[{"billed_charge":90.00,"npi":[1285012161]}]}]},{"tin":{"type":"ein","value":"541869072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.09,"providers":[{"billed_charge":59.00,"npi":[1588605422]}]}]},{"tin":{"type":"ein","value":"560941814"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.69,"providers":[{"billed_charge":50.00,"npi":[1497960629]}]},{"allowed_amount":20.48,"providers":[{"billed_charge":50.00,"npi":[1497960629]}]}]},{"tin":{"type":"ein","value":"561079264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.48,"providers":[{"billed_charge":66.72,"npi":[1376592964]}]}]},{"tin":{"type":"ein","value":"561368774"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.97,"providers":[{"billed_charge":70.00,"npi":[1457418311]}]},{"allowed_amount":17.77,"providers":[{"billed_charge":70.00,"npi":[1457418311]}]},{"allowed_amount":18.93,"providers":[{"billed_charge":70.00,"npi":[1457418311]}]},{"allowed_amount":19.69,"providers":[{"billed_charge":70.00,"npi":[1457418311]}]},{"allowed_amount":19.98,"providers":[{"billed_charge":70.00,"npi":[1457418311]}]},{"allowed_amount":20.48,"providers":[{"billed_charge":70.00,"npi":[1457418311]}]},{"allowed_amount":25.25,"providers":[{"billed_charge":70.00,"npi":[1457418311]}]},{"allowed_amount":27.01,"providers":[{"billed_charge":70.00,"npi":[1457418311]}]},{"allowed_amount":35.99,"providers":[{"billed_charge":140.00,"npi":[1457418311]}]},{"allowed_amount":39.38,"providers":[{"billed_charge":140.00,"npi":[1457418311]}]},{"allowed_amount":40.96,"providers":[{"billed_charge":140.00,"npi":[1457418311]}]},{"allowed_amount":54.01,"providers":[{"billed_charge":140.00,"npi":[1457418311]}]}]},{"tin":{"type":"ein","value":"561373175"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.96,"providers":[{"billed_charge":196.00,"npi":[1760841985]}]}]},{"tin":{"type":"ein","value":"561660546"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.85,"providers":[{"billed_charge":25.00,"npi":[1285622134]}]},{"allowed_amount":29.70,"providers":[{"billed_charge":50.00,"npi":[1285622134]}]}]},{"tin":{"type":"ein","value":"561971088"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.54,"providers":[{"billed_charge":45.00,"npi":[1093773392]}]}]},{"tin":{"type":"ein","value":"562071315"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.30,"providers":[{"billed_charge":70.00,"npi":[1316554397]}]},{"allowed_amount":13.67,"providers":[{"billed_charge":70.00,"npi":[1316554397]}]},{"allowed_amount":16.61,"providers":[{"billed_charge":70.00,"npi":[1316554397]}]},{"allowed_amount":19.69,"providers":[{"billed_charge":70.00,"npi":[1326580150,1316554397]}]},{"allowed_amount":20.48,"providers":[{"billed_charge":70.00,"npi":[1326580150]}]},{"allowed_amount":27.01,"providers":[{"billed_charge":70.00,"npi":[1326580150]}]},{"allowed_amount":40.96,"providers":[{"billed_charge":140.00,"npi":[1326580150]}]}]},{"tin":{"type":"ein","value":"562081368"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.85,"providers":[{"billed_charge":45.00,"npi":[1316959117]}]}]},{"tin":{"type":"ein","value":"562093072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.54,"providers":[{"billed_charge":35.00,"npi":[1063580447]}]}]},{"tin":{"type":"ein","value":"562240567"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.96,"providers":[{"billed_charge":156.20,"npi":[1144309949]}]},{"allowed_amount":59.07,"providers":[{"billed_charge":234.30,"npi":[1144309949]}]},{"allowed_amount":61.44,"providers":[{"billed_charge":234.30,"npi":[1144309949]}]}]},{"tin":{"type":"ein","value":"571123400"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.04,"providers":[{"billed_charge":70.00,"npi":[1497348528]}]},{"allowed_amount":20.05,"providers":[{"billed_charge":70.00,"npi":[1497348528]}]}]},{"tin":{"type":"ein","value":"571128530"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.04,"providers":[{"billed_charge":45.00,"npi":[1720049687]}]},{"allowed_amount":20.05,"providers":[{"billed_charge":45.00,"npi":[1720049687]}]},{"allowed_amount":27.78,"providers":[{"billed_charge":45.00,"npi":[1720049687]}]}]},{"tin":{"type":"ein","value":"581080740"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.56,"providers":[{"billed_charge":72.00,"npi":[1811912611]}]}]},{"tin":{"type":"ein","value":"581155460"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.83,"providers":[{"billed_charge":67.00,"npi":[1164461190]}]}]},{"tin":{"type":"ein","value":"582366270"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.77,"providers":[{"billed_charge":50.00,"npi":[1174243786]}]}]},{"tin":{"type":"ein","value":"611871902"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.74,"providers":[{"billed_charge":92.00,"npi":[1629568647]}]}]},{"tin":{"type":"ein","value":"741159753"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.64,"providers":[{"billed_charge":36.00,"npi":[1942237466]}]}]},{"tin":{"type":"ein","value":"743055729"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.48,"providers":[{"billed_charge":59.00,"npi":[1134229669]}]},{"allowed_amount":27.31,"providers":[{"billed_charge":59.00,"npi":[1134229669]}]}]},{"tin":{"type":"ein","value":"753174935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.14,"providers":[{"billed_charge":75.00,"npi":[1548409626]}]},{"allowed_amount":20.48,"providers":[{"billed_charge":75.00,"npi":[1548409626]}]},{"allowed_amount":38.28,"providers":[{"billed_charge":150.00,"npi":[1548409626]}]},{"allowed_amount":40.96,"providers":[{"billed_charge":150.00,"npi":[1548409626]}]},{"allowed_amount":61.44,"providers":[{"billed_charge":225.00,"npi":[1548409626]}]}]},{"tin":{"type":"ein","value":"811805826"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.69,"providers":[{"billed_charge":80.00,"npi":[1699791129]}]}]},{"tin":{"type":"ein","value":"813338110"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.74,"providers":[{"billed_charge":95.00,"npi":[1679148787]}]},{"allowed_amount":20.48,"providers":[{"billed_charge":95.00,"npi":[1679148787]}]},{"allowed_amount":28.00,"providers":[{"billed_charge":190.00,"npi":[1679148787]}]},{"allowed_amount":30.50,"providers":[{"billed_charge":190.00,"npi":[1679148787]}]},{"allowed_amount":37.36,"providers":[{"billed_charge":190.00,"npi":[1679148787]}]},{"allowed_amount":37.46,"providers":[{"billed_charge":190.00,"npi":[1679148787]}]},{"allowed_amount":39.38,"providers":[{"billed_charge":190.00,"npi":[1679148787]}]},{"allowed_amount":40.96,"providers":[{"billed_charge":190.00,"npi":[1679148787]}]},{"allowed_amount":59.07,"providers":[{"billed_charge":285.00,"npi":[1679148787]}]},{"allowed_amount":87.98,"providers":[{"billed_charge":380.00,"npi":[1679148787]}]}]},{"tin":{"type":"ein","value":"815016066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.87,"providers":[{"billed_charge":80.00,"npi":[1689177222]}]}]},{"tin":{"type":"ein","value":"824003859"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.02,"providers":[{"billed_charge":158.70,"npi":[1639687965]}]}]},{"tin":{"type":"ein","value":"825293370"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.48,"providers":[{"billed_charge":50.00,"npi":[1851518997]}]}]},{"tin":{"type":"ein","value":"834599922"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.12,"providers":[{"billed_charge":50.00,"npi":[1407482805]}]}]},{"tin":{"type":"ein","value":"841857100"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.43,"providers":[{"billed_charge":29.00,"npi":[1689216863]}]},{"allowed_amount":17.40,"providers":[{"billed_charge":29.00,"npi":[1689216863]}]}]},{"tin":{"type":"ein","value":"843145868"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.56,"providers":[{"billed_charge":66.00,"npi":[1073137410]}]},{"allowed_amount":15.83,"providers":[{"billed_charge":66.00,"npi":[1073137410]}]},{"allowed_amount":16.33,"providers":[{"billed_charge":66.00,"npi":[1073137410]}]}]},{"tin":{"type":"ein","value":"871718320"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.14,"providers":[{"billed_charge":26.45,"npi":[1982358321]}]},{"allowed_amount":20.41,"providers":[{"billed_charge":26.45,"npi":[1982358321]}]}]},{"tin":{"type":"ein","value":"872752630"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.69,"providers":[{"billed_charge":50.00,"npi":[1427783596]}]},{"allowed_amount":59.07,"providers":[{"billed_charge":150.00,"npi":[1427783596]}]}]},{"tin":{"type":"ein","value":"874755542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.04,"providers":[{"billed_charge":50.00,"npi":[1306598677]}]}]},{"tin":{"type":"ein","value":"882236579"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.00,"providers":[{"billed_charge":57.74,"npi":[1215668751]}]},{"allowed_amount":15.06,"providers":[{"billed_charge":57.74,"npi":[1215668751]}]},{"allowed_amount":19.83,"providers":[{"billed_charge":57.74,"npi":[1215668751]}]}]},{"tin":{"type":"ein","value":"900297706"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.30,"providers":[{"billed_charge":60.00,"npi":[1649509019]}]}]},{"tin":{"type":"ein","value":"900991768"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.69,"providers":[{"billed_charge":63.07,"npi":[1275972135]}]},{"allowed_amount":20.48,"providers":[{"billed_charge":63.07,"npi":[1275972135]}]}]},{"tin":{"type":"ein","value":"921854857"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.72,"providers":[{"billed_charge":60.00,"npi":[1962196287]}]},{"allowed_amount":8.80,"providers":[{"billed_charge":60.00,"npi":[1962196287]}]},{"allowed_amount":15.45,"providers":[{"billed_charge":60.00,"npi":[1962196287]}]},{"allowed_amount":15.78,"providers":[{"billed_charge":60.00,"npi":[1962196287]}]}]}]},{"billing_code":"97140","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"MANUAL THERAPY 1/> REGIONS","allowed_amounts":[{"tin":{"type":"ein","value":"020222140"},"billing_class":"institutional","payments":[{"allowed_amount":285.36,"providers":[{"billed_charge":328.00,"npi":[1023092053]}]},{"allowed_amount":428.04,"providers":[{"billed_charge":492.00,"npi":[1023092053]}]}]},{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":64.19,"providers":[{"billed_charge":194.00,"npi":[1790717650]}]},{"allowed_amount":159.08,"providers":[{"billed_charge":194.00,"npi":[1790717650]}]},{"allowed_amount":168.92,"providers":[{"billed_charge":206.00,"npi":[1790717650]}]}]},{"tin":{"type":"ein","value":"300371539"},"billing_class":"institutional","payments":[{"allowed_amount":83.73,"providers":[{"billed_charge":121.35,"npi":[1366450710]}]}]},{"tin":{"type":"ein","value":"311340739"},"billing_class":"institutional","payments":[{"allowed_amount":99.69,"providers":[{"billed_charge":124.00,"npi":[1447359997]}]},{"allowed_amount":99.70,"providers":[{"billed_charge":124.00,"npi":[1447359997]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":200.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"520591685"},"billing_class":"institutional","payments":[{"allowed_amount":115.29,"providers":[{"billed_charge":116.45,"npi":[1487741427]}]},{"allowed_amount":116.25,"providers":[{"billed_charge":117.42,"npi":[1487741427]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":67.62,"providers":[{"billed_charge":125.08,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":83.64,"providers":[{"billed_charge":123.00,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"800818718"},"billing_class":"institutional","payments":[{"allowed_amount":159.39,"providers":[{"billed_charge":181.12,"npi":[1568727048]}]}]}]},{"billing_code":"97150","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"GROUP THERAPEUTIC PROCEDURES","allowed_amounts":[{"tin":{"type":"ein","value":"821761637"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.60,"providers":[{"billed_charge":20.00,"npi":[1790215333]}]},{"allowed_amount":16.99,"providers":[{"billed_charge":20.00,"npi":[1790215333]}]},{"allowed_amount":17.48,"providers":[{"billed_charge":20.00,"npi":[1790215333]}]}]}]},{"billing_code":"97151","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Psychological","description":"BHV ID ASSMT BY PHYS/QHP","allowed_amounts":[{"tin":{"type":"ein","value":"141859573"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":165.00,"providers":[{"billed_charge":330.00,"npi":[1417477175]}]}]},{"tin":{"type":"ein","value":"203511076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":167.76,"providers":[{"billed_charge":1120.00,"npi":[1639320203]}]}]},{"tin":{"type":"ein","value":"464687452"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":383.68,"providers":[{"billed_charge":600.00,"npi":[1164847752]}]}]},{"tin":{"type":"ein","value":"812214687"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":180.00,"providers":[{"billed_charge":400.00,"npi":[1841654050]}]},{"allowed_amount":191.84,"providers":[{"billed_charge":400.00,"npi":[1841654050]}]},{"allowed_amount":360.00,"providers":[{"billed_charge":800.00,"npi":[1841654050]}]},{"allowed_amount":383.68,"providers":[{"billed_charge":800.00,"npi":[1841654050]}]},{"allowed_amount":396.56,"providers":[{"billed_charge":800.00,"npi":[1841654050]}]},{"allowed_amount":435.18,"providers":[{"billed_charge":800.00,"npi":[1841654050]}]},{"allowed_amount":540.00,"providers":[{"billed_charge":1200.00,"npi":[1841654050]}]}]},{"tin":{"type":"ein","value":"832459316"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.92,"providers":[{"billed_charge":285.00,"npi":[1649947656]}]},{"allowed_amount":143.88,"providers":[{"billed_charge":427.50,"npi":[1649947656]}]},{"allowed_amount":191.84,"providers":[{"billed_charge":570.00,"npi":[1649947656]}]}]},{"tin":{"type":"ein","value":"842531685"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":383.68,"providers":[{"billed_charge":1100.00,"npi":[1770138265]}]},{"allowed_amount":575.52,"providers":[{"billed_charge":1650.00,"npi":[1770138265]}]}]},{"tin":{"type":"ein","value":"852720931"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":283.33,"providers":[{"billed_charge":1400.00,"npi":[1639782881]}]},{"allowed_amount":450.00,"providers":[{"billed_charge":1400.00,"npi":[1639782881]}]}]},{"tin":{"type":"ein","value":"873509334"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":191.84,"providers":[{"billed_charge":720.00,"npi":[1891453510]}]},{"allowed_amount":383.68,"providers":[{"billed_charge":1440.00,"npi":[1891453510]}]}]}]},{"billing_code":"97153","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Psychological","description":"ADAPTIVE BEHAVIOR TX BY TECH","allowed_amounts":[{"tin":{"type":"ein","value":"141859573"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.50,"providers":[{"billed_charge":225.00,"npi":[1417477175]}]},{"allowed_amount":137.50,"providers":[{"billed_charge":275.00,"npi":[1417477175]}]},{"allowed_amount":150.00,"providers":[{"billed_charge":300.00,"npi":[1417477175]}]},{"allowed_amount":162.50,"providers":[{"billed_charge":325.00,"npi":[1417477175]}]},{"allowed_amount":187.50,"providers":[{"billed_charge":375.00,"npi":[1417477175]}]},{"allowed_amount":287.50,"providers":[{"billed_charge":575.00,"npi":[1417477175]}]},{"allowed_amount":300.00,"providers":[{"billed_charge":600.00,"npi":[1417477175]}]}]},{"tin":{"type":"ein","value":"203511076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":171.05,"providers":[{"billed_charge":652.30,"npi":[1639320203]}]},{"allowed_amount":186.60,"providers":[{"billed_charge":711.60,"npi":[1639320203]}]},{"allowed_amount":186.62,"providers":[{"billed_charge":830.20,"npi":[1639320203]}]},{"allowed_amount":217.70,"providers":[{"billed_charge":830.20,"npi":[1639320203]}]},{"allowed_amount":248.80,"providers":[{"billed_charge":948.80,"npi":[1639320203]}]},{"allowed_amount":266.60,"providers":[{"billed_charge":1186.00,"npi":[1639320203]}]},{"allowed_amount":279.90,"providers":[{"billed_charge":1067.40,"npi":[1639320203]}]},{"allowed_amount":306.59,"providers":[{"billed_charge":1363.90,"npi":[1639320203]}]},{"allowed_amount":311.00,"providers":[{"billed_charge":1186.00,"npi":[1639320203]}]},{"allowed_amount":333.25,"providers":[{"billed_charge":1482.50,"npi":[1639320203]}]},{"allowed_amount":342.10,"providers":[{"billed_charge":1304.60,"npi":[1639320203]}]},{"allowed_amount":357.65,"providers":[{"billed_charge":1363.90,"npi":[1639320203]}]},{"allowed_amount":359.91,"providers":[{"billed_charge":1601.10,"npi":[1639320203]}]},{"allowed_amount":373.20,"providers":[{"billed_charge":1423.20,"npi":[1639320203]}]},{"allowed_amount":373.24,"providers":[{"billed_charge":1660.40,"npi":[1639320203]}]},{"allowed_amount":388.75,"providers":[{"billed_charge":1482.50,"npi":[1639320203]}]},{"allowed_amount":404.30,"providers":[{"billed_charge":1541.80,"npi":[1639320203]}]},{"allowed_amount":419.85,"providers":[{"billed_charge":1601.10,"npi":[1639320203]}]},{"allowed_amount":435.40,"providers":[{"billed_charge":1660.40,"npi":[1639320203]}]},{"allowed_amount":450.95,"providers":[{"billed_charge":1719.70,"npi":[1639320203]}]},{"allowed_amount":466.50,"providers":[{"billed_charge":1779.00,"npi":[1639320203]}]},{"allowed_amount":482.05,"providers":[{"billed_charge":1838.30,"npi":[1639320203]}]},{"allowed_amount":497.60,"providers":[{"billed_charge":1897.60,"npi":[1639320203]}]}]},{"tin":{"type":"ein","value":"203511076"},"billing_class":"professional","service_code":["11","99"],"payments":[{"allowed_amount":226.61,"providers":[{"billed_charge":1008.10,"npi":[1639320203]},{"billed_charge":1008.10,"npi":[1639320203]}]},{"allowed_amount":293.26,"providers":[{"billed_charge":1304.60,"npi":[1639320203]},{"billed_charge":1304.60,"npi":[1639320203]}]},{"allowed_amount":346.58,"providers":[{"billed_charge":1541.80,"npi":[1639320203]},{"billed_charge":1541.80,"npi":[1639320203]}]},{"allowed_amount":399.90,"providers":[{"billed_charge":1779.00,"npi":[1639320203]},{"billed_charge":1779.00,"npi":[1639320203]}]},{"allowed_amount":413.23,"providers":[{"billed_charge":1838.30,"npi":[1639320203]},{"billed_charge":1838.30,"npi":[1639320203]}]},{"allowed_amount":426.56,"providers":[{"billed_charge":1897.60,"npi":[1639320203]},{"billed_charge":1897.60,"npi":[1639320203]}]}]},{"tin":{"type":"ein","value":"203511076"},"billing_class":"professional","service_code":["99"],"payments":[{"allowed_amount":79.98,"providers":[{"billed_charge":355.80,"npi":[1639320203]}]},{"allowed_amount":133.30,"providers":[{"billed_charge":593.00,"npi":[1639320203]}]},{"allowed_amount":145.10,"providers":[{"billed_charge":593.00,"npi":[1639320203]}]},{"allowed_amount":146.63,"providers":[{"billed_charge":652.30,"npi":[1639320203]}]},{"allowed_amount":213.28,"providers":[{"billed_charge":948.80,"npi":[1639320203]}]},{"allowed_amount":239.94,"providers":[{"billed_charge":1067.40,"npi":[1639320203]}]},{"allowed_amount":253.27,"providers":[{"billed_charge":1126.70,"npi":[1639320203]}]}]},{"tin":{"type":"ein","value":"272862375"},"billing_class":"professional","service_code":["03"],"payments":[{"allowed_amount":556.40,"providers":[{"billed_charge":556.40,"npi":[1457637977]}]}]},{"tin":{"type":"ein","value":"464687452"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":525.00,"providers":[{"billed_charge":750.00,"npi":[1164847752]}]}]},{"tin":{"type":"ein","value":"464687452"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":560.00,"providers":[{"billed_charge":800.00,"npi":[1164847752]},{"billed_charge":800.00,"npi":[1164847752]}]},{"allowed_amount":630.00,"providers":[{"billed_charge":900.00,"npi":[1164847752]},{"billed_charge":900.00,"npi":[1164847752]}]},{"allowed_amount":700.00,"providers":[{"billed_charge":1000.00,"npi":[1164847752]},{"billed_charge":1000.00,"npi":[1164847752]}]}]},{"tin":{"type":"ein","value":"464687452"},"billing_class":"professional","service_code":["11","99"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":1000.00,"npi":[1164847752]},{"billed_charge":600.00,"npi":[1164847752]}]}]},{"tin":{"type":"ein","value":"471634440"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":480.00,"providers":[{"billed_charge":480.00,"npi":[1174978480]}]}]},{"tin":{"type":"ein","value":"812214687"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":132.76,"providers":[{"billed_charge":296.00,"npi":[1841654050]}]},{"allowed_amount":408.46,"providers":[{"billed_charge":962.00,"npi":[1841654050]}]},{"allowed_amount":466.20,"providers":[{"billed_charge":1036.00,"npi":[1841654050]}]},{"allowed_amount":471.30,"providers":[{"billed_charge":1110.00,"npi":[1841654050]}]},{"allowed_amount":497.85,"providers":[{"billed_charge":1110.00,"npi":[1841654050]}]},{"allowed_amount":531.04,"providers":[{"billed_charge":1184.00,"npi":[1841654050]}]},{"allowed_amount":532.80,"providers":[{"billed_charge":1184.00,"npi":[1841654050]}]},{"allowed_amount":534.14,"providers":[{"billed_charge":1258.00,"npi":[1841654050]}]},{"allowed_amount":564.23,"providers":[{"billed_charge":1258.00,"npi":[1841654050]}]},{"allowed_amount":566.10,"providers":[{"billed_charge":1258.00,"npi":[1841654050]}]},{"allowed_amount":582.54,"providers":[{"billed_charge":1184.00,"npi":[1841654050]}]},{"allowed_amount":599.40,"providers":[{"billed_charge":1332.00,"npi":[1841654050]}]},{"allowed_amount":618.95,"providers":[{"billed_charge":1258.00,"npi":[1841654050]}]},{"allowed_amount":628.40,"providers":[{"billed_charge":1480.00,"npi":[1841654050]}]},{"allowed_amount":655.36,"providers":[{"billed_charge":1332.00,"npi":[1841654050]}]},{"allowed_amount":666.00,"providers":[{"billed_charge":1480.00,"npi":[1841654050]}]},{"allowed_amount":683.76,"providers":[{"billed_charge":1628.00,"npi":[1841654050]}]},{"allowed_amount":691.24,"providers":[{"billed_charge":1628.00,"npi":[1841654050]}]},{"allowed_amount":691.78,"providers":[{"billed_charge":1406.00,"npi":[1841654050]}]},{"allowed_amount":699.30,"providers":[{"billed_charge":1554.00,"npi":[1841654050]}]},{"allowed_amount":722.66,"providers":[{"billed_charge":1702.00,"npi":[1841654050]}]},{"allowed_amount":728.18,"providers":[{"billed_charge":1480.00,"npi":[1841654050]}]},{"allowed_amount":732.60,"providers":[{"billed_charge":1628.00,"npi":[1841654050]}]},{"allowed_amount":754.08,"providers":[{"billed_charge":1776.00,"npi":[1841654050]}]},{"allowed_amount":765.90,"providers":[{"billed_charge":1702.00,"npi":[1841654050]}]},{"allowed_amount":796.56,"providers":[{"billed_charge":1776.00,"npi":[1841654050]}]},{"allowed_amount":832.50,"providers":[{"billed_charge":1850.00,"npi":[1841654050]}]},{"allowed_amount":862.94,"providers":[{"billed_charge":1924.00,"npi":[1841654050]}]},{"allowed_amount":865.80,"providers":[{"billed_charge":1924.00,"npi":[1841654050]}]},{"allowed_amount":879.76,"providers":[{"billed_charge":2072.00,"npi":[1841654050]}]},{"allowed_amount":899.10,"providers":[{"billed_charge":1998.00,"npi":[1841654050]}]},{"allowed_amount":911.18,"providers":[{"billed_charge":2146.00,"npi":[1841654050]}]},{"allowed_amount":932.40,"providers":[{"billed_charge":2072.00,"npi":[1841654050]}]},{"allowed_amount":946.64,"providers":[{"billed_charge":1924.00,"npi":[1841654050]}]},{"allowed_amount":963.48,"providers":[{"billed_charge":2294.00,"npi":[1841654050]}]},{"allowed_amount":965.70,"providers":[{"billed_charge":2146.00,"npi":[1841654050]}]},{"allowed_amount":974.02,"providers":[{"billed_charge":2294.00,"npi":[1841654050]}]},{"allowed_amount":994.56,"providers":[{"billed_charge":2368.00,"npi":[1841654050]}]},{"allowed_amount":995.70,"providers":[{"billed_charge":2220.00,"npi":[1841654050]}]},{"allowed_amount":999.00,"providers":[{"billed_charge":2220.00,"npi":[1841654050]}]},{"allowed_amount":1005.44,"providers":[{"billed_charge":2368.00,"npi":[1841654050]}]},{"allowed_amount":1028.89,"providers":[{"billed_charge":2294.00,"npi":[1841654050]}]},{"allowed_amount":1032.30,"providers":[{"billed_charge":2294.00,"npi":[1841654050]}]},{"allowed_amount":1055.86,"providers":[{"billed_charge":2146.00,"npi":[1841654050]}]},{"allowed_amount":1062.08,"providers":[{"billed_charge":2368.00,"npi":[1841654050]}]},{"allowed_amount":1065.60,"providers":[{"billed_charge":2368.00,"npi":[1841654050]}]},{"allowed_amount":1165.09,"providers":[{"billed_charge":2368.00,"npi":[1841654050]}]}]},{"tin":{"type":"ein","value":"831379913"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":250.00,"providers":[{"billed_charge":312.50,"npi":[1508348988]}]}]},{"tin":{"type":"ein","value":"832459316"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":314.20,"providers":[{"billed_charge":1725.00,"npi":[1649947656]}]},{"allowed_amount":377.04,"providers":[{"billed_charge":2070.00,"npi":[1649947656]}]},{"allowed_amount":502.72,"providers":[{"billed_charge":2760.00,"npi":[1649947656]}]},{"allowed_amount":565.56,"providers":[{"billed_charge":3105.00,"npi":[1649947656]}]},{"allowed_amount":816.92,"providers":[{"billed_charge":4485.00,"npi":[1649947656]}]}]},{"tin":{"type":"ein","value":"842531685"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":439.88,"providers":[{"billed_charge":1155.00,"npi":[1770138265]}]}]},{"tin":{"type":"ein","value":"852720931"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":55.10,"providers":[{"billed_charge":675.00,"npi":[1639782881]}]},{"allowed_amount":73.47,"providers":[{"billed_charge":900.00,"npi":[1639782881]}]},{"allowed_amount":119.39,"providers":[{"billed_charge":1462.50,"npi":[1639782881]}]},{"allowed_amount":128.57,"providers":[{"billed_charge":1575.00,"npi":[1639782881]}]},{"allowed_amount":188.89,"providers":[{"billed_charge":900.00,"npi":[1639782881]}]},{"allowed_amount":251.36,"providers":[{"billed_charge":900.00,"npi":[1639782881]}]},{"allowed_amount":272.73,"providers":[{"billed_charge":900.00,"npi":[1639782881]}]},{"allowed_amount":330.55,"providers":[{"billed_charge":1575.00,"npi":[1639782881]}]},{"allowed_amount":330.56,"providers":[{"billed_charge":1575.00,"npi":[1639782881]}]},{"allowed_amount":439.88,"providers":[{"billed_charge":1575.00,"npi":[1639782881]}]},{"allowed_amount":477.27,"providers":[{"billed_charge":1575.00,"npi":[1639782881]}]}]},{"tin":{"type":"ein","value":"873199879"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":879.76,"providers":[{"billed_charge":1050.00,"npi":[1437800604]}]}]},{"tin":{"type":"ein","value":"873509334"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":125.68,"providers":[{"billed_charge":420.00,"npi":[1891453510]}]},{"allowed_amount":251.36,"providers":[{"billed_charge":840.00,"npi":[1891453510]}]},{"allowed_amount":345.62,"providers":[{"billed_charge":1155.00,"npi":[1891453510]}]},{"allowed_amount":377.04,"providers":[{"billed_charge":1260.00,"npi":[1891453510]}]},{"allowed_amount":408.46,"providers":[{"billed_charge":1365.00,"npi":[1891453510]}]},{"allowed_amount":439.88,"providers":[{"billed_charge":1470.00,"npi":[1891453510]}]},{"allowed_amount":502.72,"providers":[{"billed_charge":1680.00,"npi":[1891453510]}]},{"allowed_amount":534.14,"providers":[{"billed_charge":1785.00,"npi":[1891453510]}]},{"allowed_amount":596.98,"providers":[{"billed_charge":1995.00,"npi":[1891453510]}]},{"allowed_amount":628.40,"providers":[{"billed_charge":2100.00,"npi":[1891453510]}]}]},{"tin":{"type":"ein","value":"873509334"},"billing_class":"professional","service_code":["12","99"],"payments":[{"allowed_amount":188.52,"providers":[{"billed_charge":630.00,"npi":[1891453510]},{"billed_charge":630.00,"npi":[1891453510]}]}]},{"tin":{"type":"ein","value":"923212587"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":314.20,"providers":[{"billed_charge":1725.00,"npi":[1649947656]}]},{"allowed_amount":377.04,"providers":[{"billed_charge":2070.00,"npi":[1649947656]}]},{"allowed_amount":471.30,"providers":[{"billed_charge":2587.50,"npi":[1649947656]}]},{"allowed_amount":502.72,"providers":[{"billed_charge":2760.00,"npi":[1649947656]}]},{"allowed_amount":596.98,"providers":[{"billed_charge":3277.50,"npi":[1649947656]}]},{"allowed_amount":628.40,"providers":[{"billed_charge":3450.00,"npi":[1649947656]}]},{"allowed_amount":691.24,"providers":[{"billed_charge":3795.00,"npi":[1649947656]}]}]},{"tin":{"type":"ein","value":"932060517"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":220.00,"providers":[{"billed_charge":400.00,"npi":[1114702321]}]}]}]},{"billing_code":"97155","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Psychological","description":"ADAPT BEHAVIOR TX PHYS/QHP","allowed_amounts":[{"tin":{"type":"ein","value":"141859573"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":192.50,"providers":[{"billed_charge":385.00,"npi":[1417477175]}]},{"allowed_amount":220.00,"providers":[{"billed_charge":440.00,"npi":[1417477175]}]},{"allowed_amount":247.50,"providers":[{"billed_charge":495.00,"npi":[1417477175]}]},{"allowed_amount":275.00,"providers":[{"billed_charge":550.00,"npi":[1417477175]}]},{"allowed_amount":302.50,"providers":[{"billed_charge":605.00,"npi":[1417477175]}]},{"allowed_amount":330.00,"providers":[{"billed_charge":660.00,"npi":[1417477175]}]},{"allowed_amount":412.50,"providers":[{"billed_charge":825.00,"npi":[1417477175]}]}]},{"tin":{"type":"ein","value":"203511076"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":83.88,"providers":[{"billed_charge":293.44,"npi":[1639320203]},{"billed_charge":293.44,"npi":[1639320203]}]}]},{"tin":{"type":"ein","value":"203511076"},"billing_class":"professional","service_code":["03"],"payments":[{"allowed_amount":156.56,"providers":[{"billed_charge":586.88,"npi":[1639320203]}]}]},{"tin":{"type":"ein","value":"203511076"},"billing_class":"professional","service_code":["03","11"],"payments":[{"allowed_amount":143.76,"providers":[{"billed_charge":586.88,"npi":[1639320203]},{"billed_charge":586.88,"npi":[1639320203]}]}]},{"tin":{"type":"ein","value":"203511076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.97,"providers":[{"billed_charge":73.36,"npi":[1639320203]}]},{"allowed_amount":35.94,"providers":[{"billed_charge":146.72,"npi":[1639320203]}]},{"allowed_amount":41.94,"providers":[{"billed_charge":146.72,"npi":[1639320203]}]},{"allowed_amount":53.91,"providers":[{"billed_charge":220.08,"npi":[1639320203]}]},{"allowed_amount":62.91,"providers":[{"billed_charge":220.08,"npi":[1639320203]}]},{"allowed_amount":71.88,"providers":[{"billed_charge":293.44,"npi":[1639320203]}]},{"allowed_amount":104.85,"providers":[{"billed_charge":366.80,"npi":[1639320203]}]},{"allowed_amount":107.82,"providers":[{"billed_charge":440.16,"npi":[1639320203]}]},{"allowed_amount":125.82,"providers":[{"billed_charge":440.16,"npi":[1639320203]}]},{"allowed_amount":167.76,"providers":[{"billed_charge":586.88,"npi":[1639320203]}]},{"allowed_amount":179.70,"providers":[{"billed_charge":733.60,"npi":[1639320203]}]}]},{"tin":{"type":"ein","value":"272862375"},"billing_class":"professional","service_code":["03"],"payments":[{"allowed_amount":289.68,"providers":[{"billed_charge":513.60,"npi":[1457637977]}]}]},{"tin":{"type":"ein","value":"464687452"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":96.56,"providers":[{"billed_charge":200.00,"npi":[1164847752]},{"billed_charge":200.00,"npi":[1164847752]}]}]},{"tin":{"type":"ein","value":"464687452"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.42,"providers":[{"billed_charge":150.00,"npi":[1164847752]}]},{"allowed_amount":140.00,"providers":[{"billed_charge":200.00,"npi":[1164847752]}]}]},{"tin":{"type":"ein","value":"471634440"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":289.68,"providers":[{"billed_charge":487.80,"npi":[1174978480]}]}]},{"tin":{"type":"ein","value":"812214687"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.42,"providers":[{"billed_charge":297.00,"npi":[1841654050]}]},{"allowed_amount":72.81,"providers":[{"billed_charge":198.00,"npi":[1841654050]}]},{"allowed_amount":78.21,"providers":[{"billed_charge":297.00,"npi":[1841654050]}]},{"allowed_amount":89.10,"providers":[{"billed_charge":198.00,"npi":[1841654050]}]},{"allowed_amount":96.56,"providers":[{"billed_charge":396.00,"npi":[1841654050]}]},{"allowed_amount":104.28,"providers":[{"billed_charge":396.00,"npi":[1841654050]}]},{"allowed_amount":120.70,"providers":[{"billed_charge":495.00,"npi":[1841654050]}]},{"allowed_amount":130.35,"providers":[{"billed_charge":495.00,"npi":[1841654050]}]},{"allowed_amount":144.84,"providers":[{"billed_charge":594.00,"npi":[1841654050]}]},{"allowed_amount":156.42,"providers":[{"billed_charge":594.00,"npi":[1841654050]}]},{"allowed_amount":168.98,"providers":[{"billed_charge":693.00,"npi":[1841654050]}]},{"allowed_amount":178.20,"providers":[{"billed_charge":396.00,"npi":[1841654050]}]},{"allowed_amount":208.56,"providers":[{"billed_charge":792.00,"npi":[1841654050]}]},{"allowed_amount":234.63,"providers":[{"billed_charge":891.00,"npi":[1841654050]}]},{"allowed_amount":249.48,"providers":[{"billed_charge":594.00,"npi":[1841654050]}]},{"allowed_amount":260.70,"providers":[{"billed_charge":990.00,"npi":[1841654050]}]},{"allowed_amount":265.54,"providers":[{"billed_charge":1089.00,"npi":[1841654050]}]},{"allowed_amount":267.30,"providers":[{"billed_charge":594.00,"npi":[1841654050]}]},{"allowed_amount":291.06,"providers":[{"billed_charge":693.00,"npi":[1841654050]}]},{"allowed_amount":311.85,"providers":[{"billed_charge":693.00,"npi":[1841654050]}]},{"allowed_amount":312.84,"providers":[{"billed_charge":1188.00,"npi":[1841654050]}]},{"allowed_amount":356.40,"providers":[{"billed_charge":792.00,"npi":[1841654050]}]},{"allowed_amount":364.09,"providers":[{"billed_charge":990.00,"npi":[1841654050]}]},{"allowed_amount":391.05,"providers":[{"billed_charge":1485.00,"npi":[1841654050]}]},{"allowed_amount":400.95,"providers":[{"billed_charge":891.00,"npi":[1841654050]}]},{"allowed_amount":417.12,"providers":[{"billed_charge":1584.00,"npi":[1841654050]}]},{"allowed_amount":445.50,"providers":[{"billed_charge":990.00,"npi":[1841654050]}]},{"allowed_amount":490.05,"providers":[{"billed_charge":1089.00,"npi":[1841654050]}]},{"allowed_amount":534.60,"providers":[{"billed_charge":1188.00,"npi":[1841654050]}]},{"allowed_amount":582.54,"providers":[{"billed_charge":1584.00,"npi":[1841654050]}]}]},{"tin":{"type":"ein","value":"832459316"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":96.56,"providers":[{"billed_charge":570.00,"npi":[1649947656]}]},{"allowed_amount":144.84,"providers":[{"billed_charge":855.00,"npi":[1649947656]}]},{"allowed_amount":193.12,"providers":[{"billed_charge":1140.00,"npi":[1649947656]}]},{"allowed_amount":241.40,"providers":[{"billed_charge":1425.00,"npi":[1649947656]}]},{"allowed_amount":265.54,"providers":[{"billed_charge":1567.50,"npi":[1649947656]}]}]},{"tin":{"type":"ein","value":"842531685"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":265.54,"providers":[{"billed_charge":1512.50,"npi":[1770138265]}]}]},{"tin":{"type":"ein","value":"852720931"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":81.32,"providers":[{"billed_charge":525.00,"npi":[1639782881]}]},{"allowed_amount":120.67,"providers":[{"billed_charge":700.00,"npi":[1639782881]}]},{"allowed_amount":168.00,"providers":[{"billed_charge":1050.00,"npi":[1639782881]}]},{"allowed_amount":193.12,"providers":[{"billed_charge":1400.00,"npi":[1639782881]}]},{"allowed_amount":216.84,"providers":[{"billed_charge":1400.00,"npi":[1639782881]}]},{"allowed_amount":223.53,"providers":[{"billed_charge":1400.00,"npi":[1639782881]}]},{"allowed_amount":224.00,"providers":[{"billed_charge":1400.00,"npi":[1639782881]}]},{"allowed_amount":241.33,"providers":[{"billed_charge":1400.00,"npi":[1639782881]}]},{"allowed_amount":251.47,"providers":[{"billed_charge":1575.00,"npi":[1639782881]}]}]},{"tin":{"type":"ein","value":"873199879"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":193.12,"providers":[{"billed_charge":500.00,"npi":[1437800604]}]}]},{"tin":{"type":"ein","value":"873509334"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":48.28,"providers":[{"billed_charge":360.00,"npi":[1891453510]}]},{"allowed_amount":72.42,"providers":[{"billed_charge":540.00,"npi":[1891453510]}]},{"allowed_amount":96.56,"providers":[{"billed_charge":720.00,"npi":[1891453510]}]},{"allowed_amount":120.70,"providers":[{"billed_charge":900.00,"npi":[1891453510]}]},{"allowed_amount":144.84,"providers":[{"billed_charge":1080.00,"npi":[1891453510]}]},{"allowed_amount":168.98,"providers":[{"billed_charge":1260.00,"npi":[1891453510]}]},{"allowed_amount":193.12,"providers":[{"billed_charge":1440.00,"npi":[1891453510]}]},{"allowed_amount":265.54,"providers":[{"billed_charge":1980.00,"npi":[1891453510]}]}]},{"tin":{"type":"ein","value":"923212587"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.42,"providers":[{"billed_charge":427.50,"npi":[1649947656]}]},{"allowed_amount":96.56,"providers":[{"billed_charge":570.00,"npi":[1649947656]}]},{"allowed_amount":120.70,"providers":[{"billed_charge":712.50,"npi":[1649947656]}]},{"allowed_amount":144.84,"providers":[{"billed_charge":855.00,"npi":[1649947656]}]},{"allowed_amount":168.98,"providers":[{"billed_charge":997.50,"npi":[1649947656]}]},{"allowed_amount":193.12,"providers":[{"billed_charge":1140.00,"npi":[1649947656]}]},{"allowed_amount":217.26,"providers":[{"billed_charge":1282.50,"npi":[1649947656]}]},{"allowed_amount":289.68,"providers":[{"billed_charge":1710.00,"npi":[1649947656]}]},{"allowed_amount":313.82,"providers":[{"billed_charge":1852.50,"npi":[1649947656]}]}]}]},{"billing_code":"97156","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Psychological","description":"FAM ADAPT BHV TX GDN PHY/QHP","allowed_amounts":[{"tin":{"type":"ein","value":"141859573"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":77.70,"providers":[{"billed_charge":155.40,"npi":[1417477175]}]}]},{"tin":{"type":"ein","value":"203511076"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":17.97,"providers":[{"billed_charge":75.00,"npi":[1639320203]}]},{"allowed_amount":41.94,"providers":[{"billed_charge":150.00,"npi":[1639320203]}]},{"allowed_amount":53.91,"providers":[{"billed_charge":225.00,"npi":[1639320203]}]},{"allowed_amount":62.91,"providers":[{"billed_charge":225.00,"npi":[1639320203]}]}]},{"tin":{"type":"ein","value":"203511076"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":71.88,"providers":[{"billed_charge":300.00,"npi":[1639320203]},{"billed_charge":300.00,"npi":[1639320203]}]}]},{"tin":{"type":"ein","value":"203511076"},"billing_class":"professional","service_code":["03"],"payments":[{"allowed_amount":35.94,"providers":[{"billed_charge":150.00,"npi":[1639320203]}]}]},{"tin":{"type":"ein","value":"464687452"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.20,"providers":[{"billed_charge":66.00,"npi":[1164847752]}]}]},{"tin":{"type":"ein","value":"812214687"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.08,"providers":[{"billed_charge":98.00,"npi":[1841654050]}]},{"allowed_amount":32.35,"providers":[{"billed_charge":98.00,"npi":[1841654050]}]},{"allowed_amount":38.48,"providers":[{"billed_charge":98.00,"npi":[1841654050]}]},{"allowed_amount":88.20,"providers":[{"billed_charge":196.00,"npi":[1841654050]}]},{"allowed_amount":124.32,"providers":[{"billed_charge":392.00,"npi":[1841654050]}]},{"allowed_amount":129.40,"providers":[{"billed_charge":392.00,"npi":[1841654050]}]},{"allowed_amount":153.91,"providers":[{"billed_charge":392.00,"npi":[1841654050]}]},{"allowed_amount":176.40,"providers":[{"billed_charge":392.00,"npi":[1841654050]}]},{"allowed_amount":230.88,"providers":[{"billed_charge":588.00,"npi":[1841654050]}]}]},{"tin":{"type":"ein","value":"824732084"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":131.24,"providers":[{"billed_charge":240.00,"npi":[1639633050]}]}]},{"tin":{"type":"ein","value":"832459316"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":93.24,"providers":[{"billed_charge":427.50,"npi":[1649947656]}]},{"allowed_amount":124.32,"providers":[{"billed_charge":570.00,"npi":[1649947656]}]},{"allowed_amount":186.48,"providers":[{"billed_charge":855.00,"npi":[1649947656]}]}]},{"tin":{"type":"ein","value":"842531685"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.08,"providers":[{"billed_charge":137.50,"npi":[1770138265]}]}]},{"tin":{"type":"ein","value":"852720931"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":72.50,"providers":[{"billed_charge":350.00,"npi":[1639782881]}]},{"allowed_amount":116.00,"providers":[{"billed_charge":525.00,"npi":[1639782881]}]}]},{"tin":{"type":"ein","value":"873509334"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":31.08,"providers":[{"billed_charge":180.00,"npi":[1891453510]}]},{"allowed_amount":62.16,"providers":[{"billed_charge":360.00,"npi":[1891453510]}]},{"allowed_amount":93.24,"providers":[{"billed_charge":540.00,"npi":[1891453510]}]},{"allowed_amount":248.64,"providers":[{"billed_charge":1440.00,"npi":[1891453510]}]}]},{"tin":{"type":"ein","value":"923212587"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":62.16,"providers":[{"billed_charge":285.00,"npi":[1649947656]}]},{"allowed_amount":124.32,"providers":[{"billed_charge":570.00,"npi":[1649947656]}]}]}]},{"billing_code":"97161","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"PT EVAL LOW COMPLEX 20 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"204448841"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":216.00,"providers":[{"billed_charge":240.00,"npi":[1225082480]}]}]},{"tin":{"type":"ein","value":"205738288"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.46,"providers":[{"billed_charge":248.00,"npi":[1558598532]}]},{"allowed_amount":45.98,"providers":[{"billed_charge":248.00,"npi":[1558598532]}]},{"allowed_amount":48.08,"providers":[{"billed_charge":248.00,"npi":[1558598532]}]},{"allowed_amount":53.25,"providers":[{"billed_charge":248.00,"npi":[1558598532]}]}]},{"tin":{"type":"ein","value":"260228494"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.52,"providers":[{"billed_charge":154.00,"npi":[1508053489]}]}]},{"tin":{"type":"ein","value":"270713277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":250.00,"npi":[1093960882]}]}]},{"tin":{"type":"ein","value":"272108073"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":141.35,"providers":[{"billed_charge":270.00,"npi":[1811213341]}]}]},{"tin":{"type":"ein","value":"272413974"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.83,"providers":[{"billed_charge":168.00,"npi":[1811215742]}]}]},{"tin":{"type":"ein","value":"352565487"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":143.41,"providers":[{"billed_charge":270.00,"npi":[1356894604]}]}]},{"tin":{"type":"ein","value":"464260422"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":160.00,"npi":[1972910941]}]}]},{"tin":{"type":"ein","value":"472015578"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.87,"providers":[{"billed_charge":270.00,"npi":[1316345705]}]}]},{"tin":{"type":"ein","value":"474797980"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":141.35,"providers":[{"billed_charge":203.80,"npi":[1912378365]}]}]},{"tin":{"type":"ein","value":"560941814"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":143.41,"providers":[{"billed_charge":147.00,"npi":[1497960629]}]}]},{"tin":{"type":"ein","value":"560963485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":141.99,"providers":[{"billed_charge":174.00,"npi":[1154384568]}]}]},{"tin":{"type":"ein","value":"561368774"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.38,"providers":[{"billed_charge":250.00,"npi":[1457418311]}]},{"allowed_amount":125.00,"providers":[{"billed_charge":250.00,"npi":[1457418311]}]}]},{"tin":{"type":"ein","value":"561373175"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":141.99,"providers":[{"billed_charge":249.00,"npi":[1205894029]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":133.34,"providers":[{"billed_charge":350.00,"npi":[1750606174]}]}]},{"tin":{"type":"ein","value":"562322824"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.19,"providers":[{"billed_charge":125.00,"npi":[1144406539]}]}]},{"tin":{"type":"ein","value":"581155460"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":174.30,"providers":[{"billed_charge":249.00,"npi":[1164461190]}]}]},{"tin":{"type":"ein","value":"582515886"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":81.25,"providers":[{"billed_charge":125.00,"npi":[1326247248]}]}]},{"tin":{"type":"ein","value":"586001998"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.67,"providers":[{"billed_charge":100.00,"npi":[1811098817]}]}]},{"tin":{"type":"ein","value":"593379430"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.56,"providers":[{"billed_charge":254.00,"npi":[1740373547]}]}]},{"tin":{"type":"ein","value":"743055729"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":101.40,"providers":[{"billed_charge":169.00,"npi":[1134229669]}]}]},{"tin":{"type":"ein","value":"753174935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.00,"providers":[{"billed_charge":147.00,"npi":[1548409626]}]}]},{"tin":{"type":"ein","value":"823271634"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":106.00,"providers":[{"billed_charge":106.00,"npi":[1922639939]}]}]},{"tin":{"type":"ein","value":"825104187"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":133.34,"providers":[{"billed_charge":350.00,"npi":[1104313261]}]}]},{"tin":{"type":"ein","value":"842136648"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.39,"providers":[{"billed_charge":269.00,"npi":[1942860176]}]}]},{"tin":{"type":"ein","value":"843145868"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.28,"providers":[{"billed_charge":245.00,"npi":[1073137410]}]}]},{"tin":{"type":"ein","value":"871718320"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.18,"providers":[{"billed_charge":97.80,"npi":[1982358321]}]},{"allowed_amount":47.36,"providers":[{"billed_charge":97.80,"npi":[1982358321]}]}]},{"tin":{"type":"ein","value":"872752630"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":125.00,"providers":[{"billed_charge":125.00,"npi":[1427783596]}]}]},{"tin":{"type":"ein","value":"921854857"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.54,"providers":[{"billed_charge":210.00,"npi":[1962196287]}]}]},{"tin":{"type":"ein","value":"922460948"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":133.34,"providers":[{"billed_charge":230.00,"npi":[1043910441]}]}]}]},{"billing_code":"97161","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"PT EVAL LOW COMPLEX 20 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"020222140"},"billing_class":"institutional","payments":[{"allowed_amount":161.82,"providers":[{"billed_charge":186.00,"npi":[1023092053]}]}]},{"tin":{"type":"ein","value":"232896725"},"billing_class":"institutional","payments":[{"allowed_amount":1040.98,"providers":[{"billed_charge":1679.00,"npi":[1487640207]}]}]},{"tin":{"type":"ein","value":"311340739"},"billing_class":"institutional","payments":[{"allowed_amount":271.74,"providers":[{"billed_charge":338.00,"npi":[1447359997]}]}]},{"tin":{"type":"ein","value":"314379491"},"billing_class":"institutional","payments":[{"allowed_amount":155.35,"providers":[{"billed_charge":239.00,"npi":[1942256888]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":207.27,"providers":[{"billed_charge":529.33,"npi":[1811225428]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":141.90,"providers":[{"billed_charge":415.91,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":136.50,"providers":[{"billed_charge":182.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"800818718"},"billing_class":"institutional","payments":[{"allowed_amount":327.28,"providers":[{"billed_charge":371.93,"npi":[1568727048]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":173.25,"providers":[{"billed_charge":221.16,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":408.50,"providers":[{"billed_charge":430.00,"npi":[1154392231]}]}]}]},{"billing_code":"97162","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"PT EVAL MOD COMPLEX 30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"205738288"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.52,"providers":[{"billed_charge":255.00,"npi":[1558598532]}]},{"allowed_amount":53.60,"providers":[{"billed_charge":255.00,"npi":[1558598532]}]},{"allowed_amount":54.03,"providers":[{"billed_charge":255.00,"npi":[1558598532]}]}]},{"tin":{"type":"ein","value":"261543398"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":91.00,"providers":[{"billed_charge":140.00,"npi":[1750567889]}]}]},{"tin":{"type":"ein","value":"272108073"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":81.83,"providers":[{"billed_charge":270.00,"npi":[1811213341]}]},{"allowed_amount":141.27,"providers":[{"billed_charge":270.00,"npi":[1811213341]}]}]},{"tin":{"type":"ein","value":"352565487"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":135.00,"providers":[{"billed_charge":270.00,"npi":[1356894604]}]}]},{"tin":{"type":"ein","value":"352565487"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":143.41,"providers":[{"billed_charge":270.00,"npi":[1356894604]}]}]},{"tin":{"type":"ein","value":"452173691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.50,"providers":[{"billed_charge":145.00,"npi":[1558653196]}]}]},{"tin":{"type":"ein","value":"453687569"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":143.41,"providers":[{"billed_charge":150.00,"npi":[1386917896]}]}]},{"tin":{"type":"ein","value":"562071315"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.39,"providers":[{"billed_charge":175.00,"npi":[1316554397]}]},{"allowed_amount":87.50,"providers":[{"billed_charge":175.00,"npi":[1326580150]}]}]},{"tin":{"type":"ein","value":"743055729"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":153.00,"providers":[{"billed_charge":255.00,"npi":[1134229669]}]}]},{"tin":{"type":"ein","value":"753174935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.00,"providers":[{"billed_charge":170.00,"npi":[1548409626]}]}]},{"tin":{"type":"ein","value":"811805826"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":141.99,"providers":[{"billed_charge":170.00,"npi":[1699791129]}]}]},{"tin":{"type":"ein","value":"813338110"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.19,"providers":[{"billed_charge":200.00,"npi":[1679148787]}]}]},{"tin":{"type":"ein","value":"831585934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":127.50,"providers":[{"billed_charge":255.00,"npi":[1295219616]}]}]},{"tin":{"type":"ein","value":"843145868"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.09,"providers":[{"billed_charge":245.00,"npi":[1073137410]}]},{"allowed_amount":41.19,"providers":[{"billed_charge":245.00,"npi":[1073137410]}]}]},{"tin":{"type":"ein","value":"871718320"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.11,"providers":[{"billed_charge":97.80,"npi":[1982358321]}]}]},{"tin":{"type":"ein","value":"882236579"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.16,"providers":[{"billed_charge":175.40,"npi":[1215668751]}]}]},{"tin":{"type":"ein","value":"921854857"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.90,"providers":[{"billed_charge":210.00,"npi":[1962196287]}]}]}]},{"billing_code":"97162","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"PT EVAL MOD COMPLEX 30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"300371539"},"billing_class":"institutional","payments":[{"allowed_amount":307.43,"providers":[{"billed_charge":445.55,"npi":[1366450710]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":189.84,"providers":[{"billed_charge":555.70,"npi":[1750333282]}]},{"allowed_amount":189.93,"providers":[{"billed_charge":520.86,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":161.18,"providers":[{"billed_charge":436.62,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570337132"},"billing_class":"institutional","payments":[{"allowed_amount":66.29,"providers":[{"billed_charge":141.38,"npi":[1326408535]}]}]}]},{"billing_code":"97163","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"PT EVAL HIGH COMPLEX 45 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"020708788"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.74,"providers":[{"billed_charge":130.00,"npi":[1215951843]}]}]},{"tin":{"type":"ein","value":"562071315"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.50,"providers":[{"billed_charge":175.00,"npi":[1326580150]}]}]},{"tin":{"type":"ein","value":"842963024"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":130.06,"providers":[{"billed_charge":375.00,"npi":[1710520978]}]}]}]},{"billing_code":"97163","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"PT EVAL HIGH COMPLEX 45 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":388.50,"providers":[{"billed_charge":518.00,"npi":[1679525919]}]}]}]},{"billing_code":"97164","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"PT RE-EVAL EST PLAN CARE","allowed_amounts":[{"tin":{"type":"ein","value":"364727660"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":124.29,"providers":[{"billed_charge":582.00,"npi":[1912266420]}]}]},{"tin":{"type":"ein","value":"471381867"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":150.00,"npi":[1669880431]}]}]},{"tin":{"type":"ein","value":"561368774"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.00,"providers":[{"billed_charge":140.00,"npi":[1457418311]}]},{"allowed_amount":90.30,"providers":[{"billed_charge":140.00,"npi":[1457418311]}]},{"allowed_amount":95.56,"providers":[{"billed_charge":140.00,"npi":[1457418311]}]}]}]},{"billing_code":"97164","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"PT RE-EVAL EST PLAN CARE","allowed_amounts":[{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":132.07,"providers":[{"billed_charge":319.68,"npi":[1811225428]}]}]}]},{"billing_code":"97165","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"OT EVAL LOW COMPLEX 30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"271950802"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":150.00,"npi":[1124341276]}]}]},{"tin":{"type":"ein","value":"571123400"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":147.05,"providers":[{"billed_charge":185.00,"npi":[1497348528]}]}]}]},{"billing_code":"97165","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"OT EVAL LOW COMPLEX 30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":136.50,"providers":[{"billed_charge":182.00,"npi":[1942294814]}]}]}]},{"billing_code":"97166","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"OT EVAL MOD COMPLEX 45 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"263398097"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":143.35,"providers":[{"billed_charge":250.00,"npi":[1669684056]}]}]},{"tin":{"type":"ein","value":"331072689"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":149.88,"providers":[{"billed_charge":280.00,"npi":[1780724401]}]}]},{"tin":{"type":"ein","value":"562240567"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":149.88,"providers":[{"billed_charge":235.95,"npi":[1144309949]}]}]},{"tin":{"type":"ein","value":"883179350"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":150.00,"npi":[1487381489]}]}]}]},{"billing_code":"97166","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"OT EVAL MOD COMPLEX 45 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"570337132"},"billing_class":"institutional","payments":[{"allowed_amount":70.48,"providers":[{"billed_charge":142.71,"npi":[1326408535]}]}]}]},{"billing_code":"97167","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"OT EVAL HIGH COMPLEX 60 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"822271029"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":146.00,"providers":[{"billed_charge":180.00,"npi":[1346767290]}]}]},{"tin":{"type":"ein","value":"822535211"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":149.13,"providers":[{"billed_charge":250.00,"npi":[1942729603]}]}]}]},{"billing_code":"97168","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"OT RE-EVAL EST PLAN CARE","allowed_amounts":[{"tin":{"type":"ein","value":"262897981"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.69,"providers":[{"billed_charge":300.00,"npi":[1568627826]}]}]},{"tin":{"type":"ein","value":"562240567"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.70,"providers":[{"billed_charge":172.90,"npi":[1144309949]}]}]}]},{"billing_code":"97530","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"THERAPEUTIC ACTIVITIES","allowed_amounts":[{"tin":{"type":"ein","value":"010906078"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.91,"providers":[{"billed_charge":40.00,"npi":[1902034846]}]}]},{"tin":{"type":"ein","value":"050616569"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":65.00,"providers":[{"billed_charge":100.00,"npi":[1063613867]}]}]},{"tin":{"type":"ein","value":"202111920"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":300.00,"npi":[1831162643]}]}]},{"tin":{"type":"ein","value":"202773075"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.36,"providers":[{"billed_charge":100.70,"npi":[1558477695]}]},{"allowed_amount":60.07,"providers":[{"billed_charge":100.70,"npi":[1558477695]}]},{"allowed_amount":109.74,"providers":[{"billed_charge":201.40,"npi":[1558477695]}]}]},{"tin":{"type":"ein","value":"203218970"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.90,"providers":[{"billed_charge":150.00,"npi":[1861555278]}]}]},{"tin":{"type":"ein","value":"205738288"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.86,"providers":[{"billed_charge":85.00,"npi":[1558598532]}]},{"allowed_amount":19.54,"providers":[{"billed_charge":170.00,"npi":[1558598532]}]},{"allowed_amount":20.23,"providers":[{"billed_charge":85.00,"npi":[1558598532]}]},{"allowed_amount":20.41,"providers":[{"billed_charge":85.00,"npi":[1558598532]}]},{"allowed_amount":25.33,"providers":[{"billed_charge":85.00,"npi":[1558598532]}]},{"allowed_amount":26.69,"providers":[{"billed_charge":85.00,"npi":[1558598532]}]},{"allowed_amount":32.29,"providers":[{"billed_charge":85.00,"npi":[1558598532]}]},{"allowed_amount":42.85,"providers":[{"billed_charge":170.00,"npi":[1558598532]}]}]},{"tin":{"type":"ein","value":"208222351"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.16,"providers":[{"billed_charge":300.00,"npi":[1255456513]}]}]},{"tin":{"type":"ein","value":"223849199"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":86.00,"providers":[{"billed_charge":141.00,"npi":[1912082645]}]},{"allowed_amount":111.16,"providers":[{"billed_charge":188.00,"npi":[1912082645]}]}]},{"tin":{"type":"ein","value":"232446104"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":165.63,"npi":[1457759128]}]}]},{"tin":{"type":"ein","value":"260228494"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.50,"providers":[{"billed_charge":54.00,"npi":[1508053489]}]},{"allowed_amount":20.00,"providers":[{"billed_charge":54.00,"npi":[1508053489]}]},{"allowed_amount":25.16,"providers":[{"billed_charge":54.00,"npi":[1508053489]}]},{"allowed_amount":60.00,"providers":[{"billed_charge":108.00,"npi":[1508053489]},{"billed_charge":162.00,"npi":[1508053489]}]},{"allowed_amount":80.00,"providers":[{"billed_charge":108.00,"npi":[1508053489]},{"billed_charge":162.00,"npi":[1508053489]}]}]},{"tin":{"type":"ein","value":"260767855"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":65.78,"providers":[{"billed_charge":169.00,"npi":[1114233590]}]}]},{"tin":{"type":"ein","value":"261181063"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":78.30,"providers":[{"billed_charge":97.50,"npi":[1487842407]}]},{"allowed_amount":101.19,"providers":[{"billed_charge":130.00,"npi":[1487842407]}]}]},{"tin":{"type":"ein","value":"261543398"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":69.81,"providers":[{"billed_charge":130.00,"npi":[1750567889]}]}]},{"tin":{"type":"ein","value":"262897981"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.65,"providers":[{"billed_charge":600.00,"npi":[1568627826]}]},{"allowed_amount":131.51,"providers":[{"billed_charge":450.00,"npi":[1568627826]}]},{"allowed_amount":135.00,"providers":[{"billed_charge":600.00,"npi":[1568627826]}]},{"allowed_amount":168.48,"providers":[{"billed_charge":600.00,"npi":[1568627826]}]},{"allowed_amount":168.49,"providers":[{"billed_charge":600.00,"npi":[1568627826]}]},{"allowed_amount":175.35,"providers":[{"billed_charge":600.00,"npi":[1568627826]}]}]},{"tin":{"type":"ein","value":"263398097"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":60.85,"providers":[{"billed_charge":130.00,"npi":[1669684056]}]}]},{"tin":{"type":"ein","value":"270039366"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":34.51,"providers":[{"billed_charge":82.50,"npi":[1780636068]},{"billed_charge":82.50,"npi":[1780636068]}]}]},{"tin":{"type":"ein","value":"271304558"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":39.05,"providers":[{"billed_charge":62.10,"npi":[1902133689]}]},{"allowed_amount":66.58,"providers":[{"billed_charge":124.20,"npi":[1902133689]}]},{"allowed_amount":94.10,"providers":[{"billed_charge":186.30,"npi":[1902133689]}]}]},{"tin":{"type":"ein","value":"271304558"},"billing_class":"professional","service_code":["13"],"payments":[{"allowed_amount":58.14,"providers":[{"billed_charge":124.20,"npi":[1902133689]}]}]},{"tin":{"type":"ein","value":"271950802"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.14,"providers":[{"billed_charge":60.00,"npi":[1124341276]}]},{"allowed_amount":72.27,"providers":[{"billed_charge":90.00,"npi":[1124341276]}]},{"allowed_amount":93.41,"providers":[{"billed_charge":120.00,"npi":[1124341276]}]}]},{"tin":{"type":"ein","value":"272108073"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.99,"providers":[{"billed_charge":82.50,"npi":[1811213341]}]},{"allowed_amount":34.11,"providers":[{"billed_charge":82.50,"npi":[1811213341]}]},{"allowed_amount":35.47,"providers":[{"billed_charge":82.50,"npi":[1811213341]}]},{"allowed_amount":35.53,"providers":[{"billed_charge":82.50,"npi":[1811213341]}]},{"allowed_amount":58.14,"providers":[{"billed_charge":165.00,"npi":[1811213341]}]},{"allowed_amount":60.46,"providers":[{"billed_charge":165.00,"npi":[1811213341]}]}]},{"tin":{"type":"ein","value":"272309172"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":77.84,"providers":[{"billed_charge":200.00,"npi":[1013232503]}]}]},{"tin":{"type":"ein","value":"274979769"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.47,"providers":[{"billed_charge":55.00,"npi":[1942508700]}]},{"allowed_amount":60.46,"providers":[{"billed_charge":110.00,"npi":[1942508700]}]}]},{"tin":{"type":"ein","value":"300416446"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":136.43,"providers":[{"billed_charge":260.00,"npi":[1750579561]}]}]},{"tin":{"type":"ein","value":"331072689"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":65.39,"providers":[{"billed_charge":140.00,"npi":[1780724401]}]}]},{"tin":{"type":"ein","value":"352565487"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.16,"providers":[{"billed_charge":82.50,"npi":[1356894604]}]},{"allowed_amount":35.70,"providers":[{"billed_charge":82.50,"npi":[1356894604]}]},{"allowed_amount":35.71,"providers":[{"billed_charge":82.50,"npi":[1356894604]}]}]},{"tin":{"type":"ein","value":"352585937"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":59.35,"providers":[{"billed_charge":193.56,"npi":[1063952646]}]}]},{"tin":{"type":"ein","value":"364727660"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":86.16,"providers":[{"billed_charge":363.00,"npi":[1912266420]}]}]},{"tin":{"type":"ein","value":"371349655"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.19,"providers":[{"billed_charge":82.50,"npi":[1962417444]}]},{"allowed_amount":25.11,"providers":[{"billed_charge":82.50,"npi":[1962417444]}]},{"allowed_amount":34.11,"providers":[{"billed_charge":82.50,"npi":[1962417444]}]},{"allowed_amount":60.46,"providers":[{"billed_charge":165.00,"npi":[1962417444]}]}]},{"tin":{"type":"ein","value":"421690623"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":42.49,"providers":[{"billed_charge":200.00,"npi":[1649568676]}]},{"allowed_amount":60.87,"providers":[{"billed_charge":200.00,"npi":[1649568676]}]},{"allowed_amount":60.96,"providers":[{"billed_charge":300.00,"npi":[1649568676]}]},{"allowed_amount":61.94,"providers":[{"billed_charge":225.00,"npi":[1649568676]}]},{"allowed_amount":86.03,"providers":[{"billed_charge":300.00,"npi":[1649568676]}]}]},{"tin":{"type":"ein","value":"452173691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.70,"providers":[{"billed_charge":46.50,"npi":[1558653196]}]},{"allowed_amount":35.47,"providers":[{"billed_charge":46.50,"npi":[1558653196]}]},{"allowed_amount":58.97,"providers":[{"billed_charge":93.00,"npi":[1558653196]}]},{"allowed_amount":60.46,"providers":[{"billed_charge":93.00,"npi":[1558653196]}]}]},{"tin":{"type":"ein","value":"452582619"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":86.00,"providers":[{"billed_charge":120.00,"npi":[1992115414]}]},{"allowed_amount":86.03,"providers":[{"billed_charge":120.00,"npi":[1992115414]}]},{"allowed_amount":111.19,"providers":[{"billed_charge":160.00,"npi":[1992115414]}]}]},{"tin":{"type":"ein","value":"453687569"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.00,"providers":[{"billed_charge":35.00,"npi":[1386917896]}]},{"allowed_amount":59.66,"providers":[{"billed_charge":70.00,"npi":[1386917896]}]}]},{"tin":{"type":"ein","value":"461306901"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.95,"providers":[{"billed_charge":35.00,"npi":[1821342346]}]}]},{"tin":{"type":"ein","value":"461424427"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.85,"providers":[{"billed_charge":156.00,"npi":[1457696361]}]}]},{"tin":{"type":"ein","value":"462666564"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.17,"providers":[{"billed_charge":47.00,"npi":[1912343765]}]},{"allowed_amount":27.56,"providers":[{"billed_charge":47.00,"npi":[1912343765]}]}]},{"tin":{"type":"ein","value":"462928647"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.16,"providers":[{"billed_charge":240.00,"npi":[1912346917]}]}]},{"tin":{"type":"ein","value":"462928647"},"billing_class":"professional","service_code":["11","12"],"payments":[{"allowed_amount":111.19,"providers":[{"billed_charge":240.00,"npi":[1912346917]},{"billed_charge":240.00,"npi":[1912346917]}]}]},{"tin":{"type":"ein","value":"464375815"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":135.00,"npi":[1225459605]}]}]},{"tin":{"type":"ein","value":"464687452"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.45,"providers":[{"billed_charge":120.00,"npi":[1164847752]}]},{"allowed_amount":80.00,"providers":[{"billed_charge":160.00,"npi":[1164847752]}]},{"allowed_amount":87.19,"providers":[{"billed_charge":160.00,"npi":[1164847752]}]}]},{"tin":{"type":"ein","value":"471381867"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.87,"providers":[{"billed_charge":80.00,"npi":[1669880431]}]}]},{"tin":{"type":"ein","value":"471381867"},"billing_class":"professional","service_code":["11","12"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":120.00,"npi":[1669880431]},{"billed_charge":160.00,"npi":[1669880431]},{"billed_charge":120.00,"npi":[1669880431]},{"billed_charge":160.00,"npi":[1669880431]}]}]},{"tin":{"type":"ein","value":"472015578"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.01,"providers":[{"billed_charge":82.50,"npi":[1316345705]}]}]},{"tin":{"type":"ein","value":"472667689"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":82.17,"providers":[{"billed_charge":150.00,"npi":[1639568231]}]},{"allowed_amount":106.21,"providers":[{"billed_charge":200.00,"npi":[1639568231]}]},{"allowed_amount":110.44,"providers":[{"billed_charge":200.00,"npi":[1639568231]}]},{"allowed_amount":124.54,"providers":[{"billed_charge":200.00,"npi":[1639568231]}]}]},{"tin":{"type":"ein","value":"473014453"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.71,"providers":[{"billed_charge":70.00,"npi":[1720471154]}]}]},{"tin":{"type":"ein","value":"474797980"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.11,"providers":[{"billed_charge":67.92,"npi":[1912378365]}]},{"allowed_amount":58.14,"providers":[{"billed_charge":135.84,"npi":[1912378365]}]},{"allowed_amount":82.17,"providers":[{"billed_charge":203.76,"npi":[1912378365]}]},{"allowed_amount":106.21,"providers":[{"billed_charge":271.68,"npi":[1912378365]}]}]},{"tin":{"type":"ein","value":"541869072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.05,"providers":[{"billed_charge":62.00,"npi":[1588605422]}]}]},{"tin":{"type":"ein","value":"560941814"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.15,"providers":[{"billed_charge":70.00,"npi":[1497960629]}]},{"allowed_amount":35.70,"providers":[{"billed_charge":70.00,"npi":[1497960629]}]},{"allowed_amount":35.71,"providers":[{"billed_charge":70.00,"npi":[1497960629]}]}]},{"tin":{"type":"ein","value":"561368774"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.36,"providers":[{"billed_charge":75.00,"npi":[1457418311]}]},{"allowed_amount":24.67,"providers":[{"billed_charge":75.00,"npi":[1457418311]}]},{"allowed_amount":25.16,"providers":[{"billed_charge":75.00,"npi":[1457418311]}]},{"allowed_amount":26.42,"providers":[{"billed_charge":75.00,"npi":[1457418311]}]},{"allowed_amount":35.70,"providers":[{"billed_charge":75.00,"npi":[1457418311]}]},{"allowed_amount":37.50,"providers":[{"billed_charge":75.00,"npi":[1457418311]}]},{"allowed_amount":60.85,"providers":[{"billed_charge":150.00,"npi":[1457418311]}]},{"allowed_amount":60.87,"providers":[{"billed_charge":150.00,"npi":[1457418311]}]}]},{"tin":{"type":"ein","value":"561660546"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.00,"providers":[{"billed_charge":25.00,"npi":[1285622134]}]}]},{"tin":{"type":"ein","value":"561677267"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.55,"providers":[{"billed_charge":152.64,"npi":[1407932775]}]}]},{"tin":{"type":"ein","value":"561832637"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.30,"providers":[{"billed_charge":190.00,"npi":[1023013836]}]}]},{"tin":{"type":"ein","value":"561911174"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":111.16,"providers":[{"billed_charge":240.00,"npi":[1932396306]}]},{"allowed_amount":111.19,"providers":[{"billed_charge":240.00,"npi":[1932396306]}]}]},{"tin":{"type":"ein","value":"562071315"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.94,"providers":[{"billed_charge":79.00,"npi":[1316554397]}]},{"allowed_amount":19.34,"providers":[{"billed_charge":79.00,"npi":[1316554397]}]},{"allowed_amount":19.45,"providers":[{"billed_charge":79.00,"npi":[1316554397]}]},{"allowed_amount":19.48,"providers":[{"billed_charge":79.00,"npi":[1326580150]}]},{"allowed_amount":20.00,"providers":[{"billed_charge":79.00,"npi":[1316554397]}]},{"allowed_amount":24.12,"providers":[{"billed_charge":79.00,"npi":[1316554397]}]},{"allowed_amount":24.29,"providers":[{"billed_charge":79.00,"npi":[1316554397]}]},{"allowed_amount":30.00,"providers":[{"billed_charge":79.00,"npi":[1316554397]}]},{"allowed_amount":30.65,"providers":[{"billed_charge":79.00,"npi":[1316554397]}]},{"allowed_amount":35.70,"providers":[{"billed_charge":79.00,"npi":[1316554397]}]},{"allowed_amount":35.71,"providers":[{"billed_charge":79.00,"npi":[1326580150]}]},{"allowed_amount":39.50,"providers":[{"billed_charge":79.00,"npi":[1326580150]}]},{"allowed_amount":67.33,"providers":[{"billed_charge":158.00,"npi":[1326580150]}]}]},{"tin":{"type":"ein","value":"562216203"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.82,"providers":[{"billed_charge":72.00,"npi":[1235188780]}]},{"allowed_amount":67.25,"providers":[{"billed_charge":144.00,"npi":[1235188780]}]},{"allowed_amount":84.07,"providers":[{"billed_charge":144.00,"npi":[1235188780]}]}]},{"tin":{"type":"ein","value":"562322824"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.96,"providers":[{"billed_charge":100.00,"npi":[1144406539]}]},{"allowed_amount":42.62,"providers":[{"billed_charge":100.00,"npi":[1144406539]}]}]},{"tin":{"type":"ein","value":"571071634"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.47,"providers":[{"billed_charge":40.00,"npi":[1326100801]}]}]},{"tin":{"type":"ein","value":"571123400"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.99,"providers":[{"billed_charge":79.00,"npi":[1497348528]}]},{"allowed_amount":34.11,"providers":[{"billed_charge":79.00,"npi":[1497348528]}]},{"allowed_amount":35.47,"providers":[{"billed_charge":79.00,"npi":[1497348528]}]},{"allowed_amount":58.14,"providers":[{"billed_charge":158.00,"npi":[1497348528]}]}]},{"tin":{"type":"ein","value":"571127317"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.19,"providers":[{"billed_charge":160.00,"npi":[1285641308]}]},{"allowed_amount":89.36,"providers":[{"billed_charge":164.00,"npi":[1285641308]}]}]},{"tin":{"type":"ein","value":"582068734"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.82,"providers":[{"billed_charge":38.82,"npi":[1013058742]}]}]},{"tin":{"type":"ein","value":"582515886"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.35,"providers":[{"billed_charge":75.00,"npi":[1326247248]}]}]},{"tin":{"type":"ein","value":"586001998"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.73,"providers":[{"billed_charge":70.00,"npi":[1811098817]}]}]},{"tin":{"type":"ein","value":"611871902"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.87,"providers":[{"billed_charge":190.00,"npi":[1629568647]}]}]},{"tin":{"type":"ein","value":"743055729"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.90,"providers":[{"billed_charge":69.00,"npi":[1134229669]}]},{"allowed_amount":35.71,"providers":[{"billed_charge":69.00,"npi":[1134229669]}]},{"allowed_amount":41.40,"providers":[{"billed_charge":69.00,"npi":[1134229669]}]}]},{"tin":{"type":"ein","value":"753174935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.75,"providers":[{"billed_charge":65.00,"npi":[1548409626]}]},{"allowed_amount":35.70,"providers":[{"billed_charge":65.00,"npi":[1548409626]}]},{"allowed_amount":35.71,"providers":[{"billed_charge":65.00,"npi":[1548409626]}]},{"allowed_amount":51.50,"providers":[{"billed_charge":130.00,"npi":[1548409626]}]},{"allowed_amount":60.87,"providers":[{"billed_charge":130.00,"npi":[1548409626]}]}]},{"tin":{"type":"ein","value":"811805826"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.30,"providers":[{"billed_charge":130.00,"npi":[1699791129]}]}]},{"tin":{"type":"ein","value":"813338110"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.70,"providers":[{"billed_charge":95.00,"npi":[1679148787]}]},{"allowed_amount":35.71,"providers":[{"billed_charge":95.00,"npi":[1679148787]}]},{"allowed_amount":86.03,"providers":[{"billed_charge":285.00,"npi":[1679148787]}]}]},{"tin":{"type":"ein","value":"814044062"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":34.11,"providers":[{"billed_charge":45.00,"npi":[1629587191]}]},{"allowed_amount":58.14,"providers":[{"billed_charge":90.00,"npi":[1629587191]}]},{"allowed_amount":82.17,"providers":[{"billed_charge":135.00,"npi":[1629587191]}]},{"allowed_amount":106.21,"providers":[{"billed_charge":180.00,"npi":[1629587191]}]}]},{"tin":{"type":"ein","value":"822535211"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":106.21,"providers":[{"billed_charge":180.00,"npi":[1942729603]}]}]},{"tin":{"type":"ein","value":"823359202"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.87,"providers":[{"billed_charge":120.00,"npi":[1164921862]}]},{"allowed_amount":86.03,"providers":[{"billed_charge":180.00,"npi":[1164921862]}]}]},{"tin":{"type":"ein","value":"824578470"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":300.00,"npi":[1730681388]}]},{"allowed_amount":111.16,"providers":[{"billed_charge":300.00,"npi":[1730681388]}]},{"allowed_amount":111.19,"providers":[{"billed_charge":300.00,"npi":[1730681388]}]}]},{"tin":{"type":"ein","value":"825104187"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":106.21,"providers":[{"billed_charge":200.00,"npi":[1104313261]}]}]},{"tin":{"type":"ein","value":"831395475"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":50.32,"providers":[{"billed_charge":104.70,"npi":[1942854351]}]}]},{"tin":{"type":"ein","value":"831585934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.95,"providers":[{"billed_charge":85.00,"npi":[1295219616]}]}]},{"tin":{"type":"ein","value":"842385985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.21,"providers":[{"billed_charge":200.00,"npi":[1144873274]}]}]},{"tin":{"type":"ein","value":"843145868"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.42,"providers":[{"billed_charge":90.00,"npi":[1073137410]}]},{"allowed_amount":10.66,"providers":[{"billed_charge":90.00,"npi":[1073137410]}]},{"allowed_amount":18.68,"providers":[{"billed_charge":180.00,"npi":[1073137410]}]},{"allowed_amount":22.29,"providers":[{"billed_charge":90.00,"npi":[1073137410]}]},{"allowed_amount":27.55,"providers":[{"billed_charge":90.00,"npi":[1073137410]}]},{"allowed_amount":27.97,"providers":[{"billed_charge":90.00,"npi":[1073137410]}]},{"allowed_amount":45.47,"providers":[{"billed_charge":180.00,"npi":[1073137410]}]}]},{"tin":{"type":"ein","value":"843145978"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":120.00,"npi":[1871125997]}]}]},{"tin":{"type":"ein","value":"844133585"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.11,"providers":[{"billed_charge":57.00,"npi":[1194344150]}]},{"allowed_amount":35.47,"providers":[{"billed_charge":57.00,"npi":[1194344150]}]}]},{"tin":{"type":"ein","value":"853952397"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.44,"providers":[{"billed_charge":200.00,"npi":[1497159446]}]}]},{"tin":{"type":"ein","value":"853952397"},"billing_class":"professional","service_code":["11","12"],"payments":[{"allowed_amount":106.21,"providers":[{"billed_charge":200.00,"npi":[1497159446]},{"billed_charge":200.00,"npi":[1497159446]}]}]},{"tin":{"type":"ein","value":"870880734"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.46,"providers":[{"billed_charge":120.00,"npi":[1346818911]}]}]},{"tin":{"type":"ein","value":"871197400"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.91,"providers":[{"billed_charge":75.24,"npi":[1063083384]}]}]},{"tin":{"type":"ein","value":"871718320"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.65,"providers":[{"billed_charge":35.89,"npi":[1982358321]}]},{"allowed_amount":12.24,"providers":[{"billed_charge":35.89,"npi":[1982358321]}]},{"allowed_amount":33.62,"providers":[{"billed_charge":35.89,"npi":[1982358321]}]},{"allowed_amount":34.81,"providers":[{"billed_charge":35.89,"npi":[1982358321]}]},{"allowed_amount":35.42,"providers":[{"billed_charge":35.89,"npi":[1982358321]}]},{"allowed_amount":35.71,"providers":[{"billed_charge":35.89,"npi":[1982358321]}]},{"allowed_amount":56.95,"providers":[{"billed_charge":71.78,"npi":[1982358321]}]},{"allowed_amount":58.95,"providers":[{"billed_charge":71.78,"npi":[1982358321]}]}]},{"tin":{"type":"ein","value":"874755542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.11,"providers":[{"billed_charge":45.00,"npi":[1306598677]}]}]},{"tin":{"type":"ein","value":"882236579"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.99,"providers":[{"billed_charge":80.84,"npi":[1215668751]}]},{"allowed_amount":46.58,"providers":[{"billed_charge":161.68,"npi":[1215668751]}]}]},{"tin":{"type":"ein","value":"883179350"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.27,"providers":[{"billed_charge":90.00,"npi":[1487381489]}]},{"allowed_amount":80.00,"providers":[{"billed_charge":120.00,"npi":[1487381489]}]}]},{"tin":{"type":"ein","value":"900991768"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.85,"providers":[{"billed_charge":123.64,"npi":[1275972135]}]},{"allowed_amount":60.87,"providers":[{"billed_charge":123.64,"npi":[1275972135]}]}]},{"tin":{"type":"ein","value":"921854857"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.71,"providers":[{"billed_charge":80.00,"npi":[1962196287]}]},{"allowed_amount":26.69,"providers":[{"billed_charge":80.00,"npi":[1962196287]}]},{"allowed_amount":27.27,"providers":[{"billed_charge":80.00,"npi":[1962196287]}]},{"allowed_amount":33.07,"providers":[{"billed_charge":80.00,"npi":[1962196287]}]}]},{"tin":{"type":"ein","value":"922460948"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":72.10,"providers":[{"billed_charge":174.00,"npi":[1043910441]}]},{"allowed_amount":106.21,"providers":[{"billed_charge":232.00,"npi":[1043910441]}]}]},{"tin":{"type":"ein","value":"933710091"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":125.00,"npi":[1972383404]}]}]},{"tin":{"type":"ein","value":"943419490"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.16,"providers":[{"billed_charge":300.00,"npi":[1093734030,1841219862]}]},{"allowed_amount":111.19,"providers":[{"billed_charge":300.00,"npi":[1093734030]}]}]}]},{"billing_code":"97530","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"THERAPEUTIC ACTIVITIES","allowed_amounts":[{"tin":{"type":"ein","value":"208283421"},"billing_class":"institutional","payments":[{"allowed_amount":85.72,"providers":[{"billed_charge":364.00,"npi":[1427232818]}]},{"allowed_amount":128.58,"providers":[{"billed_charge":546.00,"npi":[1427232818]}]},{"allowed_amount":171.44,"providers":[{"billed_charge":728.00,"npi":[1427232818]}]}]},{"tin":{"type":"ein","value":"520591685"},"billing_class":"institutional","payments":[{"allowed_amount":201.75,"providers":[{"billed_charge":203.79,"npi":[1487741427]}]},{"allowed_amount":203.43,"providers":[{"billed_charge":205.48,"npi":[1487741427]}]},{"allowed_amount":403.50,"providers":[{"billed_charge":407.58,"npi":[1487741427]}]},{"allowed_amount":406.85,"providers":[{"billed_charge":410.96,"npi":[1487741427]}]}]},{"tin":{"type":"ein","value":"570337132"},"billing_class":"institutional","payments":[{"allowed_amount":23.17,"providers":[{"billed_charge":51.17,"npi":[1326408535]}]},{"allowed_amount":23.99,"providers":[{"billed_charge":51.17,"npi":[1326408535]}]},{"allowed_amount":25.27,"providers":[{"billed_charge":51.17,"npi":[1326408535]}]},{"allowed_amount":46.34,"providers":[{"billed_charge":102.34,"npi":[1326408535]}]},{"allowed_amount":47.99,"providers":[{"billed_charge":102.34,"npi":[1326408535]}]},{"allowed_amount":50.54,"providers":[{"billed_charge":102.34,"npi":[1326408535]}]},{"allowed_amount":69.50,"providers":[{"billed_charge":153.51,"npi":[1326408535]}]},{"allowed_amount":71.99,"providers":[{"billed_charge":153.51,"npi":[1326408535]}]},{"allowed_amount":72.01,"providers":[{"billed_charge":153.51,"npi":[1326408535]}]}]},{"tin":{"type":"ein","value":"720652905"},"billing_class":"institutional","payments":[{"allowed_amount":180.65,"providers":[{"billed_charge":225.81,"npi":[1912943184]}]}]},{"tin":{"type":"ein","value":"800818718"},"billing_class":"institutional","payments":[{"allowed_amount":164.37,"providers":[{"billed_charge":186.78,"npi":[1568727048]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":81.27,"providers":[{"billed_charge":103.74,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":185.25,"providers":[{"billed_charge":195.00,"npi":[1154392231]}]}]}]},{"billing_code":"97533","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"SENSORY INTEGRATION","allowed_amounts":[{"tin":{"type":"ein","value":"831395475"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":58.92,"providers":[{"billed_charge":88.11,"npi":[1942854351]}]}]}]},{"billing_code":"97535","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"SELF CARE MNGMENT TRAINING","allowed_amounts":[{"tin":{"type":"ein","value":"223849199"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.86,"providers":[{"billed_charge":84.00,"npi":[1912082645]}]}]},{"tin":{"type":"ein","value":"260228494"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.10,"providers":[{"billed_charge":41.00,"npi":[1508053489]}]}]},{"tin":{"type":"ein","value":"261543398"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.23,"providers":[{"billed_charge":71.50,"npi":[1750567889]}]}]},{"tin":{"type":"ein","value":"271304558"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":32.88,"providers":[{"billed_charge":56.35,"npi":[1902133689]}]}]},{"tin":{"type":"ein","value":"352565487"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":62.82,"providers":[{"billed_charge":171.00,"npi":[1356894604]}]}]},{"tin":{"type":"ein","value":"472413464"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.06,"providers":[{"billed_charge":126.00,"npi":[1780077982]}]}]},{"tin":{"type":"ein","value":"561368774"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.00,"providers":[{"billed_charge":50.00,"npi":[1457418311]}]},{"allowed_amount":36.74,"providers":[{"billed_charge":100.00,"npi":[1457418311]}]},{"allowed_amount":48.44,"providers":[{"billed_charge":50.00,"npi":[1457418311]}]}]},{"tin":{"type":"ein","value":"562071315"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.68,"providers":[{"billed_charge":76.00,"npi":[1316554397]}]},{"allowed_amount":13.76,"providers":[{"billed_charge":76.00,"npi":[1326580150]}]},{"allowed_amount":14.14,"providers":[{"billed_charge":76.00,"npi":[1316554397]}]},{"allowed_amount":17.05,"providers":[{"billed_charge":76.00,"npi":[1316554397]}]},{"allowed_amount":21.95,"providers":[{"billed_charge":152.00,"npi":[1316554397]}]},{"allowed_amount":27.92,"providers":[{"billed_charge":76.00,"npi":[1326580150]}]}]},{"tin":{"type":"ein","value":"562322824"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.85,"providers":[{"billed_charge":100.00,"npi":[1144406539]}]}]},{"tin":{"type":"ein","value":"571123400"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.66,"providers":[{"billed_charge":76.00,"npi":[1497348528]}]}]},{"tin":{"type":"ein","value":"743055729"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.65,"providers":[{"billed_charge":70.00,"npi":[1134229669]}]},{"allowed_amount":30.86,"providers":[{"billed_charge":70.00,"npi":[1134229669]}]}]},{"tin":{"type":"ein","value":"822271029"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":35.59,"providers":[{"billed_charge":62.50,"npi":[1346767290]}]}]},{"tin":{"type":"ein","value":"921854857"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.37,"providers":[{"billed_charge":75.00,"npi":[1962196287]}]},{"allowed_amount":10.46,"providers":[{"billed_charge":75.00,"npi":[1962196287]}]},{"allowed_amount":18.78,"providers":[{"billed_charge":75.00,"npi":[1962196287]}]}]}]},{"billing_code":"97535","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"SELF CARE MNGMENT TRAINING","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":176.25,"providers":[{"billed_charge":235.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"520591685"},"billing_class":"institutional","payments":[{"allowed_amount":144.10,"providers":[{"billed_charge":145.56,"npi":[1487741427]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":45.64,"providers":[{"billed_charge":76.06,"npi":[1811225428]}]}]}]},{"billing_code":"97597","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"RMVL DEVITAL TIS 20 CM/<","allowed_amounts":[{"tin":{"type":"ein","value":"272728740"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.65,"providers":[{"billed_charge":327.00,"npi":[1851694160]}]}]},{"tin":{"type":"ein","value":"464069699"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":47.53,"providers":[{"billed_charge":160.00,"npi":[1033531850]}]}]},{"tin":{"type":"ein","value":"570828733"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":46.09,"providers":[{"billed_charge":191.00,"npi":[1447618418]}]}]}]},{"billing_code":"97750","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"PHYSICAL PERFORMANCE TEST","allowed_amounts":[{"tin":{"type":"ein","value":"271304558"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":37.20,"providers":[{"billed_charge":56.35,"npi":[1902133689]}]}]},{"tin":{"type":"ein","value":"352585937"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.89,"providers":[{"billed_charge":109.95,"npi":[1063952646]}]}]}]},{"billing_code":"97750","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"PHYSICAL PERFORMANCE TEST","allowed_amounts":[{"tin":{"type":"ein","value":"300371539"},"billing_class":"institutional","payments":[{"allowed_amount":116.20,"providers":[{"billed_charge":168.40,"npi":[1366450710]}]}]}]},{"billing_code":"97760","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"ORTHOTIC MGMT&TRAING 1ST ENC","allowed_amounts":[{"tin":{"type":"ein","value":"263450900"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":41.93,"providers":[{"billed_charge":60.00,"npi":[1669625521]}]},{"allowed_amount":41.94,"providers":[{"billed_charge":60.00,"npi":[1669625521]}]},{"allowed_amount":60.00,"providers":[{"billed_charge":60.00,"npi":[1669625521]}]}]},{"tin":{"type":"ein","value":"454794352"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":41.94,"providers":[{"billed_charge":60.00,"npi":[1538423389]}]}]}]},{"billing_code":"97760","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"ORTHOTIC MGMT&TRAING 1ST ENC","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":52.87,"providers":[{"billed_charge":114.38,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":87.67,"providers":[{"billed_charge":223.90,"npi":[1811225428]}]}]}]},{"billing_code":"97763","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"ORTHC/PROSTC MGMT SBSQ ENC","allowed_amounts":[{"tin":{"type":"ein","value":"562036047"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":82.64,"providers":[{"billed_charge":180.00,"npi":[1790724706]}]},{"allowed_amount":149.04,"providers":[{"billed_charge":180.00,"npi":[1790724706]}]}]}]},{"billing_code":"97802","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"MEDICAL NUTRITION INDIV IN","allowed_amounts":[{"tin":{"type":"ein","value":"261623471"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":200.00,"npi":[1134368947]}]}]},{"tin":{"type":"ein","value":"421638714"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":93.00,"providers":[{"billed_charge":186.00,"npi":[1407881691]}]}]},{"tin":{"type":"ein","value":"453774749"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":206.25,"providers":[{"billed_charge":375.00,"npi":[1174800577]}]},{"allowed_amount":247.50,"providers":[{"billed_charge":450.00,"npi":[1174800577]}]}]},{"tin":{"type":"ein","value":"454141011"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":189.04,"providers":[{"billed_charge":200.00,"npi":[1326447913]}]},{"allowed_amount":199.24,"providers":[{"billed_charge":200.00,"npi":[1326447913]}]}]},{"tin":{"type":"ein","value":"472010029"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":46.54,"providers":[{"billed_charge":120.00,"npi":[1679002547]}]}]},{"tin":{"type":"ein","value":"472901594"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":199.24,"providers":[{"billed_charge":260.00,"npi":[1508407198]}]}]},{"tin":{"type":"ein","value":"581958398"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":47.26,"providers":[{"billed_charge":52.64,"npi":[1215932215]}]},{"allowed_amount":49.81,"providers":[{"billed_charge":52.64,"npi":[1215932215]}]}]},{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":141.78,"providers":[{"billed_charge":174.00,"npi":[1366912586]}]},{"allowed_amount":199.24,"providers":[{"billed_charge":232.00,"npi":[1366912586]}]}]},{"tin":{"type":"ein","value":"853953549"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":240.00,"providers":[{"billed_charge":300.00,"npi":[1558097824]}]}]},{"tin":{"type":"ein","value":"882813067"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":199.24,"providers":[{"billed_charge":260.00,"npi":[1891919254]}]}]}]},{"billing_code":"97802","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"MEDICAL NUTRITION INDIV IN","allowed_amounts":[{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":62.00,"providers":[{"billed_charge":124.00,"npi":[1235417288]}]}]},{"tin":{"type":"ein","value":"541691022"},"billing_class":"institutional","payments":[{"allowed_amount":42.20,"providers":[{"billed_charge":185.76,"npi":[1841242377]}]}]}]},{"billing_code":"97803","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"MED NUTRITION INDIV SUBSEQ","allowed_amounts":[{"tin":{"type":"ein","value":"261623471"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.00,"providers":[{"billed_charge":180.00,"npi":[1134368947]}]},{"allowed_amount":162.00,"providers":[{"billed_charge":270.00,"npi":[1134368947]}]}]},{"tin":{"type":"ein","value":"262588647"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":135.00,"providers":[{"billed_charge":250.00,"npi":[1548437312]}]}]},{"tin":{"type":"ein","value":"453774749"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":247.50,"providers":[{"billed_charge":450.00,"npi":[1174800577]}]}]},{"tin":{"type":"ein","value":"454141011"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":68.98,"providers":[{"billed_charge":100.00,"npi":[1326447913]}]},{"allowed_amount":72.58,"providers":[{"billed_charge":100.00,"npi":[1326447913]}]},{"allowed_amount":137.96,"providers":[{"billed_charge":200.00,"npi":[1326447913]}]},{"allowed_amount":145.16,"providers":[{"billed_charge":200.00,"npi":[1326447913]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":70.83,"providers":[{"billed_charge":200.00,"npi":[1679560643]}]}]},{"tin":{"type":"ein","value":"611855431"},"billing_class":"professional","service_code":["02","10","11"],"payments":[{"allowed_amount":68.98,"providers":[{"billed_charge":124.00,"npi":[1184167793]},{"billed_charge":124.00,"npi":[1184167793]},{"billed_charge":124.00,"npi":[1184167793]}]}]},{"tin":{"type":"ein","value":"611855431"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":103.47,"providers":[{"billed_charge":186.00,"npi":[1184167793]}]}]},{"tin":{"type":"ein","value":"611855431"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.49,"providers":[{"billed_charge":62.00,"npi":[1184167793]}]}]},{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.49,"providers":[{"billed_charge":58.00,"npi":[1366912586]}]},{"allowed_amount":68.98,"providers":[{"billed_charge":116.00,"npi":[1366912586]}]}]},{"tin":{"type":"ein","value":"812145825"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.47,"providers":[{"billed_charge":138.00,"npi":[1679937205]}]}]},{"tin":{"type":"ein","value":"823543154"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":205.76,"providers":[{"billed_charge":220.00,"npi":[1255846283]}]},{"allowed_amount":205.80,"providers":[{"billed_charge":220.00,"npi":[1255846283]}]},{"allowed_amount":222.20,"providers":[{"billed_charge":260.00,"npi":[1255846283]}]}]},{"tin":{"type":"ein","value":"825351231"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":145.16,"providers":[{"billed_charge":260.00,"npi":[1679104293]}]}]},{"tin":{"type":"ein","value":"853953549"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":240.00,"providers":[{"billed_charge":300.00,"npi":[1558097824]}]}]},{"tin":{"type":"ein","value":"932682724"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":137.96,"providers":[{"billed_charge":300.00,"npi":[1871107607]}]}]}]},{"billing_code":"97810","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"ACUPUNCT W/O STIMUL 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"473974204"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.18,"providers":[{"billed_charge":70.00,"npi":[1285012161]}]},{"allowed_amount":52.50,"providers":[{"billed_charge":70.00,"npi":[1285012161]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":29.69,"providers":[{"billed_charge":92.65,"npi":[1083669030]}]}]}]},{"billing_code":"97810","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Anesthesia","description":"ACUPUNCT W/O STIMUL 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":34.91,"providers":[{"billed_charge":146.02,"npi":[1083669030]}]}]}]},{"billing_code":"97811","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"ACUPUNCT W/O STIMUL ADDL 15M","allowed_amounts":[{"tin":{"type":"ein","value":"473974204"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.82,"providers":[{"billed_charge":120.00,"npi":[1285012161]}]},{"allowed_amount":90.00,"providers":[{"billed_charge":120.00,"npi":[1285012161]}]}]}]},{"billing_code":"97813","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"ACUPUNCT W/STIMUL 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":42.86,"providers":[{"billed_charge":111.32,"npi":[1750333282]}]}]}]},{"billing_code":"98925","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"OSTEOPATH MANJ 1-2 REGIONS","allowed_amounts":[{"tin":{"type":"ein","value":"271128955"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.82,"providers":[{"billed_charge":67.00,"npi":[1386970218]}]}]},{"tin":{"type":"ein","value":"560603898"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.36,"providers":[{"billed_charge":76.88,"npi":[1437833043]}]}]}]},{"billing_code":"98940","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"CHIROPRACT MANJ 1-2 REGIONS","allowed_amounts":[{"tin":{"type":"ein","value":"200344297"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.59,"providers":[{"billed_charge":45.00,"npi":[1598914947]}]},{"allowed_amount":38.36,"providers":[{"billed_charge":45.00,"npi":[1598914947]}]}]},{"tin":{"type":"ein","value":"200437942"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.91,"providers":[{"billed_charge":45.00,"npi":[1528095759]}]},{"allowed_amount":31.74,"providers":[{"billed_charge":45.00,"npi":[1528095759]}]}]},{"tin":{"type":"ein","value":"264263389"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.91,"providers":[{"billed_charge":57.00,"npi":[1477550457]}]},{"allowed_amount":31.74,"providers":[{"billed_charge":57.00,"npi":[1477550457]}]}]},{"tin":{"type":"ein","value":"363935049"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.29,"providers":[{"billed_charge":74.00,"npi":[1083820559]}]},{"allowed_amount":33.00,"providers":[{"billed_charge":74.00,"npi":[1083820559]}]}]},{"tin":{"type":"ein","value":"455188279"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.59,"providers":[{"billed_charge":65.00,"npi":[1831454545]}]}]},{"tin":{"type":"ein","value":"455194209"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.36,"providers":[{"billed_charge":63.00,"npi":[1942588280]}]}]},{"tin":{"type":"ein","value":"461306901"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.00,"providers":[{"billed_charge":45.00,"npi":[1821342346]}]}]},{"tin":{"type":"ein","value":"541939946"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.00,"providers":[{"billed_charge":40.00,"npi":[1649490855]}]},{"allowed_amount":33.00,"providers":[{"billed_charge":40.00,"npi":[1649490855]}]}]},{"tin":{"type":"ein","value":"561340456"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.91,"providers":[{"billed_charge":40.00,"npi":[1780680157]}]},{"allowed_amount":31.74,"providers":[{"billed_charge":40.00,"npi":[1780680157]}]}]},{"tin":{"type":"ein","value":"562412680"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.00,"providers":[{"billed_charge":60.00,"npi":[1780775221]}]}]},{"tin":{"type":"ein","value":"582068734"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.26,"providers":[{"billed_charge":31.26,"npi":[1013058742]}]}]},{"tin":{"type":"ein","value":"900297706"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.59,"providers":[{"billed_charge":80.00,"npi":[1649509019]}]}]}]},{"billing_code":"98941","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"CHIROPRACT MANJ 3-4 REGIONS","allowed_amounts":[{"tin":{"type":"ein","value":"010823935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.00,"providers":[{"billed_charge":40.00,"npi":[1205055480]}]}]},{"tin":{"type":"ein","value":"043813297"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.93,"providers":[{"billed_charge":75.00,"npi":[1932207693]}]}]},{"tin":{"type":"ein","value":"200344297"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.87,"providers":[{"billed_charge":55.00,"npi":[1598914947]}]}]},{"tin":{"type":"ein","value":"200976522"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.00,"providers":[{"billed_charge":50.00,"npi":[1801923461]}]}]},{"tin":{"type":"ein","value":"203095898"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":60.00,"npi":[1962578716]}]}]},{"tin":{"type":"ein","value":"203729908"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":65.00,"npi":[1073609665]}]}]},{"tin":{"type":"ein","value":"260402443"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.87,"providers":[{"billed_charge":48.00,"npi":[1366443582]}]}]},{"tin":{"type":"ein","value":"262213375"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.70,"providers":[{"billed_charge":54.00,"npi":[1992965503]}]},{"allowed_amount":45.87,"providers":[{"billed_charge":54.00,"npi":[1992965503]}]}]},{"tin":{"type":"ein","value":"262356091"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.87,"providers":[{"billed_charge":55.00,"npi":[1841447612]}]}]},{"tin":{"type":"ein","value":"263056148"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.00,"providers":[{"billed_charge":50.00,"npi":[1811148877]}]}]},{"tin":{"type":"ein","value":"264482359"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":65.00,"npi":[1780825893]}]}]},{"tin":{"type":"ein","value":"271062911"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":65.00,"npi":[1871820662]}]}]},{"tin":{"type":"ein","value":"271909137"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.38,"providers":[{"billed_charge":60.00,"npi":[1063186708]}]}]},{"tin":{"type":"ein","value":"271941237"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.00,"providers":[{"billed_charge":60.00,"npi":[1508181728]}]}]},{"tin":{"type":"ein","value":"273621939"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.20,"providers":[{"billed_charge":42.00,"npi":[1720398886]}]}]},{"tin":{"type":"ein","value":"352178983"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.47,"providers":[{"billed_charge":72.00,"npi":[1942487962]}]},{"allowed_amount":46.94,"providers":[{"billed_charge":72.00,"npi":[1942487962]}]}]},{"tin":{"type":"ein","value":"352588159"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.70,"providers":[{"billed_charge":60.00,"npi":[1841704244]}]},{"allowed_amount":45.87,"providers":[{"billed_charge":60.00,"npi":[1841704244]}]}]},{"tin":{"type":"ein","value":"363935049"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.29,"providers":[{"billed_charge":110.00,"npi":[1083820559]}]},{"allowed_amount":55.06,"providers":[{"billed_charge":110.00,"npi":[1083820559]}]}]},{"tin":{"type":"ein","value":"371484354"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.10,"providers":[{"billed_charge":49.00,"npi":[1679642698]}]}]},{"tin":{"type":"ein","value":"383024527"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":50.00,"npi":[1487783569]}]}]},{"tin":{"type":"ein","value":"412095850"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":55.00,"npi":[1174735013]}]}]},{"tin":{"type":"ein","value":"452796696"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.00,"providers":[{"billed_charge":50.00,"npi":[1629366851]}]}]},{"tin":{"type":"ein","value":"455194209"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.70,"providers":[{"billed_charge":72.00,"npi":[1942588280]}]}]},{"tin":{"type":"ein","value":"460678839"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":50.00,"npi":[1275882995]}]}]},{"tin":{"type":"ein","value":"461306901"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":50.00,"npi":[1821342346]}]}]},{"tin":{"type":"ein","value":"465165308"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.18,"providers":[{"billed_charge":109.00,"npi":[1013556315]}]}]},{"tin":{"type":"ein","value":"474575483"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":60.00,"npi":[1710343447]}]}]},{"tin":{"type":"ein","value":"474662180"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.94,"providers":[{"billed_charge":49.89,"npi":[1821467572]}]}]},{"tin":{"type":"ein","value":"474878769"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":70.00,"npi":[1679961437]}]}]},{"tin":{"type":"ein","value":"541939946"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":45.00,"npi":[1649490855]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.47,"providers":[{"billed_charge":62.85,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"561660546"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":55.00,"npi":[1285622134]}]},{"allowed_amount":41.25,"providers":[{"billed_charge":55.00,"npi":[1285622134]}]}]},{"tin":{"type":"ein","value":"561884471"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.80,"providers":[{"billed_charge":80.00,"npi":[1811174139]}]}]},{"tin":{"type":"ein","value":"561890570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.47,"providers":[{"billed_charge":65.00,"npi":[1528127099]}]}]},{"tin":{"type":"ein","value":"561932573"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.50,"providers":[{"billed_charge":65.00,"npi":[1588741631]}]},{"allowed_amount":36.30,"providers":[{"billed_charge":65.00,"npi":[1588741631]}]}]},{"tin":{"type":"ein","value":"561945744"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.47,"providers":[{"billed_charge":69.00,"npi":[1932290061]}]},{"allowed_amount":46.94,"providers":[{"billed_charge":69.00,"npi":[1932290061]}]}]},{"tin":{"type":"ein","value":"561971088"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.47,"providers":[{"billed_charge":65.00,"npi":[1093773392]},{"billed_charge":85.00,"npi":[1093773392]}]},{"allowed_amount":46.94,"providers":[{"billed_charge":85.00,"npi":[1093773392]}]}]},{"tin":{"type":"ein","value":"562042538"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":55.00,"npi":[1093765984]}]}]},{"tin":{"type":"ein","value":"562081368"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":55.00,"npi":[1316959117]}]}]},{"tin":{"type":"ein","value":"562093072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":40.00,"npi":[1063580447]}]}]},{"tin":{"type":"ein","value":"562228308"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":65.00,"npi":[1801871652]}]}]},{"tin":{"type":"ein","value":"571071634"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.87,"providers":[{"billed_charge":50.00,"npi":[1326100801]}]}]},{"tin":{"type":"ein","value":"571128530"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.70,"providers":[{"billed_charge":55.00,"npi":[1720049687]}]},{"allowed_amount":44.00,"providers":[{"billed_charge":55.00,"npi":[1720049687]}]},{"allowed_amount":45.87,"providers":[{"billed_charge":55.00,"npi":[1720049687]}]}]},{"tin":{"type":"ein","value":"581958398"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":46.47,"providers":[{"billed_charge":112.00,"npi":[1215932215]}]},{"allowed_amount":46.94,"providers":[{"billed_charge":112.00,"npi":[1215932215]}]}]},{"tin":{"type":"ein","value":"582366270"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.38,"providers":[{"billed_charge":60.00,"npi":[1174243786]}]}]},{"tin":{"type":"ein","value":"812812014"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":50.00,"npi":[1811184351]}]}]},{"tin":{"type":"ein","value":"813609472"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.70,"providers":[{"billed_charge":65.00,"npi":[1306356845]}]},{"allowed_amount":45.87,"providers":[{"billed_charge":65.00,"npi":[1306356845]}]}]},{"tin":{"type":"ein","value":"821126062"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.20,"providers":[{"billed_charge":85.00,"npi":[1437660891]}]},{"allowed_amount":50.04,"providers":[{"billed_charge":85.00,"npi":[1437660891]}]}]},{"tin":{"type":"ein","value":"841370759"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.41,"providers":[{"billed_charge":48.00,"npi":[1053507939]}]}]},{"tin":{"type":"ein","value":"841857100"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":50.00,"npi":[1689216863]}]}]},{"tin":{"type":"ein","value":"842367799"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":70.00,"npi":[1144812470,1992357347]}]}]},{"tin":{"type":"ein","value":"843989884"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.70,"providers":[{"billed_charge":55.00,"npi":[1538789805]}]},{"allowed_amount":45.87,"providers":[{"billed_charge":55.00,"npi":[1538789805]}]}]},{"tin":{"type":"ein","value":"850975202"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.87,"providers":[{"billed_charge":65.00,"npi":[1134742141]}]}]},{"tin":{"type":"ein","value":"872615714"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":46.47,"providers":[{"billed_charge":75.00,"npi":[1376213256]}]}]},{"tin":{"type":"ein","value":"881023633"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":75.00,"npi":[1154029155]}]}]}]},{"billing_code":"98942","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"CHIROPRACTIC MANJ 5 REGIONS","allowed_amounts":[{"tin":{"type":"ein","value":"371484354"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.55,"providers":[{"billed_charge":59.50,"npi":[1679642698]}]}]},{"tin":{"type":"ein","value":"561660546"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":38.50,"providers":[{"billed_charge":60.00,"npi":[1285622134]}]},{"allowed_amount":45.00,"providers":[{"billed_charge":60.00,"npi":[1285622134]}]}]},{"tin":{"type":"ein","value":"832884518"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.00,"providers":[{"billed_charge":60.00,"npi":[1629006440]}]}]},{"tin":{"type":"ein","value":"874755542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":66.43,"providers":[{"billed_charge":75.00,"npi":[1306598677]}]}]}]},{"billing_code":"98943","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Physical Therapy","description":"CHIROPRACT MANJ XTRSPINL 1/>","allowed_amounts":[{"tin":{"type":"ein","value":"202313244"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.40,"providers":[{"billed_charge":43.00,"npi":[1033125240]}]}]},{"tin":{"type":"ein","value":"260402443"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.01,"providers":[{"billed_charge":45.00,"npi":[1366443582]}]},{"allowed_amount":33.45,"providers":[{"billed_charge":45.00,"npi":[1366443582]}]}]},{"tin":{"type":"ein","value":"264482359"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.40,"providers":[{"billed_charge":45.00,"npi":[1780825893]}]}]},{"tin":{"type":"ein","value":"271909137"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.60,"providers":[{"billed_charge":45.00,"npi":[1063186708]}]}]},{"tin":{"type":"ein","value":"371484354"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":18.50,"npi":[1679642698]}]}]},{"tin":{"type":"ein","value":"453937719"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.00,"providers":[{"billed_charge":55.00,"npi":[1962772764]}]}]},{"tin":{"type":"ein","value":"460678839"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.80,"providers":[{"billed_charge":38.00,"npi":[1275882995]}]}]},{"tin":{"type":"ein","value":"461306901"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.40,"providers":[{"billed_charge":36.00,"npi":[1821342346]}]},{"allowed_amount":26.40,"providers":[{"billed_charge":36.00,"npi":[1821342346]}]}]},{"tin":{"type":"ein","value":"465165308"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.64,"providers":[{"billed_charge":65.00,"npi":[1013556315]}]}]},{"tin":{"type":"ein","value":"474878769"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.40,"providers":[{"billed_charge":40.00,"npi":[1679961437]}]}]},{"tin":{"type":"ein","value":"561660546"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.40,"providers":[{"billed_charge":50.00,"npi":[1285622134]}]},{"allowed_amount":37.50,"providers":[{"billed_charge":50.00,"npi":[1285622134]}]},{"allowed_amount":52.80,"providers":[{"billed_charge":100.00,"npi":[1285622134]}]}]},{"tin":{"type":"ein","value":"561971088"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.35,"providers":[{"billed_charge":45.00,"npi":[1093773392]},{"billed_charge":65.00,"npi":[1093773392]}]},{"allowed_amount":25.36,"providers":[{"billed_charge":65.00,"npi":[1093773392]}]}]},{"tin":{"type":"ein","value":"562093072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.36,"providers":[{"billed_charge":40.00,"npi":[1063580447]}]}]},{"tin":{"type":"ein","value":"581958398"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":25.35,"providers":[{"billed_charge":56.00,"npi":[1215932215]}]},{"allowed_amount":25.36,"providers":[{"billed_charge":56.00,"npi":[1215932215]}]}]},{"tin":{"type":"ein","value":"841857100"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.80,"providers":[{"billed_charge":38.00,"npi":[1689216863]}]}]},{"tin":{"type":"ein","value":"872615714"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.35,"providers":[{"billed_charge":50.00,"npi":[1376213256]}]}]}]},{"billing_code":"98960","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"SELF-MGMT EDUC & TRAIN 1 PT","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":43.81,"providers":[{"billed_charge":167.94,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":69.06,"providers":[{"billed_charge":187.07,"npi":[1083669030]}]}]}]},{"billing_code":"98961","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"SELF-MGMT EDUC/TRAIN 2-4 PT","allowed_amounts":[{"tin":{"type":"ein","value":"850867370"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":59.25,"providers":[{"billed_charge":300.00,"npi":[1790306819]}]}]}]},{"billing_code":"98967","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"HC PRO PHONE CALL 11-20 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":22.05,"providers":[{"billed_charge":56.68,"npi":[1619927027]}]}]}]},{"billing_code":"98967","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"HC PRO PHONE CALL 11-20 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":7.97,"providers":[{"billed_charge":232.61,"npi":[1619927027]}]}]}]},{"billing_code":"98968","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"HC PRO PHONE CALL 21-30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":33.25,"providers":[{"billed_charge":73.78,"npi":[1972910057]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":31.02,"providers":[{"billed_charge":82.60,"npi":[1992754758]}]}]}]},{"billing_code":"98971","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"QNHP OL DIG ASSMT&MGMT 11-20","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19","22"],"payments":[{"allowed_amount":20.67,"providers":[{"billed_charge":50.38,"npi":[1457719312]},{"billed_charge":50.90,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":20.68,"providers":[{"billed_charge":48.84,"npi":[1750333282]}]}]}]},{"billing_code":"98971","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"QNHP OL DIG ASSMT&MGMT 11-20","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":127.87,"npi":[1073557559]}]}]}]},{"billing_code":"98971","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"QNHP OL DIG ASSMT&MGMT 11-20","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":23.89,"providers":[{"billed_charge":182.90,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":16.04,"providers":[{"billed_charge":140.82,"npi":[1992754758]}]}]}]},{"billing_code":"98977","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"REM THER MNTR DV SPLY MSCSKL","allowed_amounts":[{"tin":{"type":"ein","value":"461507241"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.07,"providers":[{"billed_charge":125.00,"npi":[1306280177]}]}]},{"tin":{"type":"ein","value":"871197400"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.08,"providers":[{"billed_charge":80.00,"npi":[1063083384]}]}]}]},{"billing_code":"99000","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"SPECIMEN HANDLING OFFICE-LAB","allowed_amounts":[{"tin":{"type":"ein","value":"581087004"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.60,"providers":[{"billed_charge":25.00,"npi":[1952406761]}]}]}]},{"billing_code":"99051","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"MED SERV EVE/WKEND/HOLIDAY","allowed_amounts":[{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.94,"providers":[{"billed_charge":47.00,"npi":[1144803040]}]}]}]},{"billing_code":"99053","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"MED SERV 10PM-8AM 24 HR FAC","allowed_amounts":[{"tin":{"type":"ein","value":"813642890"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":43.02,"providers":[{"billed_charge":88.00,"npi":[1730636168]}]}]}]},{"billing_code":"99070","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"SPECIAL SUPPLIES PHYS/QHP","allowed_amounts":[{"tin":{"type":"ein","value":"921496164"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.60,"providers":[{"billed_charge":124.00,"npi":[1083721906]}]}]}]},{"billing_code":"99152","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Infant","description":"MOD SED SAME PHYS/QHP 5/>YRS","allowed_amounts":[{"tin":{"type":"ein","value":"020575160"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.64,"providers":[{"billed_charge":348.00,"npi":[1730602319]}]}]},{"tin":{"type":"ein","value":"043633263"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":14.50,"providers":[{"billed_charge":92.00,"npi":[1972503910]}]}]},{"tin":{"type":"ein","value":"264800380"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":15.72,"providers":[{"billed_charge":105.00,"npi":[1376779892]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":36.46,"providers":[{"billed_charge":36.46,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":15.90,"providers":[{"billed_charge":175.00,"npi":[1881624807]}]}]},{"tin":{"type":"ein","value":"561928809"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":14.71,"providers":[{"billed_charge":176.00,"npi":[1316264195]}]}]},{"tin":{"type":"ein","value":"646010232"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":14.70,"providers":[{"billed_charge":21.00,"npi":[1093142598]}]}]},{"tin":{"type":"ein","value":"752536818"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":14.19,"providers":[{"billed_charge":128.00,"npi":[1003811639]}]}]},{"tin":{"type":"ein","value":"840597929"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":32.40,"providers":[{"billed_charge":54.00,"npi":[1679513196]}]}]}]},{"billing_code":"99152","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Anesthesia","description":"MOD SED SAME PHYS/QHP 5/>YRS","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":136.17,"providers":[{"billed_charge":769.85,"npi":[1457719312]}]}]}]},{"billing_code":"99153","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"MOD SED SAME PHYS/QHP EA","allowed_amounts":[{"tin":{"type":"ein","value":"020575160"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.41,"providers":[{"billed_charge":320.00,"npi":[1730602319]}]}]},{"tin":{"type":"ein","value":"205154699"},"billing_class":"professional","service_code":["11","24"],"payments":[{"allowed_amount":15.05,"providers":[{"billed_charge":25.00,"npi":[1275572794]},{"billed_charge":25.00,"npi":[1275572794]}]}]},{"tin":{"type":"ein","value":"840597929"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":88.20,"providers":[{"billed_charge":147.00,"npi":[1679513196]}]}]}]},{"billing_code":"99156","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"MOD SED OTH PHYS/QHP 5/>YRS","allowed_amounts":[{"tin":{"type":"ein","value":"561763695"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":88.90,"providers":[{"billed_charge":412.00,"npi":[1922063387]}]}]}]},{"billing_code":"99157","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"MOD SED OTHER PHYS/QHP EA","allowed_amounts":[{"tin":{"type":"ein","value":"561763695"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":72.61,"providers":[{"billed_charge":314.00,"npi":[1922063387]}]}]}]},{"billing_code":"99173","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"VISUAL ACUITY SCREEN","allowed_amounts":[{"tin":{"type":"ein","value":"200063146"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.94,"providers":[{"billed_charge":32.00,"npi":[1861947905]}]}]},{"tin":{"type":"ein","value":"208876699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.26,"providers":[{"billed_charge":10.00,"npi":[1427228998]}]}]},{"tin":{"type":"ein","value":"263049770"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":50.00,"npi":[1265684856]}]}]},{"tin":{"type":"ein","value":"464770041"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.35,"providers":[{"billed_charge":34.00,"npi":[1932521630]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.82,"providers":[{"billed_charge":10.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"561175704"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.70,"providers":[{"billed_charge":10.00,"npi":[1477510659]}]}]},{"tin":{"type":"ein","value":"561567536"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.70,"providers":[{"billed_charge":9.00,"npi":[1912987090]}]}]},{"tin":{"type":"ein","value":"566000296"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":9.00,"providers":[{"billed_charge":15.00,"npi":[1235198177]}]}]},{"tin":{"type":"ein","value":"593405327"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.26,"providers":[{"billed_charge":34.00,"npi":[1609965441]}]}]},{"tin":{"type":"ein","value":"721561246"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.70,"providers":[{"billed_charge":30.00,"npi":[1346486891]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.18,"providers":[{"billed_charge":53.00,"npi":[1104368141]}]}]},{"tin":{"type":"ein","value":"873542162"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":4.35,"providers":[{"billed_charge":17.00,"npi":[1437860889]}]},{"allowed_amount":4.70,"providers":[{"billed_charge":17.00,"npi":[1437860889]}]}]},{"tin":{"type":"ein","value":"921682481"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.35,"providers":[{"billed_charge":23.00,"npi":[1467141721]}]}]}]},{"billing_code":"99174","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"OCULAR INSTRUMNT SCREEN BIL","allowed_amounts":[{"tin":{"type":"ein","value":"203087196"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.22,"providers":[{"billed_charge":15.00,"npi":[1497783229]}]}]}]},{"billing_code":"99177","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"OCULAR INSTRUMNT SCREEN BIL","allowed_amounts":[{"tin":{"type":"ein","value":"453367409"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.23,"providers":[{"billed_charge":15.00,"npi":[1700162203]}]}]},{"tin":{"type":"ein","value":"581480658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":45.00,"npi":[1003940909]}]}]},{"tin":{"type":"ein","value":"591198552"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.77,"providers":[{"billed_charge":52.00,"npi":[1639138480]}]}]},{"tin":{"type":"ein","value":"813080176"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.05,"providers":[{"billed_charge":50.00,"npi":[1942651054]}]}]},{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.17,"providers":[{"billed_charge":25.00,"npi":[1124102595]}]}]}]},{"billing_code":"99188","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Basic","description":"APP TOPICAL FLUORIDE VARNISH","allowed_amounts":[{"tin":{"type":"ein","value":"453367409"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.51,"providers":[{"billed_charge":32.00,"npi":[1700162203]}]}]},{"tin":{"type":"ein","value":"454965405"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.13,"providers":[{"billed_charge":50.00,"npi":[1447508478]}]}]}]},{"billing_code":"99190","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"SPECIAL PUMP SERVICES","allowed_amounts":[{"tin":{"type":"ein","value":"320078468"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":26.22,"providers":[{"billed_charge":840.00,"npi":[1780918193]}]}]}]},{"billing_code":"99191","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"SPECIAL PUMP SERVICES","allowed_amounts":[{"tin":{"type":"ein","value":"320078468"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":406.09,"providers":[{"billed_charge":650.00,"npi":[1780918193]}]}]}]},{"billing_code":"99192","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"SPECIAL PUMP SERVICES","allowed_amounts":[{"tin":{"type":"ein","value":"320078468"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":284.26,"providers":[{"billed_charge":430.00,"npi":[1780918193]}]}]}]},{"billing_code":"99202","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Office Visit","description":"OFFICE O/P NEW SF 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"043813297"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.90,"providers":[{"billed_charge":150.00,"npi":[1932207693]}]}]},{"tin":{"type":"ein","value":"200344297"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.87,"providers":[{"billed_charge":95.00,"npi":[1598914947]}]}]},{"tin":{"type":"ein","value":"202265068"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.34,"providers":[{"billed_charge":168.00,"npi":[1013042480]}]}]},{"tin":{"type":"ein","value":"202288402"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":174.25,"providers":[{"billed_charge":205.00,"npi":[1861449407]}]}]},{"tin":{"type":"ein","value":"263310765"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":192.00,"providers":[{"billed_charge":240.00,"npi":[1053565580]}]}]},{"tin":{"type":"ein","value":"263755706"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.37,"providers":[{"billed_charge":94.00,"npi":[1598798100]}]}]},{"tin":{"type":"ein","value":"270381199"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":61.31,"providers":[{"billed_charge":176.00,"npi":[1538397120]}]}]},{"tin":{"type":"ein","value":"270705510"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.58,"providers":[{"billed_charge":110.00,"npi":[1336474964]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":226.50,"providers":[{"billed_charge":302.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"453937719"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.87,"providers":[{"billed_charge":170.00,"npi":[1962772764]}]}]},{"tin":{"type":"ein","value":"461306901"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.80,"providers":[{"billed_charge":90.00,"npi":[1821342346]}]}]},{"tin":{"type":"ein","value":"465165308"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.40,"providers":[{"billed_charge":198.00,"npi":[1013556315]}]}]},{"tin":{"type":"ein","value":"541217184"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.35,"providers":[{"billed_charge":144.00,"npi":[1265485270]}]}]},{"tin":{"type":"ein","value":"550420956"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":131.00,"providers":[{"billed_charge":131.00,"npi":[1316054919]}]}]},{"tin":{"type":"ein","value":"550801575"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.37,"providers":[{"billed_charge":145.00,"npi":[1215990700]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":67.37,"providers":[{"billed_charge":115.86,"npi":[1457719312]}]},{"allowed_amount":68.08,"providers":[{"billed_charge":115.86,"npi":[1457719312]},{"billed_charge":117.04,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.08,"providers":[{"billed_charge":200.00,"npi":[1912957606]}]}]},{"tin":{"type":"ein","value":"561074754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":100.00,"npi":[1922132620]}]}]},{"tin":{"type":"ein","value":"561398929"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.08,"providers":[{"billed_charge":211.00,"npi":[1699979732]}]}]},{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.37,"providers":[{"billed_charge":215.00,"npi":[1972554186]}]},{"allowed_amount":67.87,"providers":[{"billed_charge":215.00,"npi":[1861913022]}]},{"allowed_amount":68.08,"providers":[{"billed_charge":215.00,"npi":[1972554186]}]},{"allowed_amount":121.60,"providers":[{"billed_charge":152.00,"npi":[1972554186]}]}]},{"tin":{"type":"ein","value":"561872583"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.53,"providers":[{"billed_charge":177.00,"npi":[1538171871]}]}]},{"tin":{"type":"ein","value":"561913043"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.08,"providers":[{"billed_charge":129.00,"npi":[1013093038]}]}]},{"tin":{"type":"ein","value":"561945744"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.08,"providers":[{"billed_charge":110.00,"npi":[1932290061]}]}]},{"tin":{"type":"ein","value":"562081368"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.80,"providers":[{"billed_charge":55.00,"npi":[1316959117]}]}]},{"tin":{"type":"ein","value":"562143419"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":44.26,"providers":[{"billed_charge":88.52,"npi":[1326627399]}]}]},{"tin":{"type":"ein","value":"562221330"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.08,"providers":[{"billed_charge":120.00,"npi":[1861534950]}]}]},{"tin":{"type":"ein","value":"562228308"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.80,"providers":[{"billed_charge":120.00,"npi":[1801871652]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":44.55,"providers":[{"billed_charge":93.99,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"581146357"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.27,"providers":[{"billed_charge":90.00,"npi":[1538112016]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":94.15,"providers":[{"billed_charge":150.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"621547647"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.50,"providers":[{"billed_charge":95.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":166.50,"providers":[{"billed_charge":185.00,"npi":[1992752521]}]}]},{"tin":{"type":"ein","value":"813609472"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.27,"providers":[{"billed_charge":85.00,"npi":[1306356845]}]},{"allowed_amount":67.87,"providers":[{"billed_charge":85.00,"npi":[1306356845]}]}]},{"tin":{"type":"ein","value":"822629930"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.93,"providers":[{"billed_charge":145.00,"npi":[1275051054]}]}]},{"tin":{"type":"ein","value":"822881922"},"billing_class":"professional","service_code":["49"],"payments":[{"allowed_amount":68.08,"providers":[{"billed_charge":175.00,"npi":[1174017511]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.81,"providers":[{"billed_charge":165.00,"npi":[1902305063]}]}]},{"tin":{"type":"ein","value":"824385128"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.58,"providers":[{"billed_charge":132.00,"npi":[1124528344]}]}]},{"tin":{"type":"ein","value":"830230892"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":73.88,"providers":[{"billed_charge":215.00,"npi":[1487818605]}]}]},{"tin":{"type":"ein","value":"833107705"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.30,"providers":[{"billed_charge":145.00,"npi":[1003380759]}]}]},{"tin":{"type":"ein","value":"840832336"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":117.00,"providers":[{"billed_charge":127.20,"npi":[1760599724]}]}]},{"tin":{"type":"ein","value":"841764495"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.84,"providers":[{"billed_charge":95.00,"npi":[1225689870]}]}]},{"tin":{"type":"ein","value":"851136657"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":70.22,"providers":[{"billed_charge":200.00,"npi":[1275146045]}]}]},{"tin":{"type":"ein","value":"863952535"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.37,"providers":[{"billed_charge":127.00,"npi":[1972240455]}]}]},{"tin":{"type":"ein","value":"882159993"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":174.30,"providers":[{"billed_charge":210.00,"npi":[1124765052]}]}]}]},{"billing_code":"99202","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Office Visit","description":"OFFICE O/P NEW SF 15-29 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.08,"providers":[{"billed_charge":126.74,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"830987791"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":44.79,"providers":[{"billed_charge":290.00,"npi":[1285118802]}]}]}]},{"billing_code":"99202","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFFICE O/P NEW SF 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":63.30,"providers":[{"billed_charge":253.91,"npi":[1750333282]}]},{"allowed_amount":66.26,"providers":[{"billed_charge":363.18,"npi":[1457719312]}]},{"allowed_amount":73.06,"providers":[{"billed_charge":253.91,"npi":[1073557559]},{"billed_charge":363.18,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":63.69,"providers":[{"billed_charge":302.12,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"590872594"},"billing_class":"institutional","payments":[{"allowed_amount":449.65,"providers":[{"billed_charge":529.00,"npi":[1982688230]}]}]}]},{"billing_code":"99202","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFFICE O/P NEW SF 15-29 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":63.30,"providers":[{"billed_charge":253.91,"npi":[1750333282]}]},{"allowed_amount":66.26,"providers":[{"billed_charge":363.18,"npi":[1457719312]}]},{"allowed_amount":73.06,"providers":[{"billed_charge":253.91,"npi":[1073557559]},{"billed_charge":363.18,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":63.69,"providers":[{"billed_charge":302.12,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"590872594"},"billing_class":"institutional","payments":[{"allowed_amount":449.65,"providers":[{"billed_charge":529.00,"npi":[1982688230]}]}]}]},{"billing_code":"99202","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"OFFICE O/P NEW SF 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":220.00,"providers":[{"billed_charge":250.00,"npi":[1477643690]}]}]}]},{"billing_code":"99202","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"OFFICE O/P NEW SF 15-29 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":220.00,"providers":[{"billed_charge":250.00,"npi":[1477643690]}]}]}]},{"billing_code":"99203","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Outpatient Services","description":"OFFICE O/P NEW LOW 30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"010594994"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":189.00,"npi":[1417979402]}]}]},{"tin":{"type":"ein","value":"020781602"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":191.00,"npi":[1639195126]}]}]},{"tin":{"type":"ein","value":"030219309"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":283.05,"providers":[{"billed_charge":333.00,"npi":[1659309615]}]}]},{"tin":{"type":"ein","value":"042979922"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":255.81,"providers":[{"billed_charge":350.00,"npi":[1457361040]}]}]},{"tin":{"type":"ein","value":"043239435"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":154.66,"providers":[{"billed_charge":350.00,"npi":[1437197092]}]}]},{"tin":{"type":"ein","value":"043708805"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.60,"providers":[{"billed_charge":238.34,"npi":[1972576536]}]}]},{"tin":{"type":"ein","value":"060867065"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":111.15,"providers":[{"billed_charge":247.50,"npi":[1396750840]}]}]},{"tin":{"type":"ein","value":"061657321"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.00,"providers":[{"billed_charge":175.00,"npi":[1649206814]}]}]},{"tin":{"type":"ein","value":"113569822"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":115.45,"providers":[{"billed_charge":250.00,"npi":[1619934460]}]}]},{"tin":{"type":"ein","value":"133375559"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":415.70,"providers":[{"billed_charge":550.00,"npi":[1639159692]}]}]},{"tin":{"type":"ein","value":"141633562"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.83,"providers":[{"billed_charge":189.00,"npi":[1871533216]}]}]},{"tin":{"type":"ein","value":"141942527"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":139.20,"providers":[{"billed_charge":232.00,"npi":[1598869844]}]}]},{"tin":{"type":"ein","value":"200160881"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":112.89,"providers":[{"billed_charge":218.00,"npi":[1245997279]}]}]},{"tin":{"type":"ein","value":"200935689"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.20,"providers":[{"billed_charge":250.00,"npi":[1861501801]}]}]},{"tin":{"type":"ein","value":"201395801"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":82.88,"providers":[{"billed_charge":212.00,"npi":[1801999545]}]}]},{"tin":{"type":"ein","value":"202013359"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":41.29,"providers":[{"billed_charge":327.06,"npi":[1407893100]}]}]},{"tin":{"type":"ein","value":"202143850"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.25,"providers":[{"billed_charge":165.00,"npi":[1588728166]}]}]},{"tin":{"type":"ein","value":"202630141"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":183.36,"providers":[{"billed_charge":225.00,"npi":[1568413920]}]}]},{"tin":{"type":"ein","value":"203095898"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.23,"providers":[{"billed_charge":125.00,"npi":[1962578716]}]}]},{"tin":{"type":"ein","value":"203348922"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.96,"providers":[{"billed_charge":169.00,"npi":[1457323164]}]}]},{"tin":{"type":"ein","value":"203601776"},"billing_class":"professional","service_code":["72"],"payments":[{"allowed_amount":92.55,"providers":[{"billed_charge":200.27,"npi":[1629114707]}]}]},{"tin":{"type":"ein","value":"204356115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":171.34,"providers":[{"billed_charge":350.00,"npi":[1679525455]}]}]},{"tin":{"type":"ein","value":"204700877"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":336.94,"providers":[{"billed_charge":421.17,"npi":[1407864168]}]}]},{"tin":{"type":"ein","value":"205805198"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":161.00,"providers":[{"billed_charge":269.00,"npi":[1922289156]}]}]},{"tin":{"type":"ein","value":"205953171"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":157.52,"providers":[{"billed_charge":176.00,"npi":[1447318225]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":104.20,"providers":[{"billed_charge":253.80,"npi":[1457579617]}]},{"allowed_amount":106.60,"providers":[{"billed_charge":253.80,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"232919472"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":188.25,"providers":[{"billed_charge":251.00,"npi":[1881683100]}]}]},{"tin":{"type":"ein","value":"236291113"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":276.25,"providers":[{"billed_charge":325.00,"npi":[1164716643]}]}]},{"tin":{"type":"ein","value":"250815795"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":213.17,"providers":[{"billed_charge":297.00,"npi":[1245246644]}]}]},{"tin":{"type":"ein","value":"260706444"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":146.00,"npi":[1487848800]}]}]},{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":222.40,"providers":[{"billed_charge":278.00,"npi":[1861675506]}]}]},{"tin":{"type":"ein","value":"261393906"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":90.31,"providers":[{"billed_charge":320.82,"npi":[1962684886]}]}]},{"tin":{"type":"ein","value":"262470325"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.00,"providers":[{"billed_charge":210.00,"npi":[1457530057]}]}]},{"tin":{"type":"ein","value":"262824776"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.20,"providers":[{"billed_charge":370.00,"npi":[1104088905]}]},{"allowed_amount":106.60,"providers":[{"billed_charge":370.00,"npi":[1104088905]}]}]},{"tin":{"type":"ein","value":"264212594"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":240.00,"npi":[1255632006]}]}]},{"tin":{"type":"ein","value":"264546400"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":91.42,"providers":[{"billed_charge":240.00,"npi":[1912133315]}]},{"allowed_amount":101.95,"providers":[{"billed_charge":240.00,"npi":[1912133315]}]},{"allowed_amount":147.74,"providers":[{"billed_charge":240.00,"npi":[1912133315]}]}]},{"tin":{"type":"ein","value":"270846679"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.23,"providers":[{"billed_charge":225.00,"npi":[1265665681]}]}]},{"tin":{"type":"ein","value":"270851352"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":77.26,"providers":[{"billed_charge":264.00,"npi":[1134452865]}]}]},{"tin":{"type":"ein","value":"270898372"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":190.10,"providers":[{"billed_charge":269.00,"npi":[1780986257]}]}]},{"tin":{"type":"ein","value":"272147949"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.46,"providers":[{"billed_charge":251.00,"npi":[1518283753]}]}]},{"tin":{"type":"ein","value":"272343207"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":128.60,"providers":[{"billed_charge":176.00,"npi":[1215379789]}]}]},{"tin":{"type":"ein","value":"272728740"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":382.00,"npi":[1851694160]}]}]},{"tin":{"type":"ein","value":"272800635"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":78.07,"providers":[{"billed_charge":172.00,"npi":[1912228347]}]}]},{"tin":{"type":"ein","value":"272857996"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":66.32,"providers":[{"billed_charge":214.00,"npi":[1477867844]}]}]},{"tin":{"type":"ein","value":"273818647"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":148.80,"providers":[{"billed_charge":281.00,"npi":[1275992240]}]}]},{"tin":{"type":"ein","value":"273846421"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":64.38,"providers":[{"billed_charge":232.78,"npi":[1073804712]}]}]},{"tin":{"type":"ein","value":"274026658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.00,"providers":[{"billed_charge":190.00,"npi":[1033494943]}]}]},{"tin":{"type":"ein","value":"275370465"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":342.00,"npi":[1225580392]}]}]},{"tin":{"type":"ein","value":"300205092"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":150.00,"npi":[1366737298]}]}]},{"tin":{"type":"ein","value":"300489823"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":124.13,"providers":[{"billed_charge":233.00,"npi":[1063457547]}]}]},{"tin":{"type":"ein","value":"300994598"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":110.30,"providers":[{"billed_charge":219.00,"npi":[1205350584]}]}]},{"tin":{"type":"ein","value":"311610834"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.31,"providers":[{"billed_charge":358.00,"npi":[1245248947]}]}]},{"tin":{"type":"ein","value":"320418835"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":342.00,"npi":[1639506470]}]}]},{"tin":{"type":"ein","value":"320502543"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":119.15,"providers":[{"billed_charge":162.00,"npi":[1801341862]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":390.00,"providers":[{"billed_charge":520.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351128943"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":125.57,"providers":[{"billed_charge":284.00,"npi":[1609074921]}]}]},{"tin":{"type":"ein","value":"352588159"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.60,"providers":[{"billed_charge":175.00,"npi":[1841704244]}]}]},{"tin":{"type":"ein","value":"362169147"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":224.10,"providers":[{"billed_charge":249.00,"npi":[1003542184]}]}]},{"tin":{"type":"ein","value":"362679194"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":225.00,"providers":[{"billed_charge":250.00,"npi":[1558330811]}]}]},{"tin":{"type":"ein","value":"364615049"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":129.22,"providers":[{"billed_charge":335.00,"npi":[1487838652]}]}]},{"tin":{"type":"ein","value":"364727660"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":232.59,"providers":[{"billed_charge":826.00,"npi":[1912266420]}]}]},{"tin":{"type":"ein","value":"383316559"},"billing_class":"professional","service_code":["11","20"],"payments":[{"allowed_amount":148.04,"providers":[{"billed_charge":249.00,"npi":[1316379936]},{"billed_charge":249.00,"npi":[1992937023]}]}]},{"tin":{"type":"ein","value":"383316559"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":118.11,"providers":[{"billed_charge":249.00,"npi":[1992937023]}]}]},{"tin":{"type":"ein","value":"383878115"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":91.70,"providers":[{"billed_charge":303.00,"npi":[1477087658]}]}]},{"tin":{"type":"ein","value":"386007327"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.23,"providers":[{"billed_charge":128.00,"npi":[1467470492]}]}]},{"tin":{"type":"ein","value":"391351587"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":114.01,"providers":[{"billed_charge":321.00,"npi":[1912347923]}]}]},{"tin":{"type":"ein","value":"411939629"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":81.13,"providers":[{"billed_charge":119.00,"npi":[1134191836]}]}]},{"tin":{"type":"ein","value":"411939629"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.96,"providers":[{"billed_charge":186.47,"npi":[1134191836]}]}]},{"tin":{"type":"ein","value":"431771217"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":147.64,"providers":[{"billed_charge":168.00,"npi":[1851335228]}]}]},{"tin":{"type":"ein","value":"432001418"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":119.05,"providers":[{"billed_charge":178.01,"npi":[1558753749]}]}]},{"tin":{"type":"ein","value":"452119198"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":99.18,"providers":[{"billed_charge":220.00,"npi":[1396038774]}]}]},{"tin":{"type":"ein","value":"452150951"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":101.58,"providers":[{"billed_charge":169.30,"npi":[1346537180]}]}]},{"tin":{"type":"ein","value":"452474599"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.10,"providers":[{"billed_charge":146.00,"npi":[1750677241]}]}]},{"tin":{"type":"ein","value":"453123110"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":110.30,"providers":[{"billed_charge":240.00,"npi":[1215219878]}]}]},{"tin":{"type":"ein","value":"453191160"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":255.68,"providers":[{"billed_charge":255.68,"npi":[1235411547]}]}]},{"tin":{"type":"ein","value":"453508803"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.52,"providers":[{"billed_charge":232.00,"npi":[1841562667]}]}]},{"tin":{"type":"ein","value":"454298417"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":170.96,"providers":[{"billed_charge":400.00,"npi":[1255957205]}]}]},{"tin":{"type":"ein","value":"454639427"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.30,"providers":[{"billed_charge":150.00,"npi":[1225383243]}]}]},{"tin":{"type":"ein","value":"454674296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":150.00,"npi":[1093081762]}]}]},{"tin":{"type":"ein","value":"460906181"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":260.00,"npi":[1972930725]}]}]},{"tin":{"type":"ein","value":"460933667"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":100.87,"providers":[{"billed_charge":225.00,"npi":[1225381148]}]}]},{"tin":{"type":"ein","value":"461306901"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.23,"providers":[{"billed_charge":110.00,"npi":[1821342346]}]}]},{"tin":{"type":"ein","value":"462403175"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":98.15,"providers":[{"billed_charge":176.00,"npi":[1205268208]}]}]},{"tin":{"type":"ein","value":"470902244"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":146.03,"providers":[{"billed_charge":185.00,"npi":[1205814118]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":227.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"471758444"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":99.19,"providers":[{"billed_charge":575.00,"npi":[1679970891]}]}]},{"tin":{"type":"ein","value":"472146421"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":89.45,"providers":[{"billed_charge":119.27,"npi":[1871343053]}]}]},{"tin":{"type":"ein","value":"472863935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.60,"providers":[{"billed_charge":370.00,"npi":[1114317062]}]}]},{"tin":{"type":"ein","value":"474167681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":86.00,"providers":[{"billed_charge":238.00,"npi":[1497135347]}]}]},{"tin":{"type":"ein","value":"474459800"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":197.00,"npi":[1912381203]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":214.67,"providers":[{"billed_charge":410.13,"npi":[1013913789]}]}]},{"tin":{"type":"ein","value":"540505977"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.10,"providers":[{"billed_charge":153.00,"npi":[1942540208]}]}]},{"tin":{"type":"ein","value":"541820401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":342.00,"npi":[1699365072]}]}]},{"tin":{"type":"ein","value":"541869072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.30,"providers":[{"billed_charge":244.00,"npi":[1639125271]}]}]},{"tin":{"type":"ein","value":"541939946"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.00,"providers":[{"billed_charge":40.00,"npi":[1649490855]}]}]},{"tin":{"type":"ein","value":"542114133"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.16,"providers":[{"billed_charge":217.00,"npi":[1780639369]}]}]},{"tin":{"type":"ein","value":"550554001"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":116.58,"providers":[{"billed_charge":291.00,"npi":[1659733293]}]}]},{"tin":{"type":"ein","value":"556000381"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":115.41,"providers":[{"billed_charge":225.00,"npi":[1609842251]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["02","19"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":197.25,"npi":[1457719312]},{"billed_charge":199.26,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":197.25,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":76.49,"providers":[{"billed_charge":191.21,"npi":[1750333282]}]},{"allowed_amount":79.71,"providers":[{"billed_charge":191.21,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":300.00,"npi":[1912957606]}]},{"allowed_amount":107.31,"providers":[{"billed_charge":300.00,"npi":[1912957606]}]}]},{"tin":{"type":"ein","value":"561004551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":317.03,"npi":[1265477251]}]}]},{"tin":{"type":"ein","value":"561191387"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":79.71,"providers":[{"billed_charge":554.78,"npi":[1174817993]}]}]},{"tin":{"type":"ein","value":"561294828"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":79.71,"providers":[{"billed_charge":200.00,"npi":[1598934374]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":175.11,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":253.80,"npi":[1356345920]}]},{"allowed_amount":107.31,"providers":[{"billed_charge":253.80,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":284.00,"npi":[1972554186]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":311.00,"npi":[1679944706]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":195.00,"npi":[1457423907]}]}]},{"tin":{"type":"ein","value":"561872583"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":78.07,"providers":[{"billed_charge":262.00,"npi":[1538171871]}]}]},{"tin":{"type":"ein","value":"561901819"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":180.00,"npi":[1184705865]}]}]},{"tin":{"type":"ein","value":"561932573"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.23,"providers":[{"billed_charge":175.00,"npi":[1588741631]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":207.31,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"561972669"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":314.00,"npi":[1750346748]}]}]},{"tin":{"type":"ein","value":"562059693"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":286.00,"npi":[1730100801]}]}]},{"tin":{"type":"ein","value":"562071829"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":145.00,"npi":[1851566772]}]}]},{"tin":{"type":"ein","value":"562084959"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":328.00,"npi":[1386383909]}]}]},{"tin":{"type":"ein","value":"562093072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":90.00,"npi":[1063580447]}]}]},{"tin":{"type":"ein","value":"562096131"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":185.17,"npi":[1568424299]}]}]},{"tin":{"type":"ein","value":"562107544"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":317.43,"npi":[1780655803]}]}]},{"tin":{"type":"ein","value":"562109998"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":76.49,"providers":[{"billed_charge":170.00,"npi":[1467972703]}]}]},{"tin":{"type":"ein","value":"562118060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.50,"providers":[{"billed_charge":145.00,"npi":[1790881076]}]}]},{"tin":{"type":"ein","value":"562197985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":210.00,"npi":[1952579807]}]}]},{"tin":{"type":"ein","value":"562271194"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":200.00,"npi":[1154370104]}]}]},{"tin":{"type":"ein","value":"566000296"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":81.00,"providers":[{"billed_charge":135.00,"npi":[1235198177]}]}]},{"tin":{"type":"ein","value":"570359174"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.60,"providers":[{"billed_charge":188.00,"npi":[1760848006]}]}]},{"tin":{"type":"ein","value":"570524985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.60,"providers":[{"billed_charge":134.00,"npi":[1720044514]}]}]},{"tin":{"type":"ein","value":"570957418"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.93,"providers":[{"billed_charge":286.00,"npi":[1720295793]}]}]},{"tin":{"type":"ein","value":"571052806"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.60,"providers":[{"billed_charge":308.82,"npi":[1548371222]}]}]},{"tin":{"type":"ein","value":"571111225"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.20,"providers":[{"billed_charge":175.00,"npi":[1245764430]}]}]},{"tin":{"type":"ein","value":"581036115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":176.87,"providers":[{"billed_charge":264.00,"npi":[1972558336]}]}]},{"tin":{"type":"ein","value":"581095787"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":520.00,"providers":[{"billed_charge":650.00,"npi":[1528174430]}]}]},{"tin":{"type":"ein","value":"581466368"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":341.00,"npi":[1760950646]}]}]},{"tin":{"type":"ein","value":"581589893"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":176.87,"providers":[{"billed_charge":192.50,"npi":[1861760027]}]}]},{"tin":{"type":"ein","value":"581661116"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":181.68,"providers":[{"billed_charge":333.00,"npi":[1386697928]}]}]},{"tin":{"type":"ein","value":"581711627"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":216.00,"providers":[{"billed_charge":270.00,"npi":[1164584512]}]}]},{"tin":{"type":"ein","value":"581728803"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":341.00,"npi":[1477276699]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":336.94,"providers":[{"billed_charge":421.17,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"582147112"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":364.44,"providers":[{"billed_charge":428.75,"npi":[1659425825]}]}]},{"tin":{"type":"ein","value":"582209517"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":236.00,"providers":[{"billed_charge":295.00,"npi":[1548271992]}]}]},{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":173.40,"providers":[{"billed_charge":279.00,"npi":[1184679482]}]}]},{"tin":{"type":"ein","value":"582353352"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.20,"providers":[{"billed_charge":214.08,"npi":[1659421238]}]}]},{"tin":{"type":"ein","value":"582366697"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":105.93,"providers":[{"billed_charge":190.00,"npi":[1821518556]}]}]},{"tin":{"type":"ein","value":"591867557"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":234.60,"providers":[{"billed_charge":276.00,"npi":[1144276452]}]}]},{"tin":{"type":"ein","value":"591961248"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":77.40,"providers":[{"billed_charge":129.00,"npi":[1699809236]}]}]},{"tin":{"type":"ein","value":"593209688"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":228.20,"providers":[{"billed_charge":326.00,"npi":[1073565610]}]}]},{"tin":{"type":"ein","value":"593379430"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":180.13,"providers":[{"billed_charge":328.00,"npi":[1740373547]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.09,"providers":[{"billed_charge":200.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":89.67,"providers":[{"billed_charge":157.00,"npi":[1528195864]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":146.36,"providers":[{"billed_charge":175.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"611085679"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.68,"providers":[{"billed_charge":261.35,"npi":[1629083399]}]}]},{"tin":{"type":"ein","value":"611262927"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":136.30,"providers":[{"billed_charge":311.00,"npi":[1700803681]}]}]},{"tin":{"type":"ein","value":"611459826"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":112.54,"providers":[{"billed_charge":260.00,"npi":[1396782710]}]}]},{"tin":{"type":"ein","value":"612025058"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.31,"providers":[{"billed_charge":170.00,"npi":[1144930066]}]}]},{"tin":{"type":"ein","value":"620475697"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":84.32,"providers":[{"billed_charge":151.00,"npi":[1801121074]}]}]},{"tin":{"type":"ein","value":"620485733"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":84.32,"providers":[{"billed_charge":156.69,"npi":[1336880798]}]}]},{"tin":{"type":"ein","value":"621529858"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.17,"providers":[{"billed_charge":202.00,"npi":[1437194669]}]}]},{"tin":{"type":"ein","value":"621585063"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":90.78,"providers":[{"billed_charge":227.00,"npi":[1548349186]}]}]},{"tin":{"type":"ein","value":"621766083"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":91.70,"providers":[{"billed_charge":175.00,"npi":[1477594521]}]}]},{"tin":{"type":"ein","value":"630649108"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":156.85,"providers":[{"billed_charge":264.00,"npi":[1093768723]}]}]},{"tin":{"type":"ein","value":"630825248"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":127.90,"providers":[{"billed_charge":176.00,"npi":[1669429080]}]}]},{"tin":{"type":"ein","value":"630943121"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":101.61,"providers":[{"billed_charge":202.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"631286855"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":87.50,"providers":[{"billed_charge":125.00,"npi":[1972692986]}]}]},{"tin":{"type":"ein","value":"636001138"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.55,"providers":[{"billed_charge":125.00,"npi":[1467599399]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":256.50,"providers":[{"billed_charge":285.00,"npi":[1225246812]}]}]},{"tin":{"type":"ein","value":"721567745"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":139.93,"providers":[{"billed_charge":201.89,"npi":[1982786620]}]}]},{"tin":{"type":"ein","value":"742161737"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":243.75,"providers":[{"billed_charge":325.00,"npi":[1962461889]}]}]},{"tin":{"type":"ein","value":"742620408"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":160.49,"providers":[{"billed_charge":241.44,"npi":[1801856786]}]}]},{"tin":{"type":"ein","value":"742653603"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.00,"providers":[{"billed_charge":328.00,"npi":[1144294661]}]}]},{"tin":{"type":"ein","value":"752424925"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":119.71,"providers":[{"billed_charge":172.71,"npi":[1548231046]}]}]},{"tin":{"type":"ein","value":"752733623"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.84,"providers":[{"billed_charge":165.00,"npi":[1033264635]}]}]},{"tin":{"type":"ein","value":"800107731"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.10,"providers":[{"billed_charge":146.00,"npi":[1205885035]}]}]},{"tin":{"type":"ein","value":"800278187"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":101.61,"providers":[{"billed_charge":120.00,"npi":[1639323744]}]}]},{"tin":{"type":"ein","value":"810568231"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.60,"providers":[{"billed_charge":160.00,"npi":[1437168135]}]}]},{"tin":{"type":"ein","value":"811762230"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":90.62,"providers":[{"billed_charge":309.00,"npi":[1912368457]}]}]},{"tin":{"type":"ein","value":"812117336"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":83.67,"providers":[{"billed_charge":206.00,"npi":[1285082768]}]}]},{"tin":{"type":"ein","value":"812812014"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.23,"providers":[{"billed_charge":110.00,"npi":[1811184351]}]}]},{"tin":{"type":"ein","value":"812838296"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":105.83,"providers":[{"billed_charge":230.00,"npi":[1669825162]}]}]},{"tin":{"type":"ein","value":"813801273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":65.00,"providers":[{"billed_charge":130.00,"npi":[1801346895]}]}]},{"tin":{"type":"ein","value":"814632899"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":104.20,"providers":[{"billed_charge":306.00,"npi":[1093248288]}]},{"allowed_amount":106.60,"providers":[{"billed_charge":306.00,"npi":[1093248288]}]}]},{"tin":{"type":"ein","value":"814798728"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.83,"providers":[{"billed_charge":138.00,"npi":[1093251340]}]}]},{"tin":{"type":"ein","value":"820491054"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":183.36,"providers":[{"billed_charge":230.00,"npi":[1023053204]}]}]},{"tin":{"type":"ein","value":"822146009"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.30,"providers":[{"billed_charge":140.00,"npi":[1386163822]}]}]},{"tin":{"type":"ein","value":"822146009"},"billing_class":"professional","service_code":["11","20"],"payments":[{"allowed_amount":110.31,"providers":[{"billed_charge":140.00,"npi":[1386163822]},{"billed_charge":140.00,"npi":[1386163822]}]}]},{"tin":{"type":"ein","value":"822410133"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":98.58,"providers":[{"billed_charge":222.00,"npi":[1538686498]}]},{"allowed_amount":105.27,"providers":[{"billed_charge":215.00,"npi":[1538686498]}]}]},{"tin":{"type":"ein","value":"822818022"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.61,"providers":[{"billed_charge":264.00,"npi":[1447769559]}]}]},{"tin":{"type":"ein","value":"822969638"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":117.36,"providers":[{"billed_charge":206.20,"npi":[1407419138]}]}]},{"tin":{"type":"ein","value":"823328660"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":137.64,"providers":[{"billed_charge":922.19,"npi":[1982338042]}]}]},{"tin":{"type":"ein","value":"824301751"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":160.00,"providers":[{"billed_charge":221.00,"npi":[1922580133]}]}]},{"tin":{"type":"ein","value":"824964253"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.10,"providers":[{"billed_charge":204.44,"npi":[1699262329]}]}]},{"tin":{"type":"ein","value":"830641538"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":78.07,"providers":[{"billed_charge":156.14,"npi":[1972092054]}]}]},{"tin":{"type":"ein","value":"830705469"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":225.00,"npi":[1679066658]}]}]},{"tin":{"type":"ein","value":"831236595"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":110.31,"providers":[{"billed_charge":222.63,"npi":[1316410798]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":380.00,"npi":[1932679446]}]},{"allowed_amount":107.31,"providers":[{"billed_charge":380.00,"npi":[1932679446]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":180.00,"npi":[1609342815]}]}]},{"tin":{"type":"ein","value":"832849989"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":155.23,"providers":[{"billed_charge":300.00,"npi":[1023582178]}]}]},{"tin":{"type":"ein","value":"833107705"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.70,"providers":[{"billed_charge":205.00,"npi":[1003380759]}]}]},{"tin":{"type":"ein","value":"840255530"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":137.20,"providers":[{"billed_charge":204.00,"npi":[1942511019]}]}]},{"tin":{"type":"ein","value":"842154457"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":191.00,"npi":[1770135808]}]}]},{"tin":{"type":"ein","value":"842516855"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.10,"providers":[{"billed_charge":491.00,"npi":[1124886965]}]}]},{"tin":{"type":"ein","value":"842516855"},"billing_class":"professional","service_code":["72"],"payments":[{"allowed_amount":49.05,"providers":[{"billed_charge":327.00,"npi":[1811502818]}]}]},{"tin":{"type":"ein","value":"842705367"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":225.00,"npi":[1124674049]}]}]},{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":178.00,"npi":[1255950325]}]},{"allowed_amount":107.31,"providers":[{"billed_charge":209.00,"npi":[1255950325]}]}]},{"tin":{"type":"ein","value":"851060029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":102.55,"providers":[{"billed_charge":262.80,"npi":[1851919005]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":218.00,"npi":[1144803040]}]},{"allowed_amount":107.31,"providers":[{"billed_charge":218.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"870217280"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":90.04,"providers":[{"billed_charge":192.00,"npi":[1588384010]}]}]},{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":116.52,"providers":[{"billed_charge":172.00,"npi":[1124102595]}]}]},{"tin":{"type":"ein","value":"871189099"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.31,"providers":[{"billed_charge":225.00,"npi":[1982272001]}]}]},{"tin":{"type":"ein","value":"873542162"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":105.00,"providers":[{"billed_charge":210.00,"npi":[1437860889]}]}]},{"tin":{"type":"ein","value":"874755542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.20,"providers":[{"billed_charge":150.00,"npi":[1306598677]}]}]},{"tin":{"type":"ein","value":"882159993"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":178.45,"providers":[{"billed_charge":215.00,"npi":[1124765052]}]}]},{"tin":{"type":"ein","value":"882309850"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":94.71,"providers":[{"billed_charge":260.00,"npi":[1588390942]}]}]},{"tin":{"type":"ein","value":"883046892"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":110.30,"providers":[{"billed_charge":300.00,"npi":[1508592114]}]}]},{"tin":{"type":"ein","value":"883691170"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.50,"providers":[{"billed_charge":109.00,"npi":[1841914561]}]}]},{"tin":{"type":"ein","value":"886000436"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.65,"providers":[{"billed_charge":603.00,"npi":[1548393127]}]}]},{"tin":{"type":"ein","value":"900036573"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":136.73,"providers":[{"billed_charge":213.23,"npi":[1770533077]}]}]},{"tin":{"type":"ein","value":"900614621"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.20,"providers":[{"billed_charge":197.00,"npi":[1821398512]}]}]},{"tin":{"type":"ein","value":"912197705"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.34,"providers":[{"billed_charge":331.00,"npi":[1114022167]}]}]},{"tin":{"type":"ein","value":"920056274"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":207.28,"providers":[{"billed_charge":348.71,"npi":[1942284765]}]}]},{"tin":{"type":"ein","value":"920943759"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":106.60,"providers":[{"billed_charge":208.00,"npi":[1851000855]}]}]},{"tin":{"type":"ein","value":"921496164"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":168.00,"npi":[1083721906]}]},{"allowed_amount":107.31,"providers":[{"billed_charge":168.00,"npi":[1083721906]}]}]},{"tin":{"type":"ein","value":"933254155"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":226.00,"npi":[1861274169]}]},{"allowed_amount":107.31,"providers":[{"billed_charge":226.00,"npi":[1861274169]}]}]},{"tin":{"type":"ein","value":"934104475"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":329.00,"npi":[1629841788]}]},{"allowed_amount":107.31,"providers":[{"billed_charge":329.00,"npi":[1629841788]}]},{"allowed_amount":111.10,"providers":[{"billed_charge":329.00,"npi":[1629841788]}]}]},{"tin":{"type":"ein","value":"934624425"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.20,"providers":[{"billed_charge":341.00,"npi":[1861253981]}]}]},{"tin":{"type":"ein","value":"934642395"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":156.14,"npi":[1740057017]}]}]},{"tin":{"type":"ein","value":"934946733"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":242.58,"npi":[1417719378]}]}]},{"tin":{"type":"ein","value":"991936736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":200.00,"npi":[1770342354]}]}]},{"tin":{"type":"ein","value":"992646504"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":229.60,"providers":[{"billed_charge":287.00,"npi":[1942058557]}]}]},{"tin":{"type":"ein","value":"993969598"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":96.91,"providers":[{"billed_charge":216.00,"npi":[1164260261]}]}]}]},{"billing_code":"99203","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Outpatient Services","description":"OFFICE O/P NEW LOW 30-44 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"205064238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":203.17,"providers":[{"billed_charge":320.00,"npi":[1790875037]}]}]},{"tin":{"type":"ein","value":"455415825"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":184.83,"providers":[{"billed_charge":244.00,"npi":[1245592419]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":136.20,"providers":[{"billed_charge":227.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"471690397"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":202.00,"npi":[1235531906]}]}]},{"tin":{"type":"ein","value":"556000821"},"billing_class":"professional","service_code":["72"],"payments":[{"allowed_amount":71.33,"providers":[{"billed_charge":203.54,"npi":[1588749188]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.09,"providers":[{"billed_charge":181.04,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"800966359"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.31,"providers":[{"billed_charge":230.00,"npi":[1932521010]}]}]}]},{"billing_code":"99203","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFFICE O/P NEW LOW 30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"042103881"},"billing_class":"institutional","payments":[{"allowed_amount":122.73,"providers":[{"billed_charge":218.00,"npi":[1548202641]}]}]},{"tin":{"type":"ein","value":"131624096"},"billing_class":"institutional","payments":[{"allowed_amount":277.50,"providers":[{"billed_charge":375.00,"npi":[1932103413]}]}]},{"tin":{"type":"ein","value":"556000381"},"billing_class":"institutional","payments":[{"allowed_amount":148.83,"providers":[{"billed_charge":165.00,"npi":[1609842251]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":80.29,"providers":[{"billed_charge":448.09,"npi":[1457719312]}]},{"allowed_amount":93.73,"providers":[{"billed_charge":448.09,"npi":[1457719312]}]},{"allowed_amount":100.04,"providers":[{"billed_charge":444.12,"npi":[1750333282]},{"billed_charge":448.09,"npi":[1457719312]}]},{"allowed_amount":121.12,"providers":[{"billed_charge":313.27,"npi":[1073557559]},{"billed_charge":444.12,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":100.04,"providers":[{"billed_charge":348.96,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":100.04,"providers":[{"billed_charge":121.35,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":121.12,"providers":[{"billed_charge":344.99,"npi":[1992754758]}]}]}]},{"billing_code":"99203","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFFICE O/P NEW LOW 30-44 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"042103881"},"billing_class":"institutional","payments":[{"allowed_amount":122.73,"providers":[{"billed_charge":218.00,"npi":[1548202641]}]}]},{"tin":{"type":"ein","value":"131624096"},"billing_class":"institutional","payments":[{"allowed_amount":277.50,"providers":[{"billed_charge":375.00,"npi":[1932103413]}]}]},{"tin":{"type":"ein","value":"556000381"},"billing_class":"institutional","payments":[{"allowed_amount":148.83,"providers":[{"billed_charge":165.00,"npi":[1609842251]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":80.29,"providers":[{"billed_charge":448.09,"npi":[1457719312]}]},{"allowed_amount":93.73,"providers":[{"billed_charge":448.09,"npi":[1457719312]}]},{"allowed_amount":100.04,"providers":[{"billed_charge":444.12,"npi":[1750333282]},{"billed_charge":448.09,"npi":[1457719312]}]},{"allowed_amount":121.12,"providers":[{"billed_charge":313.27,"npi":[1073557559]},{"billed_charge":444.12,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":100.04,"providers":[{"billed_charge":348.96,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":100.04,"providers":[{"billed_charge":121.35,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":121.12,"providers":[{"billed_charge":344.99,"npi":[1992754758]}]}]}]},{"billing_code":"99204","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Outpatient Services","description":"OFFICE O/P NEW MOD 45 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"020585061"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":163.38,"providers":[{"billed_charge":383.00,"npi":[1194876078]}]}]},{"tin":{"type":"ein","value":"030219309"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":421.60,"providers":[{"billed_charge":496.00,"npi":[1659309615]}]}]},{"tin":{"type":"ein","value":"043138013"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":181.87,"providers":[{"billed_charge":635.00,"npi":[1104921162]}]}]},{"tin":{"type":"ein","value":"043397450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":300.23,"providers":[{"billed_charge":518.00,"npi":[1871639914]}]}]},{"tin":{"type":"ein","value":"050524222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":500.00,"npi":[1285713859]}]}]},{"tin":{"type":"ein","value":"061127657"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":160.17,"providers":[{"billed_charge":636.00,"npi":[1902855828]}]}]},{"tin":{"type":"ein","value":"061648651"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":477.12,"npi":[1982662896]}]}]},{"tin":{"type":"ein","value":"102649585"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":141.05,"providers":[{"billed_charge":370.00,"npi":[1962772764]}]}]},{"tin":{"type":"ein","value":"133544120"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":359.56,"providers":[{"billed_charge":560.00,"npi":[1982643003]}]}]},{"tin":{"type":"ein","value":"133884168"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":297.97,"providers":[{"billed_charge":510.00,"npi":[1881653822]}]}]},{"tin":{"type":"ein","value":"135562308"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":448.57,"providers":[{"billed_charge":1155.00,"npi":[1285826438]}]}]},{"tin":{"type":"ein","value":"200462802"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":117.35,"providers":[{"billed_charge":292.50,"npi":[1477506343]}]}]},{"tin":{"type":"ein","value":"201582408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":370.00,"npi":[1295784874]}]}]},{"tin":{"type":"ein","value":"202948293"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":160.53,"providers":[{"billed_charge":481.00,"npi":[1376527077]}]}]},{"tin":{"type":"ein","value":"203172958"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.99,"providers":[{"billed_charge":310.00,"npi":[1326211434]}]}]},{"tin":{"type":"ein","value":"203400983"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":138.51,"providers":[{"billed_charge":542.00,"npi":[1487767133]}]}]},{"tin":{"type":"ein","value":"203722480"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.01,"providers":[{"billed_charge":220.00,"npi":[1811041015]}]}]},{"tin":{"type":"ein","value":"204793018"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":148.17,"providers":[{"billed_charge":325.00,"npi":[1952346744]}]}]},{"tin":{"type":"ein","value":"204923281"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":209.22,"providers":[{"billed_charge":338.00,"npi":[1003985102]}]}]},{"tin":{"type":"ein","value":"204949752"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":150.40,"providers":[{"billed_charge":387.00,"npi":[1508871948]}]}]},{"tin":{"type":"ein","value":"205392766"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":194.46,"providers":[{"billed_charge":249.00,"npi":[1619105244]}]}]},{"tin":{"type":"ein","value":"205497203"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.16,"providers":[{"billed_charge":318.00,"npi":[1831744176]}]}]},{"tin":{"type":"ein","value":"208455320"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":242.12,"providers":[{"billed_charge":250.00,"npi":[1053449306]}]}]},{"tin":{"type":"ein","value":"208785833"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":215.96,"providers":[{"billed_charge":331.90,"npi":[1013163914]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":141.05,"providers":[{"billed_charge":388.78,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"222703314"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":324.77,"providers":[{"billed_charge":520.00,"npi":[1336137629]}]}]},{"tin":{"type":"ein","value":"232866529"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":209.62,"providers":[{"billed_charge":522.00,"npi":[1215987243]}]}]},{"tin":{"type":"ein","value":"251838458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":228.48,"providers":[{"billed_charge":476.00,"npi":[1104826734]}]},{"allowed_amount":235.20,"providers":[{"billed_charge":490.00,"npi":[1689674871]}]}]},{"tin":{"type":"ein","value":"260541579"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":218.81,"providers":[{"billed_charge":365.00,"npi":[1215165212]}]}]},{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.55,"providers":[{"billed_charge":201.00,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":337.60,"providers":[{"billed_charge":422.00,"npi":[1861675506]}]}]},{"tin":{"type":"ein","value":"261882832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":126.00,"providers":[{"billed_charge":210.00,"npi":[1326294414]}]}]},{"tin":{"type":"ein","value":"262059029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":350.00,"providers":[{"billed_charge":500.00,"npi":[1356589808]}]}]},{"tin":{"type":"ein","value":"262470325"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":321.00,"npi":[1457530057]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":153.82,"providers":[{"billed_charge":346.22,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"263084543"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":166.20,"providers":[{"billed_charge":277.00,"npi":[1114136561]}]}]},{"tin":{"type":"ein","value":"263515916"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":141.05,"providers":[{"billed_charge":245.00,"npi":[1629220611]}]}]},{"tin":{"type":"ein","value":"264104889"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":141.05,"providers":[{"billed_charge":250.00,"npi":[1699019810]}]}]},{"tin":{"type":"ein","value":"264183569"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":218.00,"providers":[{"billed_charge":373.00,"npi":[1134484892]}]}]},{"tin":{"type":"ein","value":"264517010"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":263.15,"providers":[{"billed_charge":611.00,"npi":[1457640088]}]}]},{"tin":{"type":"ein","value":"270053197"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":199.78,"providers":[{"billed_charge":332.96,"npi":[1851587794]}]}]},{"tin":{"type":"ein","value":"270123687"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":393.62,"providers":[{"billed_charge":492.02,"npi":[1437194156]}]}]},{"tin":{"type":"ein","value":"270851352"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":126.53,"providers":[{"billed_charge":395.00,"npi":[1134452865]}]},{"allowed_amount":128.74,"providers":[{"billed_charge":395.00,"npi":[1134452865]}]}]},{"tin":{"type":"ein","value":"271467095"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":141.05,"providers":[{"billed_charge":267.00,"npi":[1326364100]}]}]},{"tin":{"type":"ein","value":"271511893"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":242.12,"providers":[{"billed_charge":295.58,"npi":[1649502295]}]}]},{"tin":{"type":"ein","value":"272208011"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":329.00,"npi":[1902124647]}]}]},{"tin":{"type":"ein","value":"272801896"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":147.38,"providers":[{"billed_charge":500.00,"npi":[1063718013]}]}]},{"tin":{"type":"ein","value":"272836162"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.50,"providers":[{"billed_charge":175.00,"npi":[1891004362]}]}]},{"tin":{"type":"ein","value":"273210819"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.15,"providers":[{"billed_charge":211.00,"npi":[1548739170]}]}]},{"tin":{"type":"ein","value":"273255459"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":151.68,"providers":[{"billed_charge":305.00,"npi":[1841506458]}]}]},{"tin":{"type":"ein","value":"273401099"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":147.40,"providers":[{"billed_charge":310.00,"npi":[1114234382]}]}]},{"tin":{"type":"ein","value":"273426141"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":214.40,"providers":[{"billed_charge":470.00,"npi":[1093024101]}]}]},{"tin":{"type":"ein","value":"273846421"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":349.93,"npi":[1073804712]}]},{"allowed_amount":175.08,"providers":[{"billed_charge":349.93,"npi":[1073804712]}]}]},{"tin":{"type":"ein","value":"274437670"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":112.50,"providers":[{"billed_charge":225.00,"npi":[1619274446]}]}]},{"tin":{"type":"ein","value":"274749421"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":174.80,"providers":[{"billed_charge":456.00,"npi":[1699182998]}]}]},{"tin":{"type":"ein","value":"275349332"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":157.46,"providers":[{"billed_charge":322.00,"npi":[1982903951]}]}]},{"tin":{"type":"ein","value":"300709677"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":139.87,"providers":[{"billed_charge":325.30,"npi":[1265103345]}]}]},{"tin":{"type":"ein","value":"300994598"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":145.33,"providers":[{"billed_charge":328.00,"npi":[1205350584]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":128.14,"providers":[{"billed_charge":619.00,"npi":[1609915784]}]},{"allowed_amount":588.05,"providers":[{"billed_charge":619.00,"npi":[1609915784]}]}]},{"tin":{"type":"ein","value":"310917085"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":83.33,"providers":[{"billed_charge":449.00,"npi":[1508817248]}]}]},{"tin":{"type":"ein","value":"311369596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":306.00,"providers":[{"billed_charge":360.00,"npi":[1740231448]}]}]},{"tin":{"type":"ein","value":"311713993"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":114.88,"providers":[{"billed_charge":869.00,"npi":[1598723082]}]}]},{"tin":{"type":"ein","value":"311838862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.09,"providers":[{"billed_charge":219.00,"npi":[1114151800]}]}]},{"tin":{"type":"ein","value":"330788196"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.97,"providers":[{"billed_charge":680.00,"npi":[1922129865]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":633.75,"providers":[{"billed_charge":845.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":128.14,"providers":[{"billed_charge":845.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351747218"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":216.75,"providers":[{"billed_charge":289.00,"npi":[1902032832]}]}]},{"tin":{"type":"ein","value":"363907436"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":413.44,"providers":[{"billed_charge":413.44,"npi":[1043242886]}]}]},{"tin":{"type":"ein","value":"382988086"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":176.16,"providers":[{"billed_charge":428.00,"npi":[1659418663]}]}]},{"tin":{"type":"ein","value":"383878115"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":154.96,"providers":[{"billed_charge":464.00,"npi":[1477087658]}]}]},{"tin":{"type":"ein","value":"411000647"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":356.94,"providers":[{"billed_charge":514.00,"npi":[1881699197]}]}]},{"tin":{"type":"ein","value":"450527284"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":147.38,"providers":[{"billed_charge":260.00,"npi":[1902809122]}]}]},{"tin":{"type":"ein","value":"452131675"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":326.72,"npi":[1336292556]}]}]},{"tin":{"type":"ein","value":"452779165"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":165.09,"providers":[{"billed_charge":635.00,"npi":[1881966901]}]}]},{"tin":{"type":"ein","value":"452961880"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":175.94,"providers":[{"billed_charge":415.00,"npi":[1497034946]}]}]},{"tin":{"type":"ein","value":"453123110"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":145.33,"providers":[{"billed_charge":300.00,"npi":[1215219878]}]}]},{"tin":{"type":"ein","value":"453279277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":194.27,"providers":[{"billed_charge":215.85,"npi":[1720374283]}]}]},{"tin":{"type":"ein","value":"453597157"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":126.65,"providers":[{"billed_charge":381.00,"npi":[1447520333]}]}]},{"tin":{"type":"ein","value":"454298417"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":253.36,"providers":[{"billed_charge":575.00,"npi":[1255957205]}]}]},{"tin":{"type":"ein","value":"455370849"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":145.33,"providers":[{"billed_charge":318.00,"npi":[1770846727]}]}]},{"tin":{"type":"ein","value":"460218851"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":209.97,"providers":[{"billed_charge":337.00,"npi":[1487602843]}]}]},{"tin":{"type":"ein","value":"460782127"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":78.53,"providers":[{"billed_charge":358.00,"npi":[1124713383]}]}]},{"tin":{"type":"ein","value":"460933667"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":154.84,"providers":[{"billed_charge":300.00,"npi":[1225381148]}]}]},{"tin":{"type":"ein","value":"461555497"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":196.66,"providers":[{"billed_charge":282.00,"npi":[1942546890]}]}]},{"tin":{"type":"ein","value":"462447900"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.74,"providers":[{"billed_charge":305.00,"npi":[1467083675]}]}]},{"tin":{"type":"ein","value":"462659193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":145.33,"providers":[{"billed_charge":492.48,"npi":[1134564073]}]}]},{"tin":{"type":"ein","value":"465137699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":346.70,"npi":[1962821322]}]}]},{"tin":{"type":"ein","value":"465562958"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":350.00,"providers":[{"billed_charge":350.00,"npi":[1053729814]}]}]},{"tin":{"type":"ein","value":"470902244"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":221.25,"providers":[{"billed_charge":281.00,"npi":[1205814118]}]}]},{"tin":{"type":"ein","value":"471264701"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.50,"providers":[{"billed_charge":225.00,"npi":[1174922348]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":339.00,"npi":[1154721272]}]},{"allowed_amount":203.40,"providers":[{"billed_charge":339.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"471811550"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":164.81,"providers":[{"billed_charge":570.00,"npi":[1306238647]}]}]},{"tin":{"type":"ein","value":"472863935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":393.38,"providers":[{"billed_charge":760.00,"npi":[1114317062]}]}]},{"tin":{"type":"ein","value":"474123699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":154.20,"providers":[{"billed_charge":225.00,"npi":[1245614049]}]}]},{"tin":{"type":"ein","value":"474413635"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":151.68,"providers":[{"billed_charge":239.00,"npi":[1225491426]}]},{"allowed_amount":158.94,"providers":[{"billed_charge":239.00,"npi":[1225491426]}]}]},{"tin":{"type":"ein","value":"474459800"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":300.00,"npi":[1912381203]}]}]},{"tin":{"type":"ein","value":"474734363"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":180.38,"providers":[{"billed_charge":608.00,"npi":[1447622402]}]}]},{"tin":{"type":"ein","value":"474832985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":159.06,"providers":[{"billed_charge":870.00,"npi":[1629422738]}]}]},{"tin":{"type":"ein","value":"480637331"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":223.61,"providers":[{"billed_charge":498.00,"npi":[1942317854]}]}]},{"tin":{"type":"ein","value":"481181579"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":208.33,"providers":[{"billed_charge":343.00,"npi":[1841251394]}]}]},{"tin":{"type":"ein","value":"510103684"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":136.89,"providers":[{"billed_charge":485.44,"npi":[1407830748]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":303.28,"providers":[{"billed_charge":408.00,"npi":[1689655219]}]}]},{"tin":{"type":"ein","value":"522077594"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":165.82,"providers":[{"billed_charge":250.00,"npi":[1891849832]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":114.27,"providers":[{"billed_charge":333.49,"npi":[1619927027]}]},{"allowed_amount":114.88,"providers":[{"billed_charge":333.49,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"540793767"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.15,"providers":[{"billed_charge":494.00,"npi":[1518102235]}]}]},{"tin":{"type":"ein","value":"541634477"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.15,"providers":[{"billed_charge":391.00,"npi":[1902848294]}]}]},{"tin":{"type":"ein","value":"541869072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.15,"providers":[{"billed_charge":360.00,"npi":[1639125271]}]}]},{"tin":{"type":"ein","value":"541885550"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":147.00,"providers":[{"billed_charge":210.00,"npi":[1821057639]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":311.11,"npi":[1750333282]},{"billed_charge":320.94,"npi":[1457719312]},{"billed_charge":324.21,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":112.15,"providers":[{"billed_charge":311.11,"npi":[1750333282]}]},{"allowed_amount":145.95,"providers":[{"billed_charge":311.11,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":374.00,"npi":[1134372477]}]}]},{"tin":{"type":"ein","value":"560942061"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":670.00,"npi":[1962434324]}]}]},{"tin":{"type":"ein","value":"560942061"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":112.15,"providers":[{"billed_charge":670.00,"npi":[1962434324]}]}]},{"tin":{"type":"ein","value":"561004551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":305.36,"npi":[1265477251]}]},{"allowed_amount":183.22,"providers":[{"billed_charge":305.36,"npi":[1265477251]}]}]},{"tin":{"type":"ein","value":"561191387"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":112.16,"providers":[{"billed_charge":623.85,"npi":[1174817993]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":181.55,"providers":[{"billed_charge":342.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":388.78,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"561463611"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":260.00,"npi":[1437175700]}]}]},{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":780.00,"npi":[1174813224]}]}]},{"tin":{"type":"ein","value":"561499935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":382.50,"npi":[1962456343]}]}]},{"tin":{"type":"ein","value":"561660466"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":442.00,"npi":[1952306599]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":413.00,"npi":[1639425796]}]}]},{"tin":{"type":"ein","value":"561752222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":392.00,"npi":[1386605608]}]}]},{"tin":{"type":"ein","value":"561882674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.15,"providers":[{"billed_charge":231.00,"npi":[1598714297]}]}]},{"tin":{"type":"ein","value":"561886725"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":192.00,"npi":[1114969706]}]}]},{"tin":{"type":"ein","value":"561901819"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":280.00,"npi":[1184705865]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":351.00,"npi":[1598761967]}]}]},{"tin":{"type":"ein","value":"561984532"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":350.00,"npi":[1740279876]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":320.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"562059693"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":463.00,"npi":[1730100801]}]}]},{"tin":{"type":"ein","value":"562084959"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":112.15,"providers":[{"billed_charge":265.00,"npi":[1447444559]}]},{"allowed_amount":112.16,"providers":[{"billed_charge":265.00,"npi":[1447444559]}]}]},{"tin":{"type":"ein","value":"562096131"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":278.36,"npi":[1568424299]}]}]},{"tin":{"type":"ein","value":"562107759"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":263.00,"npi":[1669404208]}]}]},{"tin":{"type":"ein","value":"562118060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.00,"providers":[{"billed_charge":200.00,"npi":[1790881076]}]}]},{"tin":{"type":"ein","value":"562271194"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":350.00,"npi":[1154370104]}]}]},{"tin":{"type":"ein","value":"570571969"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":160.00,"providers":[{"billed_charge":320.00,"npi":[1083693857]}]}]},{"tin":{"type":"ein","value":"570821519"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":141.05,"providers":[{"billed_charge":236.00,"npi":[1366404659]}]}]},{"tin":{"type":"ein","value":"570934822"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":141.05,"providers":[{"billed_charge":315.00,"npi":[1922080266]}]}]},{"tin":{"type":"ein","value":"570963173"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.09,"providers":[{"billed_charge":310.00,"npi":[1194707901]}]}]},{"tin":{"type":"ein","value":"576000286"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":90.72,"providers":[{"billed_charge":122.59,"npi":[1902989163,1841374485,1023191707]}]}]},{"tin":{"type":"ein","value":"581054951"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":250.97,"providers":[{"billed_charge":278.00,"npi":[1962449363]}]}]},{"tin":{"type":"ein","value":"581581693"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":250.00,"providers":[{"billed_charge":250.00,"npi":[1780779363]}]}]},{"tin":{"type":"ein","value":"581719867"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":393.38,"providers":[{"billed_charge":561.00,"npi":[1790733244]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":126.00,"providers":[{"billed_charge":398.00,"npi":[1689610149]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":499.34,"providers":[{"billed_charge":624.18,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11","22"],"payments":[{"allowed_amount":494.40,"providers":[{"billed_charge":618.00,"npi":[1396798229]},{"billed_charge":618.00,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"582149083"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.00,"providers":[{"billed_charge":200.00,"npi":[1427039254]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":182.59,"providers":[{"billed_charge":245.00,"npi":[1679599088]}]}]},{"tin":{"type":"ein","value":"582461275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":246.05,"providers":[{"billed_charge":250.00,"npi":[1518174861]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":532.10,"providers":[{"billed_charge":626.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"592123944"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":199.78,"providers":[{"billed_charge":333.00,"npi":[1669405379]}]}]},{"tin":{"type":"ein","value":"592579938"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":430.95,"providers":[{"billed_charge":507.00,"npi":[1154371458]}]}]},{"tin":{"type":"ein","value":"593140335"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":347.65,"providers":[{"billed_charge":409.00,"npi":[1043269871]}]}]},{"tin":{"type":"ein","value":"593209688"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":348.60,"providers":[{"billed_charge":498.00,"npi":[1073565610]}]}]},{"tin":{"type":"ein","value":"593379430"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":275.19,"providers":[{"billed_charge":501.00,"npi":[1740373547]}]}]},{"tin":{"type":"ein","value":"620811256"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":214.40,"providers":[{"billed_charge":328.00,"npi":[1003835141]}]}]},{"tin":{"type":"ein","value":"620843740"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":269.85,"providers":[{"billed_charge":421.87,"npi":[1184644932]}]}]},{"tin":{"type":"ein","value":"621052914"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":204.12,"providers":[{"billed_charge":300.00,"npi":[1235180480]}]}]},{"tin":{"type":"ein","value":"621490616"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.15,"providers":[{"billed_charge":405.00,"npi":[1568726883]}]}]},{"tin":{"type":"ein","value":"621586264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.64,"providers":[{"billed_charge":306.59,"npi":[1245251404]}]},{"allowed_amount":154.97,"providers":[{"billed_charge":306.59,"npi":[1245251404]}]}]},{"tin":{"type":"ein","value":"621700130"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":185.83,"providers":[{"billed_charge":469.00,"npi":[1053402040]}]}]},{"tin":{"type":"ein","value":"650942710"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":177.00,"providers":[{"billed_charge":295.00,"npi":[1326162553]}]}]},{"tin":{"type":"ein","value":"651202935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":265.00,"npi":[1801010145]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":373.50,"providers":[{"billed_charge":415.00,"npi":[1225246812]}]}]},{"tin":{"type":"ein","value":"720815739"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":154.78,"providers":[{"billed_charge":283.00,"npi":[1083713101]}]}]},{"tin":{"type":"ein","value":"730803441"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.24,"providers":[{"billed_charge":308.00,"npi":[1538270954]}]}]},{"tin":{"type":"ein","value":"742800601"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":251.42,"providers":[{"billed_charge":501.00,"npi":[1326072943]}]}]},{"tin":{"type":"ein","value":"753028076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":246.05,"providers":[{"billed_charge":344.00,"npi":[1396955431]}]}]},{"tin":{"type":"ein","value":"800292644"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":320.00,"npi":[1740434158]}]}]},{"tin":{"type":"ein","value":"810740611"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.27,"providers":[{"billed_charge":470.00,"npi":[1174983118]}]}]},{"tin":{"type":"ein","value":"812122050"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":211.35,"providers":[{"billed_charge":504.00,"npi":[1962957639]}]}]},{"tin":{"type":"ein","value":"812145825"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":224.00,"npi":[1679937205]}]}]},{"tin":{"type":"ein","value":"812875553"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":125.17,"providers":[{"billed_charge":312.92,"npi":[1942592381]}]}]},{"tin":{"type":"ein","value":"813704980"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":125.00,"providers":[{"billed_charge":250.00,"npi":[1487100202]}]}]},{"tin":{"type":"ein","value":"814632899"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":141.05,"providers":[{"billed_charge":469.00,"npi":[1093248288]}]}]},{"tin":{"type":"ein","value":"820935311"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":128.74,"providers":[{"billed_charge":304.00,"npi":[1124541438]}]}]},{"tin":{"type":"ein","value":"822410133"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":138.60,"providers":[{"billed_charge":231.00,"npi":[1538686498]}]}]},{"tin":{"type":"ein","value":"822446908"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":442.00,"npi":[1700397304]}]}]},{"tin":{"type":"ein","value":"823857687"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":131.15,"providers":[{"billed_charge":570.00,"npi":[1962902650]}]}]},{"tin":{"type":"ein","value":"824301751"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":160.00,"providers":[{"billed_charge":319.00,"npi":[1922580133]}]}]},{"tin":{"type":"ein","value":"825415284"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":292.97,"providers":[{"billed_charge":395.00,"npi":[1144719311]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":570.00,"npi":[1932679446]}]}]},{"tin":{"type":"ein","value":"832096059"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":145.33,"providers":[{"billed_charge":290.00,"npi":[1285109033]}]}]},{"tin":{"type":"ein","value":"832515164"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":165.83,"providers":[{"billed_charge":280.97,"npi":[1174186100]}]}]},{"tin":{"type":"ein","value":"834210598"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":250.00,"npi":[1396206330]}]}]},{"tin":{"type":"ein","value":"842136648"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":204.45,"providers":[{"billed_charge":510.00,"npi":[1942860176]}]}]},{"tin":{"type":"ein","value":"842154457"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":286.00,"npi":[1770135808]}]}]},{"tin":{"type":"ein","value":"842167967"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":137.03,"providers":[{"billed_charge":250.00,"npi":[1013568567]}]}]},{"tin":{"type":"ein","value":"842207973"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":177.60,"providers":[{"billed_charge":296.00,"npi":[1053972331]}]}]},{"tin":{"type":"ein","value":"842516855"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":59.80,"providers":[{"billed_charge":598.00,"npi":[1124886965]}]}]},{"tin":{"type":"ein","value":"842993729"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":180.38,"providers":[{"billed_charge":400.00,"npi":[1457901001]}]}]},{"tin":{"type":"ein","value":"843304760"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":166.38,"providers":[{"billed_charge":332.96,"npi":[1033752969]}]}]},{"tin":{"type":"ein","value":"844464066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":624.00,"npi":[1073148581]}]}]},{"tin":{"type":"ein","value":"844758260"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.09,"providers":[{"billed_charge":309.00,"npi":[1922687052]}]}]},{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":320.00,"npi":[1255950325]}]}]},{"tin":{"type":"ein","value":"852984080"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":318.40,"npi":[1750001749,1164021051]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":536.75,"providers":[{"billed_charge":565.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"862109896"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":390.00,"npi":[1205553369]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":332.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"870281028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":173.80,"providers":[{"billed_charge":282.00,"npi":[1093764805]}]}]},{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":179.72,"providers":[{"billed_charge":258.00,"npi":[1124102595]}]}]},{"tin":{"type":"ein","value":"870795875"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.15,"providers":[{"billed_charge":550.00,"npi":[1871710798]}]}]},{"tin":{"type":"ein","value":"871690090"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":170.28,"providers":[{"billed_charge":668.00,"npi":[1346913415]}]}]},{"tin":{"type":"ein","value":"873317048"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":349.95,"providers":[{"billed_charge":400.00,"npi":[1174282610]}]}]},{"tin":{"type":"ein","value":"873542162"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":313.00,"npi":[1437860889]}]},{"allowed_amount":156.50,"providers":[{"billed_charge":313.00,"npi":[1437860889]}]}]},{"tin":{"type":"ein","value":"880643076"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":164.25,"providers":[{"billed_charge":395.00,"npi":[1679293104]}]}]},{"tin":{"type":"ein","value":"881926722"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":152.35,"providers":[{"billed_charge":259.00,"npi":[1063159630]}]}]},{"tin":{"type":"ein","value":"882977235"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":460.00,"npi":[1659003457]}]}]},{"tin":{"type":"ein","value":"884107649"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.09,"providers":[{"billed_charge":431.38,"npi":[1467163113]}]}]},{"tin":{"type":"ein","value":"884210805"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":131.15,"providers":[{"billed_charge":268.00,"npi":[1144947508]}]}]},{"tin":{"type":"ein","value":"886000436"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":239.56,"providers":[{"billed_charge":678.00,"npi":[1720654106]}]}]},{"tin":{"type":"ein","value":"900368027"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":141.05,"providers":[{"billed_charge":303.00,"npi":[1821257676]}]}]},{"tin":{"type":"ein","value":"920665139"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":157.46,"providers":[{"billed_charge":489.00,"npi":[1063123735]}]}]},{"tin":{"type":"ein","value":"921252757"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":165.82,"providers":[{"billed_charge":473.60,"npi":[1063124824]}]}]},{"tin":{"type":"ein","value":"923591624"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":400.00,"npi":[1194413146]}]}]},{"tin":{"type":"ein","value":"923966599"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":189.60,"providers":[{"billed_charge":469.00,"npi":[1376220822]}]}]},{"tin":{"type":"ein","value":"931737705"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":195.44,"providers":[{"billed_charge":250.00,"npi":[1245650613]}]}]},{"tin":{"type":"ein","value":"933254155"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":335.00,"npi":[1861274169]}]}]},{"tin":{"type":"ein","value":"933582623"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":180.00,"npi":[1780453464]}]}]},{"tin":{"type":"ein","value":"933703812"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.09,"providers":[{"billed_charge":230.00,"npi":[1619744398]}]}]},{"tin":{"type":"ein","value":"934104475"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":502.00,"npi":[1629841788]}]}]},{"tin":{"type":"ein","value":"934646081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.09,"providers":[{"billed_charge":484.00,"npi":[1548021694]}]}]},{"tin":{"type":"ein","value":"934946733"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":376.17,"npi":[1417719378]}]}]},{"tin":{"type":"ein","value":"943223279"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":699.30,"providers":[{"billed_charge":777.00,"npi":[1215365218]}]}]},{"tin":{"type":"ein","value":"990777114"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":132.20,"providers":[{"billed_charge":319.00,"npi":[1720843949]}]}]},{"tin":{"type":"ein","value":"990909070"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":236.68,"providers":[{"billed_charge":393.00,"npi":[1144084856]}]}]},{"tin":{"type":"ein","value":"991936736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":300.00,"npi":[1770342354]}]}]},{"tin":{"type":"ein","value":"993496991"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":145.33,"providers":[{"billed_charge":391.00,"npi":[1356186787]}]}]},{"tin":{"type":"ein","value":"993799005"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":490.00,"npi":[1306684642]}]}]}]},{"billing_code":"99204","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Outpatient Services","description":"OFFICE O/P NEW MOD 45-59 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"382776791"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":146.94,"providers":[{"billed_charge":250.00,"npi":[1093119638]}]}]},{"tin":{"type":"ein","value":"453275682"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":370.00,"npi":[1306321252]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":145.33,"providers":[{"billed_charge":299.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":295.80,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560603898"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":399.00,"npi":[1437833043]}]}]},{"tin":{"type":"ein","value":"560845796"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":399.00,"npi":[1689103582]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":351.06,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":112.15,"providers":[{"billed_charge":351.06,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"562059693"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":463.00,"npi":[1730100801]}]}]},{"tin":{"type":"ein","value":"582089405"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":157.01,"providers":[{"billed_charge":294.48,"npi":[1942259924]}]}]},{"tin":{"type":"ein","value":"721376223"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":203.74,"providers":[{"billed_charge":222.00,"npi":[1497706220]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":570.00,"npi":[1932679446]}]}]},{"tin":{"type":"ein","value":"851918310"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":826.45,"npi":[1356950653]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":332.00,"npi":[1144803040]}]}]}]},{"billing_code":"99204","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFFICE O/P NEW MOD 45 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"340715726"},"billing_class":"institutional","payments":[{"allowed_amount":222.97,"providers":[{"billed_charge":445.94,"npi":[1134179799]}]}]},{"tin":{"type":"ein","value":"521369749"},"billing_class":"institutional","payments":[{"allowed_amount":220.42,"providers":[{"billed_charge":259.32,"npi":[1528061827]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":43.90,"providers":[{"billed_charge":757.56,"npi":[1619927027]}]},{"allowed_amount":103.54,"providers":[{"billed_charge":757.56,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":60.03,"providers":[{"billed_charge":607.13,"npi":[1457719312]}]},{"allowed_amount":85.32,"providers":[{"billed_charge":424.45,"npi":[1073557559]},{"billed_charge":601.75,"npi":[1750333282]}]},{"allowed_amount":86.94,"providers":[{"billed_charge":601.75,"npi":[1750333282]}]},{"allowed_amount":99.49,"providers":[{"billed_charge":601.75,"npi":[1750333282]}]}]}]},{"billing_code":"99204","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFFICE O/P NEW MOD 45-59 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"340715726"},"billing_class":"institutional","payments":[{"allowed_amount":222.97,"providers":[{"billed_charge":445.94,"npi":[1134179799]}]}]},{"tin":{"type":"ein","value":"521369749"},"billing_class":"institutional","payments":[{"allowed_amount":220.42,"providers":[{"billed_charge":259.32,"npi":[1528061827]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":43.90,"providers":[{"billed_charge":757.56,"npi":[1619927027]}]},{"allowed_amount":103.54,"providers":[{"billed_charge":757.56,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":60.03,"providers":[{"billed_charge":607.13,"npi":[1457719312]}]},{"allowed_amount":85.32,"providers":[{"billed_charge":424.45,"npi":[1073557559]},{"billed_charge":601.75,"npi":[1750333282]}]},{"allowed_amount":86.94,"providers":[{"billed_charge":601.75,"npi":[1750333282]}]},{"allowed_amount":99.49,"providers":[{"billed_charge":601.75,"npi":[1750333282]}]}]}]},{"billing_code":"99205","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Outpatient Services","description":"OFFICE O/P NEW HI 60 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"020707661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":185.75,"providers":[{"billed_charge":450.00,"npi":[1417012618,1558329243]}]}]},{"tin":{"type":"ein","value":"200670621"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":269.20,"providers":[{"billed_charge":512.00,"npi":[1922111202]}]}]},{"tin":{"type":"ein","value":"208839843"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":151.65,"providers":[{"billed_charge":337.00,"npi":[1538352760]}]}]},{"tin":{"type":"ein","value":"250815795"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":419.05,"providers":[{"billed_charge":586.00,"npi":[1245246644]}]}]},{"tin":{"type":"ein","value":"251838458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":310.56,"providers":[{"billed_charge":647.00,"npi":[1518393164]}]}]},{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":424.80,"providers":[{"billed_charge":531.00,"npi":[1861675506]}]}]},{"tin":{"type":"ein","value":"274255298"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":152.45,"providers":[{"billed_charge":685.00,"npi":[1558666776]}]},{"allowed_amount":152.46,"providers":[{"billed_charge":685.00,"npi":[1558666776]}]}]},{"tin":{"type":"ein","value":"311626179"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":245.99,"providers":[{"billed_charge":520.00,"npi":[1023338688]},{"billed_charge":520.00,"npi":[1093761124]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":172.60,"providers":[{"billed_charge":1138.00,"npi":[1679525919]}]},{"allowed_amount":853.50,"providers":[{"billed_charge":1138.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":589.95,"providers":[{"billed_charge":621.00,"npi":[1922074434]}]}]},{"tin":{"type":"ein","value":"453597157"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":154.93,"providers":[{"billed_charge":890.00,"npi":[1447520333]}]}]},{"tin":{"type":"ein","value":"455218263"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":125.00,"providers":[{"billed_charge":250.00,"npi":[1699030890]}]}]},{"tin":{"type":"ein","value":"461227720"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":202.10,"providers":[{"billed_charge":392.45,"npi":[1023362852]}]}]},{"tin":{"type":"ein","value":"464510365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":185.75,"providers":[{"billed_charge":800.00,"npi":[1821861626]}]}]},{"tin":{"type":"ein","value":"475454447"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":185.75,"providers":[{"billed_charge":500.00,"npi":[1467810663]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":383.36,"providers":[{"billed_charge":528.00,"npi":[1578569240]}]}]},{"tin":{"type":"ein","value":"560994806"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":185.75,"providers":[{"billed_charge":505.00,"npi":[1215990171]}]}]},{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":185.75,"providers":[{"billed_charge":751.00,"npi":[1972554186]}]}]},{"tin":{"type":"ein","value":"561901819"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":211.80,"providers":[{"billed_charge":353.00,"npi":[1184705865]}]}]},{"tin":{"type":"ein","value":"561923021"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":185.75,"providers":[{"billed_charge":400.00,"npi":[1295773943]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":185.75,"providers":[{"billed_charge":391.32,"npi":[1023056488]}]}]},{"tin":{"type":"ein","value":"561940010"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":225.00,"providers":[{"billed_charge":300.00,"npi":[1548328560]}]}]},{"tin":{"type":"ein","value":"562109998"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":152.45,"providers":[{"billed_charge":330.00,"npi":[1467972703]}]}]},{"tin":{"type":"ein","value":"593337028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":808.45,"providers":[{"billed_charge":851.00,"npi":[1790772317]}]}]},{"tin":{"type":"ein","value":"812783079"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":440.00,"providers":[{"billed_charge":880.00,"npi":[1245759752]}]}]},{"tin":{"type":"ein","value":"830641538"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":154.80,"providers":[{"billed_charge":309.59,"npi":[1972092054]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":185.75,"providers":[{"billed_charge":720.00,"npi":[1932679446]}]}]},{"tin":{"type":"ein","value":"842600945"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":185.75,"providers":[{"billed_charge":420.00,"npi":[1558916395]}]}]},{"tin":{"type":"ein","value":"870795875"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":215.05,"providers":[{"billed_charge":650.00,"npi":[1871710798]}]}]},{"tin":{"type":"ein","value":"881331363"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":496.87,"providers":[{"billed_charge":883.72,"npi":[1902517337]}]}]},{"tin":{"type":"ein","value":"933373287"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":185.75,"providers":[{"billed_charge":600.00,"npi":[1972177178]}]}]},{"tin":{"type":"ein","value":"991936736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":185.75,"providers":[{"billed_charge":350.00,"npi":[1770342354]}]}]}]},{"billing_code":"99205","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Outpatient Services","description":"OFFICE O/P NEW HI 60-74 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":152.45,"providers":[{"billed_charge":476.69,"npi":[1992754758]}]},{"allowed_amount":152.46,"providers":[{"billed_charge":485.01,"npi":[1992754758]}]}]}]},{"billing_code":"99205","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFFICE O/P NEW HI 60 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"042263040"},"billing_class":"institutional","payments":[{"allowed_amount":1119.60,"providers":[{"billed_charge":1244.00,"npi":[1851333686]}]}]},{"tin":{"type":"ein","value":"042697983"},"billing_class":"institutional","payments":[{"allowed_amount":667.48,"providers":[{"billed_charge":814.00,"npi":[1023049236]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":63.36,"providers":[{"billed_charge":624.90,"npi":[1023056488]}]},{"allowed_amount":86.72,"providers":[{"billed_charge":608.54,"npi":[1992754758]}]}]}]},{"billing_code":"99205","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFFICE O/P NEW HI 60-74 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"042263040"},"billing_class":"institutional","payments":[{"allowed_amount":1119.60,"providers":[{"billed_charge":1244.00,"npi":[1851333686]}]}]},{"tin":{"type":"ein","value":"042697983"},"billing_class":"institutional","payments":[{"allowed_amount":667.48,"providers":[{"billed_charge":814.00,"npi":[1023049236]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":63.36,"providers":[{"billed_charge":624.90,"npi":[1023056488]}]},{"allowed_amount":86.72,"providers":[{"billed_charge":608.54,"npi":[1992754758]}]}]}]},{"billing_code":"99211","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Outpatient Services","description":"OFF/OP EST MAY X REQ PHY/QHP","allowed_amounts":[{"tin":{"type":"ein","value":"020222152"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":77.00,"npi":[1144223702]}]}]},{"tin":{"type":"ein","value":"271382032"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.48,"providers":[{"billed_charge":75.00,"npi":[1720503972]}]}]},{"tin":{"type":"ein","value":"421638714"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.48,"providers":[{"billed_charge":64.00,"npi":[1619342706]}]}]},{"tin":{"type":"ein","value":"540505977"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.33,"providers":[{"billed_charge":36.00,"npi":[1942540208]}]}]},{"tin":{"type":"ein","value":"546001775"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":18.79,"providers":[{"billed_charge":26.72,"npi":[1083611107]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":15.16,"providers":[{"billed_charge":21.66,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561238736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.42,"providers":[{"billed_charge":34.16,"npi":[1063990281]}]}]},{"tin":{"type":"ein","value":"562032082"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.10,"providers":[{"billed_charge":181.00,"npi":[1427016138]}]}]},{"tin":{"type":"ein","value":"566000332"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":19.42,"providers":[{"billed_charge":56.00,"npi":[1306904917]}]}]},{"tin":{"type":"ein","value":"566000351"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":50.00,"npi":[1467507640]}]}]},{"tin":{"type":"ein","value":"570722653"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":19.27,"providers":[{"billed_charge":133.00,"npi":[1588618441]}]}]},{"tin":{"type":"ein","value":"581109078"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.17,"providers":[{"billed_charge":60.00,"npi":[1033180625]}]}]},{"tin":{"type":"ein","value":"581896468"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.98,"providers":[{"billed_charge":54.32,"npi":[1235296054]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.40,"providers":[{"billed_charge":84.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"932176388"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.42,"providers":[{"billed_charge":250.00,"npi":[1962182881]}]}]}]},{"billing_code":"99211","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFF/OP EST MAY X REQ PHY/QHP","allowed_amounts":[{"tin":{"type":"ein","value":"231352685"},"billing_class":"institutional","payments":[{"allowed_amount":112.00,"providers":[{"billed_charge":140.00,"npi":[1851370910]}]}]},{"tin":{"type":"ein","value":"232810852"},"billing_class":"institutional","payments":[{"allowed_amount":112.00,"providers":[{"billed_charge":140.00,"npi":[1245207521]}]}]},{"tin":{"type":"ein","value":"311322863"},"billing_class":"institutional","payments":[{"allowed_amount":122.84,"providers":[{"billed_charge":148.00,"npi":[1124127683]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":93.75,"providers":[{"billed_charge":125.00,"npi":[1679525919]}]},{"allowed_amount":96.00,"providers":[{"billed_charge":128.00,"npi":[1679525919]}]},{"allowed_amount":97.02,"providers":[{"billed_charge":128.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":52.00,"providers":[{"billed_charge":268.38,"npi":[1457719312]}]},{"allowed_amount":75.29,"providers":[{"billed_charge":268.38,"npi":[1477504280]}]},{"allowed_amount":87.81,"providers":[{"billed_charge":268.38,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":75.29,"providers":[{"billed_charge":232.75,"npi":[1619350261]}]},{"allowed_amount":91.44,"providers":[{"billed_charge":213.75,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561897859"},"billing_class":"institutional","payments":[{"allowed_amount":87.81,"providers":[{"billed_charge":120.86,"npi":[1477502029]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":87.81,"providers":[{"billed_charge":209.00,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":52.52,"providers":[{"billed_charge":88.57,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"630845288"},"billing_class":"institutional","payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":187.50,"npi":[1447221056]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":75.29,"providers":[{"billed_charge":131.00,"npi":[1144211301]}]}]}]},{"billing_code":"99211","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFFICE O/P EST MINIMAL PROB","allowed_amounts":[{"tin":{"type":"ein","value":"231352685"},"billing_class":"institutional","payments":[{"allowed_amount":112.00,"providers":[{"billed_charge":140.00,"npi":[1851370910]}]}]},{"tin":{"type":"ein","value":"232810852"},"billing_class":"institutional","payments":[{"allowed_amount":112.00,"providers":[{"billed_charge":140.00,"npi":[1245207521]}]}]},{"tin":{"type":"ein","value":"311322863"},"billing_class":"institutional","payments":[{"allowed_amount":122.84,"providers":[{"billed_charge":148.00,"npi":[1124127683]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":93.75,"providers":[{"billed_charge":125.00,"npi":[1679525919]}]},{"allowed_amount":96.00,"providers":[{"billed_charge":128.00,"npi":[1679525919]}]},{"allowed_amount":97.02,"providers":[{"billed_charge":128.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":52.00,"providers":[{"billed_charge":268.38,"npi":[1457719312]}]},{"allowed_amount":75.29,"providers":[{"billed_charge":268.38,"npi":[1477504280]}]},{"allowed_amount":87.81,"providers":[{"billed_charge":268.38,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":75.29,"providers":[{"billed_charge":232.75,"npi":[1619350261]}]},{"allowed_amount":91.44,"providers":[{"billed_charge":213.75,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561897859"},"billing_class":"institutional","payments":[{"allowed_amount":87.81,"providers":[{"billed_charge":120.86,"npi":[1477502029]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":87.81,"providers":[{"billed_charge":209.00,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":52.52,"providers":[{"billed_charge":88.57,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"630845288"},"billing_class":"institutional","payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":187.50,"npi":[1447221056]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":75.29,"providers":[{"billed_charge":131.00,"npi":[1144211301]}]}]}]},{"billing_code":"99212","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Outpatient Services","description":"OFFICE O/P EST SF 10 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"020707661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.66,"providers":[{"billed_charge":195.00,"npi":[1225044555]}]}]},{"tin":{"type":"ein","value":"030499609"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.66,"providers":[{"billed_charge":162.00,"npi":[1467595959]}]}]},{"tin":{"type":"ein","value":"133375559"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":168.84,"providers":[{"billed_charge":230.00,"npi":[1639159692]}]}]},{"tin":{"type":"ein","value":"202095110"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.74,"providers":[{"billed_charge":75.00,"npi":[1154485779]}]}]},{"tin":{"type":"ein","value":"203771099"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":42.00,"providers":[{"billed_charge":70.00,"npi":[1073549150]}]}]},{"tin":{"type":"ein","value":"208484894"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":33.79,"providers":[{"billed_charge":109.48,"npi":[1609994284]}]}]},{"tin":{"type":"ein","value":"260270360"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.59,"providers":[{"billed_charge":80.00,"npi":[1659575926]}]}]},{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":65.00,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"262003898"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":65.69,"providers":[{"billed_charge":111.28,"npi":[1487827416]}]}]},{"tin":{"type":"ein","value":"263717616"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":47.07,"providers":[{"billed_charge":103.00,"npi":[1245475771]}]}]},{"tin":{"type":"ein","value":"272046755"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.74,"providers":[{"billed_charge":100.00,"npi":[1225466527]}]},{"allowed_amount":56.07,"providers":[{"billed_charge":100.00,"npi":[1225466527]}]}]},{"tin":{"type":"ein","value":"310917085"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":185.40,"providers":[{"billed_charge":206.00,"npi":[1508817248]}]}]},{"tin":{"type":"ein","value":"311610834"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.74,"providers":[{"billed_charge":180.00,"npi":[1245248947]}]},{"allowed_amount":56.07,"providers":[{"billed_charge":180.00,"npi":[1245248947]}]}]},{"tin":{"type":"ein","value":"311838862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":52.63,"providers":[{"billed_charge":74.00,"npi":[1114151800]}]}]},{"tin":{"type":"ein","value":"314379441"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":52.99,"providers":[{"billed_charge":138.00,"npi":[1669542643]}]}]},{"tin":{"type":"ein","value":"330571462"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.62,"providers":[{"billed_charge":186.00,"npi":[1386605822]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":171.00,"providers":[{"billed_charge":228.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"363699055"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":58.50,"providers":[{"billed_charge":65.00,"npi":[1982699864]}]}]},{"tin":{"type":"ein","value":"383193801"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.23,"providers":[{"billed_charge":220.00,"npi":[1720009954]}]}]},{"tin":{"type":"ein","value":"421638714"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.00,"providers":[{"billed_charge":106.00,"npi":[1619342706]}]}]},{"tin":{"type":"ein","value":"453483466"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.00,"providers":[{"billed_charge":70.00,"npi":[1588949234]}]}]},{"tin":{"type":"ein","value":"454639427"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.00,"providers":[{"billed_charge":55.00,"npi":[1225383243]}]}]},{"tin":{"type":"ein","value":"465137699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.66,"providers":[{"billed_charge":92.81,"npi":[1962821322]}]}]},{"tin":{"type":"ein","value":"472221436"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":78.81,"providers":[{"billed_charge":110.00,"npi":[1013313857]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":73.90,"providers":[{"billed_charge":131.00,"npi":[1255315339]}]}]},{"tin":{"type":"ein","value":"540505977"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.50,"providers":[{"billed_charge":65.00,"npi":[1942540208]}]}]},{"tin":{"type":"ein","value":"541217184"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":56.07,"providers":[{"billed_charge":110.00,"npi":[1265485270]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":53.66,"providers":[{"billed_charge":85.68,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":53.65,"providers":[{"billed_charge":85.68,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561004551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.43,"providers":[{"billed_charge":95.71,"npi":[1265477251]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":44.82,"providers":[{"billed_charge":97.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"561294828"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":33.60,"providers":[{"billed_charge":85.00,"npi":[1598934374]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":53.66,"providers":[{"billed_charge":103.30,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"561412280"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.10,"providers":[{"billed_charge":54.00,"npi":[1770562340]}]}]},{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.66,"providers":[{"billed_charge":184.00,"npi":[1972554186]}]}]},{"tin":{"type":"ein","value":"561826996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.50,"providers":[{"billed_charge":71.00,"npi":[1467449728]}]}]},{"tin":{"type":"ein","value":"561901819"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.20,"providers":[{"billed_charge":72.00,"npi":[1184705865]}]}]},{"tin":{"type":"ein","value":"562016630"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.66,"providers":[{"billed_charge":75.00,"npi":[1831142553]}]}]},{"tin":{"type":"ein","value":"562084142"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.66,"providers":[{"billed_charge":93.50,"npi":[1164500575]}]}]},{"tin":{"type":"ein","value":"562107544"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.65,"providers":[{"billed_charge":160.80,"npi":[1780655803]}]},{"allowed_amount":53.66,"providers":[{"billed_charge":160.80,"npi":[1780655803]}]}]},{"tin":{"type":"ein","value":"562118060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.50,"providers":[{"billed_charge":75.00,"npi":[1790881076]}]}]},{"tin":{"type":"ein","value":"570571969"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.62,"providers":[{"billed_charge":130.00,"npi":[1083693857]}]}]},{"tin":{"type":"ein","value":"576000286"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":25.94,"providers":[{"billed_charge":35.06,"npi":[1063597987,1902989163]}]}]},{"tin":{"type":"ein","value":"581728803"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.66,"providers":[{"billed_charge":136.00,"npi":[1477276699]}]}]},{"tin":{"type":"ein","value":"581958398"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":53.65,"providers":[{"billed_charge":179.20,"npi":[1215932215]}]}]},{"tin":{"type":"ein","value":"582209517"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":150.00,"npi":[1548271992]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.58,"providers":[{"billed_charge":65.00,"npi":[1679599088]}]}]},{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":73.02,"providers":[{"billed_charge":140.00,"npi":[1184679482]}]}]},{"tin":{"type":"ein","value":"586001998"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.92,"providers":[{"billed_charge":65.00,"npi":[1811098817]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":177.65,"providers":[{"billed_charge":209.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"593330433"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.20,"providers":[{"billed_charge":52.00,"npi":[1619018561]}]}]},{"tin":{"type":"ein","value":"593514857"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.00,"providers":[{"billed_charge":85.00,"npi":[1275575888]}]}]},{"tin":{"type":"ein","value":"621013399"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.54,"providers":[{"billed_charge":120.57,"npi":[1487695862]}]}]},{"tin":{"type":"ein","value":"630810661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":56.80,"providers":[{"billed_charge":196.00,"npi":[1740397751]}]}]},{"tin":{"type":"ein","value":"741850643"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.09,"providers":[{"billed_charge":85.00,"npi":[1265453252]}]}]},{"tin":{"type":"ein","value":"800107731"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.50,"providers":[{"billed_charge":99.00,"npi":[1205885035]}]}]},{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":33.02,"providers":[{"billed_charge":46.00,"npi":[1366912586]}]}]},{"tin":{"type":"ein","value":"813704980"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.50,"providers":[{"billed_charge":75.00,"npi":[1487100202]}]}]},{"tin":{"type":"ein","value":"820946551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.66,"providers":[{"billed_charge":65.00,"npi":[1821529249]}]}]},{"tin":{"type":"ein","value":"823541643"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":73.78,"providers":[{"billed_charge":148.40,"npi":[1487168258]}]}]},{"tin":{"type":"ein","value":"830787459"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":54.00,"providers":[{"billed_charge":90.00,"npi":[1104311315]}]}]},{"tin":{"type":"ein","value":"832048759"},"billing_class":"professional","service_code":["72"],"payments":[{"allowed_amount":53.66,"providers":[{"billed_charge":71.00,"npi":[1720556269]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.66,"providers":[{"billed_charge":71.00,"npi":[1609342815]}]}]},{"tin":{"type":"ein","value":"834210598"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":53.65,"providers":[{"billed_charge":75.00,"npi":[1396206330]}]}]},{"tin":{"type":"ein","value":"852914575"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.50,"providers":[{"billed_charge":135.00,"npi":[1699382507]}]}]},{"tin":{"type":"ein","value":"932176388"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.66,"providers":[{"billed_charge":300.00,"npi":[1962182881]}]}]}]},{"billing_code":"99212","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Outpatient Services","description":"OFFICE O/P EST SF 10-19 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"576000286"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":22.07,"providers":[{"billed_charge":29.82,"npi":[1063597987]}]}]},{"tin":{"type":"ein","value":"721376223"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.39,"providers":[{"billed_charge":69.00,"npi":[1497706220]}]}]},{"tin":{"type":"ein","value":"813425340"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":54.62,"providers":[{"billed_charge":122.00,"npi":[1194277186]}]}]}]},{"billing_code":"99212","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFFICE O/P EST SF 10 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":242.26,"providers":[{"billed_charge":295.44,"npi":[1548315401]}]},{"allowed_amount":254.36,"providers":[{"billed_charge":310.21,"npi":[1548315401]}]},{"allowed_amount":254.37,"providers":[{"billed_charge":310.21,"npi":[1548315401]}]},{"allowed_amount":326.61,"providers":[{"billed_charge":398.30,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":96.00,"providers":[{"billed_charge":128.00,"npi":[1679525919]}]},{"allowed_amount":97.02,"providers":[{"billed_charge":128.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":69.75,"providers":[{"billed_charge":70.45,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":184.62,"providers":[{"billed_charge":217.21,"npi":[1427145176]}]},{"allowed_amount":184.63,"providers":[{"billed_charge":217.21,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":48.92,"providers":[{"billed_charge":284.56,"npi":[1457719312]}]},{"allowed_amount":69.15,"providers":[{"billed_charge":284.56,"npi":[1750333282]}]},{"allowed_amount":79.02,"providers":[{"billed_charge":284.56,"npi":[1457719312]}]},{"allowed_amount":92.80,"providers":[{"billed_charge":284.56,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":92.80,"providers":[{"billed_charge":211.58,"npi":[1992754758]}]},{"allowed_amount":101.10,"providers":[{"billed_charge":211.58,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":92.80,"providers":[{"billed_charge":229.00,"npi":[1992703540]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":59.74,"providers":[{"billed_charge":280.00,"npi":[1639797913]}]}]}]},{"billing_code":"99212","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFFICE O/P EST SF 10-19 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":242.26,"providers":[{"billed_charge":295.44,"npi":[1548315401]}]},{"allowed_amount":254.36,"providers":[{"billed_charge":310.21,"npi":[1548315401]}]},{"allowed_amount":254.37,"providers":[{"billed_charge":310.21,"npi":[1548315401]}]},{"allowed_amount":326.61,"providers":[{"billed_charge":398.30,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":96.00,"providers":[{"billed_charge":128.00,"npi":[1679525919]}]},{"allowed_amount":97.02,"providers":[{"billed_charge":128.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"520591656"},"billing_class":"institutional","payments":[{"allowed_amount":69.75,"providers":[{"billed_charge":70.45,"npi":[1578597993]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":184.62,"providers":[{"billed_charge":217.21,"npi":[1427145176]}]},{"allowed_amount":184.63,"providers":[{"billed_charge":217.21,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":48.92,"providers":[{"billed_charge":284.56,"npi":[1457719312]}]},{"allowed_amount":69.15,"providers":[{"billed_charge":284.56,"npi":[1750333282]}]},{"allowed_amount":79.02,"providers":[{"billed_charge":284.56,"npi":[1457719312]}]},{"allowed_amount":92.80,"providers":[{"billed_charge":284.56,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":92.80,"providers":[{"billed_charge":211.58,"npi":[1992754758]}]},{"allowed_amount":101.10,"providers":[{"billed_charge":211.58,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":92.80,"providers":[{"billed_charge":229.00,"npi":[1992703540]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":59.74,"providers":[{"billed_charge":280.00,"npi":[1639797913]}]}]}]},{"billing_code":"99212","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"OFFICE O/P EST SF 10 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"390806315"},"billing_class":"institutional","payments":[{"allowed_amount":250.34,"providers":[{"billed_charge":366.00,"npi":[1871656082]}]}]}]},{"billing_code":"99212","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"OFFICE O/P EST SF 10-19 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"390806315"},"billing_class":"institutional","payments":[{"allowed_amount":250.34,"providers":[{"billed_charge":366.00,"npi":[1871656082]}]}]}]},{"billing_code":"99212","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"OFFICE O/P EST SF 10 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"581685139"},"billing_class":"institutional","payments":[{"allowed_amount":258.40,"providers":[{"billed_charge":323.00,"npi":[1255401519]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":220.00,"providers":[{"billed_charge":250.00,"npi":[1477643690]}]}]}]},{"billing_code":"99212","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"OFFICE O/P EST SF 10-19 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"581685139"},"billing_class":"institutional","payments":[{"allowed_amount":258.40,"providers":[{"billed_charge":323.00,"npi":[1255401519]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":220.00,"providers":[{"billed_charge":250.00,"npi":[1477643690]}]}]}]},{"billing_code":"99213","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Outpatient Services","description":"OFFICE O/P EST LOW 20 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"010514750"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":65.46,"providers":[{"billed_charge":214.00,"npi":[1427169010]}]}]},{"tin":{"type":"ein","value":"010790511"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":89.68,"providers":[{"billed_charge":236.00,"npi":[1033195474]}]}]},{"tin":{"type":"ein","value":"020315693"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":65.00,"providers":[{"billed_charge":259.00,"npi":[1134410319]}]}]},{"tin":{"type":"ein","value":"020707661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":240.00,"npi":[1558329243,1649249038]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":240.00,"npi":[1558329243,1225044555]}]},{"allowed_amount":83.92,"providers":[{"billed_charge":240.00,"npi":[1558329243]}]}]},{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":196.00,"npi":[1811244726]}]}]},{"tin":{"type":"ein","value":"030465688"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":100.00,"npi":[1982885901]}]},{"allowed_amount":70.00,"providers":[{"billed_charge":100.00,"npi":[1982885901]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":100.00,"npi":[1982885901]}]}]},{"tin":{"type":"ein","value":"043138013"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":77.91,"providers":[{"billed_charge":303.00,"npi":[1104921162]}]}]},{"tin":{"type":"ein","value":"043397450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":164.73,"providers":[{"billed_charge":273.00,"npi":[1871639914]}]}]},{"tin":{"type":"ein","value":"043595273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.04,"providers":[{"billed_charge":100.00,"npi":[1033250857]}]}]},{"tin":{"type":"ein","value":"061455703"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":65.00,"providers":[{"billed_charge":105.00,"npi":[1841365681]}]}]},{"tin":{"type":"ein","value":"061648651"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":209.58,"npi":[1982662896]}]}]},{"tin":{"type":"ein","value":"061657321"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":66.00,"providers":[{"billed_charge":110.00,"npi":[1649206814]}]}]},{"tin":{"type":"ein","value":"061755234"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.37,"providers":[{"billed_charge":212.00,"npi":[1902977705]}]}]},{"tin":{"type":"ein","value":"113834448"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":160.00,"npi":[1700057486]}]}]},{"tin":{"type":"ein","value":"133275330"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":309.66,"npi":[1679620769]}]}]},{"tin":{"type":"ein","value":"133544120"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":194.38,"providers":[{"billed_charge":238.00,"npi":[1982643003]}]}]},{"tin":{"type":"ein","value":"133884168"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":129.29,"providers":[{"billed_charge":227.00,"npi":[1881653822]}]}]},{"tin":{"type":"ein","value":"141633562"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.17,"providers":[{"billed_charge":135.00,"npi":[1871533216]}]}]},{"tin":{"type":"ein","value":"141633562"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":89.45,"providers":[{"billed_charge":135.00,"npi":[1871533216]}]}]},{"tin":{"type":"ein","value":"160743024"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":89.45,"providers":[{"billed_charge":170.00,"npi":[1558490201]}]}]},{"tin":{"type":"ein","value":"161670352"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":152.00,"npi":[1275596439]}]}]},{"tin":{"type":"ein","value":"200456312"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":73.60,"providers":[{"billed_charge":92.00,"npi":[1750671715]}]}]},{"tin":{"type":"ein","value":"200462802"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.80,"providers":[{"billed_charge":186.88,"npi":[1477506343]}]}]},{"tin":{"type":"ein","value":"200883350"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":84.86,"providers":[{"billed_charge":130.56,"npi":[1811178254]}]}]},{"tin":{"type":"ein","value":"200984494"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":170.00,"npi":[1629037270]}]}]},{"tin":{"type":"ein","value":"201257176"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":102.30,"providers":[{"billed_charge":175.02,"npi":[1790737393]}]}]},{"tin":{"type":"ein","value":"201403715"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.45,"providers":[{"billed_charge":125.00,"npi":[1730199662]}]}]},{"tin":{"type":"ein","value":"201628793"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.38,"providers":[{"billed_charge":227.05,"npi":[1942300298]}]}]},{"tin":{"type":"ein","value":"201780406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.40,"providers":[{"billed_charge":163.00,"npi":[1356395321]}]}]},{"tin":{"type":"ein","value":"201997771"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":150.00,"npi":[1144375767]}]}]},{"tin":{"type":"ein","value":"202143850"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":145.00,"npi":[1588728166]}]}]},{"tin":{"type":"ein","value":"202196363"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":125.00,"npi":[1275558504]}]}]},{"tin":{"type":"ein","value":"202265068"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":164.80,"providers":[{"billed_charge":206.00,"npi":[1013042480]},{"billed_charge":206.00,"npi":[1013042480]}]}]},{"tin":{"type":"ein","value":"202448149"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":73.70,"providers":[{"billed_charge":215.05,"npi":[1689182164]}]}]},{"tin":{"type":"ein","value":"202998046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.81,"providers":[{"billed_charge":148.00,"npi":[1770782450]}]},{"allowed_amount":68.77,"providers":[{"billed_charge":148.00,"npi":[1770782450]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":148.00,"npi":[1770782450]}]}]},{"tin":{"type":"ein","value":"202999870"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.38,"providers":[{"billed_charge":152.00,"npi":[1629022868]}]}]},{"tin":{"type":"ein","value":"203059260"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.30,"providers":[{"billed_charge":202.00,"npi":[1598958431]}]}]},{"tin":{"type":"ein","value":"203113336"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":98.60,"providers":[{"billed_charge":139.00,"npi":[1699747303]}]}]},{"tin":{"type":"ein","value":"203348922"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":98.60,"providers":[{"billed_charge":151.96,"npi":[1457323164]}]}]},{"tin":{"type":"ein","value":"203639329"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.37,"providers":[{"billed_charge":176.00,"npi":[1649228966]}]}]},{"tin":{"type":"ein","value":"203771099"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.00,"providers":[{"billed_charge":90.00,"npi":[1073549150]}]}]},{"tin":{"type":"ein","value":"204277914"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.91,"providers":[{"billed_charge":152.00,"npi":[1255380887]}]}]},{"tin":{"type":"ein","value":"204329550"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.38,"providers":[{"billed_charge":125.00,"npi":[1033153879]}]}]},{"tin":{"type":"ein","value":"204356115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.94,"providers":[{"billed_charge":283.00,"npi":[1679525455]}]}]},{"tin":{"type":"ein","value":"205111133"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":65.00,"providers":[{"billed_charge":65.00,"npi":[1962562819]}]}]},{"tin":{"type":"ein","value":"205372788"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":55.55,"providers":[{"billed_charge":125.33,"npi":[1396842514]}]}]},{"tin":{"type":"ein","value":"205497203"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.85,"providers":[{"billed_charge":172.00,"npi":[1780961300]}]}]},{"tin":{"type":"ein","value":"205507145"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":151.92,"providers":[{"billed_charge":269.04,"npi":[1518012004]}]}]},{"tin":{"type":"ein","value":"208251779"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.93,"providers":[{"billed_charge":125.00,"npi":[1891067658]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":182.00,"npi":[1457579617]}]},{"allowed_amount":76.50,"providers":[{"billed_charge":172.50,"npi":[1457579617]},{"billed_charge":182.00,"npi":[1457579617]}]},{"allowed_amount":103.50,"providers":[{"billed_charge":172.50,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"208928036"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.55,"providers":[{"billed_charge":133.00,"npi":[1548423510]}]}]},{"tin":{"type":"ein","value":"221500645"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":89.73,"providers":[{"billed_charge":200.00,"npi":[1366676702]}]}]},{"tin":{"type":"ein","value":"223620876"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":61.73,"providers":[{"billed_charge":180.00,"npi":[1770658023]}]}]},{"tin":{"type":"ein","value":"232730785"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.00,"providers":[{"billed_charge":131.00,"npi":[1972906667]}]}]},{"tin":{"type":"ein","value":"232919472"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":126.00,"providers":[{"billed_charge":168.00,"npi":[1881683100]}]}]},{"tin":{"type":"ein","value":"250965591"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.35,"providers":[{"billed_charge":141.00,"npi":[1396147823]}]}]},{"tin":{"type":"ein","value":"251409031"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.20,"providers":[{"billed_charge":125.00,"npi":[1386660439]}]}]},{"tin":{"type":"ein","value":"251727721"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":126.00,"providers":[{"billed_charge":168.00,"npi":[1588622294]}]}]},{"tin":{"type":"ein","value":"251838458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":123.84,"providers":[{"billed_charge":258.00,"npi":[1235139817]}]}]},{"tin":{"type":"ein","value":"260033461"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":90.65,"providers":[{"billed_charge":208.00,"npi":[1023138773]}]}]},{"tin":{"type":"ein","value":"260152289"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":79.03,"providers":[{"billed_charge":221.00,"npi":[1770812828]}]},{"allowed_amount":85.98,"providers":[{"billed_charge":221.00,"npi":[1770812828]}]}]},{"tin":{"type":"ein","value":"260270360"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":84.57,"providers":[{"billed_charge":145.00,"npi":[1659575926]}]}]},{"tin":{"type":"ein","value":"260290325"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":130.00,"npi":[1801860515]}]}]},{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.75,"providers":[{"billed_charge":105.00,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"260706444"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.50,"providers":[{"billed_charge":115.00,"npi":[1487848800]}]}]},{"tin":{"type":"ein","value":"260868690"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.38,"providers":[{"billed_charge":209.00,"npi":[1861674160]}]}]},{"tin":{"type":"ein","value":"261960517"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":62.50,"providers":[{"billed_charge":125.00,"npi":[1114196557]}]}]},{"tin":{"type":"ein","value":"262291600"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.58,"providers":[{"billed_charge":179.54,"npi":[1497927016]}]}]},{"tin":{"type":"ein","value":"262824776"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":151.92,"providers":[{"billed_charge":253.00,"npi":[1104088905]}]}]},{"tin":{"type":"ein","value":"262824776"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":253.00,"npi":[1104088905]}]},{"allowed_amount":76.50,"providers":[{"billed_charge":350.00,"npi":[1104088905]}]}]},{"tin":{"type":"ein","value":"262824799"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.58,"providers":[{"billed_charge":121.00,"npi":[1972766459]}]}]},{"tin":{"type":"ein","value":"263049770"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":86.99,"providers":[{"billed_charge":101.00,"npi":[1265684856]}]}]},{"tin":{"type":"ein","value":"263310765"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":186.40,"providers":[{"billed_charge":233.00,"npi":[1053565580]}]}]},{"tin":{"type":"ein","value":"263328413"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":88.74,"providers":[{"billed_charge":161.00,"npi":[1992941108]}]}]},{"tin":{"type":"ein","value":"263467563"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":145.00,"npi":[1821240995]}]}]},{"tin":{"type":"ein","value":"263750502"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":102.01,"providers":[{"billed_charge":225.00,"npi":[1891011979]}]}]},{"tin":{"type":"ein","value":"263755706"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":130.00,"npi":[1548409576]}]}]},{"tin":{"type":"ein","value":"263838232"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":150.00,"npi":[1659517993]}]}]},{"tin":{"type":"ein","value":"264058719"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":148.00,"providers":[{"billed_charge":148.00,"npi":[1710125430]}]}]},{"tin":{"type":"ein","value":"264546400"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":73.56,"providers":[{"billed_charge":225.00,"npi":[1912133315]}]},{"allowed_amount":98.05,"providers":[{"billed_charge":225.00,"npi":[1912133315]}]}]},{"tin":{"type":"ein","value":"264595189"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.81,"providers":[{"billed_charge":131.00,"npi":[1902049596]}]}]},{"tin":{"type":"ein","value":"264630976"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":134.16,"providers":[{"billed_charge":269.00,"npi":[1881829703]}]}]},{"tin":{"type":"ein","value":"264732338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":58.64,"providers":[{"billed_charge":205.00,"npi":[1558595223]}]}]},{"tin":{"type":"ein","value":"264800380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":116.70,"providers":[{"billed_charge":200.00,"npi":[1376779892]}]}]},{"tin":{"type":"ein","value":"270415341"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":62.50,"providers":[{"billed_charge":125.00,"npi":[1487884102]}]}]},{"tin":{"type":"ein","value":"271128955"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.38,"providers":[{"billed_charge":110.00,"npi":[1386970218]}]}]},{"tin":{"type":"ein","value":"271348772"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":98.86,"providers":[{"billed_charge":400.00,"npi":[1649226515]}]}]},{"tin":{"type":"ein","value":"271382032"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":175.00,"npi":[1720503972]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":175.00,"npi":[1720503972]}]}]},{"tin":{"type":"ein","value":"271436108"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.36,"providers":[{"billed_charge":160.00,"npi":[1669701306]}]}]},{"tin":{"type":"ein","value":"271689066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.63,"providers":[{"billed_charge":450.00,"npi":[1750752291]}]}]},{"tin":{"type":"ein","value":"272800635"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.00,"providers":[{"billed_charge":114.00,"npi":[1912228347]}]}]},{"tin":{"type":"ein","value":"272872791"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":142.80,"providers":[{"billed_charge":204.00,"npi":[1730491945]}]}]},{"tin":{"type":"ein","value":"273210819"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.37,"providers":[{"billed_charge":115.00,"npi":[1548739170]}]}]},{"tin":{"type":"ein","value":"273645560"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":129.00,"providers":[{"billed_charge":172.00,"npi":[1467727586]}]}]},{"tin":{"type":"ein","value":"273698244"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":150.00,"npi":[1811297070]}]}]},{"tin":{"type":"ein","value":"273818647"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":99.49,"providers":[{"billed_charge":209.00,"npi":[1275992240]}]}]},{"tin":{"type":"ein","value":"273846421"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.93,"providers":[{"billed_charge":190.26,"npi":[1073804712]}]},{"allowed_amount":76.00,"providers":[{"billed_charge":190.26,"npi":[1073804712]}]},{"allowed_amount":88.95,"providers":[{"billed_charge":190.26,"npi":[1073804712]}]}]},{"tin":{"type":"ein","value":"274026658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.00,"providers":[{"billed_charge":140.00,"npi":[1033494943]}]}]},{"tin":{"type":"ein","value":"274255298"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":55.55,"providers":[{"billed_charge":208.00,"npi":[1558666776]}]}]},{"tin":{"type":"ein","value":"274334751"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":135.00,"npi":[1255532537]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":135.00,"npi":[1255532537]}]}]},{"tin":{"type":"ein","value":"274451494"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.80,"providers":[{"billed_charge":154.00,"npi":[1144524190]}]}]},{"tin":{"type":"ein","value":"300205092"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":85.00,"npi":[1366737298]}]}]},{"tin":{"type":"ein","value":"300802081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":208.00,"npi":[1124450572]}]}]},{"tin":{"type":"ein","value":"300994598"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":92.38,"providers":[{"billed_charge":179.00,"npi":[1205350584]}]}]},{"tin":{"type":"ein","value":"310917085"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":199.80,"providers":[{"billed_charge":222.00,"npi":[1508817248]}]}]},{"tin":{"type":"ein","value":"310993406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.78,"providers":[{"billed_charge":150.00,"npi":[1861451437]}]}]},{"tin":{"type":"ein","value":"311425710"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":213.75,"providers":[{"billed_charge":225.00,"npi":[1194917062]}]}]},{"tin":{"type":"ein","value":"311620193"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":74.90,"providers":[{"billed_charge":107.00,"npi":[1285670646]}]}]},{"tin":{"type":"ein","value":"311620193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":88.75,"providers":[{"billed_charge":135.00,"npi":[1285670646]}]}]},{"tin":{"type":"ein","value":"311627920"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":170.00,"providers":[{"billed_charge":200.00,"npi":[1972020899]}]}]},{"tin":{"type":"ein","value":"311657089"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":56.13,"providers":[{"billed_charge":120.00,"npi":[1881787307]}]}]},{"tin":{"type":"ein","value":"311838862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.45,"providers":[{"billed_charge":119.00,"npi":[1114151800]}]}]},{"tin":{"type":"ein","value":"320306944"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":123.75,"providers":[{"billed_charge":135.00,"npi":[1154636066]}]}]},{"tin":{"type":"ein","value":"320598154"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.37,"providers":[{"billed_charge":219.00,"npi":[1528627379]}]}]},{"tin":{"type":"ein","value":"330571462"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.30,"providers":[{"billed_charge":296.00,"npi":[1386605822]}]}]},{"tin":{"type":"ein","value":"330587303"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.10,"providers":[{"billed_charge":164.00,"npi":[1730180415]}]}]},{"tin":{"type":"ein","value":"340714478"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":88.75,"providers":[{"billed_charge":423.00,"npi":[1821035940]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["19","22"],"payments":[{"allowed_amount":317.25,"providers":[{"billed_charge":423.00,"npi":[1679525919]},{"billed_charge":423.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"340715726"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":149.67,"providers":[{"billed_charge":214.28,"npi":[1093764219]}]}]},{"tin":{"type":"ein","value":"341135374"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":75.43,"providers":[{"billed_charge":133.00,"npi":[1487035986]}]}]},{"tin":{"type":"ein","value":"341952521"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.04,"providers":[{"billed_charge":139.54,"npi":[1831187764]}]}]},{"tin":{"type":"ein","value":"342051378"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.70,"providers":[{"billed_charge":175.96,"npi":[1104265214]}]}]},{"tin":{"type":"ein","value":"350869066"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":75.87,"providers":[{"billed_charge":120.00,"npi":[1689869893]}]}]},{"tin":{"type":"ein","value":"351536132"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.00,"providers":[{"billed_charge":192.00,"npi":[1821222829]}]}]},{"tin":{"type":"ein","value":"351747218"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.25,"providers":[{"billed_charge":127.00,"npi":[1902032832]}]}]},{"tin":{"type":"ein","value":"352214929"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.13,"providers":[{"billed_charge":150.46,"npi":[1023209095]}]}]},{"tin":{"type":"ein","value":"363935049"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.15,"providers":[{"billed_charge":170.00,"npi":[1083820559]}]},{"allowed_amount":93.54,"providers":[{"billed_charge":170.00,"npi":[1083820559]}]}]},{"tin":{"type":"ein","value":"364351186"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":165.00,"npi":[1790817963]}]}]},{"tin":{"type":"ein","value":"364727660"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":159.37,"providers":[{"billed_charge":540.00,"npi":[1912266420]}]}]},{"tin":{"type":"ein","value":"371342029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":86.81,"providers":[{"billed_charge":180.00,"npi":[1699838276]}]}]},{"tin":{"type":"ein","value":"381946514"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.00,"providers":[{"billed_charge":105.00,"npi":[1225073331]}]}]},{"tin":{"type":"ein","value":"383316559"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.67,"providers":[{"billed_charge":173.00,"npi":[1235517418]}]}]},{"tin":{"type":"ein","value":"390806374"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":228.00,"providers":[{"billed_charge":240.00,"npi":[1629056049]}]}]},{"tin":{"type":"ein","value":"390813416"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":249.85,"providers":[{"billed_charge":263.00,"npi":[1376593442]}]}]},{"tin":{"type":"ein","value":"391351587"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":62.21,"providers":[{"billed_charge":263.00,"npi":[1720664907]}]}]},{"tin":{"type":"ein","value":"391391134"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":89.59,"providers":[{"billed_charge":204.00,"npi":[1417055617]}]}]},{"tin":{"type":"ein","value":"391670223"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":198.90,"providers":[{"billed_charge":221.00,"npi":[1659452878]}]}]},{"tin":{"type":"ein","value":"411939629"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":62.00,"providers":[{"billed_charge":119.00,"npi":[1134191836]}]}]},{"tin":{"type":"ein","value":"411939629"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":98.60,"providers":[{"billed_charge":151.96,"npi":[1134191836]}]}]},{"tin":{"type":"ein","value":"412082402"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":77.06,"providers":[{"billed_charge":150.00,"npi":[1093845893]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":222.30,"providers":[{"billed_charge":234.00,"npi":[1922074434]}]}]},{"tin":{"type":"ein","value":"421638714"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.00,"providers":[{"billed_charge":148.00,"npi":[1619342706]}]}]},{"tin":{"type":"ein","value":"431383893"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.28,"providers":[{"billed_charge":218.00,"npi":[1972559532]}]}]},{"tin":{"type":"ein","value":"440577118"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":148.83,"providers":[{"billed_charge":148.83,"npi":[1578280483]}]}]},{"tin":{"type":"ein","value":"440655986"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":79.84,"providers":[{"billed_charge":130.00,"npi":[1346966454]}]}]},{"tin":{"type":"ein","value":"450507112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":84.60,"providers":[{"billed_charge":141.00,"npi":[1346236361]}]}]},{"tin":{"type":"ein","value":"452119198"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":89.68,"providers":[{"billed_charge":220.00,"npi":[1396038774]}]}]},{"tin":{"type":"ein","value":"452131675"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":220.00,"npi":[1336292556]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":220.00,"npi":[1336292556]}]},{"allowed_amount":132.00,"providers":[{"billed_charge":220.00,"npi":[1336292556]}]}]},{"tin":{"type":"ein","value":"452203968"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":65.99,"providers":[{"billed_charge":140.00,"npi":[1336432962]}]}]},{"tin":{"type":"ein","value":"452702114"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":178.00,"npi":[1568704831]}]}]},{"tin":{"type":"ein","value":"453007639"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":69.23,"providers":[{"billed_charge":181.00,"npi":[1619258225]}]}]},{"tin":{"type":"ein","value":"453123110"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":92.37,"providers":[{"billed_charge":225.00,"npi":[1215219878]}]},{"allowed_amount":92.38,"providers":[{"billed_charge":225.00,"npi":[1215219878]}]}]},{"tin":{"type":"ein","value":"453191160"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":151.92,"providers":[{"billed_charge":220.00,"npi":[1235411547]}]}]},{"tin":{"type":"ein","value":"453279277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.03,"providers":[{"billed_charge":175.00,"npi":[1720374283]}]}]},{"tin":{"type":"ein","value":"453367409"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":146.00,"npi":[1700162203]}]}]},{"tin":{"type":"ein","value":"453563895"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.62,"providers":[{"billed_charge":160.00,"npi":[1437434354]}]}]},{"tin":{"type":"ein","value":"453597157"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":62.44,"providers":[{"billed_charge":324.00,"npi":[1447520333]}]},{"allowed_amount":85.05,"providers":[{"billed_charge":324.00,"npi":[1447520333]}]}]},{"tin":{"type":"ein","value":"453744471"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.11,"providers":[{"billed_charge":115.00,"npi":[1912437062]}]}]},{"tin":{"type":"ein","value":"453864732"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.37,"providers":[{"billed_charge":121.00,"npi":[1114295110]}]}]},{"tin":{"type":"ein","value":"454298417"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":140.66,"providers":[{"billed_charge":275.00,"npi":[1417294232]}]}]},{"tin":{"type":"ein","value":"454456939"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":154.78,"providers":[{"billed_charge":230.00,"npi":[1043561301]}]}]},{"tin":{"type":"ein","value":"454601912"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.38,"providers":[{"billed_charge":175.96,"npi":[1235404047]}]}]},{"tin":{"type":"ein","value":"454639427"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.37,"providers":[{"billed_charge":110.00,"npi":[1225383243]}]}]},{"tin":{"type":"ein","value":"454674296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":150.00,"npi":[1093081762]}]}]},{"tin":{"type":"ein","value":"454717431"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":94.13,"providers":[{"billed_charge":179.54,"npi":[1073870341]}]}]},{"tin":{"type":"ein","value":"455330799"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":175.00,"npi":[1144657677]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":175.00,"npi":[1144657677]}]}]},{"tin":{"type":"ein","value":"455523028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.93,"providers":[{"billed_charge":186.00,"npi":[1528323268]}]}]},{"tin":{"type":"ein","value":"460498444"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":141.00,"npi":[1710046925]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":141.00,"npi":[1710046925]}]}]},{"tin":{"type":"ein","value":"460906181"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":175.00,"npi":[1972930725]}]}]},{"tin":{"type":"ein","value":"460933667"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":82.29,"providers":[{"billed_charge":165.00,"npi":[1225381148]}]}]},{"tin":{"type":"ein","value":"461314303"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.04,"providers":[{"billed_charge":309.00,"npi":[1457695413]}]}]},{"tin":{"type":"ein","value":"462164943"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.70,"providers":[{"billed_charge":92.83,"npi":[1215325279]}]}]},{"tin":{"type":"ein","value":"462551500"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.11,"providers":[{"billed_charge":149.00,"npi":[1891109609]}]}]},{"tin":{"type":"ein","value":"463774942"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":211.00,"npi":[1720034895]}]}]},{"tin":{"type":"ein","value":"464069699"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":208.00,"npi":[1033531850]}]},{"allowed_amount":88.21,"providers":[{"billed_charge":208.00,"npi":[1033531850]}]}]},{"tin":{"type":"ein","value":"464300152"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":79.47,"providers":[{"billed_charge":318.00,"npi":[1255754008]}]}]},{"tin":{"type":"ein","value":"465056917"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":154.00,"providers":[{"billed_charge":520.00,"npi":[1629497235]}]}]},{"tin":{"type":"ein","value":"465246139"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":110.00,"providers":[{"billed_charge":220.00,"npi":[1285064972]}]}]},{"tin":{"type":"ein","value":"465285330"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":89.73,"providers":[{"billed_charge":181.00,"npi":[1467815928]}]}]},{"tin":{"type":"ein","value":"465353665"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.37,"providers":[{"billed_charge":137.00,"npi":[1477972933]}]}]},{"tin":{"type":"ein","value":"471099778"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":89.45,"providers":[{"billed_charge":120.00,"npi":[1104865823]}]}]},{"tin":{"type":"ein","value":"471264701"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.50,"providers":[{"billed_charge":95.00,"npi":[1174922348]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":160.00,"npi":[1154721272]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":160.00,"npi":[1154721272]}]},{"allowed_amount":96.00,"providers":[{"billed_charge":160.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"472080410"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":100.00,"npi":[1205230588]}]}]},{"tin":{"type":"ein","value":"472221436"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.92,"providers":[{"billed_charge":183.00,"npi":[1013313857]}]}]},{"tin":{"type":"ein","value":"472759136"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":129.62,"npi":[1417349747]}]}]},{"tin":{"type":"ein","value":"472863935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.50,"providers":[{"billed_charge":350.00,"npi":[1114317062]}]},{"allowed_amount":85.05,"providers":[{"billed_charge":253.00,"npi":[1114317062]}]}]},{"tin":{"type":"ein","value":"473637313"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":100.00,"npi":[1730574757]}]}]},{"tin":{"type":"ein","value":"473718344"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":157.05,"providers":[{"billed_charge":261.75,"npi":[1700260296]}]}]},{"tin":{"type":"ein","value":"473832952"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":46.78,"providers":[{"billed_charge":127.00,"npi":[1114302965]}]},{"allowed_amount":95.25,"providers":[{"billed_charge":127.00,"npi":[1114302965]}]}]},{"tin":{"type":"ein","value":"474459800"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":122.00,"npi":[1912381203]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":122.00,"npi":[1912381203]}]},{"allowed_amount":85.40,"providers":[{"billed_charge":122.00,"npi":[1912381203]}]}]},{"tin":{"type":"ein","value":"474591265"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":86.78,"providers":[{"billed_charge":100.00,"npi":[1699146456]}]}]},{"tin":{"type":"ein","value":"475454447"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":300.00,"npi":[1467810663]},{"billed_charge":300.00,"npi":[1467810663]}]}]},{"tin":{"type":"ein","value":"475454447"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":300.00,"npi":[1467810663]}]}]},{"tin":{"type":"ein","value":"521923448"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.66,"providers":[{"billed_charge":170.00,"npi":[1083667067]}]}]},{"tin":{"type":"ein","value":"521976286"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.37,"providers":[{"billed_charge":190.00,"npi":[1477583599]}]}]},{"tin":{"type":"ein","value":"526049658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.95,"providers":[{"billed_charge":190.00,"npi":[1396774238]}]}]},{"tin":{"type":"ein","value":"540505977"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.20,"providers":[{"billed_charge":106.00,"npi":[1942540208]}]},{"allowed_amount":78.52,"providers":[{"billed_charge":106.00,"npi":[1942540208]}]}]},{"tin":{"type":"ein","value":"540885119"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.50,"providers":[{"billed_charge":111.00,"npi":[1760579106]}]}]},{"tin":{"type":"ein","value":"540945335"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.37,"providers":[{"billed_charge":150.00,"npi":[1720172315]}]}]},{"tin":{"type":"ein","value":"541217184"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.37,"providers":[{"billed_charge":176.00,"npi":[1265485270]}]},{"allowed_amount":92.38,"providers":[{"billed_charge":176.00,"npi":[1265485270]}]}]},{"tin":{"type":"ein","value":"541820401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":278.00,"npi":[1699365072]}]},{"allowed_amount":92.37,"providers":[{"billed_charge":278.00,"npi":[1699365072]}]},{"allowed_amount":92.38,"providers":[{"billed_charge":278.00,"npi":[1699365072]}]}]},{"tin":{"type":"ein","value":"541869072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.37,"providers":[{"billed_charge":192.00,"npi":[1639125271]}]},{"allowed_amount":92.38,"providers":[{"billed_charge":192.00,"npi":[1639125271]}]}]},{"tin":{"type":"ein","value":"541922084"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.37,"providers":[{"billed_charge":181.35,"npi":[1487621496]}]}]},{"tin":{"type":"ein","value":"550477361"},"billing_class":"professional","service_code":["72"],"payments":[{"allowed_amount":162.45,"providers":[{"billed_charge":171.00,"npi":[1578513032]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":168.84,"providers":[{"billed_charge":192.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":148.00,"providers":[{"billed_charge":148.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":189.77,"providers":[{"billed_charge":192.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"550638563"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":168.84,"providers":[{"billed_charge":192.00,"npi":[1184849200]}]}]},{"tin":{"type":"ein","value":"560535674"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":43.39,"providers":[{"billed_charge":86.78,"npi":[1366401648]}]}]},{"tin":{"type":"ein","value":"560554202"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":72.31,"providers":[{"billed_charge":222.00,"npi":[1417962150]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":160.06,"npi":[1457719312]},{"billed_charge":161.69,"npi":[1073557559]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":160.06,"npi":[1477504280,1457719312]},{"billed_charge":161.69,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":55.54,"providers":[{"billed_charge":155.16,"npi":[1750333282]}]},{"allowed_amount":55.55,"providers":[{"billed_charge":155.16,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560670676"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":88.29,"npi":[1770335382]}]}]},{"tin":{"type":"ein","value":"560952955"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":55.55,"providers":[{"billed_charge":93.00,"npi":[1760479331]}]}]},{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":225.00,"npi":[1912957606]}]}]},{"tin":{"type":"ein","value":"561004551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":214.62,"npi":[1265477251]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":214.62,"npi":[1265477251]}]}]},{"tin":{"type":"ein","value":"561031244"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":177.00,"npi":[1114978582]}]}]},{"tin":{"type":"ein","value":"561072704"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":150.00,"npi":[1659337046]}]}]},{"tin":{"type":"ein","value":"561074754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":125.00,"npi":[1922132620]}]},{"allowed_amount":75.00,"providers":[{"billed_charge":125.00,"npi":[1922132620]}]}]},{"tin":{"type":"ein","value":"561088366"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.00,"providers":[{"billed_charge":80.00,"npi":[1679535504]}]}]},{"tin":{"type":"ein","value":"561175704"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":150.00,"npi":[1477510659]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":150.00,"npi":[1477510659]}]}]},{"tin":{"type":"ein","value":"561191387"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":55.55,"providers":[{"billed_charge":198.09,"npi":[1942248547]},{"billed_charge":282.97,"npi":[1942248547,1174817993]}]}]},{"tin":{"type":"ein","value":"561255529"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":88.00,"npi":[1538359708]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":72.31,"providers":[{"billed_charge":146.00,"npi":[1558308080]}]},{"allowed_amount":91.43,"providers":[{"billed_charge":146.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":182.00,"npi":[1356345920]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":172.50,"npi":[1356345920]},{"billed_charge":182.00,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"561412280"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.40,"providers":[{"billed_charge":76.00,"npi":[1770562340]}]}]},{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":171.50,"providers":[{"billed_charge":343.00,"npi":[1194904706]}]}]},{"tin":{"type":"ein","value":"561567536"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":176.58,"npi":[1912987090]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":176.58,"npi":[1912987090]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":225.00,"npi":[1649525619]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":225.00,"npi":[1679944706,1477891810]}]}]},{"tin":{"type":"ein","value":"561703732"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":77.00,"providers":[{"billed_charge":110.00,"npi":[1750468328]}]}]},{"tin":{"type":"ein","value":"561720437"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":115.00,"npi":[1255500393]}]}]},{"tin":{"type":"ein","value":"561752222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":170.00,"npi":[1386605608]}]}]},{"tin":{"type":"ein","value":"561768044"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":170.00,"npi":[1992840003]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":170.00,"npi":[1992840003,1649540105]}]},{"allowed_amount":91.43,"providers":[{"billed_charge":170.00,"npi":[1992840003]}]},{"allowed_amount":108.80,"providers":[{"billed_charge":170.00,"npi":[1992840003]}]}]},{"tin":{"type":"ein","value":"561826996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.00,"providers":[{"billed_charge":110.00,"npi":[1467449728]}]}]},{"tin":{"type":"ein","value":"561845210"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.00,"providers":[{"billed_charge":100.00,"npi":[1518140672]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":145.00,"npi":[1720794944]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":55.54,"providers":[{"billed_charge":145.36,"npi":[1558311357]}]},{"allowed_amount":55.55,"providers":[{"billed_charge":145.36,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561853491"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.80,"providers":[{"billed_charge":145.00,"npi":[1588619217]}]}]},{"tin":{"type":"ein","value":"561867003"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":284.00,"npi":[1689635237]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":284.00,"npi":[1689635237]}]}]},{"tin":{"type":"ein","value":"561872583"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.80,"providers":[{"billed_charge":145.00,"npi":[1538171871]}]}]},{"tin":{"type":"ein","value":"561884447"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":220.50,"npi":[1598779803]}]}]},{"tin":{"type":"ein","value":"561886725"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":108.00,"npi":[1114969706]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":108.00,"npi":[1114969706]}]}]},{"tin":{"type":"ein","value":"561897859"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":55.54,"providers":[{"billed_charge":86.78,"npi":[1477502029]}]}]},{"tin":{"type":"ein","value":"561901819"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":125.00,"npi":[1184705865]},{"billed_charge":125.00,"npi":[1184705865]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":143.73,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":143.73,"npi":[1023056488,1083669030]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":55.54,"providers":[{"billed_charge":168.22,"npi":[1992754758]}]},{"allowed_amount":55.55,"providers":[{"billed_charge":168.22,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"561955882"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.50,"providers":[{"billed_charge":75.00,"npi":[1447379490]}]}]},{"tin":{"type":"ein","value":"561988924"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":110.00,"npi":[1518063064]}]}]},{"tin":{"type":"ein","value":"562003452"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":216.20,"npi":[1740331164]}]}]},{"tin":{"type":"ein","value":"562016630"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":120.00,"npi":[1831142553]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":175.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"562084142"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":162.00,"npi":[1164500575]}]}]},{"tin":{"type":"ein","value":"562084959"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":272.00,"npi":[1447999057]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":272.00,"npi":[1386383909]}]}]},{"tin":{"type":"ein","value":"562096131"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":151.34,"npi":[1568424299]}]}]},{"tin":{"type":"ein","value":"562107544"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":259.44,"npi":[1780655803]}]}]},{"tin":{"type":"ein","value":"562107759"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":66.00,"providers":[{"billed_charge":110.00,"npi":[1669404208]}]},{"allowed_amount":68.77,"providers":[{"billed_charge":110.00,"npi":[1669404208]}]}]},{"tin":{"type":"ein","value":"562118060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":62.50,"providers":[{"billed_charge":125.00,"npi":[1790881076]}]}]},{"tin":{"type":"ein","value":"562136828"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":130.00,"npi":[1518971910]}]},{"allowed_amount":91.00,"providers":[{"billed_charge":130.00,"npi":[1518971910]}]}]},{"tin":{"type":"ein","value":"562143419"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":42.93,"providers":[{"billed_charge":85.86,"npi":[1326627399]}]},{"allowed_amount":85.86,"providers":[{"billed_charge":85.86,"npi":[1326627399]}]}]},{"tin":{"type":"ein","value":"562149579"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.60,"providers":[{"billed_charge":96.00,"npi":[1124034202]}]}]},{"tin":{"type":"ein","value":"562161489"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":66.60,"providers":[{"billed_charge":111.00,"npi":[1578749180]}]}]},{"tin":{"type":"ein","value":"562227967"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.17,"providers":[{"billed_charge":143.10,"npi":[1598926743]}]}]},{"tin":{"type":"ein","value":"562241408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":190.00,"npi":[1346337094]}]}]},{"tin":{"type":"ein","value":"562271194"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":150.00,"npi":[1154370104]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":150.00,"npi":[1154370104]}]}]},{"tin":{"type":"ein","value":"566000290"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":62.00,"providers":[{"billed_charge":124.00,"npi":[1295801827]}]}]},{"tin":{"type":"ein","value":"566000296"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":54.00,"providers":[{"billed_charge":90.00,"npi":[1235198177]}]}]},{"tin":{"type":"ein","value":"566000756"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":60.00,"npi":[1881712842]}]}]},{"tin":{"type":"ein","value":"566000805"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":40.00,"npi":[1356845309]}]}]},{"tin":{"type":"ein","value":"566000949"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":100.00,"npi":[1427176866]}]}]},{"tin":{"type":"ein","value":"566015416"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":126.00,"npi":[1215477591]}]}]},{"tin":{"type":"ein","value":"570359174"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.50,"providers":[{"billed_charge":154.00,"npi":[1851701866]}]}]},{"tin":{"type":"ein","value":"570520539"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":252.00,"npi":[1881626133]}]}]},{"tin":{"type":"ein","value":"570524985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":100.00,"npi":[1720044514]}]}]},{"tin":{"type":"ein","value":"570544595"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":100.00,"npi":[1447383666]}]},{"allowed_amount":76.50,"providers":[{"billed_charge":100.00,"npi":[1447383666]}]}]},{"tin":{"type":"ein","value":"570710106"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":152.00,"npi":[1447235106]}]}]},{"tin":{"type":"ein","value":"570720016"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":76.50,"providers":[{"billed_charge":163.96,"npi":[1437566528]}]}]},{"tin":{"type":"ein","value":"570769093"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":107.00,"npi":[1346711785]}]}]},{"tin":{"type":"ein","value":"570788101"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.50,"providers":[{"billed_charge":172.82,"npi":[1699733501]}]}]},{"tin":{"type":"ein","value":"570821519"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.00,"providers":[{"billed_charge":105.00,"npi":[1366404659]}]}]},{"tin":{"type":"ein","value":"570828733"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.50,"providers":[{"billed_charge":164.00,"npi":[1104150739]}]}]},{"tin":{"type":"ein","value":"570932597"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":75.25,"providers":[{"billed_charge":107.50,"npi":[1043495526]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":55.79,"providers":[{"billed_charge":129.87,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"570988806"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":59.50,"providers":[{"billed_charge":85.00,"npi":[1114995099]}]}]},{"tin":{"type":"ein","value":"571067254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.50,"providers":[{"billed_charge":363.00,"npi":[1851035075]}]}]},{"tin":{"type":"ein","value":"571111225"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":110.00,"npi":[1245764430]}]},{"allowed_amount":76.50,"providers":[{"billed_charge":110.00,"npi":[1245764430]}]}]},{"tin":{"type":"ein","value":"571186418"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":150.00,"npi":[1376564625]}]}]},{"tin":{"type":"ein","value":"576000286"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":43.00,"providers":[{"billed_charge":58.11,"npi":[1063597987,1902989163,1841374485]}]}]},{"tin":{"type":"ein","value":"581089267"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.55,"providers":[{"billed_charge":145.00,"npi":[1245406719]}]},{"allowed_amount":108.46,"providers":[{"billed_charge":145.00,"npi":[1245406719]}]}]},{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.13,"providers":[{"billed_charge":174.00,"npi":[1750314183]}]}]},{"tin":{"type":"ein","value":"581136662"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.09,"providers":[{"billed_charge":130.00,"npi":[1841337896]}]}]},{"tin":{"type":"ein","value":"581143684"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":233.60,"providers":[{"billed_charge":292.00,"npi":[1194962100]}]}]},{"tin":{"type":"ein","value":"581319204"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":153.00,"npi":[1992171060]}]}]},{"tin":{"type":"ein","value":"581335405"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.39,"providers":[{"billed_charge":198.00,"npi":[1063436624]}]},{"allowed_amount":92.10,"providers":[{"billed_charge":198.00,"npi":[1063436624]}]}]},{"tin":{"type":"ein","value":"581435386"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.45,"providers":[{"billed_charge":120.00,"npi":[1407894165]}]}]},{"tin":{"type":"ein","value":"581538482"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.45,"providers":[{"billed_charge":125.00,"npi":[1639206386]}]}]},{"tin":{"type":"ein","value":"581581693"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.45,"providers":[{"billed_charge":130.00,"npi":[1780779363]}]}]},{"tin":{"type":"ein","value":"581661116"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.55,"providers":[{"billed_charge":213.00,"npi":[1386697928]}]}]},{"tin":{"type":"ein","value":"581840125"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":69.45,"providers":[{"billed_charge":165.00,"npi":[1962739417]}]}]},{"tin":{"type":"ein","value":"581896468"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":56.70,"providers":[{"billed_charge":211.17,"npi":[1235296054]}]}]},{"tin":{"type":"ein","value":"581958398"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":201.60,"npi":[1215932215]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":201.60,"npi":[1215932215]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":56.70,"providers":[{"billed_charge":215.00,"npi":[1689610149]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":268.00,"providers":[{"billed_charge":335.00,"npi":[1396798229]}]},{"allowed_amount":270.68,"providers":[{"billed_charge":338.35,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"582047612"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.45,"providers":[{"billed_charge":120.00,"npi":[1801908272]}]}]},{"tin":{"type":"ein","value":"582061094"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":54.00,"providers":[{"billed_charge":155.00,"npi":[1417064924]}]},{"allowed_amount":124.00,"providers":[{"billed_charge":155.00,"npi":[1417064924]}]}]},{"tin":{"type":"ein","value":"582069754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":155.00,"npi":[1316973472]}]},{"allowed_amount":76.50,"providers":[{"billed_charge":155.00,"npi":[1316973472]}]}]},{"tin":{"type":"ein","value":"582078064"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":139.27,"providers":[{"billed_charge":157.00,"npi":[1891745212]}]}]},{"tin":{"type":"ein","value":"582114396"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.93,"providers":[{"billed_charge":90.00,"npi":[1881862191]}]}]},{"tin":{"type":"ein","value":"582148418"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.75,"providers":[{"billed_charge":105.00,"npi":[1467641381]}]}]},{"tin":{"type":"ein","value":"582149083"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.93,"providers":[{"billed_charge":160.00,"npi":[1427039254]}]},{"allowed_amount":76.50,"providers":[{"billed_charge":160.00,"npi":[1427039254]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.31,"providers":[{"billed_charge":110.00,"npi":[1679599088]}]}]},{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.45,"providers":[{"billed_charge":226.00,"npi":[1184679482]}]}]},{"tin":{"type":"ein","value":"582353352"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":174.34,"npi":[1659421238]}]}]},{"tin":{"type":"ein","value":"582380955"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":330.00,"npi":[1144279670]}]}]},{"tin":{"type":"ein","value":"582404034"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.50,"providers":[{"billed_charge":110.00,"npi":[1144251026]}]}]},{"tin":{"type":"ein","value":"582409645"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.45,"providers":[{"billed_charge":115.00,"npi":[1477638575]}]}]},{"tin":{"type":"ein","value":"582422542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":124.42,"providers":[{"billed_charge":186.00,"npi":[1174501902]}]}]},{"tin":{"type":"ein","value":"582540874"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":151.92,"providers":[{"billed_charge":253.00,"npi":[1548273592]}]}]},{"tin":{"type":"ein","value":"582540874"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":104.23,"providers":[{"billed_charge":175.00,"npi":[1548273592]}]}]},{"tin":{"type":"ein","value":"582566360"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.45,"providers":[{"billed_charge":187.00,"npi":[1073885828]}]}]},{"tin":{"type":"ein","value":"582629795"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.70,"providers":[{"billed_charge":270.00,"npi":[1699791343]}]}]},{"tin":{"type":"ein","value":"585515533"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.50,"providers":[{"billed_charge":125.00,"npi":[1457467037]}]}]},{"tin":{"type":"ein","value":"586001998"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":79.48,"providers":[{"billed_charge":109.00,"npi":[1811098817]}]}]},{"tin":{"type":"ein","value":"590634434"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":102.59,"providers":[{"billed_charge":170.98,"npi":[1144271586]}]}]},{"tin":{"type":"ein","value":"590704934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":69.70,"providers":[{"billed_charge":132.00,"npi":[1316940695]}]}]},{"tin":{"type":"ein","value":"591198552"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":98.41,"providers":[{"billed_charge":223.00,"npi":[1639138480]}]},{"allowed_amount":126.03,"providers":[{"billed_charge":223.00,"npi":[1639138480]}]}]},{"tin":{"type":"ein","value":"591361697"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":59.96,"providers":[{"billed_charge":150.00,"npi":[1942263694]}]}]},{"tin":{"type":"ein","value":"591486941"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.46,"providers":[{"billed_charge":162.00,"npi":[1740252899]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":287.30,"providers":[{"billed_charge":338.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"591961248"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":62.40,"providers":[{"billed_charge":104.00,"npi":[1699809236]}]}]},{"tin":{"type":"ein","value":"592871302"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":65.85,"providers":[{"billed_charge":219.00,"npi":[1801826268]}]}]},{"tin":{"type":"ein","value":"592898487"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":94.13,"providers":[{"billed_charge":182.00,"npi":[1245283530]}]}]},{"tin":{"type":"ein","value":"593140335"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":79.48,"providers":[{"billed_charge":221.00,"npi":[1043269871]}]}]},{"tin":{"type":"ein","value":"593140335"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":187.85,"providers":[{"billed_charge":221.00,"npi":[1043269871]},{"billed_charge":221.00,"npi":[1043269871]}]}]},{"tin":{"type":"ein","value":"593209688"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":153.30,"providers":[{"billed_charge":219.00,"npi":[1073565610]}]}]},{"tin":{"type":"ein","value":"593214635"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":189.00,"providers":[{"billed_charge":270.00,"npi":[1225034234]}]}]},{"tin":{"type":"ein","value":"593337028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":296.40,"providers":[{"billed_charge":312.00,"npi":[1790772317]}]}]},{"tin":{"type":"ein","value":"593514857"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":151.92,"providers":[{"billed_charge":155.00,"npi":[1275575888]}]}]},{"tin":{"type":"ein","value":"593534775"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.58,"providers":[{"billed_charge":137.00,"npi":[1659321214]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":59.50,"providers":[{"billed_charge":160.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"593635929"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.17,"providers":[{"billed_charge":148.00,"npi":[1568563187]}]}]},{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":78.75,"providers":[{"billed_charge":105.00,"npi":[1528195864]}]}]},{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["19","22"],"payments":[{"allowed_amount":72.06,"providers":[{"billed_charge":105.00,"npi":[1528195864]},{"billed_charge":105.00,"npi":[1528195864]}]}]},{"tin":{"type":"ein","value":"610523304"},"billing_class":"professional","service_code":["72"],"payments":[{"allowed_amount":53.86,"providers":[{"billed_charge":105.00,"npi":[1255645040]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.20,"providers":[{"billed_charge":140.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"611284106"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":120.00,"npi":[1144250663]}]}]},{"tin":{"type":"ein","value":"611421477"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":86.81,"providers":[{"billed_charge":125.00,"npi":[1689780876]}]}]},{"tin":{"type":"ein","value":"611427887"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":61.43,"providers":[{"billed_charge":124.00,"npi":[1003032236]}]}]},{"tin":{"type":"ein","value":"611459826"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":91.43,"providers":[{"billed_charge":188.00,"npi":[1396782710]}]},{"allowed_amount":94.00,"providers":[{"billed_charge":188.00,"npi":[1396782710]}]}]},{"tin":{"type":"ein","value":"620475697"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.79,"providers":[{"billed_charge":103.00,"npi":[1801121074]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":141.98,"providers":[{"billed_charge":141.98,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"621013399"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.11,"providers":[{"billed_charge":194.93,"npi":[1487695862]}]}]},{"tin":{"type":"ein","value":"621052914"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":89.22,"providers":[{"billed_charge":135.00,"npi":[1235180480]}]}]},{"tin":{"type":"ein","value":"621094933"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.62,"providers":[{"billed_charge":227.05,"npi":[1417932492]}]}]},{"tin":{"type":"ein","value":"621388079"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.38,"providers":[{"billed_charge":137.00,"npi":[1831110667]}]}]},{"tin":{"type":"ein","value":"621508884"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":83.27,"providers":[{"billed_charge":150.00,"npi":[1346250057]}]}]},{"tin":{"type":"ein","value":"621529858"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.08,"providers":[{"billed_charge":137.00,"npi":[1437194669]}]}]},{"tin":{"type":"ein","value":"621552614"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":83.37,"providers":[{"billed_charge":95.00,"npi":[1821125485]}]}]},{"tin":{"type":"ein","value":"621586264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.11,"providers":[{"billed_charge":125.00,"npi":[1245251404]}]}]},{"tin":{"type":"ein","value":"621611998"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":83.37,"providers":[{"billed_charge":254.00,"npi":[1750449443]}]}]},{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":42.43,"providers":[{"billed_charge":140.00,"npi":[1811955917]}]}]},{"tin":{"type":"ein","value":"621654377"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.37,"providers":[{"billed_charge":254.00,"npi":[1831495613]}]}]},{"tin":{"type":"ein","value":"621730293"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.11,"providers":[{"billed_charge":150.00,"npi":[1063459410]}]}]},{"tin":{"type":"ein","value":"621822362"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.03,"providers":[{"billed_charge":179.00,"npi":[1629027826]}]}]},{"tin":{"type":"ein","value":"630810661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.03,"providers":[{"billed_charge":314.00,"npi":[1740397751]}]}]},{"tin":{"type":"ein","value":"630825248"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":59.09,"providers":[{"billed_charge":143.00,"npi":[1669429080]}]}]},{"tin":{"type":"ein","value":"630897654"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":42.43,"providers":[{"billed_charge":121.00,"npi":[1083772560]}]}]},{"tin":{"type":"ein","value":"631252822"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":53.81,"providers":[{"billed_charge":124.00,"npi":[1083652036]}]}]},{"tin":{"type":"ein","value":"636001138"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":90.00,"npi":[1467599399]}]}]},{"tin":{"type":"ein","value":"640507572"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.83,"providers":[{"billed_charge":135.00,"npi":[1740213446]}]}]},{"tin":{"type":"ein","value":"651202935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":130.00,"npi":[1801010145]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":130.00,"npi":[1801010145]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":207.00,"providers":[{"billed_charge":230.00,"npi":[1225246812]}]}]},{"tin":{"type":"ein","value":"741159753"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":49.58,"providers":[{"billed_charge":93.00,"npi":[1942237466]}]}]},{"tin":{"type":"ein","value":"741282696"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":64.79,"providers":[{"billed_charge":178.00,"npi":[1669557179]}]}]},{"tin":{"type":"ein","value":"752336509"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":52.14,"providers":[{"billed_charge":205.00,"npi":[1306914312]}]}]},{"tin":{"type":"ein","value":"752536818"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":77.44,"providers":[{"billed_charge":168.44,"npi":[1760488936]}]}]},{"tin":{"type":"ein","value":"752613493"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.18,"providers":[{"billed_charge":218.00,"npi":[1174573596]}]}]},{"tin":{"type":"ein","value":"752947630"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":102.00,"providers":[{"billed_charge":170.00,"npi":[1710006598]}]}]},{"tin":{"type":"ein","value":"753028076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.45,"providers":[{"billed_charge":155.00,"npi":[1396955431]}]}]},{"tin":{"type":"ein","value":"753149110"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":82.50,"providers":[{"billed_charge":110.00,"npi":[1598861387]}]}]},{"tin":{"type":"ein","value":"760557838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":102.27,"providers":[{"billed_charge":190.00,"npi":[1285615286]}]}]},{"tin":{"type":"ein","value":"800240816"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":84.57,"providers":[{"billed_charge":205.00,"npi":[1144470873]}]}]},{"tin":{"type":"ein","value":"800278187"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":82.30,"providers":[{"billed_charge":92.00,"npi":[1639323744]}]},{"allowed_amount":85.87,"providers":[{"billed_charge":92.00,"npi":[1639323744]}]}]},{"tin":{"type":"ein","value":"800563045"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":200.00,"npi":[1891892683]}]},{"allowed_amount":76.50,"providers":[{"billed_charge":200.00,"npi":[1891892683]}]}]},{"tin":{"type":"ein","value":"810568231"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.50,"providers":[{"billed_charge":130.00,"npi":[1437168135]}]}]},{"tin":{"type":"ein","value":"811026950"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":90.00,"npi":[1184083479]}]}]},{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":98.00,"npi":[1366912586]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":98.00,"npi":[1366912586]}]}]},{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":55.54,"providers":[{"billed_charge":67.00,"npi":[1366912586]}]}]},{"tin":{"type":"ein","value":"812145825"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":78.00,"npi":[1679937205]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":78.00,"npi":[1679937205]}]}]},{"tin":{"type":"ein","value":"812374634"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":120.00,"npi":[1285089110]}]}]},{"tin":{"type":"ein","value":"812775629"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":715.12,"npi":[1710336243]}]}]},{"tin":{"type":"ein","value":"813080176"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.80,"providers":[{"billed_charge":220.00,"npi":[1942651054]}]}]},{"tin":{"type":"ein","value":"813425340"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":202.00,"npi":[1194277186]}]},{"allowed_amount":76.50,"providers":[{"billed_charge":202.00,"npi":[1194277186]}]}]},{"tin":{"type":"ein","value":"813520078"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.50,"providers":[{"billed_charge":125.00,"npi":[1033666888]}]}]},{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":155.00,"npi":[1386195865]}]}]},{"tin":{"type":"ein","value":"814632899"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":213.00,"npi":[1093248288]}]},{"allowed_amount":76.50,"providers":[{"billed_charge":213.00,"npi":[1093248288]}]}]},{"tin":{"type":"ein","value":"814750116"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":125.54,"providers":[{"billed_charge":185.98,"npi":[1336680743]}]}]},{"tin":{"type":"ein","value":"820491054"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":123.93,"providers":[{"billed_charge":175.00,"npi":[1023053204]}]}]},{"tin":{"type":"ein","value":"820530720"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":123.93,"providers":[{"billed_charge":180.00,"npi":[1437147279]}]}]},{"tin":{"type":"ein","value":"820599879"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":135.00,"npi":[1396286878]}]}]},{"tin":{"type":"ein","value":"820687318"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.17,"providers":[{"billed_charge":177.00,"npi":[1033649868]}]}]},{"tin":{"type":"ein","value":"820934227"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":150.00,"npi":[1487181897]}]}]},{"tin":{"type":"ein","value":"820946551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":85.00,"npi":[1821529249]}]}]},{"tin":{"type":"ein","value":"822146009"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.37,"providers":[{"billed_charge":105.00,"npi":[1386163822]},{"billed_charge":115.00,"npi":[1386163822]}]},{"allowed_amount":92.38,"providers":[{"billed_charge":105.00,"npi":[1386163822]}]}]},{"tin":{"type":"ein","value":"822237332"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":136.11,"npi":[1962928556]}]}]},{"tin":{"type":"ein","value":"822312374"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":100.00,"npi":[1558885400]}]}]},{"tin":{"type":"ein","value":"822410133"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":84.78,"providers":[{"billed_charge":145.00,"npi":[1538686498]}]}]},{"tin":{"type":"ein","value":"822444447"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":95.42,"providers":[{"billed_charge":126.00,"npi":[1477066355]}]}]},{"tin":{"type":"ein","value":"823527149"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":89.04,"providers":[{"billed_charge":147.00,"npi":[1144724261]}]}]},{"tin":{"type":"ein","value":"823541643"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.64,"providers":[{"billed_charge":237.88,"npi":[1487168258]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.58,"providers":[{"billed_charge":161.00,"npi":[1902305063,1104368141]}]}]},{"tin":{"type":"ein","value":"824301751"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":160.00,"providers":[{"billed_charge":172.00,"npi":[1922580133]}]}]},{"tin":{"type":"ein","value":"824841527"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":100.00,"npi":[1457849457]}]}]},{"tin":{"type":"ein","value":"825130853"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":150.00,"npi":[1003303082]}]}]},{"tin":{"type":"ein","value":"825415284"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":128.11,"providers":[{"billed_charge":173.00,"npi":[1144719311]}]}]},{"tin":{"type":"ein","value":"830641538"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.81,"providers":[{"billed_charge":127.61,"npi":[1972092054]}]}]},{"tin":{"type":"ein","value":"830787459"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":78.00,"providers":[{"billed_charge":130.00,"npi":[1104311315]}]}]},{"tin":{"type":"ein","value":"831559257"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":61.18,"providers":[{"billed_charge":115.00,"npi":[1669931770]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":260.00,"npi":[1932679446]}]}]},{"tin":{"type":"ein","value":"831771051"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":105.00,"providers":[{"billed_charge":175.00,"npi":[1740762160]}]}]},{"tin":{"type":"ein","value":"832048759"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":98.00,"npi":[1720556269]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":98.00,"npi":[1609342815,1265908479,1720556269]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":98.00,"npi":[1609342815,1619443827]}]}]},{"tin":{"type":"ein","value":"832053115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.10,"providers":[{"billed_charge":98.00,"npi":[1093284010]}]}]},{"tin":{"type":"ein","value":"833107705"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.60,"providers":[{"billed_charge":140.00,"npi":[1003380759]}]}]},{"tin":{"type":"ein","value":"833143986"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":145.00,"npi":[1225502826]}]}]},{"tin":{"type":"ein","value":"833334161"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":119.00,"npi":[1316402746]}]}]},{"tin":{"type":"ein","value":"840615486"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.94,"providers":[{"billed_charge":165.00,"npi":[1669499489]}]}]},{"tin":{"type":"ein","value":"840834835"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":125.54,"providers":[{"billed_charge":139.00,"npi":[1306820923]}]}]},{"tin":{"type":"ein","value":"842110076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":150.00,"npi":[1992351910]}]}]},{"tin":{"type":"ein","value":"842256769"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.50,"providers":[{"billed_charge":180.00,"npi":[1083693857]}]}]},{"tin":{"type":"ein","value":"842516855"},"billing_class":"professional","service_code":["11","72"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":200.00,"npi":[1124886965]},{"billed_charge":200.00,"npi":[1811502818]}]}]},{"tin":{"type":"ein","value":"842705367"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":175.00,"npi":[1124674049]}]}]},{"tin":{"type":"ein","value":"846000545"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":59.49,"providers":[{"billed_charge":155.00,"npi":[1528156437]}]},{"allowed_amount":69.99,"providers":[{"billed_charge":155.00,"npi":[1528156437]}]}]},{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":132.00,"npi":[1255950325]},{"billed_charge":155.00,"npi":[1255950325]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":155.00,"npi":[1255950325]}]}]},{"tin":{"type":"ein","value":"850629801"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":225.00,"npi":[1871112920]}]}]},{"tin":{"type":"ein","value":"852914575"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":150.00,"npi":[1699382507]}]}]},{"tin":{"type":"ein","value":"853756788"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":81.92,"providers":[{"billed_charge":500.00,"npi":[1588092050]}]}]},{"tin":{"type":"ein","value":"853763379"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":102.21,"providers":[{"billed_charge":175.00,"npi":[1558940387]}]}]},{"tin":{"type":"ein","value":"853861695"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.50,"providers":[{"billed_charge":191.00,"npi":[1841878006,1992383145]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":228.00,"providers":[{"billed_charge":240.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"862109896"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":55.54,"providers":[{"billed_charge":172.00,"npi":[1205553369]}]}]},{"tin":{"type":"ein","value":"862568333"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":200.00,"npi":[1255092540]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":200.00,"npi":[1255092540]}]}]},{"tin":{"type":"ein","value":"862740897"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":118.99,"npi":[1013598531]}]}]},{"tin":{"type":"ein","value":"862800277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.93,"providers":[{"billed_charge":194.00,"npi":[1548849482]}]}]},{"tin":{"type":"ein","value":"863952535"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":229.00,"npi":[1295402998]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.53,"providers":[{"billed_charge":120.00,"npi":[1447239355]}]},{"allowed_amount":87.68,"providers":[{"billed_charge":120.00,"npi":[1447239355]}]}]},{"tin":{"type":"ein","value":"871463401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":175.00,"npi":[1124794011]}]}]},{"tin":{"type":"ein","value":"873160077"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.28,"providers":[{"billed_charge":127.13,"npi":[1043971575]}]}]},{"tin":{"type":"ein","value":"873542162"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":85.00,"providers":[{"billed_charge":170.00,"npi":[1437860889]}]}]},{"tin":{"type":"ein","value":"882043837"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":90.00,"npi":[1407208481]}]}]},{"tin":{"type":"ein","value":"883046892"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":92.37,"providers":[{"billed_charge":300.00,"npi":[1508592114]}]}]},{"tin":{"type":"ein","value":"883691170"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.15,"providers":[{"billed_charge":88.29,"npi":[1841914561]}]}]},{"tin":{"type":"ein","value":"883795285"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":105.00,"npi":[1669190088]}]}]},{"tin":{"type":"ein","value":"884061186"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":61.25,"providers":[{"billed_charge":102.08,"npi":[1023739281]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":102.08,"npi":[1023739281]}]}]},{"tin":{"type":"ein","value":"886000436"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.42,"providers":[{"billed_charge":471.00,"npi":[1548393127]}]},{"allowed_amount":84.61,"providers":[{"billed_charge":471.00,"npi":[1548393127]}]}]},{"tin":{"type":"ein","value":"900368027"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.50,"providers":[{"billed_charge":133.00,"npi":[1821257676]},{"billed_charge":212.00,"npi":[1821257676]}]}]},{"tin":{"type":"ein","value":"911606533"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":138.83,"providers":[{"billed_charge":175.00,"npi":[1407223985]}]}]},{"tin":{"type":"ein","value":"920056274"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":157.62,"providers":[{"billed_charge":262.70,"npi":[1942284765]}]}]},{"tin":{"type":"ein","value":"921496164"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":89.00,"npi":[1083721906]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":94.00,"npi":[1083721906]}]}]},{"tin":{"type":"ein","value":"923121589"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.45,"providers":[{"billed_charge":455.85,"npi":[1245935261]}]}]},{"tin":{"type":"ein","value":"923591624"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":200.00,"npi":[1194413146]}]}]},{"tin":{"type":"ein","value":"933582623"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":90.00,"npi":[1780453464]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":90.00,"npi":[1780453464]}]}]},{"tin":{"type":"ein","value":"934104475"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":229.00,"npi":[1629841788]}]},{"allowed_amount":90.80,"providers":[{"billed_charge":229.00,"npi":[1629841788]}]}]},{"tin":{"type":"ein","value":"934294085"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":113.00,"npi":[1982473401]}]}]},{"tin":{"type":"ein","value":"943426006"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":150.00,"npi":[1740213982]}]},{"allowed_amount":76.56,"providers":[{"billed_charge":150.00,"npi":[1740213982]}]}]},{"tin":{"type":"ein","value":"954373071"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":431.80,"providers":[{"billed_charge":508.00,"npi":[1235107566]}]}]}]},{"billing_code":"99213","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Outpatient Services","description":"OFFICE O/P EST LOW 20-29 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"203059260"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.30,"providers":[{"billed_charge":202.00,"npi":[1598958431]}]}]},{"tin":{"type":"ein","value":"271382032"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":175.00,"npi":[1720503972]}]}]},{"tin":{"type":"ein","value":"382776791"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":59.01,"providers":[{"billed_charge":110.00,"npi":[1093119638]}]}]},{"tin":{"type":"ein","value":"391351587"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":263.00,"npi":[1326532169]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":92.38,"providers":[{"billed_charge":136.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":147.52,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":165.35,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"560845796"},"billing_class":"professional","service_code":["99"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":179.85,"npi":[1689103582]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":68.77,"providers":[{"billed_charge":145.90,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":175.08,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":55.55,"providers":[{"billed_charge":175.08,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"883795285"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":105.00,"npi":[1669190088]}]}]}]},{"billing_code":"99213","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFFICE O/P EST LOW 20 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":52.63,"providers":[{"billed_charge":301.18,"npi":[1548315401]}]},{"allowed_amount":246.97,"providers":[{"billed_charge":301.18,"npi":[1548315401]}]},{"allowed_amount":258.88,"providers":[{"billed_charge":316.23,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"311340739"},"billing_class":"institutional","payments":[{"allowed_amount":167.24,"providers":[{"billed_charge":208.00,"npi":[1447359997]}]}]},{"tin":{"type":"ein","value":"350869066"},"billing_class":"institutional","payments":[{"allowed_amount":132.00,"providers":[{"billed_charge":150.00,"npi":[1306898960]}]}]},{"tin":{"type":"ein","value":"410944601"},"billing_class":"institutional","payments":[{"allowed_amount":167.18,"providers":[{"billed_charge":176.00,"npi":[1841266194]}]}]},{"tin":{"type":"ein","value":"560535674"},"billing_class":"institutional","payments":[{"allowed_amount":60.43,"providers":[{"billed_charge":120.86,"npi":[1366401648]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":36.04,"providers":[{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":38.65,"providers":[{"billed_charge":282.91,"npi":[1750333282]}]},{"allowed_amount":39.27,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":42.84,"providers":[{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":45.95,"providers":[{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":48.10,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":53.64,"providers":[{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":56.94,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":57.17,"providers":[{"billed_charge":282.91,"npi":[1750333282]}]},{"allowed_amount":57.35,"providers":[{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":59.71,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":61.53,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":64.17,"providers":[{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":64.76,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":72.32,"providers":[{"billed_charge":282.91,"npi":[1750333282]}]},{"allowed_amount":72.97,"providers":[{"billed_charge":285.44,"npi":[1477504280]}]},{"allowed_amount":75.65,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":76.19,"providers":[{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":80.86,"providers":[{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":84.96,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":85.28,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":113.42,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":118.31,"providers":[{"billed_charge":182.50,"npi":[1073557559]},{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":140.01,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":59.55,"providers":[{"billed_charge":227.34,"npi":[1558311357]}]},{"allowed_amount":97.27,"providers":[{"billed_charge":227.34,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":39.10,"providers":[{"billed_charge":222.29,"npi":[1083669030]}]},{"allowed_amount":86.70,"providers":[{"billed_charge":217.24,"npi":[1023056488]}]},{"allowed_amount":113.42,"providers":[{"billed_charge":219.76,"npi":[1992754758]}]},{"allowed_amount":118.31,"providers":[{"billed_charge":219.76,"npi":[1992754758]},{"billed_charge":222.29,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570720016"},"billing_class":"institutional","payments":[{"allowed_amount":120.13,"providers":[{"billed_charge":232.39,"npi":[1437566528]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":91.06,"providers":[{"billed_charge":260.18,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"621596506"},"billing_class":"institutional","payments":[{"allowed_amount":105.57,"providers":[{"billed_charge":193.00,"npi":[1497792527]}]}]},{"tin":{"type":"ein","value":"742577746"},"billing_class":"institutional","payments":[{"allowed_amount":634.50,"providers":[{"billed_charge":705.00,"npi":[1548286172]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":19.40,"providers":[{"billed_charge":285.00,"npi":[1174582050]}]},{"allowed_amount":213.75,"providers":[{"billed_charge":285.00,"npi":[1174582050]}]},{"allowed_amount":285.00,"providers":[{"billed_charge":285.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":25.39,"providers":[{"billed_charge":183.00,"npi":[1144211301]}]},{"allowed_amount":45.61,"providers":[{"billed_charge":183.00,"npi":[1144211301]}]},{"allowed_amount":80.32,"providers":[{"billed_charge":183.00,"npi":[1144211301]}]},{"allowed_amount":98.18,"providers":[{"billed_charge":183.00,"npi":[1144211301]}]},{"allowed_amount":99.33,"providers":[{"billed_charge":183.00,"npi":[1144211301]}]},{"allowed_amount":109.04,"providers":[{"billed_charge":183.00,"npi":[1144211301]}]},{"allowed_amount":113.42,"providers":[{"billed_charge":183.00,"npi":[1144211301]}]}]}]},{"billing_code":"99213","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFFICE O/P EST LOW 20-29 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":52.63,"providers":[{"billed_charge":301.18,"npi":[1548315401]}]},{"allowed_amount":246.97,"providers":[{"billed_charge":301.18,"npi":[1548315401]}]},{"allowed_amount":258.88,"providers":[{"billed_charge":316.23,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"311340739"},"billing_class":"institutional","payments":[{"allowed_amount":167.24,"providers":[{"billed_charge":208.00,"npi":[1447359997]}]}]},{"tin":{"type":"ein","value":"350869066"},"billing_class":"institutional","payments":[{"allowed_amount":132.00,"providers":[{"billed_charge":150.00,"npi":[1306898960]}]}]},{"tin":{"type":"ein","value":"410944601"},"billing_class":"institutional","payments":[{"allowed_amount":167.18,"providers":[{"billed_charge":176.00,"npi":[1841266194]}]}]},{"tin":{"type":"ein","value":"560535674"},"billing_class":"institutional","payments":[{"allowed_amount":60.43,"providers":[{"billed_charge":120.86,"npi":[1366401648]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":36.04,"providers":[{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":38.65,"providers":[{"billed_charge":282.91,"npi":[1750333282]}]},{"allowed_amount":39.27,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":42.84,"providers":[{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":45.95,"providers":[{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":48.10,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":53.64,"providers":[{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":56.94,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":57.17,"providers":[{"billed_charge":282.91,"npi":[1750333282]}]},{"allowed_amount":57.35,"providers":[{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":59.71,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":61.53,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":64.17,"providers":[{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":64.76,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":72.32,"providers":[{"billed_charge":282.91,"npi":[1750333282]}]},{"allowed_amount":72.97,"providers":[{"billed_charge":285.44,"npi":[1477504280]}]},{"allowed_amount":75.65,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":76.19,"providers":[{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":80.86,"providers":[{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":84.96,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":85.28,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":113.42,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]},{"allowed_amount":118.31,"providers":[{"billed_charge":182.50,"npi":[1073557559]},{"billed_charge":199.55,"npi":[1073557559]}]},{"allowed_amount":140.01,"providers":[{"billed_charge":285.44,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":59.55,"providers":[{"billed_charge":227.34,"npi":[1558311357]}]},{"allowed_amount":97.27,"providers":[{"billed_charge":227.34,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":39.10,"providers":[{"billed_charge":222.29,"npi":[1083669030]}]},{"allowed_amount":86.70,"providers":[{"billed_charge":217.24,"npi":[1023056488]}]},{"allowed_amount":113.42,"providers":[{"billed_charge":219.76,"npi":[1992754758]}]},{"allowed_amount":118.31,"providers":[{"billed_charge":219.76,"npi":[1992754758]},{"billed_charge":222.29,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"570720016"},"billing_class":"institutional","payments":[{"allowed_amount":120.13,"providers":[{"billed_charge":232.39,"npi":[1437566528]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":91.06,"providers":[{"billed_charge":260.18,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"621596506"},"billing_class":"institutional","payments":[{"allowed_amount":105.57,"providers":[{"billed_charge":193.00,"npi":[1497792527]}]}]},{"tin":{"type":"ein","value":"742577746"},"billing_class":"institutional","payments":[{"allowed_amount":634.50,"providers":[{"billed_charge":705.00,"npi":[1548286172]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":19.40,"providers":[{"billed_charge":285.00,"npi":[1174582050]}]},{"allowed_amount":213.75,"providers":[{"billed_charge":285.00,"npi":[1174582050]}]},{"allowed_amount":285.00,"providers":[{"billed_charge":285.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":25.39,"providers":[{"billed_charge":183.00,"npi":[1144211301]}]},{"allowed_amount":45.61,"providers":[{"billed_charge":183.00,"npi":[1144211301]}]},{"allowed_amount":80.32,"providers":[{"billed_charge":183.00,"npi":[1144211301]}]},{"allowed_amount":98.18,"providers":[{"billed_charge":183.00,"npi":[1144211301]}]},{"allowed_amount":99.33,"providers":[{"billed_charge":183.00,"npi":[1144211301]}]},{"allowed_amount":109.04,"providers":[{"billed_charge":183.00,"npi":[1144211301]}]},{"allowed_amount":113.42,"providers":[{"billed_charge":183.00,"npi":[1144211301]}]}]}]},{"billing_code":"99213","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"OFFICE O/P EST LOW 20 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":211.20,"providers":[{"billed_charge":240.00,"npi":[1477643690]}]}]}]},{"billing_code":"99213","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"OFFICE O/P EST LOW 20-29 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":211.20,"providers":[{"billed_charge":240.00,"npi":[1477643690]}]}]}]},{"billing_code":"99214","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Outpatient Services","description":"OFFICE O/P EST MOD 30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"010514750"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.00,"providers":[{"billed_charge":303.00,"npi":[1427169010]}]}]},{"tin":{"type":"ein","value":"020476337"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":139.47,"providers":[{"billed_charge":240.00,"npi":[1073627329]}]}]},{"tin":{"type":"ein","value":"020585061"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.23,"providers":[{"billed_charge":248.00,"npi":[1194876078]}]}]},{"tin":{"type":"ein","value":"020707661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":350.00,"npi":[1558329243]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":350.00,"npi":[1558329243]}]}]},{"tin":{"type":"ein","value":"020781602"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":221.00,"npi":[1639195126]}]}]},{"tin":{"type":"ein","value":"030219309"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":324.70,"providers":[{"billed_charge":382.00,"npi":[1659309615]}]}]},{"tin":{"type":"ein","value":"030417049"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":98.68,"providers":[{"billed_charge":269.00,"npi":[1922053545]}]}]},{"tin":{"type":"ein","value":"030470886"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":94.71,"providers":[{"billed_charge":150.00,"npi":[1154548014]}]}]},{"tin":{"type":"ein","value":"042810972"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":249.98,"providers":[{"billed_charge":394.00,"npi":[1437196359]}]}]},{"tin":{"type":"ein","value":"043026897"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.00,"providers":[{"billed_charge":394.00,"npi":[1992750996]}]}]},{"tin":{"type":"ein","value":"043187299"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":66.79,"providers":[{"billed_charge":318.12,"npi":[1770534927]}]}]},{"tin":{"type":"ein","value":"043397450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":231.61,"providers":[{"billed_charge":346.00,"npi":[1871639914]}]}]},{"tin":{"type":"ein","value":"043723466"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.13,"providers":[{"billed_charge":140.25,"npi":[1295799641]}]}]},{"tin":{"type":"ein","value":"043774404"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":175.00,"npi":[1356497960]}]}]},{"tin":{"type":"ein","value":"050606402"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":94.50,"providers":[{"billed_charge":135.00,"npi":[1811028152]}]}]},{"tin":{"type":"ein","value":"061127657"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":142.23,"providers":[{"billed_charge":487.00,"npi":[1902855828]}]}]},{"tin":{"type":"ein","value":"061714706"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":182.66,"providers":[{"billed_charge":275.00,"npi":[1225109838]}]}]},{"tin":{"type":"ein","value":"134214778"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":134.57,"providers":[{"billed_charge":450.00,"npi":[1306962246]}]}]},{"tin":{"type":"ein","value":"134290167"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.63,"providers":[{"billed_charge":188.00,"npi":[1841668670]}]}]},{"tin":{"type":"ein","value":"135562308"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":187.24,"providers":[{"billed_charge":688.00,"npi":[1285826438]}]}]},{"tin":{"type":"ein","value":"141633562"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.93,"providers":[{"billed_charge":190.00,"npi":[1871533216]}]}]},{"tin":{"type":"ein","value":"141973790"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":127.26,"providers":[{"billed_charge":289.00,"npi":[1285735605]}]}]},{"tin":{"type":"ein","value":"161670352"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":338.00,"npi":[1275596439]}]}]},{"tin":{"type":"ein","value":"200195655"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.84,"providers":[{"billed_charge":250.00,"npi":[1316964943]}]}]},{"tin":{"type":"ein","value":"200462802"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":80.00,"npi":[1477506343]}]},{"allowed_amount":90.14,"providers":[{"billed_charge":203.13,"npi":[1477506343]}]}]},{"tin":{"type":"ein","value":"200602254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.60,"providers":[{"billed_charge":385.71,"npi":[1730244872]}]}]},{"tin":{"type":"ein","value":"200677400"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.27,"providers":[{"billed_charge":224.00,"npi":[1841228871]}]}]},{"tin":{"type":"ein","value":"200984494"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":235.00,"npi":[1629037270]}]}]},{"tin":{"type":"ein","value":"201020476"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":92.80,"providers":[{"billed_charge":185.00,"npi":[1902875834]}]}]},{"tin":{"type":"ein","value":"201480214"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":116.88,"providers":[{"billed_charge":150.00,"npi":[1689688970]}]}]},{"tin":{"type":"ein","value":"201582408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":240.00,"npi":[1295784874]}]}]},{"tin":{"type":"ein","value":"201733619"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.56,"providers":[{"billed_charge":209.00,"npi":[1871535351]}]}]},{"tin":{"type":"ein","value":"201822899"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":88.07,"providers":[{"billed_charge":270.00,"npi":[1316164007]}]}]},{"tin":{"type":"ein","value":"202088165"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":217.80,"providers":[{"billed_charge":363.00,"npi":[1427016385]}]}]},{"tin":{"type":"ein","value":"202143850"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":165.00,"npi":[1588728166]}]},{"allowed_amount":107.25,"providers":[{"billed_charge":165.00,"npi":[1588728166]}]}]},{"tin":{"type":"ein","value":"202151379"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":238.00,"npi":[1790728921]}]}]},{"tin":{"type":"ein","value":"202305158"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.11,"providers":[{"billed_charge":193.00,"npi":[1295862944]}]}]},{"tin":{"type":"ein","value":"202719103"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":74.73,"providers":[{"billed_charge":106.75,"npi":[1053623140]}]}]},{"tin":{"type":"ein","value":"202948293"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":237.88,"providers":[{"billed_charge":370.00,"npi":[1376527077]}]}]},{"tin":{"type":"ein","value":"203059260"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":193.70,"providers":[{"billed_charge":298.00,"npi":[1598958431]}]}]},{"tin":{"type":"ein","value":"203400983"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.93,"providers":[{"billed_charge":348.00,"npi":[1487767133]}]}]},{"tin":{"type":"ein","value":"203400983"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":83.06,"providers":[{"billed_charge":348.00,"npi":[1487767133]}]}]},{"tin":{"type":"ein","value":"204186654"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":250.00,"npi":[1770515272]}]}]},{"tin":{"type":"ein","value":"204700877"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":379.20,"providers":[{"billed_charge":474.00,"npi":[1407864168]}]}]},{"tin":{"type":"ein","value":"204949752"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":121.06,"providers":[{"billed_charge":278.00,"npi":[1508871948]}]}]},{"tin":{"type":"ein","value":"205497203"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":84.32,"providers":[{"billed_charge":243.00,"npi":[1518360296]}]}]},{"tin":{"type":"ein","value":"205507145"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":237.88,"providers":[{"billed_charge":379.44,"npi":[1518012004]}]}]},{"tin":{"type":"ein","value":"205593086"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":200.00,"npi":[1679687347]}]}]},{"tin":{"type":"ein","value":"208785833"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":167.20,"providers":[{"billed_charge":222.00,"npi":[1013163914]}]}]},{"tin":{"type":"ein","value":"208839843"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":77.85,"providers":[{"billed_charge":173.00,"npi":[1538352760]},{"billed_charge":173.00,"npi":[1538352760]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":257.00,"npi":[1457579617]}]},{"allowed_amount":122.63,"providers":[{"billed_charge":255.08,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"223977578"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.49,"providers":[{"billed_charge":180.00,"npi":[1285884650]}]}]},{"tin":{"type":"ein","value":"232919472"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":141.00,"providers":[{"billed_charge":188.00,"npi":[1881683100]}]}]},{"tin":{"type":"ein","value":"237313346"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":172.34,"providers":[{"billed_charge":381.00,"npi":[1538360425]}]}]},{"tin":{"type":"ein","value":"237441353"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":154.00,"providers":[{"billed_charge":195.91,"npi":[1447673223]}]}]},{"tin":{"type":"ein","value":"251838458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":174.72,"providers":[{"billed_charge":364.00,"npi":[1063834315]}]}]},{"tin":{"type":"ein","value":"257040159"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":182.00,"npi":[1275932733]}]}]},{"tin":{"type":"ein","value":"260152289"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":129.01,"providers":[{"billed_charge":324.00,"npi":[1770812828]}]}]},{"tin":{"type":"ein","value":"260475106"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":281.00,"npi":[1487845020]}]}]},{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":88.00,"providers":[{"billed_charge":160.00,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"260593928"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":182.66,"providers":[{"billed_charge":500.00,"npi":[1275729691]}]},{"allowed_amount":237.88,"providers":[{"billed_charge":370.00,"npi":[1275729691]}]}]},{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":223.20,"providers":[{"billed_charge":279.00,"npi":[1861675506]}]}]},{"tin":{"type":"ein","value":"260868690"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.72,"providers":[{"billed_charge":295.00,"npi":[1861674160]},{"billed_charge":305.00,"npi":[1861674160]}]}]},{"tin":{"type":"ein","value":"262551707"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":190.00,"npi":[1578739876]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":190.00,"npi":[1578739876]}]}]},{"tin":{"type":"ein","value":"262824776"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":500.00,"npi":[1104088905]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.22,"providers":[{"billed_charge":263.26,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"263049770"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":128.87,"providers":[{"billed_charge":149.00,"npi":[1265684856]},{"billed_charge":149.00,"npi":[1265684856]}]}]},{"tin":{"type":"ein","value":"263447487"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":111.00,"providers":[{"billed_charge":185.00,"npi":[1215181300]}]},{"allowed_amount":111.71,"providers":[{"billed_charge":185.00,"npi":[1215181300]}]},{"allowed_amount":111.72,"providers":[{"billed_charge":185.00,"npi":[1215181300]}]},{"allowed_amount":122.62,"providers":[{"billed_charge":185.00,"npi":[1215181300]}]}]},{"tin":{"type":"ein","value":"263557623"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.09,"providers":[{"billed_charge":295.00,"npi":[1376575035]}]}]},{"tin":{"type":"ein","value":"263653139"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":113.85,"providers":[{"billed_charge":200.00,"npi":[1912142001]}]}]},{"tin":{"type":"ein","value":"263755706"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":188.00,"npi":[1598798100]}]}]},{"tin":{"type":"ein","value":"263757202"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":137.31,"providers":[{"billed_charge":259.00,"npi":[1215165485]}]}]},{"tin":{"type":"ein","value":"264058719"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":214.00,"providers":[{"billed_charge":214.00,"npi":[1710125430]}]}]},{"tin":{"type":"ein","value":"264104889"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":200.00,"npi":[1699019810]}]}]},{"tin":{"type":"ein","value":"264183569"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":69.21,"providers":[{"billed_charge":260.00,"npi":[1669791323]}]},{"allowed_amount":132.20,"providers":[{"billed_charge":260.00,"npi":[1134484892]}]}]},{"tin":{"type":"ein","value":"264517010"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":173.54,"providers":[{"billed_charge":467.00,"npi":[1457640088]}]}]},{"tin":{"type":"ein","value":"264800380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.96,"providers":[{"billed_charge":235.00,"npi":[1376779892]}]}]},{"tin":{"type":"ein","value":"270053197"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.11,"providers":[{"billed_charge":253.52,"npi":[1851587794]}]}]},{"tin":{"type":"ein","value":"270123687"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":257.52,"providers":[{"billed_charge":321.90,"npi":[1437194156]}]}]},{"tin":{"type":"ein","value":"270581401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":135.00,"providers":[{"billed_charge":225.00,"npi":[1891028379]}]}]},{"tin":{"type":"ein","value":"270851352"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.55,"providers":[{"billed_charge":306.00,"npi":[1134452865]}]}]},{"tin":{"type":"ein","value":"271370967"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":380.00,"npi":[1235468083]}]}]},{"tin":{"type":"ein","value":"271382032"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":250.00,"npi":[1720503972]}]}]},{"tin":{"type":"ein","value":"272208011"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":226.00,"npi":[1902124647]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":226.00,"npi":[1902124647]}]}]},{"tin":{"type":"ein","value":"272528143"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":96.15,"providers":[{"billed_charge":297.00,"npi":[1568767002]}]}]},{"tin":{"type":"ein","value":"272763125"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":81.98,"providers":[{"billed_charge":193.43,"npi":[1114277035]}]}]},{"tin":{"type":"ein","value":"272872791"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":210.00,"providers":[{"billed_charge":300.00,"npi":[1730491945]}]}]},{"tin":{"type":"ein","value":"272996872"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":101.02,"providers":[{"billed_charge":298.00,"npi":[1689984585]}]}]},{"tin":{"type":"ein","value":"273401099"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":95.99,"providers":[{"billed_charge":203.00,"npi":[1114234382]}]}]},{"tin":{"type":"ein","value":"273698244"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":100.00,"providers":[{"billed_charge":200.00,"npi":[1811297070]}]}]},{"tin":{"type":"ein","value":"273762926"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":116.00,"providers":[{"billed_charge":145.00,"npi":[1700242260]}]}]},{"tin":{"type":"ein","value":"273846421"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":64.90,"providers":[{"billed_charge":268.82,"npi":[1073804712]}]},{"allowed_amount":71.33,"providers":[{"billed_charge":268.82,"npi":[1073804712]}]},{"allowed_amount":105.95,"providers":[{"billed_charge":268.82,"npi":[1073804712]}]},{"allowed_amount":134.44,"providers":[{"billed_charge":268.82,"npi":[1073804712]}]}]},{"tin":{"type":"ein","value":"274026658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":164.80,"providers":[{"billed_charge":206.00,"npi":[1033494943]}]}]},{"tin":{"type":"ein","value":"274666463"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":174.16,"providers":[{"billed_charge":287.00,"npi":[1538466107]}]}]},{"tin":{"type":"ein","value":"300210241"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":225.00,"npi":[1710942610]}]}]},{"tin":{"type":"ein","value":"300270600"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":117.96,"providers":[{"billed_charge":208.00,"npi":[1518032564]}]}]},{"tin":{"type":"ein","value":"300802081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":305.00,"npi":[1124450572]}]}]},{"tin":{"type":"ein","value":"300888250"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.93,"providers":[{"billed_charge":180.00,"npi":[1235863846]}]}]},{"tin":{"type":"ein","value":"300994598"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":111.71,"providers":[{"billed_charge":252.00,"npi":[1205350584]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":426.55,"providers":[{"billed_charge":449.00,"npi":[1609915784]}]}]},{"tin":{"type":"ein","value":"310993406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":213.00,"npi":[1861451437]}]},{"allowed_amount":146.63,"providers":[{"billed_charge":213.00,"npi":[1861451437]}]}]},{"tin":{"type":"ein","value":"311369596"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":259.25,"providers":[{"billed_charge":305.00,"npi":[1740231448]}]}]},{"tin":{"type":"ein","value":"311425710"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":266.00,"providers":[{"billed_charge":280.00,"npi":[1194917062]}]}]},{"tin":{"type":"ein","value":"311610834"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.71,"providers":[{"billed_charge":408.00,"npi":[1245248947]}]}]},{"tin":{"type":"ein","value":"311626179"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.99,"providers":[{"billed_charge":305.00,"npi":[1225523210]}]}]},{"tin":{"type":"ein","value":"311838862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.95,"providers":[{"billed_charge":132.44,"npi":[1063460459]}]},{"allowed_amount":161.75,"providers":[{"billed_charge":168.00,"npi":[1114151800]}]}]},{"tin":{"type":"ein","value":"320219640"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":122.33,"npi":[1942578554]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":122.33,"npi":[1942578554]}]}]},{"tin":{"type":"ein","value":"320442710"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":109.29,"providers":[{"billed_charge":209.00,"npi":[1003222134]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["10","22"],"payments":[{"allowed_amount":468.00,"providers":[{"billed_charge":624.00,"npi":[1679525919]},{"billed_charge":624.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"340715726"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":213.94,"providers":[{"billed_charge":213.94,"npi":[1134179799]}]}]},{"tin":{"type":"ein","value":"341015976"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.93,"providers":[{"billed_charge":150.00,"npi":[1033477062]}]}]},{"tin":{"type":"ein","value":"341135374"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":113.43,"providers":[{"billed_charge":157.00,"npi":[1487035986]}]}]},{"tin":{"type":"ein","value":"341447430"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.92,"providers":[{"billed_charge":190.00,"npi":[1932208733]}]},{"allowed_amount":111.85,"providers":[{"billed_charge":190.00,"npi":[1932208733]}]}]},{"tin":{"type":"ein","value":"351183155"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":137.25,"providers":[{"billed_charge":183.00,"npi":[1861441537]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":135.00,"providers":[{"billed_charge":135.00,"npi":[1982143269]}]}]},{"tin":{"type":"ein","value":"351747218"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":137.25,"providers":[{"billed_charge":183.00,"npi":[1902032832]},{"billed_charge":183.00,"npi":[1902032832]}]}]},{"tin":{"type":"ein","value":"352214929"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":64.63,"providers":[{"billed_charge":238.56,"npi":[1023209095]}]}]},{"tin":{"type":"ein","value":"352578142"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":87.00,"providers":[{"billed_charge":145.00,"npi":[1538503750]},{"billed_charge":145.00,"npi":[1538503750]}]}]},{"tin":{"type":"ein","value":"352585434"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":250.00,"npi":[1932640349]}]}]},{"tin":{"type":"ein","value":"362169147"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":195.60,"providers":[{"billed_charge":279.00,"npi":[1700824455]}]}]},{"tin":{"type":"ein","value":"363149833"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":116.40,"providers":[{"billed_charge":194.00,"npi":[1033149844]}]}]},{"tin":{"type":"ein","value":"364727660"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":233.35,"providers":[{"billed_charge":829.00,"npi":[1912266420]}]}]},{"tin":{"type":"ein","value":"371342029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.39,"providers":[{"billed_charge":255.00,"npi":[1699838276]}]}]},{"tin":{"type":"ein","value":"381359247"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":196.80,"providers":[{"billed_charge":246.00,"npi":[1457704850]}]}]},{"tin":{"type":"ein","value":"382988086"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.08,"providers":[{"billed_charge":271.00,"npi":[1659418663]}]}]},{"tin":{"type":"ein","value":"383081453"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.48,"providers":[{"billed_charge":201.00,"npi":[1932227915]}]}]},{"tin":{"type":"ein","value":"386006309"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":170.30,"providers":[{"billed_charge":262.00,"npi":[1366472326]}]}]},{"tin":{"type":"ein","value":"391093716"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":291.60,"providers":[{"billed_charge":324.00,"npi":[1740263458]}]}]},{"tin":{"type":"ein","value":"391824445"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":291.55,"providers":[{"billed_charge":343.00,"npi":[1598784555]}]}]},{"tin":{"type":"ein","value":"400009461"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.24,"providers":[{"billed_charge":150.00,"npi":[1528583879]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":284.05,"providers":[{"billed_charge":299.00,"npi":[1922074434]}]}]},{"tin":{"type":"ein","value":"426004813"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":355.50,"providers":[{"billed_charge":395.00,"npi":[1477554814]}]}]},{"tin":{"type":"ein","value":"450796601"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.55,"providers":[{"billed_charge":250.52,"npi":[1831536879]}]}]},{"tin":{"type":"ein","value":"452131675"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":252.10,"npi":[1336292556]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":252.10,"npi":[1336292556]}]}]},{"tin":{"type":"ein","value":"453123110"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":111.71,"providers":[{"billed_charge":240.00,"npi":[1215219878]}]},{"allowed_amount":111.72,"providers":[{"billed_charge":240.00,"npi":[1215219878]}]}]},{"tin":{"type":"ein","value":"453191160"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":237.88,"providers":[{"billed_charge":320.00,"npi":[1235411547]}]}]},{"tin":{"type":"ein","value":"453367409"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.63,"providers":[{"billed_charge":228.00,"npi":[1700162203]}]}]},{"tin":{"type":"ein","value":"453556063"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":231.00,"providers":[{"billed_charge":308.00,"npi":[1104193069]}]}]},{"tin":{"type":"ein","value":"453597157"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":92.02,"providers":[{"billed_charge":476.00,"npi":[1447520333]}]}]},{"tin":{"type":"ein","value":"453767772"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.53,"providers":[{"billed_charge":170.00,"npi":[1346514114]}]}]},{"tin":{"type":"ein","value":"453817606"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":270.00,"npi":[1134498108]}]}]},{"tin":{"type":"ein","value":"454639427"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.71,"providers":[{"billed_charge":130.00,"npi":[1225383243]}]}]},{"tin":{"type":"ein","value":"454965405"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":125.94,"providers":[{"billed_charge":200.00,"npi":[1447508478]}]}]},{"tin":{"type":"ein","value":"455218263"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":65.00,"providers":[{"billed_charge":130.00,"npi":[1699030890]}]}]},{"tin":{"type":"ein","value":"455330799"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":200.00,"npi":[1144657677]}]}]},{"tin":{"type":"ein","value":"460530293"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.70,"providers":[{"billed_charge":185.00,"npi":[1689005357]}]}]},{"tin":{"type":"ein","value":"460782127"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":85.20,"providers":[{"billed_charge":204.00,"npi":[1124713383]}]}]},{"tin":{"type":"ein","value":"461129417"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":250.00,"npi":[1033582002]}]}]},{"tin":{"type":"ein","value":"461227720"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.72,"providers":[{"billed_charge":180.00,"npi":[1023362852]},{"billed_charge":268.80,"npi":[1023362852]}]}]},{"tin":{"type":"ein","value":"461243081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":229.50,"providers":[{"billed_charge":255.00,"npi":[1750626495]}]}]},{"tin":{"type":"ein","value":"461507241"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":86.56,"providers":[{"billed_charge":200.00,"npi":[1306280177]}]}]},{"tin":{"type":"ein","value":"461883875"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.00,"providers":[{"billed_charge":175.00,"npi":[1518303288]}]}]},{"tin":{"type":"ein","value":"462164943"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":82.40,"providers":[{"billed_charge":137.34,"npi":[1215325279]}]}]},{"tin":{"type":"ein","value":"462456505"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":83.83,"providers":[{"billed_charge":330.00,"npi":[1578969465]}]}]},{"tin":{"type":"ein","value":"462494632"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":207.67,"providers":[{"billed_charge":398.00,"npi":[1144664251]}]}]},{"tin":{"type":"ein","value":"462571938"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":180.00,"npi":[1235565946]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":180.00,"npi":[1235565946]}]}]},{"tin":{"type":"ein","value":"462721814"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.00,"providers":[{"billed_charge":145.00,"npi":[1710313242]}]}]},{"tin":{"type":"ein","value":"462726702"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":298.00,"npi":[1841635455]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":298.00,"npi":[1841635455]}]}]},{"tin":{"type":"ein","value":"462881061"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":190.00,"npi":[1093193310]}]}]},{"tin":{"type":"ein","value":"463252946"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":204.88,"providers":[{"billed_charge":239.00,"npi":[1487082087]}]}]},{"tin":{"type":"ein","value":"463596468"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.99,"providers":[{"billed_charge":253.52,"npi":[1700202298]}]}]},{"tin":{"type":"ein","value":"463774942"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":298.00,"npi":[1720034895]}]}]},{"tin":{"type":"ein","value":"463878759"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":113.00,"providers":[{"billed_charge":177.00,"npi":[1437589157]}]}]},{"tin":{"type":"ein","value":"464069699"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":130.12,"providers":[{"billed_charge":321.00,"npi":[1033531850]}]}]},{"tin":{"type":"ein","value":"464300152"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":446.00,"npi":[1255754008]}]}]},{"tin":{"type":"ein","value":"464510365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":600.00,"npi":[1629505300]}]}]},{"tin":{"type":"ein","value":"465137699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":240.38,"npi":[1962821322]}]}]},{"tin":{"type":"ein","value":"465246139"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":320.00,"npi":[1285064972]}]}]},{"tin":{"type":"ein","value":"465285330"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":73.10,"providers":[{"billed_charge":279.00,"npi":[1467815928]}]}]},{"tin":{"type":"ein","value":"465354922"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":102.53,"providers":[{"billed_charge":225.00,"npi":[1346728375]}]}]},{"tin":{"type":"ein","value":"465679478"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":250.00,"npi":[1124430020]}]}]},{"tin":{"type":"ein","value":"471344556"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":132.52,"providers":[{"billed_charge":196.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"471382791"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":84.00,"providers":[{"billed_charge":120.00,"npi":[1225538267]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":150.00,"npi":[1225538267]}]}]},{"tin":{"type":"ein","value":"471391498"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":275.00,"npi":[1700385507]}]}]},{"tin":{"type":"ein","value":"471450216"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.63,"providers":[{"billed_charge":200.00,"npi":[1518169663]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":319.00,"npi":[1154721272]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":319.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"471758595"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.96,"providers":[{"billed_charge":164.00,"npi":[1679974588]}]}]},{"tin":{"type":"ein","value":"472252458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":154.19,"providers":[{"billed_charge":365.00,"npi":[1952799165]}]}]},{"tin":{"type":"ein","value":"472271936"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":88.20,"providers":[{"billed_charge":147.00,"npi":[1891152104]}]}]},{"tin":{"type":"ein","value":"472667466"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":91.75,"providers":[{"billed_charge":166.00,"npi":[1568627206]}]}]},{"tin":{"type":"ein","value":"474063149"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":177.76,"providers":[{"billed_charge":202.00,"npi":[1972193191]}]}]},{"tin":{"type":"ein","value":"474459800"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":183.00,"npi":[1912381203]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":183.00,"npi":[1912381203]}]},{"allowed_amount":122.19,"providers":[{"billed_charge":183.00,"npi":[1912381203]}]}]},{"tin":{"type":"ein","value":"475454447"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":425.00,"npi":[1467810663]}]}]},{"tin":{"type":"ein","value":"481265866"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.72,"providers":[{"billed_charge":200.00,"npi":[1871692012]}]}]},{"tin":{"type":"ein","value":"482801837"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":250.00,"npi":[1790762078]}]}]},{"tin":{"type":"ein","value":"510196935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.72,"providers":[{"billed_charge":182.00,"npi":[1568592426]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":183.20,"providers":[{"billed_charge":313.00,"npi":[1356346100]}]}]},{"tin":{"type":"ein","value":"520795508"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":154.70,"providers":[{"billed_charge":182.00,"npi":[1477510162]}]}]},{"tin":{"type":"ein","value":"521576648"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.72,"providers":[{"billed_charge":550.00,"npi":[1003887118]}]}]},{"tin":{"type":"ein","value":"521976286"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.72,"providers":[{"billed_charge":320.00,"npi":[1477583599]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":75.22,"providers":[{"billed_charge":246.30,"npi":[1619927027]}]},{"allowed_amount":83.88,"providers":[{"billed_charge":246.30,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"540910545"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":111.71,"providers":[{"billed_charge":160.00,"npi":[1215943030]}]}]},{"tin":{"type":"ein","value":"541037960"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.71,"providers":[{"billed_charge":248.50,"npi":[1417047952]}]}]},{"tin":{"type":"ein","value":"541048105"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.71,"providers":[{"billed_charge":290.00,"npi":[1508959701]}]}]},{"tin":{"type":"ein","value":"541092710"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.71,"providers":[{"billed_charge":250.00,"npi":[1346392248]}]}]},{"tin":{"type":"ein","value":"541095057"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.72,"providers":[{"billed_charge":228.00,"npi":[1336220375]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":81.97,"providers":[{"billed_charge":212.84,"npi":[1174800585]}]},{"allowed_amount":83.88,"providers":[{"billed_charge":206.89,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"541217184"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":111.72,"providers":[{"billed_charge":187.00,"npi":[1265485270]},{"billed_charge":249.00,"npi":[1265485270]}]}]},{"tin":{"type":"ein","value":"541217184"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.71,"providers":[{"billed_charge":249.00,"npi":[1265485270]},{"billed_charge":254.00,"npi":[1265485270]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.72,"providers":[{"billed_charge":202.00,"npi":[1710020623]},{"billed_charge":245.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"541595397"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.71,"providers":[{"billed_charge":242.00,"npi":[1508813387]}]}]},{"tin":{"type":"ein","value":"541634477"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.71,"providers":[{"billed_charge":251.00,"npi":[1902848294]}]},{"allowed_amount":111.72,"providers":[{"billed_charge":251.00,"npi":[1902848294]}]}]},{"tin":{"type":"ein","value":"541911947"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.71,"providers":[{"billed_charge":274.00,"npi":[1619043551]}]}]},{"tin":{"type":"ein","value":"541937835"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.72,"providers":[{"billed_charge":265.00,"npi":[1205815420]}]}]},{"tin":{"type":"ein","value":"550422958"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":113.85,"providers":[{"billed_charge":237.43,"npi":[1477559433]}]}]},{"tin":{"type":"ein","value":"550821471"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.73,"providers":[{"billed_charge":300.00,"npi":[1184847345]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["02","19"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":229.77,"npi":[1750333282]},{"billed_charge":237.03,"npi":[1477504280,1457719312]},{"billed_charge":229.77,"npi":[1750333282]},{"billed_charge":237.03,"npi":[1477504280,1457719312]},{"billed_charge":239.44,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":237.03,"npi":[1457719312]},{"billed_charge":239.44,"npi":[1073557559]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":81.97,"providers":[{"billed_charge":229.77,"npi":[1750333282]},{"billed_charge":237.03,"npi":[1457719312]}]},{"allowed_amount":81.98,"providers":[{"billed_charge":229.77,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560583151"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.80,"providers":[{"billed_charge":262.00,"npi":[1508850447]}]}]},{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":174.00,"npi":[1740692656]}]}]},{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":203.00,"npi":[1144655903]}]}]},{"tin":{"type":"ein","value":"560670676"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":124.76,"npi":[1770335382]}]}]},{"tin":{"type":"ein","value":"560942061"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":514.00,"npi":[1962434324]}]}]},{"tin":{"type":"ein","value":"560949974"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":250.00,"npi":[1144332404]}]}]},{"tin":{"type":"ein","value":"560952955"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":81.98,"providers":[{"billed_charge":139.00,"npi":[1760479331]}]}]},{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":350.00,"npi":[1912957606]}]}]},{"tin":{"type":"ein","value":"560992353"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":99.00,"providers":[{"billed_charge":198.00,"npi":[1891798054]}]}]},{"tin":{"type":"ein","value":"561004551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":317.28,"npi":[1265477251]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":317.28,"npi":[1265477251]}]}]},{"tin":{"type":"ein","value":"561025986"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":300.48,"npi":[1699722389]}]}]},{"tin":{"type":"ein","value":"561031244"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":260.00,"npi":[1114978582]},{"billed_charge":286.00,"npi":[1114978582]}]}]},{"tin":{"type":"ein","value":"561074754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.00,"providers":[{"billed_charge":180.00,"npi":[1922132620]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":180.00,"npi":[1922132620]}]}]},{"tin":{"type":"ein","value":"561093722"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":237.00,"npi":[1497704217]}]}]},{"tin":{"type":"ein","value":"561175704"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":200.00,"npi":[1477510659]}]}]},{"tin":{"type":"ein","value":"561209062"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":248.98,"npi":[1154378933]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":248.98,"npi":[1154378933]}]}]},{"tin":{"type":"ein","value":"561238736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":122.13,"npi":[1063990281]}]}]},{"tin":{"type":"ein","value":"561242980"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.20,"providers":[{"billed_charge":158.00,"npi":[1801837745]}]}]},{"tin":{"type":"ein","value":"561262478"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":102.16,"providers":[{"billed_charge":216.00,"npi":[1558308080]}]},{"allowed_amount":134.56,"providers":[{"billed_charge":216.00,"npi":[1558308080]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["02","19"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":210.42,"npi":[1396903456]},{"billed_charge":210.42,"npi":[1972974392,1396903456]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":212.84,"npi":[1124422308]}]}]},{"tin":{"type":"ein","value":"561378901"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":244.00,"npi":[1083664189]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":244.00,"npi":[1083664189]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":257.00,"npi":[1356345920]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":255.08,"npi":[1356345920]},{"billed_charge":257.00,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"561398929"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":317.00,"npi":[1073754131]}]}]},{"tin":{"type":"ein","value":"561484117"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":220.00,"npi":[1366476681]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":317.00,"npi":[1639366214,1881624807]}]},{"allowed_amount":122.62,"providers":[{"billed_charge":317.00,"npi":[1649525619]}]},{"allowed_amount":122.63,"providers":[{"billed_charge":317.00,"npi":[1649525619]}]}]},{"tin":{"type":"ein","value":"561703732"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":105.00,"providers":[{"billed_charge":150.00,"npi":[1750468328]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":150.00,"npi":[1750468328]}]}]},{"tin":{"type":"ein","value":"561720437"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":140.00,"npi":[1255500393]}]}]},{"tin":{"type":"ein","value":"561768044"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":185.00,"npi":[1992840003]}]},{"allowed_amount":134.56,"providers":[{"billed_charge":185.00,"npi":[1992840003]}]}]},{"tin":{"type":"ein","value":"561826996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.00,"providers":[{"billed_charge":170.00,"npi":[1467449728]}]}]},{"tin":{"type":"ein","value":"561845210"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":101.50,"providers":[{"billed_charge":145.00,"npi":[1518140672]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":205.00,"npi":[1720794944]},{"billed_charge":205.00,"npi":[1720794944]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":205.00,"npi":[1720794944]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":229.77,"npi":[1811225428]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":229.77,"npi":[1811225428]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":81.97,"providers":[{"billed_charge":215.26,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561867003"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":418.80,"npi":[1689635237]}]}]},{"tin":{"type":"ein","value":"561901819"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.00,"providers":[{"billed_charge":180.00,"npi":[1184705865]}]}]},{"tin":{"type":"ein","value":"561908886"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":155.95,"npi":[1326074592]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":155.95,"npi":[1326074592]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["02","19"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":212.84,"npi":[1083669030]},{"billed_charge":212.84,"npi":[1023056488,1083669030]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":212.84,"npi":[1083669030]},{"billed_charge":212.84,"npi":[1023056488,1083669030]},{"billed_charge":222.51,"npi":[1760420855]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":81.97,"providers":[{"billed_charge":249.12,"npi":[1992754758]}]},{"allowed_amount":81.98,"providers":[{"billed_charge":249.12,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"561940010"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":112.50,"providers":[{"billed_charge":150.00,"npi":[1548328560]}]}]},{"tin":{"type":"ein","value":"561968491"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":271.00,"npi":[1598761967]}]}]},{"tin":{"type":"ein","value":"561982006"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":220.00,"npi":[1588711584]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":220.00,"npi":[1588711584]}]}]},{"tin":{"type":"ein","value":"561987440"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":183.00,"npi":[1558565473]}]},{"allowed_amount":117.12,"providers":[{"billed_charge":183.00,"npi":[1558565473]}]}]},{"tin":{"type":"ein","value":"561991438"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":207.00,"npi":[1063712727]}]}]},{"tin":{"type":"ein","value":"562009790"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":183.29,"npi":[1417934001]}]}]},{"tin":{"type":"ein","value":"562032082"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":58.94,"providers":[{"billed_charge":424.00,"npi":[1427016138]}]},{"allowed_amount":63.60,"providers":[{"billed_charge":424.00,"npi":[1427016138]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":250.00,"npi":[1780623207]},{"billed_charge":250.00,"npi":[1366498297,1477992501,1780623207]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":250.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"562059693"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":337.00,"npi":[1730100801]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":337.00,"npi":[1730100801]}]}]},{"tin":{"type":"ein","value":"562084142"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":207.90,"npi":[1164500575]}]}]},{"tin":{"type":"ein","value":"562084959"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":350.00,"npi":[1386383909,1447999057]}]}]},{"tin":{"type":"ein","value":"562102406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":192.00,"npi":[1538217179]}]}]},{"tin":{"type":"ein","value":"562107544"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":366.57,"npi":[1780655803]}]}]},{"tin":{"type":"ein","value":"562107759"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":94.80,"providers":[{"billed_charge":158.00,"npi":[1669404208]}]}]},{"tin":{"type":"ein","value":"562118060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.00,"providers":[{"billed_charge":170.00,"npi":[1790881076]}]}]},{"tin":{"type":"ein","value":"562124971"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":170.00,"npi":[1760483382]}]}]},{"tin":{"type":"ein","value":"562129613"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":200.00,"npi":[1730220922]}]}]},{"tin":{"type":"ein","value":"562143419"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":64.56,"providers":[{"billed_charge":129.12,"npi":[1326627399]}]},{"allowed_amount":129.12,"providers":[{"billed_charge":129.12,"npi":[1326627399]}]}]},{"tin":{"type":"ein","value":"562157214"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":189.00,"npi":[1710940887]}]}]},{"tin":{"type":"ein","value":"562169771"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.00,"providers":[{"billed_charge":140.00,"npi":[1639201056]}]}]},{"tin":{"type":"ein","value":"562184637"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":189.00,"npi":[1295802874]}]}]},{"tin":{"type":"ein","value":"562197985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":207.00,"npi":[1952579807]}]}]},{"tin":{"type":"ein","value":"562211989"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":160.00,"npi":[1922040419]}]}]},{"tin":{"type":"ein","value":"562229256"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":81.98,"providers":[{"billed_charge":369.00,"npi":[1386622231]}]}]},{"tin":{"type":"ein","value":"562229949"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":204.49,"npi":[1760577274]}]}]},{"tin":{"type":"ein","value":"562235412"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":90.35,"providers":[{"billed_charge":139.00,"npi":[1750682241]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":175.00,"npi":[1245272657]}]}]},{"tin":{"type":"ein","value":"566000311"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.36,"providers":[{"billed_charge":123.00,"npi":[1528157211]}]}]},{"tin":{"type":"ein","value":"566000351"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":200.00,"npi":[1467507640]}]}]},{"tin":{"type":"ein","value":"566000805"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":40.00,"npi":[1356845309]}]}]},{"tin":{"type":"ein","value":"566001534"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":187.00,"npi":[1538270814]}]}]},{"tin":{"type":"ein","value":"566015416"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":186.00,"npi":[1215477591]}]}]},{"tin":{"type":"ein","value":"570341194"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":210.00,"npi":[1982604021]}]},{"allowed_amount":122.63,"providers":[{"billed_charge":210.00,"npi":[1982604021]}]}]},{"tin":{"type":"ein","value":"570342027"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":219.00,"npi":[1700890084]}]}]},{"tin":{"type":"ein","value":"570520539"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":369.00,"npi":[1881626133]}]}]},{"tin":{"type":"ein","value":"570524985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":113.60,"providers":[{"billed_charge":142.00,"npi":[1720044514]}]}]},{"tin":{"type":"ein","value":"570571969"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":240.00,"npi":[1083693857]}]}]},{"tin":{"type":"ein","value":"570650154"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":81.20,"providers":[{"billed_charge":203.00,"npi":[1306979521]}]}]},{"tin":{"type":"ein","value":"570702625"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":91.00,"providers":[{"billed_charge":130.00,"npi":[1124199773]}]}]},{"tin":{"type":"ein","value":"570963173"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.63,"providers":[{"billed_charge":202.00,"npi":[1548242365]}]}]},{"tin":{"type":"ein","value":"570969793"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":134.56,"providers":[{"billed_charge":274.00,"npi":[1154510352]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":91.43,"providers":[{"billed_charge":240.38,"npi":[1649218579]}]},{"allowed_amount":93.33,"providers":[{"billed_charge":192.31,"npi":[1578514030]},{"billed_charge":240.38,"npi":[1649218579]}]}]},{"tin":{"type":"ein","value":"571075269"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.00,"providers":[{"billed_charge":130.00,"npi":[1932156171]}]}]},{"tin":{"type":"ein","value":"571126587"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":190.00,"npi":[1861433013]}]}]},{"tin":{"type":"ein","value":"571159445"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.00,"providers":[{"billed_charge":145.00,"npi":[1982765160]}]}]},{"tin":{"type":"ein","value":"571186418"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":200.00,"npi":[1376564625]}]}]},{"tin":{"type":"ein","value":"571228265"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":125.51,"providers":[{"billed_charge":298.00,"npi":[1518079102]}]}]},{"tin":{"type":"ein","value":"576000286"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":55.77,"providers":[{"billed_charge":75.37,"npi":[1063597987]}]},{"allowed_amount":63.13,"providers":[{"billed_charge":85.31,"npi":[1063597987,1841374485]}]}]},{"tin":{"type":"ein","value":"576000922"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":132.00,"npi":[1760596480]}]}]},{"tin":{"type":"ein","value":"581089267"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.55,"providers":[{"billed_charge":190.00,"npi":[1245406719]}]}]},{"tin":{"type":"ein","value":"581129515"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":237.88,"providers":[{"billed_charge":321.43,"npi":[1770679094]}]}]},{"tin":{"type":"ein","value":"581351195"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":237.88,"providers":[{"billed_charge":260.00,"npi":[1386763514]},{"billed_charge":260.00,"npi":[1386763514]}]}]},{"tin":{"type":"ein","value":"581413626"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":113.83,"providers":[{"billed_charge":185.00,"npi":[1063594430]}]}]},{"tin":{"type":"ein","value":"581581693"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":160.00,"providers":[{"billed_charge":160.00,"npi":[1780779363]}]}]},{"tin":{"type":"ein","value":"581604255"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":225.00,"npi":[1962481853]}]}]},{"tin":{"type":"ein","value":"581646191"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":158.58,"providers":[{"billed_charge":161.00,"npi":[1366624199]}]}]},{"tin":{"type":"ein","value":"581719867"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":237.88,"providers":[{"billed_charge":370.00,"npi":[1790733244]}]}]},{"tin":{"type":"ein","value":"581728803"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":291.00,"npi":[1477276699]}]}]},{"tin":{"type":"ein","value":"581896468"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.05,"providers":[{"billed_charge":298.63,"npi":[1235296054]}]}]},{"tin":{"type":"ein","value":"581958398"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":246.40,"npi":[1215932215]},{"billed_charge":246.40,"npi":[1215932215]}]}]},{"tin":{"type":"ein","value":"581958398"},"billing_class":"professional","service_code":["02","50"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":246.40,"npi":[1215932215]},{"billed_charge":246.40,"npi":[1215932215]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.05,"providers":[{"billed_charge":304.00,"npi":[1689610149]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":379.20,"providers":[{"billed_charge":474.00,"npi":[1396798229]},{"billed_charge":474.00,"npi":[1396798229]}]},{"allowed_amount":382.99,"providers":[{"billed_charge":478.74,"npi":[1396798229]},{"billed_charge":478.74,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"582069754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":185.00,"npi":[1316973472]}]},{"allowed_amount":122.63,"providers":[{"billed_charge":185.00,"npi":[1316973472]}]}]},{"tin":{"type":"ein","value":"582078064"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":210.89,"providers":[{"billed_charge":235.00,"npi":[1891745212]},{"billed_charge":235.00,"npi":[1891745212]}]}]},{"tin":{"type":"ein","value":"582092768"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":113.83,"providers":[{"billed_charge":370.00,"npi":[1912956046]}]},{"allowed_amount":122.63,"providers":[{"billed_charge":370.00,"npi":[1912956046]}]},{"allowed_amount":237.88,"providers":[{"billed_charge":370.00,"npi":[1912956046]}]}]},{"tin":{"type":"ein","value":"582149083"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":150.00,"npi":[1427039254]}]}]},{"tin":{"type":"ein","value":"582234927"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.26,"providers":[{"billed_charge":160.00,"npi":[1679599088]}]},{"allowed_amount":123.63,"providers":[{"billed_charge":160.00,"npi":[1679599088]}]}]},{"tin":{"type":"ein","value":"582281023"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":231.00,"npi":[1588607303]}]}]},{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":161.75,"providers":[{"billed_charge":319.00,"npi":[1184679482]}]}]},{"tin":{"type":"ein","value":"582336605"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":161.75,"providers":[{"billed_charge":170.00,"npi":[1871523399]}]}]},{"tin":{"type":"ein","value":"582366697"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":131.99,"providers":[{"billed_charge":190.00,"npi":[1922468826]}]}]},{"tin":{"type":"ein","value":"582461275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":158.58,"providers":[{"billed_charge":165.00,"npi":[1518174861]}]}]},{"tin":{"type":"ein","value":"582540874"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":237.88,"providers":[{"billed_charge":370.00,"npi":[1548273592]},{"billed_charge":500.00,"npi":[1548273592]}]},{"allowed_amount":245.20,"providers":[{"billed_charge":370.00,"npi":[1548273592]}]}]},{"tin":{"type":"ein","value":"582563008"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":164.00,"providers":[{"billed_charge":205.00,"npi":[1891881827]}]}]},{"tin":{"type":"ein","value":"582629795"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":163.28,"providers":[{"billed_charge":382.00,"npi":[1699791343]}]}]},{"tin":{"type":"ein","value":"582663026"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":237.88,"providers":[{"billed_charge":250.74,"npi":[1417901216]}]}]},{"tin":{"type":"ein","value":"585515533"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.72,"providers":[{"billed_charge":170.00,"npi":[1457467037]}]}]},{"tin":{"type":"ein","value":"591198552"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":143.93,"providers":[{"billed_charge":323.00,"npi":[1639138480]}]},{"allowed_amount":182.46,"providers":[{"billed_charge":323.00,"npi":[1639138480]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":405.45,"providers":[{"billed_charge":477.00,"npi":[1063463768]},{"billed_charge":477.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"591741277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.29,"providers":[{"billed_charge":226.00,"npi":[1609827211]}]}]},{"tin":{"type":"ein","value":"591867557"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":215.90,"providers":[{"billed_charge":254.00,"npi":[1144276452]},{"billed_charge":254.00,"npi":[1144276452]}]}]},{"tin":{"type":"ein","value":"592123944"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":88.74,"providers":[{"billed_charge":253.00,"npi":[1669405379]}]}]},{"tin":{"type":"ein","value":"592292041"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":184.22,"providers":[{"billed_charge":381.00,"npi":[1417987124]}]}]},{"tin":{"type":"ein","value":"592508823"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.67,"providers":[{"billed_charge":259.54,"npi":[1811932239]}]}]},{"tin":{"type":"ein","value":"592871302"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.28,"providers":[{"billed_charge":282.00,"npi":[1801826268]}]}]},{"tin":{"type":"ein","value":"592924021"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":127.26,"providers":[{"billed_charge":310.00,"npi":[1104066216]}]}]},{"tin":{"type":"ein","value":"593110868"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":266.70,"providers":[{"billed_charge":381.00,"npi":[1568693554]}]}]},{"tin":{"type":"ein","value":"593140335"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":265.20,"providers":[{"billed_charge":312.00,"npi":[1043269871]}]}]},{"tin":{"type":"ein","value":"593209688"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":95.43,"providers":[{"billed_charge":322.00,"npi":[1073565610]}]},{"allowed_amount":225.40,"providers":[{"billed_charge":322.00,"npi":[1073565610]}]}]},{"tin":{"type":"ein","value":"593259553"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":266.70,"providers":[{"billed_charge":381.00,"npi":[1669429577]}]}]},{"tin":{"type":"ein","value":"593337028"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":449.35,"providers":[{"billed_charge":473.00,"npi":[1790772317]},{"billed_charge":473.00,"npi":[1790772317]}]}]},{"tin":{"type":"ein","value":"593379430"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":178.60,"providers":[{"billed_charge":325.00,"npi":[1740373547]}]}]},{"tin":{"type":"ein","value":"593405327"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":147.17,"providers":[{"billed_charge":205.00,"npi":[1609965441]}]}]},{"tin":{"type":"ein","value":"593443182"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":718.20,"providers":[{"billed_charge":756.00,"npi":[1013902923]}]}]},{"tin":{"type":"ein","value":"593475356"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.45,"providers":[{"billed_charge":255.94,"npi":[1326254962]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":90.20,"providers":[{"billed_charge":220.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"593659218"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.27,"providers":[{"billed_charge":155.00,"npi":[1003923731]}]}]},{"tin":{"type":"ein","value":"593795443"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":111.71,"providers":[{"billed_charge":250.00,"npi":[1891721981]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":168.59,"providers":[{"billed_charge":200.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"610945743"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":180.00,"providers":[{"billed_charge":225.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"611141828"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.40,"providers":[{"billed_charge":159.00,"npi":[1053316596]}]}]},{"tin":{"type":"ein","value":"611459826"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":134.56,"providers":[{"billed_charge":191.00,"npi":[1396782710]}]}]},{"tin":{"type":"ein","value":"616001218"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":180.00,"providers":[{"billed_charge":225.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":111.71,"providers":[{"billed_charge":206.89,"npi":[1841237385,1831148253]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":210.24,"providers":[{"billed_charge":210.24,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"620637925"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":86.51,"providers":[{"billed_charge":230.00,"npi":[1134128820]}]},{"allowed_amount":103.99,"providers":[{"billed_charge":230.00,"npi":[1134128820]}]}]},{"tin":{"type":"ein","value":"620811256"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":139.62,"providers":[{"billed_charge":208.00,"npi":[1003835141]}]}]},{"tin":{"type":"ein","value":"620843740"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.09,"providers":[{"billed_charge":326.00,"npi":[1184644932]}]}]},{"tin":{"type":"ein","value":"620864163"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":61.95,"providers":[{"billed_charge":215.00,"npi":[1487604609]}]}]},{"tin":{"type":"ein","value":"621013399"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":163.17,"providers":[{"billed_charge":275.63,"npi":[1487695862]}]}]},{"tin":{"type":"ein","value":"621435043"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":163.17,"providers":[{"billed_charge":240.00,"npi":[1083715338]}]}]},{"tin":{"type":"ein","value":"621483206"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":135.00,"providers":[{"billed_charge":225.00,"npi":[1548284060]}]}]},{"tin":{"type":"ein","value":"621490616"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.72,"providers":[{"billed_charge":295.00,"npi":[1841794443]}]}]},{"tin":{"type":"ein","value":"621490616"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":103.17,"providers":[{"billed_charge":295.00,"npi":[1134500218]}]}]},{"tin":{"type":"ein","value":"621508884"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":123.68,"providers":[{"billed_charge":222.00,"npi":[1346250057]}]},{"allowed_amount":138.60,"providers":[{"billed_charge":222.00,"npi":[1346250057]}]}]},{"tin":{"type":"ein","value":"621586264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":163.17,"providers":[{"billed_charge":181.50,"npi":[1245251404]}]}]},{"tin":{"type":"ein","value":"621611998"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.99,"providers":[{"billed_charge":360.00,"npi":[1750449443]}]}]},{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":61.95,"providers":[{"billed_charge":197.00,"npi":[1811955917]}]}]},{"tin":{"type":"ein","value":"621654377"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.72,"providers":[{"billed_charge":360.00,"npi":[1831495613]}]}]},{"tin":{"type":"ein","value":"621730293"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":163.17,"providers":[{"billed_charge":210.00,"npi":[1063459410]}]}]},{"tin":{"type":"ein","value":"621766083"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":106.09,"providers":[{"billed_charge":175.00,"npi":[1477594521]}]}]},{"tin":{"type":"ein","value":"630810661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.21,"providers":[{"billed_charge":446.00,"npi":[1740397751]}]}]},{"tin":{"type":"ein","value":"630897654"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":61.95,"providers":[{"billed_charge":154.00,"npi":[1083772560]}]}]},{"tin":{"type":"ein","value":"631274310"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.21,"providers":[{"billed_charge":194.00,"npi":[1689689481]}]}]},{"tin":{"type":"ein","value":"636001138"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.00,"providers":[{"billed_charge":130.00,"npi":[1467599399]}]}]},{"tin":{"type":"ein","value":"640848862"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.69,"providers":[{"billed_charge":175.00,"npi":[1043421357]}]}]},{"tin":{"type":"ein","value":"646010232"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":113.00,"providers":[{"billed_charge":175.00,"npi":[1093142598]}]}]},{"tin":{"type":"ein","value":"650692105"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.93,"providers":[{"billed_charge":228.00,"npi":[1902885270]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":288.00,"providers":[{"billed_charge":320.00,"npi":[1225246812]}]}]},{"tin":{"type":"ein","value":"721111417"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":126.09,"providers":[{"billed_charge":173.00,"npi":[1871546911]}]}]},{"tin":{"type":"ein","value":"721436612"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":281.00,"npi":[1861794851]}]}]},{"tin":{"type":"ein","value":"742957202"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.87,"providers":[{"billed_charge":207.00,"npi":[1851618110]}]}]},{"tin":{"type":"ein","value":"742958277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.29,"providers":[{"billed_charge":534.00,"npi":[1922061993]}]}]},{"tin":{"type":"ein","value":"743029994"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":310.40,"providers":[{"billed_charge":388.00,"npi":[1205833894]}]}]},{"tin":{"type":"ein","value":"752254247"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":123.89,"providers":[{"billed_charge":220.00,"npi":[1417117912]}]}]},{"tin":{"type":"ein","value":"752306145"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":167.31,"providers":[{"billed_charge":266.20,"npi":[1609852813]}]}]},{"tin":{"type":"ein","value":"752485366"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":160.00,"providers":[{"billed_charge":168.00,"npi":[1750369203]}]}]},{"tin":{"type":"ein","value":"752536818"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":126.19,"providers":[{"billed_charge":170.00,"npi":[1235135906]}]}]},{"tin":{"type":"ein","value":"752536818"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":132.49,"providers":[{"billed_charge":170.00,"npi":[1235135906]},{"billed_charge":238.22,"npi":[1235135906]}]}]},{"tin":{"type":"ein","value":"752616977"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":116.41,"providers":[{"billed_charge":289.00,"npi":[1285684225]}]}]},{"tin":{"type":"ein","value":"752788839"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.09,"providers":[{"billed_charge":252.00,"npi":[1780971549]}]}]},{"tin":{"type":"ein","value":"752947630"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":136.20,"providers":[{"billed_charge":227.00,"npi":[1710006598]}]}]},{"tin":{"type":"ein","value":"760273984"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":235.51,"providers":[{"billed_charge":283.00,"npi":[1073574810]}]}]},{"tin":{"type":"ein","value":"760528576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.36,"providers":[{"billed_charge":283.00,"npi":[1528061157]}]}]},{"tin":{"type":"ein","value":"800278187"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":116.87,"providers":[{"billed_charge":132.00,"npi":[1639323744]}]}]},{"tin":{"type":"ein","value":"800344395"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":350.00,"npi":[1548582554]}]}]},{"tin":{"type":"ein","value":"800966359"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":224.64,"npi":[1932521010]}]}]},{"tin":{"type":"ein","value":"810568231"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.63,"providers":[{"billed_charge":150.00,"npi":[1437168135]}]}]},{"tin":{"type":"ein","value":"810740611"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":107.90,"providers":[{"billed_charge":315.00,"npi":[1174983118]}]}]},{"tin":{"type":"ein","value":"811123403"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":217.62,"providers":[{"billed_charge":478.50,"npi":[1730639113]}]}]},{"tin":{"type":"ein","value":"811270157"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":113.00,"providers":[{"billed_charge":165.56,"npi":[1841645470]}]}]},{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":154.00,"npi":[1366912586]}]}]},{"tin":{"type":"ein","value":"811793240"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":76.99,"providers":[{"billed_charge":177.56,"npi":[1942742325]}]}]},{"tin":{"type":"ein","value":"812122050"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":161.94,"providers":[{"billed_charge":387.00,"npi":[1962957639]}]}]},{"tin":{"type":"ein","value":"812145825"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":155.00,"npi":[1679937205]}]}]},{"tin":{"type":"ein","value":"812234079"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":204.00,"npi":[1639524051]}]}]},{"tin":{"type":"ein","value":"812775629"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":1008.56,"npi":[1710336243]}]}]},{"tin":{"type":"ein","value":"812838296"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":315.00,"npi":[1669825162]}]}]},{"tin":{"type":"ein","value":"813411172"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.63,"providers":[{"billed_charge":150.00,"npi":[1407303522]}]}]},{"tin":{"type":"ein","value":"813519236"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":69.00,"providers":[{"billed_charge":230.00,"npi":[1134678733]}]}]},{"tin":{"type":"ein","value":"813520078"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":52.50,"providers":[{"billed_charge":175.00,"npi":[1033666888]}]}]},{"tin":{"type":"ein","value":"813869097"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":160.00,"npi":[1629588496]}]}]},{"tin":{"type":"ein","value":"813969470"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.89,"providers":[{"billed_charge":260.00,"npi":[1154870533]}]}]},{"tin":{"type":"ein","value":"814632899"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":122.63,"providers":[{"billed_charge":310.00,"npi":[1093248288]}]}]},{"tin":{"type":"ein","value":"815004100"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":88.74,"providers":[{"billed_charge":410.28,"npi":[1902346513]}]}]},{"tin":{"type":"ein","value":"815158354"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":180.00,"npi":[1023534302]}]},{"allowed_amount":122.63,"providers":[{"billed_charge":180.00,"npi":[1023534302]}]}]},{"tin":{"type":"ein","value":"820676989"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":237.88,"providers":[{"billed_charge":250.00,"npi":[1346754041]}]}]},{"tin":{"type":"ein","value":"820687318"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":84.43,"providers":[{"billed_charge":249.00,"npi":[1033649868]}]}]},{"tin":{"type":"ein","value":"820821437"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":190.00,"npi":[1669985859]}]},{"allowed_amount":122.63,"providers":[{"billed_charge":190.00,"npi":[1669985859]}]}]},{"tin":{"type":"ein","value":"820946551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":125.00,"npi":[1821529249]}]}]},{"tin":{"type":"ein","value":"820996688"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":122.63,"providers":[{"billed_charge":244.24,"npi":[1629517222]}]}]},{"tin":{"type":"ein","value":"821095497"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":48.00,"providers":[{"billed_charge":80.00,"npi":[1184899395]},{"billed_charge":80.00,"npi":[1184899395]}]}]},{"tin":{"type":"ein","value":"821785874"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":161.75,"providers":[{"billed_charge":385.00,"npi":[1225551328]}]}]},{"tin":{"type":"ein","value":"822312374"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":150.00,"npi":[1558885400]}]}]},{"tin":{"type":"ein","value":"822312374"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":122.63,"providers":[{"billed_charge":150.00,"npi":[1558885400]},{"billed_charge":150.00,"npi":[1558885400]}]}]},{"tin":{"type":"ein","value":"822462657"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":239.86,"npi":[1831392174]}]}]},{"tin":{"type":"ein","value":"822672800"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":158.19,"npi":[1881144590]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":158.19,"npi":[1881144590]}]}]},{"tin":{"type":"ein","value":"823319408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":250.00,"npi":[1013420504]}]}]},{"tin":{"type":"ein","value":"823372345"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":182.66,"providers":[{"billed_charge":370.00,"npi":[1245746783]}]}]},{"tin":{"type":"ein","value":"823527149"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.36,"providers":[{"billed_charge":217.00,"npi":[1144724261]}]}]},{"tin":{"type":"ein","value":"823541643"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":156.08,"providers":[{"billed_charge":335.15,"npi":[1487168258]}]}]},{"tin":{"type":"ein","value":"823666217"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":100.00,"providers":[{"billed_charge":250.00,"npi":[1205341112]}]}]},{"tin":{"type":"ein","value":"824076059"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":225.00,"npi":[1669022570]}]}]},{"tin":{"type":"ein","value":"824301751"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":160.00,"providers":[{"billed_charge":244.00,"npi":[1922580133]}]}]},{"tin":{"type":"ein","value":"825130853"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":185.00,"npi":[1003303082]}]}]},{"tin":{"type":"ein","value":"825521376"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":175.00,"npi":[1689165508]},{"billed_charge":175.00,"npi":[1689165508]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":380.00,"npi":[1932679446]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":380.00,"npi":[1932679446]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":154.00,"npi":[1609342815,1265908479,1962978122,1144796301]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":154.00,"npi":[1609342815,1265908479]}]}]},{"tin":{"type":"ein","value":"832048950"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":84.70,"providers":[{"billed_charge":154.00,"npi":[1922577048]}]}]},{"tin":{"type":"ein","value":"832053115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":69.30,"providers":[{"billed_charge":154.00,"npi":[1093284010]}]}]},{"tin":{"type":"ein","value":"832532149"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":110.00,"npi":[1720557002]}]}]},{"tin":{"type":"ein","value":"833018237"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.97,"providers":[{"billed_charge":187.52,"npi":[1851865869]}]}]},{"tin":{"type":"ein","value":"833698606"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":180.27,"providers":[{"billed_charge":187.00,"npi":[1336602218]}]}]},{"tin":{"type":"ein","value":"834172038"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.50,"providers":[{"billed_charge":225.00,"npi":[1811458177]}]}]},{"tin":{"type":"ein","value":"834189934"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":119.27,"providers":[{"billed_charge":200.00,"npi":[1053971572]}]},{"allowed_amount":140.32,"providers":[{"billed_charge":200.00,"npi":[1053971572]}]}]},{"tin":{"type":"ein","value":"834210598"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":125.00,"npi":[1396206330]}]}]},{"tin":{"type":"ein","value":"840834835"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":176.88,"providers":[{"billed_charge":207.00,"npi":[1306820923]}]}]},{"tin":{"type":"ein","value":"842110076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":190.00,"npi":[1992351910]}]}]},{"tin":{"type":"ein","value":"842136648"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":157.01,"providers":[{"billed_charge":338.00,"npi":[1942860176]}]}]},{"tin":{"type":"ein","value":"842154457"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":219.00,"npi":[1770135808]}]}]},{"tin":{"type":"ein","value":"842167967"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":89.83,"providers":[{"billed_charge":200.00,"npi":[1013568567]}]}]},{"tin":{"type":"ein","value":"842516855"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.50,"providers":[{"billed_charge":275.00,"npi":[1124886965]}]}]},{"tin":{"type":"ein","value":"842516855"},"billing_class":"professional","service_code":["72"],"payments":[{"allowed_amount":41.25,"providers":[{"billed_charge":275.00,"npi":[1811502818]}]}]},{"tin":{"type":"ein","value":"842705367"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":250.00,"npi":[1124674049]}]}]},{"tin":{"type":"ein","value":"843150686"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.63,"providers":[{"billed_charge":156.00,"npi":[1295386662]}]}]},{"tin":{"type":"ein","value":"843574638"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":125.00,"npi":[1518503994]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":125.00,"npi":[1518503994]}]}]},{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":212.00,"npi":[1255950325]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":212.00,"npi":[1255950325]}]}]},{"tin":{"type":"ein","value":"853515913"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.71,"providers":[{"billed_charge":154.00,"npi":[1821691122]}]}]},{"tin":{"type":"ein","value":"854266447"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.72,"providers":[{"billed_charge":161.00,"npi":[1083200794]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":323.00,"providers":[{"billed_charge":340.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"862109896"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":255.00,"npi":[1205553369]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":255.00,"npi":[1205553369]}]}]},{"tin":{"type":"ein","value":"863168533"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":252.08,"npi":[1952981391]}]}]},{"tin":{"type":"ein","value":"863366964"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":87.50,"providers":[{"billed_charge":175.00,"npi":[1477135036]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":216.00,"npi":[1144803040]},{"billed_charge":332.00,"npi":[1144803040]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":216.00,"npi":[1144803040]},{"billed_charge":332.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"863907571"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.13,"providers":[{"billed_charge":285.00,"npi":[1851068233]}]}]},{"tin":{"type":"ein","value":"863930886"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":375.00,"npi":[1346816667]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":123.84,"providers":[{"billed_charge":177.00,"npi":[1447239355]}]}]},{"tin":{"type":"ein","value":"871138659"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":195.00,"npi":[1407382898]}]}]},{"tin":{"type":"ein","value":"871138659"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":195.00,"npi":[1407382898]},{"billed_charge":195.00,"npi":[1407382898]}]}]},{"tin":{"type":"ein","value":"871463401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":200.00,"npi":[1124794011]}]}]},{"tin":{"type":"ein","value":"871695793"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":123.63,"providers":[{"billed_charge":175.00,"npi":[1053549501]}]},{"allowed_amount":123.64,"providers":[{"billed_charge":175.00,"npi":[1053549501]}]}]},{"tin":{"type":"ein","value":"873046574"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.58,"providers":[{"billed_charge":257.40,"npi":[1093447252]}]}]},{"tin":{"type":"ein","value":"873542162"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":240.00,"npi":[1437860889]}]},{"allowed_amount":120.00,"providers":[{"billed_charge":240.00,"npi":[1437860889]}]}]},{"tin":{"type":"ein","value":"874248588"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":200.00,"npi":[1528719432]}]}]},{"tin":{"type":"ein","value":"880643076"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":108.90,"providers":[{"billed_charge":302.00,"npi":[1679293104]}]}]},{"tin":{"type":"ein","value":"881549656"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.63,"providers":[{"billed_charge":200.00,"npi":[1851038749]}]}]},{"tin":{"type":"ein","value":"881962061"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":88.74,"providers":[{"billed_charge":240.00,"npi":[1033849575]}]}]},{"tin":{"type":"ein","value":"882512059"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":374.28,"npi":[1134868300]}]},{"allowed_amount":121.82,"providers":[{"billed_charge":374.28,"npi":[1134868300]}]}]},{"tin":{"type":"ein","value":"882512059"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":374.28,"npi":[1134868300]}]},{"allowed_amount":123.10,"providers":[{"billed_charge":374.28,"npi":[1134868300]}]}]},{"tin":{"type":"ein","value":"882566955"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":196.00,"npi":[1427670413]}]}]},{"tin":{"type":"ein","value":"882977235"},"billing_class":"professional","service_code":["02","10"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":352.00,"npi":[1659003457]},{"billed_charge":352.00,"npi":[1659003457]}]}]},{"tin":{"type":"ein","value":"882977235"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":352.00,"npi":[1659003457]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.99,"providers":[{"billed_charge":229.00,"npi":[1477256303]}]}]},{"tin":{"type":"ein","value":"884038763"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":150.00,"npi":[1609598044]}]}]},{"tin":{"type":"ein","value":"884061186"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":86.54,"providers":[{"billed_charge":144.23,"npi":[1023739281]}]}]},{"tin":{"type":"ein","value":"920943759"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":238.00,"npi":[1851000855]}]}]},{"tin":{"type":"ein","value":"921560079"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":147.15,"providers":[{"billed_charge":200.00,"npi":[1962117119]}]}]},{"tin":{"type":"ein","value":"923121589"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":161.75,"providers":[{"billed_charge":642.85,"npi":[1245935261]}]}]},{"tin":{"type":"ein","value":"931737705"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":126.70,"providers":[{"billed_charge":350.00,"npi":[1245650613]}]}]},{"tin":{"type":"ein","value":"932887257"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.72,"providers":[{"billed_charge":400.00,"npi":[1912784257]}]}]},{"tin":{"type":"ein","value":"933373287"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":350.00,"npi":[1972177178]}]},{"allowed_amount":105.00,"providers":[{"billed_charge":350.00,"npi":[1972177178]}]}]},{"tin":{"type":"ein","value":"933582623"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":128.00,"npi":[1780453464]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":128.00,"npi":[1780453464]}]}]},{"tin":{"type":"ein","value":"933926695"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":260.00,"npi":[1588433502]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":260.00,"npi":[1588433502]}]}]},{"tin":{"type":"ein","value":"934104475"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":332.00,"npi":[1629841788]}]}]},{"tin":{"type":"ein","value":"934946733"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":245.28,"npi":[1417719378]}]}]},{"tin":{"type":"ein","value":"942958258"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":220.11,"providers":[{"billed_charge":316.00,"npi":[1508809427]}]}]},{"tin":{"type":"ein","value":"954112121"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":388.00,"npi":[1659998573]}]}]},{"tin":{"type":"ein","value":"954112121"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":134.33,"providers":[{"billed_charge":388.00,"npi":[1265784912]}]}]},{"tin":{"type":"ein","value":"990972972"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":160.00,"npi":[1114780137]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":160.00,"npi":[1114780137]}]}]},{"tin":{"type":"ein","value":"991936736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":260.00,"npi":[1770342354]}]}]},{"tin":{"type":"ein","value":"993496991"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.71,"providers":[{"billed_charge":251.00,"npi":[1356186787]}]}]}]},{"billing_code":"99214","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Outpatient Services","description":"OFFICE O/P EST MOD 30-39 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":314.25,"providers":[{"billed_charge":419.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"382776791"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":86.15,"providers":[{"billed_charge":160.00,"npi":[1093119638]}]}]},{"tin":{"type":"ein","value":"463199339"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":93.10,"providers":[{"billed_charge":186.20,"npi":[1801238472]}]}]},{"tin":{"type":"ein","value":"463756071"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":202.57,"providers":[{"billed_charge":354.42,"npi":[1588063176]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":218.46,"npi":[1750333282]}]},{"allowed_amount":108.17,"providers":[{"billed_charge":218.46,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560845796"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.25,"providers":[{"billed_charge":263.88,"npi":[1689103582]}]}]},{"tin":{"type":"ein","value":"561015154"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":273.00,"npi":[1992764351]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":255.08,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"561463611"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":136.00,"providers":[{"billed_charge":170.00,"npi":[1437175700]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":81.98,"providers":[{"billed_charge":259.27,"npi":[1992754758]},{"billed_charge":263.80,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"582607513"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":106.53,"providers":[{"billed_charge":145.00,"npi":[1831370188]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":111.72,"providers":[{"billed_charge":201.07,"npi":[1841237385,1831148253]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":108.17,"providers":[{"billed_charge":216.00,"npi":[1144803040]}]}]}]},{"billing_code":"99214","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFFICE O/P EST MOD 30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"340715726"},"billing_class":"institutional","payments":[{"allowed_amount":142.65,"providers":[{"billed_charge":285.32,"npi":[1134179799]}]}]},{"tin":{"type":"ein","value":"341567805"},"billing_class":"institutional","payments":[{"allowed_amount":149.40,"providers":[{"billed_charge":180.00,"npi":[1043397292]}]}]},{"tin":{"type":"ein","value":"391390638"},"billing_class":"institutional","payments":[{"allowed_amount":342.00,"providers":[{"billed_charge":380.00,"npi":[1356391247]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":31.24,"providers":[{"billed_charge":484.70,"npi":[1619927027]}]},{"allowed_amount":59.40,"providers":[{"billed_charge":484.70,"npi":[1619927027]}]},{"allowed_amount":66.25,"providers":[{"billed_charge":484.70,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":36.89,"providers":[{"billed_charge":285.32,"npi":[1174800585]}]},{"allowed_amount":84.50,"providers":[{"billed_charge":309.38,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":28.54,"providers":[{"billed_charge":388.45,"npi":[1477504280]}]},{"allowed_amount":29.40,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":30.41,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":31.04,"providers":[{"billed_charge":388.45,"npi":[1477504280]}]},{"allowed_amount":36.23,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":37.08,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":37.85,"providers":[{"billed_charge":271.57,"npi":[1073557559]}]},{"allowed_amount":40.71,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":54.27,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":55.32,"providers":[{"billed_charge":271.57,"npi":[1073557559]}]},{"allowed_amount":64.67,"providers":[{"billed_charge":385.01,"npi":[1750333282]}]},{"allowed_amount":66.64,"providers":[{"billed_charge":271.57,"npi":[1073557559]}]},{"allowed_amount":67.16,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":68.01,"providers":[{"billed_charge":388.45,"npi":[1477504280]}]},{"allowed_amount":68.49,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":69.69,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":71.20,"providers":[{"billed_charge":388.45,"npi":[1477504280]}]},{"allowed_amount":71.43,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":78.78,"providers":[{"billed_charge":385.01,"npi":[1750333282]}]},{"allowed_amount":79.01,"providers":[{"billed_charge":385.01,"npi":[1750333282]}]},{"allowed_amount":82.26,"providers":[{"billed_charge":271.57,"npi":[1073557559]},{"billed_charge":385.01,"npi":[1750333282]},{"billed_charge":388.45,"npi":[1477504280,1457719312]}]},{"allowed_amount":89.73,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":98.16,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":115.61,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":121.80,"providers":[{"billed_charge":388.45,"npi":[1477504280]}]},{"allowed_amount":388.45,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":28.33,"providers":[{"billed_charge":295.63,"npi":[1124422308]}]},{"allowed_amount":40.23,"providers":[{"billed_charge":326.57,"npi":[1306189451]}]},{"allowed_amount":45.15,"providers":[{"billed_charge":302.51,"npi":[1972974392]}]},{"allowed_amount":73.35,"providers":[{"billed_charge":302.51,"npi":[1972974392]}]},{"allowed_amount":82.26,"providers":[{"billed_charge":267.71,"npi":[1578516902]},{"billed_charge":302.51,"npi":[1396903456]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":82.26,"providers":[{"billed_charge":385.01,"npi":[1811225428]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":29.97,"providers":[{"billed_charge":295.63,"npi":[1992754758]}]},{"allowed_amount":34.18,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":34.88,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":35.75,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":37.45,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":39.11,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":49.12,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":53.39,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":60.66,"providers":[{"billed_charge":350.64,"npi":[1760420855]}]},{"allowed_amount":63.01,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":65.79,"providers":[{"billed_charge":302.51,"npi":[1992754758]}]},{"allowed_amount":66.03,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":71.28,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":72.31,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":79.66,"providers":[{"billed_charge":299.07,"npi":[1992754758]}]},{"allowed_amount":82.26,"providers":[{"billed_charge":295.63,"npi":[1023056488]},{"billed_charge":299.07,"npi":[1992754758]},{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":92.69,"providers":[{"billed_charge":295.63,"npi":[1023056488]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":55.94,"providers":[{"billed_charge":450.33,"npi":[1649218579]}]},{"allowed_amount":65.77,"providers":[{"billed_charge":450.33,"npi":[1649218579]}]},{"allowed_amount":92.01,"providers":[{"billed_charge":323.13,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":79.11,"providers":[{"billed_charge":319.54,"npi":[1841237385]}]},{"allowed_amount":84.46,"providers":[{"billed_charge":340.32,"npi":[1841237385]}]},{"allowed_amount":84.50,"providers":[{"billed_charge":319.54,"npi":[1841237385]}]},{"allowed_amount":110.72,"providers":[{"billed_charge":316.34,"npi":[1831148253]}]},{"allowed_amount":117.91,"providers":[{"billed_charge":336.88,"npi":[1831148253]}]},{"allowed_amount":123.92,"providers":[{"billed_charge":354.07,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":84.50,"providers":[{"billed_charge":344.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"841179794"},"billing_class":"institutional","payments":[{"allowed_amount":197.62,"providers":[{"billed_charge":282.31,"npi":[1477531580]}]}]}]},{"billing_code":"99214","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFFICE O/P EST MOD 30-39 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"340715726"},"billing_class":"institutional","payments":[{"allowed_amount":142.65,"providers":[{"billed_charge":285.32,"npi":[1134179799]}]}]},{"tin":{"type":"ein","value":"341567805"},"billing_class":"institutional","payments":[{"allowed_amount":149.40,"providers":[{"billed_charge":180.00,"npi":[1043397292]}]}]},{"tin":{"type":"ein","value":"391390638"},"billing_class":"institutional","payments":[{"allowed_amount":342.00,"providers":[{"billed_charge":380.00,"npi":[1356391247]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":31.24,"providers":[{"billed_charge":484.70,"npi":[1619927027]}]},{"allowed_amount":59.40,"providers":[{"billed_charge":484.70,"npi":[1619927027]}]},{"allowed_amount":66.25,"providers":[{"billed_charge":484.70,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":36.89,"providers":[{"billed_charge":285.32,"npi":[1174800585]}]},{"allowed_amount":84.50,"providers":[{"billed_charge":309.38,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":28.54,"providers":[{"billed_charge":388.45,"npi":[1477504280]}]},{"allowed_amount":29.40,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":30.41,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":31.04,"providers":[{"billed_charge":388.45,"npi":[1477504280]}]},{"allowed_amount":36.23,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":37.08,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":37.85,"providers":[{"billed_charge":271.57,"npi":[1073557559]}]},{"allowed_amount":40.71,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":54.27,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":55.32,"providers":[{"billed_charge":271.57,"npi":[1073557559]}]},{"allowed_amount":64.67,"providers":[{"billed_charge":385.01,"npi":[1750333282]}]},{"allowed_amount":66.64,"providers":[{"billed_charge":271.57,"npi":[1073557559]}]},{"allowed_amount":67.16,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":68.01,"providers":[{"billed_charge":388.45,"npi":[1477504280]}]},{"allowed_amount":68.49,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":69.69,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":71.20,"providers":[{"billed_charge":388.45,"npi":[1477504280]}]},{"allowed_amount":71.43,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":78.78,"providers":[{"billed_charge":385.01,"npi":[1750333282]}]},{"allowed_amount":79.01,"providers":[{"billed_charge":385.01,"npi":[1750333282]}]},{"allowed_amount":82.26,"providers":[{"billed_charge":271.57,"npi":[1073557559]},{"billed_charge":385.01,"npi":[1750333282]},{"billed_charge":388.45,"npi":[1477504280,1457719312]}]},{"allowed_amount":89.73,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":98.16,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":115.61,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]},{"allowed_amount":121.80,"providers":[{"billed_charge":388.45,"npi":[1477504280]}]},{"allowed_amount":388.45,"providers":[{"billed_charge":388.45,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":28.33,"providers":[{"billed_charge":295.63,"npi":[1124422308]}]},{"allowed_amount":40.23,"providers":[{"billed_charge":326.57,"npi":[1306189451]}]},{"allowed_amount":45.15,"providers":[{"billed_charge":302.51,"npi":[1972974392]}]},{"allowed_amount":73.35,"providers":[{"billed_charge":302.51,"npi":[1972974392]}]},{"allowed_amount":82.26,"providers":[{"billed_charge":267.71,"npi":[1578516902]},{"billed_charge":302.51,"npi":[1396903456]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":82.26,"providers":[{"billed_charge":385.01,"npi":[1811225428]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":29.97,"providers":[{"billed_charge":295.63,"npi":[1992754758]}]},{"allowed_amount":34.18,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":34.88,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":35.75,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":37.45,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":39.11,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":49.12,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":53.39,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":60.66,"providers":[{"billed_charge":350.64,"npi":[1760420855]}]},{"allowed_amount":63.01,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":65.79,"providers":[{"billed_charge":302.51,"npi":[1992754758]}]},{"allowed_amount":66.03,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":71.28,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":72.31,"providers":[{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":79.66,"providers":[{"billed_charge":299.07,"npi":[1992754758]}]},{"allowed_amount":82.26,"providers":[{"billed_charge":295.63,"npi":[1023056488]},{"billed_charge":299.07,"npi":[1992754758]},{"billed_charge":302.51,"npi":[1083669030]}]},{"allowed_amount":92.69,"providers":[{"billed_charge":295.63,"npi":[1023056488]}]}]},{"tin":{"type":"ein","value":"570986980"},"billing_class":"institutional","payments":[{"allowed_amount":55.94,"providers":[{"billed_charge":450.33,"npi":[1649218579]}]},{"allowed_amount":65.77,"providers":[{"billed_charge":450.33,"npi":[1649218579]}]},{"allowed_amount":92.01,"providers":[{"billed_charge":323.13,"npi":[1578514030]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":79.11,"providers":[{"billed_charge":319.54,"npi":[1841237385]}]},{"allowed_amount":84.46,"providers":[{"billed_charge":340.32,"npi":[1841237385]}]},{"allowed_amount":84.50,"providers":[{"billed_charge":319.54,"npi":[1841237385]}]},{"allowed_amount":110.72,"providers":[{"billed_charge":316.34,"npi":[1831148253]}]},{"allowed_amount":117.91,"providers":[{"billed_charge":336.88,"npi":[1831148253]}]},{"allowed_amount":123.92,"providers":[{"billed_charge":354.07,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":84.50,"providers":[{"billed_charge":344.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"841179794"},"billing_class":"institutional","payments":[{"allowed_amount":197.62,"providers":[{"billed_charge":282.31,"npi":[1477531580]}]}]}]},{"billing_code":"99214","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"OFFICE O/P EST MOD 30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"160743209"},"billing_class":"institutional","payments":[{"allowed_amount":84.78,"providers":[{"billed_charge":455.00,"npi":[1346285657]}]}]}]},{"billing_code":"99214","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"OFFICE O/P EST MOD 30-39 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"160743209"},"billing_class":"institutional","payments":[{"allowed_amount":84.78,"providers":[{"billed_charge":455.00,"npi":[1346285657]}]}]}]},{"billing_code":"99214","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"OFFICE O/P EST MOD 30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"111562701"},"billing_class":"institutional","payments":[{"allowed_amount":616.00,"providers":[{"billed_charge":800.00,"npi":[1366459570]}]}]}]},{"billing_code":"99214","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"OFFICE O/P EST MOD 30-39 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"111562701"},"billing_class":"institutional","payments":[{"allowed_amount":616.00,"providers":[{"billed_charge":800.00,"npi":[1366459570]}]}]}]},{"billing_code":"99215","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Outpatient Services","description":"OFFICE O/P EST HI 40 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"010554709"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":385.90,"providers":[{"billed_charge":454.00,"npi":[1891748257]}]}]},{"tin":{"type":"ein","value":"020707661"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.31,"providers":[{"billed_charge":450.00,"npi":[1538105481]}]}]},{"tin":{"type":"ein","value":"043595273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.28,"providers":[{"billed_charge":175.00,"npi":[1033250857]}]}]},{"tin":{"type":"ein","value":"050606402"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":136.50,"providers":[{"billed_charge":195.00,"npi":[1811028152]}]}]},{"tin":{"type":"ein","value":"134010372"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":415.31,"providers":[{"billed_charge":825.00,"npi":[1699766261]}]}]},{"tin":{"type":"ein","value":"200462802"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":126.93,"providers":[{"billed_charge":292.50,"npi":[1477506343]}]}]},{"tin":{"type":"ein","value":"204881619"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":223.08,"providers":[{"billed_charge":275.00,"npi":[1669499414]}]}]},{"tin":{"type":"ein","value":"205485346"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":176.36,"providers":[{"billed_charge":416.00,"npi":[1306944350]}]}]},{"tin":{"type":"ein","value":"223141761"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":186.39,"providers":[{"billed_charge":301.00,"npi":[1801850243]}]}]},{"tin":{"type":"ein","value":"237313346"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":231.83,"providers":[{"billed_charge":545.00,"npi":[1538360425]}]}]},{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":163.74,"providers":[{"billed_charge":374.00,"npi":[1861675506]}]},{"allowed_amount":299.20,"providers":[{"billed_charge":374.00,"npi":[1861675506]}]}]},{"tin":{"type":"ein","value":"262900141"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.39,"providers":[{"billed_charge":209.00,"npi":[1962658740]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":134.23,"providers":[{"billed_charge":371.80,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"263447487"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":200.00,"npi":[1215181300]}]}]},{"tin":{"type":"ein","value":"264045534"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":236.87,"providers":[{"billed_charge":432.00,"npi":[1396979787]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":624.15,"providers":[{"billed_charge":657.00,"npi":[1609915784]}]}]},{"tin":{"type":"ein","value":"311626179"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":171.54,"providers":[{"billed_charge":425.00,"npi":[1093761124]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["10","22"],"payments":[{"allowed_amount":682.50,"providers":[{"billed_charge":910.00,"npi":[1679525919]},{"billed_charge":910.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"421638714"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":171.00,"providers":[{"billed_charge":342.00,"npi":[1619342706]}]}]},{"tin":{"type":"ein","value":"421703622"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":204.00,"providers":[{"billed_charge":240.00,"npi":[1114954443]}]}]},{"tin":{"type":"ein","value":"426004813"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":471.60,"providers":[{"billed_charge":524.00,"npi":[1477554814]}]}]},{"tin":{"type":"ein","value":"454083432"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":288.33,"providers":[{"billed_charge":320.00,"npi":[1326318627]}]}]},{"tin":{"type":"ein","value":"454965405"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":153.84,"providers":[{"billed_charge":220.00,"npi":[1447508478]}]}]},{"tin":{"type":"ein","value":"465562958"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":188.19,"providers":[{"billed_charge":350.00,"npi":[1053729814]}]}]},{"tin":{"type":"ein","value":"474870066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":160.34,"providers":[{"billed_charge":370.00,"npi":[1457020315]}]}]},{"tin":{"type":"ein","value":"475454447"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.32,"providers":[{"billed_charge":475.00,"npi":[1467810663]}]}]},{"tin":{"type":"ein","value":"540506321"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":176.36,"providers":[{"billed_charge":579.52,"npi":[1912919481]},{"billed_charge":579.52,"npi":[1912919481]}]}]},{"tin":{"type":"ein","value":"540506321"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":174.63,"providers":[{"billed_charge":579.52,"npi":[1912919481]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":138.23,"providers":[{"billed_charge":362.24,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"541871633"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":174.63,"providers":[{"billed_charge":383.00,"npi":[1255354130]}]}]},{"tin":{"type":"ein","value":"541911947"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":176.36,"providers":[{"billed_charge":384.00,"npi":[1619043551]}]}]},{"tin":{"type":"ein","value":"560510824"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":121.48,"providers":[{"billed_charge":389.00,"npi":[1861567893]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":152.31,"providers":[{"billed_charge":348.47,"npi":[1477504280]}]},{"allowed_amount":152.32,"providers":[{"billed_charge":348.47,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":121.48,"providers":[{"billed_charge":337.80,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561093722"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.31,"providers":[{"billed_charge":344.00,"npi":[1497704217]}]}]},{"tin":{"type":"ein","value":"561378901"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.32,"providers":[{"billed_charge":329.00,"npi":[1083664189]}]}]},{"tin":{"type":"ein","value":"561398929"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.31,"providers":[{"billed_charge":446.00,"npi":[1699979732]}]}]},{"tin":{"type":"ein","value":"561484117"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":152.32,"providers":[{"billed_charge":350.00,"npi":[1366476681]}]}]},{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.31,"providers":[{"billed_charge":714.00,"npi":[1972554186]}]},{"allowed_amount":152.32,"providers":[{"billed_charge":714.00,"npi":[1972554186]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.31,"providers":[{"billed_charge":290.00,"npi":[1720794944]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":152.31,"providers":[{"billed_charge":312.91,"npi":[1023056488,1083669030]}]}]},{"tin":{"type":"ein","value":"562169771"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":127.50,"providers":[{"billed_charge":170.00,"npi":[1639201056]}]}]},{"tin":{"type":"ein","value":"576000934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.38,"providers":[{"billed_charge":455.00,"npi":[1235170077]}]}]},{"tin":{"type":"ein","value":"582078064"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":284.73,"providers":[{"billed_charge":315.00,"npi":[1891745212]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":572.05,"providers":[{"billed_charge":673.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":158.50,"providers":[{"billed_charge":673.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"591784470"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":281.14,"providers":[{"billed_charge":350.00,"npi":[1881644912]}]}]},{"tin":{"type":"ein","value":"593795443"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":174.63,"providers":[{"billed_charge":300.00,"npi":[1891721981]}]}]},{"tin":{"type":"ein","value":"636001138"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":165.00,"providers":[{"billed_charge":165.00,"npi":[1467599399]}]}]},{"tin":{"type":"ein","value":"742161737"},"billing_class":"professional","service_code":["10","22"],"payments":[{"allowed_amount":429.00,"providers":[{"billed_charge":572.00,"npi":[1962461889]},{"billed_charge":572.00,"npi":[1962461889]}]}]},{"tin":{"type":"ein","value":"760273984"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":281.13,"providers":[{"billed_charge":547.00,"npi":[1073574810]}]},{"allowed_amount":353.13,"providers":[{"billed_charge":595.00,"npi":[1073574810]}]}]},{"tin":{"type":"ein","value":"812783079"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":307.50,"providers":[{"billed_charge":615.00,"npi":[1245759752]}]}]},{"tin":{"type":"ein","value":"823372345"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":264.63,"providers":[{"billed_charge":496.00,"npi":[1245746783]}]}]},{"tin":{"type":"ein","value":"824841527"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":135.00,"providers":[{"billed_charge":225.00,"npi":[1457849457]}]}]},{"tin":{"type":"ein","value":"832053115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.80,"providers":[{"billed_charge":224.00,"npi":[1093284010]}]}]},{"tin":{"type":"ein","value":"833031464"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.31,"providers":[{"billed_charge":430.00,"npi":[1831662196]},{"billed_charge":630.00,"npi":[1831662196]}]},{"allowed_amount":152.32,"providers":[{"billed_charge":430.00,"npi":[1831662196]}]}]},{"tin":{"type":"ein","value":"844300580"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":152.32,"providers":[{"billed_charge":275.00,"npi":[1235750613]}]}]},{"tin":{"type":"ein","value":"850760576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":288.33,"providers":[{"billed_charge":400.00,"npi":[1376153437]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":517.75,"providers":[{"billed_charge":545.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"862109896"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":121.48,"providers":[{"billed_charge":344.00,"npi":[1205553369]}]}]},{"tin":{"type":"ein","value":"863018091"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":163.63,"providers":[{"billed_charge":300.00,"npi":[1114687225]}]},{"allowed_amount":163.64,"providers":[{"billed_charge":300.00,"npi":[1114687225]}]}]},{"tin":{"type":"ein","value":"863638185"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":197.56,"providers":[{"billed_charge":240.00,"npi":[1225611312]}]}]},{"tin":{"type":"ein","value":"870795875"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":176.36,"providers":[{"billed_charge":400.00,"npi":[1871710798]}]}]},{"tin":{"type":"ein","value":"883858808"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.32,"providers":[{"billed_charge":243.00,"npi":[1821793993]}]}]},{"tin":{"type":"ein","value":"920788450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.32,"providers":[{"billed_charge":411.65,"npi":[1699540203]}]}]}]},{"billing_code":"99215","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Outpatient Services","description":"OFFICE O/P EST HI 40-54 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"561378000"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.32,"providers":[{"billed_charge":304.00,"npi":[1972656262]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":121.48,"providers":[{"billed_charge":382.07,"npi":[1992754758]},{"billed_charge":387.83,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"582460177"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":152.38,"providers":[{"billed_charge":274.00,"npi":[1285702498]}]}]}]},{"billing_code":"99215","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFFICE O/P EST HI 40 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"161533232"},"billing_class":"institutional","payments":[{"allowed_amount":247.18,"providers":[{"billed_charge":308.97,"npi":[1245365196]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":126.30,"providers":[{"billed_charge":761.75,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":81.52,"providers":[{"billed_charge":610.48,"npi":[1477504280]}]},{"allowed_amount":122.61,"providers":[{"billed_charge":605.08,"npi":[1750333282]}]},{"allowed_amount":133.92,"providers":[{"billed_charge":610.48,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":112.59,"providers":[{"billed_charge":464.62,"npi":[1023056488]}]},{"allowed_amount":122.61,"providers":[{"billed_charge":475.42,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"841179794"},"billing_class":"institutional","payments":[{"allowed_amount":245.07,"providers":[{"billed_charge":350.10,"npi":[1477531580]}]}]}]},{"billing_code":"99215","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"OFFICE O/P EST HI 40-54 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"161533232"},"billing_class":"institutional","payments":[{"allowed_amount":247.18,"providers":[{"billed_charge":308.97,"npi":[1245365196]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":126.30,"providers":[{"billed_charge":761.75,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":81.52,"providers":[{"billed_charge":610.48,"npi":[1477504280]}]},{"allowed_amount":122.61,"providers":[{"billed_charge":605.08,"npi":[1750333282]}]},{"allowed_amount":133.92,"providers":[{"billed_charge":610.48,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":112.59,"providers":[{"billed_charge":464.62,"npi":[1023056488]}]},{"allowed_amount":122.61,"providers":[{"billed_charge":475.42,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"841179794"},"billing_class":"institutional","payments":[{"allowed_amount":245.07,"providers":[{"billed_charge":350.10,"npi":[1477531580]}]}]}]},{"billing_code":"99221","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"1ST HOSP IP/OBS SF/LOW 40","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":95.19,"providers":[{"billed_charge":285.52,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"540526857"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":83.36,"providers":[{"billed_charge":83.36,"npi":[1255380697]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":92.99,"providers":[{"billed_charge":312.26,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"562066152"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":92.99,"providers":[{"billed_charge":490.00,"npi":[1073562757]}]}]},{"tin":{"type":"ein","value":"562109998"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":92.99,"providers":[{"billed_charge":225.00,"npi":[1467972703]},{"billed_charge":225.00,"npi":[1467972703]}]}]},{"tin":{"type":"ein","value":"571106645"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":92.60,"providers":[{"billed_charge":145.00,"npi":[1427044957]},{"billed_charge":289.00,"npi":[1427044957]}]}]},{"tin":{"type":"ein","value":"800966359"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":92.99,"providers":[{"billed_charge":207.85,"npi":[1932521010]}]}]},{"tin":{"type":"ein","value":"853525556"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":108.38,"providers":[{"billed_charge":391.00,"npi":[1326790262]}]}]}]},{"billing_code":"99222","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"1ST HOSP IP/OBS MODERATE 55","allowed_amounts":[{"tin":{"type":"ein","value":"201943356"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":145.00,"providers":[{"billed_charge":145.00,"npi":[1922038082]}]}]},{"tin":{"type":"ein","value":"203279920"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":393.75,"providers":[{"billed_charge":525.00,"npi":[1083835441]}]}]},{"tin":{"type":"ein","value":"250815795"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":249.76,"providers":[{"billed_charge":356.00,"npi":[1245246644]}]}]},{"tin":{"type":"ein","value":"260593928"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":309.55,"providers":[{"billed_charge":468.00,"npi":[1275729691]}]}]},{"tin":{"type":"ein","value":"261125131"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":177.05,"providers":[{"billed_charge":226.00,"npi":[1831387117]}]}]},{"tin":{"type":"ein","value":"263094596"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":475.20,"providers":[{"billed_charge":528.00,"npi":[1336390020]}]}]},{"tin":{"type":"ein","value":"263694174"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":158.00,"providers":[{"billed_charge":229.00,"npi":[1407920549]}]}]},{"tin":{"type":"ein","value":"264800380"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":167.05,"providers":[{"billed_charge":280.00,"npi":[1376779892]}]}]},{"tin":{"type":"ein","value":"270914700"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":146.12,"providers":[{"billed_charge":334.00,"npi":[1518293976]}]}]},{"tin":{"type":"ein","value":"273705652"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":146.12,"providers":[{"billed_charge":262.00,"npi":[1679878268]}]}]},{"tin":{"type":"ein","value":"475656579"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":145.47,"providers":[{"billed_charge":500.00,"npi":[1003280108]}]}]},{"tin":{"type":"ein","value":"540526857"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":130.47,"providers":[{"billed_charge":130.47,"npi":[1255380697]}]}]},{"tin":{"type":"ein","value":"550638563"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":246.96,"providers":[{"billed_charge":310.00,"npi":[1184849200]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":146.12,"providers":[{"billed_charge":455.94,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560952955"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":146.12,"providers":[{"billed_charge":320.30,"npi":[1760479331]}]}]},{"tin":{"type":"ein","value":"561317433"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":65.25,"providers":[{"billed_charge":145.00,"npi":[1992701486]}]}]},{"tin":{"type":"ein","value":"561378901"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":146.12,"providers":[{"billed_charge":402.00,"npi":[1083664189]}]}]},{"tin":{"type":"ein","value":"561884447"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":146.12,"providers":[{"billed_charge":418.00,"npi":[1598779803]}]}]},{"tin":{"type":"ein","value":"561898263"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":146.12,"providers":[{"billed_charge":350.00,"npi":[1043264724]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":146.12,"providers":[{"billed_charge":535.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"621162462"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":204.88,"providers":[{"billed_charge":215.00,"npi":[1780676650]}]}]},{"tin":{"type":"ein","value":"742958277"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":146.78,"providers":[{"billed_charge":267.00,"npi":[1922061993]}]}]},{"tin":{"type":"ein","value":"752536818"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":132.22,"providers":[{"billed_charge":352.24,"npi":[1003811639]}]}]},{"tin":{"type":"ein","value":"822881922"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":146.12,"providers":[{"billed_charge":220.00,"npi":[1174017511]}]}]},{"tin":{"type":"ein","value":"853991596"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":176.91,"providers":[{"billed_charge":454.47,"npi":[1205425519]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":517.75,"providers":[{"billed_charge":545.00,"npi":[1558332494]},{"billed_charge":545.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"862411778"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":146.12,"providers":[{"billed_charge":815.00,"npi":[1275128944]}]}]},{"tin":{"type":"ein","value":"920917809"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":146.12,"providers":[{"billed_charge":1228.63,"npi":[1437869302]}]}]}]},{"billing_code":"99223","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"1ST HOSP IP/OBS HIGH 75","allowed_amounts":[{"tin":{"type":"ein","value":"113723913"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":195.05,"providers":[{"billed_charge":290.00,"npi":[1225067408]}]}]},{"tin":{"type":"ein","value":"200401785"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":195.35,"providers":[{"billed_charge":1389.00,"npi":[1609827823]}]}]},{"tin":{"type":"ein","value":"201190794"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":213.50,"providers":[{"billed_charge":429.00,"npi":[1073564217]}]}]},{"tin":{"type":"ein","value":"202306545"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":195.05,"providers":[{"billed_charge":332.00,"npi":[1528154473]}]}]},{"tin":{"type":"ein","value":"203279920"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":579.75,"providers":[{"billed_charge":773.00,"npi":[1083835441]}]}]},{"tin":{"type":"ein","value":"203566888"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":195.05,"providers":[{"billed_charge":773.00,"npi":[1760410385]},{"billed_charge":773.00,"npi":[1760410385]}]}]},{"tin":{"type":"ein","value":"203566888"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":579.75,"providers":[{"billed_charge":773.00,"npi":[1760410385]}]}]},{"tin":{"type":"ein","value":"204277914"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":188.43,"providers":[{"billed_charge":446.00,"npi":[1255380887]}]}]},{"tin":{"type":"ein","value":"204389641"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":195.05,"providers":[{"billed_charge":262.54,"npi":[1578724183]}]}]},{"tin":{"type":"ein","value":"204595837"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":579.75,"providers":[{"billed_charge":773.00,"npi":[1285676957]}]}]},{"tin":{"type":"ein","value":"208458730"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":202.99,"providers":[{"billed_charge":375.00,"npi":[1487772620]}]}]},{"tin":{"type":"ein","value":"233060775"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":179.76,"providers":[{"billed_charge":280.00,"npi":[1447305776]}]}]},{"tin":{"type":"ein","value":"262976526"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":194.16,"providers":[{"billed_charge":350.00,"npi":[1386891497]}]}]},{"tin":{"type":"ein","value":"263694174"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":224.00,"providers":[{"billed_charge":336.00,"npi":[1407920549]}]}]},{"tin":{"type":"ein","value":"264816439"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":202.99,"providers":[{"billed_charge":298.00,"npi":[1942511712]}]}]},{"tin":{"type":"ein","value":"273645560"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":369.00,"providers":[{"billed_charge":492.00,"npi":[1700151842]}]}]},{"tin":{"type":"ein","value":"330180540"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":218.66,"providers":[{"billed_charge":717.00,"npi":[1598852717]}]}]},{"tin":{"type":"ein","value":"461243081"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":315.90,"providers":[{"billed_charge":351.00,"npi":[1750626495]}]}]},{"tin":{"type":"ein","value":"475656579"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":194.16,"providers":[{"billed_charge":773.00,"npi":[1003280108]}]},{"allowed_amount":195.05,"providers":[{"billed_charge":736.00,"npi":[1003280108]}]}]},{"tin":{"type":"ein","value":"530196580"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":327.27,"providers":[{"billed_charge":560.00,"npi":[1093972960]}]}]},{"tin":{"type":"ein","value":"541436102"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":195.05,"providers":[{"billed_charge":332.50,"npi":[1588151294]}]}]},{"tin":{"type":"ein","value":"541973924"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":213.52,"providers":[{"billed_charge":300.00,"npi":[1699786459]}]}]},{"tin":{"type":"ein","value":"550675666"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":184.23,"providers":[{"billed_charge":359.43,"npi":[1104901784]}]},{"allowed_amount":345.05,"providers":[{"billed_charge":359.43,"npi":[1073518007]}]}]},{"tin":{"type":"ein","value":"561317433"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":91.80,"providers":[{"billed_charge":204.00,"npi":[1144207804,1992701486]}]}]},{"tin":{"type":"ein","value":"561398929"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":195.05,"providers":[{"billed_charge":683.00,"npi":[1699979732]},{"billed_charge":683.00,"npi":[1356689996]}]}]},{"tin":{"type":"ein","value":"561614999"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":195.05,"providers":[{"billed_charge":939.00,"npi":[1790736973]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":195.05,"providers":[{"billed_charge":683.00,"npi":[1326480310]},{"billed_charge":683.00,"npi":[1326480310]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":195.05,"providers":[{"billed_charge":792.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"562028878"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":195.05,"providers":[{"billed_charge":1603.00,"npi":[1609851138]}]}]},{"tin":{"type":"ein","value":"562109998"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":195.05,"providers":[{"billed_charge":350.00,"npi":[1467972703]}]}]},{"tin":{"type":"ein","value":"582540964"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":446.23,"providers":[{"billed_charge":691.00,"npi":[1548219660]}]}]},{"tin":{"type":"ein","value":"590634434"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":253.79,"providers":[{"billed_charge":516.33,"npi":[1043261498]}]}]},{"tin":{"type":"ein","value":"621490616"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":188.43,"providers":[{"billed_charge":400.00,"npi":[1164867719]}]}]},{"tin":{"type":"ein","value":"621692189"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":195.05,"providers":[{"billed_charge":200.00,"npi":[1518037233]}]}]},{"tin":{"type":"ein","value":"640912506"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":250.00,"npi":[1659471407]}]}]},{"tin":{"type":"ein","value":"752536818"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":244.89,"providers":[{"billed_charge":517.48,"npi":[1003811639]}]}]},{"tin":{"type":"ein","value":"822881922"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":195.05,"providers":[{"billed_charge":325.00,"npi":[1174017511]}]}]},{"tin":{"type":"ein","value":"842571533"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":194.16,"providers":[{"billed_charge":695.36,"npi":[1144877655]}]}]},{"tin":{"type":"ein","value":"853991596"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":234.09,"providers":[{"billed_charge":665.97,"npi":[1205425519]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":636.50,"providers":[{"billed_charge":670.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"861851177"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":195.05,"providers":[{"billed_charge":328.00,"npi":[1023693017]}]}]},{"tin":{"type":"ein","value":"862411778"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":195.05,"providers":[{"billed_charge":1198.00,"npi":[1275128944]},{"billed_charge":1198.00,"npi":[1275128944]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":181.15,"providers":[{"billed_charge":438.00,"npi":[1477256303]}]}]},{"tin":{"type":"ein","value":"910885450"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":216.23,"providers":[{"billed_charge":1154.00,"npi":[1861480840]}]}]},{"tin":{"type":"ein","value":"920917809"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":195.05,"providers":[{"billed_charge":1819.13,"npi":[1437869302]},{"billed_charge":1819.13,"npi":[1437869302]}]}]},{"tin":{"type":"ein","value":"923737833"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":151.43,"providers":[{"billed_charge":1331.00,"npi":[1740978501]}]}]}]},{"billing_code":"99223","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"INITIAL HOSPITAL CARE","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":195.05,"providers":[{"billed_charge":622.39,"npi":[1992754758]}]}]}]},{"billing_code":"99231","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"SBSQ HOSP IP/OBS SF/LOW 25","allowed_amounts":[{"tin":{"type":"ein","value":"204389641"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":48.72,"providers":[{"billed_charge":75.89,"npi":[1578724183]}]}]},{"tin":{"type":"ein","value":"263094596"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":183.60,"providers":[{"billed_charge":204.00,"npi":[1336390020]}]}]},{"tin":{"type":"ein","value":"264800380"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":51.00,"providers":[{"billed_charge":85.00,"npi":[1376779892]}]}]},{"tin":{"type":"ein","value":"274848565"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":51.02,"providers":[{"billed_charge":77.00,"npi":[1982994117]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":55.93,"providers":[{"billed_charge":120.00,"npi":[1255315339]}]},{"allowed_amount":74.94,"providers":[{"billed_charge":120.00,"npi":[1255315339]}]}]},{"tin":{"type":"ein","value":"540526857"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":49.81,"providers":[{"billed_charge":49.81,"npi":[1255380697]}]}]},{"tin":{"type":"ein","value":"541436102"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":49.42,"providers":[{"billed_charge":64.30,"npi":[1588151294]}]}]},{"tin":{"type":"ein","value":"541973924"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":57.50,"providers":[{"billed_charge":80.00,"npi":[1699786459]}]}]},{"tin":{"type":"ein","value":"550675666"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":39.95,"providers":[{"billed_charge":77.03,"npi":[1104901784]}]}]},{"tin":{"type":"ein","value":"560952955"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":49.42,"providers":[{"billed_charge":92.08,"npi":[1760479331]}]}]},{"tin":{"type":"ein","value":"561317433"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":31.50,"providers":[{"billed_charge":70.00,"npi":[1992701486]}]}]},{"tin":{"type":"ein","value":"571106645"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":48.30,"providers":[{"billed_charge":85.00,"npi":[1427044957]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":100.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"621692189"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":49.42,"providers":[{"billed_charge":120.00,"npi":[1518037233]}]}]},{"tin":{"type":"ein","value":"822449007"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":51.66,"providers":[{"billed_charge":77.00,"npi":[1528571320]}]}]},{"tin":{"type":"ein","value":"840597929"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":49.53,"providers":[{"billed_charge":166.00,"npi":[1679513196]}]}]}]},{"billing_code":"99232","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"SBSQ HOSP IP/OBS MODERATE 35","allowed_amounts":[{"tin":{"type":"ein","value":"010745345"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.05,"providers":[{"billed_charge":110.00,"npi":[1730162819]}]}]},{"tin":{"type":"ein","value":"113723913"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.05,"providers":[{"billed_charge":125.00,"npi":[1225067408]}]}]},{"tin":{"type":"ein","value":"200917382"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.05,"providers":[{"billed_charge":120.00,"npi":[1386079184]}]}]},{"tin":{"type":"ein","value":"201943356"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":90.00,"npi":[1922038082]}]}]},{"tin":{"type":"ein","value":"202306545"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":136.00,"npi":[1528154473]}]}]},{"tin":{"type":"ein","value":"203566888"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":278.00,"npi":[1760410385]},{"billed_charge":278.00,"npi":[1760410385]}]}]},{"tin":{"type":"ein","value":"204277914"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":86.50,"providers":[{"billed_charge":163.00,"npi":[1255380887]}]}]},{"tin":{"type":"ein","value":"204389641"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":82.17,"providers":[{"billed_charge":119.77,"npi":[1578724183]}]}]},{"tin":{"type":"ein","value":"260154591"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.05,"providers":[{"billed_charge":204.00,"npi":[1881802841]}]}]},{"tin":{"type":"ein","value":"261125131"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":96.61,"providers":[{"billed_charge":120.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"261868105"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.05,"providers":[{"billed_charge":210.00,"npi":[1700316106]}]}]},{"tin":{"type":"ein","value":"262976526"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":81.46,"providers":[{"billed_charge":151.00,"npi":[1386891497]}]}]},{"tin":{"type":"ein","value":"263094596"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":88.40,"providers":[{"billed_charge":320.00,"npi":[1336390020]}]},{"allowed_amount":288.00,"providers":[{"billed_charge":320.00,"npi":[1336390020]}]}]},{"tin":{"type":"ein","value":"263694174"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":84.00,"providers":[{"billed_charge":120.00,"npi":[1407920549]}]}]},{"tin":{"type":"ein","value":"264800380"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":150.00,"npi":[1376779892]}]}]},{"tin":{"type":"ein","value":"371866856"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":167.66,"providers":[{"billed_charge":443.00,"npi":[1891541207]}]}]},{"tin":{"type":"ein","value":"412279037"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":94.48,"providers":[{"billed_charge":160.00,"npi":[1952565210]}]}]},{"tin":{"type":"ein","value":"475370536"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.05,"providers":[{"billed_charge":429.00,"npi":[1851766885]}]}]},{"tin":{"type":"ein","value":"475656579"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":81.46,"providers":[{"billed_charge":278.00,"npi":[1003280108]}]},{"allowed_amount":83.05,"providers":[{"billed_charge":265.00,"npi":[1003280108]},{"billed_charge":278.00,"npi":[1003280108]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":94.34,"providers":[{"billed_charge":214.00,"npi":[1255315339]}]},{"allowed_amount":122.42,"providers":[{"billed_charge":214.00,"npi":[1255315339]}]}]},{"tin":{"type":"ein","value":"522437147"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":87.53,"providers":[{"billed_charge":531.00,"npi":[1295846426]}]}]},{"tin":{"type":"ein","value":"541436102"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":119.42,"npi":[1588151294]}]}]},{"tin":{"type":"ein","value":"541973924"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":96.99,"providers":[{"billed_charge":105.00,"npi":[1699786459]}]}]},{"tin":{"type":"ein","value":"550564945"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":98.00,"providers":[{"billed_charge":140.00,"npi":[1730183286]}]}]},{"tin":{"type":"ein","value":"550675666"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":126.24,"providers":[{"billed_charge":131.50,"npi":[1073518007,1659456234]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.05,"providers":[{"billed_charge":278.84,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560789196"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":141.00,"npi":[1639123979]}]}]},{"tin":{"type":"ein","value":"560949273"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":140.00,"npi":[1942499819]}]}]},{"tin":{"type":"ein","value":"560952955"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":168.78,"npi":[1760479331]}]}]},{"tin":{"type":"ein","value":"561317433"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":40.50,"providers":[{"billed_charge":90.00,"npi":[1144207804,1992701486]}]}]},{"tin":{"type":"ein","value":"561330897"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":100.00,"npi":[1801878632]}]}]},{"tin":{"type":"ein","value":"561378901"},"billing_class":"professional","service_code":["21","61"],"payments":[{"allowed_amount":83.05,"providers":[{"billed_charge":172.00,"npi":[1083664189]},{"billed_charge":172.00,"npi":[1083664189]}]}]},{"tin":{"type":"ein","value":"561398929"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.05,"providers":[{"billed_charge":246.00,"npi":[1699979732,1356689996]}]}]},{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.05,"providers":[{"billed_charge":345.00,"npi":[1568643583]}]}]},{"tin":{"type":"ein","value":"561614999"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":428.00,"npi":[1790736973]}]}]},{"tin":{"type":"ein","value":"561637604"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":130.00,"npi":[1518913656]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.05,"providers":[{"billed_charge":246.00,"npi":[1881624807]}]}]},{"tin":{"type":"ein","value":"561884447"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":220.00,"npi":[1598779803]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":83.05,"providers":[{"billed_charge":282.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":223.46,"npi":[1992754758]},{"billed_charge":226.65,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"562107759"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.05,"providers":[{"billed_charge":112.00,"npi":[1669404208]}]}]},{"tin":{"type":"ein","value":"571106645"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":81.46,"providers":[{"billed_charge":120.00,"npi":[1427044957]}]}]},{"tin":{"type":"ein","value":"582540874"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":158.12,"providers":[{"billed_charge":249.00,"npi":[1548273592]}]}]},{"tin":{"type":"ein","value":"590634434"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":109.35,"providers":[{"billed_charge":182.25,"npi":[1043261498]}]}]},{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":86.22,"providers":[{"billed_charge":141.00,"npi":[1528195864]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":167.40,"providers":[{"billed_charge":186.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"621692189"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":150.00,"npi":[1518037233]}]}]},{"tin":{"type":"ein","value":"640912506"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":67.03,"providers":[{"billed_charge":125.00,"npi":[1659471407]}]}]},{"tin":{"type":"ein","value":"742958277"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":82.61,"providers":[{"billed_charge":139.00,"npi":[1922061993]}]}]},{"tin":{"type":"ein","value":"813425340"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.05,"providers":[{"billed_charge":202.00,"npi":[1194277186]}]}]},{"tin":{"type":"ein","value":"823783482"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.05,"providers":[{"billed_charge":150.00,"npi":[1609384213]}]}]},{"tin":{"type":"ein","value":"842571533"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":81.46,"providers":[{"billed_charge":317.20,"npi":[1144877655]}]}]},{"tin":{"type":"ein","value":"853525556"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":80.50,"providers":[{"billed_charge":376.30,"npi":[1326790262]}]},{"allowed_amount":96.87,"providers":[{"billed_charge":376.30,"npi":[1326790262]}]}]},{"tin":{"type":"ein","value":"861851177"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":150.00,"npi":[1023693017]}]}]},{"tin":{"type":"ein","value":"862411778"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":429.00,"npi":[1275128944]},{"billed_charge":429.00,"npi":[1275128944]}]}]},{"tin":{"type":"ein","value":"871653623"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.05,"providers":[{"billed_charge":140.00,"npi":[1134881279]}]}]},{"tin":{"type":"ein","value":"873944795"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.05,"providers":[{"billed_charge":145.00,"npi":[1316708480]}]}]},{"tin":{"type":"ein","value":"920524416"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":150.00,"npi":[1124726377]}]}]},{"tin":{"type":"ein","value":"920917809"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":647.65,"npi":[1437869302]},{"billed_charge":647.65,"npi":[1437869302]}]}]},{"tin":{"type":"ein","value":"931951132"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":150.00,"npi":[1932886249]}]}]},{"tin":{"type":"ein","value":"943342387"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":81.46,"providers":[{"billed_charge":431.00,"npi":[1699514638]}]}]}]},{"billing_code":"99232","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"SUBSEQUENT HOSPITAL CARE","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":83.34,"providers":[{"billed_charge":223.46,"npi":[1992754758]}]}]}]},{"billing_code":"99233","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"SBSQ HOSP IP/OBS HIGH 50","allowed_amounts":[{"tin":{"type":"ein","value":"200401785"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":124.58,"providers":[{"billed_charge":718.00,"npi":[1609827823]}]}]},{"tin":{"type":"ein","value":"202306545"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":198.00,"npi":[1528154473]}]}]},{"tin":{"type":"ein","value":"203279920"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":298.50,"providers":[{"billed_charge":398.00,"npi":[1083835441]}]}]},{"tin":{"type":"ein","value":"203566888"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":398.00,"npi":[1760410385]}]}]},{"tin":{"type":"ein","value":"222785804"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":141.13,"providers":[{"billed_charge":959.00,"npi":[1801981857]}]}]},{"tin":{"type":"ein","value":"250815795"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":228.50,"providers":[{"billed_charge":270.00,"npi":[1245246644]}]}]},{"tin":{"type":"ein","value":"262976526"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":124.08,"providers":[{"billed_charge":215.00,"npi":[1386891497]}]}]},{"tin":{"type":"ein","value":"263094596"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":433.80,"providers":[{"billed_charge":482.00,"npi":[1336390020]}]}]},{"tin":{"type":"ein","value":"311626179"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":121.13,"providers":[{"billed_charge":240.00,"npi":[1699937888]}]}]},{"tin":{"type":"ein","value":"453576100"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":125.18,"providers":[{"billed_charge":298.00,"npi":[1265708119]}]}]},{"tin":{"type":"ein","value":"475656579"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":126.50,"providers":[{"billed_charge":379.00,"npi":[1003280108]},{"billed_charge":398.00,"npi":[1003280108]}]}]},{"tin":{"type":"ein","value":"530196580"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":147.75,"providers":[{"billed_charge":261.00,"npi":[1093972960]}]},{"allowed_amount":167.97,"providers":[{"billed_charge":261.00,"npi":[1093972960]}]}]},{"tin":{"type":"ein","value":"541436102"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":171.08,"npi":[1588151294]}]}]},{"tin":{"type":"ein","value":"550564945"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":140.00,"providers":[{"billed_charge":200.00,"npi":[1730183286]}]}]},{"tin":{"type":"ein","value":"561378901"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":126.50,"providers":[{"billed_charge":246.00,"npi":[1083664189]}]}]},{"tin":{"type":"ein","value":"561398929"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":99.90,"providers":[{"billed_charge":353.00,"npi":[1356689996]}]}]},{"tin":{"type":"ein","value":"561398929"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":126.50,"providers":[{"billed_charge":353.00,"npi":[1699979732]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":126.50,"providers":[{"billed_charge":407.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":326.10,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"590634434"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":157.38,"providers":[{"billed_charge":262.30,"npi":[1043261498]}]}]},{"tin":{"type":"ein","value":"593214635"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":336.70,"providers":[{"billed_charge":481.00,"npi":[1225034234]}]}]},{"tin":{"type":"ein","value":"593795443"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":147.75,"providers":[{"billed_charge":160.00,"npi":[1891721981]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":240.30,"providers":[{"billed_charge":267.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"640912506"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":89.40,"providers":[{"billed_charge":149.00,"npi":[1659471407]}]}]},{"tin":{"type":"ein","value":"752536818"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":128.61,"providers":[{"billed_charge":267.68,"npi":[1003811639]}]}]},{"tin":{"type":"ein","value":"842571533"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":124.08,"providers":[{"billed_charge":477.12,"npi":[1144877655]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":370.50,"providers":[{"billed_charge":390.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"861851177"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":225.00,"npi":[1023693017]}]}]},{"tin":{"type":"ein","value":"920917809"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":936.55,"npi":[1437869302]},{"billed_charge":936.55,"npi":[1437869302]}]}]},{"tin":{"type":"ein","value":"923737833"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":121.13,"providers":[{"billed_charge":683.00,"npi":[1740978501]}]}]},{"tin":{"type":"ein","value":"931951132"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":200.00,"npi":[1932886249]}]}]}]},{"billing_code":"99233","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"SUBSEQUENT HOSPITAL CARE","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":321.51,"npi":[1992754758]}]}]}]},{"billing_code":"99234","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"HOSP IP/OBS SM DT SF/LOW 45","allowed_amounts":[{"tin":{"type":"ein","value":"320418835"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":107.87,"providers":[{"billed_charge":395.00,"npi":[1639506470]}]}]}]},{"billing_code":"99234","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"HOSP IP/OBS SM DT SF/LOW 45","allowed_amounts":[{"tin":{"type":"ein","value":"734606000"},"billing_class":"institutional","payments":[{"allowed_amount":232.88,"providers":[{"billed_charge":3629.00,"npi":[1710314141]}]}]}]},{"billing_code":"99234","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"OBSERV/HOSP SAME DATE","allowed_amounts":[{"tin":{"type":"ein","value":"734606000"},"billing_class":"institutional","payments":[{"allowed_amount":232.88,"providers":[{"billed_charge":3629.00,"npi":[1710314141]}]}]}]},{"billing_code":"99235","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"HOSP IP/OBS SAME DATE MOD 70","allowed_amounts":[{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":140.34,"providers":[{"billed_charge":661.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"920917809"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":140.86,"providers":[{"billed_charge":1517.53,"npi":[1437869302]}]}]}]},{"billing_code":"99236","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"HOSP IP/OBS SAME DATE HI 85","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":521.05,"providers":[{"billed_charge":613.00,"npi":[1659309615]}]}]},{"tin":{"type":"ein","value":"203566888"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":211.86,"providers":[{"billed_charge":828.00,"npi":[1760410385]}]}]},{"tin":{"type":"ein","value":"452743899"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":208.64,"providers":[{"billed_charge":569.00,"npi":[1033464391]}]}]},{"tin":{"type":"ein","value":"475656579"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":207.06,"providers":[{"billed_charge":828.00,"npi":[1003280108]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":211.09,"providers":[{"billed_charge":852.00,"npi":[1396216735]}]}]}]},{"billing_code":"99238","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"HOSP IP/OBS DSCHRG MGMT 30/<","allowed_amounts":[{"tin":{"type":"ein","value":"010622481"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":92.24,"providers":[{"billed_charge":467.00,"npi":[1295719367]}]}]},{"tin":{"type":"ein","value":"042763590"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":79.49,"providers":[{"billed_charge":181.34,"npi":[1679730501]}]}]},{"tin":{"type":"ein","value":"043641120"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":88.56,"providers":[{"billed_charge":655.00,"npi":[1558468256]}]},{"allowed_amount":88.88,"providers":[{"billed_charge":655.00,"npi":[1558468256]}]}]},{"tin":{"type":"ein","value":"201190794"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":137.63,"providers":[{"billed_charge":162.00,"npi":[1073564217]}]}]},{"tin":{"type":"ein","value":"203566888"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":88.88,"providers":[{"billed_charge":279.00,"npi":[1760410385]},{"billed_charge":279.00,"npi":[1760410385]}]}]},{"tin":{"type":"ein","value":"250815795"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":154.59,"providers":[{"billed_charge":189.00,"npi":[1245246644]}]}]},{"tin":{"type":"ein","value":"264212594"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":88.88,"providers":[{"billed_charge":191.00,"npi":[1255632006]}]}]},{"tin":{"type":"ein","value":"264800380"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":102.73,"providers":[{"billed_charge":150.00,"npi":[1376779892]}]}]},{"tin":{"type":"ein","value":"461243081"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":146.70,"providers":[{"billed_charge":163.00,"npi":[1750626495]}]}]},{"tin":{"type":"ein","value":"465137699"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":88.88,"providers":[{"billed_charge":147.70,"npi":[1962821322]}]}]},{"tin":{"type":"ein","value":"560952955"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":88.88,"providers":[{"billed_charge":168.28,"npi":[1760479331]}]}]},{"tin":{"type":"ein","value":"561614999"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":88.88,"providers":[{"billed_charge":437.00,"npi":[1790736973]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":88.56,"providers":[{"billed_charge":283.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"562066152"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":88.56,"providers":[{"billed_charge":469.00,"npi":[1073562757]}]}]},{"tin":{"type":"ein","value":"586025393"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":87.53,"providers":[{"billed_charge":179.00,"npi":[1487684122]}]}]},{"tin":{"type":"ein","value":"590634434"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":109.40,"providers":[{"billed_charge":182.33,"npi":[1043261498]}]}]},{"tin":{"type":"ein","value":"853525556"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":85.84,"providers":[{"billed_charge":383.40,"npi":[1326790262]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":319.20,"providers":[{"billed_charge":336.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"910885450"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":96.49,"providers":[{"billed_charge":541.00,"npi":[1861480840]}]}]},{"tin":{"type":"ein","value":"920917809"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":88.88,"providers":[{"billed_charge":650.83,"npi":[1437869302]},{"billed_charge":650.83,"npi":[1437869302]}]}]}]},{"billing_code":"99239","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"HOSP IP/OBS DSCHRG MGMT >30","allowed_amounts":[{"tin":{"type":"ein","value":"200401785"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":121.11,"providers":[{"billed_charge":737.00,"npi":[1609827823]}]}]},{"tin":{"type":"ein","value":"200917382"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":128.44,"providers":[{"billed_charge":310.00,"npi":[1386079184]}]}]},{"tin":{"type":"ein","value":"201943356"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":125.00,"providers":[{"billed_charge":125.00,"npi":[1922038082]}]}]},{"tin":{"type":"ein","value":"202013678"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":128.44,"providers":[{"billed_charge":737.00,"npi":[1548207483]}]}]},{"tin":{"type":"ein","value":"203279920"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":308.25,"providers":[{"billed_charge":411.00,"npi":[1083835441]}]}]},{"tin":{"type":"ein","value":"203566888"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":128.44,"providers":[{"billed_charge":411.00,"npi":[1760410385]}]}]},{"tin":{"type":"ein","value":"203566888"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":308.25,"providers":[{"billed_charge":411.00,"npi":[1760410385]}]}]},{"tin":{"type":"ein","value":"204595837"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":308.25,"providers":[{"billed_charge":411.00,"npi":[1285676957]}]}]},{"tin":{"type":"ein","value":"262976526"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":123.59,"providers":[{"billed_charge":200.00,"npi":[1386891497]}]}]},{"tin":{"type":"ein","value":"263094596"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":415.80,"providers":[{"billed_charge":462.00,"npi":[1336390020]}]}]},{"tin":{"type":"ein","value":"263355435"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":130.09,"providers":[{"billed_charge":235.00,"npi":[1003059247]}]}]},{"tin":{"type":"ein","value":"264800380"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":76.50,"providers":[{"billed_charge":150.00,"npi":[1376779892]}]}]},{"tin":{"type":"ein","value":"371866856"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":121.97,"providers":[{"billed_charge":640.00,"npi":[1891541207]}]}]},{"tin":{"type":"ein","value":"453576100"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":128.44,"providers":[{"billed_charge":241.00,"npi":[1265708119]}]}]},{"tin":{"type":"ein","value":"475656579"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":123.59,"providers":[{"billed_charge":411.00,"npi":[1003280108]}]},{"allowed_amount":128.44,"providers":[{"billed_charge":391.00,"npi":[1003280108]}]}]},{"tin":{"type":"ein","value":"522437147"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":134.39,"providers":[{"billed_charge":590.00,"npi":[1295846426]}]}]},{"tin":{"type":"ein","value":"530196580"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":235.52,"providers":[{"billed_charge":398.00,"npi":[1093972960]}]}]},{"tin":{"type":"ein","value":"550675666"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":112.23,"providers":[{"billed_charge":207.55,"npi":[1659456234]}]}]},{"tin":{"type":"ein","value":"560845796"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":128.44,"providers":[{"billed_charge":262.58,"npi":[1023406261]}]}]},{"tin":{"type":"ein","value":"560952955"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":128.44,"providers":[{"billed_charge":248.65,"npi":[1760479331]}]}]},{"tin":{"type":"ein","value":"561317433"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":56.25,"providers":[{"billed_charge":125.00,"npi":[1144207804]}]}]},{"tin":{"type":"ein","value":"561398929"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":128.44,"providers":[{"billed_charge":362.00,"npi":[1699979732]}]}]},{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":128.44,"providers":[{"billed_charge":510.00,"npi":[1912188939]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":128.44,"providers":[{"billed_charge":399.01,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":128.44,"providers":[{"billed_charge":419.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":128.44,"providers":[{"billed_charge":336.25,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"570370242"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":123.59,"providers":[{"billed_charge":241.00,"npi":[1154371433]}]}]},{"tin":{"type":"ein","value":"571106645"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":123.59,"providers":[{"billed_charge":170.00,"npi":[1427044957]}]}]},{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":124.48,"providers":[{"billed_charge":216.00,"npi":[1528195864]}]}]},{"tin":{"type":"ein","value":"621490616"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":130.23,"providers":[{"billed_charge":264.00,"npi":[1164867719]}]}]},{"tin":{"type":"ein","value":"621692189"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":128.44,"providers":[{"billed_charge":150.00,"npi":[1518037233]}]}]},{"tin":{"type":"ein","value":"752536818"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":131.98,"providers":[{"billed_charge":275.10,"npi":[1003811639]}]}]},{"tin":{"type":"ein","value":"842571533"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":123.59,"providers":[{"billed_charge":459.52,"npi":[1144877655]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":418.00,"providers":[{"billed_charge":440.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"862109896"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":128.44,"providers":[{"billed_charge":272.00,"npi":[1205553369]}]}]},{"tin":{"type":"ein","value":"862411778"},"billing_class":"professional","service_code":["21","22"],"payments":[{"allowed_amount":128.44,"providers":[{"billed_charge":632.00,"npi":[1275128944]},{"billed_charge":632.00,"npi":[1275128944]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":95.96,"providers":[{"billed_charge":232.00,"npi":[1477256303]}]}]},{"tin":{"type":"ein","value":"920917809"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":128.44,"providers":[{"billed_charge":965.12,"npi":[1437869302]}]}]},{"tin":{"type":"ein","value":"923737833"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":118.37,"providers":[{"billed_charge":704.00,"npi":[1740978501]}]}]},{"tin":{"type":"ein","value":"931951132"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":128.44,"providers":[{"billed_charge":200.00,"npi":[1932886249]}]}]}]},{"billing_code":"99242","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"OFF/OP CONSLTJ NEW/EST SF 20","allowed_amounts":[{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":70.24,"providers":[{"billed_charge":175.00,"npi":[1912957606]}]}]},{"tin":{"type":"ein","value":"562241408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.38,"providers":[{"billed_charge":270.00,"npi":[1346337094]}]}]},{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":168.83,"providers":[{"billed_charge":185.00,"npi":[1184679482]}]}]}]},{"billing_code":"99243","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"OFF/OP CNSLTJ NEW/EST LOW 30","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":447.45,"providers":[{"billed_charge":471.00,"npi":[1922074434]}]}]},{"tin":{"type":"ein","value":"560963510"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.37,"providers":[{"billed_charge":250.00,"npi":[1912957606]}]}]},{"tin":{"type":"ein","value":"561208920"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.37,"providers":[{"billed_charge":286.00,"npi":[1538189279]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.37,"providers":[{"billed_charge":391.00,"npi":[1679944706]}]}]},{"tin":{"type":"ein","value":"562016630"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.60,"providers":[{"billed_charge":200.00,"npi":[1831142553]}]},{"allowed_amount":109.37,"providers":[{"billed_charge":200.00,"npi":[1831142553]}]}]},{"tin":{"type":"ein","value":"562241408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.37,"providers":[{"billed_charge":370.00,"npi":[1346337094]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":494.00,"providers":[{"billed_charge":520.00,"npi":[1558332494]}]}]}]},{"billing_code":"99244","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"OFF/OP CNSLTJ NEW/EST MOD 40","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":156.51,"providers":[{"billed_charge":459.00,"npi":[1144621822]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":633.75,"providers":[{"billed_charge":845.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"463775705"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":157.50,"providers":[{"billed_charge":315.00,"npi":[1518397587]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":381.75,"providers":[{"billed_charge":533.00,"npi":[1740286418]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":211.15,"providers":[{"billed_charge":343.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"561263118"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":188.40,"providers":[{"billed_charge":428.00,"npi":[1649216631]}]}]},{"tin":{"type":"ein","value":"561398929"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":220.82,"providers":[{"billed_charge":542.00,"npi":[1255775029]}]}]},{"tin":{"type":"ein","value":"562016630"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":156.51,"providers":[{"billed_charge":273.00,"npi":[1831142553]}]}]},{"tin":{"type":"ein","value":"593256838"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":401.86,"providers":[{"billed_charge":926.00,"npi":[1184609851]}]}]},{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":161.79,"providers":[{"billed_charge":288.00,"npi":[1811955917]}]}]},{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":151.00,"providers":[{"billed_charge":323.00,"npi":[1366912586]}]},{"allowed_amount":156.51,"providers":[{"billed_charge":323.00,"npi":[1366912586]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":641.25,"providers":[{"billed_charge":675.00,"npi":[1558332494]}]}]}]},{"billing_code":"99245","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"OFF/OP CONSLTJ NEW/EST HI 55","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":914.25,"providers":[{"billed_charge":1219.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":238.96,"providers":[{"billed_charge":331.00,"npi":[1285243618]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":493.66,"providers":[{"billed_charge":621.00,"npi":[1255315339]}]}]},{"tin":{"type":"ein","value":"561398929"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":286.65,"providers":[{"billed_charge":701.00,"npi":[1255775029]}]}]},{"tin":{"type":"ein","value":"593214635"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":591.50,"providers":[{"billed_charge":845.00,"npi":[1225034234]}]}]},{"tin":{"type":"ein","value":"593337028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":985.15,"providers":[{"billed_charge":1037.00,"npi":[1790772317]}]}]},{"tin":{"type":"ein","value":"621695310"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":284.29,"providers":[{"billed_charge":500.00,"npi":[1679560023]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":783.75,"providers":[{"billed_charge":825.00,"npi":[1558332494]}]}]}]},{"billing_code":"99252","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"IP/OBS CONSLTJ NEW/EST SF 35","allowed_amounts":[{"tin":{"type":"ein","value":"475656579"},"billing_class":"professional","service_code":["51"],"payments":[{"allowed_amount":107.47,"providers":[{"billed_charge":338.00,"npi":[1003280108]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":158.89,"providers":[{"billed_charge":247.00,"npi":[1427045764]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":258.30,"providers":[{"billed_charge":287.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":503.50,"providers":[{"billed_charge":530.00,"npi":[1558332494]}]}]}]},{"billing_code":"99253","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"IP/OBS CNSLTJ NEW/EST LOW 45","allowed_amounts":[{"tin":{"type":"ein","value":"742958277"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":114.00,"providers":[{"billed_charge":221.00,"npi":[1922061993]}]}]}]},{"billing_code":"99254","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"IP/OBS CNSLTJ NEW/EST MOD 60","allowed_amounts":[{"tin":{"type":"ein","value":"264800380"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":174.99,"providers":[{"billed_charge":365.00,"npi":[1376779892]}]},{"allowed_amount":181.62,"providers":[{"billed_charge":365.00,"npi":[1376779892]}]}]},{"tin":{"type":"ein","value":"412279037"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":219.23,"providers":[{"billed_charge":368.00,"npi":[1952565210]}]}]},{"tin":{"type":"ein","value":"475656579"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":153.52,"providers":[{"billed_charge":521.00,"npi":[1003280108]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":268.70,"providers":[{"billed_charge":527.00,"npi":[1922008549]}]}]},{"tin":{"type":"ein","value":"561398929"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":153.52,"providers":[{"billed_charge":490.00,"npi":[1356689996]}]}]},{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":153.52,"providers":[{"billed_charge":643.00,"npi":[1174813224]}]}]},{"tin":{"type":"ein","value":"593214635"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":294.00,"providers":[{"billed_charge":420.00,"npi":[1225034234]}]}]}]},{"billing_code":"99255","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"IP/OBS CONSLTJ NEW/EST HI 80","allowed_amounts":[{"tin":{"type":"ein","value":"530196580"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":305.54,"providers":[{"billed_charge":825.00,"npi":[1093972960]}]}]},{"tin":{"type":"ein","value":"561398929"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":299.55,"providers":[{"billed_charge":673.00,"npi":[1699979732]}]}]},{"tin":{"type":"ein","value":"561479712"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":299.55,"providers":[{"billed_charge":806.00,"npi":[1568643583]}]}]}]},{"billing_code":"99281","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"EMERGENCY DEPT VISIT","allowed_amounts":[{"tin":{"type":"ein","value":"610444716"},"billing_class":"institutional","payments":[{"allowed_amount":201.18,"providers":[{"billed_charge":233.93,"npi":[1851346720]}]}]}]},{"billing_code":"99281","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"EMR DPT VST MAYX REQ PHY/QHP","allowed_amounts":[{"tin":{"type":"ein","value":"610444716"},"billing_class":"institutional","payments":[{"allowed_amount":201.18,"providers":[{"billed_charge":233.93,"npi":[1851346720]}]}]}]},{"billing_code":"99282","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Emergency Department Services","description":"EMERGENCY DEPT VISIT SF MDM","allowed_amounts":[{"tin":{"type":"ein","value":"311603722"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":66.95,"providers":[{"billed_charge":530.00,"npi":[1386691780]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":64.85,"providers":[{"billed_charge":163.00,"npi":[1396216735]}]},{"allowed_amount":68.53,"providers":[{"billed_charge":163.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"561928809"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":68.53,"providers":[{"billed_charge":314.00,"npi":[1316264195]}]}]},{"tin":{"type":"ein","value":"570720016"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":68.26,"providers":[{"billed_charge":368.14,"npi":[1659320620]}]}]},{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":46.15,"providers":[{"billed_charge":112.00,"npi":[1528195864]}]}]},{"tin":{"type":"ein","value":"650691102"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":68.26,"providers":[{"billed_charge":329.00,"npi":[1861430555]}]}]},{"tin":{"type":"ein","value":"813642890"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":66.90,"providers":[{"billed_charge":844.00,"npi":[1730636168]}]}]},{"tin":{"type":"ein","value":"823693569"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":68.53,"providers":[{"billed_charge":115.00,"npi":[1952819575]}]}]}]},{"billing_code":"99282","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"EMERGENCY DEPT VISIT","allowed_amounts":[{"tin":{"type":"ein","value":"010238552"},"billing_class":"institutional","payments":[{"allowed_amount":252.46,"providers":[{"billed_charge":473.35,"npi":[1346299815]}]}]},{"tin":{"type":"ein","value":"341425870"},"billing_class":"institutional","payments":[{"allowed_amount":522.07,"providers":[{"billed_charge":629.00,"npi":[1972689172]}]}]},{"tin":{"type":"ein","value":"381360584"},"billing_class":"institutional","payments":[{"allowed_amount":204.44,"providers":[{"billed_charge":572.00,"npi":[1073588711]}]}]},{"tin":{"type":"ein","value":"470376552"},"billing_class":"institutional","payments":[{"allowed_amount":586.15,"providers":[{"billed_charge":617.00,"npi":[1528006103]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":172.69,"providers":[{"billed_charge":868.36,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"570720016"},"billing_class":"institutional","payments":[{"allowed_amount":178.14,"providers":[{"billed_charge":877.10,"npi":[1659320620]}]}]},{"tin":{"type":"ein","value":"590634433"},"billing_class":"institutional","payments":[{"allowed_amount":776.88,"providers":[{"billed_charge":996.00,"npi":[1245520386]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":931.68,"providers":[{"billed_charge":1242.25,"npi":[1295843787]}]}]}]},{"billing_code":"99282","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"EMERGENCY DEPT VISIT SF MDM","allowed_amounts":[{"tin":{"type":"ein","value":"010238552"},"billing_class":"institutional","payments":[{"allowed_amount":252.46,"providers":[{"billed_charge":473.35,"npi":[1346299815]}]}]},{"tin":{"type":"ein","value":"341425870"},"billing_class":"institutional","payments":[{"allowed_amount":522.07,"providers":[{"billed_charge":629.00,"npi":[1972689172]}]}]},{"tin":{"type":"ein","value":"381360584"},"billing_class":"institutional","payments":[{"allowed_amount":204.44,"providers":[{"billed_charge":572.00,"npi":[1073588711]}]}]},{"tin":{"type":"ein","value":"470376552"},"billing_class":"institutional","payments":[{"allowed_amount":586.15,"providers":[{"billed_charge":617.00,"npi":[1528006103]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":172.69,"providers":[{"billed_charge":868.36,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"570720016"},"billing_class":"institutional","payments":[{"allowed_amount":178.14,"providers":[{"billed_charge":877.10,"npi":[1659320620]}]}]},{"tin":{"type":"ein","value":"590634433"},"billing_class":"institutional","payments":[{"allowed_amount":776.88,"providers":[{"billed_charge":996.00,"npi":[1245520386]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":931.68,"providers":[{"billed_charge":1242.25,"npi":[1295843787]}]}]}]},{"billing_code":"99283","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Emergency Department Services","description":"EMERGENCY DEPT VISIT LOW MDM","allowed_amounts":[{"tin":{"type":"ein","value":"020759583"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":99.54,"providers":[{"billed_charge":750.00,"npi":[1477508836]}]}]},{"tin":{"type":"ein","value":"042768252"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":123.69,"providers":[{"billed_charge":208.47,"npi":[1730106162]}]}]},{"tin":{"type":"ein","value":"043633263"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":98.99,"providers":[{"billed_charge":387.00,"npi":[1972503910]}]}]},{"tin":{"type":"ein","value":"050524222"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":106.91,"providers":[{"billed_charge":667.00,"npi":[1285713859]}]}]},{"tin":{"type":"ein","value":"050588771"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":106.91,"providers":[{"billed_charge":283.00,"npi":[1215931589]}]}]},{"tin":{"type":"ein","value":"202728271"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":106.91,"providers":[{"billed_charge":452.00,"npi":[1023074580]}]}]},{"tin":{"type":"ein","value":"202728380"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":106.91,"providers":[{"billed_charge":452.00,"npi":[1194781369]}]}]},{"tin":{"type":"ein","value":"340714357"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":94.72,"providers":[{"billed_charge":174.00,"npi":[1841328853]}]}]},{"tin":{"type":"ein","value":"341807906"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":83.30,"providers":[{"billed_charge":183.00,"npi":[1689822827]}]}]},{"tin":{"type":"ein","value":"452450408"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":106.91,"providers":[{"billed_charge":785.00,"npi":[1477840791]}]}]},{"tin":{"type":"ein","value":"461707288"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":106.97,"providers":[{"billed_charge":525.00,"npi":[1740529700]}]}]},{"tin":{"type":"ein","value":"520962668"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":121.21,"providers":[{"billed_charge":589.41,"npi":[1831940881]}]}]},{"tin":{"type":"ein","value":"541141362"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":113.84,"providers":[{"billed_charge":253.00,"npi":[1033136841]}]}]},{"tin":{"type":"ein","value":"556000526"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":61.74,"providers":[{"billed_charge":361.25,"npi":[1033264387]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":99.54,"providers":[{"billed_charge":626.33,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561752877"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":106.91,"providers":[{"billed_charge":606.00,"npi":[1003853409]}]}]},{"tin":{"type":"ein","value":"561763695"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":106.91,"providers":[{"billed_charge":335.00,"npi":[1619758018,1922063387,1033770292,1225268238]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":69.83,"providers":[{"billed_charge":69.83,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":99.54,"providers":[{"billed_charge":244.00,"npi":[1396216735]}]},{"allowed_amount":106.91,"providers":[{"billed_charge":244.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"561928809"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":106.91,"providers":[{"billed_charge":611.00,"npi":[1285952671,1316264195]}]}]},{"tin":{"type":"ein","value":"570342027"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":108.87,"providers":[{"billed_charge":491.00,"npi":[1245930064]}]}]},{"tin":{"type":"ein","value":"570370242"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":108.87,"providers":[{"billed_charge":266.00,"npi":[1154371433]}]}]},{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":78.60,"providers":[{"billed_charge":170.00,"npi":[1528195864]}]},{"allowed_amount":104.57,"providers":[{"billed_charge":170.00,"npi":[1528195864]}]}]},{"tin":{"type":"ein","value":"610945743"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":104.57,"providers":[{"billed_charge":186.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"611262927"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":94.11,"providers":[{"billed_charge":199.00,"npi":[1700803681]}]}]},{"tin":{"type":"ein","value":"621130266"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":106.91,"providers":[{"billed_charge":582.00,"npi":[1427005008]}]}]},{"tin":{"type":"ein","value":"636000526"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":131.27,"providers":[{"billed_charge":175.03,"npi":[1154386431]}]}]},{"tin":{"type":"ein","value":"650691102"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":98.99,"providers":[{"billed_charge":728.00,"npi":[1861430555]}]},{"allowed_amount":99.54,"providers":[{"billed_charge":768.00,"npi":[1861430555]}]},{"allowed_amount":108.87,"providers":[{"billed_charge":560.00,"npi":[1861430555]},{"billed_charge":737.00,"npi":[1861430555]},{"billed_charge":774.00,"npi":[1861430555]}]}]},{"tin":{"type":"ein","value":"742501542"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":248.73,"providers":[{"billed_charge":497.20,"npi":[1962440933]}]}]},{"tin":{"type":"ein","value":"810872075"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":117.48,"providers":[{"billed_charge":667.00,"npi":[1447615711]}]}]},{"tin":{"type":"ein","value":"813642890"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":106.70,"providers":[{"billed_charge":1260.00,"npi":[1730636168]}]}]},{"tin":{"type":"ein","value":"814712442"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":53.46,"providers":[{"billed_charge":121.00,"npi":[1346781499]}]}]},{"tin":{"type":"ein","value":"823693569"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":106.91,"providers":[{"billed_charge":170.00,"npi":[1952819575]},{"billed_charge":176.00,"npi":[1952819575]}]}]},{"tin":{"type":"ein","value":"922099348"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":121.21,"providers":[{"billed_charge":403.00,"npi":[1992402069]}]}]},{"tin":{"type":"ein","value":"931450460"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":112.77,"providers":[{"billed_charge":481.00,"npi":[1154015089]}]}]}]},{"billing_code":"99283","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"EMERGENCY DEPT VISIT","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":1072.94,"providers":[{"billed_charge":1285.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"042768252"},"billing_class":"institutional","payments":[{"allowed_amount":618.60,"providers":[{"billed_charge":727.77,"npi":[1730106162]}]}]},{"tin":{"type":"ein","value":"050524222"},"billing_class":"institutional","payments":[{"allowed_amount":102.39,"providers":[{"billed_charge":275.00,"npi":[1770662348]}]}]},{"tin":{"type":"ein","value":"203749695"},"billing_class":"institutional","payments":[{"allowed_amount":364.77,"providers":[{"billed_charge":1600.45,"npi":[1265568638]}]}]},{"tin":{"type":"ein","value":"231352166"},"billing_class":"institutional","payments":[{"allowed_amount":897.34,"providers":[{"billed_charge":1380.52,"npi":[1215921457]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":1514.38,"providers":[{"billed_charge":1915.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"251002937"},"billing_class":"institutional","payments":[{"allowed_amount":212.59,"providers":[{"billed_charge":325.05,"npi":[1548263973]}]}]},{"tin":{"type":"ein","value":"272953799"},"billing_class":"institutional","payments":[{"allowed_amount":697.00,"providers":[{"billed_charge":820.00,"npi":[1265740195]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":928.54,"providers":[{"billed_charge":1225.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"340827442"},"billing_class":"institutional","payments":[{"allowed_amount":869.84,"providers":[{"billed_charge":1048.00,"npi":[1164481677]}]}]},{"tin":{"type":"ein","value":"350211370"},"billing_class":"institutional","payments":[{"allowed_amount":192.41,"providers":[{"billed_charge":1439.89,"npi":[1386683316]}]}]},{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":1640.00,"providers":[{"billed_charge":2050.00,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"382800065"},"billing_class":"institutional","payments":[{"allowed_amount":516.60,"providers":[{"billed_charge":574.00,"npi":[1871672618]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":960.50,"providers":[{"billed_charge":1130.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"390813418"},"billing_class":"institutional","payments":[{"allowed_amount":603.34,"providers":[{"billed_charge":622.00,"npi":[1700837812]}]}]},{"tin":{"type":"ein","value":"410991680"},"billing_class":"institutional","payments":[{"allowed_amount":558.42,"providers":[{"billed_charge":681.00,"npi":[1013994359]}]}]},{"tin":{"type":"ein","value":"460796114"},"billing_class":"institutional","payments":[{"allowed_amount":1242.36,"providers":[{"billed_charge":2105.69,"npi":[1144397134]}]}]},{"tin":{"type":"ein","value":"470757164"},"billing_class":"institutional","payments":[{"allowed_amount":1240.00,"providers":[{"billed_charge":1550.00,"npi":[1649355132]}]}]},{"tin":{"type":"ein","value":"472361878"},"billing_class":"institutional","payments":[{"allowed_amount":284.58,"providers":[{"billed_charge":1007.50,"npi":[1306227764]}]}]},{"tin":{"type":"ein","value":"474718253"},"billing_class":"institutional","payments":[{"allowed_amount":299.13,"providers":[{"billed_charge":730.00,"npi":[1588141048]}]}]},{"tin":{"type":"ein","value":"474992388"},"billing_class":"institutional","payments":[{"allowed_amount":554.19,"providers":[{"billed_charge":609.00,"npi":[1790131050]}]}]},{"tin":{"type":"ein","value":"510103684"},"billing_class":"institutional","payments":[{"allowed_amount":363.05,"providers":[{"billed_charge":995.67,"npi":[1134194038]}]}]},{"tin":{"type":"ein","value":"550422958"},"billing_class":"institutional","payments":[{"allowed_amount":1150.62,"providers":[{"billed_charge":1174.10,"npi":[1477559433]}]}]},{"tin":{"type":"ein","value":"556000526"},"billing_class":"institutional","payments":[{"allowed_amount":244.24,"providers":[{"billed_charge":292.50,"npi":[1265484893]}]}]},{"tin":{"type":"ein","value":"560532309"},"billing_class":"institutional","payments":[{"allowed_amount":263.58,"providers":[{"billed_charge":1854.00,"npi":[1396746228]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":307.91,"providers":[{"billed_charge":1905.04,"npi":[1750333282]}]},{"allowed_amount":375.11,"providers":[{"billed_charge":1905.04,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":162.95,"providers":[{"billed_charge":162.95,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"562392010"},"billing_class":"institutional","payments":[{"allowed_amount":1215.00,"providers":[{"billed_charge":1350.00,"npi":[1053357244]}]}]},{"tin":{"type":"ein","value":"580572412"},"billing_class":"institutional","payments":[{"allowed_amount":1368.72,"providers":[{"billed_charge":1823.50,"npi":[1689744450]}]}]},{"tin":{"type":"ein","value":"581588823"},"billing_class":"institutional","payments":[{"allowed_amount":333.44,"providers":[{"billed_charge":1505.00,"npi":[1477591055]}]}]},{"tin":{"type":"ein","value":"581966795"},"billing_class":"institutional","payments":[{"allowed_amount":960.00,"providers":[{"billed_charge":1200.00,"npi":[1093716979]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":295.80,"providers":[{"billed_charge":348.00,"npi":[1326028978]}]}]},{"tin":{"type":"ein","value":"590634434"},"billing_class":"institutional","payments":[{"allowed_amount":1065.70,"providers":[{"billed_charge":1847.00,"npi":[1922032424]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":970.20,"providers":[{"billed_charge":1386.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590910342"},"billing_class":"institutional","payments":[{"allowed_amount":1321.75,"providers":[{"billed_charge":1555.00,"npi":[1528042884]}]}]},{"tin":{"type":"ein","value":"591726273"},"billing_class":"institutional","payments":[{"allowed_amount":2169.60,"providers":[{"billed_charge":2712.00,"npi":[1184709057]}]}]},{"tin":{"type":"ein","value":"591943502"},"billing_class":"institutional","payments":[{"allowed_amount":2490.50,"providers":[{"billed_charge":2930.00,"npi":[1699874248]}]}]},{"tin":{"type":"ein","value":"611259833"},"billing_class":"institutional","payments":[{"allowed_amount":1844.82,"providers":[{"billed_charge":3617.30,"npi":[1639128820]}]}]},{"tin":{"type":"ein","value":"621620866"},"billing_class":"institutional","payments":[{"allowed_amount":2027.97,"providers":[{"billed_charge":2304.51,"npi":[1871530832]}]}]},{"tin":{"type":"ein","value":"621682207"},"billing_class":"institutional","payments":[{"allowed_amount":299.51,"providers":[{"billed_charge":2725.18,"npi":[1437102639]}]},{"allowed_amount":1850.40,"providers":[{"billed_charge":2725.18,"npi":[1437102639]}]}]},{"tin":{"type":"ein","value":"626002604"},"billing_class":"institutional","payments":[{"allowed_amount":237.81,"providers":[{"billed_charge":926.00,"npi":[1760476659]}]}]},{"tin":{"type":"ein","value":"636000271"},"billing_class":"institutional","payments":[{"allowed_amount":371.00,"providers":[{"billed_charge":530.00,"npi":[1841394418]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":235.75,"providers":[{"billed_charge":982.00,"npi":[1376540138]}]}]},{"tin":{"type":"ein","value":"650666516"},"billing_class":"institutional","payments":[{"allowed_amount":1820.80,"providers":[{"billed_charge":2276.00,"npi":[1487760906]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":273.48,"providers":[{"billed_charge":709.05,"npi":[1972119782]}]}]},{"tin":{"type":"ein","value":"820984034"},"billing_class":"institutional","payments":[{"allowed_amount":354.86,"providers":[{"billed_charge":2872.68,"npi":[1558838607]}]}]},{"tin":{"type":"ein","value":"821883948"},"billing_class":"institutional","payments":[{"allowed_amount":417.47,"providers":[{"billed_charge":1898.00,"npi":[1649794157]}]}]},{"tin":{"type":"ein","value":"821969974"},"billing_class":"institutional","payments":[{"allowed_amount":2719.15,"providers":[{"billed_charge":3199.00,"npi":[1053824292]}]}]},{"tin":{"type":"ein","value":"836000295"},"billing_class":"institutional","payments":[{"allowed_amount":284.53,"providers":[{"billed_charge":702.00,"npi":[1558361949]}]}]},{"tin":{"type":"ein","value":"840166760"},"billing_class":"institutional","payments":[{"allowed_amount":304.29,"providers":[{"billed_charge":2833.00,"npi":[1710348214]}]}]},{"tin":{"type":"ein","value":"854247323"},"billing_class":"institutional","payments":[{"allowed_amount":2840.98,"providers":[{"billed_charge":5570.54,"npi":[1871193664]}]}]},{"tin":{"type":"ein","value":"860181654"},"billing_class":"institutional","payments":[{"allowed_amount":948.65,"providers":[{"billed_charge":2127.00,"npi":[1811951429]}]}]},{"tin":{"type":"ein","value":"876000525"},"billing_class":"institutional","payments":[{"allowed_amount":1257.04,"providers":[{"billed_charge":1687.30,"npi":[1588656870]}]}]},{"tin":{"type":"ein","value":"900811360"},"billing_class":"institutional","payments":[{"allowed_amount":2508.00,"providers":[{"billed_charge":4917.65,"npi":[1912246786]}]}]},{"tin":{"type":"ein","value":"920937062"},"billing_class":"institutional","payments":[{"allowed_amount":271.84,"providers":[{"billed_charge":2988.00,"npi":[1558056895]}]}]},{"tin":{"type":"ein","value":"922451946"},"billing_class":"institutional","payments":[{"allowed_amount":1169.55,"providers":[{"billed_charge":1695.00,"npi":[1740981430]}]}]},{"tin":{"type":"ein","value":"934580630"},"billing_class":"institutional","payments":[{"allowed_amount":326.33,"providers":[{"billed_charge":2785.00,"npi":[1205605409]}]}]}]},{"billing_code":"99283","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"EMERGENCY DEPT VISIT LOW MDM","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"institutional","payments":[{"allowed_amount":1072.94,"providers":[{"billed_charge":1285.00,"npi":[1568419976]}]}]},{"tin":{"type":"ein","value":"042768252"},"billing_class":"institutional","payments":[{"allowed_amount":618.60,"providers":[{"billed_charge":727.77,"npi":[1730106162]}]}]},{"tin":{"type":"ein","value":"050524222"},"billing_class":"institutional","payments":[{"allowed_amount":102.39,"providers":[{"billed_charge":275.00,"npi":[1770662348]}]}]},{"tin":{"type":"ein","value":"203749695"},"billing_class":"institutional","payments":[{"allowed_amount":364.77,"providers":[{"billed_charge":1600.45,"npi":[1265568638]}]}]},{"tin":{"type":"ein","value":"231352166"},"billing_class":"institutional","payments":[{"allowed_amount":897.34,"providers":[{"billed_charge":1380.52,"npi":[1215921457]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":1514.38,"providers":[{"billed_charge":1915.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"251002937"},"billing_class":"institutional","payments":[{"allowed_amount":212.59,"providers":[{"billed_charge":325.05,"npi":[1548263973]}]}]},{"tin":{"type":"ein","value":"272953799"},"billing_class":"institutional","payments":[{"allowed_amount":697.00,"providers":[{"billed_charge":820.00,"npi":[1265740195]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":928.54,"providers":[{"billed_charge":1225.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"340827442"},"billing_class":"institutional","payments":[{"allowed_amount":869.84,"providers":[{"billed_charge":1048.00,"npi":[1164481677]}]}]},{"tin":{"type":"ein","value":"350211370"},"billing_class":"institutional","payments":[{"allowed_amount":192.41,"providers":[{"billed_charge":1439.89,"npi":[1386683316]}]}]},{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":1640.00,"providers":[{"billed_charge":2050.00,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"382800065"},"billing_class":"institutional","payments":[{"allowed_amount":516.60,"providers":[{"billed_charge":574.00,"npi":[1871672618]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":960.50,"providers":[{"billed_charge":1130.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"390813418"},"billing_class":"institutional","payments":[{"allowed_amount":603.34,"providers":[{"billed_charge":622.00,"npi":[1700837812]}]}]},{"tin":{"type":"ein","value":"410991680"},"billing_class":"institutional","payments":[{"allowed_amount":558.42,"providers":[{"billed_charge":681.00,"npi":[1013994359]}]}]},{"tin":{"type":"ein","value":"460796114"},"billing_class":"institutional","payments":[{"allowed_amount":1242.36,"providers":[{"billed_charge":2105.69,"npi":[1144397134]}]}]},{"tin":{"type":"ein","value":"470757164"},"billing_class":"institutional","payments":[{"allowed_amount":1240.00,"providers":[{"billed_charge":1550.00,"npi":[1649355132]}]}]},{"tin":{"type":"ein","value":"472361878"},"billing_class":"institutional","payments":[{"allowed_amount":284.58,"providers":[{"billed_charge":1007.50,"npi":[1306227764]}]}]},{"tin":{"type":"ein","value":"474718253"},"billing_class":"institutional","payments":[{"allowed_amount":299.13,"providers":[{"billed_charge":730.00,"npi":[1588141048]}]}]},{"tin":{"type":"ein","value":"474992388"},"billing_class":"institutional","payments":[{"allowed_amount":554.19,"providers":[{"billed_charge":609.00,"npi":[1790131050]}]}]},{"tin":{"type":"ein","value":"510103684"},"billing_class":"institutional","payments":[{"allowed_amount":363.05,"providers":[{"billed_charge":995.67,"npi":[1134194038]}]}]},{"tin":{"type":"ein","value":"550422958"},"billing_class":"institutional","payments":[{"allowed_amount":1150.62,"providers":[{"billed_charge":1174.10,"npi":[1477559433]}]}]},{"tin":{"type":"ein","value":"556000526"},"billing_class":"institutional","payments":[{"allowed_amount":244.24,"providers":[{"billed_charge":292.50,"npi":[1265484893]}]}]},{"tin":{"type":"ein","value":"560532309"},"billing_class":"institutional","payments":[{"allowed_amount":263.58,"providers":[{"billed_charge":1854.00,"npi":[1396746228]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":307.91,"providers":[{"billed_charge":1905.04,"npi":[1750333282]}]},{"allowed_amount":375.11,"providers":[{"billed_charge":1905.04,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":162.95,"providers":[{"billed_charge":162.95,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"562392010"},"billing_class":"institutional","payments":[{"allowed_amount":1215.00,"providers":[{"billed_charge":1350.00,"npi":[1053357244]}]}]},{"tin":{"type":"ein","value":"580572412"},"billing_class":"institutional","payments":[{"allowed_amount":1368.72,"providers":[{"billed_charge":1823.50,"npi":[1689744450]}]}]},{"tin":{"type":"ein","value":"581588823"},"billing_class":"institutional","payments":[{"allowed_amount":333.44,"providers":[{"billed_charge":1505.00,"npi":[1477591055]}]}]},{"tin":{"type":"ein","value":"581966795"},"billing_class":"institutional","payments":[{"allowed_amount":960.00,"providers":[{"billed_charge":1200.00,"npi":[1093716979]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":295.80,"providers":[{"billed_charge":348.00,"npi":[1326028978]}]}]},{"tin":{"type":"ein","value":"590634434"},"billing_class":"institutional","payments":[{"allowed_amount":1065.70,"providers":[{"billed_charge":1847.00,"npi":[1922032424]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":970.20,"providers":[{"billed_charge":1386.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590910342"},"billing_class":"institutional","payments":[{"allowed_amount":1321.75,"providers":[{"billed_charge":1555.00,"npi":[1528042884]}]}]},{"tin":{"type":"ein","value":"591726273"},"billing_class":"institutional","payments":[{"allowed_amount":2169.60,"providers":[{"billed_charge":2712.00,"npi":[1184709057]}]}]},{"tin":{"type":"ein","value":"591943502"},"billing_class":"institutional","payments":[{"allowed_amount":2490.50,"providers":[{"billed_charge":2930.00,"npi":[1699874248]}]}]},{"tin":{"type":"ein","value":"611259833"},"billing_class":"institutional","payments":[{"allowed_amount":1844.82,"providers":[{"billed_charge":3617.30,"npi":[1639128820]}]}]},{"tin":{"type":"ein","value":"621620866"},"billing_class":"institutional","payments":[{"allowed_amount":2027.97,"providers":[{"billed_charge":2304.51,"npi":[1871530832]}]}]},{"tin":{"type":"ein","value":"621682207"},"billing_class":"institutional","payments":[{"allowed_amount":299.51,"providers":[{"billed_charge":2725.18,"npi":[1437102639]}]},{"allowed_amount":1850.40,"providers":[{"billed_charge":2725.18,"npi":[1437102639]}]}]},{"tin":{"type":"ein","value":"626002604"},"billing_class":"institutional","payments":[{"allowed_amount":237.81,"providers":[{"billed_charge":926.00,"npi":[1760476659]}]}]},{"tin":{"type":"ein","value":"636000271"},"billing_class":"institutional","payments":[{"allowed_amount":371.00,"providers":[{"billed_charge":530.00,"npi":[1841394418]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":235.75,"providers":[{"billed_charge":982.00,"npi":[1376540138]}]}]},{"tin":{"type":"ein","value":"650666516"},"billing_class":"institutional","payments":[{"allowed_amount":1820.80,"providers":[{"billed_charge":2276.00,"npi":[1487760906]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":273.48,"providers":[{"billed_charge":709.05,"npi":[1972119782]}]}]},{"tin":{"type":"ein","value":"820984034"},"billing_class":"institutional","payments":[{"allowed_amount":354.86,"providers":[{"billed_charge":2872.68,"npi":[1558838607]}]}]},{"tin":{"type":"ein","value":"821883948"},"billing_class":"institutional","payments":[{"allowed_amount":417.47,"providers":[{"billed_charge":1898.00,"npi":[1649794157]}]}]},{"tin":{"type":"ein","value":"821969974"},"billing_class":"institutional","payments":[{"allowed_amount":2719.15,"providers":[{"billed_charge":3199.00,"npi":[1053824292]}]}]},{"tin":{"type":"ein","value":"836000295"},"billing_class":"institutional","payments":[{"allowed_amount":284.53,"providers":[{"billed_charge":702.00,"npi":[1558361949]}]}]},{"tin":{"type":"ein","value":"840166760"},"billing_class":"institutional","payments":[{"allowed_amount":304.29,"providers":[{"billed_charge":2833.00,"npi":[1710348214]}]}]},{"tin":{"type":"ein","value":"854247323"},"billing_class":"institutional","payments":[{"allowed_amount":2840.98,"providers":[{"billed_charge":5570.54,"npi":[1871193664]}]}]},{"tin":{"type":"ein","value":"860181654"},"billing_class":"institutional","payments":[{"allowed_amount":948.65,"providers":[{"billed_charge":2127.00,"npi":[1811951429]}]}]},{"tin":{"type":"ein","value":"876000525"},"billing_class":"institutional","payments":[{"allowed_amount":1257.04,"providers":[{"billed_charge":1687.30,"npi":[1588656870]}]}]},{"tin":{"type":"ein","value":"900811360"},"billing_class":"institutional","payments":[{"allowed_amount":2508.00,"providers":[{"billed_charge":4917.65,"npi":[1912246786]}]}]},{"tin":{"type":"ein","value":"920937062"},"billing_class":"institutional","payments":[{"allowed_amount":271.84,"providers":[{"billed_charge":2988.00,"npi":[1558056895]}]}]},{"tin":{"type":"ein","value":"922451946"},"billing_class":"institutional","payments":[{"allowed_amount":1169.55,"providers":[{"billed_charge":1695.00,"npi":[1740981430]}]}]},{"tin":{"type":"ein","value":"934580630"},"billing_class":"institutional","payments":[{"allowed_amount":326.33,"providers":[{"billed_charge":2785.00,"npi":[1205605409]}]}]}]},{"billing_code":"99284","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Emergency Department Services","description":"EMERGENCY DEPT VISIT","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":428.22,"npi":[1992754758]}]}]}]},{"billing_code":"99284","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Emergency Department Services","description":"EMERGENCY DEPT VISIT MOD MDM","allowed_amounts":[{"tin":{"type":"ein","value":"020759583"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":186.54,"providers":[{"billed_charge":1280.00,"npi":[1477508836]}]}]},{"tin":{"type":"ein","value":"030219309"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":301.75,"providers":[{"billed_charge":355.00,"npi":[1659309615]}]}]},{"tin":{"type":"ein","value":"043170333"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":163.77,"providers":[{"billed_charge":372.00,"npi":[1932175684]}]}]},{"tin":{"type":"ein","value":"050588771"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":378.00,"npi":[1215931589]}]}]},{"tin":{"type":"ein","value":"131623978"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":160.88,"providers":[{"billed_charge":395.00,"npi":[1134422330]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":214.46,"providers":[{"billed_charge":328.00,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"141338471"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":255.60,"providers":[{"billed_charge":284.00,"npi":[1124189782]}]}]},{"tin":{"type":"ein","value":"200492277"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":423.02,"providers":[{"billed_charge":1145.00,"npi":[1871542969]}]}]},{"tin":{"type":"ein","value":"200495416"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":168.29,"providers":[{"billed_charge":1022.00,"npi":[1326047176]}]}]},{"tin":{"type":"ein","value":"202012765"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":193.22,"providers":[{"billed_charge":394.00,"npi":[1326191180]}]}]},{"tin":{"type":"ein","value":"202728271"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":828.00,"npi":[1023074580]}]}]},{"tin":{"type":"ein","value":"202728380"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":828.00,"npi":[1194781369]}]}]},{"tin":{"type":"ein","value":"203639329"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":194.12,"providers":[{"billed_charge":242.00,"npi":[1649228966]}]}]},{"tin":{"type":"ein","value":"204006035"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":1384.08,"providers":[{"billed_charge":1752.00,"npi":[1659355253]}]}]},{"tin":{"type":"ein","value":"208668750"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":168.29,"providers":[{"billed_charge":1487.00,"npi":[1053534750]}]}]},{"tin":{"type":"ein","value":"208817905"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":185.52,"providers":[{"billed_charge":914.00,"npi":[1487844510]}]}]},{"tin":{"type":"ein","value":"260834681"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":202.07,"providers":[{"billed_charge":303.00,"npi":[1861675506]}]}]},{"tin":{"type":"ein","value":"271369141"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":194.12,"providers":[{"billed_charge":832.00,"npi":[1629722129]}]}]},{"tin":{"type":"ein","value":"272289671"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.89,"providers":[{"billed_charge":1593.00,"npi":[1528384773]}]}]},{"tin":{"type":"ein","value":"310867547"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":191.64,"providers":[{"billed_charge":582.00,"npi":[1841696739]}]}]},{"tin":{"type":"ein","value":"311603722"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":199.78,"providers":[{"billed_charge":1272.00,"npi":[1386691780]}]}]},{"tin":{"type":"ein","value":"311778412"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":177.16,"providers":[{"billed_charge":232.46,"npi":[1962433177]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":873.75,"providers":[{"billed_charge":1165.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"352528741"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":193.05,"providers":[{"billed_charge":523.00,"npi":[1104202761]}]}]},{"tin":{"type":"ein","value":"383070749"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":128.05,"providers":[{"billed_charge":355.00,"npi":[1225082266]}]}]},{"tin":{"type":"ein","value":"384082858"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":194.12,"providers":[{"billed_charge":1487.00,"npi":[1013409721]}]}]},{"tin":{"type":"ein","value":"390813418"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":595.58,"providers":[{"billed_charge":614.00,"npi":[1548796444]}]}]},{"tin":{"type":"ein","value":"391678306"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":663.00,"providers":[{"billed_charge":780.00,"npi":[1427271378]}]}]},{"tin":{"type":"ein","value":"452450408"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":1487.00,"npi":[1477840791]}]}]},{"tin":{"type":"ein","value":"452955991"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":186.54,"providers":[{"billed_charge":828.00,"npi":[1053690560]}]}]},{"tin":{"type":"ein","value":"453460014"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":312.32,"providers":[{"billed_charge":1118.21,"npi":[1528342961]}]}]},{"tin":{"type":"ein","value":"460837907"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":1280.00,"npi":[1689923757]}]}]},{"tin":{"type":"ein","value":"461707288"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":194.12,"providers":[{"billed_charge":996.00,"npi":[1740529700]}]}]},{"tin":{"type":"ein","value":"463675032"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":179.88,"providers":[{"billed_charge":1219.00,"npi":[1629404637]}]}]},{"tin":{"type":"ein","value":"471218147"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":1213.00,"npi":[1518374800]}]}]},{"tin":{"type":"ein","value":"471497384"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":289.41,"providers":[{"billed_charge":417.00,"npi":[1164800314]}]}]},{"tin":{"type":"ein","value":"471776582"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":312.32,"providers":[{"billed_charge":1118.21,"npi":[1801287511]}]}]},{"tin":{"type":"ein","value":"473712858"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":168.29,"providers":[{"billed_charge":407.00,"npi":[1275912974]}]}]},{"tin":{"type":"ein","value":"475339746"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":193.22,"providers":[{"billed_charge":414.00,"npi":[1164954715]}]}]},{"tin":{"type":"ein","value":"475656579"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":186.54,"providers":[{"billed_charge":479.00,"npi":[1003280108]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":212.21,"providers":[{"billed_charge":370.00,"npi":[1386631810]}]}]},{"tin":{"type":"ein","value":"520962668"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":219.98,"providers":[{"billed_charge":1118.21,"npi":[1831940881]}]},{"allowed_amount":483.48,"providers":[{"billed_charge":1118.21,"npi":[1831940881]}]}]},{"tin":{"type":"ein","value":"522043450"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":194.12,"providers":[{"billed_charge":1118.21,"npi":[1164483558]}]}]},{"tin":{"type":"ein","value":"540958905"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":175.98,"providers":[{"billed_charge":481.00,"npi":[1710991153]}]}]},{"tin":{"type":"ein","value":"541141362"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":175.98,"providers":[{"billed_charge":479.00,"npi":[1033136841]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":175.98,"providers":[{"billed_charge":491.35,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":224.91,"providers":[{"billed_charge":267.00,"npi":[1275504508]}]},{"allowed_amount":265.51,"providers":[{"billed_charge":267.00,"npi":[1275504508]}]},{"allowed_amount":267.00,"providers":[{"billed_charge":267.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":186.54,"providers":[{"billed_charge":1063.70,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":241.00,"npi":[1093070757]}]}]},{"tin":{"type":"ein","value":"560941982"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":661.00,"npi":[1649256983]}]}]},{"tin":{"type":"ein","value":"561614999"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":621.00,"npi":[1790736973]}]}]},{"tin":{"type":"ein","value":"561752877"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":972.00,"npi":[1003853409]}]}]},{"tin":{"type":"ein","value":"561763695"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":636.00,"npi":[1235562067,1619758018,1669253274,1922063387,1912071903,1699044669,1043251960,1033770292,1174086441,1225268238]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":992.78,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":186.54,"providers":[{"billed_charge":463.00,"npi":[1396216735]}]},{"allowed_amount":198.29,"providers":[{"billed_charge":463.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"561928809"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":979.00,"npi":[1285952671,1316264195]}]}]},{"tin":{"type":"ein","value":"562028878"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":996.00,"npi":[1609851138]}]}]},{"tin":{"type":"ein","value":"562066152"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":186.54,"providers":[{"billed_charge":705.00,"npi":[1073562757]}]}]},{"tin":{"type":"ein","value":"562119000"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":788.00,"npi":[1831265263]}]}]},{"tin":{"type":"ein","value":"566000403"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":141.26,"providers":[{"billed_charge":376.00,"npi":[1043260474]}]}]},{"tin":{"type":"ein","value":"570341194"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":168.29,"providers":[{"billed_charge":581.00,"npi":[1982604021]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":392.90,"providers":[{"billed_charge":491.13,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"582102607"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":836.00,"providers":[{"billed_charge":1045.00,"npi":[1528098290]}]}]},{"tin":{"type":"ein","value":"582636306"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":1088.00,"providers":[{"billed_charge":1280.00,"npi":[1801965082]}]}]},{"tin":{"type":"ein","value":"591281714"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":206.14,"providers":[{"billed_charge":1010.00,"npi":[1811983752]},{"billed_charge":1243.00,"npi":[1811983752]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":392.70,"providers":[{"billed_charge":462.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"591835473"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":557.00,"providers":[{"billed_charge":1087.45,"npi":[1285686675]}]}]},{"tin":{"type":"ein","value":"593082909"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":399.68,"providers":[{"billed_charge":1261.00,"npi":[1205880853]}]}]},{"tin":{"type":"ein","value":"611262927"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":260.25,"providers":[{"billed_charge":347.00,"npi":[1700803681]}]}]},{"tin":{"type":"ein","value":"611720892"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":1487.00,"npi":[1669808143]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":310.55,"providers":[{"billed_charge":1458.67,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"621130266"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":194.12,"providers":[{"billed_charge":1212.00,"npi":[1427005008]}]},{"allowed_amount":198.29,"providers":[{"billed_charge":1208.00,"npi":[1427005008]}]}]},{"tin":{"type":"ein","value":"621179254"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":328.61,"providers":[{"billed_charge":1101.00,"npi":[1194758979]}]}]},{"tin":{"type":"ein","value":"621266047"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":771.75,"providers":[{"billed_charge":1029.00,"npi":[1356379382]}]},{"allowed_amount":870.75,"providers":[{"billed_charge":1161.00,"npi":[1356379382]}]},{"allowed_amount":873.75,"providers":[{"billed_charge":1165.00,"npi":[1356379382]}]}]},{"tin":{"type":"ein","value":"621795045"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":194.12,"providers":[{"billed_charge":1212.00,"npi":[1053351593]}]}]},{"tin":{"type":"ein","value":"630840996"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":172.43,"providers":[{"billed_charge":605.00,"npi":[1467478628]}]}]},{"tin":{"type":"ein","value":"650622859"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":1138.50,"providers":[{"billed_charge":1518.00,"npi":[1225071459]}]}]},{"tin":{"type":"ein","value":"650622862"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":206.14,"providers":[{"billed_charge":1163.00,"npi":[1073556767]}]}]},{"tin":{"type":"ein","value":"650691102"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":168.29,"providers":[{"billed_charge":1022.00,"npi":[1861430555]},{"billed_charge":1178.00,"npi":[1861430555]},{"billed_charge":1191.00,"npi":[1861430555]},{"billed_charge":1203.00,"npi":[1861430555]}]},{"allowed_amount":185.52,"providers":[{"billed_charge":1178.00,"npi":[1861430555]},{"billed_charge":1183.00,"npi":[1861430555]},{"billed_charge":1198.00,"npi":[1861430555]}]},{"allowed_amount":186.54,"providers":[{"billed_charge":980.00,"npi":[1861430555]},{"billed_charge":1454.00,"npi":[1861430555]}]}]},{"tin":{"type":"ein","value":"752737522"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":196.74,"providers":[{"billed_charge":1085.00,"npi":[1376581900]}]}]},{"tin":{"type":"ein","value":"760729179"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":809.25,"providers":[{"billed_charge":1079.00,"npi":[1568401461]}]}]},{"tin":{"type":"ein","value":"800863895"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":510.88,"providers":[{"billed_charge":601.03,"npi":[1457695488]}]}]},{"tin":{"type":"ein","value":"800886397"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":214.46,"providers":[{"billed_charge":526.00,"npi":[1992333157]}]}]},{"tin":{"type":"ein","value":"811855329"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":1088.00,"providers":[{"billed_charge":1280.00,"npi":[1598126641]}]}]},{"tin":{"type":"ein","value":"813642890"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":168.29,"providers":[{"billed_charge":2392.00,"npi":[1730636168]}]},{"allowed_amount":197.50,"providers":[{"billed_charge":1196.00,"npi":[1730636168]},{"billed_charge":2392.00,"npi":[1730636168]}]}]},{"tin":{"type":"ein","value":"814208255"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":451.00,"providers":[{"billed_charge":1177.00,"npi":[1689116618]}]}]},{"tin":{"type":"ein","value":"815221323"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":194.12,"providers":[{"billed_charge":1487.00,"npi":[1386183028]}]}]},{"tin":{"type":"ein","value":"822031440"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":1487.00,"npi":[1003337528]}]}]},{"tin":{"type":"ein","value":"822768899"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":117.00,"providers":[{"billed_charge":273.00,"npi":[1427567858]}]}]},{"tin":{"type":"ein","value":"823693569"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":322.00,"npi":[1952819575]}]}]},{"tin":{"type":"ein","value":"825271507"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":935.00,"npi":[1053808378]}]}]},{"tin":{"type":"ein","value":"830890937"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":256.42,"providers":[{"billed_charge":1132.00,"npi":[1619463163]}]}]},{"tin":{"type":"ein","value":"832794560"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":198.29,"providers":[{"billed_charge":1280.00,"npi":[1295206464]}]}]},{"tin":{"type":"ein","value":"873517825"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":214.46,"providers":[{"billed_charge":1280.00,"npi":[1124788807]}]}]},{"tin":{"type":"ein","value":"884128022"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":114.50,"providers":[{"billed_charge":335.00,"npi":[1588373872]}]}]},{"tin":{"type":"ein","value":"922099348"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":219.98,"providers":[{"billed_charge":678.00,"npi":[1992402069]}]}]},{"tin":{"type":"ein","value":"922099454"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":206.14,"providers":[{"billed_charge":678.00,"npi":[1043917180]}]},{"allowed_amount":213.85,"providers":[{"billed_charge":678.00,"npi":[1043917180]}]}]},{"tin":{"type":"ein","value":"933393372"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":203.60,"providers":[{"billed_charge":648.00,"npi":[1639956451]}]}]},{"tin":{"type":"ein","value":"991100562"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":197.50,"providers":[{"billed_charge":1024.00,"npi":[1053170605]}]}]}]},{"billing_code":"99284","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"EMERGENCY DEPT VISIT","allowed_amounts":[{"tin":{"type":"ein","value":"010238552"},"billing_class":"institutional","payments":[{"allowed_amount":411.04,"providers":[{"billed_charge":770.70,"npi":[1346299815]}]}]}]},{"billing_code":"99284","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"EMERGENCY DEPT VISIT MOD MDM","allowed_amounts":[{"tin":{"type":"ein","value":"010238552"},"billing_class":"institutional","payments":[{"allowed_amount":411.04,"providers":[{"billed_charge":770.70,"npi":[1346299815]}]}]}]},{"billing_code":"99284","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"EMERGENCY DEPT VISIT","allowed_amounts":[{"tin":{"type":"ein","value":"042104693"},"billing_class":"institutional","payments":[{"allowed_amount":1536.75,"providers":[{"billed_charge":2049.00,"npi":[1396738159]}]}]},{"tin":{"type":"ein","value":"060646554"},"billing_class":"institutional","payments":[{"allowed_amount":1617.05,"providers":[{"billed_charge":1902.41,"npi":[1992910152]}]}]},{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":1159.28,"providers":[{"billed_charge":1935.00,"npi":[1760426969]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":605.81,"providers":[{"billed_charge":1816.50,"npi":[1801803903]}]},{"allowed_amount":624.96,"providers":[{"billed_charge":1816.50,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"132997301"},"billing_class":"institutional","payments":[{"allowed_amount":1610.00,"providers":[{"billed_charge":2300.00,"npi":[1104982917]}]}]},{"tin":{"type":"ein","value":"203391873"},"billing_class":"institutional","payments":[{"allowed_amount":811.77,"providers":[{"billed_charge":4475.00,"npi":[1023061405]}]}]},{"tin":{"type":"ein","value":"208316475"},"billing_class":"institutional","payments":[{"allowed_amount":873.00,"providers":[{"billed_charge":1164.00,"npi":[1225272552]}]}]},{"tin":{"type":"ein","value":"208488713"},"billing_class":"institutional","payments":[{"allowed_amount":250.68,"providers":[{"billed_charge":2451.32,"npi":[1073893020]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":1155.18,"providers":[{"billed_charge":2795.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":217.87,"providers":[{"billed_charge":566.00,"npi":[1326161662]}]},{"allowed_amount":280.06,"providers":[{"billed_charge":566.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"260479484"},"billing_class":"institutional","payments":[{"allowed_amount":792.77,"providers":[{"billed_charge":2570.50,"npi":[1396926747]}]}]},{"tin":{"type":"ein","value":"263734606"},"billing_class":"institutional","payments":[{"allowed_amount":2358.85,"providers":[{"billed_charge":3629.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"274814831"},"billing_class":"institutional","payments":[{"allowed_amount":1162.70,"providers":[{"billed_charge":1661.00,"npi":[1225323983]}]}]},{"tin":{"type":"ein","value":"320441929"},"billing_class":"institutional","payments":[{"allowed_amount":417.77,"providers":[{"billed_charge":1170.62,"npi":[1689780249]}]}]},{"tin":{"type":"ein","value":"340714357"},"billing_class":"institutional","payments":[{"allowed_amount":2136.54,"providers":[{"billed_charge":2249.00,"npi":[1861506560]}]}]},{"tin":{"type":"ein","value":"381459362"},"billing_class":"institutional","payments":[{"allowed_amount":572.45,"providers":[{"billed_charge":2091.00,"npi":[1932396017]}]}]},{"tin":{"type":"ein","value":"384105653"},"billing_class":"institutional","payments":[{"allowed_amount":739.22,"providers":[{"billed_charge":2220.00,"npi":[1326020447]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":1861.50,"providers":[{"billed_charge":2190.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"431343281"},"billing_class":"institutional","payments":[{"allowed_amount":962.55,"providers":[{"billed_charge":1674.00,"npi":[1962572396]}]}]},{"tin":{"type":"ein","value":"453576100"},"billing_class":"institutional","payments":[{"allowed_amount":219.78,"providers":[{"billed_charge":2036.00,"npi":[1306123344]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":431.85,"providers":[{"billed_charge":731.95,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":302.77,"providers":[{"billed_charge":3243.33,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"472762362"},"billing_class":"institutional","payments":[{"allowed_amount":3573.56,"providers":[{"billed_charge":7007.00,"npi":[1487045100]}]}]},{"tin":{"type":"ein","value":"474717998"},"billing_class":"institutional","payments":[{"allowed_amount":440.09,"providers":[{"billed_charge":1150.00,"npi":[1104295864]}]}]},{"tin":{"type":"ein","value":"475259919"},"billing_class":"institutional","payments":[{"allowed_amount":1224.00,"providers":[{"billed_charge":1800.00,"npi":[1033228168]}]}]},{"tin":{"type":"ein","value":"540715569"},"billing_class":"institutional","payments":[{"allowed_amount":514.81,"providers":[{"billed_charge":1774.00,"npi":[1770693939]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":423.41,"providers":[{"billed_charge":2363.55,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"550261260"},"billing_class":"institutional","payments":[{"allowed_amount":1852.15,"providers":[{"billed_charge":2179.00,"npi":[1629015698]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":1624.32,"providers":[{"billed_charge":1728.00,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":338.60,"providers":[{"billed_charge":964.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":481.76,"providers":[{"billed_charge":2941.31,"npi":[1750333282]}]},{"allowed_amount":533.95,"providers":[{"billed_charge":2675.49,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":253.77,"providers":[{"billed_charge":253.77,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"580566200"},"billing_class":"institutional","payments":[{"allowed_amount":1600.00,"providers":[{"billed_charge":2000.00,"npi":[1144203563]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":1440.00,"providers":[{"billed_charge":1800.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"582190713"},"billing_class":"institutional","payments":[{"allowed_amount":3160.12,"providers":[{"billed_charge":4213.50,"npi":[1265486278]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":2261.00,"providers":[{"billed_charge":3230.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590898901"},"billing_class":"institutional","payments":[{"allowed_amount":2457.72,"providers":[{"billed_charge":3511.05,"npi":[1568473015]}]}]},{"tin":{"type":"ein","value":"591713947"},"billing_class":"institutional","payments":[{"allowed_amount":474.05,"providers":[{"billed_charge":1338.00,"npi":[1225033020]}]}]},{"tin":{"type":"ein","value":"591917016"},"billing_class":"institutional","payments":[{"allowed_amount":284.80,"providers":[{"billed_charge":2088.00,"npi":[1437177664]}]}]},{"tin":{"type":"ein","value":"592951990"},"billing_class":"institutional","payments":[{"allowed_amount":1297.34,"providers":[{"billed_charge":1853.34,"npi":[1679678486]}]}]},{"tin":{"type":"ein","value":"596012065"},"billing_class":"institutional","payments":[{"allowed_amount":1890.40,"providers":[{"billed_charge":2363.00,"npi":[1265460232]}]},{"allowed_amount":2027.23,"providers":[{"billed_charge":2534.04,"npi":[1174551147]}]},{"allowed_amount":2072.00,"providers":[{"billed_charge":2590.00,"npi":[1376571323]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":3190.52,"providers":[{"billed_charge":3844.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"610445850"},"billing_class":"institutional","payments":[{"allowed_amount":1310.56,"providers":[{"billed_charge":1706.46,"npi":[1326142498]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":946.73,"providers":[{"billed_charge":2704.96,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"620976863"},"billing_class":"institutional","payments":[{"allowed_amount":3458.63,"providers":[{"billed_charge":6781.65,"npi":[1699721589]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":749.99,"providers":[{"billed_charge":1000.00,"npi":[1528052578]}]},{"allowed_amount":750.00,"providers":[{"billed_charge":1000.00,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":2898.13,"providers":[{"billed_charge":4887.24,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"621762420"},"billing_class":"institutional","payments":[{"allowed_amount":1276.01,"providers":[{"billed_charge":3112.25,"npi":[1528026267]}]}]},{"tin":{"type":"ein","value":"626002604"},"billing_class":"institutional","payments":[{"allowed_amount":325.07,"providers":[{"billed_charge":1503.00,"npi":[1760476659]}]}]},{"tin":{"type":"ein","value":"637346060"},"billing_class":"institutional","payments":[{"allowed_amount":496.63,"providers":[{"billed_charge":3629.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":384.17,"providers":[{"billed_charge":900.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"650252846"},"billing_class":"institutional","payments":[{"allowed_amount":4899.11,"providers":[{"billed_charge":9421.36,"npi":[1417901406]}]}]},{"tin":{"type":"ein","value":"741282696"},"billing_class":"institutional","payments":[{"allowed_amount":1637.49,"providers":[{"billed_charge":3037.00,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"821969974"},"billing_class":"institutional","payments":[{"allowed_amount":2754.85,"providers":[{"billed_charge":3241.00,"npi":[1053824292]}]}]},{"tin":{"type":"ein","value":"822913146"},"billing_class":"institutional","payments":[{"allowed_amount":2182.05,"providers":[{"billed_charge":3357.00,"npi":[1972517365]}]}]},{"tin":{"type":"ein","value":"841321373"},"billing_class":"institutional","payments":[{"allowed_amount":6993.91,"providers":[{"billed_charge":11190.25,"npi":[1659327013]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":1187.55,"providers":[{"billed_charge":1827.00,"npi":[1174512792]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":4268.97,"providers":[{"billed_charge":4401.00,"npi":[1194706655]}]}]},{"tin":{"type":"ein","value":"954176924"},"billing_class":"institutional","payments":[{"allowed_amount":3779.36,"providers":[{"billed_charge":7410.50,"npi":[1992751879]}]}]}]},{"billing_code":"99284","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"EMERGENCY DEPT VISIT MOD MDM","allowed_amounts":[{"tin":{"type":"ein","value":"042104693"},"billing_class":"institutional","payments":[{"allowed_amount":1536.75,"providers":[{"billed_charge":2049.00,"npi":[1396738159]}]}]},{"tin":{"type":"ein","value":"060646554"},"billing_class":"institutional","payments":[{"allowed_amount":1617.05,"providers":[{"billed_charge":1902.41,"npi":[1992910152]}]}]},{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":1159.28,"providers":[{"billed_charge":1935.00,"npi":[1760426969]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":605.81,"providers":[{"billed_charge":1816.50,"npi":[1801803903]}]},{"allowed_amount":624.96,"providers":[{"billed_charge":1816.50,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"132997301"},"billing_class":"institutional","payments":[{"allowed_amount":1610.00,"providers":[{"billed_charge":2300.00,"npi":[1104982917]}]}]},{"tin":{"type":"ein","value":"203391873"},"billing_class":"institutional","payments":[{"allowed_amount":811.77,"providers":[{"billed_charge":4475.00,"npi":[1023061405]}]}]},{"tin":{"type":"ein","value":"208316475"},"billing_class":"institutional","payments":[{"allowed_amount":873.00,"providers":[{"billed_charge":1164.00,"npi":[1225272552]}]}]},{"tin":{"type":"ein","value":"208488713"},"billing_class":"institutional","payments":[{"allowed_amount":250.68,"providers":[{"billed_charge":2451.32,"npi":[1073893020]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":1155.18,"providers":[{"billed_charge":2795.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":217.87,"providers":[{"billed_charge":566.00,"npi":[1326161662]}]},{"allowed_amount":280.06,"providers":[{"billed_charge":566.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"260479484"},"billing_class":"institutional","payments":[{"allowed_amount":792.77,"providers":[{"billed_charge":2570.50,"npi":[1396926747]}]}]},{"tin":{"type":"ein","value":"263734606"},"billing_class":"institutional","payments":[{"allowed_amount":2358.85,"providers":[{"billed_charge":3629.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"274814831"},"billing_class":"institutional","payments":[{"allowed_amount":1162.70,"providers":[{"billed_charge":1661.00,"npi":[1225323983]}]}]},{"tin":{"type":"ein","value":"320441929"},"billing_class":"institutional","payments":[{"allowed_amount":417.77,"providers":[{"billed_charge":1170.62,"npi":[1689780249]}]}]},{"tin":{"type":"ein","value":"340714357"},"billing_class":"institutional","payments":[{"allowed_amount":2136.54,"providers":[{"billed_charge":2249.00,"npi":[1861506560]}]}]},{"tin":{"type":"ein","value":"381459362"},"billing_class":"institutional","payments":[{"allowed_amount":572.45,"providers":[{"billed_charge":2091.00,"npi":[1932396017]}]}]},{"tin":{"type":"ein","value":"384105653"},"billing_class":"institutional","payments":[{"allowed_amount":739.22,"providers":[{"billed_charge":2220.00,"npi":[1326020447]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":1861.50,"providers":[{"billed_charge":2190.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"431343281"},"billing_class":"institutional","payments":[{"allowed_amount":962.55,"providers":[{"billed_charge":1674.00,"npi":[1962572396]}]}]},{"tin":{"type":"ein","value":"453576100"},"billing_class":"institutional","payments":[{"allowed_amount":219.78,"providers":[{"billed_charge":2036.00,"npi":[1306123344]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":431.85,"providers":[{"billed_charge":731.95,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":302.77,"providers":[{"billed_charge":3243.33,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"472762362"},"billing_class":"institutional","payments":[{"allowed_amount":3573.56,"providers":[{"billed_charge":7007.00,"npi":[1487045100]}]}]},{"tin":{"type":"ein","value":"474717998"},"billing_class":"institutional","payments":[{"allowed_amount":440.09,"providers":[{"billed_charge":1150.00,"npi":[1104295864]}]}]},{"tin":{"type":"ein","value":"475259919"},"billing_class":"institutional","payments":[{"allowed_amount":1224.00,"providers":[{"billed_charge":1800.00,"npi":[1033228168]}]}]},{"tin":{"type":"ein","value":"540715569"},"billing_class":"institutional","payments":[{"allowed_amount":514.81,"providers":[{"billed_charge":1774.00,"npi":[1770693939]}]}]},{"tin":{"type":"ein","value":"541172096"},"billing_class":"institutional","payments":[{"allowed_amount":423.41,"providers":[{"billed_charge":2363.55,"npi":[1316997356]}]}]},{"tin":{"type":"ein","value":"550261260"},"billing_class":"institutional","payments":[{"allowed_amount":1852.15,"providers":[{"billed_charge":2179.00,"npi":[1629015698]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":1624.32,"providers":[{"billed_charge":1728.00,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":338.60,"providers":[{"billed_charge":964.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":481.76,"providers":[{"billed_charge":2941.31,"npi":[1750333282]}]},{"allowed_amount":533.95,"providers":[{"billed_charge":2675.49,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":253.77,"providers":[{"billed_charge":253.77,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"580566200"},"billing_class":"institutional","payments":[{"allowed_amount":1600.00,"providers":[{"billed_charge":2000.00,"npi":[1144203563]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":1440.00,"providers":[{"billed_charge":1800.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"582190713"},"billing_class":"institutional","payments":[{"allowed_amount":3160.12,"providers":[{"billed_charge":4213.50,"npi":[1265486278]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":2261.00,"providers":[{"billed_charge":3230.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590898901"},"billing_class":"institutional","payments":[{"allowed_amount":2457.72,"providers":[{"billed_charge":3511.05,"npi":[1568473015]}]}]},{"tin":{"type":"ein","value":"591713947"},"billing_class":"institutional","payments":[{"allowed_amount":474.05,"providers":[{"billed_charge":1338.00,"npi":[1225033020]}]}]},{"tin":{"type":"ein","value":"591917016"},"billing_class":"institutional","payments":[{"allowed_amount":284.80,"providers":[{"billed_charge":2088.00,"npi":[1437177664]}]}]},{"tin":{"type":"ein","value":"592951990"},"billing_class":"institutional","payments":[{"allowed_amount":1297.34,"providers":[{"billed_charge":1853.34,"npi":[1679678486]}]}]},{"tin":{"type":"ein","value":"596012065"},"billing_class":"institutional","payments":[{"allowed_amount":1890.40,"providers":[{"billed_charge":2363.00,"npi":[1265460232]}]},{"allowed_amount":2027.23,"providers":[{"billed_charge":2534.04,"npi":[1174551147]}]},{"allowed_amount":2072.00,"providers":[{"billed_charge":2590.00,"npi":[1376571323]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":3190.52,"providers":[{"billed_charge":3844.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"610445850"},"billing_class":"institutional","payments":[{"allowed_amount":1310.56,"providers":[{"billed_charge":1706.46,"npi":[1326142498]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":946.73,"providers":[{"billed_charge":2704.96,"npi":[1831148253]}]}]},{"tin":{"type":"ein","value":"620976863"},"billing_class":"institutional","payments":[{"allowed_amount":3458.63,"providers":[{"billed_charge":6781.65,"npi":[1699721589]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":749.99,"providers":[{"billed_charge":1000.00,"npi":[1528052578]}]},{"allowed_amount":750.00,"providers":[{"billed_charge":1000.00,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":2898.13,"providers":[{"billed_charge":4887.24,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"621762420"},"billing_class":"institutional","payments":[{"allowed_amount":1276.01,"providers":[{"billed_charge":3112.25,"npi":[1528026267]}]}]},{"tin":{"type":"ein","value":"626002604"},"billing_class":"institutional","payments":[{"allowed_amount":325.07,"providers":[{"billed_charge":1503.00,"npi":[1760476659]}]}]},{"tin":{"type":"ein","value":"637346060"},"billing_class":"institutional","payments":[{"allowed_amount":496.63,"providers":[{"billed_charge":3629.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":384.17,"providers":[{"billed_charge":900.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"650252846"},"billing_class":"institutional","payments":[{"allowed_amount":4899.11,"providers":[{"billed_charge":9421.36,"npi":[1417901406]}]}]},{"tin":{"type":"ein","value":"741282696"},"billing_class":"institutional","payments":[{"allowed_amount":1637.49,"providers":[{"billed_charge":3037.00,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"821969974"},"billing_class":"institutional","payments":[{"allowed_amount":2754.85,"providers":[{"billed_charge":3241.00,"npi":[1053824292]}]}]},{"tin":{"type":"ein","value":"822913146"},"billing_class":"institutional","payments":[{"allowed_amount":2182.05,"providers":[{"billed_charge":3357.00,"npi":[1972517365]}]}]},{"tin":{"type":"ein","value":"841321373"},"billing_class":"institutional","payments":[{"allowed_amount":6993.91,"providers":[{"billed_charge":11190.25,"npi":[1659327013]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":1187.55,"providers":[{"billed_charge":1827.00,"npi":[1174512792]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":4268.97,"providers":[{"billed_charge":4401.00,"npi":[1194706655]}]}]},{"tin":{"type":"ein","value":"954176924"},"billing_class":"institutional","payments":[{"allowed_amount":3779.36,"providers":[{"billed_charge":7410.50,"npi":[1992751879]}]}]}]},{"billing_code":"99285","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Emergency Department Services","description":"EMERGENCY DEPT VISIT HI MDM","allowed_amounts":[{"tin":{"type":"ein","value":"020759583"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":282.97,"providers":[{"billed_charge":1870.00,"npi":[1477508836]}]}]},{"tin":{"type":"ein","value":"050588771"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":552.00,"npi":[1215931589]}]}]},{"tin":{"type":"ein","value":"061450168"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":206.76,"providers":[{"billed_charge":552.00,"npi":[1003882812]}]}]},{"tin":{"type":"ein","value":"202728380"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":1203.00,"npi":[1194781369]}]}]},{"tin":{"type":"ein","value":"205615996"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":270.86,"providers":[{"billed_charge":2026.00,"npi":[1376611962]}]}]},{"tin":{"type":"ein","value":"208817905"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":281.41,"providers":[{"billed_charge":1324.00,"npi":[1487844510]}]}]},{"tin":{"type":"ein","value":"236291113"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":909.50,"providers":[{"billed_charge":1070.00,"npi":[1255382784]}]}]},{"tin":{"type":"ein","value":"240795463"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":338.00,"providers":[{"billed_charge":1067.25,"npi":[1083614382]}]}]},{"tin":{"type":"ein","value":"261378489"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":321.81,"providers":[{"billed_charge":630.00,"npi":[1467612176]}]}]},{"tin":{"type":"ein","value":"263557648"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":304.17,"providers":[{"billed_charge":954.00,"npi":[1609015262]}]}]},{"tin":{"type":"ein","value":"263711283"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":1048.50,"providers":[{"billed_charge":1165.00,"npi":[1518415751]}]}]},{"tin":{"type":"ein","value":"271369141"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":255.28,"providers":[{"billed_charge":1224.00,"npi":[1891534806]}]},{"allowed_amount":257.98,"providers":[{"billed_charge":1224.00,"npi":[1629722129]}]},{"allowed_amount":286.14,"providers":[{"billed_charge":1165.00,"npi":[1912687328]}]},{"allowed_amount":1101.60,"providers":[{"billed_charge":1224.00,"npi":[1659134393,1295442614]}]}]},{"tin":{"type":"ein","value":"311603722"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":265.50,"providers":[{"billed_charge":1831.00,"npi":[1386691780]}]}]},{"tin":{"type":"ein","value":"311713993"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":292.34,"providers":[{"billed_charge":1162.00,"npi":[1598723082]}]}]},{"tin":{"type":"ein","value":"311778412"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":257.98,"providers":[{"billed_charge":342.50,"npi":[1962433177]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":1275.00,"providers":[{"billed_charge":1700.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"352574944"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":673.08,"providers":[{"billed_charge":3522.00,"npi":[1700328663]}]}]},{"tin":{"type":"ein","value":"452450408"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":2194.00,"npi":[1477840791]}]}]},{"tin":{"type":"ein","value":"452955991"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":282.97,"providers":[{"billed_charge":1203.00,"npi":[1053690560]}]}]},{"tin":{"type":"ein","value":"455205723"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":289.24,"providers":[{"billed_charge":2194.00,"npi":[1902165327]}]}]},{"tin":{"type":"ein","value":"460837907"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":1870.00,"npi":[1689923757]}]}]},{"tin":{"type":"ein","value":"461707288"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":292.34,"providers":[{"billed_charge":1650.37,"npi":[1740529700]}]}]},{"tin":{"type":"ein","value":"462439952"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":326.75,"providers":[{"billed_charge":1025.00,"npi":[1598008955]}]}]},{"tin":{"type":"ein","value":"464102898"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":461.05,"providers":[{"billed_charge":1723.00,"npi":[1518398585]}]}]},{"tin":{"type":"ein","value":"464319695"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":1589.50,"providers":[{"billed_charge":1870.00,"npi":[1467873547]}]}]},{"tin":{"type":"ein","value":"464821403"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":586.40,"providers":[{"billed_charge":1650.37,"npi":[1235554692]}]}]},{"tin":{"type":"ein","value":"464837698"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":586.40,"providers":[{"billed_charge":1650.37,"npi":[1043635402]}]}]},{"tin":{"type":"ein","value":"471218147"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":1795.00,"npi":[1518374800]}]}]},{"tin":{"type":"ein","value":"471497384"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":575.74,"providers":[{"billed_charge":647.00,"npi":[1174927974,1164800314]}]}]},{"tin":{"type":"ein","value":"475273455"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.57,"providers":[{"billed_charge":1255.00,"npi":[1134590318]}]}]},{"tin":{"type":"ein","value":"475339746"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":289.24,"providers":[{"billed_charge":611.00,"npi":[1164954715]}]}]},{"tin":{"type":"ein","value":"530196580"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":281.24,"providers":[{"billed_charge":585.00,"npi":[1093972960]}]}]},{"tin":{"type":"ein","value":"540506332"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":257.98,"providers":[{"billed_charge":600.00,"npi":[1730123472]}]}]},{"tin":{"type":"ein","value":"540958905"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":266.94,"providers":[{"billed_charge":709.00,"npi":[1710991153]}]}]},{"tin":{"type":"ein","value":"541845877"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":266.94,"providers":[{"billed_charge":1233.00,"npi":[1225079650]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":325.08,"providers":[{"billed_charge":479.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":282.97,"providers":[{"billed_charge":1581.53,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"560941982"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":959.00,"npi":[1649256983]}]}]},{"tin":{"type":"ein","value":"561614999"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":902.00,"npi":[1790736973]}]}]},{"tin":{"type":"ein","value":"561752877"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":1518.00,"npi":[1003853409]}]}]},{"tin":{"type":"ein","value":"561763695"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":938.00,"npi":[1235562067,1619758018,1669253274,1922063387,1912071903,1699044669,1043492853,1033770292,1174086441,1225268238]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":204.71,"providers":[{"billed_charge":683.00,"npi":[1396216735]}]},{"allowed_amount":212.76,"providers":[{"billed_charge":683.00,"npi":[1396216735]}]},{"allowed_amount":279.33,"providers":[{"billed_charge":683.00,"npi":[1396216735]}]},{"allowed_amount":282.97,"providers":[{"billed_charge":683.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"561919741"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":394.42,"providers":[{"billed_charge":2206.00,"npi":[1215239595]}]}]},{"tin":{"type":"ein","value":"561928809"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":1529.00,"npi":[1285952671,1316264195]}]}]},{"tin":{"type":"ein","value":"562028878"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":1446.00,"npi":[1609851138]}]}]},{"tin":{"type":"ein","value":"562066152"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":282.97,"providers":[{"billed_charge":1026.00,"npi":[1073562757]}]}]},{"tin":{"type":"ein","value":"562075806"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":1555.63,"npi":[1164462586]}]}]},{"tin":{"type":"ein","value":"562119000"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":1152.00,"npi":[1831265263]}]}]},{"tin":{"type":"ein","value":"570341194"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":255.28,"providers":[{"billed_charge":910.00,"npi":[1982604021]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":571.81,"providers":[{"billed_charge":714.76,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"591281714"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":261.10,"providers":[{"billed_charge":1469.00,"npi":[1811983752]},{"billed_charge":1835.00,"npi":[1811983752]}]}]},{"tin":{"type":"ein","value":"593474034"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":261.10,"providers":[{"billed_charge":1608.00,"npi":[1326033341]},{"billed_charge":1688.00,"npi":[1326033341]}]}]},{"tin":{"type":"ein","value":"611329886"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":287.43,"providers":[{"billed_charge":2194.00,"npi":[1538109962]}]}]},{"tin":{"type":"ein","value":"611720892"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":2194.00,"npi":[1669808143]}]}]},{"tin":{"type":"ein","value":"621130266"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":257.98,"providers":[{"billed_charge":1418.00,"npi":[1427005008]},{"billed_charge":1545.00,"npi":[1427005008]},{"billed_charge":1752.00,"npi":[1427005008]},{"billed_charge":1771.00,"npi":[1427005008]}]},{"allowed_amount":279.33,"providers":[{"billed_charge":1565.00,"npi":[1427005008]},{"billed_charge":1742.00,"npi":[1427005008]}]},{"allowed_amount":1173.00,"providers":[{"billed_charge":1564.00,"npi":[1427005008]}]}]},{"tin":{"type":"ein","value":"621179254"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":477.29,"providers":[{"billed_charge":1664.00,"npi":[1194758979]}]}]},{"tin":{"type":"ein","value":"621795045"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":293.73,"providers":[{"billed_charge":1724.00,"npi":[1053351593]}]}]},{"tin":{"type":"ein","value":"640726501"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":225.00,"providers":[{"billed_charge":1059.00,"npi":[1093112039]}]}]},{"tin":{"type":"ein","value":"650622862"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":261.10,"providers":[{"billed_charge":2254.00,"npi":[1073556767]}]}]},{"tin":{"type":"ein","value":"650691102"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":255.28,"providers":[{"billed_charge":1376.00,"npi":[1861430555]},{"billed_charge":1718.00,"npi":[1861430555]},{"billed_charge":1726.00,"npi":[1861430555]}]},{"allowed_amount":281.41,"providers":[{"billed_charge":1718.00,"npi":[1861430555]},{"billed_charge":1738.00,"npi":[1861430555]}]},{"allowed_amount":282.97,"providers":[{"billed_charge":1423.00,"npi":[1861430555]},{"billed_charge":1892.00,"npi":[1861430555]}]},{"allowed_amount":1201.50,"providers":[{"billed_charge":1602.00,"npi":[1861430555]}]}]},{"tin":{"type":"ein","value":"731321032"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":294.13,"providers":[{"billed_charge":517.00,"npi":[1336194406]}]}]},{"tin":{"type":"ein","value":"752807737"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":317.95,"providers":[{"billed_charge":1888.00,"npi":[1184795874]}]}]},{"tin":{"type":"ein","value":"752903508"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":1430.40,"providers":[{"billed_charge":1788.00,"npi":[1508886912]}]}]},{"tin":{"type":"ein","value":"756002868"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":392.50,"providers":[{"billed_charge":608.00,"npi":[1750351375]}]}]},{"tin":{"type":"ein","value":"800886397"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":325.31,"providers":[{"billed_charge":935.00,"npi":[1154630820]}]}]},{"tin":{"type":"ein","value":"813642890"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":250.17,"providers":[{"billed_charge":3522.00,"npi":[1730636168]}]},{"allowed_amount":255.28,"providers":[{"billed_charge":3522.00,"npi":[1730636168]}]}]},{"tin":{"type":"ein","value":"814208255"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":660.00,"providers":[{"billed_charge":1839.00,"npi":[1689116618]}]}]},{"tin":{"type":"ein","value":"815117929"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":1589.50,"providers":[{"billed_charge":1870.00,"npi":[1710424882]}]}]},{"tin":{"type":"ein","value":"815221323"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":257.98,"providers":[{"billed_charge":2194.00,"npi":[1386183028]}]},{"allowed_amount":274.09,"providers":[{"billed_charge":2194.00,"npi":[1386183028]}]}]},{"tin":{"type":"ein","value":"815256430"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":244.52,"providers":[{"billed_charge":2194.00,"npi":[1063950046]}]}]},{"tin":{"type":"ein","value":"821870027"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":190.88,"providers":[{"billed_charge":1020.00,"npi":[1316467525]}]}]},{"tin":{"type":"ein","value":"822031440"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":2194.00,"npi":[1003337528]}]}]},{"tin":{"type":"ein","value":"823693569"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":472.00,"npi":[1952819575]}]}]},{"tin":{"type":"ein","value":"825271507"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":1400.00,"npi":[1053808378]}]}]},{"tin":{"type":"ein","value":"831132382"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":272.76,"providers":[{"billed_charge":2194.00,"npi":[1437629342]}]}]},{"tin":{"type":"ein","value":"832778483"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":1870.00,"npi":[1093286379]}]}]},{"tin":{"type":"ein","value":"832794560"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":279.33,"providers":[{"billed_charge":1870.00,"npi":[1295206464]}]}]},{"tin":{"type":"ein","value":"833563831"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":253.48,"providers":[{"billed_charge":2194.00,"npi":[1205458189]}]}]},{"tin":{"type":"ein","value":"844504483"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":306.08,"providers":[{"billed_charge":1136.00,"npi":[1295363497]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":1249.25,"providers":[{"billed_charge":1315.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"870629690"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":481.08,"providers":[{"billed_charge":1272.00,"npi":[1578598199]}]}]},{"tin":{"type":"ein","value":"872249377"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":376.84,"providers":[{"billed_charge":996.00,"npi":[1235808122]}]}]},{"tin":{"type":"ein","value":"911753075"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":1102.45,"providers":[{"billed_charge":1297.00,"npi":[1235172370]}]}]},{"tin":{"type":"ein","value":"922099126"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":304.17,"providers":[{"billed_charge":984.00,"npi":[1386341444]}]}]},{"tin":{"type":"ein","value":"932543044"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":255.28,"providers":[{"billed_charge":2861.00,"npi":[1821779695]}]}]},{"tin":{"type":"ein","value":"942494000"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":1101.60,"providers":[{"billed_charge":1224.00,"npi":[1982078150]}]}]}]},{"billing_code":"99285","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"EMERGENCY DEPT VISIT","allowed_amounts":[{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":259.77,"providers":[{"billed_charge":525.00,"npi":[1326161662]}]}]}]},{"billing_code":"99285","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"EMERGENCY DEPT VISIT HI MDM","allowed_amounts":[{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":259.77,"providers":[{"billed_charge":525.00,"npi":[1326161662]}]}]}]},{"billing_code":"99285","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"EMERGENCY DEPT VISIT","allowed_amounts":[{"tin":{"type":"ein","value":"030179418"},"billing_class":"institutional","payments":[{"allowed_amount":1227.63,"providers":[{"billed_charge":1292.24,"npi":[1730199647]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":821.25,"providers":[{"billed_charge":1832.24,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"160743032"},"billing_class":"institutional","payments":[{"allowed_amount":719.34,"providers":[{"billed_charge":1835.97,"npi":[1952418352]}]}]},{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":876.00,"providers":[{"billed_charge":1900.00,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":949.26,"providers":[{"billed_charge":3592.47,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"231352204"},"billing_class":"institutional","payments":[{"allowed_amount":2287.67,"providers":[{"billed_charge":2971.00,"npi":[1669530069]}]}]},{"tin":{"type":"ein","value":"232973511"},"billing_class":"institutional","payments":[{"allowed_amount":4428.20,"providers":[{"billed_charge":6326.00,"npi":[1417947490]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":364.24,"providers":[{"billed_charge":1000.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"240862246"},"billing_class":"institutional","payments":[{"allowed_amount":318.42,"providers":[{"billed_charge":5186.00,"npi":[1366444507]}]}]},{"tin":{"type":"ein","value":"250965480"},"billing_class":"institutional","payments":[{"allowed_amount":3997.00,"providers":[{"billed_charge":5710.00,"npi":[1821007881]}]}]},{"tin":{"type":"ein","value":"272844563"},"billing_class":"institutional","payments":[{"allowed_amount":2584.32,"providers":[{"billed_charge":5384.00,"npi":[1922310200]}]}]},{"tin":{"type":"ein","value":"351814660"},"billing_class":"institutional","payments":[{"allowed_amount":4250.59,"providers":[{"billed_charge":4914.00,"npi":[1063443455]}]}]},{"tin":{"type":"ein","value":"352528741"},"billing_class":"institutional","payments":[{"allowed_amount":496.28,"providers":[{"billed_charge":4125.00,"npi":[1396882205]}]}]},{"tin":{"type":"ein","value":"362179813"},"billing_class":"institutional","payments":[{"allowed_amount":897.14,"providers":[{"billed_charge":3872.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"370647938"},"billing_class":"institutional","payments":[{"allowed_amount":5019.23,"providers":[{"billed_charge":5905.00,"npi":[1114935681]}]}]},{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":498.66,"providers":[{"billed_charge":1739.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":494.61,"providers":[{"billed_charge":4727.70,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":1988.28,"providers":[{"billed_charge":2209.20,"npi":[1922487966]}]}]},{"tin":{"type":"ein","value":"540853898"},"billing_class":"institutional","payments":[{"allowed_amount":551.41,"providers":[{"billed_charge":2867.00,"npi":[1548366404]}]}]},{"tin":{"type":"ein","value":"550525724"},"billing_class":"institutional","payments":[{"allowed_amount":1765.10,"providers":[{"billed_charge":1858.00,"npi":[1184606600]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":714.34,"providers":[{"billed_charge":3801.63,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":749.59,"providers":[{"billed_charge":3173.83,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"580566200"},"billing_class":"institutional","payments":[{"allowed_amount":2000.00,"providers":[{"billed_charge":2500.00,"npi":[1144203563]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":2000.00,"providers":[{"billed_charge":2500.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580566257"},"billing_class":"institutional","payments":[{"allowed_amount":1920.00,"providers":[{"billed_charge":2400.00,"npi":[1679664395]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":537.14,"providers":[{"billed_charge":2215.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"580572412"},"billing_class":"institutional","payments":[{"allowed_amount":1643.44,"providers":[{"billed_charge":2189.50,"npi":[1689744450]}]}]},{"tin":{"type":"ein","value":"590566256"},"billing_class":"institutional","payments":[{"allowed_amount":2000.00,"providers":[{"billed_charge":2500.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":4142.90,"providers":[{"billed_charge":4874.00,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":4036.19,"providers":[{"billed_charge":5766.00,"npi":[1306938071]}]},{"allowed_amount":4036.20,"providers":[{"billed_charge":5766.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":3751.20,"providers":[{"billed_charge":4689.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"591006663"},"billing_class":"institutional","payments":[{"allowed_amount":657.12,"providers":[{"billed_charge":2348.00,"npi":[1902826779]}]}]},{"tin":{"type":"ein","value":"593458145"},"billing_class":"institutional","payments":[{"allowed_amount":2825.20,"providers":[{"billed_charge":4036.00,"npi":[1235196510]}]}]},{"tin":{"type":"ein","value":"593650609"},"billing_class":"institutional","payments":[{"allowed_amount":1372.14,"providers":[{"billed_charge":3279.50,"npi":[1861078651]}]}]},{"tin":{"type":"ein","value":"611334601"},"billing_class":"institutional","payments":[{"allowed_amount":2444.80,"providers":[{"billed_charge":3056.00,"npi":[1992701429]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":858.00,"providers":[{"billed_charge":1144.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":691.76,"providers":[{"billed_charge":2867.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"721529708"},"billing_class":"institutional","payments":[{"allowed_amount":1980.71,"providers":[{"billed_charge":3830.00,"npi":[1558391771]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":4313.76,"providers":[{"billed_charge":4902.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":3973.11,"providers":[{"billed_charge":5297.50,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"741498067"},"billing_class":"institutional","payments":[{"allowed_amount":1497.60,"providers":[{"billed_charge":1872.00,"npi":[1023011657]}]}]},{"tin":{"type":"ein","value":"800764192"},"billing_class":"institutional","payments":[{"allowed_amount":5183.73,"providers":[{"billed_charge":7101.00,"npi":[1033475959]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":571.30,"providers":[{"billed_charge":3833.00,"npi":[1639797913]}]},{"allowed_amount":583.57,"providers":[{"billed_charge":3833.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":3642.29,"providers":[{"billed_charge":3834.00,"npi":[1154392231]}]},{"allowed_amount":3642.30,"providers":[{"billed_charge":3834.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"882288563"},"billing_class":"institutional","payments":[{"allowed_amount":2064.97,"providers":[{"billed_charge":2949.96,"npi":[1861102345]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":4868.45,"providers":[{"billed_charge":6743.00,"npi":[1407637531]}]}]}]},{"billing_code":"99285","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"EMERGENCY DEPT VISIT HI MDM","allowed_amounts":[{"tin":{"type":"ein","value":"030179418"},"billing_class":"institutional","payments":[{"allowed_amount":1227.63,"providers":[{"billed_charge":1292.24,"npi":[1730199647]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":821.25,"providers":[{"billed_charge":1832.24,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"160743032"},"billing_class":"institutional","payments":[{"allowed_amount":719.34,"providers":[{"billed_charge":1835.97,"npi":[1952418352]}]}]},{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":876.00,"providers":[{"billed_charge":1900.00,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":949.26,"providers":[{"billed_charge":3592.47,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"231352204"},"billing_class":"institutional","payments":[{"allowed_amount":2287.67,"providers":[{"billed_charge":2971.00,"npi":[1669530069]}]}]},{"tin":{"type":"ein","value":"232973511"},"billing_class":"institutional","payments":[{"allowed_amount":4428.20,"providers":[{"billed_charge":6326.00,"npi":[1417947490]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":364.24,"providers":[{"billed_charge":1000.00,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"240862246"},"billing_class":"institutional","payments":[{"allowed_amount":318.42,"providers":[{"billed_charge":5186.00,"npi":[1366444507]}]}]},{"tin":{"type":"ein","value":"250965480"},"billing_class":"institutional","payments":[{"allowed_amount":3997.00,"providers":[{"billed_charge":5710.00,"npi":[1821007881]}]}]},{"tin":{"type":"ein","value":"272844563"},"billing_class":"institutional","payments":[{"allowed_amount":2584.32,"providers":[{"billed_charge":5384.00,"npi":[1922310200]}]}]},{"tin":{"type":"ein","value":"351814660"},"billing_class":"institutional","payments":[{"allowed_amount":4250.59,"providers":[{"billed_charge":4914.00,"npi":[1063443455]}]}]},{"tin":{"type":"ein","value":"352528741"},"billing_class":"institutional","payments":[{"allowed_amount":496.28,"providers":[{"billed_charge":4125.00,"npi":[1396882205]}]}]},{"tin":{"type":"ein","value":"362179813"},"billing_class":"institutional","payments":[{"allowed_amount":897.14,"providers":[{"billed_charge":3872.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"370647938"},"billing_class":"institutional","payments":[{"allowed_amount":5019.23,"providers":[{"billed_charge":5905.00,"npi":[1114935681]}]}]},{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":498.66,"providers":[{"billed_charge":1739.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":494.61,"providers":[{"billed_charge":4727.70,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":1988.28,"providers":[{"billed_charge":2209.20,"npi":[1922487966]}]}]},{"tin":{"type":"ein","value":"540853898"},"billing_class":"institutional","payments":[{"allowed_amount":551.41,"providers":[{"billed_charge":2867.00,"npi":[1548366404]}]}]},{"tin":{"type":"ein","value":"550525724"},"billing_class":"institutional","payments":[{"allowed_amount":1765.10,"providers":[{"billed_charge":1858.00,"npi":[1184606600]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":714.34,"providers":[{"billed_charge":3801.63,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":749.59,"providers":[{"billed_charge":3173.83,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"580566200"},"billing_class":"institutional","payments":[{"allowed_amount":2000.00,"providers":[{"billed_charge":2500.00,"npi":[1144203563]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":2000.00,"providers":[{"billed_charge":2500.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580566257"},"billing_class":"institutional","payments":[{"allowed_amount":1920.00,"providers":[{"billed_charge":2400.00,"npi":[1679664395]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":537.14,"providers":[{"billed_charge":2215.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"580572412"},"billing_class":"institutional","payments":[{"allowed_amount":1643.44,"providers":[{"billed_charge":2189.50,"npi":[1689744450]}]}]},{"tin":{"type":"ein","value":"590566256"},"billing_class":"institutional","payments":[{"allowed_amount":2000.00,"providers":[{"billed_charge":2500.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":4142.90,"providers":[{"billed_charge":4874.00,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":4036.19,"providers":[{"billed_charge":5766.00,"npi":[1306938071]}]},{"allowed_amount":4036.20,"providers":[{"billed_charge":5766.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":3751.20,"providers":[{"billed_charge":4689.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"591006663"},"billing_class":"institutional","payments":[{"allowed_amount":657.12,"providers":[{"billed_charge":2348.00,"npi":[1902826779]}]}]},{"tin":{"type":"ein","value":"593458145"},"billing_class":"institutional","payments":[{"allowed_amount":2825.20,"providers":[{"billed_charge":4036.00,"npi":[1235196510]}]}]},{"tin":{"type":"ein","value":"593650609"},"billing_class":"institutional","payments":[{"allowed_amount":1372.14,"providers":[{"billed_charge":3279.50,"npi":[1861078651]}]}]},{"tin":{"type":"ein","value":"611334601"},"billing_class":"institutional","payments":[{"allowed_amount":2444.80,"providers":[{"billed_charge":3056.00,"npi":[1992701429]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":858.00,"providers":[{"billed_charge":1144.00,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":691.76,"providers":[{"billed_charge":2867.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"721529708"},"billing_class":"institutional","payments":[{"allowed_amount":1980.71,"providers":[{"billed_charge":3830.00,"npi":[1558391771]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":4313.76,"providers":[{"billed_charge":4902.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":3973.11,"providers":[{"billed_charge":5297.50,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"741498067"},"billing_class":"institutional","payments":[{"allowed_amount":1497.60,"providers":[{"billed_charge":1872.00,"npi":[1023011657]}]}]},{"tin":{"type":"ein","value":"800764192"},"billing_class":"institutional","payments":[{"allowed_amount":5183.73,"providers":[{"billed_charge":7101.00,"npi":[1033475959]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":571.30,"providers":[{"billed_charge":3833.00,"npi":[1639797913]}]},{"allowed_amount":583.57,"providers":[{"billed_charge":3833.00,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":3642.29,"providers":[{"billed_charge":3834.00,"npi":[1154392231]}]},{"allowed_amount":3642.30,"providers":[{"billed_charge":3834.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"882288563"},"billing_class":"institutional","payments":[{"allowed_amount":2064.97,"providers":[{"billed_charge":2949.96,"npi":[1861102345]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":4868.45,"providers":[{"billed_charge":6743.00,"npi":[1407637531]}]}]}]},{"billing_code":"99291","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"CRITICAL CARE FIRST HOUR","allowed_amounts":[{"tin":{"type":"ein","value":"030219309"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":685.10,"providers":[{"billed_charge":806.00,"npi":[1659309615]}]}]},{"tin":{"type":"ein","value":"050588771"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":217.17,"providers":[{"billed_charge":640.00,"npi":[1215931589]}]}]},{"tin":{"type":"ein","value":"202728271"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":217.17,"providers":[{"billed_charge":1538.00,"npi":[1023074580]}]}]},{"tin":{"type":"ein","value":"202728380"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":217.17,"providers":[{"billed_charge":1538.00,"npi":[1194781369]}]}]},{"tin":{"type":"ein","value":"263094596"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":783.00,"providers":[{"billed_charge":870.00,"npi":[1336390020]}]}]},{"tin":{"type":"ein","value":"264592192"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":217.17,"providers":[{"billed_charge":406.00,"npi":[1942443130]}]}]},{"tin":{"type":"ein","value":"311626179"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":207.77,"providers":[{"billed_charge":515.00,"npi":[1396458493]}]}]},{"tin":{"type":"ein","value":"462439952"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":413.41,"providers":[{"billed_charge":1350.00,"npi":[1598008955]}]}]},{"tin":{"type":"ein","value":"462964946"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":250.39,"providers":[{"billed_charge":550.00,"npi":[1760940167]}]}]},{"tin":{"type":"ein","value":"475329008"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":216.56,"providers":[{"billed_charge":778.00,"npi":[1881127942]}]}]},{"tin":{"type":"ein","value":"522437147"},"billing_class":"professional","service_code":["21","23"],"payments":[{"allowed_amount":223.55,"providers":[{"billed_charge":2688.00,"npi":[1295846426]},{"billed_charge":2688.00,"npi":[1295846426]}]}]},{"tin":{"type":"ein","value":"540526857"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":82.65,"providers":[{"billed_charge":82.65,"npi":[1255380697]}]}]},{"tin":{"type":"ein","value":"540958905"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":221.96,"providers":[{"billed_charge":912.00,"npi":[1710991153]}]}]},{"tin":{"type":"ein","value":"550675666"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":293.82,"providers":[{"billed_charge":582.47,"npi":[1073518007]}]}]},{"tin":{"type":"ein","value":"560941982"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":217.17,"providers":[{"billed_charge":1171.00,"npi":[1649256983]}]}]},{"tin":{"type":"ein","value":"561398929"},"billing_class":"professional","service_code":["21","23"],"payments":[{"allowed_amount":216.39,"providers":[{"billed_charge":962.00,"npi":[1699979732]},{"billed_charge":962.00,"npi":[1699979732]}]}]},{"tin":{"type":"ein","value":"561614999"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":217.17,"providers":[{"billed_charge":1153.00,"npi":[1790736973]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":229.80,"providers":[{"billed_charge":962.00,"npi":[1598017212]}]}]},{"tin":{"type":"ein","value":"561763695"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":217.17,"providers":[{"billed_charge":1205.00,"npi":[1619758018,1922063387,1912071903,1033770292]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":216.39,"providers":[{"billed_charge":877.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"561928809"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":217.17,"providers":[{"billed_charge":1682.00,"npi":[1285952671,1316264195]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":217.17,"providers":[{"billed_charge":677.40,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"562066152"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":216.39,"providers":[{"billed_charge":1240.00,"npi":[1073562757]}]}]},{"tin":{"type":"ein","value":"562075806"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":217.17,"providers":[{"billed_charge":2006.44,"npi":[1164462586]}]}]},{"tin":{"type":"ein","value":"591281714"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":232.15,"providers":[{"billed_charge":2227.00,"npi":[1811983752]}]}]},{"tin":{"type":"ein","value":"650691102"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":216.39,"providers":[{"billed_charge":1785.00,"npi":[1861430555]},{"billed_charge":2161.00,"npi":[1861430555]}]}]},{"tin":{"type":"ein","value":"822031440"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":217.17,"providers":[{"billed_charge":2825.00,"npi":[1003337528]}]}]},{"tin":{"type":"ein","value":"823551399"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":654.21,"providers":[{"billed_charge":762.00,"npi":[1699290510]}]}]},{"tin":{"type":"ein","value":"862411778"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":217.17,"providers":[{"billed_charge":1318.00,"npi":[1275128944]}]}]},{"tin":{"type":"ein","value":"920917809"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":217.17,"providers":[{"billed_charge":2006.44,"npi":[1437869302]}]}]},{"tin":{"type":"ein","value":"931951132"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":217.17,"providers":[{"billed_charge":300.00,"npi":[1932886249]}]}]}]},{"billing_code":"99291","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"CRITICAL CARE FIRST HOUR","allowed_amounts":[{"tin":{"type":"ein","value":"640524079"},"billing_class":"institutional","payments":[{"allowed_amount":682.85,"providers":[{"billed_charge":1936.00,"npi":[1154310514]}]}]}]},{"billing_code":"99292","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"CRITICAL CARE ADDL 30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"264592192"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":240.68,"providers":[{"billed_charge":410.00,"npi":[1942443130]}]}]},{"tin":{"type":"ein","value":"522437147"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":124.64,"providers":[{"billed_charge":1922.00,"npi":[1295846426]}]}]},{"tin":{"type":"ein","value":"561763695"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":120.34,"providers":[{"billed_charge":604.00,"npi":[1912071903]}]}]},{"tin":{"type":"ein","value":"561903275"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":120.34,"providers":[{"billed_charge":439.00,"npi":[1396216735]}]}]},{"tin":{"type":"ein","value":"920917809"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":120.34,"providers":[{"billed_charge":1006.39,"npi":[1437869302]}]}]}]},{"billing_code":"99304","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"1ST NF CARE SF/LOW MDM 25","allowed_amounts":[{"tin":{"type":"ein","value":"830572730"},"billing_class":"professional","service_code":["32"],"payments":[{"allowed_amount":47.35,"providers":[{"billed_charge":78.92,"npi":[1073003752]}]}]}]},{"billing_code":"99305","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"1ST NF CARE MODERATE MDM 35","allowed_amounts":[{"tin":{"type":"ein","value":"862635031"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":180.88,"providers":[{"billed_charge":208.00,"npi":[1437736881]}]}]}]},{"billing_code":"99306","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"1ST NF CARE HIGH MDM 50 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"201975148"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":256.29,"providers":[{"billed_charge":612.00,"npi":[1669422846]}]}]},{"tin":{"type":"ein","value":"352714760"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":258.35,"providers":[{"billed_charge":485.00,"npi":[1801478086]}]}]},{"tin":{"type":"ein","value":"472494141"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":237.04,"providers":[{"billed_charge":375.00,"npi":[1750789236]}]}]},{"tin":{"type":"ein","value":"571114139"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":119.90,"providers":[{"billed_charge":171.28,"npi":[1235263534]}]}]}]},{"billing_code":"99307","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"SBSQ NF CARE SF MDM 10","allowed_amounts":[{"tin":{"type":"ein","value":"464167838"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":59.75,"providers":[{"billed_charge":70.00,"npi":[1114917770]}]}]}]},{"billing_code":"99308","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"SBSQ NF CARE LOW MDM 20","allowed_amounts":[{"tin":{"type":"ein","value":"464167838"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":107.79,"providers":[{"billed_charge":110.00,"npi":[1114917770]}]}]},{"tin":{"type":"ein","value":"472494141"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":104.68,"providers":[{"billed_charge":155.00,"npi":[1750789236]}]}]},{"tin":{"type":"ein","value":"571114139"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":48.85,"providers":[{"billed_charge":69.79,"npi":[1235263534]}]}]},{"tin":{"type":"ein","value":"825286393"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":49.50,"providers":[{"billed_charge":99.00,"npi":[1295124774]}]}]}]},{"billing_code":"99309","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"SBSQ NF CARE MODERATE MDM 30","allowed_amounts":[{"tin":{"type":"ein","value":"201975148"},"billing_class":"professional","service_code":["31","32"],"payments":[{"allowed_amount":146.16,"providers":[{"billed_charge":335.00,"npi":[1669422846]},{"billed_charge":352.00,"npi":[1669422846]},{"billed_charge":335.00,"npi":[1669422846]}]}]},{"tin":{"type":"ein","value":"571114139"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":70.72,"providers":[{"billed_charge":101.03,"npi":[1235263534]}]}]},{"tin":{"type":"ein","value":"825286393"},"billing_class":"professional","service_code":["32"],"payments":[{"allowed_amount":72.00,"providers":[{"billed_charge":144.00,"npi":[1104224021,1548759392]}]}]}]},{"billing_code":"99310","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"SBSQ NF CARE HIGH MDM 45","allowed_amounts":[{"tin":{"type":"ein","value":"201975148"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":198.65,"providers":[{"billed_charge":497.00,"npi":[1669422846]}]}]}]},{"billing_code":"99315","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"NF DSCHRG MGMT 30 MIN/LESS","allowed_amounts":[{"tin":{"type":"ein","value":"464167838"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":114.16,"providers":[{"billed_charge":144.00,"npi":[1114917770]}]}]}]},{"billing_code":"99316","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"NF DSCHRG MGMT 30 MIN+","allowed_amounts":[{"tin":{"type":"ein","value":"201975148"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":169.54,"providers":[{"billed_charge":386.00,"npi":[1669422846]}]}]},{"tin":{"type":"ein","value":"571114139"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":86.23,"providers":[{"billed_charge":123.18,"npi":[1235263534]}]}]}]},{"billing_code":"99347","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"HOME/RES VST EST SF MDM 20","allowed_amounts":[{"tin":{"type":"ein","value":"581343313"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":42.90,"providers":[{"billed_charge":85.38,"npi":[1730367467]}]}]}]},{"billing_code":"99349","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"HOME/RES VST EST MOD MDM 40","allowed_amounts":[{"tin":{"type":"ein","value":"561376577"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":77.42,"providers":[{"billed_charge":103.22,"npi":[1336243997]}]}]}]},{"billing_code":"99366","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"TEAM CONF W/PAT BY HC PROF","allowed_amounts":[{"tin":{"type":"ein","value":"570526943"},"billing_class":"professional","service_code":["57"],"payments":[{"allowed_amount":42.00,"providers":[{"billed_charge":46.00,"npi":[1255334009]}]}]}]},{"billing_code":"99381","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"INIT PM E/M NEW PAT INFANT","allowed_amounts":[{"tin":{"type":"ein","value":"270898372"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":95.01,"providers":[{"billed_charge":221.00,"npi":[1174808216]}]}]},{"tin":{"type":"ein","value":"562000200"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.75,"providers":[{"billed_charge":211.00,"npi":[1437187010]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.15,"providers":[{"billed_charge":274.00,"npi":[1619443827]}]}]}]},{"billing_code":"99383","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PREV VISIT NEW AGE 5-11","allowed_amounts":[{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":114.29,"providers":[{"billed_charge":188.00,"npi":[1124102595]}]}]}]},{"billing_code":"99384","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PREV VISIT NEW AGE 12-17","allowed_amounts":[{"tin":{"type":"ein","value":"453007639"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.83,"providers":[{"billed_charge":294.00,"npi":[1619258225]}]}]},{"tin":{"type":"ein","value":"561175704"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.05,"providers":[{"billed_charge":170.00,"npi":[1477510659]}]}]},{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":124.41,"providers":[{"billed_charge":212.00,"npi":[1124102595]}]}]}]},{"billing_code":"99385","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PREV VISIT NEW AGE 18-39","allowed_amounts":[{"tin":{"type":"ein","value":"141338547"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.40,"providers":[{"billed_charge":387.00,"npi":[1881924322]}]}]},{"tin":{"type":"ein","value":"203087196"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":161.94,"providers":[{"billed_charge":345.00,"npi":[1497783229]}]}]},{"tin":{"type":"ein","value":"262072378"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":156.08,"providers":[{"billed_charge":230.00,"npi":[1962923433]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.65,"providers":[{"billed_charge":355.54,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"461591855"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":116.39,"providers":[{"billed_charge":372.00,"npi":[1811239627]}]}]},{"tin":{"type":"ein","value":"541820401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":124.92,"providers":[{"billed_charge":399.00,"npi":[1699365072]}]}]},{"tin":{"type":"ein","value":"541849891"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":116.39,"providers":[{"billed_charge":330.00,"npi":[1588311492]}]}]},{"tin":{"type":"ein","value":"561752222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":124.73,"providers":[{"billed_charge":264.00,"npi":[1386605608]}]}]},{"tin":{"type":"ein","value":"581136296"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":152.46,"providers":[{"billed_charge":255.00,"npi":[1750314183]}]}]},{"tin":{"type":"ein","value":"581958398"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":124.73,"providers":[{"billed_charge":285.60,"npi":[1215932215]}]}]},{"tin":{"type":"ein","value":"582422542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":257.00,"providers":[{"billed_charge":500.00,"npi":[1174501902]}]}]},{"tin":{"type":"ein","value":"593110868"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":268.80,"providers":[{"billed_charge":384.00,"npi":[1568693554]}]}]},{"tin":{"type":"ein","value":"680638255"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.78,"providers":[{"billed_charge":324.00,"npi":[1366502445]}]}]},{"tin":{"type":"ein","value":"800869616"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":126.62,"providers":[{"billed_charge":221.00,"npi":[1548501976]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":199.77,"providers":[{"billed_charge":300.00,"npi":[1902305063]}]}]},{"tin":{"type":"ein","value":"841599265"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":169.08,"providers":[{"billed_charge":230.00,"npi":[1497925986]}]}]},{"tin":{"type":"ein","value":"870762669"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":114.00,"providers":[{"billed_charge":190.00,"npi":[1194875765]}]}]},{"tin":{"type":"ein","value":"934624425"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":126.62,"providers":[{"billed_charge":461.00,"npi":[1861253981]}]}]}]},{"billing_code":"99386","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PREV VISIT NEW AGE 40-64","allowed_amounts":[{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":139.66,"providers":[{"billed_charge":413.66,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"341425870"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":386.00,"npi":[1952339996]}]}]},{"tin":{"type":"ein","value":"460530293"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":151.64,"providers":[{"billed_charge":245.00,"npi":[1689005357]}]}]},{"tin":{"type":"ein","value":"541820401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":165.65,"providers":[{"billed_charge":462.00,"npi":[1699365072]}]}]},{"tin":{"type":"ein","value":"560583151"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":165.65,"providers":[{"billed_charge":324.00,"npi":[1508850447]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":165.65,"providers":[{"billed_charge":255.55,"npi":[1023056488]}]}]},{"tin":{"type":"ein","value":"562003452"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":165.65,"providers":[{"billed_charge":355.00,"npi":[1740331164]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":195.87,"providers":[{"billed_charge":255.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"650003177"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":464.80,"providers":[{"billed_charge":664.00,"npi":[1215989298]}]}]},{"tin":{"type":"ein","value":"823372345"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":438.99,"providers":[{"billed_charge":531.00,"npi":[1245746783]}]}]},{"tin":{"type":"ein","value":"884123313"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":146.87,"providers":[{"billed_charge":350.00,"npi":[1437856853]}]}]}]},{"billing_code":"99386","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"PREV VISIT NEW AGE 40-64","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":84.91,"providers":[{"billed_charge":432.98,"npi":[1023056488]}]}]}]},{"billing_code":"99387","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"INIT PM E/M NEW PAT 65+ YRS","allowed_amounts":[{"tin":{"type":"ein","value":"842516855"},"billing_class":"professional","service_code":["72"],"payments":[{"allowed_amount":25.20,"providers":[{"billed_charge":252.00,"npi":[1811502818]}]}]}]},{"billing_code":"99391","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PER PM REEVAL EST PAT INFANT","allowed_amounts":[{"tin":{"type":"ein","value":"010619599"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":77.55,"providers":[{"billed_charge":165.00,"npi":[1821059650]}]}]},{"tin":{"type":"ein","value":"202998046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.78,"providers":[{"billed_charge":130.00,"npi":[1770782450]}]}]},{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.55,"providers":[{"billed_charge":204.00,"npi":[1134372477]}]}]},{"tin":{"type":"ein","value":"581136662"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":134.85,"providers":[{"billed_charge":150.00,"npi":[1841337896]}]}]},{"tin":{"type":"ein","value":"581308985"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":134.85,"providers":[{"billed_charge":165.00,"npi":[1154453967]}]}]},{"tin":{"type":"ein","value":"581480658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":134.85,"providers":[{"billed_charge":165.00,"npi":[1003940909]}]}]},{"tin":{"type":"ein","value":"593343389"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":61.54,"providers":[{"billed_charge":320.00,"npi":[1942260245]}]}]},{"tin":{"type":"ein","value":"810568231"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":82.39,"providers":[{"billed_charge":150.00,"npi":[1437168135]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":143.38,"providers":[{"billed_charge":300.00,"npi":[1104368141]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":97.06,"providers":[{"billed_charge":220.00,"npi":[1619443827]}]}]},{"tin":{"type":"ein","value":"934379629"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.55,"providers":[{"billed_charge":160.00,"npi":[1275757569]}]}]}]},{"billing_code":"99392","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PREV VISIT EST AGE 1-4","allowed_amounts":[{"tin":{"type":"ein","value":"060883545"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":186.45,"providers":[{"billed_charge":190.00,"npi":[1104803444]}]}]},{"tin":{"type":"ein","value":"202998046"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.40,"providers":[{"billed_charge":140.00,"npi":[1770782450]}]}]},{"tin":{"type":"ein","value":"453367409"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.81,"providers":[{"billed_charge":232.00,"npi":[1700162203]}]}]},{"tin":{"type":"ein","value":"454965405"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.54,"providers":[{"billed_charge":150.00,"npi":[1447508478]}]}]},{"tin":{"type":"ein","value":"471049674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.40,"providers":[{"billed_charge":200.93,"npi":[1609281641]}]}]},{"tin":{"type":"ein","value":"582663026"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":248.35,"providers":[{"billed_charge":248.35,"npi":[1417901216]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":136.67,"providers":[{"billed_charge":175.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"813080176"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":128.43,"providers":[{"billed_charge":255.00,"npi":[1942651054]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":116.04,"providers":[{"billed_charge":246.00,"npi":[1619443827]}]}]},{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.39,"providers":[{"billed_charge":166.00,"npi":[1124102595]}]}]},{"tin":{"type":"ein","value":"921682481"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":125.32,"providers":[{"billed_charge":278.50,"npi":[1467141721]}]}]}]},{"billing_code":"99393","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PREV VISIT EST AGE 5-11","allowed_amounts":[{"tin":{"type":"ein","value":"061477334"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":218.47,"providers":[{"billed_charge":225.00,"npi":[1396867958]}]}]},{"tin":{"type":"ein","value":"204965420"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.81,"providers":[{"billed_charge":175.00,"npi":[1962411744]}]}]},{"tin":{"type":"ein","value":"208251779"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.91,"providers":[{"billed_charge":170.00,"npi":[1891067658]}]}]},{"tin":{"type":"ein","value":"264546400"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":112.00,"providers":[{"billed_charge":224.00,"npi":[1912133315]}]}]},{"tin":{"type":"ein","value":"362169147"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":181.80,"providers":[{"billed_charge":202.00,"npi":[1003542184]}]}]},{"tin":{"type":"ein","value":"453367409"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.53,"providers":[{"billed_charge":231.00,"npi":[1700162203]}]}]},{"tin":{"type":"ein","value":"464770041"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":103.17,"providers":[{"billed_charge":217.00,"npi":[1932521630]}]}]},{"tin":{"type":"ein","value":"541778786"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":90.66,"providers":[{"billed_charge":231.00,"npi":[1538214309]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":220.12,"providers":[{"billed_charge":239.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"581480658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":143.56,"providers":[{"billed_charge":175.00,"npi":[1003940909]}]}]},{"tin":{"type":"ein","value":"591198552"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.81,"providers":[{"billed_charge":290.00,"npi":[1639138480]}]}]},{"tin":{"type":"ein","value":"593405327"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":120.53,"providers":[{"billed_charge":169.00,"npi":[1609965441]}]}]},{"tin":{"type":"ein","value":"593514857"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":215.00,"providers":[{"billed_charge":215.00,"npi":[1275575888]}]}]},{"tin":{"type":"ein","value":"610458376"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":80.04,"providers":[{"billed_charge":132.00,"npi":[1528195864]}]}]},{"tin":{"type":"ein","value":"824280365"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.75,"providers":[{"billed_charge":300.00,"npi":[1104368141]}]}]},{"tin":{"type":"ein","value":"870550275"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.01,"providers":[{"billed_charge":166.00,"npi":[1124102595]}]}]},{"tin":{"type":"ein","value":"900294051"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":102.97,"providers":[{"billed_charge":186.00,"npi":[1639291263]}]}]}]},{"billing_code":"99394","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PREV VISIT EST AGE 12-17","allowed_amounts":[{"tin":{"type":"ein","value":"200063146"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.91,"providers":[{"billed_charge":180.00,"npi":[1861947905]}]}]},{"tin":{"type":"ein","value":"208251779"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":124.62,"providers":[{"billed_charge":184.00,"npi":[1891067658]}]}]},{"tin":{"type":"ein","value":"311425710"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":380.00,"providers":[{"billed_charge":400.00,"npi":[1194917062]}]}]},{"tin":{"type":"ein","value":"421638714"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":146.50,"providers":[{"billed_charge":293.00,"npi":[1619342706]}]}]},{"tin":{"type":"ein","value":"540967672"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":175.75,"providers":[{"billed_charge":252.00,"npi":[1083793525]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":241.25,"providers":[{"billed_charge":262.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"550492006"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":197.00,"providers":[{"billed_charge":197.00,"npi":[1275504508]}]}]},{"tin":{"type":"ein","value":"581367701"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":157.57,"providers":[{"billed_charge":175.00,"npi":[1487772596]}]}]},{"tin":{"type":"ein","value":"582566360"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":300.80,"providers":[{"billed_charge":376.00,"npi":[1073885828]}]}]},{"tin":{"type":"ein","value":"593140335"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":220.15,"providers":[{"billed_charge":259.00,"npi":[1043269871]}]}]},{"tin":{"type":"ein","value":"721561246"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.20,"providers":[{"billed_charge":205.00,"npi":[1346486891]}]}]},{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.20,"providers":[{"billed_charge":267.00,"npi":[1366912586]}]}]},{"tin":{"type":"ein","value":"900294051"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":158.17,"providers":[{"billed_charge":381.00,"npi":[1639291263]}]}]}]},{"billing_code":"99394","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"PREV VISIT EST AGE 12-17","allowed_amounts":[{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":113.22,"providers":[{"billed_charge":170.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"550383321"},"billing_class":"institutional","payments":[{"allowed_amount":103.55,"providers":[{"billed_charge":109.00,"npi":[1457389249]}]}]}]},{"billing_code":"99395","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PREV VISIT EST AGE 18-39","allowed_amounts":[{"tin":{"type":"ein","value":"030465688"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.00,"providers":[{"billed_charge":150.00,"npi":[1982885901]}]}]},{"tin":{"type":"ein","value":"043597995"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":96.39,"providers":[{"billed_charge":250.00,"npi":[1508020157]}]}]},{"tin":{"type":"ein","value":"060867065"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":110.84,"providers":[{"billed_charge":225.00,"npi":[1396750840]}]}]},{"tin":{"type":"ein","value":"200539417"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":208.00,"providers":[{"billed_charge":260.00,"npi":[1043311756]}]}]},{"tin":{"type":"ein","value":"203639329"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":101.39,"providers":[{"billed_charge":240.00,"npi":[1649228966]}]}]},{"tin":{"type":"ein","value":"205455871"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":93.00,"providers":[{"billed_charge":155.00,"npi":[1619072204]}]}]},{"tin":{"type":"ein","value":"205745047"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.88,"providers":[{"billed_charge":232.00,"npi":[1922177856]}]}]},{"tin":{"type":"ein","value":"251838458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":164.16,"providers":[{"billed_charge":342.00,"npi":[1134619356]}]}]},{"tin":{"type":"ein","value":"260582112"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":82.50,"providers":[{"billed_charge":150.00,"npi":[1124201280]}]}]},{"tin":{"type":"ein","value":"263985043"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":160.00,"providers":[{"billed_charge":165.00,"npi":[1407957632]}]}]},{"tin":{"type":"ein","value":"271332228"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.24,"providers":[{"billed_charge":224.00,"npi":[1649500141]}]}]},{"tin":{"type":"ein","value":"272800635"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.00,"providers":[{"billed_charge":200.00,"npi":[1912228347]}]}]},{"tin":{"type":"ein","value":"311620193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.00,"providers":[{"billed_charge":150.00,"npi":[1285670646]}]}]},{"tin":{"type":"ein","value":"311627920"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":216.75,"providers":[{"billed_charge":255.00,"npi":[1972020899]}]}]},{"tin":{"type":"ein","value":"341768928"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":138.48,"providers":[{"billed_charge":190.00,"npi":[1720220098]}]}]},{"tin":{"type":"ein","value":"363149833"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":101.02,"providers":[{"billed_charge":206.00,"npi":[1033149844]}]}]},{"tin":{"type":"ein","value":"391370626"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":133.67,"providers":[{"billed_charge":225.00,"npi":[1669871620]}]}]},{"tin":{"type":"ein","value":"461591855"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":160.15,"providers":[{"billed_charge":334.00,"npi":[1811239627]}]}]},{"tin":{"type":"ein","value":"465137699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.12,"providers":[{"billed_charge":228.12,"npi":[1962821322]}]}]},{"tin":{"type":"ein","value":"480896716"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":132.23,"providers":[{"billed_charge":203.00,"npi":[1407886120]}]}]},{"tin":{"type":"ein","value":"526049658"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":105.91,"providers":[{"billed_charge":258.00,"npi":[1396774238]}]}]},{"tin":{"type":"ein","value":"540833259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":143.16,"providers":[{"billed_charge":417.00,"npi":[1457560732]}]}]},{"tin":{"type":"ein","value":"541005347"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.85,"providers":[{"billed_charge":180.00,"npi":[1538197454]}]}]},{"tin":{"type":"ein","value":"541820401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.85,"providers":[{"billed_charge":361.00,"npi":[1699365072]}]},{"allowed_amount":101.39,"providers":[{"billed_charge":361.00,"npi":[1699365072]}]}]},{"tin":{"type":"ein","value":"550483245"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":158.07,"providers":[{"billed_charge":202.00,"npi":[1093917643]}]}]},{"tin":{"type":"ein","value":"561567536"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.77,"providers":[{"billed_charge":240.06,"npi":[1912987090]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":113.67,"providers":[{"billed_charge":313.00,"npi":[1649525619]}]},{"allowed_amount":113.68,"providers":[{"billed_charge":313.00,"npi":[1649525619]}]}]},{"tin":{"type":"ein","value":"561826996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.50,"providers":[{"billed_charge":175.00,"npi":[1467449728]}]}]},{"tin":{"type":"ein","value":"561908886"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.12,"providers":[{"billed_charge":110.00,"npi":[1326074592]}]}]},{"tin":{"type":"ein","value":"562003452"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.77,"providers":[{"billed_charge":277.33,"npi":[1740331164]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.12,"providers":[{"billed_charge":210.00,"npi":[1780623207]}]},{"allowed_amount":112.77,"providers":[{"billed_charge":210.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"570604703"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":122.45,"providers":[{"billed_charge":245.00,"npi":[1003827304]}]}]},{"tin":{"type":"ein","value":"580625140"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":125.61,"providers":[{"billed_charge":279.00,"npi":[1255948717]}]}]},{"tin":{"type":"ein","value":"581711627"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":300.80,"providers":[{"billed_charge":376.00,"npi":[1164584512]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":259.00,"npi":[1689610149]}]}]},{"tin":{"type":"ein","value":"582092768"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":418.00,"providers":[{"billed_charge":418.00,"npi":[1912956046]}]}]},{"tin":{"type":"ein","value":"582179236"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.50,"providers":[{"billed_charge":175.00,"npi":[1467467845]}]}]},{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":309.60,"providers":[{"billed_charge":387.00,"npi":[1184679482]}]}]},{"tin":{"type":"ein","value":"582422542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":209.00,"providers":[{"billed_charge":500.00,"npi":[1174501902]}]}]},{"tin":{"type":"ein","value":"586001998"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":118.26,"providers":[{"billed_charge":154.00,"npi":[1811098817]}]}]},{"tin":{"type":"ein","value":"731383996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":50.00,"npi":[1881639367]}]}]},{"tin":{"type":"ein","value":"760528576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":144.95,"providers":[{"billed_charge":315.00,"npi":[1528061157]}]}]},{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.77,"providers":[{"billed_charge":270.00,"npi":[1366912586]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.12,"providers":[{"billed_charge":270.00,"npi":[1619443827,1144796301]}]},{"allowed_amount":112.77,"providers":[{"billed_charge":270.00,"npi":[1265908479]}]}]},{"tin":{"type":"ein","value":"832048950"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":112.77,"providers":[{"billed_charge":270.00,"npi":[1922577048]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":112.77,"providers":[{"billed_charge":240.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"863907571"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":127.92,"providers":[{"billed_charge":250.00,"npi":[1851068233]}]}]},{"tin":{"type":"ein","value":"932208118"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":242.90,"providers":[{"billed_charge":347.00,"npi":[1093493637]}]}]}]},{"billing_code":"99395","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"PREV VISIT EST AGE 18-39","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":71.25,"providers":[{"billed_charge":95.00,"npi":[1679525919]}]}]}]},{"billing_code":"99396","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PREV VISIT EST AGE 40-64","allowed_amounts":[{"tin":{"type":"ein","value":"061472180"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":190.92,"providers":[{"billed_charge":285.00,"npi":[1184819302]}]}]},{"tin":{"type":"ein","value":"133544120"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":378.56,"providers":[{"billed_charge":497.00,"npi":[1982643003]}]}]},{"tin":{"type":"ein","value":"201357375"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":163.02,"providers":[{"billed_charge":291.00,"npi":[1679528798]}]}]},{"tin":{"type":"ein","value":"202265068"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.63,"providers":[{"billed_charge":247.00,"npi":[1013042480]}]}]},{"tin":{"type":"ein","value":"204186654"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":137.43,"providers":[{"billed_charge":250.00,"npi":[1770515272]}]}]},{"tin":{"type":"ein","value":"204916014"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":108.86,"providers":[{"billed_charge":273.00,"npi":[1740212893]}]}]},{"tin":{"type":"ein","value":"208876699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.32,"providers":[{"billed_charge":200.00,"npi":[1427228998]}]}]},{"tin":{"type":"ein","value":"223487984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":223.30,"providers":[{"billed_charge":319.00,"npi":[1942254347]}]}]},{"tin":{"type":"ein","value":"260033461"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.67,"providers":[{"billed_charge":316.00,"npi":[1023138773]}]}]},{"tin":{"type":"ein","value":"260609255"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":158.95,"providers":[{"billed_charge":384.00,"npi":[1386823243]}]}]},{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.22,"providers":[{"billed_charge":341.46,"npi":[1811122880]}]}]},{"tin":{"type":"ein","value":"263049770"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":151.73,"providers":[{"billed_charge":175.00,"npi":[1265684856]}]}]},{"tin":{"type":"ein","value":"263701675"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":117.27,"providers":[{"billed_charge":225.00,"npi":[1063659134]}]}]},{"tin":{"type":"ein","value":"264058719"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":208.05,"providers":[{"billed_charge":219.00,"npi":[1710125430]}]}]},{"tin":{"type":"ein","value":"310917085"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":361.80,"providers":[{"billed_charge":402.00,"npi":[1508817248]}]}]},{"tin":{"type":"ein","value":"320598154"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.63,"providers":[{"billed_charge":213.00,"npi":[1528627379]}]}]},{"tin":{"type":"ein","value":"330571462"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":163.00,"providers":[{"billed_charge":330.00,"npi":[1386605822]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":463.50,"providers":[{"billed_charge":618.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351361243"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.46,"providers":[{"billed_charge":144.00,"npi":[1982143269]}]}]},{"tin":{"type":"ein","value":"352214929"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":84.32,"providers":[{"billed_charge":258.10,"npi":[1023209095]}]}]},{"tin":{"type":"ein","value":"362169147"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":251.10,"providers":[{"billed_charge":279.00,"npi":[1700824455]}]}]},{"tin":{"type":"ein","value":"363149833"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.67,"providers":[{"billed_charge":225.00,"npi":[1033149844]}]}]},{"tin":{"type":"ein","value":"391824445"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":374.00,"providers":[{"billed_charge":440.00,"npi":[1598784555]}]}]},{"tin":{"type":"ein","value":"426004813"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":358.20,"providers":[{"billed_charge":398.00,"npi":[1477554814]}]}]},{"tin":{"type":"ein","value":"460218851"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":165.51,"providers":[{"billed_charge":267.00,"npi":[1487602843]}]}]},{"tin":{"type":"ein","value":"460224743"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":171.20,"providers":[{"billed_charge":214.00,"npi":[1376575514]}]}]},{"tin":{"type":"ein","value":"461243081"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":234.00,"providers":[{"billed_charge":260.00,"npi":[1750626495]}]}]},{"tin":{"type":"ein","value":"471049674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":137.43,"providers":[{"billed_charge":176.91,"npi":[1609281641]}]}]},{"tin":{"type":"ein","value":"472221436"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":232.88,"providers":[{"billed_charge":405.00,"npi":[1013313857]}]}]},{"tin":{"type":"ein","value":"474870066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":137.66,"providers":[{"billed_charge":500.00,"npi":[1457020315]}]}]},{"tin":{"type":"ein","value":"521923448"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":186.20,"providers":[{"billed_charge":250.00,"npi":[1083667067]}]}]},{"tin":{"type":"ein","value":"541519724"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.63,"providers":[{"billed_charge":238.00,"npi":[1710020623]}]}]},{"tin":{"type":"ein","value":"560535674"},"billing_class":"professional","service_code":["26"],"payments":[{"allowed_amount":17.70,"providers":[{"billed_charge":35.40,"npi":[1366401648]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":249.66,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":91.62,"providers":[{"billed_charge":249.66,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":235.25,"npi":[1306189451]}]},{"allowed_amount":137.43,"providers":[{"billed_charge":220.85,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.35,"providers":[{"billed_charge":345.00,"npi":[1649525619]}]}]},{"tin":{"type":"ein","value":"561771748"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.59,"providers":[{"billed_charge":290.00,"npi":[1023050630]}]},{"allowed_amount":122.62,"providers":[{"billed_charge":290.00,"npi":[1023050630]}]}]},{"tin":{"type":"ein","value":"561826996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":137.43,"providers":[{"billed_charge":185.00,"npi":[1467449728]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":220.79,"npi":[1619350261]},{"billed_charge":223.25,"npi":[1619350261]}]},{"allowed_amount":133.95,"providers":[{"billed_charge":223.25,"npi":[1619350261]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":104.41,"providers":[{"billed_charge":242.46,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":122.62,"providers":[{"billed_charge":225.00,"npi":[1780623207]}]},{"allowed_amount":137.43,"providers":[{"billed_charge":225.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"566000296"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":102.00,"providers":[{"billed_charge":170.00,"npi":[1235198177]}]}]},{"tin":{"type":"ein","value":"566000351"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":129.00,"providers":[{"billed_charge":215.00,"npi":[1467507640]}]}]},{"tin":{"type":"ein","value":"570646674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.35,"providers":[{"billed_charge":220.00,"npi":[1427160845]}]}]},{"tin":{"type":"ein","value":"576000094"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.35,"providers":[{"billed_charge":333.00,"npi":[1235552746]}]}]},{"tin":{"type":"ein","value":"581087004"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":165.24,"providers":[{"billed_charge":493.00,"npi":[1952406761]}]}]},{"tin":{"type":"ein","value":"581143684"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":366.40,"providers":[{"billed_charge":458.00,"npi":[1194962100]}]}]},{"tin":{"type":"ein","value":"581206383"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":333.60,"providers":[{"billed_charge":417.00,"npi":[1487696837]}]}]},{"tin":{"type":"ein","value":"581351195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":475.00,"providers":[{"billed_charge":475.00,"npi":[1386763514]}]}]},{"tin":{"type":"ein","value":"581640184"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":101.13,"providers":[{"billed_charge":258.00,"npi":[1902995145]}]}]},{"tin":{"type":"ein","value":"582069754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.35,"providers":[{"billed_charge":230.00,"npi":[1316973472]}]}]},{"tin":{"type":"ein","value":"582092768"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":137.66,"providers":[{"billed_charge":445.00,"npi":[1912956046]}]}]},{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":313.60,"providers":[{"billed_charge":392.00,"npi":[1184679482]}]}]},{"tin":{"type":"ein","value":"582422542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":187.66,"providers":[{"billed_charge":234.57,"npi":[1174501902]}]},{"allowed_amount":218.00,"providers":[{"billed_charge":500.00,"npi":[1174501902]}]}]},{"tin":{"type":"ein","value":"590704934"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":117.94,"providers":[{"billed_charge":203.00,"npi":[1316940695]}]}]},{"tin":{"type":"ein","value":"591083502"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":124.03,"providers":[{"billed_charge":156.00,"npi":[1447345517]}]}]},{"tin":{"type":"ein","value":"592627966"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":121.99,"providers":[{"billed_charge":185.00,"npi":[1093901282]}]}]},{"tin":{"type":"ein","value":"593475356"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":150.00,"npi":[1326254962]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.29,"providers":[{"billed_charge":250.97,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"650003177"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":336.70,"providers":[{"billed_charge":481.00,"npi":[1215989298]}]}]},{"tin":{"type":"ein","value":"752218287"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":168.94,"providers":[{"billed_charge":200.00,"npi":[1386814374]}]}]},{"tin":{"type":"ein","value":"753028076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":304.00,"providers":[{"billed_charge":380.00,"npi":[1396955431]}]}]},{"tin":{"type":"ein","value":"811324691"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":137.43,"providers":[{"billed_charge":296.00,"npi":[1366912586]}]}]},{"tin":{"type":"ein","value":"820676989"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":350.00,"providers":[{"billed_charge":350.00,"npi":[1346754041]}]}]},{"tin":{"type":"ein","value":"832053115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":133.20,"providers":[{"billed_charge":296.00,"npi":[1093284010]}]}]},{"tin":{"type":"ein","value":"840832336"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":196.22,"providers":[{"billed_charge":310.80,"npi":[1760599724]}]}]},{"tin":{"type":"ein","value":"850760576"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":233.39,"providers":[{"billed_charge":350.00,"npi":[1376153437]}]}]},{"tin":{"type":"ein","value":"853861695"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.35,"providers":[{"billed_charge":218.00,"npi":[1841878006]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":119.45,"providers":[{"billed_charge":196.00,"npi":[1447239355]}]}]},{"tin":{"type":"ein","value":"911780160"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":233.39,"providers":[{"billed_charge":307.00,"npi":[1093819542]}]}]},{"tin":{"type":"ein","value":"932208118"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":257.60,"providers":[{"billed_charge":368.00,"npi":[1093493637]}]}]}]},{"billing_code":"99396","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"PREV VISIT EST AGE 40-64","allowed_amounts":[{"tin":{"type":"ein","value":"311524546"},"billing_class":"institutional","payments":[{"allowed_amount":131.10,"providers":[{"billed_charge":138.00,"npi":[1699704254]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":147.75,"providers":[{"billed_charge":197.00,"npi":[1679525919]}]},{"allowed_amount":149.33,"providers":[{"billed_charge":197.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":43.41,"providers":[{"billed_charge":429.51,"npi":[1457719312]}]},{"allowed_amount":76.52,"providers":[{"billed_charge":429.51,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":44.48,"providers":[{"billed_charge":361.10,"npi":[1306189451]}]},{"allowed_amount":76.52,"providers":[{"billed_charge":334.49,"npi":[1972974392]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":34.07,"providers":[{"billed_charge":372.50,"npi":[1619350261]}]},{"allowed_amount":76.52,"providers":[{"billed_charge":344.17,"npi":[1619350261]},{"billed_charge":372.50,"npi":[1619350261]}]}]},{"tin":{"type":"ein","value":"650844880"},"billing_class":"institutional","payments":[{"allowed_amount":89.89,"providers":[{"billed_charge":136.00,"npi":[1083644033]}]}]}]},{"billing_code":"99397","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PER PM REEVAL EST PAT 65+ YR","allowed_amounts":[{"tin":{"type":"ein","value":"204700877"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":399.15,"providers":[{"billed_charge":498.94,"npi":[1407864168]}]}]},{"tin":{"type":"ein","value":"522375549"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":124.80,"providers":[{"billed_charge":350.00,"npi":[1134326176]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.04,"providers":[{"billed_charge":240.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"570646674"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.00,"providers":[{"billed_charge":220.00,"npi":[1427160845]}]}]},{"tin":{"type":"ein","value":"621529858"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.95,"providers":[{"billed_charge":257.00,"npi":[1437194669]}]}]},{"tin":{"type":"ein","value":"720399647"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":163.20,"providers":[{"billed_charge":372.58,"npi":[1831180637]}]}]}]},{"billing_code":"99401","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PREVENTIVE COUNSELING INDIV","allowed_amounts":[{"tin":{"type":"ein","value":"061477334"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.14,"providers":[{"billed_charge":60.00,"npi":[1396867958]}]}]},{"tin":{"type":"ein","value":"812145825"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.18,"providers":[{"billed_charge":60.00,"npi":[1679937205]}]},{"allowed_amount":32.20,"providers":[{"billed_charge":60.00,"npi":[1679937205]}]}]},{"tin":{"type":"ein","value":"813520078"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.50,"providers":[{"billed_charge":75.00,"npi":[1033666888]}]}]},{"tin":{"type":"ein","value":"820676989"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.00,"providers":[{"billed_charge":100.00,"npi":[1346754041]}]}]}]},{"billing_code":"99402","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PREVENTIVE COUNSELING INDIV","allowed_amounts":[{"tin":{"type":"ein","value":"812145825"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":58.56,"providers":[{"billed_charge":80.00,"npi":[1679937205]}]},{"allowed_amount":61.29,"providers":[{"billed_charge":80.00,"npi":[1679937205]}]}]},{"tin":{"type":"ein","value":"813519236"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":57.50,"providers":[{"billed_charge":230.00,"npi":[1134678733]}]}]}]},{"billing_code":"99403","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PREVENTIVE COUNSELING INDIV","allowed_amounts":[{"tin":{"type":"ein","value":"043397450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":153.15,"providers":[{"billed_charge":231.00,"npi":[1871639914]}]}]},{"tin":{"type":"ein","value":"812145825"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":84.72,"providers":[{"billed_charge":161.00,"npi":[1679937205]}]}]},{"tin":{"type":"ein","value":"813519236"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":69.00,"providers":[{"billed_charge":230.00,"npi":[1134678733]}]}]}]},{"billing_code":"99404","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PREVENTIVE COUNSELING INDIV","allowed_amounts":[{"tin":{"type":"ein","value":"812145825"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":110.46,"providers":[{"billed_charge":190.00,"npi":[1679937205]}]}]}]},{"billing_code":"99406","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"BEHAV CHNG SMOKING 3-10 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"204595837"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":48.00,"npi":[1285676957]}]}]},{"tin":{"type":"ein","value":"275370465"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.38,"providers":[{"billed_charge":89.00,"npi":[1225580392]}]}]},{"tin":{"type":"ein","value":"341135374"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":14.45,"providers":[{"billed_charge":17.00,"npi":[1487035986]}]}]},{"tin":{"type":"ein","value":"562032082"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.70,"providers":[{"billed_charge":77.00,"npi":[1427016138]}]},{"allowed_amount":11.55,"providers":[{"billed_charge":77.00,"npi":[1427016138]}]}]},{"tin":{"type":"ein","value":"566000296"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":9.00,"providers":[{"billed_charge":15.00,"npi":[1235198177]}]}]},{"tin":{"type":"ein","value":"822672800"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":20.00,"npi":[1881144590]}]},{"allowed_amount":12.38,"providers":[{"billed_charge":20.00,"npi":[1881144590]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":12.38,"providers":[{"billed_charge":30.00,"npi":[1144803040]}]}]}]},{"billing_code":"99407","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"BEHAV CHNG SMOKING > 10 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"541885550"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.85,"providers":[{"billed_charge":50.00,"npi":[1821057639]}]}]}]},{"billing_code":"99417","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"PROLNG OP E/M EACH 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"310833936"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":141.55,"providers":[{"billed_charge":149.00,"npi":[1609915784]}]}]},{"tin":{"type":"ein","value":"311626179"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":63.75,"providers":[{"billed_charge":75.00,"npi":[1023338688]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":194.25,"providers":[{"billed_charge":259.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":222.30,"providers":[{"billed_charge":234.00,"npi":[1922074434]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":149.80,"providers":[{"billed_charge":214.00,"npi":[1578569240,1255315339]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":20.90,"providers":[{"billed_charge":66.11,"npi":[1023056488]}]}]},{"tin":{"type":"ein","value":"582460177"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":26.20,"providers":[{"billed_charge":55.00,"npi":[1285702498]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":74.70,"providers":[{"billed_charge":83.00,"npi":[1306335088]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":171.00,"providers":[{"billed_charge":180.00,"npi":[1558332494]}]}]}]},{"billing_code":"99417","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"PROLNG OFF/OP E/M EA 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":45.67,"providers":[{"billed_charge":275.46,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":168.01,"npi":[1023056488]}]}]}]},{"billing_code":"99417","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"PROLNG OP E/M EACH 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":45.67,"providers":[{"billed_charge":275.46,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":168.01,"npi":[1023056488]}]}]}]},{"billing_code":"99418","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"PROLNG IP/OBS E/M EA 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"561398929"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":92.62,"providers":[{"billed_charge":218.00,"npi":[1699979732]}]}]}]},{"billing_code":"99421","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"OL DIG E/M SVC 5-10 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"823543154"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.97,"providers":[{"billed_charge":100.00,"npi":[1255846283]}]},{"allowed_amount":16.98,"providers":[{"billed_charge":100.00,"npi":[1255846283]}]},{"allowed_amount":18.42,"providers":[{"billed_charge":100.00,"npi":[1255846283]}]}]}]},{"billing_code":"99422","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"OL DIG E/M SVC 11-20 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"823543154"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.83,"providers":[{"billed_charge":100.00,"npi":[1255846283]}]}]},{"tin":{"type":"ein","value":"920788450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.93,"providers":[{"billed_charge":67.12,"npi":[1699540203]}]}]}]},{"billing_code":"99424","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"PRIN CARE MGMT PHYS 1ST 30","allowed_amounts":[{"tin":{"type":"ein","value":"562107544"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":87.21,"providers":[{"billed_charge":237.18,"npi":[1780655803]}]}]}]},{"billing_code":"99439","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"CHRNC CARE MGMT STAF EA ADDL","allowed_amounts":[{"tin":{"type":"ein","value":"043723466"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":65.00,"providers":[{"billed_charge":130.00,"npi":[1295799641]}]}]}]},{"billing_code":"99441","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PHONE E/M PHYS/QHP 5-10 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"202097760"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.88,"providers":[{"billed_charge":44.12,"npi":[1063500908]}]}]},{"tin":{"type":"ein","value":"470765154"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":29.81,"providers":[{"billed_charge":158.00,"npi":[1548287907]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":29.52,"providers":[{"billed_charge":83.06,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561872583"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":39.38,"providers":[{"billed_charge":104.24,"npi":[1538171871]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":29.52,"providers":[{"billed_charge":90.05,"npi":[1992754758]}]}]}]},{"billing_code":"99442","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PHONE E/M PHYS/QHP 11-20 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":317.25,"providers":[{"billed_charge":423.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"470765154"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":57.72,"providers":[{"billed_charge":254.00,"npi":[1548287907]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":61.51,"providers":[{"billed_charge":155.16,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":64.58,"providers":[{"billed_charge":168.22,"npi":[1992754758]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":89.09,"providers":[{"billed_charge":139.00,"npi":[1265908479]}]}]}]},{"billing_code":"99443","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"PHONE E/M PHYS/QHP 21-30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":468.00,"providers":[{"billed_charge":624.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"561376577"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":77.90,"providers":[{"billed_charge":103.86,"npi":[1336243997]}]}]}]},{"billing_code":"99449","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"NTRPROF PH1/NTRNET/EHR 31/>","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":67.04,"providers":[{"billed_charge":182.69,"npi":[1992754758]}]}]}]},{"billing_code":"99449","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"NTRPROF PH1/NTRNET/EHR 31/>","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":152.46,"providers":[{"billed_charge":624.29,"npi":[1992754758]}]}]}]},{"billing_code":"99451","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"NTRPROF PH1/NTRNET/EHR 5/>","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":32.80,"providers":[{"billed_charge":84.65,"npi":[1750333282]}]}]}]},{"billing_code":"99451","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"NTRPROF PH1/NTRNET/EHR 5/>","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":79.41,"providers":[{"billed_charge":179.60,"npi":[1750333282]}]}]}]},{"billing_code":"99454","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"REM MNTR PHYSIOL PARAM DEV","allowed_amounts":[{"tin":{"type":"ein","value":"043723466"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.75,"providers":[{"billed_charge":49.50,"npi":[1295799641]}]}]}]},{"billing_code":"99457","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"REM PHYSIOL MNTR 1ST 20 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"043723466"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.50,"providers":[{"billed_charge":65.00,"npi":[1295799641]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":25.30,"providers":[{"billed_charge":96.61,"npi":[1750333282]}]}]}]},{"billing_code":"99458","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"REM PHYSIOL MNTR EA ADDL 20","allowed_amounts":[{"tin":{"type":"ein","value":"043723466"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":150.00,"npi":[1295799641]}]}]}]},{"billing_code":"99459","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"PELVIC EXAM","allowed_amounts":[{"tin":{"type":"ein","value":"141338547"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":64.00,"npi":[1881924322]}]}]},{"tin":{"type":"ein","value":"260609255"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":14.23,"providers":[{"billed_charge":67.00,"npi":[1386823243]}]}]},{"tin":{"type":"ein","value":"263701675"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":25.00,"npi":[1063659134]}]}]},{"tin":{"type":"ein","value":"271689066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.79,"providers":[{"billed_charge":105.00,"npi":[1750752291]}]}]},{"tin":{"type":"ein","value":"273645560"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.75,"providers":[{"billed_charge":49.00,"npi":[1467727586]}]}]},{"tin":{"type":"ein","value":"311620193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.00,"providers":[{"billed_charge":30.00,"npi":[1285670646]}]}]},{"tin":{"type":"ein","value":"474870066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.30,"providers":[{"billed_charge":50.00,"npi":[1457020315]}]},{"allowed_amount":35.52,"providers":[{"billed_charge":50.00,"npi":[1457020315]}]}]},{"tin":{"type":"ein","value":"540833259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.07,"providers":[{"billed_charge":60.00,"npi":[1457560732]}]}]},{"tin":{"type":"ein","value":"541005347"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.00,"providers":[{"billed_charge":35.00,"npi":[1538197454]}]}]},{"tin":{"type":"ein","value":"541820401"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.05,"providers":[{"billed_charge":67.00,"npi":[1699365072]}]},{"allowed_amount":35.06,"providers":[{"billed_charge":67.00,"npi":[1699365072]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":56.00,"providers":[{"billed_charge":70.00,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"582422542"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.53,"providers":[{"billed_charge":50.00,"npi":[1174501902]}]}]},{"tin":{"type":"ein","value":"586001998"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.17,"providers":[{"billed_charge":40.00,"npi":[1811098817]}]}]},{"tin":{"type":"ein","value":"842167967"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.70,"providers":[{"billed_charge":35.00,"npi":[1013568567]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.12,"providers":[{"billed_charge":50.00,"npi":[1447239355]}]}]}]},{"billing_code":"99459","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"PELVIC EXAM","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":15.74,"providers":[{"billed_charge":61.59,"npi":[1750333282]}]}]}]},{"billing_code":"99460","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Infant","description":"INIT NB EM PER DAY HOSP","allowed_amounts":[{"tin":{"type":"ein","value":"010622481"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":95.29,"providers":[{"billed_charge":571.00,"npi":[1295719367]}]}]},{"tin":{"type":"ein","value":"042763590"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":67.52,"providers":[{"billed_charge":258.72,"npi":[1679730501]}]}]},{"tin":{"type":"ein","value":"043641120"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":102.95,"providers":[{"billed_charge":760.00,"npi":[1558468256]}]},{"allowed_amount":103.33,"providers":[{"billed_charge":760.00,"npi":[1558468256]}]},{"allowed_amount":684.00,"providers":[{"billed_charge":760.00,"npi":[1558468256]}]}]},{"tin":{"type":"ein","value":"264212594"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":103.33,"providers":[{"billed_charge":280.00,"npi":[1255632006]}]}]},{"tin":{"type":"ein","value":"560952955"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":103.33,"providers":[{"billed_charge":225.00,"npi":[1760479331]}]}]},{"tin":{"type":"ein","value":"586025393"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":101.75,"providers":[{"billed_charge":215.00,"npi":[1487684122]}]}]},{"tin":{"type":"ein","value":"812772554"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":100.98,"providers":[{"billed_charge":241.00,"npi":[1508218793]}]}]}]},{"billing_code":"99462","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Infant","description":"SBSQ NB EM PER DAY HOSP","allowed_amounts":[{"tin":{"type":"ein","value":"043641120"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":46.05,"providers":[{"billed_charge":336.00,"npi":[1558468256]}]}]},{"tin":{"type":"ein","value":"264212594"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":46.05,"providers":[{"billed_charge":122.00,"npi":[1255632006]}]}]},{"tin":{"type":"ein","value":"560952955"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":46.05,"providers":[{"billed_charge":100.00,"npi":[1760479331]}]}]}]},{"billing_code":"99463","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Infant","description":"SAME DAY NB DISCHARGE","allowed_amounts":[{"tin":{"type":"ein","value":"561398929"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":121.54,"providers":[{"billed_charge":379.00,"npi":[1699979732]}]}]}]},{"billing_code":"99464","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Infant","description":"ATTENDANCE AT DELIVERY","allowed_amounts":[{"tin":{"type":"ein","value":"043641120"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":136.98,"providers":[{"billed_charge":610.00,"npi":[1558468256]}]}]},{"tin":{"type":"ein","value":"822293770"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":133.82,"providers":[{"billed_charge":781.00,"npi":[1669996088]}]}]}]},{"billing_code":"99465","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Infant","description":"NB RESUSCITATION","allowed_amounts":[{"tin":{"type":"ein","value":"043641120"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":277.57,"providers":[{"billed_charge":1193.00,"npi":[1558468256]}]}]}]},{"billing_code":"99477","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"INIT DAY HOSP NEONATE CARE","allowed_amounts":[{"tin":{"type":"ein","value":"560952955"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":381.42,"providers":[{"billed_charge":820.00,"npi":[1760479331]}]}]}]},{"billing_code":"99490","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"CHRNC CARE MGMT STAFF 1ST 20","allowed_amounts":[{"tin":{"type":"ein","value":"043723466"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.50,"providers":[{"billed_charge":75.00,"npi":[1295799641]}]}]},{"tin":{"type":"ein","value":"825286393"},"billing_class":"professional","service_code":["32"],"payments":[{"allowed_amount":42.00,"providers":[{"billed_charge":84.00,"npi":[1548759392]}]}]}]},{"billing_code":"99491","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"CHRNC CARE MGMT PHYS 1ST 30","allowed_amounts":[{"tin":{"type":"ein","value":"812122050"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.39,"providers":[{"billed_charge":256.00,"npi":[1962957639]}]}]}]},{"billing_code":"99492","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"1ST PSYC COLLAB CARE MGMT","allowed_amounts":[{"tin":{"type":"ein","value":"204923281"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":180.00,"providers":[{"billed_charge":300.00,"npi":[1003985102]}]}]}]},{"billing_code":"99494","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"1ST/SBSQ PSYC COLLAB CARE","allowed_amounts":[{"tin":{"type":"ein","value":"204923281"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":139.20,"providers":[{"billed_charge":232.00,"npi":[1003985102]}]}]}]},{"billing_code":"99495","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"TRANSJ CARE MGMT MOD F2F 14D","allowed_amounts":[{"tin":{"type":"ein","value":"800966359"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":174.14,"providers":[{"billed_charge":487.08,"npi":[1932521010]}]}]}]},{"billing_code":"99497","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"ADVNCD CARE PLAN 30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"201975148"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":63.63,"providers":[{"billed_charge":330.00,"npi":[1669422846]}]}]},{"tin":{"type":"ein","value":"203279920"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":260.25,"providers":[{"billed_charge":347.00,"npi":[1083835441]}]}]},{"tin":{"type":"ein","value":"561867003"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":69.63,"providers":[{"billed_charge":161.00,"npi":[1689635237]}]}]}]},{"billing_code":"99499","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"UNLISTED E&M SERVICE","allowed_amounts":[{"tin":{"type":"ein","value":"560845796"},"billing_class":"professional","service_code":["99"],"payments":[{"allowed_amount":45.00,"providers":[{"billed_charge":45.00,"npi":[1689103582]}]}]}]},{"billing_code":"99501","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"HOME VISIT POSTNATAL","allowed_amounts":[{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":52.24,"providers":[{"billed_charge":86.00,"npi":[1245272657]}]}]}]},{"billing_code":"99601","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Administration","description":"HOME INFUSION/VISIT 2 HRS","allowed_amounts":[{"tin":{"type":"ein","value":"320108171"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":140.00,"providers":[{"billed_charge":350.00,"npi":[1073608998]}]}]},{"tin":{"type":"ein","value":"811177414"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":300.00,"npi":[1396288338]}]}]},{"tin":{"type":"ein","value":"852511623"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":130.27,"providers":[{"billed_charge":200.00,"npi":[1851902605]}]}]},{"tin":{"type":"ein","value":"854141201"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":137.94,"providers":[{"billed_charge":500.00,"npi":[1033782255]}]}]}]},{"billing_code":"99605","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"MTMS BY PHARM NP 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"541691022"},"billing_class":"institutional","payments":[{"allowed_amount":71.00,"providers":[{"billed_charge":312.45,"npi":[1841242377]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":9.97,"providers":[{"billed_charge":372.28,"npi":[1750333282]}]},{"allowed_amount":12.04,"providers":[{"billed_charge":375.60,"npi":[1457719312]}]}]}]},{"billing_code":"99606","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"MTMS BY PHARM EST 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":17.29,"providers":[{"billed_charge":372.28,"npi":[1750333282]}]},{"allowed_amount":17.34,"providers":[{"billed_charge":372.28,"npi":[1750333282]}]},{"allowed_amount":21.65,"providers":[{"billed_charge":375.60,"npi":[1477504280]}]},{"allowed_amount":62.54,"providers":[{"billed_charge":372.28,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":21.65,"providers":[{"billed_charge":299.15,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":19.59,"providers":[{"billed_charge":285.86,"npi":[1023056488]}]}]}]},{"billing_code":"99607","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"MTMS BY PHARM ADDL 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":12.04,"providers":[{"billed_charge":375.60,"npi":[1457719312]}]},{"allowed_amount":17.34,"providers":[{"billed_charge":372.28,"npi":[1750333282]}]},{"allowed_amount":21.64,"providers":[{"billed_charge":375.60,"npi":[1477504280]}]},{"allowed_amount":34.59,"providers":[{"billed_charge":744.56,"npi":[1750333282]}]},{"allowed_amount":39.88,"providers":[{"billed_charge":1489.12,"npi":[1750333282]}]},{"allowed_amount":125.09,"providers":[{"billed_charge":744.56,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":21.64,"providers":[{"billed_charge":299.15,"npi":[1558311357]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":19.59,"providers":[{"billed_charge":285.86,"npi":[1023056488]}]}]}]},{"billing_code":"A0382","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Ambulance","description":"BASIC SUPPORT ROUTINE SUPPLS","allowed_amounts":[{"tin":{"type":"ein","value":"566000281"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":28.61,"providers":[{"billed_charge":60.00,"npi":[1609855543]}]}]}]},{"billing_code":"A0398","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Ambulance","description":"ALS ROUTINE DISPOSBLE SUPPLS","allowed_amounts":[{"tin":{"type":"ein","value":"450439149"},"billing_class":"professional","service_code":["42"],"payments":[{"allowed_amount":69.76,"providers":[{"billed_charge":413.00,"npi":[1972529154]}]}]},{"tin":{"type":"ein","value":"560897329"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":28.88,"providers":[{"billed_charge":100.00,"npi":[1467495457]}]}]}]},{"billing_code":"A0425","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Ambulance","description":"GROUND MILEAGE","allowed_amounts":[{"tin":{"type":"ein","value":"046001119"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":183.90,"providers":[{"billed_charge":210.90,"npi":[1568459337]}]}]},{"tin":{"type":"ein","value":"200841504"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":675.15,"providers":[{"billed_charge":900.20,"npi":[1114052149]}]}]},{"tin":{"type":"ein","value":"208396269"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":281.25,"providers":[{"billed_charge":375.00,"npi":[1013127026]}]}]},{"tin":{"type":"ein","value":"223901717"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":330.48,"providers":[{"billed_charge":660.96,"npi":[1922045749]}]}]},{"tin":{"type":"ein","value":"237061809"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":57.41,"providers":[{"billed_charge":57.41,"npi":[1982938445]}]}]},{"tin":{"type":"ein","value":"237099373"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":66.47,"providers":[{"billed_charge":132.94,"npi":[1487623203]}]}]},{"tin":{"type":"ein","value":"237160139"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":101.46,"providers":[{"billed_charge":103.70,"npi":[1598775751]}]},{"allowed_amount":152.19,"providers":[{"billed_charge":168.07,"npi":[1598775751]}]},{"allowed_amount":364.83,"providers":[{"billed_charge":364.83,"npi":[1598775751]}]},{"allowed_amount":574.94,"providers":[{"billed_charge":609.71,"npi":[1598775751]}]}]},{"tin":{"type":"ein","value":"260478539"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":229.93,"providers":[{"billed_charge":229.93,"npi":[1851593446]}]}]},{"tin":{"type":"ein","value":"261373867"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":72.90,"providers":[{"billed_charge":72.90,"npi":[1639321144]}]}]},{"tin":{"type":"ein","value":"263867079"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":5.42,"providers":[{"billed_charge":7.22,"npi":[1699907568]}]},{"allowed_amount":27.97,"providers":[{"billed_charge":37.29,"npi":[1699907568]}]},{"allowed_amount":42.41,"providers":[{"billed_charge":56.54,"npi":[1699907568]}]},{"allowed_amount":55.04,"providers":[{"billed_charge":73.38,"npi":[1699907568]}]},{"allowed_amount":59.55,"providers":[{"billed_charge":79.40,"npi":[1699907568]}]},{"allowed_amount":80.30,"providers":[{"billed_charge":107.07,"npi":[1699907568]}]},{"allowed_amount":85.72,"providers":[{"billed_charge":114.29,"npi":[1699907568]}]},{"allowed_amount":99.25,"providers":[{"billed_charge":132.33,"npi":[1699907568]}]},{"allowed_amount":271.58,"providers":[{"billed_charge":362.10,"npi":[1699907568]}]},{"allowed_amount":301.35,"providers":[{"billed_charge":401.80,"npi":[1699907568]}]}]},{"tin":{"type":"ein","value":"272763125"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":25.74,"providers":[{"billed_charge":42.90,"npi":[1487067062]}]}]},{"tin":{"type":"ein","value":"452502777"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":445.20,"providers":[{"billed_charge":556.50,"npi":[1356639801]}]},{"allowed_amount":1236.00,"providers":[{"billed_charge":1545.00,"npi":[1356639801]}]}]},{"tin":{"type":"ein","value":"462546402"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":30.08,"providers":[{"billed_charge":30.08,"npi":[1376182741]}]},{"allowed_amount":51.73,"providers":[{"billed_charge":51.73,"npi":[1376182741]}]},{"allowed_amount":62.56,"providers":[{"billed_charge":62.56,"npi":[1376182741]}]},{"allowed_amount":80.60,"providers":[{"billed_charge":80.60,"npi":[1376182741]}]}]},{"tin":{"type":"ein","value":"465007345"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":84.55,"providers":[{"billed_charge":121.40,"npi":[1982198289]}]}]},{"tin":{"type":"ein","value":"470829179"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":794.77,"providers":[{"billed_charge":1175.00,"npi":[1871991125]}]},{"allowed_amount":965.14,"providers":[{"billed_charge":1125.00,"npi":[1871991125]}]}]},{"tin":{"type":"ein","value":"510156631"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":700.00,"providers":[{"billed_charge":700.00,"npi":[1194763748]}]},{"allowed_amount":792.40,"providers":[{"billed_charge":792.40,"npi":[1194763748]}]}]},{"tin":{"type":"ein","value":"521358372"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":24.00,"providers":[{"billed_charge":24.00,"npi":[1891945739]}]}]},{"tin":{"type":"ein","value":"541096326"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":68.40,"providers":[{"billed_charge":114.00,"npi":[1346238797]}]}]},{"tin":{"type":"ein","value":"541361721"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":838.86,"providers":[{"billed_charge":1320.55,"npi":[1205828779]}]}]},{"tin":{"type":"ein","value":"541399596"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":448.00,"providers":[{"billed_charge":640.00,"npi":[1053380212]}]},{"allowed_amount":994.00,"providers":[{"billed_charge":1420.00,"npi":[1053380212]}]}]},{"tin":{"type":"ein","value":"541691944"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":90.40,"providers":[{"billed_charge":247.10,"npi":[1396714101]}]}]},{"tin":{"type":"ein","value":"541788300"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":247.00,"providers":[{"billed_charge":380.00,"npi":[1568638724]}]},{"allowed_amount":257.97,"providers":[{"billed_charge":396.88,"npi":[1568638724]}]},{"allowed_amount":286.00,"providers":[{"billed_charge":440.00,"npi":[1568638724]}]},{"allowed_amount":598.00,"providers":[{"billed_charge":920.00,"npi":[1568638724]}]}]},{"tin":{"type":"ein","value":"541873843"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":312.00,"providers":[{"billed_charge":390.00,"npi":[1932271301]}]}]},{"tin":{"type":"ein","value":"560593547"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":176.40,"providers":[{"billed_charge":252.00,"npi":[1518285493]}]}]},{"tin":{"type":"ein","value":"560845796"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":10.50,"providers":[{"billed_charge":10.50,"npi":[1689786717]}]},{"allowed_amount":24.00,"providers":[{"billed_charge":24.00,"npi":[1689786717]}]},{"allowed_amount":27.00,"providers":[{"billed_charge":27.00,"npi":[1689786717]}]},{"allowed_amount":40.50,"providers":[{"billed_charge":40.50,"npi":[1689786717]}]},{"allowed_amount":42.00,"providers":[{"billed_charge":42.00,"npi":[1689786717]}]},{"allowed_amount":46.50,"providers":[{"billed_charge":46.50,"npi":[1689786717]}]},{"allowed_amount":48.00,"providers":[{"billed_charge":48.00,"npi":[1689786717]}]},{"allowed_amount":57.00,"providers":[{"billed_charge":57.00,"npi":[1689786717]}]},{"allowed_amount":61.50,"providers":[{"billed_charge":61.50,"npi":[1689786717]}]},{"allowed_amount":69.00,"providers":[{"billed_charge":69.00,"npi":[1689786717]}]},{"allowed_amount":72.00,"providers":[{"billed_charge":72.00,"npi":[1689786717]}]},{"allowed_amount":73.50,"providers":[{"billed_charge":73.50,"npi":[1689786717]}]},{"allowed_amount":76.50,"providers":[{"billed_charge":76.50,"npi":[1689786717]}]},{"allowed_amount":78.00,"providers":[{"billed_charge":78.00,"npi":[1689786717]}]},{"allowed_amount":90.00,"providers":[{"billed_charge":90.00,"npi":[1689786717]}]},{"allowed_amount":97.50,"providers":[{"billed_charge":97.50,"npi":[1689786717]}]},{"allowed_amount":120.00,"providers":[{"billed_charge":120.00,"npi":[1689786717]}]},{"allowed_amount":123.00,"providers":[{"billed_charge":123.00,"npi":[1689786717]}]},{"allowed_amount":127.50,"providers":[{"billed_charge":127.50,"npi":[1689786717]}]},{"allowed_amount":166.50,"providers":[{"billed_charge":166.50,"npi":[1689786717]}]},{"allowed_amount":232.50,"providers":[{"billed_charge":232.50,"npi":[1689786717]}]},{"allowed_amount":268.50,"providers":[{"billed_charge":268.50,"npi":[1689786717]}]},{"allowed_amount":288.00,"providers":[{"billed_charge":288.00,"npi":[1689786717]}]},{"allowed_amount":630.00,"providers":[{"billed_charge":630.00,"npi":[1689786717]}]},{"allowed_amount":649.50,"providers":[{"billed_charge":649.50,"npi":[1689786717]}]},{"allowed_amount":1093.50,"providers":[{"billed_charge":1093.50,"npi":[1689786717]}]},{"allowed_amount":1189.50,"providers":[{"billed_charge":1189.50,"npi":[1689786717]}]}]},{"tin":{"type":"ein","value":"560897329"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":236.60,"providers":[{"billed_charge":272.02,"npi":[1467495457]}]},{"allowed_amount":291.20,"providers":[{"billed_charge":324.80,"npi":[1467495457]}]},{"allowed_amount":364.00,"providers":[{"billed_charge":406.00,"npi":[1467495457]}]}]},{"tin":{"type":"ein","value":"561123100"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":201.17,"providers":[{"billed_charge":201.17,"npi":[1053624270]}]},{"allowed_amount":202.69,"providers":[{"billed_charge":202.69,"npi":[1053624270]}]}]},{"tin":{"type":"ein","value":"561944807"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":60.50,"providers":[{"billed_charge":60.50,"npi":[1104913326]}]},{"allowed_amount":70.13,"providers":[{"billed_charge":70.13,"npi":[1104913326]}]},{"allowed_amount":82.50,"providers":[{"billed_charge":82.50,"npi":[1104913326]}]},{"allowed_amount":86.63,"providers":[{"billed_charge":86.63,"npi":[1104913326]}]},{"allowed_amount":100.38,"providers":[{"billed_charge":100.38,"npi":[1104913326]}]},{"allowed_amount":114.13,"providers":[{"billed_charge":114.13,"npi":[1104913326]}]},{"allowed_amount":127.88,"providers":[{"billed_charge":127.88,"npi":[1104913326]}]},{"allowed_amount":178.75,"providers":[{"billed_charge":178.75,"npi":[1104913326]}]},{"allowed_amount":191.13,"providers":[{"billed_charge":191.13,"npi":[1104913326]}]},{"allowed_amount":225.50,"providers":[{"billed_charge":225.50,"npi":[1104913326]}]},{"allowed_amount":254.38,"providers":[{"billed_charge":254.38,"npi":[1104913326]}]},{"allowed_amount":298.38,"providers":[{"billed_charge":298.38,"npi":[1104913326]}]},{"allowed_amount":363.00,"providers":[{"billed_charge":363.00,"npi":[1104913326]}]},{"allowed_amount":404.25,"providers":[{"billed_charge":404.25,"npi":[1104913326]}]}]},{"tin":{"type":"ein","value":"561989558"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":16.91,"providers":[{"billed_charge":29.00,"npi":[1336226034]}]},{"allowed_amount":17.40,"providers":[{"billed_charge":17.40,"npi":[1336226034]}]},{"allowed_amount":18.20,"providers":[{"billed_charge":29.00,"npi":[1336226034]}]},{"allowed_amount":33.82,"providers":[{"billed_charge":58.00,"npi":[1336226034]}]},{"allowed_amount":36.40,"providers":[{"billed_charge":58.00,"npi":[1336226034]}]},{"allowed_amount":50.73,"providers":[{"billed_charge":87.00,"npi":[1336226034]}]},{"allowed_amount":54.60,"providers":[{"billed_charge":87.00,"npi":[1336226034]}]},{"allowed_amount":67.64,"providers":[{"billed_charge":116.00,"npi":[1336226034]}]},{"allowed_amount":72.80,"providers":[{"billed_charge":116.00,"npi":[1336226034]}]},{"allowed_amount":84.55,"providers":[{"billed_charge":145.00,"npi":[1336226034]}]},{"allowed_amount":91.00,"providers":[{"billed_charge":145.00,"npi":[1336226034]}]},{"allowed_amount":101.46,"providers":[{"billed_charge":174.00,"npi":[1336226034]}]},{"allowed_amount":109.20,"providers":[{"billed_charge":174.00,"npi":[1336226034]}]},{"allowed_amount":118.37,"providers":[{"billed_charge":203.00,"npi":[1336226034]}]},{"allowed_amount":127.40,"providers":[{"billed_charge":203.00,"npi":[1336226034]}]},{"allowed_amount":135.28,"providers":[{"billed_charge":232.00,"npi":[1336226034]}]},{"allowed_amount":145.60,"providers":[{"billed_charge":232.00,"npi":[1336226034]}]},{"allowed_amount":152.19,"providers":[{"billed_charge":261.00,"npi":[1336226034]}]},{"allowed_amount":163.80,"providers":[{"billed_charge":261.00,"npi":[1336226034]}]},{"allowed_amount":169.10,"providers":[{"billed_charge":290.00,"npi":[1336226034]}]},{"allowed_amount":182.00,"providers":[{"billed_charge":290.00,"npi":[1336226034]},{"billed_charge":301.60,"npi":[1336226034]}]},{"allowed_amount":186.01,"providers":[{"billed_charge":319.00,"npi":[1336226034]}]},{"allowed_amount":200.20,"providers":[{"billed_charge":319.00,"npi":[1336226034]}]},{"allowed_amount":202.92,"providers":[{"billed_charge":348.00,"npi":[1336226034]}]},{"allowed_amount":218.40,"providers":[{"billed_charge":348.00,"npi":[1336226034]}]},{"allowed_amount":219.83,"providers":[{"billed_charge":377.00,"npi":[1336226034]}]},{"allowed_amount":236.60,"providers":[{"billed_charge":377.00,"npi":[1336226034]}]},{"allowed_amount":236.74,"providers":[{"billed_charge":406.00,"npi":[1336226034]}]},{"allowed_amount":254.80,"providers":[{"billed_charge":406.00,"npi":[1336226034]}]},{"allowed_amount":270.56,"providers":[{"billed_charge":464.00,"npi":[1336226034]}]},{"allowed_amount":273.00,"providers":[{"billed_charge":435.00,"npi":[1336226034]}]},{"allowed_amount":304.38,"providers":[{"billed_charge":522.00,"npi":[1336226034]}]},{"allowed_amount":309.40,"providers":[{"billed_charge":493.00,"npi":[1336226034]}]},{"allowed_amount":327.60,"providers":[{"billed_charge":522.00,"npi":[1336226034]}]},{"allowed_amount":345.80,"providers":[{"billed_charge":551.00,"npi":[1336226034]}]},{"allowed_amount":364.00,"providers":[{"billed_charge":580.00,"npi":[1336226034]}]},{"allowed_amount":405.84,"providers":[{"billed_charge":696.00,"npi":[1336226034]}]},{"allowed_amount":491.40,"providers":[{"billed_charge":783.00,"npi":[1336226034]}]}]},{"tin":{"type":"ein","value":"562167657"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":32.47,"providers":[{"billed_charge":40.59,"npi":[1275527863]}]}]},{"tin":{"type":"ein","value":"566000229"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":8.71,"providers":[{"billed_charge":10.00,"npi":[1851390553]}]},{"allowed_amount":26.13,"providers":[{"billed_charge":30.00,"npi":[1851390553]}]},{"allowed_amount":34.84,"providers":[{"billed_charge":40.00,"npi":[1851390553]}]}]},{"tin":{"type":"ein","value":"566000271"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":54.60,"providers":[{"billed_charge":59.00,"npi":[1952406779]}]}]},{"tin":{"type":"ein","value":"566000276"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":16.80,"providers":[{"billed_charge":24.00,"npi":[1356762306]}]}]},{"tin":{"type":"ein","value":"566000278"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":72.80,"providers":[{"billed_charge":76.88,"npi":[1831146471]}]},{"allowed_amount":91.00,"providers":[{"billed_charge":95.41,"npi":[1831146471]}]},{"allowed_amount":145.60,"providers":[{"billed_charge":156.31,"npi":[1831146471]}]},{"allowed_amount":186.01,"providers":[{"billed_charge":219.24,"npi":[1831146471]}]}]},{"tin":{"type":"ein","value":"566000279"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":50.06,"providers":[{"billed_charge":50.06,"npi":[1073574786]}]},{"allowed_amount":67.64,"providers":[{"billed_charge":73.31,"npi":[1073574786]}]}]},{"tin":{"type":"ein","value":"566000280"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":216.00,"providers":[{"billed_charge":216.00,"npi":[1538291760]}]}]},{"tin":{"type":"ein","value":"566000281"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":18.20,"providers":[{"billed_charge":21.00,"npi":[1609855543]}]},{"allowed_amount":45.00,"providers":[{"billed_charge":45.00,"npi":[1609855543]}]},{"allowed_amount":57.00,"providers":[{"billed_charge":57.00,"npi":[1609855543]}]},{"allowed_amount":64.50,"providers":[{"billed_charge":64.50,"npi":[1609855543]}]},{"allowed_amount":69.00,"providers":[{"billed_charge":69.00,"npi":[1609855543]}]},{"allowed_amount":76.50,"providers":[{"billed_charge":76.50,"npi":[1609855543]}]},{"allowed_amount":81.00,"providers":[{"billed_charge":81.00,"npi":[1609855543]}]},{"allowed_amount":84.00,"providers":[{"billed_charge":84.00,"npi":[1609855543]}]},{"allowed_amount":88.50,"providers":[{"billed_charge":88.50,"npi":[1609855543]}]},{"allowed_amount":94.50,"providers":[{"billed_charge":94.50,"npi":[1609855543]}]},{"allowed_amount":102.00,"providers":[{"billed_charge":102.00,"npi":[1609855543]}]},{"allowed_amount":105.00,"providers":[{"billed_charge":105.00,"npi":[1609855543]}]},{"allowed_amount":127.50,"providers":[{"billed_charge":127.50,"npi":[1609855543]}]},{"allowed_amount":144.00,"providers":[{"billed_charge":144.00,"npi":[1609855543]}]},{"allowed_amount":151.50,"providers":[{"billed_charge":151.50,"npi":[1609855543]}]},{"allowed_amount":156.00,"providers":[{"billed_charge":156.00,"npi":[1609855543]}]},{"allowed_amount":172.50,"providers":[{"billed_charge":172.50,"npi":[1609855543]}]},{"allowed_amount":184.50,"providers":[{"billed_charge":184.50,"npi":[1609855543]}]},{"allowed_amount":192.00,"providers":[{"billed_charge":192.00,"npi":[1609855543]}]},{"allowed_amount":205.50,"providers":[{"billed_charge":205.50,"npi":[1609855543]}]},{"allowed_amount":211.50,"providers":[{"billed_charge":211.50,"npi":[1609855543]}]}]},{"tin":{"type":"ein","value":"566000288"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":16.80,"providers":[{"billed_charge":16.80,"npi":[1093752818]}]},{"allowed_amount":27.60,"providers":[{"billed_charge":27.60,"npi":[1093752818]}]},{"allowed_amount":54.00,"providers":[{"billed_charge":54.00,"npi":[1093752818]}]},{"allowed_amount":66.00,"providers":[{"billed_charge":66.00,"npi":[1093752818]}]},{"allowed_amount":102.00,"providers":[{"billed_charge":102.00,"npi":[1093752818]}]},{"allowed_amount":156.00,"providers":[{"billed_charge":156.00,"npi":[1093752818]}]},{"allowed_amount":159.60,"providers":[{"billed_charge":159.60,"npi":[1093752818]}]},{"allowed_amount":165.60,"providers":[{"billed_charge":165.60,"npi":[1093752818]}]},{"allowed_amount":560.40,"providers":[{"billed_charge":560.40,"npi":[1093752818]}]}]},{"tin":{"type":"ein","value":"566000290"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":19.95,"providers":[{"billed_charge":39.90,"npi":[1629015516]}]},{"allowed_amount":32.55,"providers":[{"billed_charge":65.10,"npi":[1629015516]}]},{"allowed_amount":34.13,"providers":[{"billed_charge":68.25,"npi":[1629015516]}]},{"allowed_amount":62.48,"providers":[{"billed_charge":124.95,"npi":[1629015516]}]},{"allowed_amount":82.95,"providers":[{"billed_charge":165.90,"npi":[1629015516]}]},{"allowed_amount":106.58,"providers":[{"billed_charge":213.15,"npi":[1629015516]}]},{"allowed_amount":144.90,"providers":[{"billed_charge":289.80,"npi":[1629015516]}]}]},{"tin":{"type":"ein","value":"566000292"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":228.80,"providers":[{"billed_charge":286.00,"npi":[1265479497]}]}]},{"tin":{"type":"ein","value":"566000293"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":69.68,"providers":[{"billed_charge":103.28,"npi":[1144223330]}]},{"allowed_amount":104.52,"providers":[{"billed_charge":145.80,"npi":[1144223330]}]},{"allowed_amount":113.23,"providers":[{"billed_charge":157.95,"npi":[1144223330]}]},{"allowed_amount":121.94,"providers":[{"billed_charge":170.11,"npi":[1144223330]}]},{"allowed_amount":261.30,"providers":[{"billed_charge":364.50,"npi":[1144223330]}]},{"allowed_amount":374.53,"providers":[{"billed_charge":522.45,"npi":[1144223330]}]},{"allowed_amount":513.89,"providers":[{"billed_charge":716.86,"npi":[1144223330]}]},{"allowed_amount":1010.36,"providers":[{"billed_charge":1409.40,"npi":[1144223330]}]},{"allowed_amount":1062.62,"providers":[{"billed_charge":1482.30,"npi":[1144223330]}]},{"allowed_amount":1071.33,"providers":[{"billed_charge":1494.45,"npi":[1144223330]}]},{"allowed_amount":1123.59,"providers":[{"billed_charge":1567.35,"npi":[1144223330]}]}]},{"tin":{"type":"ein","value":"566000294"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":33.82,"providers":[{"billed_charge":167.63,"npi":[1205969292]}]},{"allowed_amount":84.55,"providers":[{"billed_charge":203.83,"npi":[1205969292]}]},{"allowed_amount":97.89,"providers":[{"billed_charge":97.89,"npi":[1205969292]}]},{"allowed_amount":103.26,"providers":[{"billed_charge":103.26,"npi":[1205969292]}]},{"allowed_amount":139.46,"providers":[{"billed_charge":139.46,"npi":[1205969292]}]}]},{"tin":{"type":"ein","value":"566000296"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":108.00,"providers":[{"billed_charge":180.00,"npi":[1508919069]}]}]},{"tin":{"type":"ein","value":"566000297"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":16.91,"providers":[{"billed_charge":25.20,"npi":[1437159613]}]},{"allowed_amount":120.60,"providers":[{"billed_charge":120.60,"npi":[1437159613]}]},{"allowed_amount":135.28,"providers":[{"billed_charge":151.20,"npi":[1437159613]}]}]},{"tin":{"type":"ein","value":"566000298"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":41.65,"providers":[{"billed_charge":59.50,"npi":[1972685584]}]},{"allowed_amount":92.40,"providers":[{"billed_charge":132.00,"npi":[1972685584]}]},{"allowed_amount":134.40,"providers":[{"billed_charge":192.00,"npi":[1972685584]}]},{"allowed_amount":159.60,"providers":[{"billed_charge":228.00,"npi":[1972685584]}]}]},{"tin":{"type":"ein","value":"566000299"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":30.62,"providers":[{"billed_charge":30.62,"npi":[1942226501]}]}]},{"tin":{"type":"ein","value":"566000300"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":72.80,"providers":[{"billed_charge":75.60,"npi":[1932258506]}]},{"allowed_amount":180.00,"providers":[{"billed_charge":180.00,"npi":[1932258506]}]}]},{"tin":{"type":"ein","value":"566000304"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":231.04,"providers":[{"billed_charge":330.06,"npi":[1801833751]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":14.30,"providers":[{"billed_charge":14.30,"npi":[1780622498]}]},{"allowed_amount":16.91,"providers":[{"billed_charge":17.88,"npi":[1780622498]},{"billed_charge":21.46,"npi":[1780622498]}]},{"allowed_amount":18.20,"providers":[{"billed_charge":25.03,"npi":[1780622498]}]},{"allowed_amount":33.97,"providers":[{"billed_charge":33.97,"npi":[1780622498]}]},{"allowed_amount":36.40,"providers":[{"billed_charge":39.34,"npi":[1780622498]}]},{"allowed_amount":48.28,"providers":[{"billed_charge":48.28,"npi":[1780622498]}]},{"allowed_amount":50.73,"providers":[{"billed_charge":55.43,"npi":[1780622498]}]},{"allowed_amount":51.85,"providers":[{"billed_charge":51.85,"npi":[1780622498]}]},{"allowed_amount":54.60,"providers":[{"billed_charge":55.43,"npi":[1780622498]}]},{"allowed_amount":98.34,"providers":[{"billed_charge":98.34,"npi":[1780622498]}]},{"allowed_amount":109.20,"providers":[{"billed_charge":116.22,"npi":[1780622498]}]},{"allowed_amount":118.37,"providers":[{"billed_charge":119.80,"npi":[1780622498]}]},{"allowed_amount":125.16,"providers":[{"billed_charge":125.16,"npi":[1780622498]}]},{"allowed_amount":127.40,"providers":[{"billed_charge":130.52,"npi":[1780622498]}]},{"allowed_amount":137.68,"providers":[{"billed_charge":137.68,"npi":[1780622498]}]},{"allowed_amount":182.00,"providers":[{"billed_charge":184.16,"npi":[1780622498]},{"billed_charge":185.95,"npi":[1780622498]}]},{"allowed_amount":186.01,"providers":[{"billed_charge":202.04,"npi":[1780622498]}]},{"allowed_amount":200.20,"providers":[{"billed_charge":207.41,"npi":[1780622498]}]},{"allowed_amount":202.92,"providers":[{"billed_charge":223.50,"npi":[1780622498]}]},{"allowed_amount":219.83,"providers":[{"billed_charge":227.08,"npi":[1780622498]}]},{"allowed_amount":227.08,"providers":[{"billed_charge":227.08,"npi":[1780622498]}]},{"allowed_amount":244.96,"providers":[{"billed_charge":244.96,"npi":[1780622498]}]},{"allowed_amount":253.65,"providers":[{"billed_charge":266.41,"npi":[1780622498]}]},{"allowed_amount":307.54,"providers":[{"billed_charge":307.54,"npi":[1780622498]}]},{"allowed_amount":355.11,"providers":[{"billed_charge":375.48,"npi":[1780622498]}]},{"allowed_amount":489.91,"providers":[{"billed_charge":489.91,"npi":[1780622498]}]},{"allowed_amount":495.28,"providers":[{"billed_charge":495.28,"npi":[1780622498]}]}]},{"tin":{"type":"ein","value":"566000306"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":38.66,"providers":[{"billed_charge":38.66,"npi":[1588626519]}]},{"allowed_amount":161.29,"providers":[{"billed_charge":161.29,"npi":[1588626519]}]},{"allowed_amount":162.63,"providers":[{"billed_charge":162.63,"npi":[1588626519]}]}]},{"tin":{"type":"ein","value":"566000307"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":33.82,"providers":[{"billed_charge":44.70,"npi":[1891825782]}]},{"allowed_amount":169.10,"providers":[{"billed_charge":171.65,"npi":[1891825782]}]}]},{"tin":{"type":"ein","value":"566000308"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":390.00,"providers":[{"billed_charge":600.00,"npi":[1417995309]}]}]},{"tin":{"type":"ein","value":"566000312"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":164.98,"providers":[{"billed_charge":235.69,"npi":[1184771479]}]},{"allowed_amount":243.83,"providers":[{"billed_charge":348.33,"npi":[1184771479]}]}]},{"tin":{"type":"ein","value":"566000314"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":163.80,"providers":[{"billed_charge":182.70,"npi":[1508804568]}]}]},{"tin":{"type":"ein","value":"566000315"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":67.64,"providers":[{"billed_charge":76.05,"npi":[1144281858]}]},{"allowed_amount":236.74,"providers":[{"billed_charge":271.05,"npi":[1144281858]}]}]},{"tin":{"type":"ein","value":"566000318"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":13.53,"providers":[{"billed_charge":13.53,"npi":[1639382716]}]}]},{"tin":{"type":"ein","value":"566000325"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":234.10,"providers":[{"billed_charge":312.13,"npi":[1588868400]}]},{"allowed_amount":960.83,"providers":[{"billed_charge":1281.11,"npi":[1588868400]}]}]},{"tin":{"type":"ein","value":"566000326"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":24.15,"providers":[{"billed_charge":24.15,"npi":[1720027147]}]},{"allowed_amount":46.00,"providers":[{"billed_charge":46.00,"npi":[1720027147]}]},{"allowed_amount":102.35,"providers":[{"billed_charge":102.35,"npi":[1720027147]}]}]},{"tin":{"type":"ein","value":"566000327"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":18.20,"providers":[{"billed_charge":22.40,"npi":[1629178629]}]}]},{"tin":{"type":"ein","value":"566000330"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":78.24,"providers":[{"billed_charge":111.77,"npi":[1801895230]}]},{"allowed_amount":150.46,"providers":[{"billed_charge":214.95,"npi":[1801895230]}]}]},{"tin":{"type":"ein","value":"566000332"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":15.21,"providers":[{"billed_charge":30.42,"npi":[1033155148]}]},{"allowed_amount":29.05,"providers":[{"billed_charge":58.10,"npi":[1033155148]}]},{"allowed_amount":29.25,"providers":[{"billed_charge":58.50,"npi":[1033155148]}]},{"allowed_amount":35.10,"providers":[{"billed_charge":70.20,"npi":[1033155148]}]},{"allowed_amount":36.86,"providers":[{"billed_charge":73.71,"npi":[1033155148]}]},{"allowed_amount":40.95,"providers":[{"billed_charge":81.90,"npi":[1033155148]}]},{"allowed_amount":46.80,"providers":[{"billed_charge":93.60,"npi":[1033155148]}]},{"allowed_amount":57.33,"providers":[{"billed_charge":114.66,"npi":[1033155148]}]},{"allowed_amount":58.50,"providers":[{"billed_charge":117.00,"npi":[1033155148]}]},{"allowed_amount":81.90,"providers":[{"billed_charge":163.80,"npi":[1033155148]}]},{"allowed_amount":105.30,"providers":[{"billed_charge":210.60,"npi":[1033155148]}]},{"allowed_amount":108.23,"providers":[{"billed_charge":216.45,"npi":[1033155148]}]},{"allowed_amount":111.15,"providers":[{"billed_charge":222.30,"npi":[1033155148]}]},{"allowed_amount":122.85,"providers":[{"billed_charge":245.70,"npi":[1033155148]}]}]},{"tin":{"type":"ein","value":"566000335"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":304.38,"providers":[{"billed_charge":346.50,"npi":[1861468803]}]}]},{"tin":{"type":"ein","value":"566000336"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":62.40,"providers":[{"billed_charge":62.40,"npi":[1437250347]}]},{"allowed_amount":86.40,"providers":[{"billed_charge":86.40,"npi":[1437250347]}]}]},{"tin":{"type":"ein","value":"566000337"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":36.40,"providers":[{"billed_charge":43.70,"npi":[1225083413]}]},{"allowed_amount":218.40,"providers":[{"billed_charge":231.80,"npi":[1225083413]}]},{"allowed_amount":219.83,"providers":[{"billed_charge":250.80,"npi":[1225083413]}]}]},{"tin":{"type":"ein","value":"566000340"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":208.80,"providers":[{"billed_charge":208.80,"npi":[1952306862]}]},{"allowed_amount":219.60,"providers":[{"billed_charge":219.60,"npi":[1952306862]}]}]},{"tin":{"type":"ein","value":"566000341"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":50.73,"providers":[{"billed_charge":51.00,"npi":[1306843107]}]},{"allowed_amount":253.50,"providers":[{"billed_charge":253.50,"npi":[1306843107]}]}]},{"tin":{"type":"ein","value":"566000347"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":16.09,"providers":[{"billed_charge":16.09,"npi":[1922098029]}]},{"allowed_amount":17.43,"providers":[{"billed_charge":17.43,"npi":[1922098029]}]},{"allowed_amount":18.20,"providers":[{"billed_charge":18.77,"npi":[1922098029]}]},{"allowed_amount":49.62,"providers":[{"billed_charge":49.62,"npi":[1922098029]}]},{"allowed_amount":64.37,"providers":[{"billed_charge":64.37,"npi":[1922098029]}]},{"allowed_amount":130.08,"providers":[{"billed_charge":130.08,"npi":[1922098029]}]},{"allowed_amount":134.10,"providers":[{"billed_charge":134.10,"npi":[1922098029]}]}]},{"tin":{"type":"ein","value":"566000350"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":64.80,"providers":[{"billed_charge":64.80,"npi":[1669539458]}]},{"allowed_amount":121.20,"providers":[{"billed_charge":121.20,"npi":[1669539458]}]}]},{"tin":{"type":"ein","value":"566000351"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":22.32,"providers":[{"billed_charge":37.20,"npi":[1932281540]}]}]},{"tin":{"type":"ein","value":"566000352"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":130.14,"providers":[{"billed_charge":185.92,"npi":[1083651434]}]},{"allowed_amount":187.89,"providers":[{"billed_charge":268.42,"npi":[1083651434]}]},{"allowed_amount":203.35,"providers":[{"billed_charge":290.50,"npi":[1083651434]}]}]},{"tin":{"type":"ein","value":"566000450"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":7.22,"providers":[{"billed_charge":7.22,"npi":[1043250350]}]},{"allowed_amount":10.83,"providers":[{"billed_charge":10.83,"npi":[1043250350]}]},{"allowed_amount":21.65,"providers":[{"billed_charge":21.65,"npi":[1043250350]}]},{"allowed_amount":22.86,"providers":[{"billed_charge":22.86,"npi":[1043250350]}]},{"allowed_amount":31.28,"providers":[{"billed_charge":31.28,"npi":[1043250350]}]},{"allowed_amount":51.73,"providers":[{"billed_charge":51.73,"npi":[1043250350]}]},{"allowed_amount":54.14,"providers":[{"billed_charge":54.14,"npi":[1043250350]}]},{"allowed_amount":56.54,"providers":[{"billed_charge":56.54,"npi":[1043250350]}]},{"allowed_amount":60.15,"providers":[{"billed_charge":60.15,"npi":[1043250350]}]},{"allowed_amount":66.17,"providers":[{"billed_charge":66.17,"npi":[1043250350]}]},{"allowed_amount":67.37,"providers":[{"billed_charge":67.37,"npi":[1043250350]}]},{"allowed_amount":72.18,"providers":[{"billed_charge":72.18,"npi":[1043250350]}]},{"allowed_amount":84.21,"providers":[{"billed_charge":84.21,"npi":[1043250350]}]},{"allowed_amount":96.24,"providers":[{"billed_charge":96.24,"npi":[1043250350]}]},{"allowed_amount":111.88,"providers":[{"billed_charge":111.88,"npi":[1043250350]}]},{"allowed_amount":127.52,"providers":[{"billed_charge":127.52,"npi":[1043250350]}]},{"allowed_amount":128.72,"providers":[{"billed_charge":128.72,"npi":[1043250350]}]},{"allowed_amount":135.94,"providers":[{"billed_charge":135.94,"npi":[1043250350]}]},{"allowed_amount":169.62,"providers":[{"billed_charge":169.62,"npi":[1043250350]}]}]},{"tin":{"type":"ein","value":"566000453"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":198.65,"providers":[{"billed_charge":198.65,"npi":[1932715372]}]}]},{"tin":{"type":"ein","value":"566001291"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":16.91,"providers":[{"billed_charge":20.30,"npi":[1598703290]}]}]},{"tin":{"type":"ein","value":"566001364"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":16.24,"providers":[{"billed_charge":21.65,"npi":[1275515272]}]},{"allowed_amount":32.47,"providers":[{"billed_charge":43.30,"npi":[1275515272]}]}]},{"tin":{"type":"ein","value":"566001373"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":351.49,"providers":[{"billed_charge":468.65,"npi":[1013955525]}]}]},{"tin":{"type":"ein","value":"566001520"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":63.00,"providers":[{"billed_charge":70.00,"npi":[1154363380]}]}]},{"tin":{"type":"ein","value":"566001521"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":99.00,"providers":[{"billed_charge":132.00,"npi":[1255780136]}]},{"allowed_amount":108.00,"providers":[{"billed_charge":144.00,"npi":[1255780136]}]},{"allowed_amount":113.23,"providers":[{"billed_charge":156.00,"npi":[1255780136]}]},{"allowed_amount":117.00,"providers":[{"billed_charge":156.00,"npi":[1255780136]}]},{"allowed_amount":121.94,"providers":[{"billed_charge":168.00,"npi":[1255780136]}]},{"allowed_amount":126.00,"providers":[{"billed_charge":168.00,"npi":[1255780136]}]},{"allowed_amount":180.00,"providers":[{"billed_charge":240.00,"npi":[1255780136]}]},{"allowed_amount":207.00,"providers":[{"billed_charge":276.00,"npi":[1255780136]}]},{"allowed_amount":226.46,"providers":[{"billed_charge":313.20,"npi":[1255780136]}]}]},{"tin":{"type":"ein","value":"566001522"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":101.25,"providers":[{"billed_charge":101.25,"npi":[1568628006]}]}]},{"tin":{"type":"ein","value":"566001524"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":66.20,"providers":[{"billed_charge":66.20,"npi":[1013949403]}]}]},{"tin":{"type":"ein","value":"566001526"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":76.80,"providers":[{"billed_charge":76.80,"npi":[1619965274]}]},{"allowed_amount":81.60,"providers":[{"billed_charge":81.60,"npi":[1619965274]}]},{"allowed_amount":356.40,"providers":[{"billed_charge":356.40,"npi":[1619965274]}]},{"allowed_amount":398.40,"providers":[{"billed_charge":398.40,"npi":[1619965274]}]}]},{"tin":{"type":"ein","value":"566001537"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":14.08,"providers":[{"billed_charge":14.08,"npi":[1922150812]}]},{"allowed_amount":16.91,"providers":[{"billed_charge":18.30,"npi":[1922150812]}]},{"allowed_amount":22.00,"providers":[{"billed_charge":22.00,"npi":[1922150812]}]},{"allowed_amount":25.34,"providers":[{"billed_charge":25.34,"npi":[1922150812]}]},{"allowed_amount":26.75,"providers":[{"billed_charge":26.75,"npi":[1922150812]}]},{"allowed_amount":39.42,"providers":[{"billed_charge":39.42,"npi":[1922150812]}]},{"allowed_amount":40.83,"providers":[{"billed_charge":40.83,"npi":[1922150812]}]},{"allowed_amount":45.06,"providers":[{"billed_charge":45.06,"npi":[1922150812]}]},{"allowed_amount":49.28,"providers":[{"billed_charge":49.28,"npi":[1922150812]}]},{"allowed_amount":116.86,"providers":[{"billed_charge":116.86,"npi":[1922150812]}]},{"allowed_amount":156.29,"providers":[{"billed_charge":156.29,"npi":[1922150812]}]},{"allowed_amount":183.04,"providers":[{"billed_charge":183.04,"npi":[1922150812]}]},{"allowed_amount":201.34,"providers":[{"billed_charge":201.34,"npi":[1922150812]}]},{"allowed_amount":243.58,"providers":[{"billed_charge":243.58,"npi":[1922150812]}]},{"allowed_amount":268.93,"providers":[{"billed_charge":268.93,"npi":[1922150812]}]},{"allowed_amount":274.56,"providers":[{"billed_charge":274.56,"npi":[1922150812]}]},{"allowed_amount":368.90,"providers":[{"billed_charge":368.90,"npi":[1922150812]}]},{"allowed_amount":370.30,"providers":[{"billed_charge":370.30,"npi":[1922150812]}]},{"allowed_amount":375.94,"providers":[{"billed_charge":375.94,"npi":[1922150812]}]},{"allowed_amount":378.75,"providers":[{"billed_charge":378.75,"npi":[1922150812]}]},{"allowed_amount":606.85,"providers":[{"billed_charge":606.85,"npi":[1922150812]}]}]},{"tin":{"type":"ein","value":"566001836"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":23.62,"providers":[{"billed_charge":33.75,"npi":[1730261348]}]},{"allowed_amount":33.07,"providers":[{"billed_charge":47.25,"npi":[1730261348]}]},{"allowed_amount":230.58,"providers":[{"billed_charge":329.40,"npi":[1730261348]}]}]},{"tin":{"type":"ein","value":"566001967"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":26.82,"providers":[{"billed_charge":26.82,"npi":[1639188162]}]},{"allowed_amount":39.60,"providers":[{"billed_charge":39.60,"npi":[1639188162]}]},{"allowed_amount":134.10,"providers":[{"billed_charge":134.10,"npi":[1639188162]}]}]},{"tin":{"type":"ein","value":"570659157"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":94.70,"providers":[{"billed_charge":98.00,"npi":[1548253784]}]}]},{"tin":{"type":"ein","value":"570676809"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":314.40,"providers":[{"billed_charge":314.40,"npi":[1316251986]}]}]},{"tin":{"type":"ein","value":"570684922"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":9.90,"providers":[{"billed_charge":9.90,"npi":[1790936235]}]}]},{"tin":{"type":"ein","value":"571125775"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":40.23,"providers":[{"billed_charge":102.00,"npi":[1114088234]}]}]},{"tin":{"type":"ein","value":"576000299"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":241.80,"providers":[{"billed_charge":241.80,"npi":[1861456600]}]}]},{"tin":{"type":"ein","value":"576000311"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":113.85,"providers":[{"billed_charge":113.85,"npi":[1821073115]}]}]},{"tin":{"type":"ein","value":"576000340"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":48.12,"providers":[{"billed_charge":84.00,"npi":[1558491316]}]}]},{"tin":{"type":"ein","value":"576000353"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":85.05,"providers":[{"billed_charge":85.05,"npi":[1144375718]}]}]},{"tin":{"type":"ein","value":"576000365"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":36.00,"npi":[1700839370]}]}]},{"tin":{"type":"ein","value":"576000370"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":59.00,"providers":[{"billed_charge":59.00,"npi":[1104820752]}]},{"allowed_amount":69.30,"providers":[{"billed_charge":77.00,"npi":[1104820752]}]}]},{"tin":{"type":"ein","value":"576000395"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":39.65,"providers":[{"billed_charge":39.65,"npi":[1649268798]}]}]},{"tin":{"type":"ein","value":"576001084"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":15.30,"providers":[{"billed_charge":15.30,"npi":[1275532855]}]}]},{"tin":{"type":"ein","value":"576001289"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":36.90,"providers":[{"billed_charge":36.90,"npi":[1376546788]}]},{"allowed_amount":51.25,"providers":[{"billed_charge":51.25,"npi":[1376546788]}]},{"allowed_amount":54.33,"providers":[{"billed_charge":54.33,"npi":[1376546788]}]},{"allowed_amount":82.00,"providers":[{"billed_charge":82.00,"npi":[1376546788]}]},{"allowed_amount":256.25,"providers":[{"billed_charge":256.25,"npi":[1376546788]}]}]},{"tin":{"type":"ein","value":"581316990"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":21.85,"providers":[{"billed_charge":23.00,"npi":[1801884242]}]},{"allowed_amount":284.05,"providers":[{"billed_charge":299.00,"npi":[1801884242]}]}]},{"tin":{"type":"ein","value":"581608892"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":94.70,"providers":[{"billed_charge":300.00,"npi":[1538211081]}]},{"allowed_amount":246.22,"providers":[{"billed_charge":845.00,"npi":[1538211081]}]}]},{"tin":{"type":"ein","value":"582363827"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":33.82,"providers":[{"billed_charge":73.60,"npi":[1164445391]}]},{"allowed_amount":132.58,"providers":[{"billed_charge":190.40,"npi":[1164445391]}]},{"allowed_amount":896.23,"providers":[{"billed_charge":1478.40,"npi":[1164445391]}]}]},{"tin":{"type":"ein","value":"586000799"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":180.00,"providers":[{"billed_charge":180.00,"npi":[1801972625]}]}]},{"tin":{"type":"ein","value":"592787534"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":76.50,"providers":[{"billed_charge":76.50,"npi":[1427053420]}]},{"allowed_amount":1266.00,"providers":[{"billed_charge":1266.00,"npi":[1427053420]}]}]},{"tin":{"type":"ein","value":"596000501"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":45.00,"providers":[{"billed_charge":45.00,"npi":[1780610287]}]}]},{"tin":{"type":"ein","value":"596000605"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":11.00,"providers":[{"billed_charge":11.00,"npi":[1851400881]}]}]},{"tin":{"type":"ein","value":"626000909"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":452.14,"providers":[{"billed_charge":537.95,"npi":[1518948959]}]}]},{"tin":{"type":"ein","value":"720701964"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":82.76,"providers":[{"billed_charge":82.76,"npi":[1316943566]}]}]},{"tin":{"type":"ein","value":"731138933"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":659.52,"providers":[{"billed_charge":732.80,"npi":[1154432201]}]}]},{"tin":{"type":"ein","value":"752474011"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":36.94,"providers":[{"billed_charge":84.08,"npi":[1184732091]}]}]},{"tin":{"type":"ein","value":"800519885"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":72.42,"providers":[{"billed_charge":90.52,"npi":[1467774018]}]},{"allowed_amount":75.15,"providers":[{"billed_charge":93.94,"npi":[1467774018]}]},{"allowed_amount":98.38,"providers":[{"billed_charge":122.98,"npi":[1467774018]}]},{"allowed_amount":125.71,"providers":[{"billed_charge":157.14,"npi":[1467774018]}]},{"allowed_amount":1475.71,"providers":[{"billed_charge":1844.64,"npi":[1467774018]}]}]},{"tin":{"type":"ein","value":"832048706"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":118.19,"providers":[{"billed_charge":118.19,"npi":[1962976746]}]}]},{"tin":{"type":"ein","value":"843444254"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":147.78,"providers":[{"billed_charge":211.14,"npi":[1104457001]}]},{"allowed_amount":215.83,"providers":[{"billed_charge":293.25,"npi":[1104457001]}]},{"allowed_amount":513.89,"providers":[{"billed_charge":692.07,"npi":[1104457001]}]}]},{"tin":{"type":"ein","value":"853777599"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":16.91,"providers":[{"billed_charge":27.90,"npi":[1730776816]}]},{"allowed_amount":33.82,"providers":[{"billed_charge":71.30,"npi":[1730776816]}]},{"allowed_amount":72.80,"providers":[{"billed_charge":124.00,"npi":[1730776816]}]},{"allowed_amount":236.60,"providers":[{"billed_charge":409.20,"npi":[1730776816]}]},{"allowed_amount":509.60,"providers":[{"billed_charge":874.20,"npi":[1730776816]}]}]},{"tin":{"type":"ein","value":"934900709"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":612.00,"providers":[{"billed_charge":612.00,"npi":[1063276582]}]}]},{"tin":{"type":"ein","value":"990692749"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":3579.84,"providers":[{"billed_charge":3960.00,"npi":[1174371660]}]}]}]},{"billing_code":"A0425","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulance","description":"GROUND MILEAGE","allowed_amounts":[{"tin":{"type":"ein","value":"133957095"},"billing_class":"institutional","payments":[{"allowed_amount":71.50,"providers":[{"billed_charge":82.18,"npi":[1174628473]}]}]},{"tin":{"type":"ein","value":"560552787"},"billing_class":"institutional","payments":[{"allowed_amount":93.11,"providers":[{"billed_charge":366.79,"npi":[1144211301]}]},{"allowed_amount":490.97,"providers":[{"billed_charge":1338.92,"npi":[1144211301]}]}]}]},{"billing_code":"A0425","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulance","description":"GROUND MILEAGE PER STATUTE MILE","allowed_amounts":[{"tin":{"type":"ein","value":"133957095"},"billing_class":"institutional","payments":[{"allowed_amount":71.50,"providers":[{"billed_charge":82.18,"npi":[1174628473]}]}]},{"tin":{"type":"ein","value":"560552787"},"billing_class":"institutional","payments":[{"allowed_amount":93.11,"providers":[{"billed_charge":366.79,"npi":[1144211301]}]},{"allowed_amount":490.97,"providers":[{"billed_charge":1338.92,"npi":[1144211301]}]}]}]},{"billing_code":"A0426","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Ambulance","description":"ALS 1","allowed_amounts":[{"tin":{"type":"ein","value":"200841504"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":337.50,"providers":[{"billed_charge":450.00,"npi":[1114052149]}]}]},{"tin":{"type":"ein","value":"560845796"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":399.11,"providers":[{"billed_charge":800.00,"npi":[1689786717]}]},{"allowed_amount":427.76,"providers":[{"billed_charge":800.00,"npi":[1689786717]}]}]},{"tin":{"type":"ein","value":"561944807"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":399.11,"providers":[{"billed_charge":550.00,"npi":[1104913326]}]}]},{"tin":{"type":"ein","value":"566000281"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":427.76,"providers":[{"billed_charge":636.29,"npi":[1609855543]}]}]},{"tin":{"type":"ein","value":"566000288"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":399.11,"providers":[{"billed_charge":450.00,"npi":[1093752818]}]},{"allowed_amount":427.76,"providers":[{"billed_charge":450.00,"npi":[1093752818]}]}]},{"tin":{"type":"ein","value":"566000293"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":296.04,"providers":[{"billed_charge":430.08,"npi":[1144223330]}]}]},{"tin":{"type":"ein","value":"566000340"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":427.76,"providers":[{"billed_charge":475.00,"npi":[1952306862]}]}]},{"tin":{"type":"ein","value":"626000909"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":416.81,"providers":[{"billed_charge":461.61,"npi":[1518948959]}]}]},{"tin":{"type":"ein","value":"843444254"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":296.04,"providers":[{"billed_charge":404.88,"npi":[1104457001]}]},{"allowed_amount":297.99,"providers":[{"billed_charge":404.88,"npi":[1104457001]}]}]}]},{"billing_code":"A0427","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Ambulance","description":"ALS1-EMERGENCY","allowed_amounts":[{"tin":{"type":"ein","value":"237099373"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":425.00,"providers":[{"billed_charge":850.00,"npi":[1487623203]}]}]},{"tin":{"type":"ein","value":"272763125"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":480.00,"providers":[{"billed_charge":800.00,"npi":[1487067062]}]}]},{"tin":{"type":"ein","value":"510156631"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":679.43,"providers":[{"billed_charge":775.00,"npi":[1194763748]}]}]},{"tin":{"type":"ein","value":"521358372"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":681.92,"providers":[{"billed_charge":2000.00,"npi":[1891945739]}]}]},{"tin":{"type":"ein","value":"541096326"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":480.00,"providers":[{"billed_charge":800.00,"npi":[1346238797]}]}]},{"tin":{"type":"ein","value":"541361721"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":632.63,"providers":[{"billed_charge":1200.00,"npi":[1205828779]}]}]},{"tin":{"type":"ein","value":"541399596"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":980.00,"providers":[{"billed_charge":1400.00,"npi":[1053380212]}]}]},{"tin":{"type":"ein","value":"541788300"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":715.00,"providers":[{"billed_charge":1100.00,"npi":[1568638724]}]}]},{"tin":{"type":"ein","value":"541873843"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":560.00,"providers":[{"billed_charge":700.00,"npi":[1932271301]}]}]},{"tin":{"type":"ein","value":"560593547"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":542.50,"providers":[{"billed_charge":775.00,"npi":[1518285493]}]}]},{"tin":{"type":"ein","value":"560845796"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":800.00,"npi":[1689786717]}]},{"allowed_amount":679.43,"providers":[{"billed_charge":800.00,"npi":[1689786717]}]}]},{"tin":{"type":"ein","value":"561123100"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":679.43,"providers":[{"billed_charge":855.10,"npi":[1053624270]}]}]},{"tin":{"type":"ein","value":"561944807"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":725.00,"npi":[1104913326]}]},{"allowed_amount":679.43,"providers":[{"billed_charge":725.00,"npi":[1104913326]}]}]},{"tin":{"type":"ein","value":"561989558"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":1194.00,"npi":[1336226034]}]},{"allowed_amount":679.43,"providers":[{"billed_charge":1194.00,"npi":[1336226034]}]}]},{"tin":{"type":"ein","value":"562167657"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":404.44,"providers":[{"billed_charge":505.55,"npi":[1275527863]}]}]},{"tin":{"type":"ein","value":"566000229"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":468.73,"providers":[{"billed_charge":525.00,"npi":[1851390553]}]}]},{"tin":{"type":"ein","value":"566000271"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":679.43,"providers":[{"billed_charge":1001.28,"npi":[1952406779]}]}]},{"tin":{"type":"ein","value":"566000276"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":469.00,"providers":[{"billed_charge":670.00,"npi":[1356762306]}]}]},{"tin":{"type":"ein","value":"566000278"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":758.33,"npi":[1831146471]}]},{"allowed_amount":679.43,"providers":[{"billed_charge":718.11,"npi":[1831146471]},{"billed_charge":758.33,"npi":[1831146471]}]}]},{"tin":{"type":"ein","value":"566000279"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":1002.00,"npi":[1073574786]}]},{"allowed_amount":679.43,"providers":[{"billed_charge":1002.00,"npi":[1073574786]}]}]},{"tin":{"type":"ein","value":"566000280"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":759.00,"npi":[1538291760]}]}]},{"tin":{"type":"ein","value":"566000281"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":890.78,"npi":[1609855543]}]},{"allowed_amount":679.43,"providers":[{"billed_charge":890.78,"npi":[1609855543]}]}]},{"tin":{"type":"ein","value":"566000288"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":680.00,"npi":[1093752818]}]},{"allowed_amount":679.43,"providers":[{"billed_charge":680.00,"npi":[1093752818]}]}]},{"tin":{"type":"ein","value":"566000290"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":290.00,"providers":[{"billed_charge":580.00,"npi":[1629015516]}]}]},{"tin":{"type":"ein","value":"566000292"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":449.24,"providers":[{"billed_charge":561.55,"npi":[1265479497]}]}]},{"tin":{"type":"ein","value":"566000293"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":468.73,"providers":[{"billed_charge":680.97,"npi":[1144223330]}]}]},{"tin":{"type":"ein","value":"566000294"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":750.96,"npi":[1205969292]}]}]},{"tin":{"type":"ein","value":"566000297"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":1001.00,"npi":[1437159613]}]},{"allowed_amount":679.43,"providers":[{"billed_charge":1001.00,"npi":[1437159613]}]}]},{"tin":{"type":"ein","value":"566000298"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":420.00,"providers":[{"billed_charge":600.00,"npi":[1972685584]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":1001.28,"npi":[1780622498]}]},{"allowed_amount":679.43,"providers":[{"billed_charge":1001.28,"npi":[1780622498]}]}]},{"tin":{"type":"ein","value":"566000306"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":679.43,"providers":[{"billed_charge":748.21,"npi":[1588626519]}]}]},{"tin":{"type":"ein","value":"566000307"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":1001.28,"npi":[1891825782]}]}]},{"tin":{"type":"ein","value":"566000308"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":365.95,"providers":[{"billed_charge":563.00,"npi":[1417995309]}]}]},{"tin":{"type":"ein","value":"566000312"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":556.06,"providers":[{"billed_charge":794.37,"npi":[1184771479]}]}]},{"tin":{"type":"ein","value":"566000318"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":679.43,"providers":[{"billed_charge":758.33,"npi":[1639382716]}]}]},{"tin":{"type":"ein","value":"566000325"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":554.74,"providers":[{"billed_charge":739.65,"npi":[1588868400]}]}]},{"tin":{"type":"ein","value":"566000326"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":875.00,"npi":[1720027147]}]},{"allowed_amount":679.43,"providers":[{"billed_charge":875.00,"npi":[1720027147]}]}]},{"tin":{"type":"ein","value":"566000327"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":679.43,"providers":[{"billed_charge":875.00,"npi":[1629178629]}]}]},{"tin":{"type":"ein","value":"566000330"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":460.46,"providers":[{"billed_charge":657.80,"npi":[1801895230]}]}]},{"tin":{"type":"ein","value":"566000332"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":245.00,"providers":[{"billed_charge":490.00,"npi":[1033155148]}]},{"allowed_amount":328.60,"providers":[{"billed_charge":657.20,"npi":[1033155148]}]}]},{"tin":{"type":"ein","value":"566000335"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":739.67,"npi":[1861468803]}]}]},{"tin":{"type":"ein","value":"566000336"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":680.00,"npi":[1437250347]}]}]},{"tin":{"type":"ein","value":"566000337"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":759.00,"npi":[1225083413]}]},{"allowed_amount":679.43,"providers":[{"billed_charge":759.00,"npi":[1225083413]}]}]},{"tin":{"type":"ein","value":"566000341"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":750.00,"npi":[1306843107]}]}]},{"tin":{"type":"ein","value":"566000347"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":750.96,"npi":[1922098029]}]},{"allowed_amount":679.43,"providers":[{"billed_charge":750.96,"npi":[1922098029]}]}]},{"tin":{"type":"ein","value":"566000350"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":625.00,"providers":[{"billed_charge":625.00,"npi":[1669539458]}]}]},{"tin":{"type":"ein","value":"566000351"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":420.00,"providers":[{"billed_charge":700.00,"npi":[1932281540]}]}]},{"tin":{"type":"ein","value":"566000352"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":455.58,"providers":[{"billed_charge":650.83,"npi":[1083651434]}]}]},{"tin":{"type":"ein","value":"566000450"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":674.36,"npi":[1043250350]}]}]},{"tin":{"type":"ein","value":"566000453"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":758.33,"npi":[1932715372]}]}]},{"tin":{"type":"ein","value":"566001291"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":758.33,"npi":[1598703290]}]}]},{"tin":{"type":"ein","value":"566001364"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":606.66,"providers":[{"billed_charge":1011.10,"npi":[1275515272]}]},{"allowed_amount":758.33,"providers":[{"billed_charge":1011.10,"npi":[1275515272]}]}]},{"tin":{"type":"ein","value":"566001373"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":510.73,"providers":[{"billed_charge":680.97,"npi":[1013955525]}]}]},{"tin":{"type":"ein","value":"566001521"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":468.73,"providers":[{"billed_charge":670.00,"npi":[1255780136]}]}]},{"tin":{"type":"ein","value":"566001522"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":1000.00,"npi":[1568628006]}]}]},{"tin":{"type":"ein","value":"566001524"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":679.43,"providers":[{"billed_charge":976.63,"npi":[1013949403]}]}]},{"tin":{"type":"ein","value":"566001526"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":725.00,"npi":[1619965274]}]},{"allowed_amount":679.43,"providers":[{"billed_charge":725.00,"npi":[1619965274]}]}]},{"tin":{"type":"ein","value":"566001537"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":790.00,"npi":[1922150812]}]},{"allowed_amount":679.43,"providers":[{"billed_charge":790.00,"npi":[1922150812]}]}]},{"tin":{"type":"ein","value":"566001836"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":350.00,"providers":[{"billed_charge":500.00,"npi":[1730261348]}]}]},{"tin":{"type":"ein","value":"566001967"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":679.43,"providers":[{"billed_charge":739.67,"npi":[1639188162]},{"billed_charge":750.96,"npi":[1639188162]}]}]},{"tin":{"type":"ein","value":"570659157"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":685.23,"providers":[{"billed_charge":1700.00,"npi":[1548253784]}]}]},{"tin":{"type":"ein","value":"570676809"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":680.37,"providers":[{"billed_charge":725.00,"npi":[1316251986]}]}]},{"tin":{"type":"ein","value":"570684922"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":685.23,"providers":[{"billed_charge":700.00,"npi":[1790936235]}]}]},{"tin":{"type":"ein","value":"576000299"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":674.34,"providers":[{"billed_charge":700.00,"npi":[1861456600]}]}]},{"tin":{"type":"ein","value":"576000311"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":685.23,"providers":[{"billed_charge":725.00,"npi":[1821073115]}]}]},{"tin":{"type":"ein","value":"576000340"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":315.00,"providers":[{"billed_charge":450.00,"npi":[1558491316]}]}]},{"tin":{"type":"ein","value":"576000365"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":685.23,"providers":[{"billed_charge":700.00,"npi":[1700839370]}]}]},{"tin":{"type":"ein","value":"576000370"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":630.00,"providers":[{"billed_charge":700.00,"npi":[1104820752]}]},{"allowed_amount":685.23,"providers":[{"billed_charge":700.00,"npi":[1104820752]}]}]},{"tin":{"type":"ein","value":"576000395"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":685.23,"providers":[{"billed_charge":788.08,"npi":[1649268798]}]}]},{"tin":{"type":"ein","value":"576001084"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":685.23,"providers":[{"billed_charge":800.00,"npi":[1275532855]}]}]},{"tin":{"type":"ein","value":"576001289"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":680.37,"providers":[{"billed_charge":725.00,"npi":[1376546788]}]},{"allowed_amount":685.23,"providers":[{"billed_charge":725.00,"npi":[1376546788]}]}]},{"tin":{"type":"ein","value":"581316990"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":821.75,"providers":[{"billed_charge":865.00,"npi":[1801884242]}]}]},{"tin":{"type":"ein","value":"581608892"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":674.34,"providers":[{"billed_charge":1700.00,"npi":[1538211081]},{"billed_charge":1895.00,"npi":[1538211081]}]}]},{"tin":{"type":"ein","value":"582363827"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":674.34,"providers":[{"billed_charge":1750.00,"npi":[1164445391]}]},{"allowed_amount":680.37,"providers":[{"billed_charge":1750.00,"npi":[1164445391]}]}]},{"tin":{"type":"ein","value":"586000799"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":732.19,"providers":[{"billed_charge":900.00,"npi":[1801972625]}]}]},{"tin":{"type":"ein","value":"592787534"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":638.46,"providers":[{"billed_charge":868.00,"npi":[1427053420]}]}]},{"tin":{"type":"ein","value":"596000501"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":648.51,"providers":[{"billed_charge":700.00,"npi":[1780610287]}]}]},{"tin":{"type":"ein","value":"596000605"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":648.51,"providers":[{"billed_charge":690.00,"npi":[1851400881]}]}]},{"tin":{"type":"ein","value":"720701964"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":2099.00,"providers":[{"billed_charge":2099.00,"npi":[1316943566]}]}]},{"tin":{"type":"ein","value":"731138933"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":1035.00,"providers":[{"billed_charge":1150.00,"npi":[1154432201]}]}]},{"tin":{"type":"ein","value":"853777599"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":631.93,"providers":[{"billed_charge":1436.00,"npi":[1730776816]}]},{"allowed_amount":679.43,"providers":[{"billed_charge":1436.00,"npi":[1730776816]}]}]},{"tin":{"type":"ein","value":"934900709"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":680.47,"providers":[{"billed_charge":1700.00,"npi":[1063276582]}]}]},{"tin":{"type":"ein","value":"990692749"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":681.92,"providers":[{"billed_charge":1100.00,"npi":[1174371660]}]}]}]},{"billing_code":"A0427","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulance","description":"ALS1-EMERGENCY","allowed_amounts":[{"tin":{"type":"ein","value":"133957095"},"billing_class":"institutional","payments":[{"allowed_amount":3157.18,"providers":[{"billed_charge":3628.95,"npi":[1174628473]}]}]}]},{"billing_code":"A0427","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulance","description":"AMB SRVC ALS EMERG TRANSPORT LEVL 1","allowed_amounts":[{"tin":{"type":"ein","value":"133957095"},"billing_class":"institutional","payments":[{"allowed_amount":3157.18,"providers":[{"billed_charge":3628.95,"npi":[1174628473]}]}]}]},{"billing_code":"A0428","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Ambulance","description":"BLS","allowed_amounts":[{"tin":{"type":"ein","value":"208396269"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":337.50,"providers":[{"billed_charge":450.00,"npi":[1013127026]}]}]},{"tin":{"type":"ein","value":"223901717"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":303.00,"providers":[{"billed_charge":606.00,"npi":[1922045749]}]}]},{"tin":{"type":"ein","value":"237160139"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":256.67,"providers":[{"billed_charge":334.12,"npi":[1598775751]},{"billed_charge":526.98,"npi":[1598775751]}]}]},{"tin":{"type":"ein","value":"263867079"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":266.20,"providers":[{"billed_charge":354.93,"npi":[1699907568]}]}]},{"tin":{"type":"ein","value":"452502777"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":260.08,"providers":[{"billed_charge":325.10,"npi":[1356639801]}]}]},{"tin":{"type":"ein","value":"462546402"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":256.67,"providers":[{"billed_charge":354.93,"npi":[1376182741]}]},{"allowed_amount":281.13,"providers":[{"billed_charge":354.93,"npi":[1376182741]}]}]},{"tin":{"type":"ein","value":"465007345"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":329.40,"providers":[{"billed_charge":905.09,"npi":[1982198289]}]}]},{"tin":{"type":"ein","value":"470829179"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":275.85,"providers":[{"billed_charge":1107.00,"npi":[1871991125]}]}]},{"tin":{"type":"ein","value":"560845796"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":256.67,"providers":[{"billed_charge":800.00,"npi":[1689786717]}]}]},{"tin":{"type":"ein","value":"561989558"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":256.67,"providers":[{"billed_charge":892.00,"npi":[1336226034]}]},{"allowed_amount":281.13,"providers":[{"billed_charge":892.00,"npi":[1336226034]}]}]},{"tin":{"type":"ein","value":"566000281"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":281.13,"providers":[{"billed_charge":563.57,"npi":[1609855543]}]}]},{"tin":{"type":"ein","value":"566000300"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":281.13,"providers":[{"billed_charge":625.00,"npi":[1932258506]}]}]},{"tin":{"type":"ein","value":"582363827"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":329.40,"providers":[{"billed_charge":1750.00,"npi":[1164445391]}]}]},{"tin":{"type":"ein","value":"800519885"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":403.15,"providers":[{"billed_charge":503.94,"npi":[1467774018]}]}]},{"tin":{"type":"ein","value":"832048706"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":256.67,"providers":[{"billed_charge":462.32,"npi":[1962976746]}]}]},{"tin":{"type":"ein","value":"843444254"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":246.70,"providers":[{"billed_charge":337.39,"npi":[1104457001]}]}]},{"tin":{"type":"ein","value":"853777599"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":281.13,"providers":[{"billed_charge":588.00,"npi":[1730776816]}]}]}]},{"billing_code":"A0428","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulance","description":"AMB SERVICE BLS NONEMERG TRANSPORT","allowed_amounts":[{"tin":{"type":"ein","value":"560552787"},"billing_class":"institutional","payments":[{"allowed_amount":544.54,"providers":[{"billed_charge":2145.00,"npi":[1144211301]}]},{"allowed_amount":786.55,"providers":[{"billed_charge":2145.00,"npi":[1144211301]}]}]}]},{"billing_code":"A0428","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulance","description":"BLS","allowed_amounts":[{"tin":{"type":"ein","value":"560552787"},"billing_class":"institutional","payments":[{"allowed_amount":544.54,"providers":[{"billed_charge":2145.00,"npi":[1144211301]}]},{"allowed_amount":786.55,"providers":[{"billed_charge":2145.00,"npi":[1144211301]}]}]}]},{"billing_code":"A0429","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Ambulance","description":"BLS-EMERGENCY","allowed_amounts":[{"tin":{"type":"ein","value":"046001119"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":670.96,"providers":[{"billed_charge":1159.56,"npi":[1568459337]}]}]},{"tin":{"type":"ein","value":"237061809"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":506.75,"providers":[{"billed_charge":659.46,"npi":[1982938445]}]}]},{"tin":{"type":"ein","value":"237160139"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":532.15,"providers":[{"billed_charge":843.18,"npi":[1598775751]}]}]},{"tin":{"type":"ein","value":"260478539"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":532.15,"providers":[{"billed_charge":573.45,"npi":[1851593446]}]}]},{"tin":{"type":"ein","value":"261373867"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":532.15,"providers":[{"billed_charge":600.00,"npi":[1639321144]}]}]},{"tin":{"type":"ein","value":"263867079"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":425.92,"providers":[{"billed_charge":567.89,"npi":[1699907568]}]}]},{"tin":{"type":"ein","value":"462546402"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":532.15,"providers":[{"billed_charge":567.89,"npi":[1376182741]}]}]},{"tin":{"type":"ein","value":"470829179"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":845.80,"providers":[{"billed_charge":1239.00,"npi":[1871991125]}]}]},{"tin":{"type":"ein","value":"541096326"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":420.00,"providers":[{"billed_charge":700.00,"npi":[1346238797]}]}]},{"tin":{"type":"ein","value":"541399596"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":770.00,"providers":[{"billed_charge":1100.00,"npi":[1053380212]}]}]},{"tin":{"type":"ein","value":"541691944"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":506.75,"providers":[{"billed_charge":1851.85,"npi":[1396714101]}]}]},{"tin":{"type":"ein","value":"541788300"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":572.00,"providers":[{"billed_charge":880.00,"npi":[1568638724]}]}]},{"tin":{"type":"ein","value":"550725494"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":506.37,"providers":[{"billed_charge":988.38,"npi":[1548371362]}]}]},{"tin":{"type":"ein","value":"560845796"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":532.15,"providers":[{"billed_charge":800.00,"npi":[1689786717]}]},{"allowed_amount":573.66,"providers":[{"billed_charge":800.00,"npi":[1689786717]}]}]},{"tin":{"type":"ein","value":"560897329"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":573.66,"providers":[{"billed_charge":638.58,"npi":[1467495457]}]}]},{"tin":{"type":"ein","value":"561944807"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":532.15,"providers":[{"billed_charge":600.00,"npi":[1104913326]}]},{"allowed_amount":573.66,"providers":[{"billed_charge":600.00,"npi":[1104913326]}]}]},{"tin":{"type":"ein","value":"561989558"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":532.15,"providers":[{"billed_charge":1194.00,"npi":[1336226034]}]},{"allowed_amount":573.66,"providers":[{"billed_charge":1194.00,"npi":[1336226034]}]}]},{"tin":{"type":"ein","value":"566000229"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":394.72,"providers":[{"billed_charge":425.00,"npi":[1851390553]}]}]},{"tin":{"type":"ein","value":"566000281"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":532.15,"providers":[{"billed_charge":781.71,"npi":[1609855543]}]},{"allowed_amount":573.66,"providers":[{"billed_charge":781.71,"npi":[1609855543]}]}]},{"tin":{"type":"ein","value":"566000288"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":532.15,"providers":[{"billed_charge":575.00,"npi":[1093752818]}]}]},{"tin":{"type":"ein","value":"566000290"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":175.00,"providers":[{"billed_charge":350.00,"npi":[1629015516]}]}]},{"tin":{"type":"ein","value":"566000293"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":394.72,"providers":[{"billed_charge":573.45,"npi":[1144223330]}]}]},{"tin":{"type":"ein","value":"566000294"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":532.15,"providers":[{"billed_charge":632.39,"npi":[1205969292]}]}]},{"tin":{"type":"ein","value":"566000296"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":255.00,"providers":[{"billed_charge":425.00,"npi":[1508919069]}]}]},{"tin":{"type":"ein","value":"566000298"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":350.00,"providers":[{"billed_charge":500.00,"npi":[1972685584]}]}]},{"tin":{"type":"ein","value":"566000299"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":573.66,"providers":[{"billed_charge":681.46,"npi":[1942226501]}]}]},{"tin":{"type":"ein","value":"566000300"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":573.66,"providers":[{"billed_charge":850.00,"npi":[1932258506]}]}]},{"tin":{"type":"ein","value":"566000304"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":373.39,"providers":[{"billed_charge":533.42,"npi":[1801833751]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":532.15,"providers":[{"billed_charge":843.18,"npi":[1780622498]}]},{"allowed_amount":573.66,"providers":[{"billed_charge":843.18,"npi":[1780622498]}]},{"allowed_amount":843.18,"providers":[{"billed_charge":843.18,"npi":[1780622498]}]}]},{"tin":{"type":"ein","value":"566000314"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":573.66,"providers":[{"billed_charge":638.58,"npi":[1508804568]}]}]},{"tin":{"type":"ein","value":"566000315"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":532.15,"providers":[{"billed_charge":625.00,"npi":[1144281858]}]}]},{"tin":{"type":"ein","value":"566000332"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":276.70,"providers":[{"billed_charge":553.40,"npi":[1033155148]}]}]},{"tin":{"type":"ein","value":"566000336"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":573.66,"providers":[{"billed_charge":575.00,"npi":[1437250347]}]}]},{"tin":{"type":"ein","value":"566000347"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":532.15,"providers":[{"billed_charge":632.39,"npi":[1922098029]}]},{"allowed_amount":573.66,"providers":[{"billed_charge":632.39,"npi":[1922098029]}]}]},{"tin":{"type":"ein","value":"566000352"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":383.65,"providers":[{"billed_charge":548.07,"npi":[1083651434]}]}]},{"tin":{"type":"ein","value":"566000450"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":532.15,"providers":[{"billed_charge":567.89,"npi":[1043250350]}]}]},{"tin":{"type":"ein","value":"566001520"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":675.00,"providers":[{"billed_charge":750.00,"npi":[1154363380]}]}]},{"tin":{"type":"ein","value":"566001521"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":354.48,"providers":[{"billed_charge":472.64,"npi":[1255780136]}]}]},{"tin":{"type":"ein","value":"566001526"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":573.66,"providers":[{"billed_charge":600.00,"npi":[1619965274]}]}]},{"tin":{"type":"ein","value":"566001537"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":532.15,"providers":[{"billed_charge":675.00,"npi":[1922150812]}]},{"allowed_amount":573.66,"providers":[{"billed_charge":600.00,"npi":[1922150812]},{"billed_charge":675.00,"npi":[1922150812]}]}]},{"tin":{"type":"ein","value":"571125775"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":313.16,"providers":[{"billed_charge":1200.00,"npi":[1114088234]}]}]},{"tin":{"type":"ein","value":"576000353"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":527.05,"providers":[{"billed_charge":562.88,"npi":[1144375718]}]}]},{"tin":{"type":"ein","value":"592787534"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":592.73,"providers":[{"billed_charge":731.00,"npi":[1427053420]}]}]},{"tin":{"type":"ein","value":"752474011"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":658.91,"providers":[{"billed_charge":1453.40,"npi":[1184732091]}]}]},{"tin":{"type":"ein","value":"800519885"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":454.31,"providers":[{"billed_charge":567.89,"npi":[1467774018]}]}]},{"tin":{"type":"ein","value":"810567043"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":505.79,"providers":[{"billed_charge":632.24,"npi":[1033205182]}]}]}]},{"billing_code":"A0431","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Air Ambulance","description":"ROTARY WING AIR TRANSPORT","allowed_amounts":[{"tin":{"type":"ein","value":"431371367"},"billing_class":"professional","service_code":["42"],"payments":[{"allowed_amount":43280.10,"providers":[{"billed_charge":45558.00,"npi":[1740608033]}]}]},{"tin":{"type":"ein","value":"450439149"},"billing_class":"professional","service_code":["42"],"payments":[{"allowed_amount":7269.08,"providers":[{"billed_charge":40000.00,"npi":[1972529154]}]},{"allowed_amount":7341.46,"providers":[{"billed_charge":41563.00,"npi":[1043919095]}]}]},{"tin":{"type":"ein","value":"823341863"},"billing_class":"professional","service_code":["42"],"payments":[{"allowed_amount":7341.46,"providers":[{"billed_charge":19294.00,"npi":[1740782200]}]}]}]},{"billing_code":"A0433","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Ambulance","description":"ALS 2","allowed_amounts":[{"tin":{"type":"ein","value":"560897329"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":970.82,"providers":[{"billed_charge":1097.57,"npi":[1467495457]}]}]},{"tin":{"type":"ein","value":"561123100"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":970.82,"providers":[{"billed_charge":1237.64,"npi":[1053624270]}]}]},{"tin":{"type":"ein","value":"561989558"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":914.63,"providers":[{"billed_charge":1194.00,"npi":[1336226034]}]}]},{"tin":{"type":"ein","value":"566000281"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":970.82,"providers":[{"billed_charge":1199.82,"npi":[1609855543]}]}]},{"tin":{"type":"ein","value":"566000290"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":270.00,"providers":[{"billed_charge":540.00,"npi":[1629015516]}]}]},{"tin":{"type":"ein","value":"566000293"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":678.43,"providers":[{"billed_charge":985.62,"npi":[1144223330]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":914.63,"providers":[{"billed_charge":1449.22,"npi":[1780622498]}]},{"allowed_amount":970.82,"providers":[{"billed_charge":1449.22,"npi":[1780622498]}]}]},{"tin":{"type":"ein","value":"566000325"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":802.93,"providers":[{"billed_charge":1070.57,"npi":[1588868400]}]}]},{"tin":{"type":"ein","value":"566000341"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":780.00,"providers":[{"billed_charge":780.00,"npi":[1306843107]}]}]},{"tin":{"type":"ein","value":"566000347"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":914.63,"providers":[{"billed_charge":1086.92,"npi":[1922098029]}]}]},{"tin":{"type":"ein","value":"566001537"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":914.63,"providers":[{"billed_charge":1150.00,"npi":[1922150812]}]}]},{"tin":{"type":"ein","value":"566001836"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":500.50,"providers":[{"billed_charge":715.00,"npi":[1730261348]}]}]}]},{"billing_code":"A0436","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Air Ambulance","description":"ROTARY WING AIR MILEAGE","allowed_amounts":[{"tin":{"type":"ein","value":"431371367"},"billing_class":"professional","service_code":["42"],"payments":[{"allowed_amount":28215.00,"providers":[{"billed_charge":29700.00,"npi":[1740608033]}]}]},{"tin":{"type":"ein","value":"450439149"},"billing_class":"professional","service_code":["42"],"payments":[{"allowed_amount":396.96,"providers":[{"billed_charge":11396.00,"npi":[1972529154]}]},{"allowed_amount":1736.70,"providers":[{"billed_charge":14245.00,"npi":[1043919095]}]}]},{"tin":{"type":"ein","value":"823341863"},"billing_class":"professional","service_code":["42"],"payments":[{"allowed_amount":942.78,"providers":[{"billed_charge":4085.00,"npi":[1740782200]}]}]}]},{"billing_code":"A0998","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Ambulance","description":"AMBULANCE RESPONSE/TREATMENT","allowed_amounts":[{"tin":{"type":"ein","value":"560897329"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":132.17,"providers":[{"billed_charge":210.00,"npi":[1467495457]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":108.03,"providers":[{"billed_charge":350.00,"npi":[1780622498]}]}]},{"tin":{"type":"ein","value":"566000450"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":108.03,"providers":[{"billed_charge":283.95,"npi":[1043250350]}]}]}]},{"billing_code":"A4206","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"1 CC STERILE SYRINGE&NEEDLE","allowed_amounts":[{"tin":{"type":"ein","value":"561901819"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.67,"providers":[{"billed_charge":10.00,"npi":[1184705865]}]}]}]},{"billing_code":"A4216","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"STERILE WATER/SALINE, 10 ML","allowed_amounts":[{"tin":{"type":"ein","value":"562113704"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":0.17,"providers":[{"billed_charge":0.28,"npi":[1538143375]}]},{"allowed_amount":10.44,"providers":[{"billed_charge":17.40,"npi":[1538143375]}]}]}]},{"billing_code":"A4217","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"STERILE WATER/SALINE, 500 ML","allowed_amounts":[{"tin":{"type":"ein","value":"562029700"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":215.14,"providers":[{"billed_charge":430.28,"npi":[1972558898]}]},{"allowed_amount":405.48,"providers":[{"billed_charge":810.96,"npi":[1972558898]}]}]},{"tin":{"type":"ein","value":"562113704"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":108.00,"providers":[{"billed_charge":180.00,"npi":[1538143375]}]},{"allowed_amount":216.00,"providers":[{"billed_charge":360.00,"npi":[1538143375]}]}]}]},{"billing_code":"A4217","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"STERILE WATER/SALINE 500 ML","allowed_amounts":[{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":8.50,"providers":[{"billed_charge":12.50,"npi":[1154377166]}]}]}]},{"billing_code":"A4217","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"STERILE WATER/SALINE, 500 ML","allowed_amounts":[{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":8.50,"providers":[{"billed_charge":12.50,"npi":[1154377166]}]}]}]},{"billing_code":"A4230","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"INFUS INSULIN PUMP NON NEEDL","allowed_amounts":[{"tin":{"type":"ein","value":"222862167"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":280.80,"providers":[{"billed_charge":989.70,"npi":[1053366740]}]}]},{"tin":{"type":"ein","value":"650617961"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":412.50,"providers":[{"billed_charge":550.00,"npi":[1235278433]}]},{"allowed_amount":731.25,"providers":[{"billed_charge":975.00,"npi":[1235278433]}]}]}]},{"billing_code":"A4232","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"SYRINGE W/NEEDLE INSULIN 3CC","allowed_amounts":[{"tin":{"type":"ein","value":"222862167"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":30.60,"providers":[{"billed_charge":171.87,"npi":[1053366740]}]}]},{"tin":{"type":"ein","value":"650617961"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":112.50,"providers":[{"billed_charge":150.00,"npi":[1235278433]}]},{"allowed_amount":255.00,"providers":[{"billed_charge":340.00,"npi":[1235278433]}]}]}]},{"billing_code":"A4239","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"NON-ADJU CGM SUPPLY ALLOW","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":287.29,"providers":[{"billed_charge":462.96,"npi":[1750333282]}]}]}]},{"billing_code":"A4245","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"ALCOHOL WIPES PER BOX","allowed_amounts":[{"tin":{"type":"ein","value":"593323767"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":31.04,"providers":[{"billed_charge":36.00,"npi":[1629167028]}]},{"allowed_amount":32.00,"providers":[{"billed_charge":36.00,"npi":[1629167028]}]}]},{"tin":{"type":"ein","value":"650617961"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":7.50,"providers":[{"billed_charge":10.00,"npi":[1235278433]}]},{"allowed_amount":18.00,"providers":[{"billed_charge":24.00,"npi":[1235278433]}]}]}]},{"billing_code":"A4253","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"BLOOD GLUCOSE/REAGENT STRIPS","allowed_amounts":[{"tin":{"type":"ein","value":"562143594"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":1.07,"providers":[{"billed_charge":1.42,"npi":[1568530855]}]},{"allowed_amount":12.48,"providers":[{"billed_charge":16.64,"npi":[1568530855]}]}]},{"tin":{"type":"ein","value":"650617961"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":105.00,"providers":[{"billed_charge":140.00,"npi":[1235278433]}]},{"allowed_amount":180.00,"providers":[{"billed_charge":240.00,"npi":[1235278433]}]}]}]},{"billing_code":"A4322","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"IRRIGATION SYRINGE","allowed_amounts":[{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":21.11,"providers":[{"billed_charge":35.18,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"562029700"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":66.00,"providers":[{"billed_charge":132.00,"npi":[1972558898]}]}]}]},{"billing_code":"A4333","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"URINARY CATH ANCHOR DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":9.44,"providers":[{"billed_charge":9.44,"npi":[1922103845]}]}]}]},{"billing_code":"A4338","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"INDWELLING CATHETER LATEX","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":17.54,"providers":[{"billed_charge":20.21,"npi":[1922103845]}]},{"allowed_amount":17.99,"providers":[{"billed_charge":20.21,"npi":[1922103845]}]}]}]},{"billing_code":"A4344","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"CATH INDW FOLEY 2 WAY SILICN","allowed_amounts":[{"tin":{"type":"ein","value":"300088456"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":51.00,"providers":[{"billed_charge":60.00,"npi":[1104811629]}]}]}]},{"billing_code":"A4351","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"STRAIGHT TIP URINE CATHETER","allowed_amounts":[{"tin":{"type":"ein","value":"822943780"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":374.40,"providers":[{"billed_charge":748.80,"npi":[1629581244]}]}]}]},{"billing_code":"A4353","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"INTERMITTENT URINARY CATH","allowed_amounts":[{"tin":{"type":"ein","value":"205132648"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":1804.80,"providers":[{"billed_charge":4512.00,"npi":[1427081934]}]}]},{"tin":{"type":"ein","value":"562029700"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":855.00,"providers":[{"billed_charge":1710.00,"npi":[1972558898]}]}]}]},{"billing_code":"A4357","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"BEDSIDE DRAINAGE BAG","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":39.48,"providers":[{"billed_charge":39.48,"npi":[1922103845]}]}]}]},{"billing_code":"A4358","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"URINARY LEG OR ABDOMEN BAG","allowed_amounts":[{"tin":{"type":"ein","value":"300088456"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":13.94,"providers":[{"billed_charge":16.40,"npi":[1104811629]}]},{"allowed_amount":16.40,"providers":[{"billed_charge":16.40,"npi":[1104811629]}]}]}]},{"billing_code":"A4362","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"SOLID SKIN BARRIER","allowed_amounts":[{"tin":{"type":"ein","value":"593323767"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":15.63,"providers":[{"billed_charge":32.10,"npi":[1629167028]}]},{"allowed_amount":16.92,"providers":[{"billed_charge":32.10,"npi":[1629167028]}]},{"allowed_amount":17.04,"providers":[{"billed_charge":32.10,"npi":[1629167028]}]}]}]},{"billing_code":"A4367","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"OSTOMY BELT","allowed_amounts":[{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":6.85,"providers":[{"billed_charge":11.41,"npi":[1346293305]}]}]}]},{"billing_code":"A4369","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"SKIN BARRIER LIQUID PER OZ","allowed_amounts":[{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":5.54,"providers":[{"billed_charge":9.23,"npi":[1346293305]}]}]}]},{"billing_code":"A4371","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"SKIN BARRIER POWDER PER OZ","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":18.08,"npi":[1922103845]}]}]}]},{"billing_code":"A4385","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"OST SKN BARRIER SLD EXT WEAR","allowed_amounts":[{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":98.64,"providers":[{"billed_charge":164.40,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":185.80,"providers":[{"billed_charge":198.20,"npi":[1922103845]}]}]}]},{"billing_code":"A4394","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"OSTOMY POUCH LIQ DEODORANT","allowed_amounts":[{"tin":{"type":"ein","value":"562029700"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":28.64,"providers":[{"billed_charge":57.28,"npi":[1972558898]}]}]}]},{"billing_code":"A4402","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"LUBRICANT PER OUNCE","allowed_amounts":[{"tin":{"type":"ein","value":"581087004"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.15,"providers":[{"billed_charge":10.00,"npi":[1952406761]}]}]}]},{"billing_code":"A4406","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"PECTIN BASED OSTOMY PASTE","allowed_amounts":[{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":5.40,"providers":[{"billed_charge":9.00,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":14.50,"providers":[{"billed_charge":14.50,"npi":[1922103845]}]}]}]},{"billing_code":"A4409","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"OST SKN BARR CONVEX <=4 SQ I","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":52.16,"providers":[{"billed_charge":52.16,"npi":[1922103845]}]}]},{"tin":{"type":"ein","value":"562084945"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":108.68,"providers":[{"billed_charge":167.20,"npi":[1104818475]}]}]}]},{"billing_code":"A4425","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"OST PCH DRAIN FOR BARRIER FL","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":150.40,"providers":[{"billed_charge":150.40,"npi":[1922103845]}]}]}]},{"billing_code":"A4455","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"ADHESIVE REMOVER PER OUNCE","allowed_amounts":[{"tin":{"type":"ein","value":"650617961"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":20.00,"npi":[1235278433]}]},{"allowed_amount":37.50,"providers":[{"billed_charge":50.00,"npi":[1235278433]}]}]}]},{"billing_code":"A4456","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"ADHESIVE REMOVER, WIPES","allowed_amounts":[{"tin":{"type":"ein","value":"562029700"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":10.27,"providers":[{"billed_charge":20.54,"npi":[1972558898]}]}]},{"tin":{"type":"ein","value":"562084945"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":13.00,"npi":[1104818475]}]}]}]},{"billing_code":"A4467","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"BELT STRAP SLEEV GRMNT COVER","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":23.35,"providers":[{"billed_charge":50.70,"npi":[1750333282]}]}]}]},{"billing_code":"A4467","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"BELT STRAP SLV GARMENT/COV ANY TYPE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":23.35,"providers":[{"billed_charge":50.70,"npi":[1750333282]}]}]}]},{"billing_code":"A4520","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"INCONTINENCE GARMENT ANYTYPE","allowed_amounts":[{"tin":{"type":"ein","value":"205132648"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":82.08,"providers":[{"billed_charge":205.20,"npi":[1427081934]}]},{"allowed_amount":102.60,"providers":[{"billed_charge":205.20,"npi":[1427081934]}]}]},{"tin":{"type":"ein","value":"721336243"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":14.40,"providers":[{"billed_charge":24.00,"npi":[1023054871]}]},{"allowed_amount":57.60,"providers":[{"billed_charge":96.00,"npi":[1023054871]}]}]}]},{"billing_code":"A4550","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"SURGICAL TRAYS","allowed_amounts":[{"tin":{"type":"ein","value":"811762230"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.99,"providers":[{"billed_charge":35.00,"npi":[1912368457]}]}]}]},{"billing_code":"A4554","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"DISPOSABLE UNDERPADS","allowed_amounts":[{"tin":{"type":"ein","value":"205132648"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":49.20,"providers":[{"billed_charge":123.00,"npi":[1427081934]}]},{"allowed_amount":61.50,"providers":[{"billed_charge":123.00,"npi":[1427081934]}]}]},{"tin":{"type":"ein","value":"263911472"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":62.40,"providers":[{"billed_charge":78.00,"npi":[1659319325]}]}]},{"tin":{"type":"ein","value":"300088456"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":103.50,"providers":[{"billed_charge":240.00,"npi":[1104811629]}]},{"allowed_amount":204.00,"providers":[{"billed_charge":240.00,"npi":[1104811629]}]}]}]},{"billing_code":"A4556","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"ELECTRODES, PAIR","allowed_amounts":[{"tin":{"type":"ein","value":"593323767"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":146.34,"providers":[{"billed_charge":146.34,"npi":[1629167028]}]}]},{"tin":{"type":"ein","value":"820676989"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":20.00,"npi":[1346754041]}]}]},{"tin":{"type":"ein","value":"841451963"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":78.30,"providers":[{"billed_charge":396.00,"npi":[1770511552]}]},{"allowed_amount":118.80,"providers":[{"billed_charge":396.00,"npi":[1770511552]}]}]}]},{"billing_code":"A4556","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"ELECTRODES  PER PAIR","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":385.53,"providers":[{"billed_charge":1734.00,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":52.60,"providers":[{"billed_charge":160.88,"npi":[1558311357]}]}]}]},{"billing_code":"A4556","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"ELECTRODES, PAIR","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":385.53,"providers":[{"billed_charge":1734.00,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":52.60,"providers":[{"billed_charge":160.88,"npi":[1558311357]}]}]}]},{"billing_code":"A4557","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"LEAD WIRES, PAIR","allowed_amounts":[{"tin":{"type":"ein","value":"593323767"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":31.14,"providers":[{"billed_charge":50.63,"npi":[1629167028]}]}]},{"tin":{"type":"ein","value":"841451963"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":17.00,"providers":[{"billed_charge":39.00,"npi":[1770511552]}]}]}]},{"billing_code":"A4570","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"SPLINT","allowed_amounts":[{"tin":{"type":"ein","value":"593209688"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":4.20,"providers":[{"billed_charge":6.00,"npi":[1073565610]}]}]}]},{"billing_code":"A4604","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"TUBING WITH HEATING ELEMENT","allowed_amounts":[{"tin":{"type":"ein","value":"200029841"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":62.27,"providers":[{"billed_charge":130.00,"npi":[1326064700]}]},{"allowed_amount":62.62,"providers":[{"billed_charge":130.00,"npi":[1326064700]}]}]},{"tin":{"type":"ein","value":"203215567"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":26.33,"providers":[{"billed_charge":153.36,"npi":[1245221092]}]}]},{"tin":{"type":"ein","value":"204854058"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":45.10,"providers":[{"billed_charge":75.58,"npi":[1497708945]}]},{"allowed_amount":53.67,"providers":[{"billed_charge":75.58,"npi":[1497708945]}]}]},{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":70.00,"providers":[{"billed_charge":134.00,"npi":[1346293305]}]},{"allowed_amount":70.01,"providers":[{"billed_charge":134.00,"npi":[1346293305]}]},{"allowed_amount":80.40,"providers":[{"billed_charge":134.00,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"263869158"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":56.50,"providers":[{"billed_charge":134.00,"npi":[1881830958]}]}]},{"tin":{"type":"ein","value":"391206759"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":25.56,"providers":[{"billed_charge":134.00,"npi":[1851328157]}]}]},{"tin":{"type":"ein","value":"541788556"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":70.01,"providers":[{"billed_charge":120.80,"npi":[1053306324]}]}]},{"tin":{"type":"ein","value":"561333291"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":56.00,"providers":[{"billed_charge":134.00,"npi":[1679661573]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":40.41,"providers":[{"billed_charge":45.92,"npi":[1811295041]}]},{"allowed_amount":51.54,"providers":[{"billed_charge":51.54,"npi":[1811295041]}]},{"allowed_amount":55.91,"providers":[{"billed_charge":60.79,"npi":[1467690578]},{"billed_charge":120.92,"npi":[1922103845,1811295041,1194820639,1861597791,1467690578,1003911942,1538264478,1083719538]}]},{"allowed_amount":55.92,"providers":[{"billed_charge":60.79,"npi":[1194820639]},{"billed_charge":120.92,"npi":[1922103845,1811295041,1346274685,1689006587,1083724868,1194820639,1861597791,1902408347,1467690578,1538264478,1760799720,1083719538,1447355300]},{"billed_charge":153.36,"npi":[1922103845]}]}]},{"tin":{"type":"ein","value":"562025734"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":55.91,"providers":[{"billed_charge":133.62,"npi":[1134183668]}]}]},{"tin":{"type":"ein","value":"570989615"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":53.67,"providers":[{"billed_charge":75.00,"npi":[1275683740]}]}]},{"tin":{"type":"ein","value":"570996421"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":46.67,"providers":[{"billed_charge":134.00,"npi":[1538438437]}]}]},{"tin":{"type":"ein","value":"581612905"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":50.11,"providers":[{"billed_charge":141.73,"npi":[1831199132]}]}]},{"tin":{"type":"ein","value":"593223150"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":55.91,"providers":[{"billed_charge":120.80,"npi":[1356311534]}]}]},{"tin":{"type":"ein","value":"593769111"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":70.00,"providers":[{"billed_charge":134.19,"npi":[1841230653]}]}]},{"tin":{"type":"ein","value":"831772605"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":55.91,"providers":[{"billed_charge":80.00,"npi":[1295385227]}]}]},{"tin":{"type":"ein","value":"910851599"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":60.99,"providers":[{"billed_charge":90.69,"npi":[1992759427]}]}]}]},{"billing_code":"A4623","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"TRACHEOSTOMY INNER CANNULA","allowed_amounts":[{"tin":{"type":"ein","value":"562113704"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":101.34,"providers":[{"billed_charge":168.90,"npi":[1538143375]}]},{"allowed_amount":135.12,"providers":[{"billed_charge":225.20,"npi":[1538143375]}]}]}]},{"billing_code":"A4627","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"SPACER BAG/RESERVOIR","allowed_amounts":[{"tin":{"type":"ein","value":"561306590"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":29.78,"providers":[{"billed_charge":93.38,"npi":[1740278167]}]}]},{"tin":{"type":"ein","value":"561720272"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":14.88,"providers":[{"billed_charge":40.00,"npi":[1003813064]}]},{"allowed_amount":14.89,"providers":[{"billed_charge":40.00,"npi":[1003813064]}]},{"allowed_amount":29.76,"providers":[{"billed_charge":80.00,"npi":[1003813064]}]},{"allowed_amount":29.78,"providers":[{"billed_charge":80.00,"npi":[1003813064]}]},{"allowed_amount":30.00,"providers":[{"billed_charge":40.00,"npi":[1003813064]}]}]},{"tin":{"type":"ein","value":"562084945"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":12.42,"providers":[{"billed_charge":40.00,"npi":[1104818475]}]}]},{"tin":{"type":"ein","value":"562182982"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":14.88,"providers":[{"billed_charge":45.00,"npi":[1598898991]}]}]},{"tin":{"type":"ein","value":"570734640"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":12.72,"providers":[{"billed_charge":45.00,"npi":[1336197482]}]}]},{"tin":{"type":"ein","value":"760771781"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":14.80,"providers":[{"billed_charge":50.00,"npi":[1285611012]}]},{"allowed_amount":15.69,"providers":[{"billed_charge":50.00,"npi":[1285611012]}]}]},{"tin":{"type":"ein","value":"834670923"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":12.42,"providers":[{"billed_charge":40.00,"npi":[1174189625]}]},{"allowed_amount":24.84,"providers":[{"billed_charge":80.00,"npi":[1174189625]}]}]}]},{"billing_code":"A4628","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"OROPHARYNGEAL SUCTION CATH","allowed_amounts":[{"tin":{"type":"ein","value":"562113704"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":15.39,"providers":[{"billed_charge":25.65,"npi":[1538143375]}]}]}]},{"billing_code":"A4629","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"TRACHEOSTOMY CARE KIT","allowed_amounts":[{"tin":{"type":"ein","value":"562113704"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":114.30,"providers":[{"billed_charge":190.50,"npi":[1538143375]}]},{"allowed_amount":152.40,"providers":[{"billed_charge":254.00,"npi":[1538143375]}]}]}]},{"billing_code":"A4630","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"REPL BAT T.E.N.S. OWN BY PT","allowed_amounts":[{"tin":{"type":"ein","value":"593323767"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":40.50,"providers":[{"billed_charge":40.50,"npi":[1629167028]}]}]},{"tin":{"type":"ein","value":"841451963"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":11.99,"providers":[{"billed_charge":39.96,"npi":[1770511552]}]},{"allowed_amount":20.13,"providers":[{"billed_charge":39.96,"npi":[1770511552]}]}]}]},{"billing_code":"A4648","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"IMPLANTABLE TISSUE MARKER","allowed_amounts":[{"tin":{"type":"ein","value":"742958277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":187.08,"providers":[{"billed_charge":304.72,"npi":[1922061993]}]}]}]},{"billing_code":"A4648","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"IMPLANTABLE TISSUE MARKER","allowed_amounts":[{"tin":{"type":"ein","value":"381360529"},"billing_class":"institutional","payments":[{"allowed_amount":393.92,"providers":[{"billed_charge":437.69,"npi":[1922090554]}]}]}]},{"billing_code":"A4648","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"TISSUE MARKER IMPLANTBL ANY TYPE EA","allowed_amounts":[{"tin":{"type":"ein","value":"381360529"},"billing_class":"institutional","payments":[{"allowed_amount":393.92,"providers":[{"billed_charge":437.69,"npi":[1922090554]}]}]}]},{"billing_code":"A4670","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"AUTOMATIC BP MONITOR, DIAL","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":54.99,"providers":[{"billed_charge":124.87,"npi":[1750333282]}]}]}]},{"billing_code":"A4670","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"AUTOMATIC BLOOD PRESSURE MONITOR","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":29.65,"providers":[{"billed_charge":117.14,"npi":[1750333282]},{"billed_charge":124.87,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":29.65,"providers":[{"billed_charge":130.02,"npi":[1992754758]}]}]}]},{"billing_code":"A4670","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"AUTOMATIC BP MONITOR, DIAL","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":29.65,"providers":[{"billed_charge":117.14,"npi":[1750333282]},{"billed_charge":124.87,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":29.65,"providers":[{"billed_charge":130.02,"npi":[1992754758]}]}]}]},{"billing_code":"A4927","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"NON-STERILE GLOVES","allowed_amounts":[{"tin":{"type":"ein","value":"205132648"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":12.80,"providers":[{"billed_charge":32.00,"npi":[1427081934]}]},{"allowed_amount":16.00,"providers":[{"billed_charge":32.00,"npi":[1427081934]}]}]},{"tin":{"type":"ein","value":"263911472"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":43.36,"providers":[{"billed_charge":54.20,"npi":[1659319325]}]}]},{"tin":{"type":"ein","value":"300088456"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":5.74,"providers":[{"billed_charge":28.00,"npi":[1104811629]}]},{"allowed_amount":11.48,"providers":[{"billed_charge":56.00,"npi":[1104811629]}]}]},{"tin":{"type":"ein","value":"431511171"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2.87,"providers":[{"billed_charge":12.99,"npi":[1427606110]}]}]}]},{"billing_code":"A5054","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"CLSD OSTOMY POUCH W/FLANGE","allowed_amounts":[{"tin":{"type":"ein","value":"562084945"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":85.93,"providers":[{"billed_charge":132.20,"npi":[1104818475]}]},{"allowed_amount":105.11,"providers":[{"billed_charge":161.70,"npi":[1104818475]}]}]}]},{"billing_code":"A5056","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"1 PC OST POUCH W FILTER","allowed_amounts":[{"tin":{"type":"ein","value":"562029700"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":77.05,"providers":[{"billed_charge":154.09,"npi":[1972558898]}]}]}]},{"billing_code":"A5120","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"SKIN BARRIER, WIPE OR SWAB","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":18.00,"providers":[{"billed_charge":25.00,"npi":[1922103845]}]}]},{"tin":{"type":"ein","value":"562029700"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":16.23,"providers":[{"billed_charge":32.45,"npi":[1972558898]}]}]},{"tin":{"type":"ein","value":"562084945"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":14.98,"npi":[1104818475]}]},{"allowed_amount":9.75,"providers":[{"billed_charge":15.00,"npi":[1104818475]}]}]}]},{"billing_code":"A5500","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"DIAB SHOE FOR DENSITY INSERT","allowed_amounts":[{"tin":{"type":"ein","value":"202502972"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":75.00,"npi":[1174695357]}]}]}]},{"billing_code":"A5512","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"MULTI DEN INSERT DIRECT FORM","allowed_amounts":[{"tin":{"type":"ein","value":"202502972"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":150.00,"npi":[1174695357]}]}]}]},{"billing_code":"A6449","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"\"LT COMPRES BAND >=3\"\" <5\"\"/YD\"","allowed_amounts":[{"tin":{"type":"ein","value":"593209688"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":14.00,"providers":[{"billed_charge":20.00,"npi":[1073565610]}]}]}]},{"billing_code":"A7000","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"DISPOSABLE CANISTER FOR PUMP","allowed_amounts":[{"tin":{"type":"ein","value":"562113704"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":14.74,"providers":[{"billed_charge":24.56,"npi":[1538143375]}]}]}]},{"billing_code":"A7002","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"TUBING USED W SUCTION PUMP","allowed_amounts":[{"tin":{"type":"ein","value":"562113704"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":5.40,"providers":[{"billed_charge":9.00,"npi":[1538143375]}]},{"allowed_amount":10.80,"providers":[{"billed_charge":18.00,"npi":[1538143375]}]}]}]},{"billing_code":"A7003","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"NEBULIZER ADMINISTRATION SET","allowed_amounts":[{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":3.96,"providers":[{"billed_charge":7.20,"npi":[1346293305]}]}]}]},{"billing_code":"A7005","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"NONDISPOSABLE NEBULIZER SET","allowed_amounts":[{"tin":{"type":"ein","value":"561720272"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":19.21,"providers":[{"billed_charge":30.00,"npi":[1003813064]}]}]},{"tin":{"type":"ein","value":"562182982"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":19.21,"providers":[{"billed_charge":40.00,"npi":[1598898991]}]}]},{"tin":{"type":"ein","value":"760771781"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":10.65,"providers":[{"billed_charge":41.00,"npi":[1285611012]}]}]}]},{"billing_code":"A7006","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"FILTERED NEBULIZER ADMIN SET","allowed_amounts":[{"tin":{"type":"ein","value":"562084945"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":9.50,"providers":[{"billed_charge":9.50,"npi":[1104818475]}]}]}]},{"billing_code":"A7007","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"LG VOL NEBULIZER DISPOSABLE","allowed_amounts":[{"tin":{"type":"ein","value":"562113704"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":15.60,"providers":[{"billed_charge":26.00,"npi":[1538143375]}]}]}]},{"billing_code":"A7010","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"DISPOSABLE CORRUGATED TUBING","allowed_amounts":[{"tin":{"type":"ein","value":"562113704"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":33.04,"providers":[{"billed_charge":55.06,"npi":[1538143375]}]}]}]},{"billing_code":"A7013","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"DISPOSABLE COMPRESSOR FILTER","allowed_amounts":[{"tin":{"type":"ein","value":"562113704"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2.86,"providers":[{"billed_charge":4.76,"npi":[1538143375]}]}]}]},{"billing_code":"A7015","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"AEROSOL MASK USED W NEBULIZE","allowed_amounts":[{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2.28,"providers":[{"billed_charge":2.50,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"541978479"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":1.98,"providers":[{"billed_charge":10.00,"npi":[1760577159]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2.01,"providers":[{"billed_charge":3.46,"npi":[1811295041]}]}]},{"tin":{"type":"ein","value":"561720272"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2.01,"providers":[{"billed_charge":5.00,"npi":[1003813064]}]}]},{"tin":{"type":"ein","value":"562182982"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2.01,"providers":[{"billed_charge":10.00,"npi":[1598898991]}]},{"allowed_amount":4.02,"providers":[{"billed_charge":20.00,"npi":[1598898991]}]}]},{"tin":{"type":"ein","value":"651236898"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":13.00,"providers":[{"billed_charge":20.00,"npi":[1073574331]}]}]},{"tin":{"type":"ein","value":"760771781"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":1.16,"providers":[{"billed_charge":10.00,"npi":[1285611012]}]}]}]},{"billing_code":"A7030","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"CPAP FULL FACE MASK","allowed_amounts":[{"tin":{"type":"ein","value":"200029841"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":113.88,"providers":[{"billed_charge":350.00,"npi":[1326064700]}]},{"allowed_amount":128.39,"providers":[{"billed_charge":350.00,"npi":[1326064700]}]}]},{"tin":{"type":"ein","value":"203215567"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":433.13,"npi":[1245221092]}]}]},{"tin":{"type":"ein","value":"204854058"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":120.19,"providers":[{"billed_charge":213.40,"npi":[1497708945]}]}]},{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":200.00,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"263869158"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":125.70,"providers":[{"billed_charge":238.00,"npi":[1881830958]}]}]},{"tin":{"type":"ein","value":"541788556"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":156.77,"providers":[{"billed_charge":341.10,"npi":[1053306324]}]}]},{"tin":{"type":"ein","value":"561333291"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":125.41,"providers":[{"billed_charge":238.00,"npi":[1679661573]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":96.41,"providers":[{"billed_charge":109.56,"npi":[1811295041]}]},{"allowed_amount":135.86,"providers":[{"billed_charge":171.64,"npi":[1467690578]},{"billed_charge":341.44,"npi":[1922103845,1811295041,1295844397,1194820639,1861597791,1467690578,1538264478,1083719538]}]},{"allowed_amount":147.85,"providers":[{"billed_charge":174.60,"npi":[1811295041]},{"billed_charge":341.44,"npi":[1922103845,1811295041,1346274685,1689006587,1194820639,1861597791,1467690578,1538264478,1760799720,1083719538,1447355300]},{"billed_charge":433.13,"npi":[1922103845]}]}]},{"tin":{"type":"ein","value":"562025734"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":135.86,"providers":[{"billed_charge":350.00,"npi":[1134183668]}]}]},{"tin":{"type":"ein","value":"581612905"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":141.48,"providers":[{"billed_charge":333.51,"npi":[1831199132]}]}]},{"tin":{"type":"ein","value":"831772605"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":135.86,"providers":[{"billed_charge":188.64,"npi":[1295385227]}]}]}]},{"billing_code":"A7030","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"CPAP FULL FACE MASK","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":136.81,"providers":[{"billed_charge":268.28,"npi":[1750333282]}]},{"allowed_amount":150.32,"providers":[{"billed_charge":268.28,"npi":[1750333282]}]}]}]},{"billing_code":"A7030","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"FULL FCE MASK POS ARWAY PRSS DEV EA","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":136.81,"providers":[{"billed_charge":268.28,"npi":[1750333282]}]},{"allowed_amount":150.32,"providers":[{"billed_charge":268.28,"npi":[1750333282]}]}]}]},{"billing_code":"A7031","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"REPLACEMENT FACEMASK INTERFA","allowed_amounts":[{"tin":{"type":"ein","value":"200029841"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":155.43,"providers":[{"billed_charge":405.00,"npi":[1326064700]}]},{"allowed_amount":162.99,"providers":[{"billed_charge":405.00,"npi":[1326064700]}]}]},{"tin":{"type":"ein","value":"203215567"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":29.00,"providers":[{"billed_charge":480.60,"npi":[1245221092]}]}]},{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":144.00,"providers":[{"billed_charge":240.00,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"263869158"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":142.63,"providers":[{"billed_charge":264.60,"npi":[1881830958]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":133.74,"providers":[{"billed_charge":448.56,"npi":[1578516902]}]}]},{"tin":{"type":"ein","value":"561333291"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":145.91,"providers":[{"billed_charge":264.60,"npi":[1679661573]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":37.39,"providers":[{"billed_charge":42.49,"npi":[1811295041]}]},{"allowed_amount":47.84,"providers":[{"billed_charge":126.28,"npi":[1811295041,1194820639,1467690578]}]},{"allowed_amount":74.78,"providers":[{"billed_charge":84.98,"npi":[1811295041]}]},{"allowed_amount":95.68,"providers":[{"billed_charge":252.56,"npi":[1467690578]}]},{"allowed_amount":133.74,"providers":[{"billed_charge":378.84,"npi":[1922103845,1811295041,1194820639,1861597791,1467690578,1538264478,1083719538]}]},{"allowed_amount":143.52,"providers":[{"billed_charge":237.60,"npi":[1811295041]},{"billed_charge":378.84,"npi":[1922103845,1811295041,1346274685,1689006587,1194820639,1467690578,1538264478,1760799720,1083719538,1447355300]},{"billed_charge":480.60,"npi":[1922103845]}]}]},{"tin":{"type":"ein","value":"562025734"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":89.16,"providers":[{"billed_charge":230.24,"npi":[1134183668]}]},{"allowed_amount":133.74,"providers":[{"billed_charge":345.36,"npi":[1134183668]}]}]},{"tin":{"type":"ein","value":"570989615"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":46.61,"providers":[{"billed_charge":90.00,"npi":[1275683740]}]}]},{"tin":{"type":"ein","value":"581612905"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":156.99,"providers":[{"billed_charge":370.02,"npi":[1831199132]}]}]},{"tin":{"type":"ein","value":"593223150"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":95.68,"providers":[{"billed_charge":275.98,"npi":[1508846130]}]}]}]},{"billing_code":"A7032","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"REPLACEMENT NASAL CUSHION","allowed_amounts":[{"tin":{"type":"ein","value":"200029841"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":202.26,"providers":[{"billed_charge":450.00,"npi":[1326064700]}]}]},{"tin":{"type":"ein","value":"204854058"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":156.91,"providers":[{"billed_charge":275.10,"npi":[1497708945]}]}]},{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":181.44,"providers":[{"billed_charge":302.40,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"561333291"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":163.73,"providers":[{"billed_charge":270.00,"npi":[1679661573]},{"billed_charge":302.40,"npi":[1679661573]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":138.60,"providers":[{"billed_charge":366.80,"npi":[1811295041]}]},{"allowed_amount":150.06,"providers":[{"billed_charge":440.16,"npi":[1811295041,1003911942]}]},{"allowed_amount":166.32,"providers":[{"billed_charge":440.16,"npi":[1922103845,1811295041,1083724868,1467690578,1083719538]}]}]},{"tin":{"type":"ein","value":"570989615"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":130.76,"providers":[{"billed_charge":225.00,"npi":[1275683740]}]}]},{"tin":{"type":"ein","value":"570996421"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":136.44,"providers":[{"billed_charge":270.00,"npi":[1538438437]},{"billed_charge":302.40,"npi":[1538438437]}]}]},{"tin":{"type":"ein","value":"910851599"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":31.61,"providers":[{"billed_charge":55.02,"npi":[1992759427]}]}]}]},{"billing_code":"A7033","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"REPLACEMENT NASAL PILLOWS","allowed_amounts":[{"tin":{"type":"ein","value":"204854058"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":126.27,"providers":[{"billed_charge":192.82,"npi":[1497708945]}]}]},{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":42.00,"providers":[{"billed_charge":70.00,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"391206759"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":13.20,"providers":[{"billed_charge":210.00,"npi":[1851328157]}]}]},{"tin":{"type":"ein","value":"541841214"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":131.76,"providers":[{"billed_charge":308.52,"npi":[1306856844]}]}]},{"tin":{"type":"ein","value":"561333291"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":131.76,"providers":[{"billed_charge":218.40,"npi":[1679661573]},{"billed_charge":302.40,"npi":[1679661573]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":100.65,"providers":[{"billed_charge":257.10,"npi":[1811295041,1083719538]}]},{"allowed_amount":114.20,"providers":[{"billed_charge":257.10,"npi":[1811295041,1558727172]}]},{"allowed_amount":120.78,"providers":[{"billed_charge":308.52,"npi":[1811295041,1538264478]}]},{"allowed_amount":137.04,"providers":[{"billed_charge":308.52,"npi":[1811295041,1194820639,1902408347,1467690578]}]}]}]},{"billing_code":"A7034","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"NASAL APPLICATION DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"200029841"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":89.70,"providers":[{"billed_charge":225.00,"npi":[1326064700]}]}]},{"tin":{"type":"ein","value":"204854058"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":75.83,"providers":[{"billed_charge":133.08,"npi":[1497708945]}]},{"allowed_amount":79.41,"providers":[{"billed_charge":133.08,"npi":[1497708945]}]}]},{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":125.00,"npi":[1346293305]}]},{"allowed_amount":88.25,"providers":[{"billed_charge":125.00,"npi":[1346293305]}]},{"allowed_amount":89.04,"providers":[{"billed_charge":148.40,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"391206759"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":50.00,"providers":[{"billed_charge":125.00,"npi":[1851328157]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":77.59,"providers":[{"billed_charge":180.18,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561333291"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":79.13,"providers":[{"billed_charge":125.00,"npi":[1679661573]},{"billed_charge":148.40,"npi":[1679661573]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":72.53,"providers":[{"billed_charge":212.92,"npi":[1811295041,1083724868,1538264478,1003911942,1083719538]}]},{"allowed_amount":77.59,"providers":[{"billed_charge":107.03,"npi":[1194820639]},{"billed_charge":212.92,"npi":[1922103845,1811295041,1083724868,1902408347,1467690578,1760799720,1083719538]}]},{"allowed_amount":88.30,"providers":[{"billed_charge":107.03,"npi":[1689006587]}]}]},{"tin":{"type":"ein","value":"562025734"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":72.53,"providers":[{"billed_charge":194.11,"npi":[1134183668]}]}]},{"tin":{"type":"ein","value":"570989615"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":75.83,"providers":[{"billed_charge":135.00,"npi":[1275683740]}]}]},{"tin":{"type":"ein","value":"570996421"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":65.94,"providers":[{"billed_charge":125.00,"npi":[1538438437]},{"billed_charge":148.40,"npi":[1538438437]}]}]},{"tin":{"type":"ein","value":"593223150"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":72.53,"providers":[{"billed_charge":212.84,"npi":[1225018807,1356311534]}]}]},{"tin":{"type":"ein","value":"910851599"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":91.68,"providers":[{"billed_charge":159.69,"npi":[1992759427]}]}]}]},{"billing_code":"A7034","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"NASAL APPLICATION DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":101.32,"providers":[{"billed_charge":198.68,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":88.45,"providers":[{"billed_charge":194.58,"npi":[1578516902]}]}]}]},{"billing_code":"A7034","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"NASL INTERFCE POS ARWAY PRSS DEVC","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":101.32,"providers":[{"billed_charge":198.68,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":88.45,"providers":[{"billed_charge":194.58,"npi":[1578516902]}]}]}]},{"billing_code":"A7035","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"POS AIRWAY PRESS HEADGEAR","allowed_amounts":[{"tin":{"type":"ein","value":"200029841"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":27.90,"providers":[{"billed_charge":100.00,"npi":[1326064700]}]},{"allowed_amount":27.91,"providers":[{"billed_charge":100.00,"npi":[1326064700]}]}]},{"tin":{"type":"ein","value":"204854058"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":24.89,"providers":[{"billed_charge":41.21,"npi":[1497708945]}]}]},{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":27.00,"providers":[{"billed_charge":45.00,"npi":[1346293305]}]},{"allowed_amount":27.46,"providers":[{"billed_charge":45.00,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"263869158"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":26.11,"providers":[{"billed_charge":45.00,"npi":[1881830958]}]}]},{"tin":{"type":"ein","value":"391206759"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":15.21,"providers":[{"billed_charge":45.00,"npi":[1851328157]}]}]},{"tin":{"type":"ein","value":"541788556"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":24.12,"providers":[{"billed_charge":71.90,"npi":[1053306324]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":30.72,"providers":[{"billed_charge":107.88,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561333291"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":25.97,"providers":[{"billed_charge":44.80,"npi":[1679661573]},{"billed_charge":45.00,"npi":[1679661573]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":25.00,"providers":[{"billed_charge":25.00,"npi":[1760799720]}]},{"allowed_amount":28.13,"providers":[{"billed_charge":32.54,"npi":[1689006587,1467690578]},{"billed_charge":68.00,"npi":[1922103845,1811295041,1295844397,1194820639,1861597791,1538264478,1083719538]}]},{"allowed_amount":30.72,"providers":[{"billed_charge":32.54,"npi":[1194820639]},{"billed_charge":36.34,"npi":[1811295041]},{"billed_charge":68.00,"npi":[1922103845,1811295041,1346274685,1689006587,1194820639,1861597791,1902408347,1467690578,1538264478,1083719538,1447355300]},{"billed_charge":81.34,"npi":[1922103845]}]}]},{"tin":{"type":"ein","value":"562025734"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":28.13,"providers":[{"billed_charge":59.00,"npi":[1134183668]}]}]},{"tin":{"type":"ein","value":"570989615"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":24.89,"providers":[{"billed_charge":40.00,"npi":[1275683740]}]}]},{"tin":{"type":"ein","value":"581612905"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":29.81,"providers":[{"billed_charge":70.30,"npi":[1831199132]}]}]},{"tin":{"type":"ein","value":"593223150"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":28.13,"providers":[{"billed_charge":71.90,"npi":[1225018807,1356311534]}]}]},{"tin":{"type":"ein","value":"593769111"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":24.11,"providers":[{"billed_charge":71.17,"npi":[1841230653]}]}]},{"tin":{"type":"ein","value":"910851599"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":30.84,"providers":[{"billed_charge":53.96,"npi":[1992759427]}]}]}]},{"billing_code":"A7035","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"HEADGEAR USED W/POS ARWAY PRSS DEVC","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":67.45,"providers":[{"billed_charge":120.38,"npi":[1750333282]}]},{"allowed_amount":122.77,"providers":[{"billed_charge":240.76,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":53.60,"providers":[{"billed_charge":117.90,"npi":[1578516902]}]}]}]},{"billing_code":"A7035","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"POS AIRWAY PRESS HEADGEAR","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":67.45,"providers":[{"billed_charge":120.38,"npi":[1750333282]}]},{"allowed_amount":122.77,"providers":[{"billed_charge":240.76,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":53.60,"providers":[{"billed_charge":117.90,"npi":[1578516902]}]}]}]},{"billing_code":"A7036","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"POS AIRWAY PRESS CHINSTRAP","allowed_amounts":[{"tin":{"type":"ein","value":"204854058"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":14.48,"providers":[{"billed_charge":30.00,"npi":[1497708945]}]}]},{"tin":{"type":"ein","value":"391206759"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":6.96,"providers":[{"billed_charge":19.00,"npi":[1851328157]}]}]},{"tin":{"type":"ein","value":"541841214"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":15.11,"providers":[{"billed_charge":43.05,"npi":[1306856844]}]}]},{"tin":{"type":"ein","value":"561333291"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":13.30,"providers":[{"billed_charge":19.00,"npi":[1679661573]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":13.95,"providers":[{"billed_charge":43.05,"npi":[1811295041,1467690578,1083719538]}]}]},{"tin":{"type":"ein","value":"593223150"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":13.84,"providers":[{"billed_charge":72.99,"npi":[1356311534]}]}]}]},{"billing_code":"A7037","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"POS AIRWAY PRESSURE TUBING","allowed_amounts":[{"tin":{"type":"ein","value":"200029841"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":19.84,"providers":[{"billed_charge":80.00,"npi":[1326064700]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":18.36,"providers":[{"billed_charge":35.92,"npi":[1689006587]}]},{"allowed_amount":19.92,"providers":[{"billed_charge":70.98,"npi":[1811295041,1467690578,1538264478]}]}]},{"tin":{"type":"ein","value":"570989615"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":16.07,"providers":[{"billed_charge":45.00,"npi":[1275683740]}]}]},{"tin":{"type":"ein","value":"570996421"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":13.97,"providers":[{"billed_charge":45.00,"npi":[1538438437]}]}]},{"tin":{"type":"ein","value":"593223150"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":18.36,"providers":[{"billed_charge":63.60,"npi":[1225018807]}]}]}]},{"billing_code":"A7038","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"POS AIRWAY PRESSURE FILTER","allowed_amounts":[{"tin":{"type":"ein","value":"200029841"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":19.32,"providers":[{"billed_charge":90.00,"npi":[1326064700]}]},{"allowed_amount":19.38,"providers":[{"billed_charge":90.00,"npi":[1326064700]}]}]},{"tin":{"type":"ein","value":"203215567"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2.12,"providers":[{"billed_charge":20.55,"npi":[1245221092]}]}]},{"tin":{"type":"ein","value":"204854058"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":16.84,"providers":[{"billed_charge":36.60,"npi":[1497708945]}]},{"allowed_amount":21.83,"providers":[{"billed_charge":36.60,"npi":[1497708945]}]}]},{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":7.80,"providers":[{"billed_charge":13.00,"npi":[1346293305]}]},{"allowed_amount":16.08,"providers":[{"billed_charge":39.00,"npi":[1346293305]}]},{"allowed_amount":19.02,"providers":[{"billed_charge":39.00,"npi":[1346293305]}]},{"allowed_amount":23.40,"providers":[{"billed_charge":39.00,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"263869158"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":17.71,"providers":[{"billed_charge":39.00,"npi":[1881830958]}]}]},{"tin":{"type":"ein","value":"391206759"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2.06,"providers":[{"billed_charge":39.00,"npi":[1851328157]}]}]},{"tin":{"type":"ein","value":"541788556"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":16.74,"providers":[{"billed_charge":55.68,"npi":[1053306324]}]}]},{"tin":{"type":"ein","value":"561333291"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":17.57,"providers":[{"billed_charge":39.00,"npi":[1679661573]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":4.81,"providers":[{"billed_charge":5.47,"npi":[1811295041]}]},{"allowed_amount":5.47,"providers":[{"billed_charge":5.47,"npi":[1811295041]}]},{"allowed_amount":5.82,"providers":[{"billed_charge":20.00,"npi":[1083719538]}]},{"allowed_amount":5.84,"providers":[{"billed_charge":20.00,"npi":[1811295041,1861597791]}]},{"allowed_amount":13.47,"providers":[{"billed_charge":15.31,"npi":[1811295041]}]},{"allowed_amount":17.46,"providers":[{"billed_charge":60.00,"npi":[1922103845,1811295041,1295844397,1194820639,1861597791,1467690578,1538264478,1083719538]}]},{"allowed_amount":17.52,"providers":[{"billed_charge":20.55,"npi":[1922103845]},{"billed_charge":60.00,"npi":[1922103845,1811295041,1346274685,1689006587,1194820639,1083724868,1902408347,1467690578,1003911942,1538264478,1760799720,1083719538,1447355300]}]}]},{"tin":{"type":"ein","value":"562025734"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2.91,"providers":[{"billed_charge":8.74,"npi":[1134183668]}]},{"allowed_amount":8.73,"providers":[{"billed_charge":26.24,"npi":[1134183668]}]},{"allowed_amount":17.46,"providers":[{"billed_charge":52.47,"npi":[1134183668]}]}]},{"tin":{"type":"ein","value":"570989615"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2.81,"providers":[{"billed_charge":5.75,"npi":[1275683740]}]},{"allowed_amount":16.84,"providers":[{"billed_charge":34.50,"npi":[1275683740]}]}]},{"tin":{"type":"ein","value":"570996421"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":14.64,"providers":[{"billed_charge":39.00,"npi":[1538438437]}]}]},{"tin":{"type":"ein","value":"581612905"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":24.24,"providers":[{"billed_charge":57.18,"npi":[1831199132]}]}]},{"tin":{"type":"ein","value":"593223150"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2.91,"providers":[{"billed_charge":9.28,"npi":[1356311534]}]},{"allowed_amount":5.82,"providers":[{"billed_charge":18.56,"npi":[1225018807]}]},{"allowed_amount":14.55,"providers":[{"billed_charge":46.40,"npi":[1356311534]}]}]},{"tin":{"type":"ein","value":"910851599"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":7.53,"providers":[{"billed_charge":14.64,"npi":[1992759427]}]}]}]},{"billing_code":"A7038","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"FLTR DISPBL W/POS ARWAY PRSS DEVC","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":30.36,"providers":[{"billed_charge":66.78,"npi":[1578516902]}]}]}]},{"billing_code":"A7038","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"POS AIRWAY PRESSURE FILTER","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":30.36,"providers":[{"billed_charge":66.78,"npi":[1578516902]}]}]}]},{"billing_code":"A7039","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"FILTER, NON DISPOSABLE W PAP","allowed_amounts":[{"tin":{"type":"ein","value":"200029841"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":8.84,"providers":[{"billed_charge":50.00,"npi":[1326064700]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":9.35,"providers":[{"billed_charge":9.35,"npi":[1467690578]}]},{"allowed_amount":10.19,"providers":[{"billed_charge":27.74,"npi":[1811295041,1902408347,1083719538]}]}]}]},{"billing_code":"A7046","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"REPL WATER CHAMBER, PAP DEV","allowed_amounts":[{"tin":{"type":"ein","value":"204854058"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":18.49,"providers":[{"billed_charge":22.08,"npi":[1497708945]}]}]},{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":13.20,"providers":[{"billed_charge":22.00,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"263869158"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":15.40,"providers":[{"billed_charge":22.00,"npi":[1881830958]}]}]},{"tin":{"type":"ein","value":"391206759"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":7.46,"providers":[{"billed_charge":22.00,"npi":[1851328157]}]}]},{"tin":{"type":"ein","value":"561333291"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":15.40,"providers":[{"billed_charge":22.00,"npi":[1679661573]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":17.74,"providers":[{"billed_charge":17.74,"npi":[1689006587,1194820639]}]},{"allowed_amount":20.90,"providers":[{"billed_charge":35.32,"npi":[1811295041,1194820639,1861597791,1467690578,1003911942,1538264478,1083719538]}]},{"allowed_amount":21.60,"providers":[{"billed_charge":22.61,"npi":[1811295041]},{"billed_charge":35.32,"npi":[1922103845,1811295041,1346274685,1689006587,1194820639,1467690578,1538264478,1083719538,1447355300]}]}]},{"tin":{"type":"ein","value":"562025734"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":20.90,"providers":[{"billed_charge":32.19,"npi":[1134183668]}]}]},{"tin":{"type":"ein","value":"570996421"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":15.40,"providers":[{"billed_charge":22.00,"npi":[1538438437]}]}]},{"tin":{"type":"ein","value":"581612905"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":14.63,"providers":[{"billed_charge":34.49,"npi":[1831199132]}]}]}]},{"billing_code":"A7509","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"HEAT & MOISTURE EXCHANGE SYS","allowed_amounts":[{"tin":{"type":"ein","value":"562113704"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":130.50,"providers":[{"billed_charge":217.50,"npi":[1538143375]}]}]}]},{"billing_code":"A7520","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"TRACH/LARYN TUBE NON-CUFFED","allowed_amounts":[{"tin":{"type":"ein","value":"562113704"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":77.34,"providers":[{"billed_charge":128.90,"npi":[1538143375]}]}]}]},{"billing_code":"A7521","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"TRACH/LARYN TUBE CUFFED","allowed_amounts":[{"tin":{"type":"ein","value":"562113704"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":77.34,"providers":[{"billed_charge":128.90,"npi":[1538143375]}]}]}]},{"billing_code":"A7526","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"TRACHEOSTOMY TUBE COLLAR","allowed_amounts":[{"tin":{"type":"ein","value":"562113704"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":32.94,"providers":[{"billed_charge":54.90,"npi":[1538143375]}]}]}]},{"billing_code":"A9150","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"MISC/EXPER NON-PRESCRIPT DRU","allowed_amounts":[{"tin":{"type":"ein","value":"208785833"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":3.00,"providers":[{"billed_charge":5.00,"npi":[1013163914]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":3.00,"providers":[{"billed_charge":5.00,"npi":[1154721272]}]},{"allowed_amount":5.00,"providers":[{"billed_charge":5.00,"npi":[1154721272]}]}]}]},{"billing_code":"A9270","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"NON-COVERED ITEM OR SERVICE","allowed_amounts":[{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":1.81,"providers":[{"billed_charge":3.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":1.59,"providers":[{"billed_charge":5.00,"npi":[1144211301]}]},{"allowed_amount":1.78,"providers":[{"billed_charge":5.60,"npi":[1144211301]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":9.72,"providers":[{"billed_charge":14.95,"npi":[1174512792]}]}]}]},{"billing_code":"A9270","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"NONCOVERED ITEM OR SERVICE","allowed_amounts":[{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":1.81,"providers":[{"billed_charge":3.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":1.59,"providers":[{"billed_charge":5.00,"npi":[1144211301]}]},{"allowed_amount":1.78,"providers":[{"billed_charge":5.60,"npi":[1144211301]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":9.72,"providers":[{"billed_charge":14.95,"npi":[1174512792]}]}]}]},{"billing_code":"A9279","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"MONITORING FEATURE/DEVICENOC","allowed_amounts":[{"tin":{"type":"ein","value":"200029841"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":13.42,"providers":[{"billed_charge":200.00,"npi":[1326064700]}]},{"allowed_amount":99.39,"providers":[{"billed_charge":300.00,"npi":[1326064700]}]}]},{"tin":{"type":"ein","value":"593223150"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":16.45,"providers":[{"billed_charge":20.00,"npi":[1225018807,1356311534]}]}]}]},{"billing_code":"A9500","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"TC99M SESTAMIBI","allowed_amounts":[{"tin":{"type":"ein","value":"592123944"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":180.00,"providers":[{"billed_charge":300.00,"npi":[1669405379]}]}]}]},{"billing_code":"A9502","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"TC-99M TETROFOSMIN DX - STUDY DOSE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":111.90,"providers":[{"billed_charge":687.96,"npi":[1750333282]}]}]}]},{"billing_code":"A9502","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"TC99M TETROFOSMIN","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":111.90,"providers":[{"billed_charge":687.96,"npi":[1750333282]}]}]}]},{"billing_code":"A9541","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"TC-99M SULFUR COLL DX UP TO 20 MCI","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":61.16,"providers":[{"billed_charge":282.23,"npi":[1578516902]}]}]}]},{"billing_code":"A9541","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"TC99M SULFUR COLLOID","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":61.16,"providers":[{"billed_charge":282.23,"npi":[1578516902]}]}]}]},{"billing_code":"A9552","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"F18 FDG","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":189.50,"providers":[{"billed_charge":250.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"381434090"},"billing_class":"institutional","payments":[{"allowed_amount":760.88,"providers":[{"billed_charge":951.10,"npi":[1134104672]}]}]}]},{"billing_code":"A9552","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"FDG F-18 FDG DX UP TO 45 MCI","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":189.50,"providers":[{"billed_charge":250.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"381434090"},"billing_class":"institutional","payments":[{"allowed_amount":760.88,"providers":[{"billed_charge":951.10,"npi":[1134104672]}]}]}]},{"billing_code":"A9562","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"TC-99M MERTIATIDE DX UP TO 15 MCI","allowed_amounts":[{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":1145.17,"providers":[{"billed_charge":1931.14,"npi":[1659323772]}]}]}]},{"billing_code":"A9562","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"TC99M MERTIATIDE","allowed_amounts":[{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":1145.17,"providers":[{"billed_charge":1931.14,"npi":[1659323772]}]}]}]},{"billing_code":"A9573","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, GADOPICLENOL, 1 ML","allowed_amounts":[{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":131.61,"providers":[{"billed_charge":140.01,"npi":[1841271459]}]}]}]},{"billing_code":"A9575","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"INJ GADOTERATE MEGLUMI 0.1ML","allowed_amounts":[{"tin":{"type":"ein","value":"470831613"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":270.00,"providers":[{"billed_charge":300.00,"npi":[1437116936]}]}]},{"tin":{"type":"ein","value":"550789387"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":182.00,"providers":[{"billed_charge":260.00,"npi":[1740256494]}]}]}]},{"billing_code":"A9575","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ GADOTERATE MEGLUMI 0.1ML","allowed_amounts":[{"tin":{"type":"ein","value":"223452311"},"billing_class":"institutional","payments":[{"allowed_amount":35.18,"providers":[{"billed_charge":58.63,"npi":[1215027966]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":171.55,"providers":[{"billed_charge":201.82,"npi":[1427145176]}]}]}]},{"billing_code":"A9575","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ GADOTERATE MEGLUMINE 0.1 ML","allowed_amounts":[{"tin":{"type":"ein","value":"223452311"},"billing_class":"institutional","payments":[{"allowed_amount":35.18,"providers":[{"billed_charge":58.63,"npi":[1215027966]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":171.55,"providers":[{"billed_charge":201.82,"npi":[1427145176]}]}]}]},{"billing_code":"A9576","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"INJ PROHANCE MULTIPACK","allowed_amounts":[{"tin":{"type":"ein","value":"300147782"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.00,"providers":[{"billed_charge":35.00,"npi":[1730173089]}]}]}]},{"billing_code":"A9577","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"INJ MULTIHANCE","allowed_amounts":[{"tin":{"type":"ein","value":"541513749"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.82,"providers":[{"billed_charge":150.00,"npi":[1881677425]}]}]}]},{"billing_code":"A9579","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"GAD-BASE MR CONTRAST NOS,1ML","allowed_amounts":[{"tin":{"type":"ein","value":"043674251"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.32,"providers":[{"billed_charge":75.00,"npi":[1114908522]}]}]},{"tin":{"type":"ein","value":"300313534"},"billing_class":"professional","service_code":["49"],"payments":[{"allowed_amount":45.40,"providers":[{"billed_charge":60.00,"npi":[1437196318]}]}]}]},{"billing_code":"A9579","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"GAD-BASE MR CONTRAST NOS,1ML","allowed_amounts":[{"tin":{"type":"ein","value":"222325405"},"billing_class":"institutional","payments":[{"allowed_amount":36.84,"providers":[{"billed_charge":410.00,"npi":[1962422733]}]}]}]},{"billing_code":"A9579","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ GADOLINIUM MR CONTRAST NOS ML","allowed_amounts":[{"tin":{"type":"ein","value":"222325405"},"billing_class":"institutional","payments":[{"allowed_amount":36.84,"providers":[{"billed_charge":410.00,"npi":[1962422733]}]}]}]},{"billing_code":"A9585","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"GADOBUTROL INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"020777195"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.00,"providers":[{"billed_charge":200.00,"npi":[1578842035]}]}]},{"tin":{"type":"ein","value":"264473832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.05,"providers":[{"billed_charge":15.00,"npi":[1245474022]}]},{"allowed_amount":28.20,"providers":[{"billed_charge":60.00,"npi":[1245474022]}]},{"allowed_amount":47.00,"providers":[{"billed_charge":100.00,"npi":[1245474022]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.91,"providers":[{"billed_charge":40.00,"npi":[1093796609]}]},{"allowed_amount":8.01,"providers":[{"billed_charge":110.00,"npi":[1093796609]}]}]},{"tin":{"type":"ein","value":"593337028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.81,"providers":[{"billed_charge":19.80,"npi":[1790772317]}]},{"allowed_amount":110.20,"providers":[{"billed_charge":116.00,"npi":[1790772317]}]}]},{"tin":{"type":"ein","value":"616001218"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.35,"providers":[{"billed_charge":55.44,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.55,"providers":[{"billed_charge":65.00,"npi":[1093765851]}]},{"allowed_amount":35.70,"providers":[{"billed_charge":70.00,"npi":[1093765851]}]},{"allowed_amount":37.60,"providers":[{"billed_charge":80.00,"npi":[1093765851]}]}]}]},{"billing_code":"A9585","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"GADOBUTROL INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":73.88,"providers":[{"billed_charge":108.65,"npi":[1154377166]}]}]}]},{"billing_code":"A9585","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"INJECTION GADOBUTROL 0.1 ML","allowed_amounts":[{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":73.88,"providers":[{"billed_charge":108.65,"npi":[1154377166]}]}]}]},{"billing_code":"A9585","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"GADOBUTROL INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":53.61,"providers":[{"billed_charge":65.38,"npi":[1790717650]}]}]}]},{"billing_code":"A9585","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION GADOBUTROL 0.1 ML","allowed_amounts":[{"tin":{"type":"ein","value":"042312909"},"billing_class":"institutional","payments":[{"allowed_amount":53.61,"providers":[{"billed_charge":65.38,"npi":[1790717650]}]}]}]},{"billing_code":"A9700","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"ECHOCARDIOGRAPHY CONTRAST","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":1434.40,"providers":[{"billed_charge":1630.00,"npi":[1477643690]}]}]}]},{"billing_code":"A9700","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"SUP OF INJ CONTRST MAT-ECHO P/STUDY","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":1434.40,"providers":[{"billed_charge":1630.00,"npi":[1477643690]}]}]}]},{"billing_code":"A9901","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"DELIVERY/SET UP/DISPENSING","allowed_amounts":[{"tin":{"type":"ein","value":"392012203"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":3.23,"providers":[{"billed_charge":173.40,"npi":[1942238514]}]},{"allowed_amount":40.27,"providers":[{"billed_charge":173.40,"npi":[1942238514]}]}]},{"tin":{"type":"ein","value":"593323767"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":33.75,"providers":[{"billed_charge":33.75,"npi":[1629167028]}]}]}]},{"billing_code":"B4035","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"ENTERAL FEED SUPP PUMP PER D","allowed_amounts":[{"tin":{"type":"ein","value":"561430491"},"billing_class":"professional","service_code":["32"],"payments":[{"allowed_amount":156.48,"providers":[{"billed_charge":195.60,"npi":[1538224845]}]},{"allowed_amount":161.70,"providers":[{"billed_charge":202.12,"npi":[1538224845]}]}]}]},{"billing_code":"B4088","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"GASTRO/JEJUNO TUBE, LOW-PRO","allowed_amounts":[{"tin":{"type":"ein","value":"263911472"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":50.00,"providers":[{"billed_charge":178.13,"npi":[1659319325]}]}]}]},{"billing_code":"B4150","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"EF COMPLET W/INTACT NUTRIENT","allowed_amounts":[{"tin":{"type":"ein","value":"561430491"},"billing_class":"professional","service_code":["32"],"payments":[{"allowed_amount":107.82,"providers":[{"billed_charge":134.78,"npi":[1538224845]}]},{"allowed_amount":111.50,"providers":[{"billed_charge":139.38,"npi":[1538224845]}]}]}]},{"billing_code":"B4152","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"EF CALORIE DENSE>/=1.5KCAL","allowed_amounts":[{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":639.60,"providers":[{"billed_charge":1066.00,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":221.56,"providers":[{"billed_charge":623.75,"npi":[1922103845]}]}]}]},{"billing_code":"B4154","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"EF SPEC METABOLIC NONINHERIT","allowed_amounts":[{"tin":{"type":"ein","value":"351064295"},"billing_class":"institutional","payments":[{"allowed_amount":160.06,"providers":[{"billed_charge":234.00,"npi":[1902897937]}]}]}]},{"billing_code":"B4154","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"ENTRAL F CMPL NO INHERITED DZ METAB","allowed_amounts":[{"tin":{"type":"ein","value":"351064295"},"billing_class":"institutional","payments":[{"allowed_amount":160.06,"providers":[{"billed_charge":234.00,"npi":[1902897937]}]}]}]},{"billing_code":"B4155","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"EF INCOMPLETE/MODULAR","allowed_amounts":[{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":216.00,"providers":[{"billed_charge":360.00,"npi":[1346293305]}]}]}]},{"billing_code":"B4162","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"EF PED SPECMETABOLIC INHERIT","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":477.90,"providers":[{"billed_charge":1593.00,"npi":[1497767966]}]},{"allowed_amount":531.00,"providers":[{"billed_charge":1770.00,"npi":[1497767966]}]},{"allowed_amount":1115.10,"providers":[{"billed_charge":1593.00,"npi":[1497767966]}]},{"allowed_amount":1239.00,"providers":[{"billed_charge":1770.00,"npi":[1497767966]}]}]}]},{"billing_code":"B9002","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"ENTER NUTR INF PUMP ANY TYPE","allowed_amounts":[{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":129.55,"providers":[{"billed_charge":300.00,"npi":[1346293305]}]},{"allowed_amount":153.11,"providers":[{"billed_charge":300.00,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"561430491"},"billing_class":"professional","service_code":["32"],"payments":[{"allowed_amount":66.03,"providers":[{"billed_charge":82.54,"npi":[1538224845]}]}]}]},{"billing_code":"C1713","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"ANCHOR/SCREW BN/BN,TIS/BN","allowed_amounts":[{"tin":{"type":"ein","value":"460552249"},"billing_class":"institutional","payments":[{"allowed_amount":357.64,"providers":[{"billed_charge":476.85,"npi":[1679086078]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"institutional","payments":[{"allowed_amount":4993.78,"providers":[{"billed_charge":6242.22,"npi":[1346403854]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":4232.80,"providers":[{"billed_charge":6512.00,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":2808.46,"providers":[{"billed_charge":3585.00,"npi":[1730761065]}]}]}]},{"billing_code":"C1713","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"ANCHR/SCREW OPPOS BN-BN/SFT TISS-BN","allowed_amounts":[{"tin":{"type":"ein","value":"460552249"},"billing_class":"institutional","payments":[{"allowed_amount":357.64,"providers":[{"billed_charge":476.85,"npi":[1679086078]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"institutional","payments":[{"allowed_amount":4993.78,"providers":[{"billed_charge":6242.22,"npi":[1346403854]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":4232.80,"providers":[{"billed_charge":6512.00,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":2808.46,"providers":[{"billed_charge":3585.00,"npi":[1730761065]}]}]}]},{"billing_code":"C1725","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"CATH, TRANSLUMIN NON-LASER","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":43.12,"providers":[{"billed_charge":46.87,"npi":[1710087127]}]}]}]},{"billing_code":"C1725","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"CATHETER TRNSLUM ANGPLSTY NON-LASER","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":43.12,"providers":[{"billed_charge":46.87,"npi":[1710087127]}]}]}]},{"billing_code":"C1729","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"CATH, DRAINAGE","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":48.12,"providers":[{"billed_charge":275.38,"npi":[1548315401]}]},{"allowed_amount":2811.87,"providers":[{"billed_charge":3390.05,"npi":[1548315401]}]}]}]},{"billing_code":"C1729","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"CATHETER DRAINAGE","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":48.12,"providers":[{"billed_charge":275.38,"npi":[1548315401]}]},{"allowed_amount":2811.87,"providers":[{"billed_charge":3390.05,"npi":[1548315401]}]}]}]},{"billing_code":"C1750","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"CATH  HEMODIAL/PERITON  LONG-TERM","allowed_amounts":[{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":452.80,"providers":[{"billed_charge":839.04,"npi":[1306876065]}]}]}]},{"billing_code":"C1750","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"CATH, HEMODIALYSIS,LONG-TERM","allowed_amounts":[{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":452.80,"providers":[{"billed_charge":839.04,"npi":[1306876065]}]}]}]},{"billing_code":"C1751","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"CATH INFUS INSRT PERIPH CNTRL/MIDLN","allowed_amounts":[{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":106.51,"providers":[{"billed_charge":551.31,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"876000525"},"billing_class":"institutional","payments":[{"allowed_amount":10.09,"providers":[{"billed_charge":13.55,"npi":[1588656870]}]}]}]},{"billing_code":"C1751","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"CATH, INF, PER/CENT/MIDLINE","allowed_amounts":[{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":106.51,"providers":[{"billed_charge":551.31,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"876000525"},"billing_class":"institutional","payments":[{"allowed_amount":10.09,"providers":[{"billed_charge":13.55,"npi":[1588656870]}]}]}]},{"billing_code":"C1758","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"CATHETER URETERAL","allowed_amounts":[{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":60.54,"providers":[{"billed_charge":172.36,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":1081.62,"providers":[{"billed_charge":1545.17,"npi":[1053321919]}]}]}]},{"billing_code":"C1758","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"CATHETER, URETERAL","allowed_amounts":[{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":60.54,"providers":[{"billed_charge":172.36,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":1081.62,"providers":[{"billed_charge":1545.17,"npi":[1053321919]}]}]}]},{"billing_code":"C1760","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"CLOSURE DEV, VASC","allowed_amounts":[{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":289.70,"providers":[{"billed_charge":824.79,"npi":[1427030774]}]}]}]},{"billing_code":"C1760","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"CLOSURE DEVICE VASCULAR","allowed_amounts":[{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":289.70,"providers":[{"billed_charge":824.79,"npi":[1427030774]}]}]}]},{"billing_code":"C1769","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"GUIDE WIRE","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":456.53,"providers":[{"billed_charge":496.23,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":571.26,"providers":[{"billed_charge":816.08,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":8.77,"providers":[{"billed_charge":45.41,"npi":[1437119310]}]}]}]},{"billing_code":"C1776","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"JOINT DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":73443.01,"providers":[{"billed_charge":93750.00,"npi":[1730761065]}]}]}]},{"billing_code":"C1776","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"JOINT DEVICE (IMPLANTABLE)","allowed_amounts":[{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":73443.01,"providers":[{"billed_charge":93750.00,"npi":[1730761065]}]}]}]},{"billing_code":"C1781","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"MESH","allowed_amounts":[{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":2749.84,"providers":[{"billed_charge":4043.88,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":502.47,"providers":[{"billed_charge":3094.00,"npi":[1578527172]}]}]}]},{"billing_code":"C1781","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"MESH (IMPLANTABLE)","allowed_amounts":[{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":2749.84,"providers":[{"billed_charge":4043.88,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":502.47,"providers":[{"billed_charge":3094.00,"npi":[1578527172]}]}]}]},{"billing_code":"C1788","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"PORT INDWELLING","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":632.56,"providers":[{"billed_charge":769.50,"npi":[1548315401]}]}]}]},{"billing_code":"C1788","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"PORT, INDWELLING, IMP","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":632.56,"providers":[{"billed_charge":769.50,"npi":[1548315401]}]}]}]},{"billing_code":"C1887","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"CATHETER GUIDING","allowed_amounts":[{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":37.77,"providers":[{"billed_charge":195.50,"npi":[1437119310]}]}]}]},{"billing_code":"C1887","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"CATHETER, GUIDING","allowed_amounts":[{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":37.77,"providers":[{"billed_charge":195.50,"npi":[1437119310]}]}]}]},{"billing_code":"C1889","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"IMPLANT/INSERT DEVICE, NOC","allowed_amounts":[{"tin":{"type":"ein","value":"831342511"},"billing_class":"institutional","payments":[{"allowed_amount":1972.79,"providers":[{"billed_charge":5530.00,"npi":[1487223814]}]}]}]},{"billing_code":"C1889","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"IMPLANTABLE/INSERTABLE DEVICE NOC","allowed_amounts":[{"tin":{"type":"ein","value":"831342511"},"billing_class":"institutional","payments":[{"allowed_amount":1972.79,"providers":[{"billed_charge":5530.00,"npi":[1487223814]}]}]}]},{"billing_code":"C1894","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"INTRDUCR/SHEATH NOT GUID NON-LASR","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":90.25,"providers":[{"billed_charge":98.10,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":119.80,"providers":[{"billed_charge":620.08,"npi":[1437119310]}]}]}]},{"billing_code":"C1894","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"INTRO/SHEATH, NON-LASER","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":90.25,"providers":[{"billed_charge":98.10,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":119.80,"providers":[{"billed_charge":620.08,"npi":[1437119310]}]}]}]},{"billing_code":"C2617","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"STENT NON-COR TEMP W/O DELIV SYSTEM","allowed_amounts":[{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":788.56,"providers":[{"billed_charge":1126.52,"npi":[1053321919]}]}]}]},{"billing_code":"C2617","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"STENT, NON-COR, TEM W/O DEL","allowed_amounts":[{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":788.56,"providers":[{"billed_charge":1126.52,"npi":[1053321919]}]}]}]},{"billing_code":"C7901","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Psychological","description":"HOPD MNTL HLT, 30-60 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"521958352"},"billing_class":"institutional","payments":[{"allowed_amount":67.27,"providers":[{"billed_charge":281.00,"npi":[1790789212]}]}]}]},{"billing_code":"C8929","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"TTE CMPL SPC & COLR FLOW DPPLR ECHO","allowed_amounts":[{"tin":{"type":"ein","value":"390808503"},"billing_class":"institutional","payments":[{"allowed_amount":2635.20,"providers":[{"billed_charge":2928.00,"npi":[1124084678]}]}]},{"tin":{"type":"ein","value":"590657322"},"billing_class":"institutional","payments":[{"allowed_amount":3559.95,"providers":[{"billed_charge":6750.00,"npi":[1700979465]}]}]}]},{"billing_code":"C8929","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Cardiovascular","description":"TTE W OR WO FOL WCON,DOPPLER","allowed_amounts":[{"tin":{"type":"ein","value":"390808503"},"billing_class":"institutional","payments":[{"allowed_amount":2635.20,"providers":[{"billed_charge":2928.00,"npi":[1124084678]}]}]},{"tin":{"type":"ein","value":"590657322"},"billing_class":"institutional","payments":[{"allowed_amount":3559.95,"providers":[{"billed_charge":6750.00,"npi":[1700979465]}]}]}]},{"billing_code":"C9285","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"LIDO 70 MG/TETRACAINE 70 MG PATCH","allowed_amounts":[{"tin":{"type":"ein","value":"340714357"},"billing_class":"institutional","payments":[{"allowed_amount":49.81,"providers":[{"billed_charge":52.43,"npi":[1861506560]}]}]}]},{"billing_code":"C9285","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"PATCH, LIDOCAINE/TETRACAINE","allowed_amounts":[{"tin":{"type":"ein","value":"340714357"},"billing_class":"institutional","payments":[{"allowed_amount":49.81,"providers":[{"billed_charge":52.43,"npi":[1861506560]}]}]}]},{"billing_code":"C9290","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, BUPIVACAINE LIPOSOME","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":199.93,"providers":[{"billed_charge":217.31,"npi":[1710087127]}]},{"allowed_amount":856.73,"providers":[{"billed_charge":931.23,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":534.06,"providers":[{"billed_charge":1520.50,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":167.28,"providers":[{"billed_charge":1030.02,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":699.90,"providers":[{"billed_charge":1274.87,"npi":[1659323772]}]}]}]},{"billing_code":"C9290","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION BUPIVACAINE LIPOSOME 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":199.93,"providers":[{"billed_charge":217.31,"npi":[1710087127]}]},{"allowed_amount":856.73,"providers":[{"billed_charge":931.23,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":534.06,"providers":[{"billed_charge":1520.50,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":167.28,"providers":[{"billed_charge":1030.02,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":699.90,"providers":[{"billed_charge":1274.87,"npi":[1659323772]}]}]}]},{"billing_code":"D0120","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"PERIODIC ORAL EVALUATION","allowed_amounts":[{"tin":{"type":"ein","value":"204569627"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30.99,"providers":[{"billed_charge":61.00,"npi":[1235211517]}]}]}]},{"billing_code":"D0140","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"LIMIT ORAL EVAL PROBLM FOCUS","allowed_amounts":[{"tin":{"type":"ein","value":"570697939"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.94,"providers":[{"billed_charge":130.00,"npi":[1417936782]}]}]},{"tin":{"type":"ein","value":"922970622"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":63.58,"providers":[{"billed_charge":78.00,"npi":[1275218737]}]}]}]},{"billing_code":"D0330","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"PANORAMIC IMAGE","allowed_amounts":[{"tin":{"type":"ein","value":"204569627"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":78.61,"providers":[{"billed_charge":153.00,"npi":[1235211517]}]}]},{"tin":{"type":"ein","value":"570697939"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":71.20,"providers":[{"billed_charge":140.00,"npi":[1417936782]}]}]}]},{"billing_code":"D0391","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"IMTERPRETE DIAGNOSTIC IMAGE","allowed_amounts":[{"tin":{"type":"ein","value":"922970622"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.08,"providers":[{"billed_charge":110.00,"npi":[1275218737]}]}]}]},{"billing_code":"D0470","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"DIAGNOSTIC CASTS","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":66.82,"providers":[{"billed_charge":81.00,"npi":[1972554186]}]}]}]},{"billing_code":"D1110","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"DENTAL PROPHYLAXIS ADULT","allowed_amounts":[{"tin":{"type":"ein","value":"204569627"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.58,"providers":[{"billed_charge":107.00,"npi":[1235211517]}]}]}]},{"billing_code":"D6010","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"ODONTICS ENDOSTEAL IMPLANT","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1557.77,"providers":[{"billed_charge":2733.00,"npi":[1972554186]}]}]}]},{"billing_code":"D6190","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"RADIO/SURGICAL IMPLANT INDEX","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":159.76,"providers":[{"billed_charge":350.00,"npi":[1972554186]}]}]}]},{"billing_code":"D7140","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"EXTRACTION ERUPTED TOOTH/EXR","allowed_amounts":[{"tin":{"type":"ein","value":"455478024"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.08,"providers":[{"billed_charge":252.00,"npi":[1598013781]}]}]},{"tin":{"type":"ein","value":"570697939"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":109.07,"providers":[{"billed_charge":225.00,"npi":[1417936782]}]},{"allowed_amount":113.78,"providers":[{"billed_charge":225.00,"npi":[1417936782]}]}]}]},{"billing_code":"D7210","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"REM IMP TOOTH W MUCOPER FLP","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":179.29,"providers":[{"billed_charge":380.00,"npi":[1972554186]}]}]},{"tin":{"type":"ein","value":"570697939"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":167.16,"providers":[{"billed_charge":350.00,"npi":[1417936782]}]}]}]},{"billing_code":"D7220","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"IMPACT TOOTH REMOV SOFT TISS","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":354.40,"providers":[{"billed_charge":443.00,"npi":[1972554186]}]}]}]},{"billing_code":"D7230","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"IMPACT TOOTH REMOV PART BONY","allowed_amounts":[{"tin":{"type":"ein","value":"043286718"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":905.28,"providers":[{"billed_charge":984.00,"npi":[1568404903]}]}]},{"tin":{"type":"ein","value":"455478024"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":293.28,"providers":[{"billed_charge":447.00,"npi":[1598013781]}]}]},{"tin":{"type":"ein","value":"471682392"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":322.36,"providers":[{"billed_charge":475.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":433.60,"providers":[{"billed_charge":542.00,"npi":[1972554186]}]}]}]},{"billing_code":"D7240","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"IMPACT TOOTH REMOV COMP BONY","allowed_amounts":[{"tin":{"type":"ein","value":"020575160"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":274.83,"providers":[{"billed_charge":695.00,"npi":[1730602319]}]}]},{"tin":{"type":"ein","value":"471682392"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":274.83,"providers":[{"billed_charge":555.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"541118121"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":276.00,"providers":[{"billed_charge":552.00,"npi":[1386714996]}]}]},{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":271.42,"providers":[{"billed_charge":653.00,"npi":[1972554186]},{"billed_charge":713.00,"npi":[1972554186]}]},{"allowed_amount":272.50,"providers":[{"billed_charge":653.00,"npi":[1972554186]}]},{"allowed_amount":522.40,"providers":[{"billed_charge":653.00,"npi":[1972554186]}]}]},{"tin":{"type":"ein","value":"562118907"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":271.42,"providers":[{"billed_charge":620.00,"npi":[1194758656]}]}]},{"tin":{"type":"ein","value":"581146357"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":369.75,"providers":[{"billed_charge":435.00,"npi":[1538112016]}]}]},{"tin":{"type":"ein","value":"621547647"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":240.65,"providers":[{"billed_charge":510.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"863952535"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":271.42,"providers":[{"billed_charge":575.00,"npi":[1295402998]}]}]}]},{"billing_code":"D7250","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"TOOTH ROOT REMOVAL","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":82.24,"providers":[{"billed_charge":431.00,"npi":[1972554186]}]}]},{"tin":{"type":"ein","value":"863212650"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":82.94,"providers":[{"billed_charge":530.00,"npi":[1700451028]}]}]}]},{"billing_code":"D7280","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"EXPOSURE OF UNERUPTED TOOTH","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":220.19,"providers":[{"billed_charge":693.00,"npi":[1972554186]}]}]}]},{"billing_code":"D7283","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"PLACE DEVICE IMPACTED TOOTH","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":166.70,"providers":[{"billed_charge":352.00,"npi":[1972554186]}]}]}]},{"billing_code":"D7880","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"OCCLUSAL ORTHOTIC APPLIANCE","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1090.40,"providers":[{"billed_charge":1363.00,"npi":[1972554186]}]}]}]},{"billing_code":"D7922","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"PLACE INTRA-SOCKET BIO DRESS","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.48,"providers":[{"billed_charge":58.00,"npi":[1972554186]}]},{"allowed_amount":46.40,"providers":[{"billed_charge":58.00,"npi":[1972554186]}]}]}]},{"billing_code":"D7953","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"BONE REPLACEMENT GRAFT","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":412.88,"providers":[{"billed_charge":817.00,"npi":[1972554186]}]}]}]},{"billing_code":"D9222","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"DEEP ANEST, 1ST 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"455478024"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":145.92,"providers":[{"billed_charge":335.00,"npi":[1598013781]}]}]},{"tin":{"type":"ein","value":"471682392"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":124.67,"providers":[{"billed_charge":275.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"541118121"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":132.50,"providers":[{"billed_charge":265.00,"npi":[1386714996]}]}]},{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":145.92,"providers":[{"billed_charge":380.00,"npi":[1972554186]},{"billed_charge":392.00,"npi":[1972554186]}]},{"allowed_amount":145.93,"providers":[{"billed_charge":380.00,"npi":[1972554186]}]},{"allowed_amount":304.00,"providers":[{"billed_charge":380.00,"npi":[1972554186]}]}]},{"tin":{"type":"ein","value":"562118907"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":145.92,"providers":[{"billed_charge":280.00,"npi":[1194758656]}]}]},{"tin":{"type":"ein","value":"581146357"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":161.50,"providers":[{"billed_charge":190.00,"npi":[1538112016]}]}]},{"tin":{"type":"ein","value":"621547647"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":117.94,"providers":[{"billed_charge":275.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"863952535"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":145.92,"providers":[{"billed_charge":275.00,"npi":[1295402998]}]}]}]},{"billing_code":"D9223","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"GENERAL ANESTH EA ADDL 15 MI","allowed_amounts":[{"tin":{"type":"ein","value":"455478024"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":121.34,"providers":[{"billed_charge":290.00,"npi":[1598013781]}]}]},{"tin":{"type":"ein","value":"471682392"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.42,"providers":[{"billed_charge":275.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"541118121"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":132.50,"providers":[{"billed_charge":265.00,"npi":[1386714996]}]}]},{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":121.34,"providers":[{"billed_charge":315.00,"npi":[1972554186]},{"billed_charge":325.00,"npi":[1972554186]}]},{"allowed_amount":130.42,"providers":[{"billed_charge":315.00,"npi":[1972554186]}]},{"allowed_amount":252.00,"providers":[{"billed_charge":315.00,"npi":[1972554186]}]}]},{"tin":{"type":"ein","value":"562118907"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":121.34,"providers":[{"billed_charge":280.00,"npi":[1194758656]}]}]},{"tin":{"type":"ein","value":"581146357"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":148.75,"providers":[{"billed_charge":175.00,"npi":[1538112016]}]}]},{"tin":{"type":"ein","value":"621547647"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":107.59,"providers":[{"billed_charge":275.00,"npi":[1999999992]}]}]},{"tin":{"type":"ein","value":"863952535"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":121.34,"providers":[{"billed_charge":275.00,"npi":[1295402998]}]}]}]},{"billing_code":"D9610","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"DENT THERAPEUTIC DRUG INJECT","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.34,"providers":[{"billed_charge":58.00,"npi":[1972554186]}]}]},{"tin":{"type":"ein","value":"562118907"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.47,"providers":[{"billed_charge":95.00,"npi":[1194758656]}]}]}]},{"billing_code":"D9612","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Dental","description":"THERA PAR DRUGS 2 OR > ADMIN","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.32,"providers":[{"billed_charge":116.00,"npi":[1972554186]}]},{"allowed_amount":72.52,"providers":[{"billed_charge":116.00,"npi":[1972554186]}]},{"allowed_amount":92.80,"providers":[{"billed_charge":116.00,"npi":[1972554186]}]}]},{"tin":{"type":"ein","value":"863952535"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.32,"providers":[{"billed_charge":257.00,"npi":[1295402998]}]}]}]},{"billing_code":"D9613","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"INFILTRATION THERA DRUG","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":59.20,"providers":[{"billed_charge":74.00,"npi":[1972554186]}]},{"allowed_amount":74.00,"providers":[{"billed_charge":74.00,"npi":[1972554186]}]}]}]},{"billing_code":"E0105","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"CANE ADJUST/FIXED QUAD/3 PRO","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":84.30,"providers":[{"billed_charge":103.14,"npi":[1811295041]}]}]}]},{"billing_code":"E0114","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"CRUTCH UNDERARM PAIR NO WOOD","allowed_amounts":[{"tin":{"type":"ein","value":"042961419"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":52.00,"providers":[{"billed_charge":65.00,"npi":[1306836465]}]}]},{"tin":{"type":"ein","value":"202392253"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":42.00,"providers":[{"billed_charge":70.00,"npi":[1376573048]}]}]},{"tin":{"type":"ein","value":"251375204"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":48.29,"providers":[{"billed_charge":70.78,"npi":[1205887833]}]}]},{"tin":{"type":"ein","value":"541956451"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":90.00,"npi":[1043251341]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":71.14,"providers":[{"billed_charge":108.48,"npi":[1811295041]}]}]}]},{"billing_code":"E0143","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"WALKER FOLDING WHEELED W/O S","allowed_amounts":[{"tin":{"type":"ein","value":"205892372"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":30.91,"providers":[{"billed_charge":108.70,"npi":[1144371204]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":72.99,"providers":[{"billed_charge":147.31,"npi":[1811295041,1467690578]},{"billed_charge":217.62,"npi":[1083724868]}]},{"allowed_amount":73.00,"providers":[{"billed_charge":147.31,"npi":[1811295041,1467690578,1083719538]}]}]},{"tin":{"type":"ein","value":"593225182"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":39.29,"providers":[{"billed_charge":78.59,"npi":[1427030550]}]},{"allowed_amount":39.30,"providers":[{"billed_charge":78.59,"npi":[1427030550]}]},{"allowed_amount":74.63,"providers":[{"billed_charge":78.59,"npi":[1427030550]}]}]},{"tin":{"type":"ein","value":"823023353"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":66.85,"providers":[{"billed_charge":89.13,"npi":[1306358718]}]}]}]},{"billing_code":"E0148","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"HEAVYDUTY WALKER NO WHEELS","allowed_amounts":[{"tin":{"type":"ein","value":"541956451"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":91.99,"providers":[{"billed_charge":175.00,"npi":[1043251341]}]}]}]},{"billing_code":"E0163","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"COMMODE CHAIR WITH FIXED ARM","allowed_amounts":[{"tin":{"type":"ein","value":"205892372"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":34.64,"providers":[{"billed_charge":97.93,"npi":[1144371204]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":86.84,"providers":[{"billed_charge":220.00,"npi":[1811295041,1467690578]}]},{"allowed_amount":86.85,"providers":[{"billed_charge":220.00,"npi":[1811295041,1467690578,1083719538]}]}]},{"tin":{"type":"ein","value":"593225182"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":46.33,"providers":[{"billed_charge":92.66,"npi":[1427030550]}]},{"allowed_amount":74.19,"providers":[{"billed_charge":92.66,"npi":[1427030550]}]}]}]},{"billing_code":"E0163","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"COMMODE CHAIR WITH FIXED ARM","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":83.87,"providers":[{"billed_charge":190.56,"npi":[1578516902]}]}]}]},{"billing_code":"E0163","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"COMMODE CHAIR WITH FIXED ARMS","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":83.87,"providers":[{"billed_charge":190.56,"npi":[1578516902]}]}]}]},{"billing_code":"E0165","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"COMMODE CHAIR WITH DETACHARM","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":16.92,"providers":[{"billed_charge":33.14,"npi":[1811295041]}]},{"allowed_amount":17.67,"providers":[{"billed_charge":33.14,"npi":[1811295041]}]},{"allowed_amount":127.75,"providers":[{"billed_charge":208.00,"npi":[1811295041]}]}]},{"tin":{"type":"ein","value":"571124305"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":16.59,"providers":[{"billed_charge":25.00,"npi":[1447208301]}]},{"allowed_amount":17.83,"providers":[{"billed_charge":25.00,"npi":[1447208301]}]}]}]},{"billing_code":"E0188","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"SYNTHETIC SHEEPSKIN PAD","allowed_amounts":[{"tin":{"type":"ein","value":"392012203"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":118.39,"npi":[1942238514]}]},{"allowed_amount":36.93,"providers":[{"billed_charge":118.39,"npi":[1942238514]}]}]}]},{"billing_code":"E0194","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"AIR FLUIDIZED BED","allowed_amounts":[{"tin":{"type":"ein","value":"263161292"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":3157.00,"providers":[{"billed_charge":4510.00,"npi":[1447406111]}]}]}]},{"billing_code":"E0217","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"WATER CIRC HEAT PAD W PUMP","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":44.53,"providers":[{"billed_charge":125.00,"npi":[1770511552]}]}]}]},{"billing_code":"E0218","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"FLUID CIRC COLD PAD W PUMP","allowed_amounts":[{"tin":{"type":"ein","value":"208058095"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":209.75,"providers":[{"billed_charge":495.00,"npi":[1386844470]}]}]},{"tin":{"type":"ein","value":"392012203"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":239.24,"providers":[{"billed_charge":463.30,"npi":[1942238514]}]}]}]},{"billing_code":"E0236","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"PUMP FOR WATER CIRCULATING P","allowed_amounts":[{"tin":{"type":"ein","value":"392012203"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":16.92,"providers":[{"billed_charge":420.44,"npi":[1942238514]}]}]}]},{"billing_code":"E0247","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"TRANS BENCH W/WO COMM OPEN","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":97.85,"providers":[{"billed_charge":100.00,"npi":[1811295041]}]}]}]},{"billing_code":"E0249","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"PAD WATER CIRCULATING HEAT U","allowed_amounts":[{"tin":{"type":"ein","value":"392012203"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":38.10,"providers":[{"billed_charge":141.62,"npi":[1942238514]}]}]}]},{"billing_code":"E0260","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"HOSP BED SEMI-ELECTR W/ MATT","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":96.05,"providers":[{"billed_charge":175.00,"npi":[1811295041]}]},{"allowed_amount":99.75,"providers":[{"billed_charge":175.00,"npi":[1811295041]}]}]}]},{"billing_code":"E0431","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"PORTABLE GASEOUS 02","allowed_amounts":[{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":27.20,"providers":[{"billed_charge":61.58,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":27.20,"providers":[{"billed_charge":36.88,"npi":[1083724868]}]},{"allowed_amount":27.57,"providers":[{"billed_charge":36.88,"npi":[1811295041]}]}]}]},{"billing_code":"E0445","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"OXIMETER NON-INVASIVE","allowed_amounts":[{"tin":{"type":"ein","value":"721513965"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":600.00,"npi":[1013915933]}]}]}]},{"billing_code":"E0445","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Respiratory","description":"OXIMETER MSR BLD O2 LEVL NON-INVASV","allowed_amounts":[{"tin":{"type":"ein","value":"920937062"},"billing_class":"institutional","payments":[{"allowed_amount":74.13,"providers":[{"billed_charge":814.80,"npi":[1558056895]}]}]}]},{"billing_code":"E0445","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Respiratory","description":"OXIMETER NON-INVASIVE","allowed_amounts":[{"tin":{"type":"ein","value":"920937062"},"billing_class":"institutional","payments":[{"allowed_amount":74.13,"providers":[{"billed_charge":814.80,"npi":[1558056895]}]}]}]},{"billing_code":"E0465","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"HOME VENT INVASIVE INTERFACE","allowed_amounts":[{"tin":{"type":"ein","value":"562113704"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":1176.00,"providers":[{"billed_charge":1960.00,"npi":[1538143375]}]}]}]},{"billing_code":"E0466","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"HOME VENT NON-INVASIVE INTER","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":1539.02,"providers":[{"billed_charge":2000.00,"npi":[1295844397]}]}]}]},{"billing_code":"E0470","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"RAD W/O BACKUP NON-INV INTFC","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":164.60,"providers":[{"billed_charge":300.00,"npi":[1811295041,1689006587,1083724868]}]},{"allowed_amount":175.14,"providers":[{"billed_charge":300.00,"npi":[1922103845,1811295041,1083724868]}]}]},{"tin":{"type":"ein","value":"562025734"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":1496.84,"providers":[{"billed_charge":4235.00,"npi":[1134183668]}]}]}]},{"billing_code":"E0482","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"COUGH STIMULATING DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"411419350"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":390.39,"providers":[{"billed_charge":800.00,"npi":[1053357905]}]}]}]},{"billing_code":"E0483","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"HI FREQ CHEST WALL OSCIL SYS","allowed_amounts":[{"tin":{"type":"ein","value":"411419350"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":820.00,"providers":[{"billed_charge":1750.00,"npi":[1053357905]}]},{"allowed_amount":1120.00,"providers":[{"billed_charge":1750.00,"npi":[1053357905]}]}]}]},{"billing_code":"E0486","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"ORAL DEVICE/APPLIANCE CUSFAB","allowed_amounts":[{"tin":{"type":"ein","value":"270250233"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2057.56,"providers":[{"billed_charge":4800.00,"npi":[1558698001]}]}]},{"tin":{"type":"ein","value":"562200189"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2296.84,"providers":[{"billed_charge":2800.00,"npi":[1609949155]}]}]},{"tin":{"type":"ein","value":"562225889"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2296.84,"providers":[{"billed_charge":3950.00,"npi":[1326051707]}]}]},{"tin":{"type":"ein","value":"863550307"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2296.84,"providers":[{"billed_charge":6200.00,"npi":[1588248645]}]}]},{"tin":{"type":"ein","value":"871463401"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2057.56,"providers":[{"billed_charge":4000.00,"npi":[1124794011]}]}]}]},{"billing_code":"E0562","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"HUMIDIFIER HEATED USED W PAP","allowed_amounts":[{"tin":{"type":"ein","value":"200029841"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":211.39,"providers":[{"billed_charge":600.00,"npi":[1326064700]}]}]},{"tin":{"type":"ein","value":"204854058"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":16.00,"providers":[{"billed_charge":34.06,"npi":[1497708945]}]},{"allowed_amount":18.89,"providers":[{"billed_charge":34.06,"npi":[1497708945]}]}]},{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":195.00,"providers":[{"billed_charge":325.00,"npi":[1346293305]}]},{"allowed_amount":207.96,"providers":[{"billed_charge":425.10,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":213.62,"providers":[{"billed_charge":490.70,"npi":[1922103845,1194820639,1083719538]}]},{"allowed_amount":241.02,"providers":[{"billed_charge":490.70,"npi":[1811295041,1194820639,1861597791,1902408347,1467690578]}]}]},{"tin":{"type":"ein","value":"562025734"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":213.62,"providers":[{"billed_charge":497.01,"npi":[1134183668]}]}]},{"tin":{"type":"ein","value":"570989615"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":18.89,"providers":[{"billed_charge":40.00,"npi":[1275683740]}]}]},{"tin":{"type":"ein","value":"593223150"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":24.24,"providers":[{"billed_charge":93.38,"npi":[1225018807,1356311534]}]}]},{"tin":{"type":"ein","value":"910851599"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":208.15,"providers":[{"billed_charge":540.00,"npi":[1992759427]}]}]}]},{"billing_code":"E0570","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"NEBULIZER WITH COMPRESSION","allowed_amounts":[{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":8.99,"providers":[{"billed_charge":25.00,"npi":[1346293305]}]},{"allowed_amount":9.00,"providers":[{"billed_charge":25.00,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":9.64,"providers":[{"billed_charge":30.00,"npi":[1811295041,1972971893]}]},{"allowed_amount":9.65,"providers":[{"billed_charge":30.00,"npi":[1811295041,1972971893]}]}]},{"tin":{"type":"ein","value":"561720272"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":98.38,"providers":[{"billed_charge":200.00,"npi":[1003813064]}]}]},{"tin":{"type":"ein","value":"562182982"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":190.00,"npi":[1598898991]}]},{"allowed_amount":98.38,"providers":[{"billed_charge":190.00,"npi":[1598898991]}]}]},{"tin":{"type":"ein","value":"760771781"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":67.76,"providers":[{"billed_charge":350.00,"npi":[1285611012]}]}]}]},{"billing_code":"E0570","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"NEBULIZER WITH COMPRESSION","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":13.90,"providers":[{"billed_charge":50.69,"npi":[1992754758]}]}]}]},{"billing_code":"E0570","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"NEBULIZER WITH COMPRESSOR","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":13.90,"providers":[{"billed_charge":50.69,"npi":[1992754758]}]}]}]},{"billing_code":"E0601","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"CONT AIRWAY PRESSURE DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"200029841"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":69.83,"providers":[{"billed_charge":235.00,"npi":[1326064700]}]}]},{"tin":{"type":"ein","value":"204854058"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":56.48,"providers":[{"billed_charge":126.38,"npi":[1497708945]}]},{"allowed_amount":59.37,"providers":[{"billed_charge":126.38,"npi":[1497708945]}]}]},{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":60.00,"providers":[{"billed_charge":100.00,"npi":[1346293305]}]},{"allowed_amount":68.70,"providers":[{"billed_charge":180.00,"npi":[1346293305]}]},{"allowed_amount":70.18,"providers":[{"billed_charge":180.00,"npi":[1346293305]}]},{"allowed_amount":108.00,"providers":[{"billed_charge":180.00,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"541841214"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":72.14,"providers":[{"billed_charge":120.00,"npi":[1306856844]}]}]},{"tin":{"type":"ein","value":"561333291"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":65.65,"providers":[{"billed_charge":180.00,"npi":[1679661573]}]},{"allowed_amount":69.59,"providers":[{"billed_charge":180.00,"npi":[1679661573]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":45.30,"providers":[{"billed_charge":51.48,"npi":[1811295041]}]},{"allowed_amount":57.50,"providers":[{"billed_charge":120.00,"npi":[1811295041]}]},{"allowed_amount":65.65,"providers":[{"billed_charge":120.00,"npi":[1922103845,1811295041,1346274685,1689006587,1194820639,1861597791,1902408347,1972971893,1467690578,1558727172,1083719538,1447355300]}]},{"allowed_amount":69.59,"providers":[{"billed_charge":120.00,"npi":[1922103845,1811295041,1295844397,1346274685,1194820639,1902408347,1972971893,1558727172,1467690578,1083719538]}]}]},{"tin":{"type":"ein","value":"562025734"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":65.65,"providers":[{"billed_charge":189.00,"npi":[1134183668]}]}]},{"tin":{"type":"ein","value":"570989615"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":56.48,"providers":[{"billed_charge":125.00,"npi":[1275683740]}]}]},{"tin":{"type":"ein","value":"591379416"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":62.34,"providers":[{"billed_charge":111.72,"npi":[1598713190]}]}]},{"tin":{"type":"ein","value":"593223150"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":65.65,"providers":[{"billed_charge":190.00,"npi":[1225018807,1356311534]}]}]},{"tin":{"type":"ein","value":"593758015"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":68.70,"providers":[{"billed_charge":180.00,"npi":[1184640393]}]}]},{"tin":{"type":"ein","value":"593769111"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":63.84,"providers":[{"billed_charge":173.45,"npi":[1841230653]}]},{"allowed_amount":72.14,"providers":[{"billed_charge":173.45,"npi":[1841230653]}]}]},{"tin":{"type":"ein","value":"760653019"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":75.61,"providers":[{"billed_charge":180.00,"npi":[1538471412]}]}]}]},{"billing_code":"E0603","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"ELECTRIC BREAST PUMP","allowed_amounts":[{"tin":{"type":"ein","value":"275096962"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":300.00,"providers":[{"billed_charge":500.00,"npi":[1740606409]}]}]}]},{"billing_code":"E0650","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"PNEUMA COMPRESOR NON-SEGMENT","allowed_amounts":[{"tin":{"type":"ein","value":"263450900"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":765.00,"providers":[{"billed_charge":900.00,"npi":[1669625521]}]},{"allowed_amount":841.50,"providers":[{"billed_charge":990.00,"npi":[1669625521]}]},{"allowed_amount":990.00,"providers":[{"billed_charge":990.00,"npi":[1669625521]}]},{"allowed_amount":1071.00,"providers":[{"billed_charge":1260.00,"npi":[1669625521]}]},{"allowed_amount":1147.50,"providers":[{"billed_charge":1350.00,"npi":[1669625521]}]},{"allowed_amount":1170.00,"providers":[{"billed_charge":1170.00,"npi":[1669625521]}]},{"allowed_amount":1260.00,"providers":[{"billed_charge":1260.00,"npi":[1669625521]}]},{"allowed_amount":1350.00,"providers":[{"billed_charge":1350.00,"npi":[1669625521]}]},{"allowed_amount":1377.00,"providers":[{"billed_charge":1620.00,"npi":[1669625521]}]}]},{"tin":{"type":"ein","value":"392012203"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":33.99,"providers":[{"billed_charge":755.05,"npi":[1942238514]}]}]},{"tin":{"type":"ein","value":"454794352"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":140.66,"providers":[{"billed_charge":1260.00,"npi":[1538423389]}]},{"allowed_amount":765.00,"providers":[{"billed_charge":900.00,"npi":[1538423389]}]},{"allowed_amount":841.50,"providers":[{"billed_charge":990.00,"npi":[1538423389]}]},{"allowed_amount":990.00,"providers":[{"billed_charge":990.00,"npi":[1538423389]}]},{"allowed_amount":1071.00,"providers":[{"billed_charge":1260.00,"npi":[1538423389]}]},{"allowed_amount":1260.00,"providers":[{"billed_charge":1260.00,"npi":[1538423389]}]}]}]},{"billing_code":"E0655","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"PNEUMATIC APPLIANCE HALF ARM","allowed_amounts":[{"tin":{"type":"ein","value":"454794352"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":87.35,"providers":[{"billed_charge":275.00,"npi":[1538423389]}]}]}]},{"billing_code":"E0666","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"PNEUMATIC APPLIANCE HALF LEG","allowed_amounts":[{"tin":{"type":"ein","value":"263450900"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":230.64,"providers":[{"billed_charge":275.00,"npi":[1669625521]}]}]}]},{"billing_code":"E0672","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"PRESSURE PNEUM APPL FULL ARM","allowed_amounts":[{"tin":{"type":"ein","value":"392012203"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":123.44,"providers":[{"billed_charge":443.68,"npi":[1942238514]}]}]}]},{"billing_code":"E0673","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"PRESSURE PNEUM APPL HALF LEG","allowed_amounts":[{"tin":{"type":"ein","value":"263450900"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":552.50,"providers":[{"billed_charge":650.00,"npi":[1669625521]}]}]},{"tin":{"type":"ein","value":"454794352"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":552.50,"providers":[{"billed_charge":650.00,"npi":[1538423389]}]}]}]},{"billing_code":"E0675","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"PNEUMATIC COMPRESSION DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"263450900"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2125.00,"providers":[{"billed_charge":2500.00,"npi":[1669625521]}]},{"allowed_amount":2337.50,"providers":[{"billed_charge":2750.00,"npi":[1669625521]}]},{"allowed_amount":3187.50,"providers":[{"billed_charge":3750.00,"npi":[1669625521]}]},{"allowed_amount":3400.00,"providers":[{"billed_charge":4000.00,"npi":[1669625521]}]},{"allowed_amount":3825.00,"providers":[{"billed_charge":4500.00,"npi":[1669625521]}]},{"allowed_amount":4250.00,"providers":[{"billed_charge":5000.00,"npi":[1669625521]}]}]},{"tin":{"type":"ein","value":"454794352"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2125.00,"providers":[{"billed_charge":2500.00,"npi":[1538423389]}]},{"allowed_amount":2337.50,"providers":[{"billed_charge":2750.00,"npi":[1538423389]}]},{"allowed_amount":2975.00,"providers":[{"billed_charge":3500.00,"npi":[1538423389]}]},{"allowed_amount":3825.00,"providers":[{"billed_charge":4500.00,"npi":[1538423389]}]}]}]},{"billing_code":"E0676","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"INTER LIMB COMPRESS DEV NOS","allowed_amounts":[{"tin":{"type":"ein","value":"208058095"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":1695.74,"providers":[{"billed_charge":4995.00,"npi":[1386844470]}]}]},{"tin":{"type":"ein","value":"208058095"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":209.40,"providers":[{"billed_charge":995.00,"npi":[1386844470]}]}]},{"tin":{"type":"ein","value":"263450900"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2504.46,"providers":[{"billed_charge":4130.00,"npi":[1669625521]}]}]},{"tin":{"type":"ein","value":"352544251"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":157.13,"providers":[{"billed_charge":1230.00,"npi":[1255704060]}]},{"allowed_amount":209.39,"providers":[{"billed_charge":1230.00,"npi":[1255704060]}]},{"allowed_amount":209.40,"providers":[{"billed_charge":1230.00,"npi":[1255704060]}]},{"allowed_amount":738.00,"providers":[{"billed_charge":1230.00,"npi":[1255704060]}]}]},{"tin":{"type":"ein","value":"593225182"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":1569.48,"providers":[{"billed_charge":6000.00,"npi":[1427030550]}]}]},{"tin":{"type":"ein","value":"770109551"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2911.24,"providers":[{"billed_charge":4250.00,"npi":[1679976393]}]}]}]},{"billing_code":"E0705","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"TRANSFER DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"571124305"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":43.50,"providers":[{"billed_charge":58.00,"npi":[1447208301]}]}]}]},{"billing_code":"E0730","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"TENS FOUR LEAD","allowed_amounts":[{"tin":{"type":"ein","value":"233080772"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":171.73,"providers":[{"billed_charge":497.54,"npi":[1710900857]}]}]},{"tin":{"type":"ein","value":"593323767"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":105.19,"providers":[{"billed_charge":995.00,"npi":[1629167028]}]}]},{"tin":{"type":"ein","value":"841451963"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":71.26,"providers":[{"billed_charge":1995.00,"npi":[1770511552]}]},{"allowed_amount":296.12,"providers":[{"billed_charge":369.00,"npi":[1770511552]},{"billed_charge":1995.00,"npi":[1770511552]}]}]}]},{"billing_code":"E0730","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"TENS DEVICE 4/> LEADS MX NERVE STIM","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":64.99,"providers":[{"billed_charge":292.30,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":88.68,"providers":[{"billed_charge":271.21,"npi":[1558311357]}]}]}]},{"billing_code":"E0730","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"TENS FOUR LEAD","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":64.99,"providers":[{"billed_charge":292.30,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":88.68,"providers":[{"billed_charge":271.21,"npi":[1558311357]}]}]}]},{"billing_code":"E0745","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"NEUROMUSCULAR STIM FOR SHOCK","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":71.47,"providers":[{"billed_charge":449.00,"npi":[1770511552]}]}]}]},{"billing_code":"E0760","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"OSTEOGEN ULTRASOUND STIMLTOR","allowed_amounts":[{"tin":{"type":"ein","value":"453935628"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2970.00,"providers":[{"billed_charge":4950.00,"npi":[1861761785]}]}]}]},{"billing_code":"E0776","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"IV POLE","allowed_amounts":[{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":24.15,"providers":[{"billed_charge":25.00,"npi":[1346293305]}]},{"allowed_amount":25.00,"providers":[{"billed_charge":25.00,"npi":[1346293305]}]}]}]},{"billing_code":"E0784","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"EXT AMB INFUSN PUMP INSULIN","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":339.95,"providers":[{"billed_charge":928.48,"npi":[1992754758]}]}]}]},{"billing_code":"E0784","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"EXTERNAL AMB INFUSION PUMP INSULIN","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":339.95,"providers":[{"billed_charge":928.48,"npi":[1992754758]}]}]}]},{"billing_code":"E0850","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"TRACTION STAND FREE STANDING","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":71.93,"providers":[{"billed_charge":1995.00,"npi":[1770511552]}]}]}]},{"billing_code":"E0936","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"CPM DEVICE, OTHER THAN KNEE","allowed_amounts":[{"tin":{"type":"ein","value":"392012203"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":1845.00,"providers":[{"billed_charge":5646.52,"npi":[1942238514]}]},{"allowed_amount":3856.16,"providers":[{"billed_charge":3856.16,"npi":[1942238514]}]}]}]},{"billing_code":"E0961","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"WHEELCHAIR BRAKE EXTENSION","allowed_amounts":[{"tin":{"type":"ein","value":"570996421"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2.33,"providers":[{"billed_charge":8.58,"npi":[1538438437]}]}]}]},{"billing_code":"E0971","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"WHEELCHAIR ANTI-TIPPING DEVI","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":45.39,"providers":[{"billed_charge":82.00,"npi":[1811295041]}]}]}]},{"billing_code":"E0978","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"W/C ACC,SAF BELT PELV STRAP","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":42.63,"providers":[{"billed_charge":50.00,"npi":[1811295041]}]}]}]},{"billing_code":"E0986","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"MAN W/C PUSH-RIM POWR SYSTEM","allowed_amounts":[{"tin":{"type":"ein","value":"200375887"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":3309.31,"providers":[{"billed_charge":10696.50,"npi":[1912995473]}]}]}]},{"billing_code":"E1234","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"FLD PED WC TLTNSPC W/O SEAT","allowed_amounts":[{"tin":{"type":"ein","value":"463026492"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":975.90,"providers":[{"billed_charge":2439.75,"npi":[1538635248]}]}]}]},{"billing_code":"E1390","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"OXYGEN CONCENTRATOR","allowed_amounts":[{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":123.14,"providers":[{"billed_charge":213.82,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":123.54,"providers":[{"billed_charge":230.00,"npi":[1083724868,1467690578,1538264478]}]},{"allowed_amount":123.55,"providers":[{"billed_charge":230.00,"npi":[1811295041,1467690578,1538264478]}]}]},{"tin":{"type":"ein","value":"570996421"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":94.73,"providers":[{"billed_charge":213.82,"npi":[1538438437]},{"billed_charge":220.00,"npi":[1538438437]}]}]},{"tin":{"type":"ein","value":"582277066"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":176.06,"providers":[{"billed_charge":176.06,"npi":[1740281492]}]}]}]},{"billing_code":"E1392","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"PORTABLE OXYGEN CONCENTRATOR","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":58.91,"providers":[{"billed_charge":75.00,"npi":[1467690578,1538264478]}]},{"allowed_amount":65.67,"providers":[{"billed_charge":75.00,"npi":[1467690578,1538264478]}]}]},{"tin":{"type":"ein","value":"570996421"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":45.32,"providers":[{"billed_charge":106.91,"npi":[1538438437]}]}]}]},{"billing_code":"E1806","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"SPS WRIST DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"364193554"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":279.00,"providers":[{"billed_charge":407.00,"npi":[1639172331]}]}]}]},{"billing_code":"E1810","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"ADJUST KNEE EXT/FLEX DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"364193554"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":182.50,"providers":[{"billed_charge":365.00,"npi":[1639172331]}]}]}]},{"billing_code":"E2103","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"NON-ADJU CGM RECEIVER/MON","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":320.28,"providers":[{"billed_charge":516.11,"npi":[1750333282]}]}]}]},{"billing_code":"E2217","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"FOAM FILLED CASTER TIRE EACH","allowed_amounts":[{"tin":{"type":"ein","value":"200375887"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":69.11,"providers":[{"billed_charge":181.50,"npi":[1912995473]}]}]}]},{"billing_code":"E2510","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"SGD W MULTI METHODS MSG/ACCS","allowed_amounts":[{"tin":{"type":"ein","value":"411676309"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2588.85,"providers":[{"billed_charge":4995.00,"npi":[1467661330]}]}]},{"tin":{"type":"ein","value":"522280045"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2647.50,"providers":[{"billed_charge":5295.00,"npi":[1831263110]}]},{"allowed_amount":3647.50,"providers":[{"billed_charge":7295.00,"npi":[1831263110]}]}]}]},{"billing_code":"E2601","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"GEN W/C CUSHION WDTH < 22 IN","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":68.17,"providers":[{"billed_charge":128.44,"npi":[1811295041]}]}]}]},{"billing_code":"E2613","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"POSITION BACK CUSH WD <22IN","allowed_amounts":[{"tin":{"type":"ein","value":"570783775"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":355.55,"providers":[{"billed_charge":507.93,"npi":[1649250333]}]}]}]},{"billing_code":"E2622","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"ADJ SKIN PRO W/C CUS WD<22IN","allowed_amounts":[{"tin":{"type":"ein","value":"570783775"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":368.14,"providers":[{"billed_charge":525.92,"npi":[1649250333]}]}]}]},{"billing_code":"G0008","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"ADMIN INFLUENZA VIRUS VAC","allowed_amounts":[{"tin":{"type":"ein","value":"200539417"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":28.80,"providers":[{"billed_charge":36.00,"npi":[1043311756]}]}]},{"tin":{"type":"ein","value":"522375549"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.09,"providers":[{"billed_charge":40.00,"npi":[1134326176]}]}]},{"tin":{"type":"ein","value":"546001775"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":20.34,"providers":[{"billed_charge":32.05,"npi":[1083675474]}]}]}]},{"billing_code":"G0008","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"ADMIN INFLUENZA VIRUS VAC","allowed_amounts":[{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":49.95,"providers":[{"billed_charge":75.00,"npi":[1457650343]}]}]}]},{"billing_code":"G0008","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"ADMINISTRATION INFLUENZA VIRUS VACC","allowed_amounts":[{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":49.95,"providers":[{"billed_charge":75.00,"npi":[1457650343]}]}]}]},{"billing_code":"G0009","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"ADMIN PNEUMOCOCCAL VACCINE","allowed_amounts":[{"tin":{"type":"ein","value":"546001775"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":25.60,"providers":[{"billed_charge":32.05,"npi":[1083675474]}]}]}]},{"billing_code":"G0103","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"PSA SCREENING","allowed_amounts":[{"tin":{"type":"ein","value":"591509260"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":17.37,"providers":[{"billed_charge":68.00,"npi":[1497797088]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.31,"providers":[{"billed_charge":36.00,"npi":[1447239355]}]}]},{"tin":{"type":"ein","value":"923479126"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.60,"providers":[{"billed_charge":58.00,"npi":[1982381299]}]}]}]},{"billing_code":"G0103","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"PROSTATE CANCER SCREENING; PSA TEST","allowed_amounts":[{"tin":{"type":"ein","value":"362513909"},"billing_class":"institutional","payments":[{"allowed_amount":138.42,"providers":[{"billed_charge":180.00,"npi":[1003864810]}]}]}]},{"billing_code":"G0103","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"PSA SCREENING","allowed_amounts":[{"tin":{"type":"ein","value":"362513909"},"billing_class":"institutional","payments":[{"allowed_amount":138.42,"providers":[{"billed_charge":180.00,"npi":[1003864810]}]}]}]},{"billing_code":"G0105","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"COLORECTAL SCRN; HI RISK IND","allowed_amounts":[{"tin":{"type":"ein","value":"561242980"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":279.75,"providers":[{"billed_charge":750.00,"npi":[1538411145]}]}]}]},{"billing_code":"G0108","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"DIAB MANAGE TRN  PER INDIV","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":51.46,"providers":[{"billed_charge":172.25,"npi":[1457719312]}]},{"allowed_amount":163.78,"providers":[{"billed_charge":344.50,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":81.89,"providers":[{"billed_charge":166.81,"npi":[1083669030]}]}]}]},{"billing_code":"G0108","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"DM OP SLF-MGMT TRN SRVC IND-30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":51.46,"providers":[{"billed_charge":172.25,"npi":[1457719312]}]},{"allowed_amount":163.78,"providers":[{"billed_charge":344.50,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":81.89,"providers":[{"billed_charge":166.81,"npi":[1083669030]}]}]}]},{"billing_code":"G0121","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Digestive","description":"COLON CA SCRN NOT HI RSK IND","allowed_amounts":[{"tin":{"type":"ein","value":"043399616"},"billing_class":"institutional","payments":[{"allowed_amount":1176.52,"providers":[{"billed_charge":2339.00,"npi":[1730121633]}]}]}]},{"billing_code":"G0121","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Digestive","description":"COLOREC CNCR SCR;COLNSCPY NO HI RSK","allowed_amounts":[{"tin":{"type":"ein","value":"043399616"},"billing_class":"institutional","payments":[{"allowed_amount":1176.52,"providers":[{"billed_charge":2339.00,"npi":[1730121633]}]}]}]},{"billing_code":"G0123","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"SCR CERV/VAG THIN LAY W/PHYS SUP","allowed_amounts":[{"tin":{"type":"ein","value":"381360526"},"billing_class":"institutional","payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":150.00,"npi":[1568416311]}]}]}]},{"billing_code":"G0123","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"SCREEN CERV/VAG THIN LAYER","allowed_amounts":[{"tin":{"type":"ein","value":"381360526"},"billing_class":"institutional","payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":150.00,"npi":[1568416311]}]}]}]},{"billing_code":"G0136","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"ADM OF SOC DTR ASSESS 5-15 M","allowed_amounts":[{"tin":{"type":"ein","value":"920788450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":32.00,"providers":[{"billed_charge":32.00,"npi":[1699540203]}]}]}]},{"billing_code":"G0151","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"HHCP-SERV OF PT,EA 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"205757856"},"billing_class":"institutional","payments":[{"allowed_amount":128.10,"providers":[{"billed_charge":250.00,"npi":[1851379283]}]},{"allowed_amount":132.00,"providers":[{"billed_charge":250.00,"npi":[1851379283]}]},{"allowed_amount":133.62,"providers":[{"billed_charge":250.00,"npi":[1851379283]}]}]},{"tin":{"type":"ein","value":"541850652"},"billing_class":"institutional","payments":[{"allowed_amount":94.25,"providers":[{"billed_charge":145.00,"npi":[1558366211]}]}]}]},{"billing_code":"G0151","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"SRVC PT HOM HLTH/HOSPICE EA 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"205757856"},"billing_class":"institutional","payments":[{"allowed_amount":128.10,"providers":[{"billed_charge":250.00,"npi":[1851379283]}]},{"allowed_amount":132.00,"providers":[{"billed_charge":250.00,"npi":[1851379283]}]},{"allowed_amount":133.62,"providers":[{"billed_charge":250.00,"npi":[1851379283]}]}]},{"tin":{"type":"ein","value":"541850652"},"billing_class":"institutional","payments":[{"allowed_amount":94.25,"providers":[{"billed_charge":145.00,"npi":[1558366211]}]}]}]},{"billing_code":"G0157","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"HHC PT ASSISTANT EA 15","allowed_amounts":[{"tin":{"type":"ein","value":"205757856"},"billing_class":"institutional","payments":[{"allowed_amount":128.08,"providers":[{"billed_charge":250.00,"npi":[1851379283]}]},{"allowed_amount":128.10,"providers":[{"billed_charge":250.00,"npi":[1851379283]}]},{"allowed_amount":133.62,"providers":[{"billed_charge":250.00,"npi":[1851379283]}]},{"allowed_amount":134.22,"providers":[{"billed_charge":250.00,"npi":[1851379283]}]}]}]},{"billing_code":"G0157","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"SRVC PT ASSIST HH/HOSPICE EA 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"205757856"},"billing_class":"institutional","payments":[{"allowed_amount":128.08,"providers":[{"billed_charge":250.00,"npi":[1851379283]}]},{"allowed_amount":128.10,"providers":[{"billed_charge":250.00,"npi":[1851379283]}]},{"allowed_amount":133.62,"providers":[{"billed_charge":250.00,"npi":[1851379283]}]},{"allowed_amount":134.22,"providers":[{"billed_charge":250.00,"npi":[1851379283]}]}]}]},{"billing_code":"G0166","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"EXTRNL COUNTERPULSE, PER TX","allowed_amounts":[{"tin":{"type":"ein","value":"475454447"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":139.57,"providers":[{"billed_charge":900.00,"npi":[1467810663]}]},{"allowed_amount":147.88,"providers":[{"billed_charge":900.00,"npi":[1467810663]}]}]}]},{"billing_code":"G0248","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"DEMONSTRATE USE HOME INR MON","allowed_amounts":[{"tin":{"type":"ein","value":"200391730"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.07,"providers":[{"billed_charge":375.00,"npi":[1760418370]}]}]}]},{"billing_code":"G0249","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"PROVIDE INR TEST MATER/EQUIP","allowed_amounts":[{"tin":{"type":"ein","value":"200391730"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":111.00,"providers":[{"billed_charge":265.00,"npi":[1760418370]}]}]}]},{"billing_code":"G0260","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"INJ FOR SACROILIAC JT ANESTH","allowed_amounts":[{"tin":{"type":"ein","value":"272095799"},"billing_class":"institutional","payments":[{"allowed_amount":716.32,"providers":[{"billed_charge":2767.61,"npi":[1487978789]}]}]}]},{"billing_code":"G0260","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Ambulatory Surgical Care","description":"INJ SI JNT; ANES &/TX AGT &ARTHROG","allowed_amounts":[{"tin":{"type":"ein","value":"272095799"},"billing_class":"institutional","payments":[{"allowed_amount":716.32,"providers":[{"billed_charge":2767.61,"npi":[1487978789]}]}]}]},{"billing_code":"G0279","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"TOMOSYNTHESIS, MAMMO","allowed_amounts":[{"tin":{"type":"ein","value":"222519596"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":44.20,"providers":[{"billed_charge":52.00,"npi":[1548210198]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":34.25,"providers":[{"billed_charge":159.18,"npi":[1083669030]}]}]},{"tin":{"type":"ein","value":"582117020"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":96.03,"providers":[{"billed_charge":151.00,"npi":[1326019977]}]}]}]},{"billing_code":"G0279","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"DX DIGTL BRST TOMOSYNTHESIS UNI/BIL","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":38.64,"providers":[{"billed_charge":132.48,"npi":[1083669030]}]}]}]},{"billing_code":"G0279","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"TOMOSYNTHESIS, MAMMO","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":38.64,"providers":[{"billed_charge":132.48,"npi":[1083669030]}]}]}]},{"billing_code":"G0279","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Radiology","description":"XTRACORP SHOCK WAVE;ELB EPICONDYLIT","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":38.64,"providers":[{"billed_charge":132.48,"npi":[1083669030]}]}]}]},{"billing_code":"G0283","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"ELEC STIM OTHER THAN WOUND","allowed_amounts":[{"tin":{"type":"ein","value":"020708788"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":35.00,"npi":[1215951843]}]}]},{"tin":{"type":"ein","value":"561079264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.13,"providers":[{"billed_charge":35.00,"npi":[1376592964]}]}]},{"tin":{"type":"ein","value":"561971088"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.13,"providers":[{"billed_charge":25.00,"npi":[1093773392]}]}]},{"tin":{"type":"ein","value":"811805826"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":35.00,"npi":[1699791129]}]}]},{"tin":{"type":"ein","value":"842367799"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.10,"providers":[{"billed_charge":35.00,"npi":[1144812470,1992357347]}]}]}]},{"billing_code":"G0283","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"E-STIM 1/>NOT WND CARE PART TX PLAN","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":23.52,"providers":[{"billed_charge":28.90,"npi":[1578516902]}]}]}]},{"billing_code":"G0283","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"ELEC STIM OTHER THAN WOUND","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":23.52,"providers":[{"billed_charge":28.90,"npi":[1578516902]}]}]}]},{"billing_code":"G0296","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"VISIT TO DETERM LDCT ELIG","allowed_amounts":[{"tin":{"type":"ein","value":"262909414"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.45,"providers":[{"billed_charge":56.76,"npi":[1811122880]}]}]}]},{"billing_code":"G0299","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"DIR SNS RN HH/HOSPICE SET EA 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"205757856"},"billing_class":"institutional","payments":[{"allowed_amount":102.48,"providers":[{"billed_charge":200.00,"npi":[1851379283]}]},{"allowed_amount":106.90,"providers":[{"billed_charge":200.00,"npi":[1851379283]}]},{"allowed_amount":107.38,"providers":[{"billed_charge":200.00,"npi":[1851379283]}]}]},{"tin":{"type":"ein","value":"541850652"},"billing_class":"institutional","payments":[{"allowed_amount":71.50,"providers":[{"billed_charge":110.00,"npi":[1558366211]}]},{"allowed_amount":312.00,"providers":[{"billed_charge":480.00,"npi":[1558366211]}]}]},{"tin":{"type":"ein","value":"582074947"},"billing_class":"institutional","payments":[{"allowed_amount":150.47,"providers":[{"billed_charge":165.00,"npi":[1003853516]}]}]}]},{"billing_code":"G0299","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"HHS/HOSPICE OF RN EA 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"205757856"},"billing_class":"institutional","payments":[{"allowed_amount":102.48,"providers":[{"billed_charge":200.00,"npi":[1851379283]}]},{"allowed_amount":106.90,"providers":[{"billed_charge":200.00,"npi":[1851379283]}]},{"allowed_amount":107.38,"providers":[{"billed_charge":200.00,"npi":[1851379283]}]}]},{"tin":{"type":"ein","value":"541850652"},"billing_class":"institutional","payments":[{"allowed_amount":71.50,"providers":[{"billed_charge":110.00,"npi":[1558366211]}]},{"allowed_amount":312.00,"providers":[{"billed_charge":480.00,"npi":[1558366211]}]}]},{"tin":{"type":"ein","value":"582074947"},"billing_class":"institutional","payments":[{"allowed_amount":150.47,"providers":[{"billed_charge":165.00,"npi":[1003853516]}]}]}]},{"billing_code":"G0299","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"INSRT/REPSTN LEAD 1 CHAMB DFIB&GEN","allowed_amounts":[{"tin":{"type":"ein","value":"205757856"},"billing_class":"institutional","payments":[{"allowed_amount":102.48,"providers":[{"billed_charge":200.00,"npi":[1851379283]}]},{"allowed_amount":106.90,"providers":[{"billed_charge":200.00,"npi":[1851379283]}]},{"allowed_amount":107.38,"providers":[{"billed_charge":200.00,"npi":[1851379283]}]}]},{"tin":{"type":"ein","value":"541850652"},"billing_class":"institutional","payments":[{"allowed_amount":71.50,"providers":[{"billed_charge":110.00,"npi":[1558366211]}]},{"allowed_amount":312.00,"providers":[{"billed_charge":480.00,"npi":[1558366211]}]}]},{"tin":{"type":"ein","value":"582074947"},"billing_class":"institutional","payments":[{"allowed_amount":150.47,"providers":[{"billed_charge":165.00,"npi":[1003853516]}]}]}]},{"billing_code":"G0378","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"HOSPITAL OBSERVATION PER HR","allowed_amounts":[{"tin":{"type":"ein","value":"217981300"},"billing_class":"institutional","payments":[{"allowed_amount":693.06,"providers":[{"billed_charge":1754.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":457.61,"providers":[{"billed_charge":572.00,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"362179813"},"billing_class":"institutional","payments":[{"allowed_amount":406.40,"providers":[{"billed_charge":1754.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":132.79,"providers":[{"billed_charge":166.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580566257"},"billing_class":"institutional","payments":[{"allowed_amount":1200.80,"providers":[{"billed_charge":1501.00,"npi":[1679664395]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":457.96,"providers":[{"billed_charge":1891.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":297.50,"providers":[{"billed_charge":350.00,"npi":[1326028978]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":4785.20,"providers":[{"billed_charge":6836.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":1082.70,"providers":[{"billed_charge":1443.60,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"621798130"},"billing_class":"institutional","payments":[{"allowed_amount":761.91,"providers":[{"billed_charge":1754.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":3125.76,"providers":[{"billed_charge":3552.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":722.00,"providers":[{"billed_charge":760.00,"npi":[1154392231]}]},{"allowed_amount":957.60,"providers":[{"billed_charge":1008.00,"npi":[1154392231]}]},{"allowed_amount":1592.20,"providers":[{"billed_charge":1676.00,"npi":[1154392231]}]},{"allowed_amount":1915.18,"providers":[{"billed_charge":2016.00,"npi":[1154392231]}]},{"allowed_amount":3068.50,"providers":[{"billed_charge":3230.00,"npi":[1154392231]}]}]}]},{"billing_code":"G0378","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"HOSPITAL OBSERVATN SERVICE PER HOUR","allowed_amounts":[{"tin":{"type":"ein","value":"217981300"},"billing_class":"institutional","payments":[{"allowed_amount":693.06,"providers":[{"billed_charge":1754.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":457.61,"providers":[{"billed_charge":572.00,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"362179813"},"billing_class":"institutional","payments":[{"allowed_amount":406.40,"providers":[{"billed_charge":1754.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":132.79,"providers":[{"billed_charge":166.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580566257"},"billing_class":"institutional","payments":[{"allowed_amount":1200.80,"providers":[{"billed_charge":1501.00,"npi":[1679664395]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":457.96,"providers":[{"billed_charge":1891.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":297.50,"providers":[{"billed_charge":350.00,"npi":[1326028978]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":4785.20,"providers":[{"billed_charge":6836.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":1082.70,"providers":[{"billed_charge":1443.60,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"621798130"},"billing_class":"institutional","payments":[{"allowed_amount":761.91,"providers":[{"billed_charge":1754.00,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":3125.76,"providers":[{"billed_charge":3552.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":722.00,"providers":[{"billed_charge":760.00,"npi":[1154392231]}]},{"allowed_amount":957.60,"providers":[{"billed_charge":1008.00,"npi":[1154392231]}]},{"allowed_amount":1592.20,"providers":[{"billed_charge":1676.00,"npi":[1154392231]}]},{"allowed_amount":1915.18,"providers":[{"billed_charge":2016.00,"npi":[1154392231]}]},{"allowed_amount":3068.50,"providers":[{"billed_charge":3230.00,"npi":[1154392231]}]}]}]},{"billing_code":"G0390","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"None/Unknown","description":"TRAUMA RESPONS W/HOSP CRITI","allowed_amounts":[{"tin":{"type":"ein","value":"240862246"},"billing_class":"institutional","payments":[{"allowed_amount":1450.59,"providers":[{"billed_charge":23625.00,"npi":[1366444507]}]}]}]},{"billing_code":"G0390","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"None/Unknown","description":"TRAUMA RESPONSE TEAM W/HOSP CC SERV","allowed_amounts":[{"tin":{"type":"ein","value":"240862246"},"billing_class":"institutional","payments":[{"allowed_amount":1450.59,"providers":[{"billed_charge":23625.00,"npi":[1366444507]}]}]}]},{"billing_code":"G0399","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"HOME SLEEP TEST/TYPE 3 PORTA","allowed_amounts":[{"tin":{"type":"ein","value":"900634405"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":180.00,"providers":[{"billed_charge":329.00,"npi":[1699074716]}]}]}]},{"billing_code":"G0408","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"INPT/TELE FOLLOW UP 35","allowed_amounts":[{"tin":{"type":"ein","value":"462718719"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":102.81,"providers":[{"billed_charge":264.37,"npi":[1013303080]}]}]}]},{"billing_code":"G0426","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"INPT/ED TELECONSULT50","allowed_amounts":[{"tin":{"type":"ein","value":"462718719"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":128.42,"providers":[{"billed_charge":348.43,"npi":[1013303080]}]}]}]},{"billing_code":"G0427","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"INPT/ED TELECONSULT70","allowed_amounts":[{"tin":{"type":"ein","value":"462718719"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":173.90,"providers":[{"billed_charge":513.95,"npi":[1013303080]}]},{"allowed_amount":182.59,"providers":[{"billed_charge":513.95,"npi":[1013303080]}]}]},{"tin":{"type":"ein","value":"621282917"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":349.80,"providers":[{"billed_charge":583.00,"npi":[1457302010]}]}]},{"tin":{"type":"ein","value":"830977326"},"billing_class":"professional","service_code":["02"],"payments":[{"allowed_amount":182.59,"providers":[{"billed_charge":513.95,"npi":[1861959959]}]}]}]},{"billing_code":"G0439","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"PPPS, SUBSEQ VISIT","allowed_amounts":[{"tin":{"type":"ein","value":"300270600"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":99.60,"providers":[{"billed_charge":166.00,"npi":[1518032564]}]}]}]},{"billing_code":"G0442","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"ANNUAL ALCOHOL SCREEN 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.85,"providers":[{"billed_charge":32.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"820676989"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.00,"providers":[{"billed_charge":60.00,"npi":[1346754041]}]}]}]},{"billing_code":"G0444","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"DEPRESSION SCREEN ANNUAL","allowed_amounts":[{"tin":{"type":"ein","value":"352214929"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.78,"providers":[{"billed_charge":52.96,"npi":[1023209095]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.85,"providers":[{"billed_charge":32.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"611141828"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.17,"providers":[{"billed_charge":30.00,"npi":[1053316596]}]}]},{"tin":{"type":"ein","value":"813969470"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.58,"providers":[{"billed_charge":28.22,"npi":[1154870533]}]}]}]},{"billing_code":"G0446","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"INTENS BEHAVE THER CARDIO DX","allowed_amounts":[{"tin":{"type":"ein","value":"813969470"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.69,"providers":[{"billed_charge":42.11,"npi":[1154870533]}]}]}]},{"billing_code":"G0447","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"BEHAVIOR COUNSEL OBESITY 15M","allowed_amounts":[{"tin":{"type":"ein","value":"593514857"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":24.00,"providers":[{"billed_charge":30.00,"npi":[1275575888]}]}]}]},{"billing_code":"G0452","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"MOLECULAR PATHOLOGY INTERPR","allowed_amounts":[{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":41.72,"providers":[{"billed_charge":90.00,"npi":[1477540904]}]}]},{"tin":{"type":"ein","value":"760273984"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":26.00,"providers":[{"billed_charge":166.00,"npi":[1073574810]}]}]}]},{"billing_code":"G0453","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"CONT INTRAOP NEURO MONITOR","allowed_amounts":[{"tin":{"type":"ein","value":"262188574"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":111.90,"providers":[{"billed_charge":3144.00,"npi":[1124253075]}]}]}]},{"billing_code":"G0463","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"HOS OP CLIN VISIT ASSESS & MGMT PT","allowed_amounts":[{"tin":{"type":"ein","value":"131624082"},"billing_class":"institutional","payments":[{"allowed_amount":325.26,"providers":[{"billed_charge":417.00,"npi":[1700887411]}]}]},{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":123.21,"providers":[{"billed_charge":185.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":143.08,"providers":[{"billed_charge":146.00,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"311524546"},"billing_class":"institutional","payments":[{"allowed_amount":94.50,"providers":[{"billed_charge":126.00,"npi":[1699704254]}]}]},{"tin":{"type":"ein","value":"391835630"},"billing_class":"institutional","payments":[{"allowed_amount":162.75,"providers":[{"billed_charge":235.00,"npi":[1922043744]},{"billed_charge":247.00,"npi":[1922043744]}]},{"allowed_amount":180.95,"providers":[{"billed_charge":235.00,"npi":[1922043744]}]},{"allowed_amount":190.19,"providers":[{"billed_charge":247.00,"npi":[1922043744]}]},{"allowed_amount":199.75,"providers":[{"billed_charge":235.00,"npi":[1922043744]}]},{"allowed_amount":209.95,"providers":[{"billed_charge":247.00,"npi":[1922043744]}]}]},{"tin":{"type":"ein","value":"550383321"},"billing_class":"institutional","payments":[{"allowed_amount":170.05,"providers":[{"billed_charge":179.00,"npi":[1457389249]}]}]},{"tin":{"type":"ein","value":"580968382"},"billing_class":"institutional","payments":[{"allowed_amount":574.42,"providers":[{"billed_charge":746.00,"npi":[1467420448]}]}]},{"tin":{"type":"ein","value":"581954432"},"billing_class":"institutional","payments":[{"allowed_amount":162.60,"providers":[{"billed_charge":271.00,"npi":[1457396079]}]}]},{"tin":{"type":"ein","value":"582089405"},"billing_class":"institutional","payments":[{"allowed_amount":116.58,"providers":[{"billed_charge":353.28,"npi":[1801844469]}]},{"allowed_amount":155.79,"providers":[{"billed_charge":378.81,"npi":[1306014113]}]}]},{"tin":{"type":"ein","value":"616001218"},"billing_class":"institutional","payments":[{"allowed_amount":215.05,"providers":[{"billed_charge":253.00,"npi":[1518911338]}]}]},{"tin":{"type":"ein","value":"621113169"},"billing_class":"institutional","payments":[{"allowed_amount":139.05,"providers":[{"billed_charge":231.75,"npi":[1144213117]}]}]},{"tin":{"type":"ein","value":"630307306"},"billing_class":"institutional","payments":[{"allowed_amount":107.81,"providers":[{"billed_charge":115.93,"npi":[1205935012]}]}]},{"tin":{"type":"ein","value":"730717979"},"billing_class":"institutional","payments":[{"allowed_amount":121.29,"providers":[{"billed_charge":483.44,"npi":[1659347623]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":77.05,"providers":[{"billed_charge":216.00,"npi":[1932208576]}]}]},{"tin":{"type":"ein","value":"916001537"},"billing_class":"institutional","payments":[{"allowed_amount":129.00,"providers":[{"billed_charge":189.75,"npi":[1326002049]}]}]}]},{"billing_code":"G0463","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"HOSPITAL OUTPT CLINIC VISIT","allowed_amounts":[{"tin":{"type":"ein","value":"131624082"},"billing_class":"institutional","payments":[{"allowed_amount":325.26,"providers":[{"billed_charge":417.00,"npi":[1700887411]}]}]},{"tin":{"type":"ein","value":"240795959"},"billing_class":"institutional","payments":[{"allowed_amount":123.21,"providers":[{"billed_charge":185.00,"npi":[1457650343]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":143.08,"providers":[{"billed_charge":146.00,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"311524546"},"billing_class":"institutional","payments":[{"allowed_amount":94.50,"providers":[{"billed_charge":126.00,"npi":[1699704254]}]}]},{"tin":{"type":"ein","value":"391835630"},"billing_class":"institutional","payments":[{"allowed_amount":162.75,"providers":[{"billed_charge":235.00,"npi":[1922043744]},{"billed_charge":247.00,"npi":[1922043744]}]},{"allowed_amount":180.95,"providers":[{"billed_charge":235.00,"npi":[1922043744]}]},{"allowed_amount":190.19,"providers":[{"billed_charge":247.00,"npi":[1922043744]}]},{"allowed_amount":199.75,"providers":[{"billed_charge":235.00,"npi":[1922043744]}]},{"allowed_amount":209.95,"providers":[{"billed_charge":247.00,"npi":[1922043744]}]}]},{"tin":{"type":"ein","value":"550383321"},"billing_class":"institutional","payments":[{"allowed_amount":170.05,"providers":[{"billed_charge":179.00,"npi":[1457389249]}]}]},{"tin":{"type":"ein","value":"580968382"},"billing_class":"institutional","payments":[{"allowed_amount":574.42,"providers":[{"billed_charge":746.00,"npi":[1467420448]}]}]},{"tin":{"type":"ein","value":"581954432"},"billing_class":"institutional","payments":[{"allowed_amount":162.60,"providers":[{"billed_charge":271.00,"npi":[1457396079]}]}]},{"tin":{"type":"ein","value":"582089405"},"billing_class":"institutional","payments":[{"allowed_amount":116.58,"providers":[{"billed_charge":353.28,"npi":[1801844469]}]},{"allowed_amount":155.79,"providers":[{"billed_charge":378.81,"npi":[1306014113]}]}]},{"tin":{"type":"ein","value":"616001218"},"billing_class":"institutional","payments":[{"allowed_amount":215.05,"providers":[{"billed_charge":253.00,"npi":[1518911338]}]}]},{"tin":{"type":"ein","value":"621113169"},"billing_class":"institutional","payments":[{"allowed_amount":139.05,"providers":[{"billed_charge":231.75,"npi":[1144213117]}]}]},{"tin":{"type":"ein","value":"630307306"},"billing_class":"institutional","payments":[{"allowed_amount":107.81,"providers":[{"billed_charge":115.93,"npi":[1205935012]}]}]},{"tin":{"type":"ein","value":"730717979"},"billing_class":"institutional","payments":[{"allowed_amount":121.29,"providers":[{"billed_charge":483.44,"npi":[1659347623]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":77.05,"providers":[{"billed_charge":216.00,"npi":[1932208576]}]}]},{"tin":{"type":"ein","value":"916001537"},"billing_class":"institutional","payments":[{"allowed_amount":129.00,"providers":[{"billed_charge":189.75,"npi":[1326002049]}]}]}]},{"billing_code":"G0463","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"HOS OP CLIN VISIT ASSESS & MGMT PT","allowed_amounts":[{"tin":{"type":"ein","value":"381359087"},"billing_class":"institutional","payments":[{"allowed_amount":106.91,"providers":[{"billed_charge":276.00,"npi":[1831116441]}]},{"allowed_amount":152.88,"providers":[{"billed_charge":276.00,"npi":[1831116441]}]}]}]},{"billing_code":"G0463","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Room and Board","description":"HOSPITAL OUTPT CLINIC VISIT","allowed_amounts":[{"tin":{"type":"ein","value":"381359087"},"billing_class":"institutional","payments":[{"allowed_amount":106.91,"providers":[{"billed_charge":276.00,"npi":[1831116441]}]},{"allowed_amount":152.88,"providers":[{"billed_charge":276.00,"npi":[1831116441]}]}]}]},{"billing_code":"G0471","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"VEN BLOOD COLL SNF/HHA","allowed_amounts":[{"tin":{"type":"ein","value":"260070193"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":9.75,"providers":[{"billed_charge":21.14,"npi":[1780001859]}]}]}]},{"billing_code":"G0480","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"DRUG TEST DEF 1-7 CLASSES","allowed_amounts":[{"tin":{"type":"ein","value":"010511356"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":120.15,"providers":[{"billed_charge":125.00,"npi":[1306846753]}]}]},{"tin":{"type":"ein","value":"208743613"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":102.99,"providers":[{"billed_charge":225.00,"npi":[1912959834]}]}]},{"tin":{"type":"ein","value":"262911443"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":102.98,"providers":[{"billed_charge":240.00,"npi":[1184861353]}]},{"allowed_amount":102.99,"providers":[{"billed_charge":240.00,"npi":[1184861353]}]}]},{"tin":{"type":"ein","value":"452131675"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":102.99,"providers":[{"billed_charge":366.18,"npi":[1336292556]}]}]},{"tin":{"type":"ein","value":"465330784"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":125.00,"npi":[1932586427]}]}]},{"tin":{"type":"ein","value":"465405739"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":97.27,"providers":[{"billed_charge":125.00,"npi":[1083018295]}]}]},{"tin":{"type":"ein","value":"811729486"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":102.99,"providers":[{"billed_charge":2400.00,"npi":[1366803447]}]}]},{"tin":{"type":"ein","value":"813689317"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":57.22,"providers":[{"billed_charge":114.43,"npi":[1710438171]}]}]},{"tin":{"type":"ein","value":"822808179"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":102.99,"providers":[{"billed_charge":2150.00,"npi":[1700392180]}]}]},{"tin":{"type":"ein","value":"823268636"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":102.99,"providers":[{"billed_charge":2100.00,"npi":[1457863391]}]}]}]},{"billing_code":"G0480","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"DR TST DEFIN DR ID M P D 1-7 DR CL","allowed_amounts":[{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":353.60,"providers":[{"billed_charge":416.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"540715569"},"billing_class":"institutional","payments":[{"allowed_amount":91.52,"providers":[{"billed_charge":154.00,"npi":[1912018094]}]}]},{"tin":{"type":"ein","value":"581157005"},"billing_class":"institutional","payments":[{"allowed_amount":424.35,"providers":[{"billed_charge":471.50,"npi":[1245248624]}]}]}]},{"billing_code":"G0480","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"DRUG TEST DEF 1-7 CLASSES","allowed_amounts":[{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":353.60,"providers":[{"billed_charge":416.00,"npi":[1669475950]}]}]},{"tin":{"type":"ein","value":"540715569"},"billing_class":"institutional","payments":[{"allowed_amount":91.52,"providers":[{"billed_charge":154.00,"npi":[1912018094]}]}]},{"tin":{"type":"ein","value":"581157005"},"billing_class":"institutional","payments":[{"allowed_amount":424.35,"providers":[{"billed_charge":471.50,"npi":[1245248624]}]}]}]},{"billing_code":"G0481","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"DRUG TEST DEF 8-14 CLASSES","allowed_amounts":[{"tin":{"type":"ein","value":"208839843"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":135.00,"providers":[{"billed_charge":300.00,"npi":[1538352760]}]}]},{"tin":{"type":"ein","value":"261565558"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.00,"npi":[1497933162]}]}]},{"tin":{"type":"ein","value":"262911443"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":140.93,"providers":[{"billed_charge":325.00,"npi":[1184861353]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":125.09,"providers":[{"billed_charge":234.89,"npi":[1447592308]}]},{"allowed_amount":140.93,"providers":[{"billed_charge":234.89,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"460498444"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":140.93,"providers":[{"billed_charge":450.00,"npi":[1710046925]}]}]},{"tin":{"type":"ein","value":"474815114"},"billing_class":"professional","service_code":["11","81"],"payments":[{"allowed_amount":125.27,"providers":[{"billed_charge":250.54,"npi":[1215302245]},{"billed_charge":250.54,"npi":[1215302245]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":125.09,"providers":[{"billed_charge":234.89,"npi":[1104258995]}]},{"allowed_amount":140.93,"providers":[{"billed_charge":234.89,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"823268636"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":140.93,"providers":[{"billed_charge":2300.00,"npi":[1457863391]}]}]},{"tin":{"type":"ein","value":"842833120"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":131.77,"providers":[{"billed_charge":313.18,"npi":[1104466994]}]},{"allowed_amount":140.93,"providers":[{"billed_charge":313.18,"npi":[1104466994]}]}]}]},{"billing_code":"G0482","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"DRUG TEST DEF 15-21 CLASSES","allowed_amounts":[{"tin":{"type":"ein","value":"200105984"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":178.87,"providers":[{"billed_charge":600.00,"npi":[1558428789]}]}]},{"tin":{"type":"ein","value":"208839843"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":135.00,"providers":[{"billed_charge":300.00,"npi":[1538352760]}]},{"allowed_amount":178.87,"providers":[{"billed_charge":300.00,"npi":[1538352760]}]}]},{"tin":{"type":"ein","value":"261565558"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.00,"npi":[1497933162]}]},{"allowed_amount":178.87,"providers":[{"billed_charge":405.00,"npi":[1497933162]}]}]},{"tin":{"type":"ein","value":"262911443"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":178.86,"providers":[{"billed_charge":415.00,"npi":[1184861353]}]},{"allowed_amount":178.87,"providers":[{"billed_charge":415.00,"npi":[1184861353]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":178.86,"providers":[{"billed_charge":298.77,"npi":[1447592308]}]},{"allowed_amount":178.87,"providers":[{"billed_charge":298.77,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"450454268"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":139.12,"providers":[{"billed_charge":496.85,"npi":[1588004410]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":178.86,"providers":[{"billed_charge":298.11,"npi":[1104258995]}]},{"allowed_amount":178.87,"providers":[{"billed_charge":298.11,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"813168134"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":178.86,"providers":[{"billed_charge":298.11,"npi":[1639621659]}]}]},{"tin":{"type":"ein","value":"842833120"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":178.87,"providers":[{"billed_charge":397.48,"npi":[1104466994]}]}]},{"tin":{"type":"ein","value":"884417352"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":178.86,"providers":[{"billed_charge":3000.00,"npi":[1487359899]}]}]}]},{"billing_code":"G0483","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"DRUG TEST DEF 22+ CLASSES","allowed_amounts":[{"tin":{"type":"ein","value":"208839843"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":135.00,"providers":[{"billed_charge":300.00,"npi":[1538352760]}]}]},{"tin":{"type":"ein","value":"261565558"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":222.23,"providers":[{"billed_charge":499.00,"npi":[1497933162]}]}]},{"tin":{"type":"ein","value":"262911443"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":222.22,"providers":[{"billed_charge":510.00,"npi":[1184861353]}]},{"allowed_amount":222.23,"providers":[{"billed_charge":510.00,"npi":[1184861353]}]}]},{"tin":{"type":"ein","value":"273440467"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":222.22,"providers":[{"billed_charge":370.38,"npi":[1447592308]}]},{"allowed_amount":222.23,"providers":[{"billed_charge":298.77,"npi":[1447592308]},{"billed_charge":370.38,"npi":[1447592308]}]}]},{"tin":{"type":"ein","value":"450454268"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":172.84,"providers":[{"billed_charge":617.30,"npi":[1588004410]}]},{"allowed_amount":222.22,"providers":[{"billed_charge":617.30,"npi":[1588004410]}]},{"allowed_amount":246.92,"providers":[{"billed_charge":617.30,"npi":[1588004410]}]}]},{"tin":{"type":"ein","value":"452131675"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":222.22,"providers":[{"billed_charge":493.86,"npi":[1336292556]}]}]},{"tin":{"type":"ein","value":"475605297"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":222.23,"providers":[{"billed_charge":493.84,"npi":[1134588817]}]}]},{"tin":{"type":"ein","value":"521544806"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":222.22,"providers":[{"billed_charge":370.38,"npi":[1104258995]}]},{"allowed_amount":222.23,"providers":[{"billed_charge":370.38,"npi":[1104258995]}]},{"allowed_amount":246.92,"providers":[{"billed_charge":370.38,"npi":[1104258995]}]}]},{"tin":{"type":"ein","value":"811799691"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":222.23,"providers":[{"billed_charge":864.22,"npi":[1215390422]}]}]},{"tin":{"type":"ein","value":"813168134"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":222.23,"providers":[{"billed_charge":370.38,"npi":[1639621659]}]}]},{"tin":{"type":"ein","value":"813520078"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":300.00,"npi":[1033666888]}]}]},{"tin":{"type":"ein","value":"821256541"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":222.22,"providers":[{"billed_charge":2355.00,"npi":[1952876203]}]}]},{"tin":{"type":"ein","value":"822808179"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":222.23,"providers":[{"billed_charge":4200.00,"npi":[1700392180]}]}]},{"tin":{"type":"ein","value":"851369978"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":220.00,"providers":[{"billed_charge":625.00,"npi":[1528678604]}]}]},{"tin":{"type":"ein","value":"853121369"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":222.23,"providers":[{"billed_charge":5500.00,"npi":[1891301073]}]}]},{"tin":{"type":"ein","value":"881559059"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":222.22,"providers":[{"billed_charge":2500.00,"npi":[1134864663]}]}]},{"tin":{"type":"ein","value":"883286578"},"billing_class":"professional","service_code":["81"],"payments":[{"allowed_amount":222.22,"providers":[{"billed_charge":5500.00,"npi":[1366150773]}]}]}]},{"billing_code":"G0500","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Anesthesia","description":"MOD SEDAT ENDO SERVICE >5YRS","allowed_amounts":[{"tin":{"type":"ein","value":"205154699"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":78.21,"providers":[{"billed_charge":150.00,"npi":[1275572794]}]}]},{"tin":{"type":"ein","value":"205154699"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":7.71,"providers":[{"billed_charge":150.00,"npi":[1275572794]}]}]}]},{"billing_code":"G0508","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"CRIT CARE TELEHEA CONSULT 60","allowed_amounts":[{"tin":{"type":"ein","value":"883616696"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":215.98,"providers":[{"billed_charge":582.00,"npi":[1477256303]}]}]}]},{"billing_code":"G1004","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"CDSM NDSC","allowed_amounts":[{"tin":{"type":"ein","value":"832131975"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1396210902]}]}]}]},{"billing_code":"G2211","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"COMPLEX E/M VISIT ADD ON","allowed_amounts":[{"tin":{"type":"ein","value":"043187299"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":34.79,"providers":[{"billed_charge":40.93,"npi":[1770534927]}]}]},{"tin":{"type":"ein","value":"043723466"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.50,"providers":[{"billed_charge":25.00,"npi":[1295799641]}]}]},{"tin":{"type":"ein","value":"201780406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":50.00,"npi":[1356395321]}]}]},{"tin":{"type":"ein","value":"237441353"},"billing_class":"professional","service_code":["19"],"payments":[{"allowed_amount":23.20,"providers":[{"billed_charge":33.14,"npi":[1447673223]}]}]},{"tin":{"type":"ein","value":"311657089"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.80,"providers":[{"billed_charge":18.00,"npi":[1881787307]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["10","22"],"payments":[{"allowed_amount":105.00,"providers":[{"billed_charge":140.00,"npi":[1679525919]},{"billed_charge":140.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":21.92,"providers":[{"billed_charge":140.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"351747218"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.25,"providers":[{"billed_charge":35.00,"npi":[1902032832]}]}]},{"tin":{"type":"ein","value":"364351186"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.23,"providers":[{"billed_charge":30.00,"npi":[1790817963]}]}]},{"tin":{"type":"ein","value":"386006309"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":27.30,"providers":[{"billed_charge":42.00,"npi":[1366472326]}]}]},{"tin":{"type":"ein","value":"390813416"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.70,"providers":[{"billed_charge":46.00,"npi":[1376593442]}]}]},{"tin":{"type":"ein","value":"391670223"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":37.80,"providers":[{"billed_charge":42.00,"npi":[1659452878]}]}]},{"tin":{"type":"ein","value":"391824445"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.75,"providers":[{"billed_charge":35.00,"npi":[1598784555]}]}]},{"tin":{"type":"ein","value":"426004813"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.30,"providers":[{"billed_charge":57.00,"npi":[1477554814]}]}]},{"tin":{"type":"ein","value":"462456505"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":29.40,"providers":[{"billed_charge":49.00,"npi":[1578969465]}]}]},{"tin":{"type":"ein","value":"462494632"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.24,"providers":[{"billed_charge":32.00,"npi":[1144664251]}]}]},{"tin":{"type":"ein","value":"463774942"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.95,"providers":[{"billed_charge":47.00,"npi":[1720034895]}]}]},{"tin":{"type":"ein","value":"520595110"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":35.70,"providers":[{"billed_charge":51.00,"npi":[1356346100]}]}]},{"tin":{"type":"ein","value":"561031244"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.59,"providers":[{"billed_charge":18.59,"npi":[1114978582]}]}]},{"tin":{"type":"ein","value":"561191387"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":23.95,"providers":[{"billed_charge":50.00,"npi":[1174817993]}]}]},{"tin":{"type":"ein","value":"561378901"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.23,"providers":[{"billed_charge":38.25,"npi":[1083664189]}]},{"allowed_amount":23.95,"providers":[{"billed_charge":38.25,"npi":[1083664189]}]}]},{"tin":{"type":"ein","value":"561847193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.23,"providers":[{"billed_charge":30.00,"npi":[1720794944]}]},{"allowed_amount":23.95,"providers":[{"billed_charge":30.00,"npi":[1720794944]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["02","11"],"payments":[{"allowed_amount":23.23,"providers":[{"billed_charge":30.00,"npi":[1780623207]},{"billed_charge":30.00,"npi":[1477992501,1780623207]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.95,"providers":[{"billed_charge":30.00,"npi":[1780623207]}]}]},{"tin":{"type":"ein","value":"562084959"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":23.95,"providers":[{"billed_charge":31.00,"npi":[1447444559]}]}]},{"tin":{"type":"ein","value":"562107759"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.80,"providers":[{"billed_charge":28.00,"npi":[1669404208]}]},{"allowed_amount":23.95,"providers":[{"billed_charge":28.00,"npi":[1669404208]}]}]},{"tin":{"type":"ein","value":"571067254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.35,"providers":[{"billed_charge":48.00,"npi":[1851035075]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.15,"providers":[{"billed_charge":39.00,"npi":[1689610149]}]}]},{"tin":{"type":"ein","value":"582563008"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":50.00,"npi":[1891881827]}]}]},{"tin":{"type":"ein","value":"591680273"},"billing_class":"professional","service_code":["10","11"],"payments":[{"allowed_amount":51.85,"providers":[{"billed_charge":61.00,"npi":[1063463768]},{"billed_charge":61.00,"npi":[1063463768]}]}]},{"tin":{"type":"ein","value":"593337028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":67.45,"providers":[{"billed_charge":71.00,"npi":[1790772317]}]}]},{"tin":{"type":"ein","value":"752536818"},"billing_class":"professional","service_code":["10"],"payments":[{"allowed_amount":43.79,"providers":[{"billed_charge":58.38,"npi":[1760488936]}]}]},{"tin":{"type":"ein","value":"752616977"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.20,"providers":[{"billed_charge":24.00,"npi":[1285684225]}]}]},{"tin":{"type":"ein","value":"823527149"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.00,"providers":[{"billed_charge":50.00,"npi":[1144724261]}]}]},{"tin":{"type":"ein","value":"873542162"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":21.00,"providers":[{"billed_charge":42.00,"npi":[1437860889]}]}]},{"tin":{"type":"ein","value":"920788450"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":23.95,"providers":[{"billed_charge":36.00,"npi":[1699540203]}]}]}]},{"billing_code":"G2212","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"PROLONG OUTPT/OFFICE VIS","allowed_amounts":[{"tin":{"type":"ein","value":"426004813"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":653.40,"providers":[{"billed_charge":726.00,"npi":[1477554814]}]}]},{"tin":{"type":"ein","value":"475454447"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.98,"providers":[{"billed_charge":100.00,"npi":[1467810663]}]}]},{"tin":{"type":"ein","value":"812783079"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":160.00,"npi":[1245759752]}]}]}]},{"billing_code":"G8417","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"CALC BMI ABV UP PARAM F/U","allowed_amounts":[{"tin":{"type":"ein","value":"201582408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1295784874]}]}]},{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":1.00,"npi":[1093829442]}]}]},{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1386195865]}]}]},{"tin":{"type":"ein","value":"832096059"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1285109033]}]}]},{"tin":{"type":"ein","value":"863907571"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.00,"providers":[{"billed_charge":10.00,"npi":[1851068233]}]}]}]},{"billing_code":"G8420","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"CALC BMI NORM PARAMETERS","allowed_amounts":[{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1386195865]}]}]},{"tin":{"type":"ein","value":"863907571"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.00,"providers":[{"billed_charge":10.00,"npi":[1851068233]}]}]}]},{"billing_code":"G8427","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"DOCREV CUR MEDS BY ELIG CLIN","allowed_amounts":[{"tin":{"type":"ein","value":"201190794"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1073564217]}]}]},{"tin":{"type":"ein","value":"201582408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1295784874]}]}]},{"tin":{"type":"ein","value":"270726976"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1306162193]}]}]},{"tin":{"type":"ein","value":"541634477"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902848294]}]}]},{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1386195865]}]}]},{"tin":{"type":"ein","value":"832096059"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1285109033]}]}]}]},{"billing_code":"G8476","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"BP SYS <140 AND DIAS <90","allowed_amounts":[{"tin":{"type":"ein","value":"863907571"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.00,"providers":[{"billed_charge":10.00,"npi":[1851068233]}]}]}]},{"billing_code":"G8483","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"FLU IMM NO ADMIN DOC REA","allowed_amounts":[{"tin":{"type":"ein","value":"201582408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1295784874]}]}]},{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1386195865]}]}]}]},{"billing_code":"G8510","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"SCR DEP NEG, NO PLAN REQD","allowed_amounts":[{"tin":{"type":"ein","value":"581640184"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1902995145]}]}]},{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1386195865]}]}]}]},{"billing_code":"G8539","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"DOC FUNCT AND CARE PLAN","allowed_amounts":[{"tin":{"type":"ein","value":"832096059"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1285109033]}]}]}]},{"billing_code":"G8598","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"ASA/ANTIPLAT THER USED","allowed_amounts":[{"tin":{"type":"ein","value":"593538029"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":1.00,"npi":[1093829442]}]}]}]},{"billing_code":"G8754","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"DIAS BP LESS 90","allowed_amounts":[{"tin":{"type":"ein","value":"593140335"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1043269871]}]}]}]},{"billing_code":"G8783","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"BP SCRN PERF REC INTERVAL","allowed_amounts":[{"tin":{"type":"ein","value":"472494141"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750789236]}]}]}]},{"billing_code":"G8808","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"ULTRASOUND NOT PERF, RNG","allowed_amounts":[{"tin":{"type":"ein","value":"383070749"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1225082266]}]}]}]},{"billing_code":"G8864","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"PNEUMOCOCCAL VACCINE ADMIN","allowed_amounts":[{"tin":{"type":"ein","value":"566015416"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1215477591]}]}]}]},{"billing_code":"G9322","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Unclassified","description":"NO DOC COUNT OF CT IN 12MO","allowed_amounts":[{"tin":{"type":"ein","value":"205377055"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":0.90,"providers":[{"billed_charge":1.00,"npi":[1629169602]}]}]}]},{"billing_code":"G9548","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"NO F/U REC IMAGE STUDY","allowed_amounts":[{"tin":{"type":"ein","value":"205377055"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":0.90,"providers":[{"billed_charge":1.00,"npi":[1629169602]}]}]}]},{"billing_code":"G9637","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Unclassified","description":"DOC >1 DOSE REDUC TECH","allowed_amounts":[{"tin":{"type":"ein","value":"205377055"},"billing_class":"professional","service_code":["22"],"payments":[{"allowed_amount":0.90,"providers":[{"billed_charge":1.00,"npi":[1629169602]}]}]}]},{"billing_code":"G9902","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"PT SCRN TBCO AND ID AS USER","allowed_amounts":[{"tin":{"type":"ein","value":"201582408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1295784874]}]}]}]},{"billing_code":"G9903","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"PT SCRN TBCO ID AS NON USER","allowed_amounts":[{"tin":{"type":"ein","value":"201582408"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1295784874]}]}]}]},{"billing_code":"G9916","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"FUNCT STATUS PAST 12 MONTHS","allowed_amounts":[{"tin":{"type":"ein","value":"472494141"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750789236]}]}]}]},{"billing_code":"G9920","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"SCRNING PERF AND NEGATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"541778786"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1538214309]}]}]}]},{"billing_code":"G9921","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"NO OR PART SCRN ND RNG OR OS","allowed_amounts":[{"tin":{"type":"ein","value":"472494141"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750789236]}]}]}]},{"billing_code":"G9922","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"SFTY CNCRNS SCRN ND MIT RECS","allowed_amounts":[{"tin":{"type":"ein","value":"472494141"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1750789236]}]}]}]},{"billing_code":"H0001","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Psychological","description":"ALCOHOL AND/OR DRUG ASSESSMENT","allowed_amounts":[{"tin":{"type":"ein","value":"813661016"},"billing_class":"institutional","payments":[{"allowed_amount":136.58,"providers":[{"billed_charge":632.00,"npi":[1811447832]}]}]},{"tin":{"type":"ein","value":"921028195"},"billing_class":"institutional","payments":[{"allowed_amount":168.81,"providers":[{"billed_charge":1150.00,"npi":[1124703988]}]}]}]},{"billing_code":"H0015","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Rehabilitation Services","description":"Alcohol and/or drug services","allowed_amounts":[{"tin":{"type":"ein","value":"813869097"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":159.91,"providers":[{"billed_charge":300.00,"npi":[1629588496]}]}]}]},{"billing_code":"H0015","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Psychological","description":"ALCOHL&/RX SRVC; INTENSV OP; INTRVN","allowed_amounts":[{"tin":{"type":"ein","value":"462755887"},"billing_class":"institutional","payments":[{"allowed_amount":189.00,"providers":[{"billed_charge":1100.00,"npi":[1164815106]}]}]},{"tin":{"type":"ein","value":"471751649"},"billing_class":"institutional","payments":[{"allowed_amount":149.53,"providers":[{"billed_charge":3045.00,"npi":[1790188902]}]}]},{"tin":{"type":"ein","value":"813661016"},"billing_class":"institutional","payments":[{"allowed_amount":149.53,"providers":[{"billed_charge":3738.00,"npi":[1811447832]}]}]},{"tin":{"type":"ein","value":"814348194"},"billing_class":"institutional","payments":[{"allowed_amount":149.53,"providers":[{"billed_charge":1700.00,"npi":[1720511991]}]}]},{"tin":{"type":"ein","value":"823727468"},"billing_class":"institutional","payments":[{"allowed_amount":169.66,"providers":[{"billed_charge":3400.00,"npi":[1306443650]}]}]},{"tin":{"type":"ein","value":"851874776"},"billing_class":"institutional","payments":[{"allowed_amount":147.53,"providers":[{"billed_charge":2100.00,"npi":[1366032880]}]},{"allowed_amount":184.41,"providers":[{"billed_charge":2100.00,"npi":[1366032880]}]}]},{"tin":{"type":"ein","value":"920562862"},"billing_class":"institutional","payments":[{"allowed_amount":150.52,"providers":[{"billed_charge":650.00,"npi":[1821715467]},{"billed_charge":1600.00,"npi":[1821715467]}]}]},{"tin":{"type":"ein","value":"921028195"},"billing_class":"institutional","payments":[{"allowed_amount":150.48,"providers":[{"billed_charge":2400.00,"npi":[1124703988]}]},{"allowed_amount":150.52,"providers":[{"billed_charge":2400.00,"npi":[1124703988]}]}]}]},{"billing_code":"H0015","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Psychological","description":"Alcohol and/or drug services","allowed_amounts":[{"tin":{"type":"ein","value":"462755887"},"billing_class":"institutional","payments":[{"allowed_amount":189.00,"providers":[{"billed_charge":1100.00,"npi":[1164815106]}]}]},{"tin":{"type":"ein","value":"471751649"},"billing_class":"institutional","payments":[{"allowed_amount":149.53,"providers":[{"billed_charge":3045.00,"npi":[1790188902]}]}]},{"tin":{"type":"ein","value":"813661016"},"billing_class":"institutional","payments":[{"allowed_amount":149.53,"providers":[{"billed_charge":3738.00,"npi":[1811447832]}]}]},{"tin":{"type":"ein","value":"814348194"},"billing_class":"institutional","payments":[{"allowed_amount":149.53,"providers":[{"billed_charge":1700.00,"npi":[1720511991]}]}]},{"tin":{"type":"ein","value":"823727468"},"billing_class":"institutional","payments":[{"allowed_amount":169.66,"providers":[{"billed_charge":3400.00,"npi":[1306443650]}]}]},{"tin":{"type":"ein","value":"851874776"},"billing_class":"institutional","payments":[{"allowed_amount":147.53,"providers":[{"billed_charge":2100.00,"npi":[1366032880]}]},{"allowed_amount":184.41,"providers":[{"billed_charge":2100.00,"npi":[1366032880]}]}]},{"tin":{"type":"ein","value":"920562862"},"billing_class":"institutional","payments":[{"allowed_amount":150.52,"providers":[{"billed_charge":650.00,"npi":[1821715467]},{"billed_charge":1600.00,"npi":[1821715467]}]}]},{"tin":{"type":"ein","value":"921028195"},"billing_class":"institutional","payments":[{"allowed_amount":150.48,"providers":[{"billed_charge":2400.00,"npi":[1124703988]}]},{"allowed_amount":150.52,"providers":[{"billed_charge":2400.00,"npi":[1124703988]}]}]}]},{"billing_code":"H0020","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"ALCOHL&/RX SRVC;METHDONE ADMN&/SRVC","allowed_amounts":[{"tin":{"type":"ein","value":"560953783"},"billing_class":"institutional","payments":[{"allowed_amount":50.40,"providers":[{"billed_charge":168.00,"npi":[1437167673]}]},{"allowed_amount":84.00,"providers":[{"billed_charge":280.00,"npi":[1437167673]}]}]}]},{"billing_code":"H0031","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Rehabilitation Services","description":"MENTAL HEALTH ASSESS NON-PHYSICIAN","allowed_amounts":[{"tin":{"type":"ein","value":"882813067"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":114.00,"providers":[{"billed_charge":114.00,"npi":[1780809111]}]}]}]},{"billing_code":"H0033","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"ORAL MEDADMIN DIR OBSERVATION","allowed_amounts":[{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":2.31,"providers":[{"billed_charge":6.00,"npi":[1972119782]}]}]}]},{"billing_code":"H0035","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Psychological","description":"MENTAL HEALTH PART HOSP TX < 24 HR","allowed_amounts":[{"tin":{"type":"ein","value":"611855431"},"billing_class":"institutional","payments":[{"allowed_amount":571.45,"providers":[{"billed_charge":1520.00,"npi":[1376057406]}]}]},{"tin":{"type":"ein","value":"820800055"},"billing_class":"institutional","payments":[{"allowed_amount":457.05,"providers":[{"billed_charge":1670.00,"npi":[1376149120]}]},{"allowed_amount":571.45,"providers":[{"billed_charge":1670.00,"npi":[1376149120]}]}]},{"tin":{"type":"ein","value":"843774782"},"billing_class":"institutional","payments":[{"allowed_amount":775.00,"providers":[{"billed_charge":4695.00,"npi":[1033730379]}]}]},{"tin":{"type":"ein","value":"850746228"},"billing_class":"institutional","payments":[{"allowed_amount":444.54,"providers":[{"billed_charge":2990.00,"npi":[1598386807]}]},{"allowed_amount":444.61,"providers":[{"billed_charge":2990.00,"npi":[1598386807]}]}]}]},{"billing_code":"H0035","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Urinary","description":"MENTAL HEALTH PART HOSP TX < 24 HR","allowed_amounts":[{"tin":{"type":"ein","value":"820800055"},"billing_class":"institutional","payments":[{"allowed_amount":457.05,"providers":[{"billed_charge":1670.00,"npi":[1376149120]}]}]}]},{"billing_code":"H0036","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Psychological","description":"CMTY PSYC SUPP TX FCE-TO-FCE-15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"820800055"},"billing_class":"institutional","payments":[{"allowed_amount":457.04,"providers":[{"billed_charge":1670.00,"npi":[1376149120]}]}]}]},{"billing_code":"H0049","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Rehabilitation Services","description":"ALCOHOL AND/OR DRUG SCREENING","allowed_amounts":[{"tin":{"type":"ein","value":"060867065"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":18.00,"providers":[{"billed_charge":30.00,"npi":[1396750840]}]}]}]},{"billing_code":"H2036","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Psychological","description":"ALCOHOL &OR OTH DRUG TX PROGM-DIEM","allowed_amounts":[{"tin":{"type":"ein","value":"463591561"},"billing_class":"institutional","payments":[{"allowed_amount":262.50,"providers":[{"billed_charge":2171.95,"npi":[1124457858]}]},{"allowed_amount":525.00,"providers":[{"billed_charge":2171.95,"npi":[1124457858]}]}]},{"tin":{"type":"ein","value":"464612542"},"billing_class":"institutional","payments":[{"allowed_amount":455.00,"providers":[{"billed_charge":2750.00,"npi":[1144620170]}]}]}]},{"billing_code":"J0131","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"ACETAMINOPHEN INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":47.66,"providers":[{"billed_charge":291.00,"npi":[1750333282]}]},{"allowed_amount":55.68,"providers":[{"billed_charge":279.00,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":10.00,"providers":[{"billed_charge":10.00,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":39.27,"providers":[{"billed_charge":57.75,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":66.09,"providers":[{"billed_charge":77.75,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":7.06,"providers":[{"billed_charge":43.50,"npi":[1578527172]}]}]}]},{"billing_code":"J0131","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, ACETAMINOPHEN (NOS)","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":47.66,"providers":[{"billed_charge":291.00,"npi":[1750333282]}]},{"allowed_amount":55.68,"providers":[{"billed_charge":279.00,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":10.00,"providers":[{"billed_charge":10.00,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":39.27,"providers":[{"billed_charge":57.75,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":66.09,"providers":[{"billed_charge":77.75,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":7.06,"providers":[{"billed_charge":43.50,"npi":[1578527172]}]}]}]},{"billing_code":"J0131","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION ACETAMINOPHEN 10 MG","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":47.66,"providers":[{"billed_charge":291.00,"npi":[1750333282]}]},{"allowed_amount":55.68,"providers":[{"billed_charge":279.00,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":10.00,"providers":[{"billed_charge":10.00,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":39.27,"providers":[{"billed_charge":57.75,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":66.09,"providers":[{"billed_charge":77.75,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":7.06,"providers":[{"billed_charge":43.50,"npi":[1578527172]}]}]}]},{"billing_code":"J0134","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ ACETAMINOPHEN -FRESENIUS","allowed_amounts":[{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":79.92,"providers":[{"billed_charge":114.17,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"800764192"},"billing_class":"institutional","payments":[{"allowed_amount":294.92,"providers":[{"billed_charge":404.00,"npi":[1033475959]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":54.53,"providers":[{"billed_charge":57.40,"npi":[1154392231]}]}]}]},{"billing_code":"J0136","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, ACETAMINOPHEN (B BRAUN)","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":40.28,"providers":[{"billed_charge":43.78,"npi":[1710087127]}]}]}]},{"billing_code":"J0171","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"ADRENALIN EPINEPHRINE INJECT","allowed_amounts":[{"tin":{"type":"ein","value":"582147112"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":27.88,"providers":[{"billed_charge":32.80,"npi":[1659425825]}]}]}]},{"billing_code":"J0171","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"ADRENALIN EPINEPHRINE INJECT","allowed_amounts":[{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":40.34,"providers":[{"billed_charge":51.50,"npi":[1730761065]}]}]}]},{"billing_code":"J0171","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ ADRENALIN EPINEPHRINE 0.1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":40.34,"providers":[{"billed_charge":51.50,"npi":[1730761065]}]}]}]},{"billing_code":"J0174","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"INJ, LECANEMAB-IRMB, 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"571085343"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.67,"providers":[{"billed_charge":76.44,"npi":[1265462659]}]},{"allowed_amount":27.33,"providers":[{"billed_charge":152.88,"npi":[1265462659]}]},{"allowed_amount":40.40,"providers":[{"billed_charge":152.88,"npi":[1265462659]}]},{"allowed_amount":53.80,"providers":[{"billed_charge":152.88,"npi":[1265462659]}]},{"allowed_amount":1339.28,"providers":[{"billed_charge":7491.32,"npi":[1265462659]}]},{"allowed_amount":1353.05,"providers":[{"billed_charge":7567.76,"npi":[1265462659]}]},{"allowed_amount":1979.60,"providers":[{"billed_charge":7491.32,"npi":[1265462659]}]},{"allowed_amount":2636.20,"providers":[{"billed_charge":7491.32,"npi":[1265462659]}]}]}]},{"billing_code":"J0185","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ., APREPITANT, 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":382.68,"providers":[{"billed_charge":1470.30,"npi":[1992754758]}]},{"allowed_amount":392.64,"providers":[{"billed_charge":1374.10,"npi":[1992754758]}]},{"allowed_amount":396.56,"providers":[{"billed_charge":1374.10,"npi":[1992754758]}]},{"allowed_amount":477.46,"providers":[{"billed_charge":1470.30,"npi":[1992754758]}]},{"allowed_amount":480.76,"providers":[{"billed_charge":1470.30,"npi":[1992754758]}]},{"allowed_amount":482.86,"providers":[{"billed_charge":1470.30,"npi":[1992754758]}]}]}]},{"billing_code":"J0185","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION APREPITANT 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":382.68,"providers":[{"billed_charge":1470.30,"npi":[1992754758]}]},{"allowed_amount":392.64,"providers":[{"billed_charge":1374.10,"npi":[1992754758]}]},{"allowed_amount":396.56,"providers":[{"billed_charge":1374.10,"npi":[1992754758]}]},{"allowed_amount":477.46,"providers":[{"billed_charge":1470.30,"npi":[1992754758]}]},{"allowed_amount":480.76,"providers":[{"billed_charge":1470.30,"npi":[1992754758]}]},{"allowed_amount":482.86,"providers":[{"billed_charge":1470.30,"npi":[1992754758]}]}]}]},{"billing_code":"J0295","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"AMPICILLIN SULBACTAM 1.5 GM","allowed_amounts":[{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":17.81,"providers":[{"billed_charge":22.26,"npi":[1588640692]}]}]}]},{"billing_code":"J0295","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ AMPCLLN SODIM/SULBACTAM-1.5 G","allowed_amounts":[{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":17.81,"providers":[{"billed_charge":22.26,"npi":[1588640692]}]}]}]},{"billing_code":"J0330","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ SUCCINYLCHOLINE CHLORID UP 20MG","allowed_amounts":[{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":53.68,"providers":[{"billed_charge":76.69,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":6.76,"providers":[{"billed_charge":12.31,"npi":[1659323772]}]},{"allowed_amount":7.30,"providers":[{"billed_charge":12.31,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":41.95,"providers":[{"billed_charge":53.55,"npi":[1730761065]}]}]}]},{"billing_code":"J0330","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"SUCCINYCHOLINE CHLORIDE INJ","allowed_amounts":[{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":53.68,"providers":[{"billed_charge":76.69,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":6.76,"providers":[{"billed_charge":12.31,"npi":[1659323772]}]},{"allowed_amount":7.30,"providers":[{"billed_charge":12.31,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":41.95,"providers":[{"billed_charge":53.55,"npi":[1730761065]}]}]}]},{"billing_code":"J0456","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"AZITHROMYCIN","allowed_amounts":[{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":248.36,"providers":[{"billed_charge":344.00,"npi":[1407637531]}]}]}]},{"billing_code":"J0456","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION AZITHROMYCIN 500 MG","allowed_amounts":[{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":248.36,"providers":[{"billed_charge":344.00,"npi":[1407637531]}]}]}]},{"billing_code":"J0461","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"ATROPINE SULFATE INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":38.00,"providers":[{"billed_charge":43.18,"npi":[1477643690]}]},{"allowed_amount":38.07,"providers":[{"billed_charge":43.26,"npi":[1477643690]}]}]}]},{"billing_code":"J0461","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION ATROPINE SULFATE 0.01 MG","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":38.00,"providers":[{"billed_charge":43.18,"npi":[1477643690]}]},{"allowed_amount":38.07,"providers":[{"billed_charge":43.26,"npi":[1477643690]}]}]}]},{"billing_code":"J0500","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"DICYCLOMINE INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"203391873"},"billing_class":"institutional","payments":[{"allowed_amount":48.80,"providers":[{"billed_charge":269.00,"npi":[1023061405]}]}]}]},{"billing_code":"J0500","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION DICYCLOMINE HCL UP 20 MG","allowed_amounts":[{"tin":{"type":"ein","value":"203391873"},"billing_class":"institutional","payments":[{"allowed_amount":48.80,"providers":[{"billed_charge":269.00,"npi":[1023061405]}]}]}]},{"billing_code":"J0585","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION,ONABOTULINUMTOXINA","allowed_amounts":[{"tin":{"type":"ein","value":"561580925"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9.49,"providers":[{"billed_charge":1200.00,"npi":[1972554186]}]},{"allowed_amount":809.60,"providers":[{"billed_charge":1012.00,"npi":[1972554186]}]}]}]},{"billing_code":"J0585","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"BOTULINUM TOXIN TYPE A PER UNIT","allowed_amounts":[{"tin":{"type":"ein","value":"042768256"},"billing_class":"institutional","payments":[{"allowed_amount":2762.04,"providers":[{"billed_charge":5426.40,"npi":[1578677811]}]}]}]},{"billing_code":"J0585","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION,ONABOTULINUMTOXINA","allowed_amounts":[{"tin":{"type":"ein","value":"042768256"},"billing_class":"institutional","payments":[{"allowed_amount":2762.04,"providers":[{"billed_charge":5426.40,"npi":[1578677811]}]}]}]},{"billing_code":"J0586","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"ABOBOTULINUMTOXINA","allowed_amounts":[{"tin":{"type":"ein","value":"455478024"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.33,"providers":[{"billed_charge":130.00,"npi":[1598013781]}]}]}]},{"billing_code":"J0665","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"INJ, BUPIVACAINE, NOS, 0.5MG","allowed_amounts":[{"tin":{"type":"ein","value":"923121589"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.40,"providers":[{"billed_charge":6.75,"npi":[1245935261]}]}]}]},{"billing_code":"J0665","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, BUPIVACAINE, NOS, 0.5MG","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":23.57,"providers":[{"billed_charge":25.62,"npi":[1710087127]}]},{"allowed_amount":36.12,"providers":[{"billed_charge":39.26,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":52.76,"providers":[{"billed_charge":155.88,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":80.70,"providers":[{"billed_charge":146.99,"npi":[1659323772]}]}]}]},{"billing_code":"J0688","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ CEFAZOLIN SODIUM, HIKMA","allowed_amounts":[{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":15.28,"providers":[{"billed_charge":28.32,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":2.91,"providers":[{"billed_charge":4.15,"npi":[1861194086]}]}]}]},{"billing_code":"J0689","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ CEFAZOLIN SODIUM, BAXTER","allowed_amounts":[{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":42.75,"providers":[{"billed_charge":45.00,"npi":[1275531956]}]}]}]},{"billing_code":"J0690","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"CEFAZOLIN SODIUM INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":5.37,"providers":[{"billed_charge":5.71,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":51.71,"providers":[{"billed_charge":147.20,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":62.08,"providers":[{"billed_charge":91.30,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":58.16,"providers":[{"billed_charge":83.08,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":1.38,"providers":[{"billed_charge":8.49,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":6.38,"providers":[{"billed_charge":11.62,"npi":[1659323772]}]},{"allowed_amount":6.89,"providers":[{"billed_charge":11.62,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":104.74,"providers":[{"billed_charge":161.14,"npi":[1154435824]}]},{"allowed_amount":157.11,"providers":[{"billed_charge":241.71,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":52.06,"providers":[{"billed_charge":66.45,"npi":[1730761065]}]}]}]},{"billing_code":"J0690","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION CEFAZOLIN SODIUM 500 MG","allowed_amounts":[{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":5.37,"providers":[{"billed_charge":5.71,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":51.71,"providers":[{"billed_charge":147.20,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":62.08,"providers":[{"billed_charge":91.30,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":58.16,"providers":[{"billed_charge":83.08,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":1.38,"providers":[{"billed_charge":8.49,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":6.38,"providers":[{"billed_charge":11.62,"npi":[1659323772]}]},{"allowed_amount":6.89,"providers":[{"billed_charge":11.62,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":104.74,"providers":[{"billed_charge":161.14,"npi":[1154435824]}]},{"allowed_amount":157.11,"providers":[{"billed_charge":241.71,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":52.06,"providers":[{"billed_charge":66.45,"npi":[1730761065]}]}]}]},{"billing_code":"J0692","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"CEFEPIME HCL FOR INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":18.76,"providers":[{"billed_charge":204.29,"npi":[1407152689]}]},{"allowed_amount":42.88,"providers":[{"billed_charge":476.67,"npi":[1407152689]}]},{"allowed_amount":48.24,"providers":[{"billed_charge":544.77,"npi":[1407152689]}]}]}]},{"billing_code":"J0696","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"CEFTRIAXONE SODIUM INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"203601776"},"billing_class":"professional","service_code":["72"],"payments":[{"allowed_amount":2.96,"providers":[{"billed_charge":100.20,"npi":[1629114707]}]}]},{"tin":{"type":"ein","value":"205497203"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":12.00,"npi":[1831744176]}]}]},{"tin":{"type":"ein","value":"237085643"},"billing_class":"professional","service_code":["50"],"payments":[{"allowed_amount":1.52,"providers":[{"billed_charge":52.00,"npi":[1609646611]}]}]},{"tin":{"type":"ein","value":"271382032"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.92,"providers":[{"billed_charge":60.00,"npi":[1720503972]}]}]},{"tin":{"type":"ein","value":"453191160"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":5.28,"providers":[{"billed_charge":100.00,"npi":[1235411547]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":1.76,"providers":[{"billed_charge":3.16,"npi":[1356345920]}]},{"allowed_amount":3.52,"providers":[{"billed_charge":6.32,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":0.88,"providers":[{"billed_charge":27.00,"npi":[1245272657]}]}]},{"tin":{"type":"ein","value":"631274310"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.76,"providers":[{"billed_charge":72.00,"npi":[1689689481]}]}]},{"tin":{"type":"ein","value":"651202935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.88,"providers":[{"billed_charge":2.00,"npi":[1801010145]}]}]},{"tin":{"type":"ein","value":"720815739"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.97,"providers":[{"billed_charge":116.00,"npi":[1083713101]}]}]},{"tin":{"type":"ein","value":"731383996"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.03,"providers":[{"billed_charge":48.00,"npi":[1881639367]}]}]},{"tin":{"type":"ein","value":"822146009"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.69,"providers":[{"billed_charge":4.00,"npi":[1386163822]}]},{"allowed_amount":2.72,"providers":[{"billed_charge":16.00,"npi":[1386163822]}]}]},{"tin":{"type":"ein","value":"822146009"},"billing_class":"professional","service_code":["11","20"],"payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":16.00,"npi":[1386163822]},{"billed_charge":16.00,"npi":[1386163822]}]}]},{"tin":{"type":"ein","value":"830787459"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":1.80,"providers":[{"billed_charge":10.00,"npi":[1104311315]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":1.46,"providers":[{"billed_charge":20.00,"npi":[1932679446]}]}]},{"tin":{"type":"ein","value":"832849989"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.50,"providers":[{"billed_charge":30.00,"npi":[1023582178]}]}]},{"tin":{"type":"ein","value":"833107705"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.78,"providers":[{"billed_charge":27.00,"npi":[1003380759]}]}]},{"tin":{"type":"ein","value":"851136657"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.44,"providers":[{"billed_charge":5.00,"npi":[1275146045]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.73,"providers":[{"billed_charge":10.00,"npi":[1144803040]}]},{"allowed_amount":0.88,"providers":[{"billed_charge":10.00,"npi":[1144803040]}]},{"allowed_amount":1.46,"providers":[{"billed_charge":20.00,"npi":[1144803040]}]},{"allowed_amount":2.92,"providers":[{"billed_charge":40.00,"npi":[1144803040]}]},{"allowed_amount":3.52,"providers":[{"billed_charge":40.00,"npi":[1144803040]}]}]}]},{"billing_code":"J0696","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"CEFTRIAXONE SODIUM INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"030179418"},"billing_class":"institutional","payments":[{"allowed_amount":14.36,"providers":[{"billed_charge":15.12,"npi":[1730199647]}]}]},{"tin":{"type":"ein","value":"042104693"},"billing_class":"institutional","payments":[{"allowed_amount":16.38,"providers":[{"billed_charge":21.84,"npi":[1396738159]}]}]},{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":230.20,"providers":[{"billed_charge":871.20,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"556000821"},"billing_class":"institutional","payments":[{"allowed_amount":6.84,"providers":[{"billed_charge":7.20,"npi":[1134158900]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":6.34,"providers":[{"billed_charge":31.76,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":2.04,"providers":[{"billed_charge":2.04,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":41.74,"providers":[{"billed_charge":59.63,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":6.84,"providers":[{"billed_charge":8.55,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":43.70,"providers":[{"billed_charge":46.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":246.92,"providers":[{"billed_charge":342.00,"npi":[1407637531]}]}]}]},{"billing_code":"J0696","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ CEFTRIAXONE SODIUM PER 250 MG","allowed_amounts":[{"tin":{"type":"ein","value":"030179418"},"billing_class":"institutional","payments":[{"allowed_amount":14.36,"providers":[{"billed_charge":15.12,"npi":[1730199647]}]}]},{"tin":{"type":"ein","value":"042104693"},"billing_class":"institutional","payments":[{"allowed_amount":16.38,"providers":[{"billed_charge":21.84,"npi":[1396738159]}]}]},{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":230.20,"providers":[{"billed_charge":871.20,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"556000821"},"billing_class":"institutional","payments":[{"allowed_amount":6.84,"providers":[{"billed_charge":7.20,"npi":[1134158900]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":6.34,"providers":[{"billed_charge":31.76,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":2.04,"providers":[{"billed_charge":2.04,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":41.74,"providers":[{"billed_charge":59.63,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":6.84,"providers":[{"billed_charge":8.55,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":43.70,"providers":[{"billed_charge":46.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":246.92,"providers":[{"billed_charge":342.00,"npi":[1407637531]}]}]}]},{"billing_code":"J0702","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"BETAMETHASONE ACET&SOD PHOSP","allowed_amounts":[{"tin":{"type":"ein","value":"453744471"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.00,"providers":[{"billed_charge":10.00,"npi":[1912437062]}]}]},{"tin":{"type":"ein","value":"591486941"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.09,"providers":[{"billed_charge":40.00,"npi":[1740252899]}]}]},{"tin":{"type":"ein","value":"621586264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":41.60,"providers":[{"billed_charge":52.00,"npi":[1245251404]}]}]},{"tin":{"type":"ein","value":"621654377"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":20.00,"npi":[1831495613]}]}]}]},{"billing_code":"J0744","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"CIPROFLOXACIN IV","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":3.68,"providers":[{"billed_charge":22.46,"npi":[1750333282]}]}]}]},{"billing_code":"J0744","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ CIPROFLOXACIN IV INFUS 200 MG","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":3.68,"providers":[{"billed_charge":22.46,"npi":[1750333282]}]}]}]},{"billing_code":"J0780","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"PROCHLORPERAZINE INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"560642846"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.14,"providers":[{"billed_charge":9.00,"npi":[1134372477]}]}]}]},{"billing_code":"J0780","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ PROCHLORPERAZINE TO 10 MG","allowed_amounts":[{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":13.06,"providers":[{"billed_charge":37.20,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":8.29,"providers":[{"billed_charge":12.75,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"650252846"},"billing_class":"institutional","payments":[{"allowed_amount":26.62,"providers":[{"billed_charge":51.18,"npi":[1417901406]}]}]}]},{"billing_code":"J0780","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"PROCHLORPERAZINE INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":13.06,"providers":[{"billed_charge":37.20,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":8.29,"providers":[{"billed_charge":12.75,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"650252846"},"billing_class":"institutional","payments":[{"allowed_amount":26.62,"providers":[{"billed_charge":51.18,"npi":[1417901406]}]}]}]},{"billing_code":"J0834","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ., COSYNTROPIN, 0.25 MG","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":255.69,"providers":[{"billed_charge":322.41,"npi":[1548315401]}]}]}]},{"billing_code":"J0834","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION COSYNTROPIN 0.25 MG","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":255.69,"providers":[{"billed_charge":322.41,"npi":[1548315401]}]}]}]},{"billing_code":"J1010","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, METHYLPRED ACETATE 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":80.00,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"582030692"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.20,"providers":[{"billed_charge":24.00,"npi":[1396798229]}]}]},{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":64.00,"providers":[{"billed_charge":80.00,"npi":[1184679482]}]}]},{"tin":{"type":"ein","value":"593379430"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.28,"providers":[{"billed_charge":15.60,"npi":[1740373547]}]},{"allowed_amount":12.48,"providers":[{"billed_charge":31.20,"npi":[1740373547]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.56,"providers":[{"billed_charge":20.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"720815739"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.75,"providers":[{"billed_charge":21.60,"npi":[1083713101]}]}]},{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":24.00,"providers":[{"billed_charge":24.00,"npi":[1255950325]}]}]}]},{"billing_code":"J1010","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, METHYLPRED ACETATE 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"042551124"},"billing_class":"institutional","payments":[{"allowed_amount":14.16,"providers":[{"billed_charge":24.41,"npi":[1780600825]}]}]},{"tin":{"type":"ein","value":"311524546"},"billing_class":"institutional","payments":[{"allowed_amount":33.39,"providers":[{"billed_charge":35.15,"npi":[1699704254]}]}]}]},{"billing_code":"J1010","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"J1010 - DEPO-HEPARIN SODIUM, 20,000 UNITS","allowed_amounts":[{"tin":{"type":"ein","value":"042551124"},"billing_class":"institutional","payments":[{"allowed_amount":14.16,"providers":[{"billed_charge":24.41,"npi":[1780600825]}]}]},{"tin":{"type":"ein","value":"311524546"},"billing_class":"institutional","payments":[{"allowed_amount":33.39,"providers":[{"billed_charge":35.15,"npi":[1699704254]}]}]}]},{"billing_code":"J1030","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"METHYLPREDNISOLONE 40 MG INJ","allowed_amounts":[{"tin":{"type":"ein","value":"271382032"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":19.26,"providers":[{"billed_charge":50.00,"npi":[1720503972]}]}]}]},{"billing_code":"J1050","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"MEDROXYPROGESTERONE ACETATE","allowed_amounts":[{"tin":{"type":"ein","value":"460224743"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":104.40,"providers":[{"billed_charge":130.50,"npi":[1376575514]}]}]},{"tin":{"type":"ein","value":"566000351"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":45.90,"providers":[{"billed_charge":76.50,"npi":[1467507640]}]}]},{"tin":{"type":"ein","value":"576000286"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":13.78,"providers":[{"billed_charge":18.62,"npi":[1063597987]}]},{"allowed_amount":13.79,"providers":[{"billed_charge":18.63,"npi":[1902989163]}]},{"allowed_amount":16.66,"providers":[{"billed_charge":22.52,"npi":[1063597987]}]},{"allowed_amount":16.81,"providers":[{"billed_charge":22.71,"npi":[1902989163]}]}]},{"tin":{"type":"ein","value":"900368027"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":81.00,"providers":[{"billed_charge":300.00,"npi":[1821257676]}]}]}]},{"billing_code":"J1094","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ DEXAMETHASONE ACETATE","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":5.53,"providers":[{"billed_charge":34.20,"npi":[1750333282]}]}]}]},{"billing_code":"J1094","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION DEXAMETHASONE ACTAT 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":5.53,"providers":[{"billed_charge":34.20,"npi":[1750333282]}]}]}]},{"billing_code":"J1096","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"DEXAMETHA OPTH INSERT 0.1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"541982898"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":546.40,"providers":[{"billed_charge":546.40,"npi":[1023005139]}]}]}]},{"billing_code":"J1097","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"PHENYLEP KETOROLAC OPTH SOLN","allowed_amounts":[{"tin":{"type":"ein","value":"541982898"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":498.36,"providers":[{"billed_charge":600.00,"npi":[1023005139]}]}]}]},{"billing_code":"J1100","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"DEXAMETHASONE SODIUM PHOS","allowed_amounts":[{"tin":{"type":"ein","value":"202095110"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.64,"providers":[{"billed_charge":10.00,"npi":[1154485779]}]}]},{"tin":{"type":"ein","value":"208785833"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":4.80,"providers":[{"billed_charge":100.00,"npi":[1013163914]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":1.44,"providers":[{"billed_charge":2.40,"npi":[1457579617]},{"billed_charge":19.20,"npi":[1457579617]}]},{"allowed_amount":1.80,"providers":[{"billed_charge":3.00,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"264546400"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":42.48,"providers":[{"billed_charge":100.00,"npi":[1912133315]}]}]},{"tin":{"type":"ein","value":"453123110"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":1.60,"providers":[{"billed_charge":100.00,"npi":[1215219878]}]}]},{"tin":{"type":"ein","value":"453191160"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":50.00,"npi":[1235411547]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.18,"providers":[{"billed_charge":15.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"474459800"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":1.80,"providers":[{"billed_charge":450.00,"npi":[1912381203]}]}]},{"tin":{"type":"ein","value":"562227967"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.54,"providers":[{"billed_charge":2.20,"npi":[1598926743]}]}]},{"tin":{"type":"ein","value":"582307485"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.48,"providers":[{"billed_charge":16.00,"npi":[1184679482]}]}]},{"tin":{"type":"ein","value":"593209688"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.76,"providers":[{"billed_charge":1.08,"npi":[1073565610]}]}]},{"tin":{"type":"ein","value":"621586264"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":45.00,"npi":[1245251404]}]}]},{"tin":{"type":"ein","value":"631274310"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.10,"providers":[{"billed_charge":30.00,"npi":[1689689481]}]}]},{"tin":{"type":"ein","value":"753028076"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":20.00,"npi":[1396955431]}]}]},{"tin":{"type":"ein","value":"810568231"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.80,"providers":[{"billed_charge":100.00,"npi":[1437168135]}]}]},{"tin":{"type":"ein","value":"814632899"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":1.80,"providers":[{"billed_charge":10.00,"npi":[1093248288]}]}]},{"tin":{"type":"ein","value":"822146009"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.18,"providers":[{"billed_charge":0.40,"npi":[1386163822]}]},{"allowed_amount":1.60,"providers":[{"billed_charge":4.00,"npi":[1386163822]}]},{"allowed_amount":1.80,"providers":[{"billed_charge":4.00,"npi":[1386163822]}]}]},{"tin":{"type":"ein","value":"822410133"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.22,"providers":[{"billed_charge":2.00,"npi":[1538686498]}]}]},{"tin":{"type":"ein","value":"830787459"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.88,"providers":[{"billed_charge":8.00,"npi":[1104311315]}]}]},{"tin":{"type":"ein","value":"833107705"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":126.00,"providers":[{"billed_charge":900.00,"npi":[1003380759]}]}]},{"tin":{"type":"ein","value":"851136657"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.11,"providers":[{"billed_charge":15.00,"npi":[1275146045]}]}]},{"tin":{"type":"ein","value":"862740897"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.28,"providers":[{"billed_charge":40.00,"npi":[1013598531]}]}]},{"tin":{"type":"ein","value":"863366964"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":150.00,"npi":[1477135036]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.17,"providers":[{"billed_charge":10.00,"npi":[1144803040]}]},{"allowed_amount":0.18,"providers":[{"billed_charge":10.00,"npi":[1144803040]}]},{"allowed_amount":0.54,"providers":[{"billed_charge":30.00,"npi":[1144803040]}]},{"allowed_amount":0.85,"providers":[{"billed_charge":50.00,"npi":[1144803040]}]},{"allowed_amount":1.02,"providers":[{"billed_charge":60.00,"npi":[1144803040]}]},{"allowed_amount":1.08,"providers":[{"billed_charge":60.00,"npi":[1144803040]}]},{"allowed_amount":1.36,"providers":[{"billed_charge":80.00,"npi":[1144803040]}]},{"allowed_amount":1.44,"providers":[{"billed_charge":80.00,"npi":[1144803040]}]},{"allowed_amount":1.70,"providers":[{"billed_charge":100.00,"npi":[1144803040]}]},{"allowed_amount":1.80,"providers":[{"billed_charge":100.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"923121589"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":3.40,"npi":[1245935261]}]}]},{"tin":{"type":"ein","value":"933254155"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":1.36,"providers":[{"billed_charge":8.00,"npi":[1861274169]}]}]}]},{"billing_code":"J1100","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"DEXAMETHASONE SODIUM PHOS","allowed_amounts":[{"tin":{"type":"ein","value":"010238552"},"billing_class":"institutional","payments":[{"allowed_amount":14.72,"providers":[{"billed_charge":27.61,"npi":[1346299815]}]}]},{"tin":{"type":"ein","value":"030179418"},"billing_class":"institutional","payments":[{"allowed_amount":16.67,"providers":[{"billed_charge":17.55,"npi":[1730199647]}]}]},{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":31.62,"providers":[{"billed_charge":34.37,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"203749695"},"billing_class":"institutional","payments":[{"allowed_amount":1.95,"providers":[{"billed_charge":8.57,"npi":[1265568638]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":5.28,"providers":[{"billed_charge":14.50,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":5.97,"providers":[{"billed_charge":6.09,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":5.85,"providers":[{"billed_charge":6.88,"npi":[1427145176]}]},{"allowed_amount":12.04,"providers":[{"billed_charge":14.16,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":0.45,"providers":[{"billed_charge":3.65,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":2.88,"providers":[{"billed_charge":3.06,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":15.73,"providers":[{"billed_charge":44.80,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"570720016"},"billing_class":"institutional","payments":[{"allowed_amount":6.38,"providers":[{"billed_charge":31.44,"npi":[1659320620]}]}]},{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":38.23,"providers":[{"billed_charge":112.95,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":21.90,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582190713"},"billing_class":"institutional","payments":[{"allowed_amount":96.00,"providers":[{"billed_charge":128.00,"npi":[1265486278]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":26.90,"providers":[{"billed_charge":31.65,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":56.91,"providers":[{"billed_charge":81.30,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":83.21,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":1.05,"providers":[{"billed_charge":6.49,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":41.15,"providers":[{"billed_charge":74.96,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":14.25,"providers":[{"billed_charge":15.00,"npi":[1275531956]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":4.10,"providers":[{"billed_charge":6.30,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":10.44,"providers":[{"billed_charge":19.34,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":29.97,"providers":[{"billed_charge":34.06,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":39.50,"npi":[1972119782]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":51.63,"providers":[{"billed_charge":65.90,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"854247323"},"billing_class":"institutional","payments":[{"allowed_amount":82.11,"providers":[{"billed_charge":161.00,"npi":[1871193664]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":2.88,"npi":[1861194086]}]}]}]},{"billing_code":"J1100","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ DEXMETHOSON SODIM PHOSHATE 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"010238552"},"billing_class":"institutional","payments":[{"allowed_amount":14.72,"providers":[{"billed_charge":27.61,"npi":[1346299815]}]}]},{"tin":{"type":"ein","value":"030179418"},"billing_class":"institutional","payments":[{"allowed_amount":16.67,"providers":[{"billed_charge":17.55,"npi":[1730199647]}]}]},{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":31.62,"providers":[{"billed_charge":34.37,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"203749695"},"billing_class":"institutional","payments":[{"allowed_amount":1.95,"providers":[{"billed_charge":8.57,"npi":[1265568638]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":5.28,"providers":[{"billed_charge":14.50,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":5.97,"providers":[{"billed_charge":6.09,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":5.85,"providers":[{"billed_charge":6.88,"npi":[1427145176]}]},{"allowed_amount":12.04,"providers":[{"billed_charge":14.16,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"540515611"},"billing_class":"institutional","payments":[{"allowed_amount":0.45,"providers":[{"billed_charge":3.65,"npi":[1619927027]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":2.88,"providers":[{"billed_charge":3.06,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":15.73,"providers":[{"billed_charge":44.80,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"570720016"},"billing_class":"institutional","payments":[{"allowed_amount":6.38,"providers":[{"billed_charge":31.44,"npi":[1659320620]}]}]},{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":38.23,"providers":[{"billed_charge":112.95,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":14.89,"providers":[{"billed_charge":21.90,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582190713"},"billing_class":"institutional","payments":[{"allowed_amount":96.00,"providers":[{"billed_charge":128.00,"npi":[1265486278]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":26.90,"providers":[{"billed_charge":31.65,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":56.91,"providers":[{"billed_charge":81.30,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":83.21,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":1.05,"providers":[{"billed_charge":6.49,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":41.15,"providers":[{"billed_charge":74.96,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":14.25,"providers":[{"billed_charge":15.00,"npi":[1275531956]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":4.10,"providers":[{"billed_charge":6.30,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":10.44,"providers":[{"billed_charge":19.34,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":29.97,"providers":[{"billed_charge":34.06,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"811347407"},"billing_class":"institutional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":39.50,"npi":[1972119782]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":51.63,"providers":[{"billed_charge":65.90,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"854247323"},"billing_class":"institutional","payments":[{"allowed_amount":82.11,"providers":[{"billed_charge":161.00,"npi":[1871193664]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":2.88,"npi":[1861194086]}]}]}]},{"billing_code":"J1170","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"HYDROMORPHONE INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":46.90,"providers":[{"billed_charge":50.98,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":69.59,"providers":[{"billed_charge":242.70,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":0.96,"providers":[{"billed_charge":0.96,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":60.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":4.51,"providers":[{"billed_charge":27.77,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":2.70,"providers":[{"billed_charge":3.86,"npi":[1861194086]}]},{"allowed_amount":5.40,"providers":[{"billed_charge":7.72,"npi":[1861194086]}]}]}]},{"billing_code":"J1170","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION HYDROMORPHONE UP TO 4 MG","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":46.90,"providers":[{"billed_charge":50.98,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":69.59,"providers":[{"billed_charge":242.70,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":0.96,"providers":[{"billed_charge":0.96,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":60.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":4.51,"providers":[{"billed_charge":27.77,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":2.70,"providers":[{"billed_charge":3.86,"npi":[1861194086]}]},{"allowed_amount":5.40,"providers":[{"billed_charge":7.72,"npi":[1861194086]}]}]}]},{"billing_code":"J1171","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, HYDROMORPHONE, 0.1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":3.50,"providers":[{"billed_charge":7.59,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":61.57,"providers":[{"billed_charge":90.55,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":27.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":44.45,"providers":[{"billed_charge":74.96,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":14.25,"providers":[{"billed_charge":15.00,"npi":[1275531956]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":23.26,"providers":[{"billed_charge":35.79,"npi":[1154435824]}]},{"allowed_amount":30.67,"providers":[{"billed_charge":47.19,"npi":[1154435824]}]}]}]},{"billing_code":"J1190","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"DEXRAZOXANE HCL INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":95.71,"providers":[{"billed_charge":147.24,"npi":[1154435824]}]}]}]},{"billing_code":"J1190","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ DEXRAZOXANE HCL PER 250 MG","allowed_amounts":[{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":95.71,"providers":[{"billed_charge":147.24,"npi":[1154435824]}]}]}]},{"billing_code":"J1200","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"DIPHENHYDRAMINE HCL INJECTIO","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":7.08,"providers":[{"billed_charge":8.33,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":1.89,"providers":[{"billed_charge":10.67,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":31.36,"providers":[{"billed_charge":44.80,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590872594"},"billing_class":"institutional","payments":[{"allowed_amount":16.15,"providers":[{"billed_charge":19.00,"npi":[1982688230]}]}]},{"tin":{"type":"ein","value":"590898901"},"billing_class":"institutional","payments":[{"allowed_amount":40.06,"providers":[{"billed_charge":57.23,"npi":[1568473015]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":12.56,"providers":[{"billed_charge":16.75,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":246.20,"providers":[{"billed_charge":341.00,"npi":[1407637531]}]}]}]},{"billing_code":"J1200","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ DIPHENHYDRAMINE HCL TO 50 MG","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":7.08,"providers":[{"billed_charge":8.33,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":1.89,"providers":[{"billed_charge":10.67,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":31.36,"providers":[{"billed_charge":44.80,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590872594"},"billing_class":"institutional","payments":[{"allowed_amount":16.15,"providers":[{"billed_charge":19.00,"npi":[1982688230]}]}]},{"tin":{"type":"ein","value":"590898901"},"billing_class":"institutional","payments":[{"allowed_amount":40.06,"providers":[{"billed_charge":57.23,"npi":[1568473015]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":12.56,"providers":[{"billed_charge":16.75,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":246.20,"providers":[{"billed_charge":341.00,"npi":[1407637531]}]}]}]},{"billing_code":"J1250","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ DOBUTAMINE HCL/250 MG","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":161.76,"providers":[{"billed_charge":183.82,"npi":[1477643690]}]}]}]},{"billing_code":"J1250","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION DOBUTAMINE HCI PER 250 MG","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":161.76,"providers":[{"billed_charge":183.82,"npi":[1477643690]}]}]}]},{"billing_code":"J1453","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"FOSAPREPITANT INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":1685.55,"providers":[{"billed_charge":1983.00,"npi":[1427145176]}]}]}]},{"billing_code":"J1453","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION FOSAPREPITANT 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":1685.55,"providers":[{"billed_charge":1983.00,"npi":[1427145176]}]}]}]},{"billing_code":"J1555","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"INJ CUVITRU, 100 MG","allowed_amounts":[{"tin":{"type":"ein","value":"843772669"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":188.55,"providers":[{"billed_charge":942.76,"npi":[1912239096]}]},{"allowed_amount":235.69,"providers":[{"billed_charge":942.76,"npi":[1912239096]}]},{"allowed_amount":754.22,"providers":[{"billed_charge":3771.11,"npi":[1912239096]}]},{"allowed_amount":754.23,"providers":[{"billed_charge":3771.11,"npi":[1912239096]}]},{"allowed_amount":942.78,"providers":[{"billed_charge":3771.11,"npi":[1912239096]}]}]}]},{"billing_code":"J1558","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"INJ. XEMBIFY, 100 MG","allowed_amounts":[{"tin":{"type":"ein","value":"203733871"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":198.50,"providers":[{"billed_charge":437.80,"npi":[1851309595]}]},{"allowed_amount":209.82,"providers":[{"billed_charge":437.80,"npi":[1851309595]}]},{"allowed_amount":794.00,"providers":[{"billed_charge":1751.24,"npi":[1851309595]}]},{"allowed_amount":839.29,"providers":[{"billed_charge":1751.24,"npi":[1851309595]}]},{"allowed_amount":1985.00,"providers":[{"billed_charge":4378.08,"npi":[1851309595]}]},{"allowed_amount":2098.21,"providers":[{"billed_charge":4378.08,"npi":[1851309595]}]},{"allowed_amount":15880.00,"providers":[{"billed_charge":35024.64,"npi":[1851309595]}]}]}]},{"billing_code":"J1569","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"GAMMAGARD LIQUID INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1679525919]}]}]}]},{"billing_code":"J1569","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ IG GAMMAGARD IV NONLYO 500 MG","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1679525919]}]}]}]},{"billing_code":"J1580","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"GARAMYCIN GENTAMICIN INJ","allowed_amounts":[{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":41.55,"providers":[{"billed_charge":70.06,"npi":[1659323772]}]}]}]},{"billing_code":"J1580","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ GARAMYCIN GENTAMICIN UP 80 MG","allowed_amounts":[{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":41.55,"providers":[{"billed_charge":70.06,"npi":[1659323772]}]}]}]},{"billing_code":"J1596","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, GLYCOPYRROLATE, 0.1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":52.43,"providers":[{"billed_charge":154.90,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":7.39,"providers":[{"billed_charge":25.60,"npi":[1043270564]}]},{"allowed_amount":7.76,"providers":[{"billed_charge":39.25,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":34.04,"providers":[{"billed_charge":48.63,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":70.04,"providers":[{"billed_charge":129.78,"npi":[1306876065]}]}]}]},{"billing_code":"J1610","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"GLUCAGON HYDROCHLORIDE/1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"593337028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":686.38,"providers":[{"billed_charge":722.50,"npi":[1790772317]}]}]}]},{"billing_code":"J1642","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ HEPARIN SODIUM PER 10 U","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":29.33,"providers":[{"billed_charge":34.50,"npi":[1427145176]}]}]}]},{"billing_code":"J1642","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION HEPARIN SODIUM 10 UNITS","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":29.33,"providers":[{"billed_charge":34.50,"npi":[1427145176]}]}]}]},{"billing_code":"J1644","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ HEPARIN SODIUM PER 1000 UNITS","allowed_amounts":[{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":41.55,"providers":[{"billed_charge":70.06,"npi":[1659323772]}]}]}]},{"billing_code":"J1644","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ HEPARIN SODIUM PER 1000U","allowed_amounts":[{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":41.55,"providers":[{"billed_charge":70.06,"npi":[1659323772]}]}]}]},{"billing_code":"J1650","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ ENOXAPARIN SODIUM","allowed_amounts":[{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":60.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":14.76,"providers":[{"billed_charge":21.70,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":19.34,"providers":[{"billed_charge":25.79,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":43.99,"providers":[{"billed_charge":46.30,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":3.20,"providers":[{"billed_charge":4.57,"npi":[1861194086]}]}]}]},{"billing_code":"J1650","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION ENOXAPARIN SODIUM 10 MG","allowed_amounts":[{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":60.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":14.76,"providers":[{"billed_charge":21.70,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"620528340"},"billing_class":"institutional","payments":[{"allowed_amount":19.34,"providers":[{"billed_charge":25.79,"npi":[1942294814]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":43.99,"providers":[{"billed_charge":46.30,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":3.20,"providers":[{"billed_charge":4.57,"npi":[1861194086]}]}]}]},{"billing_code":"J1745","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"INFLIXIMAB NOT BIOSIMIL 10MG","allowed_amounts":[{"tin":{"type":"ein","value":"852511623"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2522.00,"providers":[{"billed_charge":24524.20,"npi":[1851902605]}]}]},{"tin":{"type":"ein","value":"854141201"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":1743.89,"providers":[{"billed_charge":14013.80,"npi":[1033782255]}]},{"allowed_amount":1772.27,"providers":[{"billed_charge":14013.80,"npi":[1033782255]}]}]}]},{"billing_code":"J1750","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"INJ IRON DEXTRAN","allowed_amounts":[{"tin":{"type":"ein","value":"562227967"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":307.30,"providers":[{"billed_charge":439.00,"npi":[1598926743]}]}]}]},{"billing_code":"J1790","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"DROPERIDOL INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":140.94,"providers":[{"billed_charge":201.34,"npi":[1306938071]}]},{"allowed_amount":141.60,"providers":[{"billed_charge":202.28,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":31.90,"providers":[{"billed_charge":49.08,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":54.22,"providers":[{"billed_charge":55.90,"npi":[1194706655]}]}]}]},{"billing_code":"J1790","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION DROPERIDOL UP TO 5 MG","allowed_amounts":[{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":140.94,"providers":[{"billed_charge":201.34,"npi":[1306938071]}]},{"allowed_amount":141.60,"providers":[{"billed_charge":202.28,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":31.90,"providers":[{"billed_charge":49.08,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":54.22,"providers":[{"billed_charge":55.90,"npi":[1194706655]}]}]}]},{"billing_code":"J1815","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION INSULIN PER 5 UNITS","allowed_amounts":[{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":25.50,"providers":[{"billed_charge":30.00,"npi":[1326028978]}]}]}]},{"billing_code":"J1815","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INSULIN INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":25.50,"providers":[{"billed_charge":30.00,"npi":[1326028978]}]}]}]},{"billing_code":"J1836","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, METRONIDAZOLE, 10 MG","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":1.47,"providers":[{"billed_charge":9.00,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":76.95,"providers":[{"billed_charge":81.00,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":23.10,"providers":[{"billed_charge":33.00,"npi":[1861194086]}]}]}]},{"billing_code":"J1885","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"KETOROLAC TROMETHAMINE INJ","allowed_amounts":[{"tin":{"type":"ein","value":"202095110"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.46,"providers":[{"billed_charge":15.00,"npi":[1154485779]}]}]},{"tin":{"type":"ein","value":"202305158"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.45,"providers":[{"billed_charge":5.24,"npi":[1295862944]}]}]},{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":1.54,"providers":[{"billed_charge":3.00,"npi":[1457579617]}]}]},{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.76,"providers":[{"billed_charge":30.00,"npi":[1154721272]}]},{"allowed_amount":18.00,"providers":[{"billed_charge":30.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":1.52,"providers":[{"billed_charge":3.00,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"561901819"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.76,"providers":[{"billed_charge":25.00,"npi":[1184705865]}]}]},{"tin":{"type":"ein","value":"562054060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.96,"providers":[{"billed_charge":8.00,"npi":[1366498297]}]}]},{"tin":{"type":"ein","value":"582069754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.73,"providers":[{"billed_charge":30.00,"npi":[1316973472]}]},{"allowed_amount":2.92,"providers":[{"billed_charge":120.00,"npi":[1316973472]}]}]},{"tin":{"type":"ein","value":"593209688"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":30.80,"providers":[{"billed_charge":44.00,"npi":[1073565610]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.32,"providers":[{"billed_charge":20.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"813425340"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":1.54,"providers":[{"billed_charge":6.00,"npi":[1194277186]}]}]},{"tin":{"type":"ein","value":"820934227"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":3.04,"providers":[{"billed_charge":40.00,"npi":[1487181897]}]}]},{"tin":{"type":"ein","value":"822146009"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.16,"providers":[{"billed_charge":20.00,"npi":[1386163822]}]}]},{"tin":{"type":"ein","value":"832048888"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.48,"providers":[{"billed_charge":3.48,"npi":[1609342815]}]}]},{"tin":{"type":"ein","value":"832053115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.57,"providers":[{"billed_charge":3.48,"npi":[1093284010]}]},{"allowed_amount":3.13,"providers":[{"billed_charge":6.96,"npi":[1093284010]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.74,"providers":[{"billed_charge":50.00,"npi":[1144803040]}]},{"allowed_amount":0.76,"providers":[{"billed_charge":50.00,"npi":[1144803040]}]},{"allowed_amount":1.48,"providers":[{"billed_charge":100.00,"npi":[1144803040]}]},{"allowed_amount":1.52,"providers":[{"billed_charge":100.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.16,"providers":[{"billed_charge":16.00,"npi":[1447239355]}]}]},{"tin":{"type":"ein","value":"873542162"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":4.00,"providers":[{"billed_charge":8.00,"npi":[1437860889]}]}]},{"tin":{"type":"ein","value":"881926722"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":1.72,"providers":[{"billed_charge":40.00,"npi":[1063159630]}]}]},{"tin":{"type":"ein","value":"933254155"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":1.48,"providers":[{"billed_charge":4.00,"npi":[1861274169]}]}]}]},{"billing_code":"J1885","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ KETOROLAC TROMETHAMINE 15 MG","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":25.02,"providers":[{"billed_charge":27.20,"npi":[1710087127]}]},{"allowed_amount":27.05,"providers":[{"billed_charge":29.40,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":36.28,"providers":[{"billed_charge":87.78,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"272844563"},"billing_class":"institutional","payments":[{"allowed_amount":6.72,"providers":[{"billed_charge":14.00,"npi":[1922310200]}]}]},{"tin":{"type":"ein","value":"381359087"},"billing_class":"institutional","payments":[{"allowed_amount":6.14,"providers":[{"billed_charge":15.85,"npi":[1831116441]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":52.22,"providers":[{"billed_charge":61.43,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"391390638"},"billing_class":"institutional","payments":[{"allowed_amount":15.01,"providers":[{"billed_charge":16.68,"npi":[1356391247]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":15.13,"providers":[{"billed_charge":25.65,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":0.98,"providers":[{"billed_charge":0.98,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"562392010"},"billing_class":"institutional","payments":[{"allowed_amount":21.87,"providers":[{"billed_charge":24.30,"npi":[1053357244]}]}]},{"tin":{"type":"ein","value":"570720016"},"billing_class":"institutional","payments":[{"allowed_amount":1.79,"providers":[{"billed_charge":8.81,"npi":[1659320620]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":28.53,"providers":[{"billed_charge":33.57,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":42.55,"providers":[{"billed_charge":60.79,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":7.84,"providers":[{"billed_charge":9.80,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":12.56,"providers":[{"billed_charge":16.75,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":4.25,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"650252846"},"billing_class":"institutional","payments":[{"allowed_amount":26.93,"providers":[{"billed_charge":51.79,"npi":[1417901406]}]}]},{"tin":{"type":"ein","value":"741282696"},"billing_class":"institutional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":41.78,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":32.95,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"854247323"},"billing_class":"institutional","payments":[{"allowed_amount":3.57,"providers":[{"billed_charge":7.00,"npi":[1871193664]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":61.17,"providers":[{"billed_charge":94.10,"npi":[1174512792]}]}]},{"tin":{"type":"ein","value":"876000525"},"billing_class":"institutional","payments":[{"allowed_amount":35.02,"providers":[{"billed_charge":47.00,"npi":[1588656870]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":0.72,"providers":[{"billed_charge":1.00,"npi":[1407637531]}]}]}]},{"billing_code":"J1885","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"KETOROLAC TROMETHAMINE INJ","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":25.02,"providers":[{"billed_charge":27.20,"npi":[1710087127]}]},{"allowed_amount":27.05,"providers":[{"billed_charge":29.40,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":36.28,"providers":[{"billed_charge":87.78,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"272844563"},"billing_class":"institutional","payments":[{"allowed_amount":6.72,"providers":[{"billed_charge":14.00,"npi":[1922310200]}]}]},{"tin":{"type":"ein","value":"381359087"},"billing_class":"institutional","payments":[{"allowed_amount":6.14,"providers":[{"billed_charge":15.85,"npi":[1831116441]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":52.22,"providers":[{"billed_charge":61.43,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"391390638"},"billing_class":"institutional","payments":[{"allowed_amount":15.01,"providers":[{"billed_charge":16.68,"npi":[1356391247]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":15.13,"providers":[{"billed_charge":25.65,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":0.98,"providers":[{"billed_charge":0.98,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"562392010"},"billing_class":"institutional","payments":[{"allowed_amount":21.87,"providers":[{"billed_charge":24.30,"npi":[1053357244]}]}]},{"tin":{"type":"ein","value":"570720016"},"billing_class":"institutional","payments":[{"allowed_amount":1.79,"providers":[{"billed_charge":8.81,"npi":[1659320620]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":28.53,"providers":[{"billed_charge":33.57,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":42.55,"providers":[{"billed_charge":60.79,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":7.84,"providers":[{"billed_charge":9.80,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":12.56,"providers":[{"billed_charge":16.75,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":4.25,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"650252846"},"billing_class":"institutional","payments":[{"allowed_amount":26.93,"providers":[{"billed_charge":51.79,"npi":[1417901406]}]}]},{"tin":{"type":"ein","value":"741282696"},"billing_class":"institutional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":41.78,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":32.95,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"854247323"},"billing_class":"institutional","payments":[{"allowed_amount":3.57,"providers":[{"billed_charge":7.00,"npi":[1871193664]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":61.17,"providers":[{"billed_charge":94.10,"npi":[1174512792]}]}]},{"tin":{"type":"ein","value":"876000525"},"billing_class":"institutional","payments":[{"allowed_amount":35.02,"providers":[{"billed_charge":47.00,"npi":[1588656870]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":0.72,"providers":[{"billed_charge":1.00,"npi":[1407637531]}]}]}]},{"billing_code":"J1920","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, LABETALOL HCL, 5MG","allowed_amounts":[{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":30.60,"providers":[{"billed_charge":45.00,"npi":[1154377166]}]},{"allowed_amount":44.98,"providers":[{"billed_charge":66.15,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"620478102"},"billing_class":"institutional","payments":[{"allowed_amount":0.86,"providers":[{"billed_charge":2.46,"npi":[1831148253]}]}]}]},{"billing_code":"J1940","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"FUROSEMIDE INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":133.35,"providers":[{"billed_charge":224.88,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":26.77,"providers":[{"billed_charge":62.73,"npi":[1306876065]}]}]}]},{"billing_code":"J1940","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION FUROSEMIDE UP TO 20 MG","allowed_amounts":[{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":133.35,"providers":[{"billed_charge":224.88,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":26.77,"providers":[{"billed_charge":62.73,"npi":[1306876065]}]}]}]},{"billing_code":"J1950","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ LEUPROLIDE ACETATE PER 3.75 MG","allowed_amounts":[{"tin":{"type":"ein","value":"311322863"},"billing_class":"institutional","payments":[{"allowed_amount":5975.09,"providers":[{"billed_charge":7198.90,"npi":[1124127683]}]}]}]},{"billing_code":"J1950","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"LEUPROLIDE ACETATE /3.75 MG","allowed_amounts":[{"tin":{"type":"ein","value":"311322863"},"billing_class":"institutional","payments":[{"allowed_amount":5975.09,"providers":[{"billed_charge":7198.90,"npi":[1124127683]}]}]}]},{"billing_code":"J2001","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION LIDO HCL IV INFUS 10 MG","allowed_amounts":[{"tin":{"type":"ein","value":"370647938"},"billing_class":"institutional","payments":[{"allowed_amount":56.21,"providers":[{"billed_charge":66.12,"npi":[1114935681]}]}]},{"tin":{"type":"ein","value":"621113169"},"billing_class":"institutional","payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":10.30,"npi":[1144213117]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":11.25,"providers":[{"billed_charge":15.00,"npi":[1295843787]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":2.28,"providers":[{"billed_charge":3.26,"npi":[1861194086]}]}]}]},{"billing_code":"J2001","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"LIDOCAINE INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"370647938"},"billing_class":"institutional","payments":[{"allowed_amount":56.21,"providers":[{"billed_charge":66.12,"npi":[1114935681]}]}]},{"tin":{"type":"ein","value":"621113169"},"billing_class":"institutional","payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":10.30,"npi":[1144213117]}]}]},{"tin":{"type":"ein","value":"741152597"},"billing_class":"institutional","payments":[{"allowed_amount":11.25,"providers":[{"billed_charge":15.00,"npi":[1295843787]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":2.28,"providers":[{"billed_charge":3.26,"npi":[1861194086]}]}]}]},{"billing_code":"J2003","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"INJ, LIDOCAINE HCL, 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":45.00,"providers":[{"billed_charge":50.00,"npi":[1225246812]}]}]}]},{"billing_code":"J2003","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, LIDOCAINE HCL, 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"264827222"},"billing_class":"institutional","payments":[{"allowed_amount":2.68,"providers":[{"billed_charge":3.23,"npi":[1609189604]}]}]},{"tin":{"type":"ein","value":"381360529"},"billing_class":"institutional","payments":[{"allowed_amount":21.19,"providers":[{"billed_charge":23.55,"npi":[1922090554]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":14.84,"providers":[{"billed_charge":15.79,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":42.09,"providers":[{"billed_charge":124.34,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":14.48,"providers":[{"billed_charge":21.30,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":48.20,"providers":[{"billed_charge":68.86,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":43.88,"providers":[{"billed_charge":79.93,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"650844880"},"billing_class":"institutional","payments":[{"allowed_amount":8.73,"providers":[{"billed_charge":13.20,"npi":[1083644033]}]}]}]},{"billing_code":"J2004","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"INJ, LIDOCAINE W EPINEPHRINE","allowed_amounts":[{"tin":{"type":"ein","value":"742958277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":15.62,"providers":[{"billed_charge":20.82,"npi":[1922061993]}]}]}]},{"billing_code":"J2004","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, LIDOCAINE W EPINEPHRINE","allowed_amounts":[{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":74.19,"providers":[{"billed_charge":219.17,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"621682207"},"billing_class":"institutional","payments":[{"allowed_amount":2.91,"providers":[{"billed_charge":26.51,"npi":[1437102639]}]}]}]},{"billing_code":"J2060","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION LORAZEPAM 2 MG","allowed_amounts":[{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":9.62,"providers":[{"billed_charge":36.40,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":4.39,"providers":[{"billed_charge":6.76,"npi":[1154435824]}]},{"allowed_amount":13.18,"providers":[{"billed_charge":20.28,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":20.90,"providers":[{"billed_charge":21.55,"npi":[1194706655]}]}]}]},{"billing_code":"J2060","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"LORAZEPAM INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":9.62,"providers":[{"billed_charge":36.40,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":4.39,"providers":[{"billed_charge":6.76,"npi":[1154435824]}]},{"allowed_amount":13.18,"providers":[{"billed_charge":20.28,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":20.90,"providers":[{"billed_charge":21.55,"npi":[1194706655]}]}]}]},{"billing_code":"J2250","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ MIDAZOLAM HYDROCHLORIDE","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":25.10,"providers":[{"billed_charge":27.28,"npi":[1710087127]}]},{"allowed_amount":25.12,"providers":[{"billed_charge":27.30,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"043399616"},"billing_class":"institutional","payments":[{"allowed_amount":1.14,"providers":[{"billed_charge":2.27,"npi":[1730121633]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":4.08,"providers":[{"billed_charge":4.96,"npi":[1548315401]}]},{"allowed_amount":4.11,"providers":[{"billed_charge":4.96,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"264827222"},"billing_class":"institutional","payments":[{"allowed_amount":5.37,"providers":[{"billed_charge":6.47,"npi":[1609189604]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":9.87,"providers":[{"billed_charge":10.50,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":16.82,"providers":[{"billed_charge":47.90,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":6.21,"providers":[{"billed_charge":35.14,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":17.65,"providers":[{"billed_charge":25.95,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":0.55,"providers":[{"billed_charge":3.40,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":54.94,"providers":[{"billed_charge":100.08,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":2.68,"providers":[{"billed_charge":4.12,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":10.79,"providers":[{"billed_charge":20.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"934580630"},"billing_class":"institutional","payments":[{"allowed_amount":1.48,"providers":[{"billed_charge":44.00,"npi":[1205605409]}]}]}]},{"billing_code":"J2250","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION MIDAZOLAM HCL PER 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":25.10,"providers":[{"billed_charge":27.28,"npi":[1710087127]}]},{"allowed_amount":25.12,"providers":[{"billed_charge":27.30,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"043399616"},"billing_class":"institutional","payments":[{"allowed_amount":1.14,"providers":[{"billed_charge":2.27,"npi":[1730121633]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":4.08,"providers":[{"billed_charge":4.96,"npi":[1548315401]}]},{"allowed_amount":4.11,"providers":[{"billed_charge":4.96,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"264827222"},"billing_class":"institutional","payments":[{"allowed_amount":5.37,"providers":[{"billed_charge":6.47,"npi":[1609189604]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":9.87,"providers":[{"billed_charge":10.50,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":16.82,"providers":[{"billed_charge":47.90,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":6.21,"providers":[{"billed_charge":35.14,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":17.65,"providers":[{"billed_charge":25.95,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":0.55,"providers":[{"billed_charge":3.40,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":54.94,"providers":[{"billed_charge":100.08,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":2.68,"providers":[{"billed_charge":4.12,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":10.79,"providers":[{"billed_charge":20.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"934580630"},"billing_class":"institutional","payments":[{"allowed_amount":1.48,"providers":[{"billed_charge":44.00,"npi":[1205605409]}]}]}]},{"billing_code":"J2270","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ MORPHINE SULFATE UP TO 10 MG","allowed_amounts":[{"tin":{"type":"ein","value":"272844563"},"billing_class":"institutional","payments":[{"allowed_amount":20.64,"providers":[{"billed_charge":43.00,"npi":[1922310200]}]}]},{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":18.36,"providers":[{"billed_charge":20.40,"npi":[1922487966]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":60.00,"npi":[1063406684]}]},{"allowed_amount":29.10,"providers":[{"billed_charge":120.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":74.89,"providers":[{"billed_charge":88.10,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"876000525"},"billing_class":"institutional","payments":[{"allowed_amount":32.78,"providers":[{"billed_charge":44.00,"npi":[1588656870]}]}]}]},{"billing_code":"J2270","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"MORPHINE SULFATE INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"272844563"},"billing_class":"institutional","payments":[{"allowed_amount":20.64,"providers":[{"billed_charge":43.00,"npi":[1922310200]}]}]},{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":18.36,"providers":[{"billed_charge":20.40,"npi":[1922487966]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":60.00,"npi":[1063406684]}]},{"allowed_amount":29.10,"providers":[{"billed_charge":120.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":74.89,"providers":[{"billed_charge":88.10,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"876000525"},"billing_class":"institutional","payments":[{"allowed_amount":32.78,"providers":[{"billed_charge":44.00,"npi":[1588656870]}]}]}]},{"billing_code":"J2272","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, MORPHINE (FRESENIUS)","allowed_amounts":[{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":3.46,"providers":[{"billed_charge":10.05,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":2.52,"providers":[{"billed_charge":5.47,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":68.79,"providers":[{"billed_charge":98.27,"npi":[1306938071]}]},{"allowed_amount":70.53,"providers":[{"billed_charge":100.76,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"741282696"},"billing_class":"institutional","payments":[{"allowed_amount":20.54,"providers":[{"billed_charge":38.10,"npi":[1942294939]}]}]}]},{"billing_code":"J2274","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"INJ MORPHINE PF EPID ITHC","allowed_amounts":[{"tin":{"type":"ein","value":"640913966"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":33.74,"providers":[{"billed_charge":56.00,"npi":[1336243393]}]}]}]},{"billing_code":"J2310","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ NALOXONE HYDROCHLORIDE","allowed_amounts":[{"tin":{"type":"ein","value":"640524079"},"billing_class":"institutional","payments":[{"allowed_amount":56.98,"providers":[{"billed_charge":161.56,"npi":[1154310514]}]}]}]},{"billing_code":"J2310","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION NALOXONE HCL PER 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"640524079"},"billing_class":"institutional","payments":[{"allowed_amount":56.98,"providers":[{"billed_charge":161.56,"npi":[1154310514]}]}]}]},{"billing_code":"J2323","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"NATALIZUMAB INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"832482124"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":9782.37,"providers":[{"billed_charge":12540.00,"npi":[1326517103]}]}]}]},{"billing_code":"J2323","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION  NATALIZUMAB  1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"582453303"},"billing_class":"institutional","payments":[{"allowed_amount":7209.00,"providers":[{"billed_charge":8100.00,"npi":[1851388748]}]}]}]},{"billing_code":"J2323","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"NATALIZUMAB INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"582453303"},"billing_class":"institutional","payments":[{"allowed_amount":7209.00,"providers":[{"billed_charge":8100.00,"npi":[1851388748]}]}]}]},{"billing_code":"J2371","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ PHENYLEPHRINE HCL 20 MCG","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":36.59,"providers":[{"billed_charge":39.77,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":5.65,"providers":[{"billed_charge":16.10,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":28.79,"providers":[{"billed_charge":33.87,"npi":[1427114099]}]},{"allowed_amount":29.00,"providers":[{"billed_charge":34.12,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"621113169"},"billing_class":"institutional","payments":[{"allowed_amount":6.05,"providers":[{"billed_charge":30.90,"npi":[1144213117]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":37.68,"providers":[{"billed_charge":68.64,"npi":[1659323772]}]}]}]},{"billing_code":"J2405","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"ONDANSETRON HCL INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":60.00,"npi":[1609191121]}]}]},{"tin":{"type":"ein","value":"561752222"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.14,"providers":[{"billed_charge":65.00,"npi":[1386605608]}]}]},{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":4.00,"providers":[{"billed_charge":9.00,"npi":[1407152689]}]}]},{"tin":{"type":"ein","value":"636001138"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.09,"providers":[{"billed_charge":2.00,"npi":[1467599399]}]}]},{"tin":{"type":"ein","value":"720701964"},"billing_class":"professional","service_code":["41"],"payments":[{"allowed_amount":94.00,"providers":[{"billed_charge":94.00,"npi":[1316943566]}]}]},{"tin":{"type":"ein","value":"822146009"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.20,"providers":[{"billed_charge":12.00,"npi":[1386163822]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.77,"providers":[{"billed_charge":36.60,"npi":[1558332494]}]},{"allowed_amount":36.20,"providers":[{"billed_charge":38.10,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.56,"providers":[{"billed_charge":200.00,"npi":[1144803040]}]},{"allowed_amount":0.60,"providers":[{"billed_charge":200.00,"npi":[1144803040]}]}]},{"tin":{"type":"ein","value":"873542162"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":1.20,"providers":[{"billed_charge":8.00,"npi":[1437860889]}]}]},{"tin":{"type":"ein","value":"881926722"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":4.00,"npi":[1063159630]}]}]},{"tin":{"type":"ein","value":"933254155"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.28,"providers":[{"billed_charge":2.00,"npi":[1861274169]}]},{"allowed_amount":0.56,"providers":[{"billed_charge":4.00,"npi":[1861274169]}]}]}]},{"billing_code":"J2405","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION ONDANSETRON HCL PER 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":23.96,"providers":[{"billed_charge":26.04,"npi":[1710087127]}]},{"allowed_amount":23.97,"providers":[{"billed_charge":26.05,"npi":[1710087127]}]},{"allowed_amount":47.91,"providers":[{"billed_charge":52.08,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":0.54,"providers":[{"billed_charge":1.61,"npi":[1801803903]}]},{"allowed_amount":0.55,"providers":[{"billed_charge":1.61,"npi":[1801803903]}]},{"allowed_amount":0.72,"providers":[{"billed_charge":1.61,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":1.68,"providers":[{"billed_charge":3.65,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":4.56,"providers":[{"billed_charge":5.55,"npi":[1548315401]}]},{"allowed_amount":4.60,"providers":[{"billed_charge":5.55,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":35.81,"providers":[{"billed_charge":86.65,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":3.75,"providers":[{"billed_charge":9.75,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":4.46,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"350211370"},"billing_class":"institutional","payments":[{"allowed_amount":2.40,"providers":[{"billed_charge":18.00,"npi":[1386683316]}]}]},{"tin":{"type":"ein","value":"381459362"},"billing_class":"institutional","payments":[{"allowed_amount":2.16,"providers":[{"billed_charge":7.89,"npi":[1932396017]}]}]},{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":18.35,"providers":[{"billed_charge":64.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":55.03,"providers":[{"billed_charge":64.74,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"453576100"},"billing_class":"institutional","payments":[{"allowed_amount":3.02,"providers":[{"billed_charge":28.00,"npi":[1306123344]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":89.21,"providers":[{"billed_charge":151.20,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":5.76,"providers":[{"billed_charge":6.40,"npi":[1922487966]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":30.87,"providers":[{"billed_charge":36.32,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":2.96,"providers":[{"billed_charge":3.15,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":6.27,"providers":[{"billed_charge":17.85,"npi":[1427030774]}]},{"allowed_amount":7.43,"providers":[{"billed_charge":21.15,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":0.36,"providers":[{"billed_charge":0.36,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":60.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":17.21,"providers":[{"billed_charge":50.85,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":61.61,"providers":[{"billed_charge":90.60,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":26.38,"providers":[{"billed_charge":31.04,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":12.36,"providers":[{"billed_charge":17.66,"npi":[1306938071]}]},{"allowed_amount":19.94,"providers":[{"billed_charge":28.48,"npi":[1306938071]}]},{"allowed_amount":20.87,"providers":[{"billed_charge":29.82,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":4.28,"providers":[{"billed_charge":5.35,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":22.63,"providers":[{"billed_charge":32.33,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"591713947"},"billing_class":"institutional","payments":[{"allowed_amount":5.85,"providers":[{"billed_charge":16.50,"npi":[1225033020]}]}]},{"tin":{"type":"ein","value":"592951990"},"billing_class":"institutional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":12.07,"npi":[1679678486]}]}]},{"tin":{"type":"ein","value":"593458145"},"billing_class":"institutional","payments":[{"allowed_amount":252.70,"providers":[{"billed_charge":361.00,"npi":[1235196510]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":368.52,"providers":[{"billed_charge":444.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":0.97,"providers":[{"billed_charge":5.97,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":12.56,"providers":[{"billed_charge":16.75,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":31.71,"providers":[{"billed_charge":57.76,"npi":[1659323772]}]},{"allowed_amount":34.25,"providers":[{"billed_charge":57.76,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":14.25,"providers":[{"billed_charge":15.00,"npi":[1275531956]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":3.77,"providers":[{"billed_charge":5.80,"npi":[1154435824]}]},{"allowed_amount":5.66,"providers":[{"billed_charge":8.70,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":5.94,"providers":[{"billed_charge":11.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"650666516"},"billing_class":"institutional","payments":[{"allowed_amount":26.80,"providers":[{"billed_charge":33.50,"npi":[1487760906]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":0.82,"providers":[{"billed_charge":0.93,"npi":[1477643690]}]},{"allowed_amount":27.44,"providers":[{"billed_charge":31.18,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741282696"},"billing_class":"institutional","payments":[{"allowed_amount":16.26,"providers":[{"billed_charge":30.17,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"821969974"},"billing_class":"institutional","payments":[{"allowed_amount":15.30,"providers":[{"billed_charge":18.00,"npi":[1053824292]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":118.56,"providers":[{"billed_charge":182.40,"npi":[1174512792]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":34.77,"providers":[{"billed_charge":36.60,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":11.06,"providers":[{"billed_charge":11.40,"npi":[1194706655]}]}]},{"tin":{"type":"ein","value":"882288563"},"billing_class":"institutional","payments":[{"allowed_amount":12.32,"providers":[{"billed_charge":17.60,"npi":[1861102345]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":0.70,"providers":[{"billed_charge":1.00,"npi":[1861194086]}]}]}]},{"billing_code":"J2405","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"ONDANSETRON HCL INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":23.96,"providers":[{"billed_charge":26.04,"npi":[1710087127]}]},{"allowed_amount":23.97,"providers":[{"billed_charge":26.05,"npi":[1710087127]}]},{"allowed_amount":47.91,"providers":[{"billed_charge":52.08,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":0.54,"providers":[{"billed_charge":1.61,"npi":[1801803903]}]},{"allowed_amount":0.55,"providers":[{"billed_charge":1.61,"npi":[1801803903]}]},{"allowed_amount":0.72,"providers":[{"billed_charge":1.61,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":1.68,"providers":[{"billed_charge":3.65,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":4.56,"providers":[{"billed_charge":5.55,"npi":[1548315401]}]},{"allowed_amount":4.60,"providers":[{"billed_charge":5.55,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":35.81,"providers":[{"billed_charge":86.65,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"240802108"},"billing_class":"institutional","payments":[{"allowed_amount":3.75,"providers":[{"billed_charge":9.75,"npi":[1326161662]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":4.46,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"350211370"},"billing_class":"institutional","payments":[{"allowed_amount":2.40,"providers":[{"billed_charge":18.00,"npi":[1386683316]}]}]},{"tin":{"type":"ein","value":"381459362"},"billing_class":"institutional","payments":[{"allowed_amount":2.16,"providers":[{"billed_charge":7.89,"npi":[1932396017]}]}]},{"tin":{"type":"ein","value":"383868360"},"billing_class":"institutional","payments":[{"allowed_amount":18.35,"providers":[{"billed_charge":64.00,"npi":[1487917233]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":55.03,"providers":[{"billed_charge":64.74,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"453576100"},"billing_class":"institutional","payments":[{"allowed_amount":3.02,"providers":[{"billed_charge":28.00,"npi":[1306123344]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":89.21,"providers":[{"billed_charge":151.20,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":5.76,"providers":[{"billed_charge":6.40,"npi":[1922487966]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":30.87,"providers":[{"billed_charge":36.32,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":2.96,"providers":[{"billed_charge":3.15,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":6.27,"providers":[{"billed_charge":17.85,"npi":[1427030774]}]},{"allowed_amount":7.43,"providers":[{"billed_charge":21.15,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":0.36,"providers":[{"billed_charge":0.36,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":60.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":17.21,"providers":[{"billed_charge":50.85,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":61.61,"providers":[{"billed_charge":90.60,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":26.38,"providers":[{"billed_charge":31.04,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":12.36,"providers":[{"billed_charge":17.66,"npi":[1306938071]}]},{"allowed_amount":19.94,"providers":[{"billed_charge":28.48,"npi":[1306938071]}]},{"allowed_amount":20.87,"providers":[{"billed_charge":29.82,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":4.28,"providers":[{"billed_charge":5.35,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":22.63,"providers":[{"billed_charge":32.33,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"591713947"},"billing_class":"institutional","payments":[{"allowed_amount":5.85,"providers":[{"billed_charge":16.50,"npi":[1225033020]}]}]},{"tin":{"type":"ein","value":"592951990"},"billing_class":"institutional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":12.07,"npi":[1679678486]}]}]},{"tin":{"type":"ein","value":"593458145"},"billing_class":"institutional","payments":[{"allowed_amount":252.70,"providers":[{"billed_charge":361.00,"npi":[1235196510]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":368.52,"providers":[{"billed_charge":444.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":0.97,"providers":[{"billed_charge":5.97,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":12.56,"providers":[{"billed_charge":16.75,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":31.71,"providers":[{"billed_charge":57.76,"npi":[1659323772]}]},{"allowed_amount":34.25,"providers":[{"billed_charge":57.76,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":14.25,"providers":[{"billed_charge":15.00,"npi":[1275531956]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":3.77,"providers":[{"billed_charge":5.80,"npi":[1154435824]}]},{"allowed_amount":5.66,"providers":[{"billed_charge":8.70,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":5.94,"providers":[{"billed_charge":11.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"650666516"},"billing_class":"institutional","payments":[{"allowed_amount":26.80,"providers":[{"billed_charge":33.50,"npi":[1487760906]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":0.82,"providers":[{"billed_charge":0.93,"npi":[1477643690]}]},{"allowed_amount":27.44,"providers":[{"billed_charge":31.18,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741282696"},"billing_class":"institutional","payments":[{"allowed_amount":16.26,"providers":[{"billed_charge":30.17,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"821969974"},"billing_class":"institutional","payments":[{"allowed_amount":15.30,"providers":[{"billed_charge":18.00,"npi":[1053824292]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":118.56,"providers":[{"billed_charge":182.40,"npi":[1174512792]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":34.77,"providers":[{"billed_charge":36.60,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":11.06,"providers":[{"billed_charge":11.40,"npi":[1194706655]}]}]},{"tin":{"type":"ein","value":"882288563"},"billing_class":"institutional","payments":[{"allowed_amount":12.32,"providers":[{"billed_charge":17.60,"npi":[1861102345]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":0.70,"providers":[{"billed_charge":1.00,"npi":[1861194086]}]}]}]},{"billing_code":"J2470","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ PANTOPRAZOLE SODIUM 40MG","allowed_amounts":[{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":2.44,"providers":[{"billed_charge":5.29,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"203391873"},"billing_class":"institutional","payments":[{"allowed_amount":48.80,"providers":[{"billed_charge":269.00,"npi":[1023061405]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":43.89,"providers":[{"billed_charge":46.20,"npi":[1154392231]}]},{"allowed_amount":54.53,"providers":[{"billed_charge":57.40,"npi":[1154392231]}]}]}]},{"billing_code":"J2470","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"J2470 - PAN HEPARIN, UP TO 1000 UNITS","allowed_amounts":[{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":2.44,"providers":[{"billed_charge":5.29,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"203391873"},"billing_class":"institutional","payments":[{"allowed_amount":48.80,"providers":[{"billed_charge":269.00,"npi":[1023061405]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":43.89,"providers":[{"billed_charge":46.20,"npi":[1154392231]}]},{"allowed_amount":54.53,"providers":[{"billed_charge":57.40,"npi":[1154392231]}]}]}]},{"billing_code":"J2506","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ PEGFILGRAST EX BIO 0.5MG","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":15947.39,"providers":[{"billed_charge":18761.64,"npi":[1427145176]}]}]}]},{"billing_code":"J2543","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ PIP SOD/TZ SOD 1 G/0.125 G","allowed_amounts":[{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":89.82,"providers":[{"billed_charge":99.80,"npi":[1922487966]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":134.30,"providers":[{"billed_charge":158.00,"npi":[1326028978]}]}]}]},{"billing_code":"J2543","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"PIPERACILLIN/TAZOBACTAM","allowed_amounts":[{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":89.82,"providers":[{"billed_charge":99.80,"npi":[1922487966]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":134.30,"providers":[{"billed_charge":158.00,"npi":[1326028978]}]}]}]},{"billing_code":"J2550","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"PROMETHAZINE HCL INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"813425340"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":4.87,"providers":[{"billed_charge":6.00,"npi":[1194277186]}]}]}]},{"billing_code":"J2550","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION PROMETHAZINE HCL TO 50 MG","allowed_amounts":[{"tin":{"type":"ein","value":"203391873"},"billing_class":"institutional","payments":[{"allowed_amount":48.74,"providers":[{"billed_charge":269.00,"npi":[1023061405]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":6.92,"providers":[{"billed_charge":19.70,"npi":[1427030774]}]}]}]},{"billing_code":"J2550","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"PROMETHAZINE HCL INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"203391873"},"billing_class":"institutional","payments":[{"allowed_amount":48.74,"providers":[{"billed_charge":269.00,"npi":[1023061405]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":6.92,"providers":[{"billed_charge":19.70,"npi":[1427030774]}]}]}]},{"billing_code":"J2598","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, VASOPRESSIN, 1 UNIT","allowed_amounts":[{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":724.41,"providers":[{"billed_charge":1221.60,"npi":[1659323772]}]}]}]},{"billing_code":"J2704","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, PROPOFOL, 10 MG","allowed_amounts":[{"tin":{"type":"ein","value":"201628793"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.88,"providers":[{"billed_charge":1.25,"npi":[1942300298]}]},{"allowed_amount":8.10,"providers":[{"billed_charge":56.25,"npi":[1942300298]}]},{"allowed_amount":17.50,"providers":[{"billed_charge":25.00,"npi":[1942300298]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.25,"providers":[{"billed_charge":12.50,"npi":[1225246812]}]},{"allowed_amount":14.63,"providers":[{"billed_charge":16.25,"npi":[1225246812]}]},{"allowed_amount":16.88,"providers":[{"billed_charge":18.75,"npi":[1225246812]}]},{"allowed_amount":19.13,"providers":[{"billed_charge":21.25,"npi":[1225246812]}]},{"allowed_amount":20.25,"providers":[{"billed_charge":22.50,"npi":[1225246812]}]},{"allowed_amount":28.13,"providers":[{"billed_charge":31.25,"npi":[1225246812]}]},{"allowed_amount":33.75,"providers":[{"billed_charge":37.50,"npi":[1225246812]}]},{"allowed_amount":36.00,"providers":[{"billed_charge":40.00,"npi":[1225246812]}]},{"allowed_amount":45.00,"providers":[{"billed_charge":50.00,"npi":[1225246812]}]}]}]},{"billing_code":"J2704","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, PROPOFOL, 10 MG","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":28.69,"providers":[{"billed_charge":31.19,"npi":[1710087127]}]},{"allowed_amount":50.01,"providers":[{"billed_charge":54.36,"npi":[1710087127]}]},{"allowed_amount":292.83,"providers":[{"billed_charge":318.29,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"201852902"},"billing_class":"institutional","payments":[{"allowed_amount":551.80,"providers":[{"billed_charge":680.40,"npi":[1053364703]}]}]},{"tin":{"type":"ein","value":"222667354"},"billing_class":"institutional","payments":[{"allowed_amount":10.86,"providers":[{"billed_charge":15.52,"npi":[1760598700]}]}]},{"tin":{"type":"ein","value":"264827222"},"billing_class":"institutional","payments":[{"allowed_amount":16.28,"providers":[{"billed_charge":19.61,"npi":[1609189604]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":3.45,"providers":[{"billed_charge":3.52,"npi":[1548212988]}]},{"allowed_amount":91.11,"providers":[{"billed_charge":92.97,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"370647938"},"billing_class":"institutional","payments":[{"allowed_amount":56.21,"providers":[{"billed_charge":66.12,"npi":[1114935681]}]}]},{"tin":{"type":"ein","value":"431343281"},"billing_class":"institutional","payments":[{"allowed_amount":9.49,"providers":[{"billed_charge":16.50,"npi":[1962572396]}]}]},{"tin":{"type":"ein","value":"461382538"},"billing_class":"institutional","payments":[{"allowed_amount":11.97,"providers":[{"billed_charge":14.42,"npi":[1043641897]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":5.53,"providers":[{"billed_charge":5.88,"npi":[1841271459]}]},{"allowed_amount":112.80,"providers":[{"billed_charge":120.00,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":9.27,"providers":[{"billed_charge":26.40,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":72.04,"providers":[{"billed_charge":212.82,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":30.87,"providers":[{"billed_charge":45.40,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":100.80,"npi":[1043270564]}]},{"allowed_amount":30.21,"providers":[{"billed_charge":104.70,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"586025393"},"billing_class":"institutional","payments":[{"allowed_amount":61.20,"providers":[{"billed_charge":72.00,"npi":[1487684122]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":34.96,"providers":[{"billed_charge":41.13,"npi":[1427114099]}]},{"allowed_amount":156.54,"providers":[{"billed_charge":184.16,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":84.63,"providers":[{"billed_charge":120.90,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":2.53,"providers":[{"billed_charge":15.60,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"621113169"},"billing_class":"institutional","payments":[{"allowed_amount":7.61,"providers":[{"billed_charge":38.85,"npi":[1144213117]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":44.05,"providers":[{"billed_charge":80.23,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":14.25,"providers":[{"billed_charge":15.00,"npi":[1275531956]}]},{"allowed_amount":32.30,"providers":[{"billed_charge":34.00,"npi":[1275531956]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":28.20,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"650844880"},"billing_class":"institutional","payments":[{"allowed_amount":19.14,"providers":[{"billed_charge":28.95,"npi":[1083644033]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":58.76,"providers":[{"billed_charge":75.00,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":5.42,"providers":[{"billed_charge":5.70,"npi":[1154392231]}]},{"allowed_amount":28.41,"providers":[{"billed_charge":29.90,"npi":[1154392231]}]},{"allowed_amount":35.53,"providers":[{"billed_charge":37.40,"npi":[1154392231]}]},{"allowed_amount":36.48,"providers":[{"billed_charge":38.40,"npi":[1154392231]}]},{"allowed_amount":38.10,"providers":[{"billed_charge":40.10,"npi":[1154392231]}]},{"allowed_amount":75.53,"providers":[{"billed_charge":79.50,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":17.54,"providers":[{"billed_charge":25.06,"npi":[1861194086]}]}]}]},{"billing_code":"J2704","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION PROPOFOL 10 MG","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":28.69,"providers":[{"billed_charge":31.19,"npi":[1710087127]}]},{"allowed_amount":50.01,"providers":[{"billed_charge":54.36,"npi":[1710087127]}]},{"allowed_amount":292.83,"providers":[{"billed_charge":318.29,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"201852902"},"billing_class":"institutional","payments":[{"allowed_amount":551.80,"providers":[{"billed_charge":680.40,"npi":[1053364703]}]}]},{"tin":{"type":"ein","value":"222667354"},"billing_class":"institutional","payments":[{"allowed_amount":10.86,"providers":[{"billed_charge":15.52,"npi":[1760598700]}]}]},{"tin":{"type":"ein","value":"264827222"},"billing_class":"institutional","payments":[{"allowed_amount":16.28,"providers":[{"billed_charge":19.61,"npi":[1609189604]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":3.45,"providers":[{"billed_charge":3.52,"npi":[1548212988]}]},{"allowed_amount":91.11,"providers":[{"billed_charge":92.97,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"370647938"},"billing_class":"institutional","payments":[{"allowed_amount":56.21,"providers":[{"billed_charge":66.12,"npi":[1114935681]}]}]},{"tin":{"type":"ein","value":"431343281"},"billing_class":"institutional","payments":[{"allowed_amount":9.49,"providers":[{"billed_charge":16.50,"npi":[1962572396]}]}]},{"tin":{"type":"ein","value":"461382538"},"billing_class":"institutional","payments":[{"allowed_amount":11.97,"providers":[{"billed_charge":14.42,"npi":[1043641897]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":5.53,"providers":[{"billed_charge":5.88,"npi":[1841271459]}]},{"allowed_amount":112.80,"providers":[{"billed_charge":120.00,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":9.27,"providers":[{"billed_charge":26.40,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":72.04,"providers":[{"billed_charge":212.82,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":30.87,"providers":[{"billed_charge":45.40,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":100.80,"npi":[1043270564]}]},{"allowed_amount":30.21,"providers":[{"billed_charge":104.70,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"586025393"},"billing_class":"institutional","payments":[{"allowed_amount":61.20,"providers":[{"billed_charge":72.00,"npi":[1487684122]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":34.96,"providers":[{"billed_charge":41.13,"npi":[1427114099]}]},{"allowed_amount":156.54,"providers":[{"billed_charge":184.16,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":84.63,"providers":[{"billed_charge":120.90,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":2.53,"providers":[{"billed_charge":15.60,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"621113169"},"billing_class":"institutional","payments":[{"allowed_amount":7.61,"providers":[{"billed_charge":38.85,"npi":[1144213117]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":44.05,"providers":[{"billed_charge":80.23,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":14.25,"providers":[{"billed_charge":15.00,"npi":[1275531956]}]},{"allowed_amount":32.30,"providers":[{"billed_charge":34.00,"npi":[1275531956]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":28.20,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"650844880"},"billing_class":"institutional","payments":[{"allowed_amount":19.14,"providers":[{"billed_charge":28.95,"npi":[1083644033]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":58.76,"providers":[{"billed_charge":75.00,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":5.42,"providers":[{"billed_charge":5.70,"npi":[1154392231]}]},{"allowed_amount":28.41,"providers":[{"billed_charge":29.90,"npi":[1154392231]}]},{"allowed_amount":35.53,"providers":[{"billed_charge":37.40,"npi":[1154392231]}]},{"allowed_amount":36.48,"providers":[{"billed_charge":38.40,"npi":[1154392231]}]},{"allowed_amount":38.10,"providers":[{"billed_charge":40.10,"npi":[1154392231]}]},{"allowed_amount":75.53,"providers":[{"billed_charge":79.50,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":17.54,"providers":[{"billed_charge":25.06,"npi":[1861194086]}]}]}]},{"billing_code":"J2710","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ NEOSTIGMINE METHYLSULFAT 0.5 MG","allowed_amounts":[{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":25.73,"providers":[{"billed_charge":76.01,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":25.38,"providers":[{"billed_charge":47.03,"npi":[1306876065]}]}]}]},{"billing_code":"J2710","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"NEOSTIGMINE METHYLSLFTE INJ","allowed_amounts":[{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":25.73,"providers":[{"billed_charge":76.01,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":25.38,"providers":[{"billed_charge":47.03,"npi":[1306876065]}]}]}]},{"billing_code":"J2765","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ METOCLOPRAMIDE HCL TO 10 MG","allowed_amounts":[{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":1.95,"providers":[{"billed_charge":4.34,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"263734606"},"billing_class":"institutional","payments":[{"allowed_amount":37.70,"providers":[{"billed_charge":58.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"460600008"},"billing_class":"institutional","payments":[{"allowed_amount":1.34,"providers":[{"billed_charge":58.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":7.38,"providers":[{"billed_charge":21.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":42.55,"providers":[{"billed_charge":60.79,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":18.75,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"591713947"},"billing_class":"institutional","payments":[{"allowed_amount":5.85,"providers":[{"billed_charge":16.50,"npi":[1225033020]}]}]},{"tin":{"type":"ein","value":"592951990"},"billing_class":"institutional","payments":[{"allowed_amount":11.72,"providers":[{"billed_charge":16.75,"npi":[1679678486]}]}]},{"tin":{"type":"ein","value":"606000080"},"billing_class":"institutional","payments":[{"allowed_amount":29.28,"providers":[{"billed_charge":58.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"637346060"},"billing_class":"institutional","payments":[{"allowed_amount":5.29,"providers":[{"billed_charge":58.00,"npi":[1710314141]}]},{"allowed_amount":7.93,"providers":[{"billed_charge":58.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"734606000"},"billing_class":"institutional","payments":[{"allowed_amount":3.72,"providers":[{"billed_charge":58.00,"npi":[1710314141]}]},{"allowed_amount":4.51,"providers":[{"billed_charge":58.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":246.92,"providers":[{"billed_charge":342.00,"npi":[1407637531]}]}]}]},{"billing_code":"J2765","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"METOCLOPRAMIDE HCL INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":1.95,"providers":[{"billed_charge":4.34,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"263734606"},"billing_class":"institutional","payments":[{"allowed_amount":37.70,"providers":[{"billed_charge":58.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"460600008"},"billing_class":"institutional","payments":[{"allowed_amount":1.34,"providers":[{"billed_charge":58.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":7.38,"providers":[{"billed_charge":21.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":42.55,"providers":[{"billed_charge":60.79,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":18.75,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"591713947"},"billing_class":"institutional","payments":[{"allowed_amount":5.85,"providers":[{"billed_charge":16.50,"npi":[1225033020]}]}]},{"tin":{"type":"ein","value":"592951990"},"billing_class":"institutional","payments":[{"allowed_amount":11.72,"providers":[{"billed_charge":16.75,"npi":[1679678486]}]}]},{"tin":{"type":"ein","value":"606000080"},"billing_class":"institutional","payments":[{"allowed_amount":29.28,"providers":[{"billed_charge":58.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"637346060"},"billing_class":"institutional","payments":[{"allowed_amount":5.29,"providers":[{"billed_charge":58.00,"npi":[1710314141]}]},{"allowed_amount":7.93,"providers":[{"billed_charge":58.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"734606000"},"billing_class":"institutional","payments":[{"allowed_amount":3.72,"providers":[{"billed_charge":58.00,"npi":[1710314141]}]},{"allowed_amount":4.51,"providers":[{"billed_charge":58.00,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":246.92,"providers":[{"billed_charge":342.00,"npi":[1407637531]}]}]}]},{"billing_code":"J2777","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"INJ, FARICIMAB-SVOA, 0.1MG","allowed_amounts":[{"tin":{"type":"ein","value":"391093716"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2803.68,"providers":[{"billed_charge":3115.20,"npi":[1740263458]}]}]}]},{"billing_code":"J2785","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION REGADENOSON 0.1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":49.47,"providers":[{"billed_charge":304.12,"npi":[1750333282]}]}]}]},{"billing_code":"J2785","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"REGADENOSON INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":49.47,"providers":[{"billed_charge":304.12,"npi":[1750333282]}]}]}]},{"billing_code":"J2795","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"ROPIVACAINE HCL INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"621654377"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.96,"providers":[{"billed_charge":80.00,"npi":[1831495613]}]}]}]},{"billing_code":"J2800","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION METHOCARBAMOL UP TO 10 ML","allowed_amounts":[{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":139.68,"providers":[{"billed_charge":576.00,"npi":[1063406684]}]}]}]},{"billing_code":"J2800","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"METHOCARBAMOL INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":139.68,"providers":[{"billed_charge":576.00,"npi":[1063406684]}]}]}]},{"billing_code":"J2919","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"INJ, METHYLPRED SOD SUCC 5MG","allowed_amounts":[{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":13.50,"providers":[{"billed_charge":13.50,"npi":[1356345920]}]}]},{"tin":{"type":"ein","value":"832053115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.25,"providers":[{"billed_charge":25.00,"npi":[1093284010]}]}]},{"tin":{"type":"ein","value":"920665139"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":75.00,"npi":[1063123735]}]}]}]},{"billing_code":"J2919","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, METHYLPRED SOD SUCC 5MG","allowed_amounts":[{"tin":{"type":"ein","value":"217981300"},"billing_class":"institutional","payments":[{"allowed_amount":24.43,"providers":[{"billed_charge":61.84,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"362179813"},"billing_class":"institutional","payments":[{"allowed_amount":14.33,"providers":[{"billed_charge":61.84,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"384105653"},"billing_class":"institutional","payments":[{"allowed_amount":23.55,"providers":[{"billed_charge":70.70,"npi":[1326020447]}]}]},{"tin":{"type":"ein","value":"590872594"},"billing_class":"institutional","payments":[{"allowed_amount":57.80,"providers":[{"billed_charge":68.00,"npi":[1982688230]}]}]},{"tin":{"type":"ein","value":"590898901"},"billing_class":"institutional","payments":[{"allowed_amount":113.72,"providers":[{"billed_charge":162.45,"npi":[1568473015]}]}]},{"tin":{"type":"ein","value":"621114867"},"billing_class":"institutional","payments":[{"allowed_amount":45.39,"providers":[{"billed_charge":60.51,"npi":[1528052578]}]}]},{"tin":{"type":"ein","value":"621798130"},"billing_class":"institutional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":61.84,"npi":[1831151257]}]}]}]},{"billing_code":"J2930","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"METHYLPREDNISOLONE INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":24.00,"providers":[{"billed_charge":40.00,"npi":[1154721272]}]}]}]},{"billing_code":"J2997","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"ALTEPLASE RECOMBINANT","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":357.83,"providers":[{"billed_charge":1101.90,"npi":[1992754758]}]}]}]},{"billing_code":"J2997","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ ALTEPLASE RECOMBINANT 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":357.83,"providers":[{"billed_charge":1101.90,"npi":[1992754758]}]}]}]},{"billing_code":"J3010","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"FENTANYL CITRATE INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":28.17,"providers":[{"billed_charge":30.62,"npi":[1710087127]}]},{"allowed_amount":28.89,"providers":[{"billed_charge":31.40,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"043399616"},"billing_class":"institutional","payments":[{"allowed_amount":3.99,"providers":[{"billed_charge":7.93,"npi":[1730121633]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":8.39,"providers":[{"billed_charge":10.21,"npi":[1548315401]}]},{"allowed_amount":8.47,"providers":[{"billed_charge":10.21,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"264827222"},"billing_class":"institutional","payments":[{"allowed_amount":5.37,"providers":[{"billed_charge":6.47,"npi":[1609189604]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":3.24,"providers":[{"billed_charge":3.31,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"350876396"},"billing_class":"institutional","payments":[{"allowed_amount":6.30,"providers":[{"billed_charge":7.97,"npi":[1619975331]}]}]},{"tin":{"type":"ein","value":"461382538"},"billing_class":"institutional","payments":[{"allowed_amount":6.54,"providers":[{"billed_charge":7.88,"npi":[1043641897]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":9.87,"providers":[{"billed_charge":10.50,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":9.97,"providers":[{"billed_charge":28.40,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":1.68,"providers":[{"billed_charge":9.48,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":44.28,"providers":[{"billed_charge":130.81,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":17.99,"providers":[{"billed_charge":26.45,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":51.02,"providers":[{"billed_charge":72.89,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":1.09,"providers":[{"billed_charge":6.73,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":189.16,"providers":[{"billed_charge":344.56,"npi":[1659323772]}]},{"allowed_amount":204.32,"providers":[{"billed_charge":344.56,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":14.25,"providers":[{"billed_charge":15.00,"npi":[1275531956]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":14.82,"providers":[{"billed_charge":22.80,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":10.79,"providers":[{"billed_charge":20.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":1.92,"providers":[{"billed_charge":9.92,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"650666516"},"billing_class":"institutional","payments":[{"allowed_amount":26.80,"providers":[{"billed_charge":33.50,"npi":[1487760906]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":39.91,"providers":[{"billed_charge":45.35,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":53.27,"providers":[{"billed_charge":68.00,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":2.01,"providers":[{"billed_charge":2.87,"npi":[1861194086]}]}]},{"tin":{"type":"ein","value":"934580630"},"billing_class":"institutional","payments":[{"allowed_amount":0.94,"providers":[{"billed_charge":28.00,"npi":[1205605409]}]}]}]},{"billing_code":"J3010","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION FENTANYL CITRATE 0.1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":28.17,"providers":[{"billed_charge":30.62,"npi":[1710087127]}]},{"allowed_amount":28.89,"providers":[{"billed_charge":31.40,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"043399616"},"billing_class":"institutional","payments":[{"allowed_amount":3.99,"providers":[{"billed_charge":7.93,"npi":[1730121633]}]}]},{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":8.39,"providers":[{"billed_charge":10.21,"npi":[1548315401]}]},{"allowed_amount":8.47,"providers":[{"billed_charge":10.21,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"264827222"},"billing_class":"institutional","payments":[{"allowed_amount":5.37,"providers":[{"billed_charge":6.47,"npi":[1609189604]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":3.24,"providers":[{"billed_charge":3.31,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"350876396"},"billing_class":"institutional","payments":[{"allowed_amount":6.30,"providers":[{"billed_charge":7.97,"npi":[1619975331]}]}]},{"tin":{"type":"ein","value":"461382538"},"billing_class":"institutional","payments":[{"allowed_amount":6.54,"providers":[{"billed_charge":7.88,"npi":[1043641897]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":9.87,"providers":[{"billed_charge":10.50,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":9.97,"providers":[{"billed_charge":28.40,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":1.68,"providers":[{"billed_charge":9.48,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":44.28,"providers":[{"billed_charge":130.81,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":17.99,"providers":[{"billed_charge":26.45,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":51.02,"providers":[{"billed_charge":72.89,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":1.09,"providers":[{"billed_charge":6.73,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":189.16,"providers":[{"billed_charge":344.56,"npi":[1659323772]}]},{"allowed_amount":204.32,"providers":[{"billed_charge":344.56,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":14.25,"providers":[{"billed_charge":15.00,"npi":[1275531956]}]}]},{"tin":{"type":"ein","value":"636005396"},"billing_class":"institutional","payments":[{"allowed_amount":14.82,"providers":[{"billed_charge":22.80,"npi":[1154435824]}]}]},{"tin":{"type":"ein","value":"640303091"},"billing_class":"institutional","payments":[{"allowed_amount":10.79,"providers":[{"billed_charge":20.00,"npi":[1306876065]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":1.92,"providers":[{"billed_charge":9.92,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"650666516"},"billing_class":"institutional","payments":[{"allowed_amount":26.80,"providers":[{"billed_charge":33.50,"npi":[1487760906]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":39.91,"providers":[{"billed_charge":45.35,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":53.27,"providers":[{"billed_charge":68.00,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"883616696"},"billing_class":"institutional","payments":[{"allowed_amount":2.01,"providers":[{"billed_charge":2.87,"npi":[1861194086]}]}]},{"tin":{"type":"ein","value":"934580630"},"billing_class":"institutional","payments":[{"allowed_amount":0.94,"providers":[{"billed_charge":28.00,"npi":[1205605409]}]}]}]},{"billing_code":"J3030","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION SUMATRIPTAN SUCCNAT 6 MG","allowed_amounts":[{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":36.96,"providers":[{"billed_charge":46.20,"npi":[1588640692]}]}]}]},{"billing_code":"J3030","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"SUMATRIPTAN SUCCINATE / 6 MG","allowed_amounts":[{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":36.96,"providers":[{"billed_charge":46.20,"npi":[1588640692]}]}]}]},{"billing_code":"J3245","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"INJ., TILDRAKIZUMAB, 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"270744815"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":30000.00,"providers":[{"billed_charge":41370.00,"npi":[1619296761]}]}]}]},{"billing_code":"J3301","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"TRIAMCINOLONE ACET INJ NOS","allowed_amounts":[{"tin":{"type":"ein","value":"020781602"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.20,"providers":[{"billed_charge":24.00,"npi":[1639195126]}]}]},{"tin":{"type":"ein","value":"043595273"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.25,"providers":[{"billed_charge":25.00,"npi":[1033250857]}]}]},{"tin":{"type":"ein","value":"133275330"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.36,"providers":[{"billed_charge":2.71,"npi":[1679620769]}]}]},{"tin":{"type":"ein","value":"200602254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.03,"providers":[{"billed_charge":2.71,"npi":[1730244872]}]}]},{"tin":{"type":"ein","value":"251838458"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.52,"providers":[{"billed_charge":24.00,"npi":[1689674871]}]},{"allowed_amount":23.04,"providers":[{"billed_charge":48.00,"npi":[1689674871]}]}]},{"tin":{"type":"ein","value":"452474599"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.32,"providers":[{"billed_charge":30.00,"npi":[1750677241]}]}]},{"tin":{"type":"ein","value":"461507241"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3.60,"providers":[{"billed_charge":8.00,"npi":[1306280177]}]}]},{"tin":{"type":"ein","value":"521976286"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.88,"providers":[{"billed_charge":16.00,"npi":[1477583599]}]}]},{"tin":{"type":"ein","value":"541869072"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.68,"providers":[{"billed_charge":12.00,"npi":[1639125271]}]}]},{"tin":{"type":"ein","value":"561093722"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.68,"providers":[{"billed_charge":32.00,"npi":[1497704217]}]}]},{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.68,"providers":[{"billed_charge":20.00,"npi":[1639366214]}]}]},{"tin":{"type":"ein","value":"570571969"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":8.00,"providers":[{"billed_charge":16.00,"npi":[1083693857]}]}]},{"tin":{"type":"ein","value":"570710106"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":11.36,"providers":[{"billed_charge":64.00,"npi":[1447235106]}]}]},{"tin":{"type":"ein","value":"576000254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.57,"providers":[{"billed_charge":5.00,"npi":[1053437301]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":17.00,"providers":[{"billed_charge":20.00,"npi":[1689610149]}]}]},{"tin":{"type":"ein","value":"582069754"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":6.28,"providers":[{"billed_charge":120.00,"npi":[1316973472]}]}]},{"tin":{"type":"ein","value":"582316841"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.52,"providers":[{"billed_charge":4.52,"npi":[1346351582]}]}]},{"tin":{"type":"ein","value":"591361697"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.50,"providers":[{"billed_charge":6.00,"npi":[1942263694]}]}]},{"tin":{"type":"ein","value":"621013399"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.66,"providers":[{"billed_charge":2.07,"npi":[1487695862]}]}]},{"tin":{"type":"ein","value":"651202935"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.65,"providers":[{"billed_charge":12.00,"npi":[1801010145]}]}]},{"tin":{"type":"ein","value":"813425340"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":5.68,"providers":[{"billed_charge":24.00,"npi":[1194277186]}]}]},{"tin":{"type":"ein","value":"822410133"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.80,"providers":[{"billed_charge":7.00,"npi":[1538686498]}]}]},{"tin":{"type":"ein","value":"823541643"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.54,"providers":[{"billed_charge":0.90,"npi":[1487168258]}]}]},{"tin":{"type":"ein","value":"852914575"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.00,"providers":[{"billed_charge":20.00,"npi":[1699382507]}]}]},{"tin":{"type":"ein","value":"870218917"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.20,"providers":[{"billed_charge":24.00,"npi":[1447239355]}]}]},{"tin":{"type":"ein","value":"933582623"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.40,"providers":[{"billed_charge":24.00,"npi":[1780453464]}]}]}]},{"billing_code":"J3301","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ TRIAMCINOLON ACETONID NOS 10 MG","allowed_amounts":[{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":14.25,"providers":[{"billed_charge":15.00,"npi":[1275531956]}]}]}]},{"billing_code":"J3301","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"TRIAMCINOLONE ACET INJ NOS","allowed_amounts":[{"tin":{"type":"ein","value":"626002166"},"billing_class":"institutional","payments":[{"allowed_amount":14.25,"providers":[{"billed_charge":15.00,"npi":[1275531956]}]}]}]},{"billing_code":"J3370","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION VANCOMYCIN HCL 500 MG","allowed_amounts":[{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":105.02,"providers":[{"billed_charge":116.70,"npi":[1922487966]}]}]}]},{"billing_code":"J3370","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"VANCOMYCIN HCL INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":105.02,"providers":[{"billed_charge":116.70,"npi":[1922487966]}]}]}]},{"billing_code":"J3380","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION, VEDOLIZUMAB IV 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"571085343"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7942.68,"providers":[{"billed_charge":25999.75,"npi":[1265462659]}]}]},{"tin":{"type":"ein","value":"811177414"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":42.86,"providers":[{"billed_charge":20811.73,"npi":[1396288338]}]}]},{"tin":{"type":"ein","value":"854141201"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":7345.80,"providers":[{"billed_charge":20799.80,"npi":[1033782255]}]}]}]},{"billing_code":"J3380","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION VEDOLIZUMAB 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"630997281"},"billing_class":"institutional","payments":[{"allowed_amount":18459.82,"providers":[{"billed_charge":25999.74,"npi":[1780648352]}]}]}]},{"billing_code":"J3380","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION, VEDOLIZUMAB","allowed_amounts":[{"tin":{"type":"ein","value":"630997281"},"billing_class":"institutional","payments":[{"allowed_amount":18459.82,"providers":[{"billed_charge":25999.74,"npi":[1780648352]}]}]}]},{"billing_code":"J3380","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION, VEDOLIZUMAB IV 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"630997281"},"billing_class":"institutional","payments":[{"allowed_amount":18459.82,"providers":[{"billed_charge":25999.74,"npi":[1780648352]}]}]}]},{"billing_code":"J3411","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION THIAMINE HCL 100 MG","allowed_amounts":[{"tin":{"type":"ein","value":"822913146"},"billing_class":"institutional","payments":[{"allowed_amount":87.75,"providers":[{"billed_charge":135.00,"npi":[1972517365]}]}]}]},{"billing_code":"J3411","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"THIAMINE HCL 100 MG","allowed_amounts":[{"tin":{"type":"ein","value":"822913146"},"billing_class":"institutional","payments":[{"allowed_amount":87.75,"providers":[{"billed_charge":135.00,"npi":[1972517365]}]}]}]},{"billing_code":"J3420","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"VITAMIN B12 INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.11,"providers":[{"billed_charge":10.00,"npi":[1902980865]}]}]},{"tin":{"type":"ein","value":"991936736"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.26,"providers":[{"billed_charge":25.00,"npi":[1770342354]}]}]}]},{"billing_code":"J3420","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ VIT B-12 CYNOCOBLMN TO 1000 MCG","allowed_amounts":[{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":14.33,"providers":[{"billed_charge":16.86,"npi":[1669475950]}]}]}]},{"billing_code":"J3420","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"VITAMIN B12 INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"351361243"},"billing_class":"institutional","payments":[{"allowed_amount":14.33,"providers":[{"billed_charge":16.86,"npi":[1669475950]}]}]}]},{"billing_code":"J3475","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ MAGNESIUM SULFATE","allowed_amounts":[{"tin":{"type":"ein","value":"217981300"},"billing_class":"institutional","payments":[{"allowed_amount":26.06,"providers":[{"billed_charge":65.95,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"362179813"},"billing_class":"institutional","payments":[{"allowed_amount":15.28,"providers":[{"billed_charge":65.95,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":68.00,"providers":[{"billed_charge":80.00,"npi":[1326028978]}]}]},{"tin":{"type":"ein","value":"621798130"},"billing_class":"institutional","payments":[{"allowed_amount":28.65,"providers":[{"billed_charge":65.95,"npi":[1831151257]}]}]}]},{"billing_code":"J3475","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ MAGNESIUM SULFATE PER 500 MG","allowed_amounts":[{"tin":{"type":"ein","value":"217981300"},"billing_class":"institutional","payments":[{"allowed_amount":26.06,"providers":[{"billed_charge":65.95,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"362179813"},"billing_class":"institutional","payments":[{"allowed_amount":15.28,"providers":[{"billed_charge":65.95,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"582513901"},"billing_class":"institutional","payments":[{"allowed_amount":68.00,"providers":[{"billed_charge":80.00,"npi":[1326028978]}]}]},{"tin":{"type":"ein","value":"621798130"},"billing_class":"institutional","payments":[{"allowed_amount":28.65,"providers":[{"billed_charge":65.95,"npi":[1831151257]}]}]}]},{"billing_code":"J3490","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"DRUGS UNCLASSIFIED INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"257040159"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":12.00,"npi":[1275932733]}]}]},{"tin":{"type":"ein","value":"272046755"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":25.00,"providers":[{"billed_charge":25.00,"npi":[1225466527]}]}]},{"tin":{"type":"ein","value":"450439149"},"billing_class":"professional","service_code":["42"],"payments":[{"allowed_amount":34.54,"providers":[{"billed_charge":50.00,"npi":[1043919095]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":1.00,"providers":[{"billed_charge":1.00,"npi":[1144803040]}]}]}]},{"billing_code":"J3490","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"DRUGS UNCLASSIFIED INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"042551124"},"billing_class":"institutional","payments":[{"allowed_amount":2.55,"providers":[{"billed_charge":4.39,"npi":[1780600825]}]}]},{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":217.12,"providers":[{"billed_charge":236.00,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":0.90,"providers":[{"billed_charge":1.96,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":6.29,"npi":[1548212988]}]},{"allowed_amount":8.70,"providers":[{"billed_charge":8.88,"npi":[1548212988]}]},{"allowed_amount":32.69,"providers":[{"billed_charge":33.36,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":12.27,"providers":[{"billed_charge":14.43,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":0.44,"providers":[{"billed_charge":1.25,"npi":[1427030774]}]},{"allowed_amount":5.90,"providers":[{"billed_charge":16.80,"npi":[1427030774]}]},{"allowed_amount":6.41,"providers":[{"billed_charge":18.25,"npi":[1427030774]}]},{"allowed_amount":9.96,"providers":[{"billed_charge":28.35,"npi":[1427030774]}]},{"allowed_amount":17.07,"providers":[{"billed_charge":48.60,"npi":[1427030774]}]},{"allowed_amount":22.18,"providers":[{"billed_charge":63.15,"npi":[1427030774]}]},{"allowed_amount":24.97,"providers":[{"billed_charge":71.10,"npi":[1427030774]}]},{"allowed_amount":26.02,"providers":[{"billed_charge":74.10,"npi":[1427030774]}]},{"allowed_amount":31.68,"providers":[{"billed_charge":90.20,"npi":[1427030774]}]},{"allowed_amount":35.54,"providers":[{"billed_charge":101.20,"npi":[1427030774]}]},{"allowed_amount":187.79,"providers":[{"billed_charge":534.65,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"581588823"},"billing_class":"institutional","payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":9.10,"npi":[1477591055]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":16.12,"providers":[{"billed_charge":18.32,"npi":[1477643690]}]},{"allowed_amount":99.90,"providers":[{"billed_charge":113.52,"npi":[1477643690]}]},{"allowed_amount":234.99,"providers":[{"billed_charge":267.03,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":4.51,"providers":[{"billed_charge":66.15,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":51.63,"providers":[{"billed_charge":65.90,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":59.41,"providers":[{"billed_charge":91.40,"npi":[1174512792]}]}]}]},{"billing_code":"J3490","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"UNCLASSIFIED DRUGS","allowed_amounts":[{"tin":{"type":"ein","value":"042551124"},"billing_class":"institutional","payments":[{"allowed_amount":2.55,"providers":[{"billed_charge":4.39,"npi":[1780600825]}]}]},{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":217.12,"providers":[{"billed_charge":236.00,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":0.90,"providers":[{"billed_charge":1.96,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"310833936"},"billing_class":"institutional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":6.29,"npi":[1548212988]}]},{"allowed_amount":8.70,"providers":[{"billed_charge":8.88,"npi":[1548212988]}]},{"allowed_amount":32.69,"providers":[{"billed_charge":33.36,"npi":[1548212988]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":12.27,"providers":[{"billed_charge":14.43,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":0.44,"providers":[{"billed_charge":1.25,"npi":[1427030774]}]},{"allowed_amount":5.90,"providers":[{"billed_charge":16.80,"npi":[1427030774]}]},{"allowed_amount":6.41,"providers":[{"billed_charge":18.25,"npi":[1427030774]}]},{"allowed_amount":9.96,"providers":[{"billed_charge":28.35,"npi":[1427030774]}]},{"allowed_amount":17.07,"providers":[{"billed_charge":48.60,"npi":[1427030774]}]},{"allowed_amount":22.18,"providers":[{"billed_charge":63.15,"npi":[1427030774]}]},{"allowed_amount":24.97,"providers":[{"billed_charge":71.10,"npi":[1427030774]}]},{"allowed_amount":26.02,"providers":[{"billed_charge":74.10,"npi":[1427030774]}]},{"allowed_amount":31.68,"providers":[{"billed_charge":90.20,"npi":[1427030774]}]},{"allowed_amount":35.54,"providers":[{"billed_charge":101.20,"npi":[1427030774]}]},{"allowed_amount":187.79,"providers":[{"billed_charge":534.65,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"581588823"},"billing_class":"institutional","payments":[{"allowed_amount":2.02,"providers":[{"billed_charge":9.10,"npi":[1477591055]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":16.12,"providers":[{"billed_charge":18.32,"npi":[1477643690]}]},{"allowed_amount":99.90,"providers":[{"billed_charge":113.52,"npi":[1477643690]}]},{"allowed_amount":234.99,"providers":[{"billed_charge":267.03,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":4.51,"providers":[{"billed_charge":66.15,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"853939331"},"billing_class":"institutional","payments":[{"allowed_amount":51.63,"providers":[{"billed_charge":65.90,"npi":[1730761065]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":59.41,"providers":[{"billed_charge":91.40,"npi":[1174512792]}]}]}]},{"billing_code":"J7030","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"NORMAL SALINE SOLUTION INFUS","allowed_amounts":[{"tin":{"type":"ein","value":"576000254"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.38,"providers":[{"billed_charge":57.00,"npi":[1053437301]}]}]},{"tin":{"type":"ein","value":"834172038"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.00,"providers":[{"billed_charge":20.00,"npi":[1811458177]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":77.90,"providers":[{"billed_charge":82.00,"npi":[1558332494]}]}]},{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":4.04,"providers":[{"billed_charge":5.00,"npi":[1144803040]}]}]}]},{"billing_code":"J7030","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INFUS NORMAL SALINE SOL 1000 CC","allowed_amounts":[{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":3.61,"providers":[{"billed_charge":10.50,"npi":[1801803903]}]},{"allowed_amount":4.71,"providers":[{"billed_charge":10.50,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"203391873"},"billing_class":"institutional","payments":[{"allowed_amount":54.06,"providers":[{"billed_charge":298.00,"npi":[1023061405]}]}]},{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":16.83,"providers":[{"billed_charge":63.70,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":31.00,"providers":[{"billed_charge":75.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"263734606"},"billing_class":"institutional","payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":10.75,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"272844563"},"billing_class":"institutional","payments":[{"allowed_amount":58.56,"providers":[{"billed_charge":122.00,"npi":[1922310200]}]}]},{"tin":{"type":"ein","value":"350211370"},"billing_class":"institutional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":35.00,"npi":[1386683316]}]}]},{"tin":{"type":"ein","value":"381459362"},"billing_class":"institutional","payments":[{"allowed_amount":4.33,"providers":[{"billed_charge":15.81,"npi":[1932396017]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":430.44,"providers":[{"billed_charge":506.40,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"431343281"},"billing_class":"institutional","payments":[{"allowed_amount":17.25,"providers":[{"billed_charge":30.00,"npi":[1962572396]}]}]},{"tin":{"type":"ein","value":"453576100"},"billing_class":"institutional","payments":[{"allowed_amount":13.61,"providers":[{"billed_charge":126.00,"npi":[1306123344]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":61.95,"providers":[{"billed_charge":105.00,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"460600008"},"billing_class":"institutional","payments":[{"allowed_amount":0.25,"providers":[{"billed_charge":10.75,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"461382538"},"billing_class":"institutional","payments":[{"allowed_amount":4.27,"providers":[{"billed_charge":5.15,"npi":[1043641897]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":28.00,"providers":[{"billed_charge":35.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":60.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":55.89,"providers":[{"billed_charge":65.75,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"606000080"},"billing_class":"institutional","payments":[{"allowed_amount":5.43,"providers":[{"billed_charge":10.75,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":22.41,"providers":[{"billed_charge":138.00,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"637346060"},"billing_class":"institutional","payments":[{"allowed_amount":0.98,"providers":[{"billed_charge":10.75,"npi":[1710314141]}]},{"allowed_amount":1.47,"providers":[{"billed_charge":10.75,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"640524079"},"billing_class":"institutional","payments":[{"allowed_amount":21.37,"providers":[{"billed_charge":60.60,"npi":[1154310514]}]}]},{"tin":{"type":"ein","value":"734606000"},"billing_class":"institutional","payments":[{"allowed_amount":0.69,"providers":[{"billed_charge":10.75,"npi":[1710314141]}]},{"allowed_amount":0.84,"providers":[{"billed_charge":10.75,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":33.28,"providers":[{"billed_charge":223.30,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":97.00,"providers":[{"billed_charge":100.00,"npi":[1194706655]}]}]}]},{"billing_code":"J7030","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"NORMAL SALINE SOLUTION INFUS","allowed_amounts":[{"tin":{"type":"ein","value":"132655001"},"billing_class":"institutional","payments":[{"allowed_amount":3.61,"providers":[{"billed_charge":10.50,"npi":[1801803903]}]},{"allowed_amount":4.71,"providers":[{"billed_charge":10.50,"npi":[1801803903]}]}]},{"tin":{"type":"ein","value":"203391873"},"billing_class":"institutional","payments":[{"allowed_amount":54.06,"providers":[{"billed_charge":298.00,"npi":[1023061405]}]}]},{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":16.83,"providers":[{"billed_charge":63.70,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":31.00,"providers":[{"billed_charge":75.00,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"263734606"},"billing_class":"institutional","payments":[{"allowed_amount":6.99,"providers":[{"billed_charge":10.75,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"272844563"},"billing_class":"institutional","payments":[{"allowed_amount":58.56,"providers":[{"billed_charge":122.00,"npi":[1922310200]}]}]},{"tin":{"type":"ein","value":"350211370"},"billing_class":"institutional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":35.00,"npi":[1386683316]}]}]},{"tin":{"type":"ein","value":"381459362"},"billing_class":"institutional","payments":[{"allowed_amount":4.33,"providers":[{"billed_charge":15.81,"npi":[1932396017]}]}]},{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":430.44,"providers":[{"billed_charge":506.40,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"431343281"},"billing_class":"institutional","payments":[{"allowed_amount":17.25,"providers":[{"billed_charge":30.00,"npi":[1962572396]}]}]},{"tin":{"type":"ein","value":"453576100"},"billing_class":"institutional","payments":[{"allowed_amount":13.61,"providers":[{"billed_charge":126.00,"npi":[1306123344]}]}]},{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":61.95,"providers":[{"billed_charge":105.00,"npi":[1114923406]}]}]},{"tin":{"type":"ein","value":"460600008"},"billing_class":"institutional","payments":[{"allowed_amount":0.25,"providers":[{"billed_charge":10.75,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"461382538"},"billing_class":"institutional","payments":[{"allowed_amount":4.27,"providers":[{"billed_charge":5.15,"npi":[1043641897]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":28.00,"providers":[{"billed_charge":35.00,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":60.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"590683252"},"billing_class":"institutional","payments":[{"allowed_amount":55.89,"providers":[{"billed_charge":65.75,"npi":[1427114099]}]}]},{"tin":{"type":"ein","value":"606000080"},"billing_class":"institutional","payments":[{"allowed_amount":5.43,"providers":[{"billed_charge":10.75,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":22.41,"providers":[{"billed_charge":138.00,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"637346060"},"billing_class":"institutional","payments":[{"allowed_amount":0.98,"providers":[{"billed_charge":10.75,"npi":[1710314141]}]},{"allowed_amount":1.47,"providers":[{"billed_charge":10.75,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"640524079"},"billing_class":"institutional","payments":[{"allowed_amount":21.37,"providers":[{"billed_charge":60.60,"npi":[1154310514]}]}]},{"tin":{"type":"ein","value":"734606000"},"billing_class":"institutional","payments":[{"allowed_amount":0.69,"providers":[{"billed_charge":10.75,"npi":[1710314141]}]},{"allowed_amount":0.84,"providers":[{"billed_charge":10.75,"npi":[1710314141]}]}]},{"tin":{"type":"ein","value":"851538878"},"billing_class":"institutional","payments":[{"allowed_amount":33.28,"providers":[{"billed_charge":223.30,"npi":[1639797913]}]}]},{"tin":{"type":"ein","value":"866007596"},"billing_class":"institutional","payments":[{"allowed_amount":97.00,"providers":[{"billed_charge":100.00,"npi":[1194706655]}]}]}]},{"billing_code":"J7040","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"NORMAL SALINE SOLUTION INFUS","allowed_amounts":[{"tin":{"type":"ein","value":"201628793"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.50,"providers":[{"billed_charge":23.00,"npi":[1942300298]}]},{"allowed_amount":16.10,"providers":[{"billed_charge":23.00,"npi":[1942300298]}]}]},{"tin":{"type":"ein","value":"651313380"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":20.70,"providers":[{"billed_charge":23.00,"npi":[1225246812]}]}]},{"tin":{"type":"ein","value":"834172038"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":7.50,"providers":[{"billed_charge":15.00,"npi":[1811458177]}]}]}]},{"billing_code":"J7040","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INFUS NORMAL SALINE SOL STERILE","allowed_amounts":[{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":2.58,"providers":[{"billed_charge":2.58,"npi":[1740377423]}]}]}]},{"billing_code":"J7040","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"NORMAL SALINE SOLUTION INFUS","allowed_amounts":[{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":2.58,"providers":[{"billed_charge":2.58,"npi":[1740377423]}]}]}]},{"billing_code":"J7042","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"5% DEXTROSE/NORMAL SALINE","allowed_amounts":[{"tin":{"type":"ein","value":"580566257"},"billing_class":"institutional","payments":[{"allowed_amount":28.00,"providers":[{"billed_charge":35.00,"npi":[1679664395]}]}]}]},{"billing_code":"J7050","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"NORMAL SALINE SOLUTION INFUS","allowed_amounts":[{"tin":{"type":"ein","value":"571085343"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.71,"providers":[{"billed_charge":3.98,"npi":[1265462659]}]},{"allowed_amount":1.07,"providers":[{"billed_charge":3.98,"npi":[1265462659]},{"billed_charge":6.00,"npi":[1265462659]},{"billed_charge":7.44,"npi":[1265462659]}]},{"allowed_amount":1.08,"providers":[{"billed_charge":6.02,"npi":[1265462659]}]},{"allowed_amount":1.33,"providers":[{"billed_charge":7.44,"npi":[1265462659]}]},{"allowed_amount":1.35,"providers":[{"billed_charge":3.98,"npi":[1265462659]},{"billed_charge":7.44,"npi":[1265462659]}]},{"allowed_amount":1.49,"providers":[{"billed_charge":7.44,"npi":[1265462659]}]}]}]},{"billing_code":"J7050","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INFUS NORMAL SALINE SOLUTION 250 CC","allowed_amounts":[{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":139.05,"providers":[{"billed_charge":154.50,"npi":[1922487966]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":8.16,"providers":[{"billed_charge":9.60,"npi":[1427145176]}]},{"allowed_amount":8.72,"providers":[{"billed_charge":10.26,"npi":[1427145176]}]},{"allowed_amount":9.60,"providers":[{"billed_charge":11.29,"npi":[1427145176]}]},{"allowed_amount":16.32,"providers":[{"billed_charge":19.20,"npi":[1427145176]}]},{"allowed_amount":18.17,"providers":[{"billed_charge":21.38,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":108.56,"providers":[{"billed_charge":197.74,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"630997281"},"billing_class":"institutional","payments":[{"allowed_amount":81.65,"providers":[{"billed_charge":115.00,"npi":[1780648352]}]},{"allowed_amount":89.81,"providers":[{"billed_charge":126.50,"npi":[1780648352]}]}]}]},{"billing_code":"J7050","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"NORMAL SALINE SOLUTION INFUS","allowed_amounts":[{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":139.05,"providers":[{"billed_charge":154.50,"npi":[1922487966]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":8.16,"providers":[{"billed_charge":9.60,"npi":[1427145176]}]},{"allowed_amount":8.72,"providers":[{"billed_charge":10.26,"npi":[1427145176]}]},{"allowed_amount":9.60,"providers":[{"billed_charge":11.29,"npi":[1427145176]}]},{"allowed_amount":16.32,"providers":[{"billed_charge":19.20,"npi":[1427145176]}]},{"allowed_amount":18.17,"providers":[{"billed_charge":21.38,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":108.56,"providers":[{"billed_charge":197.74,"npi":[1659323772]}]}]},{"tin":{"type":"ein","value":"630997281"},"billing_class":"institutional","payments":[{"allowed_amount":81.65,"providers":[{"billed_charge":115.00,"npi":[1780648352]}]},{"allowed_amount":89.81,"providers":[{"billed_charge":126.50,"npi":[1780648352]}]}]}]},{"billing_code":"J7060","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"5% DEXTROSE/WATER","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":10.39,"providers":[{"billed_charge":12.71,"npi":[1548315401]}]},{"allowed_amount":10.40,"providers":[{"billed_charge":12.71,"npi":[1548315401]}]},{"allowed_amount":10.45,"providers":[{"billed_charge":12.71,"npi":[1548315401]}]},{"allowed_amount":10.54,"providers":[{"billed_charge":12.71,"npi":[1548315401]}]}]}]},{"billing_code":"J7120","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"RINGERS LACTATE INFUSION","allowed_amounts":[{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":82.40,"providers":[{"billed_charge":103.00,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":53.74,"providers":[{"billed_charge":153.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":72.04,"providers":[{"billed_charge":212.82,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":17.00,"providers":[{"billed_charge":25.00,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":20.18,"providers":[{"billed_charge":102.00,"npi":[1043270564]}]},{"allowed_amount":29.43,"providers":[{"billed_charge":102.00,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":74.02,"providers":[{"billed_charge":105.74,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":274.73,"providers":[{"billed_charge":331.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":22.41,"providers":[{"billed_charge":138.00,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":100.85,"providers":[{"billed_charge":155.15,"npi":[1174512792]}]}]},{"tin":{"type":"ein","value":"922451946"},"billing_class":"institutional","payments":[{"allowed_amount":189.75,"providers":[{"billed_charge":275.00,"npi":[1740981430]}]}]}]},{"billing_code":"J7120","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"RINGERS LACTATE INFUSION TO 1000 CC","allowed_amounts":[{"tin":{"type":"ein","value":"362174823"},"billing_class":"institutional","payments":[{"allowed_amount":82.40,"providers":[{"billed_charge":103.00,"npi":[1932213600]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":53.74,"providers":[{"billed_charge":153.00,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"581425000"},"billing_class":"institutional","payments":[{"allowed_amount":72.04,"providers":[{"billed_charge":212.82,"npi":[1760402424]}]}]},{"tin":{"type":"ein","value":"581973570"},"billing_class":"institutional","payments":[{"allowed_amount":17.00,"providers":[{"billed_charge":25.00,"npi":[1154377166]}]}]},{"tin":{"type":"ein","value":"582149128"},"billing_class":"institutional","payments":[{"allowed_amount":20.18,"providers":[{"billed_charge":102.00,"npi":[1043270564]}]},{"allowed_amount":29.43,"providers":[{"billed_charge":102.00,"npi":[1043270564]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":74.02,"providers":[{"billed_charge":105.74,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":274.73,"providers":[{"billed_charge":331.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"620123940"},"billing_class":"institutional","payments":[{"allowed_amount":22.41,"providers":[{"billed_charge":138.00,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"860137567"},"billing_class":"institutional","payments":[{"allowed_amount":100.85,"providers":[{"billed_charge":155.15,"npi":[1174512792]}]}]},{"tin":{"type":"ein","value":"922451946"},"billing_class":"institutional","payments":[{"allowed_amount":189.75,"providers":[{"billed_charge":275.00,"npi":[1740981430]}]}]}]},{"billing_code":"J7121","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"5% DEXTROSE IN LAC RINGERS","allowed_amounts":[{"tin":{"type":"ein","value":"561667838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":5.26,"providers":[{"billed_charge":19.00,"npi":[1609191121]}]}]}]},{"billing_code":"J7296","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"KYLEENA, 19.5 MG","allowed_amounts":[{"tin":{"type":"ein","value":"841599265"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1388.15,"providers":[{"billed_charge":1650.00,"npi":[1497925986]}]}]}]},{"billing_code":"J7297","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"LILETTA, 52 MG","allowed_amounts":[{"tin":{"type":"ein","value":"271689066"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":887.36,"providers":[{"billed_charge":2000.00,"npi":[1750752291]}]}]}]},{"billing_code":"J7318","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"INJ, DUROLANE 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"561093722"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":737.40,"providers":[{"billed_charge":1200.00,"npi":[1497704217]}]}]}]},{"billing_code":"J7325","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"HYALURONAN/DERIV SYNVISC INJ 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"311524546"},"billing_class":"institutional","payments":[{"allowed_amount":2230.34,"providers":[{"billed_charge":2973.78,"npi":[1699704254]}]}]}]},{"billing_code":"J7325","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"SYNVISC OR SYNVISC-ONE","allowed_amounts":[{"tin":{"type":"ein","value":"311524546"},"billing_class":"institutional","payments":[{"allowed_amount":2230.34,"providers":[{"billed_charge":2973.78,"npi":[1699704254]}]}]}]},{"billing_code":"J7512","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"PDN IMMED RLSE/DELAY RLSE ORAL 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"217981300"},"billing_class":"institutional","payments":[{"allowed_amount":3.66,"providers":[{"billed_charge":9.26,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"362179813"},"billing_class":"institutional","payments":[{"allowed_amount":2.15,"providers":[{"billed_charge":9.26,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":6.08,"providers":[{"billed_charge":8.69,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590898901"},"billing_class":"institutional","payments":[{"allowed_amount":9.03,"providers":[{"billed_charge":12.90,"npi":[1568473015]}]},{"allowed_amount":11.12,"providers":[{"billed_charge":15.88,"npi":[1568473015]}]}]},{"tin":{"type":"ein","value":"621798130"},"billing_class":"institutional","payments":[{"allowed_amount":4.02,"providers":[{"billed_charge":9.26,"npi":[1831151257]}]}]}]},{"billing_code":"J7512","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"PREDNISONE IR OR DR ORAL 1MG","allowed_amounts":[{"tin":{"type":"ein","value":"217981300"},"billing_class":"institutional","payments":[{"allowed_amount":3.66,"providers":[{"billed_charge":9.26,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"362179813"},"billing_class":"institutional","payments":[{"allowed_amount":2.15,"providers":[{"billed_charge":9.26,"npi":[1831151257]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":6.08,"providers":[{"billed_charge":8.69,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590898901"},"billing_class":"institutional","payments":[{"allowed_amount":9.03,"providers":[{"billed_charge":12.90,"npi":[1568473015]}]},{"allowed_amount":11.12,"providers":[{"billed_charge":15.88,"npi":[1568473015]}]}]},{"tin":{"type":"ein","value":"621798130"},"billing_class":"institutional","payments":[{"allowed_amount":4.02,"providers":[{"billed_charge":9.26,"npi":[1831151257]}]}]}]},{"billing_code":"J7609","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"ALBUTEROL COMP UNIT","allowed_amounts":[{"tin":{"type":"ein","value":"810568231"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.31,"providers":[{"billed_charge":10.00,"npi":[1437168135]}]}]},{"tin":{"type":"ein","value":"850625338"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.29,"providers":[{"billed_charge":1.00,"npi":[1255950325]}]}]}]},{"billing_code":"J7611","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"ALBUTEROL NON-COMP CON","allowed_amounts":[{"tin":{"type":"ein","value":"730803441"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":2.50,"providers":[{"billed_charge":5.00,"npi":[1538270954]}]}]}]},{"billing_code":"J7612","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"LEVALBUTEROL NON-COMP CON","allowed_amounts":[{"tin":{"type":"ein","value":"581413626"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.46,"providers":[{"billed_charge":7.00,"npi":[1063594430]}]}]}]},{"billing_code":"J7613","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"ALBUTEROL NON-COMP UNIT","allowed_amounts":[{"tin":{"type":"ein","value":"133884168"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":3.50,"providers":[{"billed_charge":5.00,"npi":[1881653822]}]}]},{"tin":{"type":"ein","value":"591741277"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.80,"providers":[{"billed_charge":3.00,"npi":[1609827211]}]}]},{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.06,"providers":[{"billed_charge":20.00,"npi":[1386195865]}]}]},{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.06,"providers":[{"billed_charge":10.00,"npi":[1932679446]}]}]},{"tin":{"type":"ein","value":"870281028"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":0.50,"providers":[{"billed_charge":1.00,"npi":[1093764805]}]}]}]},{"billing_code":"J7614","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"LEVALBUTEROL NON-COMP UNIT","allowed_amounts":[{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.07,"providers":[{"billed_charge":25.00,"npi":[1144803040]}]},{"allowed_amount":0.21,"providers":[{"billed_charge":75.00,"npi":[1144803040]}]},{"allowed_amount":0.35,"providers":[{"billed_charge":125.00,"npi":[1144803040]}]}]}]},{"billing_code":"J7620","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"ALBUTEROL IPRATROP NON-COMP","allowed_amounts":[{"tin":{"type":"ein","value":"863566062"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.17,"providers":[{"billed_charge":5.00,"npi":[1144803040]}]},{"allowed_amount":0.21,"providers":[{"billed_charge":5.00,"npi":[1144803040]}]},{"allowed_amount":0.51,"providers":[{"billed_charge":15.00,"npi":[1144803040]}]}]}]},{"billing_code":"J7626","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"BUDESONIDE NON-COMP UNIT","allowed_amounts":[{"tin":{"type":"ein","value":"814164681"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1.41,"providers":[{"billed_charge":20.00,"npi":[1386195865]}]}]}]},{"billing_code":"J7644","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"IPRATROPIUM BROMIDE NON-COMP","allowed_amounts":[{"tin":{"type":"ein","value":"273698244"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.25,"providers":[{"billed_charge":0.50,"npi":[1811297070]}]}]}]},{"billing_code":"J8499","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"ORAL PRESCRIP DRUG NON CHEMO","allowed_amounts":[{"tin":{"type":"ein","value":"208785833"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":27.00,"providers":[{"billed_charge":45.00,"npi":[1013163914]}]}]}]},{"billing_code":"J8499","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"ORAL PRESCRIP DRUG NON CHEMO","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":0.41,"providers":[{"billed_charge":0.49,"npi":[1548315401]}]},{"allowed_amount":1.73,"providers":[{"billed_charge":2.09,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":1.40,"providers":[{"billed_charge":15.00,"npi":[1205263423]}]}]}]},{"billing_code":"J8499","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"PRSC RX ORAL NONCHEMOTHAPEUTIC NOS","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":0.41,"providers":[{"billed_charge":0.49,"npi":[1548315401]}]},{"allowed_amount":1.73,"providers":[{"billed_charge":2.09,"npi":[1548315401]}]}]},{"tin":{"type":"ein","value":"461852177"},"billing_class":"institutional","payments":[{"allowed_amount":1.40,"providers":[{"billed_charge":15.00,"npi":[1205263423]}]}]}]},{"billing_code":"J8540","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"ORAL DEXAMETHASONE","allowed_amounts":[{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":0.11,"providers":[{"billed_charge":1.00,"npi":[1932679446]}]}]}]},{"billing_code":"J8540","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"DEXAMETHASONE ORAL 0.25 MG","allowed_amounts":[{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":21.57,"providers":[{"billed_charge":25.38,"npi":[1861447179]}]}]}]},{"billing_code":"J8540","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"ORAL DEXAMETHASONE","allowed_amounts":[{"tin":{"type":"ein","value":"390806181"},"billing_class":"institutional","payments":[{"allowed_amount":21.57,"providers":[{"billed_charge":25.38,"npi":[1861447179]}]}]}]},{"billing_code":"J9000","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"DOXORUBICIN HCL INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":56.74,"providers":[{"billed_charge":66.75,"npi":[1427145176]}]}]}]},{"billing_code":"J9000","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION DOXORUBICIN HCL 10 MG","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":56.74,"providers":[{"billed_charge":66.75,"npi":[1427145176]}]}]}]},{"billing_code":"J9035","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"BEVACIZUMAB INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"561987440"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.46,"providers":[{"billed_charge":78.85,"npi":[1558565473]}]},{"allowed_amount":59.14,"providers":[{"billed_charge":78.85,"npi":[1558565473]}]}]}]},{"billing_code":"J9040","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"BLEOMYCIN SULFATE INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":31.32,"providers":[{"billed_charge":34.04,"npi":[1710087127]}]},{"allowed_amount":35.48,"providers":[{"billed_charge":38.56,"npi":[1710087127]}]},{"allowed_amount":127.01,"providers":[{"billed_charge":138.05,"npi":[1710087127]}]}]}]},{"billing_code":"J9040","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION BLEOMYCIN SULFATE 15 UNIT","allowed_amounts":[{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":31.32,"providers":[{"billed_charge":34.04,"npi":[1710087127]}]},{"allowed_amount":35.48,"providers":[{"billed_charge":38.56,"npi":[1710087127]}]},{"allowed_amount":127.01,"providers":[{"billed_charge":138.05,"npi":[1710087127]}]}]}]},{"billing_code":"J9130","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"DACARBAZINE 100 MG","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":254.80,"providers":[{"billed_charge":299.76,"npi":[1427145176]}]}]}]},{"billing_code":"J9130","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"DACARBAZINE 100 MG INJ","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":254.80,"providers":[{"billed_charge":299.76,"npi":[1427145176]}]}]}]},{"billing_code":"J9177","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"N/A","description":"INJ ENFORT VEDO-EJFV 0.25MG","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10674.20,"providers":[{"billed_charge":11236.00,"npi":[1558332494]}]},{"allowed_amount":32022.60,"providers":[{"billed_charge":33708.00,"npi":[1558332494]}]}]}]},{"billing_code":"J9271","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"INJ PEMBROLIZUMAB","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":42845.00,"providers":[{"billed_charge":45100.00,"npi":[1558332494]}]}]}]},{"billing_code":"J9299","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION NIVOLUMAB 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":29055.72,"providers":[{"billed_charge":34183.20,"npi":[1427145176]}]}]}]},{"billing_code":"J9299","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION, NIVOLUMAB","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":29055.72,"providers":[{"billed_charge":34183.20,"npi":[1427145176]}]}]}]},{"billing_code":"J9303","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION PANITUMUMAB 10 MG","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":407.93,"providers":[{"billed_charge":1427.62,"npi":[1992754758]}]},{"allowed_amount":618.00,"providers":[{"billed_charge":2141.43,"npi":[1992754758]}]},{"allowed_amount":802.38,"providers":[{"billed_charge":2453.88,"npi":[1992754758]}]},{"allowed_amount":805.86,"providers":[{"billed_charge":2453.88,"npi":[1992754758]}]},{"allowed_amount":996.07,"providers":[{"billed_charge":3067.35,"npi":[1992754758]}]},{"allowed_amount":1007.34,"providers":[{"billed_charge":3067.35,"npi":[1992754758]}]},{"allowed_amount":8964.65,"providers":[{"billed_charge":27606.15,"npi":[1992754758]}]},{"allowed_amount":9066.02,"providers":[{"billed_charge":27606.15,"npi":[1992754758]}]},{"allowed_amount":9227.36,"providers":[{"billed_charge":28219.62,"npi":[1992754758]}]},{"allowed_amount":9267.50,"providers":[{"billed_charge":28219.62,"npi":[1992754758]}]},{"allowed_amount":9681.99,"providers":[{"billed_charge":33549.07,"npi":[1992754758]}]},{"allowed_amount":9790.45,"providers":[{"billed_charge":34262.88,"npi":[1992754758]}]}]}]},{"billing_code":"J9303","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"PANITUMUMAB INJECTION","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":407.93,"providers":[{"billed_charge":1427.62,"npi":[1992754758]}]},{"allowed_amount":618.00,"providers":[{"billed_charge":2141.43,"npi":[1992754758]}]},{"allowed_amount":802.38,"providers":[{"billed_charge":2453.88,"npi":[1992754758]}]},{"allowed_amount":805.86,"providers":[{"billed_charge":2453.88,"npi":[1992754758]}]},{"allowed_amount":996.07,"providers":[{"billed_charge":3067.35,"npi":[1992754758]}]},{"allowed_amount":1007.34,"providers":[{"billed_charge":3067.35,"npi":[1992754758]}]},{"allowed_amount":8964.65,"providers":[{"billed_charge":27606.15,"npi":[1992754758]}]},{"allowed_amount":9066.02,"providers":[{"billed_charge":27606.15,"npi":[1992754758]}]},{"allowed_amount":9227.36,"providers":[{"billed_charge":28219.62,"npi":[1992754758]}]},{"allowed_amount":9267.50,"providers":[{"billed_charge":28219.62,"npi":[1992754758]}]},{"allowed_amount":9681.99,"providers":[{"billed_charge":33549.07,"npi":[1992754758]}]},{"allowed_amount":9790.45,"providers":[{"billed_charge":34262.88,"npi":[1992754758]}]}]}]},{"billing_code":"J9360","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION VINBLASTINE SULFATE 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":240.45,"providers":[{"billed_charge":282.88,"npi":[1427145176]}]}]}]},{"billing_code":"J9360","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"VINBLASTINE SULFATE INJ","allowed_amounts":[{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":240.45,"providers":[{"billed_charge":282.88,"npi":[1427145176]}]}]}]},{"billing_code":"J9395","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION FULVESTRANT 25 MG","allowed_amounts":[{"tin":{"type":"ein","value":"381434090"},"billing_class":"institutional","payments":[{"allowed_amount":326.87,"providers":[{"billed_charge":408.59,"npi":[1134104672]}]},{"allowed_amount":336.46,"providers":[{"billed_charge":420.58,"npi":[1134104672]}]}]}]},{"billing_code":"J9395","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION, FULVESTRANT","allowed_amounts":[{"tin":{"type":"ein","value":"381434090"},"billing_class":"institutional","payments":[{"allowed_amount":326.87,"providers":[{"billed_charge":408.59,"npi":[1134104672]}]},{"allowed_amount":336.46,"providers":[{"billed_charge":420.58,"npi":[1134104672]}]}]}]},{"billing_code":"K0001","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"STANDARD WHEELCHAIR","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":38.18,"providers":[{"billed_charge":56.41,"npi":[1811295041]}]},{"allowed_amount":39.29,"providers":[{"billed_charge":56.41,"npi":[1811295041]},{"billed_charge":75.00,"npi":[1811295041,1295844397]}]}]}]},{"billing_code":"K0003","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"LIGHTWEIGHT WHEELCHAIR","allowed_amounts":[{"tin":{"type":"ein","value":"223894112"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":58.82,"providers":[{"billed_charge":149.50,"npi":[1346293305]}]}]},{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":58.07,"providers":[{"billed_charge":128.00,"npi":[1811295041]}]},{"allowed_amount":58.32,"providers":[{"billed_charge":128.00,"npi":[1811295041]}]}]}]},{"billing_code":"K0003","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"LIGHTWEIGHT WHEELCHAIR","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":70.30,"providers":[{"billed_charge":149.14,"npi":[1992754758]}]}]}]},{"billing_code":"K0005","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"ULTRALIGHTWEIGHT WHEELCHAIR","allowed_amounts":[{"tin":{"type":"ein","value":"570783775"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2096.50,"providers":[{"billed_charge":2995.00,"npi":[1649250333]}]}]}]},{"billing_code":"K0038","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"LEG STRAP EACH","allowed_amounts":[{"tin":{"type":"ein","value":"570783775"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":76.30,"providers":[{"billed_charge":109.00,"npi":[1649250333]}]}]}]},{"billing_code":"K0195","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"ELEVATING WHLCHAIR LEG RESTS","allowed_amounts":[{"tin":{"type":"ein","value":"561695177"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":16.71,"providers":[{"billed_charge":30.00,"npi":[1811295041]},{"billed_charge":38.10,"npi":[1811295041]}]},{"allowed_amount":16.76,"providers":[{"billed_charge":30.00,"npi":[1811295041]},{"billed_charge":38.10,"npi":[1811295041]}]}]}]},{"billing_code":"K0606","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"AED GARMENT W ELEC ANALYSIS","allowed_amounts":[{"tin":{"type":"ein","value":"201121194"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":3134.00,"providers":[{"billed_charge":4865.00,"npi":[1164535274]}]}]},{"tin":{"type":"ein","value":"844129309"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2950.00,"providers":[{"billed_charge":4295.00,"npi":[1518506815]}]}]}]},{"billing_code":"L0625","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"LO FLEX L1-BELOW L5 PRE OTS","allowed_amounts":[{"tin":{"type":"ein","value":"541956451"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":27.51,"providers":[{"billed_charge":68.78,"npi":[1043251341]}]},{"allowed_amount":35.50,"providers":[{"billed_charge":68.78,"npi":[1043251341]}]}]}]},{"billing_code":"L0627","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"LO SAG RI AN/POS PNL PRE CST","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":289.25,"providers":[{"billed_charge":1395.00,"npi":[1770511552]}]}]}]},{"billing_code":"L0984","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"PROTECT BODY SOCK EA PRE OTS","allowed_amounts":[{"tin":{"type":"ein","value":"611386081"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":52.70,"providers":[{"billed_charge":109.00,"npi":[1659656916]}]}]}]},{"billing_code":"L1040","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"LUMBAR OR LUMBAR RIB PAD","allowed_amounts":[{"tin":{"type":"ein","value":"611386081"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":69.63,"providers":[{"billed_charge":144.00,"npi":[1659656916]}]}]}]},{"billing_code":"L1060","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"THORACIC PAD","allowed_amounts":[{"tin":{"type":"ein","value":"611386081"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":82.68,"providers":[{"billed_charge":171.00,"npi":[1659656916]}]}]}]},{"billing_code":"L1200","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"FURNSH INITIAL ORTHOSIS ONLY","allowed_amounts":[{"tin":{"type":"ein","value":"611386081"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":1383.31,"providers":[{"billed_charge":2861.00,"npi":[1659656916]}]}]}]},{"billing_code":"L1210","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"LATERAL THORACIC EXTENSION","allowed_amounts":[{"tin":{"type":"ein","value":"611386081"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":224.35,"providers":[{"billed_charge":464.00,"npi":[1659656916]}]}]}]},{"billing_code":"L1240","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"LUMBAR DEROTATION PAD","allowed_amounts":[{"tin":{"type":"ein","value":"611386081"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":69.14,"providers":[{"billed_charge":143.00,"npi":[1659656916]}]}]}]},{"billing_code":"L1260","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"ANTERIOR THORACIC DEROTATION","allowed_amounts":[{"tin":{"type":"ein","value":"611386081"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":68.17,"providers":[{"billed_charge":141.00,"npi":[1659656916]}]}]}]},{"billing_code":"L1290","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"LATERAL TROCHANTERIC PAD","allowed_amounts":[{"tin":{"type":"ein","value":"611386081"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":68.17,"providers":[{"billed_charge":141.00,"npi":[1659656916]}]}]}]},{"billing_code":"L1499","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"SPINAL ORTHOSIS NOS","allowed_amounts":[{"tin":{"type":"ein","value":"611386081"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":33.85,"providers":[{"billed_charge":70.00,"npi":[1659656916]}]}]}]},{"billing_code":"L1686","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"HO POST-OP HIP ABDUCTION","allowed_amounts":[{"tin":{"type":"ein","value":"273982681"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":551.25,"providers":[{"billed_charge":1225.00,"npi":[1942505482]}]}]},{"tin":{"type":"ein","value":"593225182"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":466.48,"providers":[{"billed_charge":932.96,"npi":[1427030550]}]},{"allowed_amount":932.96,"providers":[{"billed_charge":932.96,"npi":[1427030550]}]}]}]},{"billing_code":"L1810","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"KO ELASTIC WITH JOINTS","allowed_amounts":[{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":64.80,"providers":[{"billed_charge":108.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"561182215"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":59.07,"providers":[{"billed_charge":118.14,"npi":[1720191661]}]}]}]},{"billing_code":"L1820","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"KO ELAS W/ CONDYLE PADS & JO","allowed_amounts":[{"tin":{"type":"ein","value":"233080772"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":70.74,"providers":[{"billed_charge":219.00,"npi":[1710900857]}]}]},{"tin":{"type":"ein","value":"541956451"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":124.82,"providers":[{"billed_charge":178.31,"npi":[1043251341]}]}]},{"tin":{"type":"ein","value":"562107544"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":185.44,"providers":[{"billed_charge":427.95,"npi":[1780655803]}]}]}]},{"billing_code":"L1830","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"KO IMMOB CANVAS LONG PRE OTS","allowed_amounts":[{"tin":{"type":"ein","value":"562122131"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":54.76,"providers":[{"billed_charge":91.26,"npi":[1932230828]}]}]}]},{"billing_code":"L1833","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"KO ADJ JNT POS R SUP PRE OTS","allowed_amounts":[{"tin":{"type":"ein","value":"233080772"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":357.39,"providers":[{"billed_charge":859.00,"npi":[1710900857]}]}]}]},{"billing_code":"L1902","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"AFO ANKLE GAUNTLET PRE OTS","allowed_amounts":[{"tin":{"type":"ein","value":"562107544"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":99.40,"providers":[{"billed_charge":264.24,"npi":[1780655803]}]}]}]},{"billing_code":"L1907","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"AFO SUPRAMALLEOLAR CUSTOM","allowed_amounts":[{"tin":{"type":"ein","value":"562122131"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":665.66,"providers":[{"billed_charge":832.08,"npi":[1932230828]}]}]},{"tin":{"type":"ein","value":"611886466"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":717.75,"providers":[{"billed_charge":957.00,"npi":[1770142390]}]}]}]},{"billing_code":"L1960","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"AFO POS SOLID ANK PLASTIC MO","allowed_amounts":[{"tin":{"type":"ein","value":"611886466"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":736.50,"providers":[{"billed_charge":982.00,"npi":[1770142390]}]}]}]},{"billing_code":"L2275","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"PLASTIC MOD LOW EXT PAD/LINE","allowed_amounts":[{"tin":{"type":"ein","value":"562122131"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":143.77,"providers":[{"billed_charge":179.71,"npi":[1932230828]}]}]},{"tin":{"type":"ein","value":"611886466"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":165.00,"providers":[{"billed_charge":220.00,"npi":[1770142390]}]}]}]},{"billing_code":"L2280","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"MOLDED INNER BOOT","allowed_amounts":[{"tin":{"type":"ein","value":"611886466"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":600.75,"providers":[{"billed_charge":801.00,"npi":[1770142390]}]}]}]},{"billing_code":"L2755","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"CARBON GRAPHITE LAMINATION","allowed_amounts":[{"tin":{"type":"ein","value":"611886466"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":168.75,"providers":[{"billed_charge":225.00,"npi":[1770142390]}]}]}]},{"billing_code":"L2820","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"SOFT INTERFACE BELOW KNEE SE","allowed_amounts":[{"tin":{"type":"ein","value":"611886466"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":117.75,"providers":[{"billed_charge":157.00,"npi":[1770142390]}]}]}]},{"billing_code":"L2840","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"TIBIAL LENGTH SOCK FX OR EQU","allowed_amounts":[{"tin":{"type":"ein","value":"611886466"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":240.00,"providers":[{"billed_charge":320.00,"npi":[1770142390]}]}]}]},{"billing_code":"L3060","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"FOOT ARCH SUPP LONGITUD/META","allowed_amounts":[{"tin":{"type":"ein","value":"542040443"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":101.62,"providers":[{"billed_charge":135.50,"npi":[1275178816]}]},{"allowed_amount":101.63,"providers":[{"billed_charge":135.50,"npi":[1275178816]}]}]}]},{"billing_code":"L3060","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Musculoskeletal","description":"FOOT ARCH SUPP LONGITUD/META","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":117.07,"providers":[{"billed_charge":122.27,"npi":[1578516902]}]}]}]},{"billing_code":"L3060","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Musculoskeletal","description":"FT ARCH SUPP PREMOLD LNGTUDNL/MT EA","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":117.07,"providers":[{"billed_charge":122.27,"npi":[1578516902]}]}]}]},{"billing_code":"L3202","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"OXFORD W/ SUPINAT/PRONATOR C","allowed_amounts":[{"tin":{"type":"ein","value":"611886466"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":49.50,"providers":[{"billed_charge":66.00,"npi":[1770142390]}]}]}]},{"billing_code":"L3260","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"AMBULATORY SURGICAL BOOT EAC","allowed_amounts":[{"tin":{"type":"ein","value":"541956451"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":21.97,"providers":[{"billed_charge":62.50,"npi":[1043251341]}]},{"allowed_amount":25.00,"providers":[{"billed_charge":62.50,"npi":[1043251341]}]}]}]},{"billing_code":"L3660","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"SO 8 AB RSTR CAN/WEB PRE OTS","allowed_amounts":[{"tin":{"type":"ein","value":"541869072"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":143.84,"providers":[{"billed_charge":150.00,"npi":[1639125271]}]}]},{"tin":{"type":"ein","value":"562107544"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":143.84,"providers":[{"billed_charge":331.95,"npi":[1780655803]}]}]}]},{"billing_code":"L3809","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"WHFO W/O JOINTS PRE OTS","allowed_amounts":[{"tin":{"type":"ein","value":"562107544"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":296.14,"providers":[{"billed_charge":787.20,"npi":[1780655803]},{"billed_charge":807.66,"npi":[1780655803]}]}]}]},{"billing_code":"L3906","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"WHO W/O JOINTS CF","allowed_amounts":[{"tin":{"type":"ein","value":"472413464"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":1082.40,"providers":[{"billed_charge":1353.00,"npi":[1780077982]}]}]},{"tin":{"type":"ein","value":"542040443"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":552.24,"providers":[{"billed_charge":736.32,"npi":[1164990040]}]}]},{"tin":{"type":"ein","value":"562122131"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":340.63,"providers":[{"billed_charge":567.73,"npi":[1932230828]}]},{"allowed_amount":340.64,"providers":[{"billed_charge":567.73,"npi":[1932230828]}]}]}]},{"billing_code":"L3906","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Musculoskeletal","description":"WHO W/O JOINTS CF","allowed_amounts":[{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":390.04,"providers":[{"billed_charge":650.06,"npi":[1558311357]}]}]}]},{"billing_code":"L3906","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Musculoskeletal","description":"WHO W/O JOINTS STRAPS CSTM FAB","allowed_amounts":[{"tin":{"type":"ein","value":"561853237"},"billing_class":"institutional","payments":[{"allowed_amount":390.04,"providers":[{"billed_charge":650.06,"npi":[1558311357]}]}]}]},{"billing_code":"L3908","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"WHO COCK-UP NONMOLDE PRE OTS","allowed_amounts":[{"tin":{"type":"ein","value":"010794334"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":55.90,"providers":[{"billed_charge":86.00,"npi":[1467563189]}]}]},{"tin":{"type":"ein","value":"474459800"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":56.43,"providers":[{"billed_charge":80.62,"npi":[1912381203]}]}]},{"tin":{"type":"ein","value":"541705081"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":52.14,"providers":[{"billed_charge":86.90,"npi":[1962413765]}]}]},{"tin":{"type":"ein","value":"541956451"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":32.25,"providers":[{"billed_charge":80.63,"npi":[1043251341]}]}]},{"tin":{"type":"ein","value":"581334402"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":83.20,"providers":[{"billed_charge":104.00,"npi":[1356489850]}]}]},{"tin":{"type":"ein","value":"593225182"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":38.44,"providers":[{"billed_charge":54.92,"npi":[1427030550]}]}]}]},{"billing_code":"L3924","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"HFO WITHOUT JOINTS PRE OTS","allowed_amounts":[{"tin":{"type":"ein","value":"541956451"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":42.56,"providers":[{"billed_charge":106.40,"npi":[1043251341]}]}]}]},{"billing_code":"L3960","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"SEWHO AIRPLAN DESIG ABDU POS","allowed_amounts":[{"tin":{"type":"ein","value":"233080772"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":325.22,"providers":[{"billed_charge":989.91,"npi":[1710900857]}]}]},{"tin":{"type":"ein","value":"392012203"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":260.95,"providers":[{"billed_charge":1222.59,"npi":[1942238514]}]}]}]},{"billing_code":"L3980","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"UP EXT FX ORTHOS HUMERAL NOS","allowed_amounts":[{"tin":{"type":"ein","value":"204303493"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":366.10,"providers":[{"billed_charge":1438.80,"npi":[1750346276]}]}]}]},{"billing_code":"L4350","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"ANKLE CONTROL ORTHO PRE OTS","allowed_amounts":[{"tin":{"type":"ein","value":"541956451"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":57.84,"providers":[{"billed_charge":144.60,"npi":[1043251341]}]}]}]},{"billing_code":"L4360","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Musculoskeletal","description":"PNEUMAT WALKING BOOT PRE CST","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":336.29,"providers":[{"billed_charge":480.41,"npi":[1750333282]}]}]}]},{"billing_code":"L4360","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Musculoskeletal","description":"WALK BOOT PNEUMAT&/VAC PREFAB CUSTM","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":336.29,"providers":[{"billed_charge":480.41,"npi":[1750333282]}]}]}]},{"billing_code":"L4361","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medical and Surgical Supplies","description":"PNEUMA/VAC WALK BOOT PRE OTS","allowed_amounts":[{"tin":{"type":"ein","value":"042961419"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":326.40,"providers":[{"billed_charge":408.00,"npi":[1306836465]}]}]},{"tin":{"type":"ein","value":"371483912"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":213.03,"providers":[{"billed_charge":327.74,"npi":[1447282066]}]}]},{"tin":{"type":"ein","value":"541705081"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":223.44,"providers":[{"billed_charge":406.25,"npi":[1962413765]}]}]},{"tin":{"type":"ein","value":"541956451"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":164.36,"providers":[{"billed_charge":410.91,"npi":[1043251341]}]}]},{"tin":{"type":"ein","value":"562107544"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":420.75,"providers":[{"billed_charge":946.38,"npi":[1780655803]},{"billed_charge":970.98,"npi":[1780655803]}]}]}]},{"billing_code":"L5685","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"BELOW KNEE SUS/SEAL SLEEVE","allowed_amounts":[{"tin":{"type":"ein","value":"752293443"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":303.56,"providers":[{"billed_charge":384.62,"npi":[1780624148]}]}]}]},{"billing_code":"L7900","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Musculoskeletal","description":"MALE VACUUM ERECTION SYSTEM","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":304.31,"providers":[{"billed_charge":710.56,"npi":[1578516902]}]}]}]},{"billing_code":"L8030","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Musculoskeletal","description":"BREAST PROSTHES W/O ADHESIVE","allowed_amounts":[{"tin":{"type":"ein","value":"562278681"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":360.00,"providers":[{"billed_charge":450.00,"npi":[1982022273]}]}]}]},{"billing_code":"L8699","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"PROSTHETIC IMPLANT NOS","allowed_amounts":[{"tin":{"type":"ein","value":"541935354"},"billing_class":"institutional","payments":[{"allowed_amount":1014.14,"providers":[{"billed_charge":1426.00,"npi":[1598797714]}]}]}]},{"billing_code":"P9011","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"BLOOD SPLIT UNIT","allowed_amounts":[{"tin":{"type":"ein","value":"620646012"},"billing_class":"institutional","payments":[{"allowed_amount":108.37,"providers":[{"billed_charge":377.00,"npi":[1033112230]}]}]}]},{"billing_code":"P9016","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"RBC LEUKOCYTES REDUCED","allowed_amounts":[{"tin":{"type":"ein","value":"250965404"},"billing_class":"institutional","payments":[{"allowed_amount":334.33,"providers":[{"billed_charge":909.00,"npi":[1356334510]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":655.50,"providers":[{"billed_charge":690.00,"npi":[1154392231]}]}]}]},{"billing_code":"P9016","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Pathology and Laboratory","description":"RBCS LEUKOCYTES REDUCED EACH UNIT","allowed_amounts":[{"tin":{"type":"ein","value":"250965404"},"billing_class":"institutional","payments":[{"allowed_amount":334.33,"providers":[{"billed_charge":909.00,"npi":[1356334510]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":655.50,"providers":[{"billed_charge":690.00,"npi":[1154392231]}]}]}]},{"billing_code":"P9022","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"WASHED RED BLOOD CELLS UNIT","allowed_amounts":[{"tin":{"type":"ein","value":"320078468"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":900.00,"providers":[{"billed_charge":900.00,"npi":[1780918193]}]}]}]},{"billing_code":"P9045","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"ALBUMIN (HUMAN), 5%, 250 ML","allowed_amounts":[{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":1137.80,"providers":[{"billed_charge":1918.71,"npi":[1659323772]}]}]}]},{"billing_code":"P9045","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INFUSION ALBUMIN HUMAN 5% 250 ML","allowed_amounts":[{"tin":{"type":"ein","value":"621682202"},"billing_class":"institutional","payments":[{"allowed_amount":1137.80,"providers":[{"billed_charge":1918.71,"npi":[1659323772]}]}]}]},{"billing_code":"P9603","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Pathology and Laboratory","description":"ONE-WAY ALLOW PRORATED MILES","allowed_amounts":[{"tin":{"type":"ein","value":"260070193"},"billing_class":"professional","service_code":["31"],"payments":[{"allowed_amount":4.20,"providers":[{"billed_charge":6.66,"npi":[1780001859]}]},{"allowed_amount":25.90,"providers":[{"billed_charge":41.07,"npi":[1780001859]}]}]}]},{"billing_code":"Q0091","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"OBTAINING SCREEN PAP SMEAR","allowed_amounts":[{"tin":{"type":"ein","value":"262072378"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":48.00,"providers":[{"billed_charge":60.00,"npi":[1962923433]}]}]},{"tin":{"type":"ein","value":"311620193"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":43.56,"providers":[{"billed_charge":62.23,"npi":[1285670646]}]}]},{"tin":{"type":"ein","value":"391370626"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.98,"providers":[{"billed_charge":110.00,"npi":[1669871620]}]}]}]},{"billing_code":"Q0092","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"SET UP PORT XRAY EQUIPMENT","allowed_amounts":[{"tin":{"type":"ein","value":"020687152"},"billing_class":"professional","service_code":["32"],"payments":[{"allowed_amount":15.87,"providers":[{"billed_charge":28.86,"npi":[1578658837]}]}]}]},{"billing_code":"Q0111","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"WET MOUNTS/ W PREPARATIONS","allowed_amounts":[{"tin":{"type":"ein","value":"576000286"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":8.65,"providers":[{"billed_charge":11.69,"npi":[1902989163,1841374485]}]}]}]},{"billing_code":"Q0162","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"CATH COLLECT SPEC SINGLE PT ALL POS","allowed_amounts":[{"tin":{"type":"ein","value":"472361878"},"billing_class":"institutional","payments":[{"allowed_amount":65.28,"providers":[{"billed_charge":231.13,"npi":[1306227764]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":0.75,"providers":[{"billed_charge":0.80,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":0.04,"providers":[{"billed_charge":0.04,"npi":[1740377423]}]}]}]},{"billing_code":"Q0162","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"ONDAN 1 MG ORL NOT EXCEED 48 HR DOS","allowed_amounts":[{"tin":{"type":"ein","value":"472361878"},"billing_class":"institutional","payments":[{"allowed_amount":65.28,"providers":[{"billed_charge":231.13,"npi":[1306227764]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":0.75,"providers":[{"billed_charge":0.80,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":0.04,"providers":[{"billed_charge":0.04,"npi":[1740377423]}]}]}]},{"billing_code":"Q0162","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"ONDANSETRON ORAL","allowed_amounts":[{"tin":{"type":"ein","value":"472361878"},"billing_class":"institutional","payments":[{"allowed_amount":65.28,"providers":[{"billed_charge":231.13,"npi":[1306227764]}]}]},{"tin":{"type":"ein","value":"550643304"},"billing_class":"institutional","payments":[{"allowed_amount":0.75,"providers":[{"billed_charge":0.80,"npi":[1841271459]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":0.04,"providers":[{"billed_charge":0.04,"npi":[1740377423]}]}]}]},{"billing_code":"Q0164","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"PROCHLORPERAZINE MALEATE 5 MG ORAL","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":5.42,"providers":[{"billed_charge":6.83,"npi":[1548315401]}]}]}]},{"billing_code":"Q0164","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"PROCHLORPERAZINE MALEATE 5MG","allowed_amounts":[{"tin":{"type":"ein","value":"161552370"},"billing_class":"institutional","payments":[{"allowed_amount":5.42,"providers":[{"billed_charge":6.83,"npi":[1548315401]}]}]}]},{"billing_code":"Q3014","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"TELEHEALTH FACILITY FEE","allowed_amounts":[{"tin":{"type":"ein","value":"320219640"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":22.96,"providers":[{"billed_charge":115.00,"npi":[1942578554]}]},{"allowed_amount":24.22,"providers":[{"billed_charge":115.00,"npi":[1942578554]}]}]}]},{"billing_code":"Q3014","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"TELEHEALTH FACILITY FEE","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":32.25,"providers":[{"billed_charge":43.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":25.60,"providers":[{"billed_charge":123.13,"npi":[1568417798]}]},{"allowed_amount":55.14,"providers":[{"billed_charge":125.99,"npi":[1396903456]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":53.26,"providers":[{"billed_charge":125.99,"npi":[1083669030]}]},{"allowed_amount":55.14,"providers":[{"billed_charge":125.99,"npi":[1083669030]}]}]}]},{"billing_code":"Q3014","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"TELEHEALTH ORIG SITE FACILITY FEE","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":32.25,"providers":[{"billed_charge":43.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":25.60,"providers":[{"billed_charge":123.13,"npi":[1568417798]}]},{"allowed_amount":55.14,"providers":[{"billed_charge":125.99,"npi":[1396903456]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":53.26,"providers":[{"billed_charge":125.99,"npi":[1083669030]}]},{"allowed_amount":55.14,"providers":[{"billed_charge":125.99,"npi":[1083669030]}]}]}]},{"billing_code":"Q4006","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"CAST SUP LONG ARM ADULT FBRG","allowed_amounts":[{"tin":{"type":"ein","value":"593256838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":118.12,"providers":[{"billed_charge":120.00,"npi":[1184609851]}]}]}]},{"billing_code":"Q4010","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"CAST SUP SHT ARM ADULT FBRGL","allowed_amounts":[{"tin":{"type":"ein","value":"593256838"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":98.76,"providers":[{"billed_charge":100.00,"npi":[1184609851]}]}]}]},{"billing_code":"Q4018","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"CAST SUP LNG ARM SPLINT FBRG","allowed_amounts":[{"tin":{"type":"ein","value":"270846679"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":26.25,"providers":[{"billed_charge":35.00,"npi":[1265665681]}]}]}]},{"billing_code":"Q4024","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"CAST SUP SHT ARM SPLNT PED F","allowed_amounts":[{"tin":{"type":"ein","value":"831612410"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":8.42,"providers":[{"billed_charge":60.00,"npi":[1932679446]}]}]}]},{"billing_code":"Q4031","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"CAST SUP LNG LEG PED PLASTER","allowed_amounts":[{"tin":{"type":"ein","value":"364727660"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":31.44,"providers":[{"billed_charge":144.00,"npi":[1912266420]}]}]}]},{"billing_code":"Q4044","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"CAST SUP LNG LEG SPLNT PED F","allowed_amounts":[{"tin":{"type":"ein","value":"943223279"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":33.30,"providers":[{"billed_charge":37.00,"npi":[1215365218]}]}]}]},{"billing_code":"Q4049","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"FINGER SPLINT, STATIC","allowed_amounts":[{"tin":{"type":"ein","value":"208870333"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":2.82,"providers":[{"billed_charge":5.00,"npi":[1457579617]}]}]}]},{"billing_code":"Q5001","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"HOSPICE OR HOME HLTH IN HOME","allowed_amounts":[{"tin":{"type":"ein","value":"582074947"},"billing_class":"institutional","payments":[{"allowed_amount":227.97,"providers":[{"billed_charge":250.00,"npi":[1003853516]}]},{"allowed_amount":227.99,"providers":[{"billed_charge":250.00,"npi":[1003853516]}]}]}]},{"billing_code":"Q5001","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"HOSPICE/HOME HLTH CARE PT HOME/RES","allowed_amounts":[{"tin":{"type":"ein","value":"582074947"},"billing_class":"institutional","payments":[{"allowed_amount":227.97,"providers":[{"billed_charge":250.00,"npi":[1003853516]}]},{"allowed_amount":227.99,"providers":[{"billed_charge":250.00,"npi":[1003853516]}]}]}]},{"billing_code":"Q5001","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"HOSPICE OR HOME HLTH IN HOME","allowed_amounts":[{"tin":{"type":"ein","value":"541850652"},"billing_class":"institutional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1558366211]}]}]}]},{"billing_code":"Q5001","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Physical Therapy","description":"HOSPICE/HOME HLTH CARE PT HOME/RES","allowed_amounts":[{"tin":{"type":"ein","value":"541850652"},"billing_class":"institutional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":0.01,"npi":[1558366211]}]}]}]},{"billing_code":"Q5106","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Medicine/Pharmacy/Vaccine","description":"INJ RETACRIT NON-ESRD USE","allowed_amounts":[{"tin":{"type":"ein","value":"561634662"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":234.80,"providers":[{"billed_charge":559.80,"npi":[1417083783]}]}]}]},{"billing_code":"Q5107","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ BEVACIZUMAB-AWWB BIOSIMLR 10 MG","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":5077.27,"providers":[{"billed_charge":6698.25,"npi":[1679525919]}]},{"allowed_amount":5088.64,"providers":[{"billed_charge":6713.25,"npi":[1679525919]}]},{"allowed_amount":20308.79,"providers":[{"billed_charge":26792.60,"npi":[1679525919]}]},{"allowed_amount":20320.15,"providers":[{"billed_charge":26807.60,"npi":[1679525919]}]}]}]},{"billing_code":"Q5107","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ MVASI 10 MG","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":5077.27,"providers":[{"billed_charge":6698.25,"npi":[1679525919]}]},{"allowed_amount":5088.64,"providers":[{"billed_charge":6713.25,"npi":[1679525919]}]},{"allowed_amount":20308.79,"providers":[{"billed_charge":26792.60,"npi":[1679525919]}]},{"allowed_amount":20320.15,"providers":[{"billed_charge":26807.60,"npi":[1679525919]}]}]}]},{"billing_code":"Q9957","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"INJ PERFLUTREN LIP MICROS,ML","allowed_amounts":[{"tin":{"type":"ein","value":"883616696"},"billing_class":"professional","service_code":["21"],"payments":[{"allowed_amount":40.92,"providers":[{"billed_charge":122.00,"npi":[1477256303]}]}]}]},{"billing_code":"Q9957","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ PERFLUTREN LIP MICROS,ML","allowed_amounts":[{"tin":{"type":"ein","value":"311340739"},"billing_class":"institutional","payments":[{"allowed_amount":72.36,"providers":[{"billed_charge":90.00,"npi":[1447359997]}]}]},{"tin":{"type":"ein","value":"390808503"},"billing_class":"institutional","payments":[{"allowed_amount":1448.51,"providers":[{"billed_charge":1609.45,"npi":[1124084678]}]}]},{"tin":{"type":"ein","value":"481202402"},"billing_class":"institutional","payments":[{"allowed_amount":3580.13,"providers":[{"billed_charge":5432.67,"npi":[1649259656]}]}]},{"tin":{"type":"ein","value":"590657322"},"billing_class":"institutional","payments":[{"allowed_amount":815.89,"providers":[{"billed_charge":1547.00,"npi":[1700979465]}]}]}]},{"billing_code":"Q9957","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJ PERFLUTREN LIPID MICROSPHERS ML","allowed_amounts":[{"tin":{"type":"ein","value":"311340739"},"billing_class":"institutional","payments":[{"allowed_amount":72.36,"providers":[{"billed_charge":90.00,"npi":[1447359997]}]}]},{"tin":{"type":"ein","value":"390808503"},"billing_class":"institutional","payments":[{"allowed_amount":1448.51,"providers":[{"billed_charge":1609.45,"npi":[1124084678]}]}]},{"tin":{"type":"ein","value":"481202402"},"billing_class":"institutional","payments":[{"allowed_amount":3580.13,"providers":[{"billed_charge":5432.67,"npi":[1649259656]}]}]},{"tin":{"type":"ein","value":"590657322"},"billing_class":"institutional","payments":[{"allowed_amount":815.89,"providers":[{"billed_charge":1547.00,"npi":[1700979465]}]}]}]},{"billing_code":"Q9961","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"HOCM 250-299MG/ML IODINE,1ML","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":33.73,"providers":[{"billed_charge":35.50,"npi":[1922074434]}]}]}]},{"billing_code":"Q9965","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"LOCM 100-199MG/ML IODINE,1ML","allowed_amounts":[{"tin":{"type":"ein","value":"581036115"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":4.80,"providers":[{"billed_charge":44.00,"npi":[1972558336]}]}]}]},{"billing_code":"Q9965","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"LOCM 100-199 MG/ML I CONC PER ML","allowed_amounts":[{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":17.39,"providers":[{"billed_charge":120.00,"npi":[1629038336]}]}]}]},{"billing_code":"Q9965","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"LOCM 100-199MG/ML IODINE,1ML","allowed_amounts":[{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":17.39,"providers":[{"billed_charge":120.00,"npi":[1629038336]}]}]}]},{"billing_code":"Q9967","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"LOCM 300-399MG/ML IODINE,1ML","allowed_amounts":[{"tin":{"type":"ein","value":"010570490"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.68,"providers":[{"billed_charge":25.50,"npi":[1770667289]}]}]},{"tin":{"type":"ein","value":"264473832"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.00,"providers":[{"billed_charge":40.00,"npi":[1245474022]}]}]},{"tin":{"type":"ein","value":"371128706"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":47.85,"providers":[{"billed_charge":58.00,"npi":[1114471737]}]}]},{"tin":{"type":"ein","value":"591433551"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":13.30,"providers":[{"billed_charge":95.00,"npi":[1467654244]}]}]},{"tin":{"type":"ein","value":"621647259"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":85.00,"providers":[{"billed_charge":100.00,"npi":[1043310428]}]}]},{"tin":{"type":"ein","value":"811762230"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.00,"providers":[{"billed_charge":50.00,"npi":[1912368457]}]}]},{"tin":{"type":"ein","value":"912185756"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":75.00,"npi":[1093765851]}]},{"allowed_amount":12.80,"providers":[{"billed_charge":80.00,"npi":[1093765851]}]},{"allowed_amount":14.08,"providers":[{"billed_charge":88.00,"npi":[1093765851]}]},{"allowed_amount":16.80,"providers":[{"billed_charge":105.00,"npi":[1093765851]}]},{"allowed_amount":19.20,"providers":[{"billed_charge":120.00,"npi":[1093765851]}]},{"allowed_amount":20.00,"providers":[{"billed_charge":125.00,"npi":[1093765851]}]},{"allowed_amount":21.60,"providers":[{"billed_charge":120.00,"npi":[1093765851]}]},{"allowed_amount":24.00,"providers":[{"billed_charge":150.00,"npi":[1093765851]}]},{"allowed_amount":27.00,"providers":[{"billed_charge":150.00,"npi":[1093765851]}]},{"allowed_amount":37.80,"providers":[{"billed_charge":210.00,"npi":[1093765851]}]}]}]},{"billing_code":"Q9967","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"LOCM 300-399 MG/ML I CONC PER ML","allowed_amounts":[{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":16.73,"providers":[{"billed_charge":28.35,"npi":[1114923406]}]}]}]},{"billing_code":"Q9967","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"LOCM 300-399MG/ML IODINE,1ML","allowed_amounts":[{"tin":{"type":"ein","value":"453765471"},"billing_class":"institutional","payments":[{"allowed_amount":16.73,"providers":[{"billed_charge":28.35,"npi":[1114923406]}]}]}]},{"billing_code":"Q9967","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"LOCM 300-399 MG/ML I CONC PER ML","allowed_amounts":[{"tin":{"type":"ein","value":"042104693"},"billing_class":"institutional","payments":[{"allowed_amount":469.02,"providers":[{"billed_charge":625.36,"npi":[1396738159]}]}]},{"tin":{"type":"ein","value":"042551124"},"billing_class":"institutional","payments":[{"allowed_amount":17.66,"providers":[{"billed_charge":30.45,"npi":[1780600825]}]}]},{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":103.39,"providers":[{"billed_charge":112.38,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":23.01,"providers":[{"billed_charge":38.40,"npi":[1760426969]}]}]},{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":14.20,"providers":[{"billed_charge":30.80,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":75.31,"providers":[{"billed_charge":285.00,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":110.98,"providers":[{"billed_charge":268.52,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"240862246"},"billing_class":"institutional","payments":[{"allowed_amount":26.82,"providers":[{"billed_charge":436.88,"npi":[1366444507]}]}]},{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":19.13,"providers":[{"billed_charge":600.00,"npi":[1235417288]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":237.40,"providers":[{"billed_charge":313.20,"npi":[1679525919]}]},{"allowed_amount":263.77,"providers":[{"billed_charge":348.00,"npi":[1679525919]}]},{"allowed_amount":263.78,"providers":[{"billed_charge":348.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"350211370"},"billing_class":"institutional","payments":[{"allowed_amount":76.72,"providers":[{"billed_charge":574.20,"npi":[1386683316]}]}]},{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":648.00,"providers":[{"billed_charge":720.00,"npi":[1922487966]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":230.52,"providers":[{"billed_charge":271.20,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"550525724"},"billing_class":"institutional","payments":[{"allowed_amount":57.46,"providers":[{"billed_charge":60.48,"npi":[1184606600]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":5.99,"providers":[{"billed_charge":17.05,"npi":[1427030774]}]},{"allowed_amount":19.88,"providers":[{"billed_charge":56.60,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":17.60,"providers":[{"billed_charge":132.00,"npi":[1457719312]}]},{"allowed_amount":21.12,"providers":[{"billed_charge":165.00,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":17.00,"providers":[{"billed_charge":17.00,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":237.36,"providers":[{"billed_charge":296.70,"npi":[1588640692]}]},{"allowed_amount":343.11,"providers":[{"billed_charge":428.89,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580566257"},"billing_class":"institutional","payments":[{"allowed_amount":254.31,"providers":[{"billed_charge":317.89,"npi":[1679664395]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":24.98,"providers":[{"billed_charge":103.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"590566256"},"billing_class":"institutional","payments":[{"allowed_amount":237.36,"providers":[{"billed_charge":296.70,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":116.45,"providers":[{"billed_charge":166.35,"npi":[1306938071]}]},{"allowed_amount":125.57,"providers":[{"billed_charge":179.39,"npi":[1306938071]}]},{"allowed_amount":145.55,"providers":[{"billed_charge":207.93,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":0.80,"providers":[{"billed_charge":1.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":392.12,"providers":[{"billed_charge":560.17,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":342.79,"providers":[{"billed_charge":413.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"611334601"},"billing_class":"institutional","payments":[{"allowed_amount":336.00,"providers":[{"billed_charge":420.00,"npi":[1992701429]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":123.65,"providers":[{"billed_charge":640.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"650666516"},"billing_class":"institutional","payments":[{"allowed_amount":44.24,"providers":[{"billed_charge":55.30,"npi":[1487760906]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":232.32,"providers":[{"billed_charge":264.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741282696"},"billing_class":"institutional","payments":[{"allowed_amount":243.71,"providers":[{"billed_charge":452.00,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":10.21,"providers":[{"billed_charge":150.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"814015190"},"billing_class":"institutional","payments":[{"allowed_amount":187.11,"providers":[{"billed_charge":243.00,"npi":[1881144889]}]}]},{"tin":{"type":"ein","value":"841321373"},"billing_class":"institutional","payments":[{"allowed_amount":206.94,"providers":[{"billed_charge":331.10,"npi":[1659327013]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":26.98,"providers":[{"billed_charge":28.40,"npi":[1154392231]}]},{"allowed_amount":53.96,"providers":[{"billed_charge":56.80,"npi":[1154392231]}]},{"allowed_amount":58.90,"providers":[{"billed_charge":62.00,"npi":[1154392231]}]},{"allowed_amount":59.28,"providers":[{"billed_charge":62.40,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"876000525"},"billing_class":"institutional","payments":[{"allowed_amount":36.51,"providers":[{"billed_charge":49.00,"npi":[1588656870]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":12.27,"providers":[{"billed_charge":17.00,"npi":[1407637531]}]}]}]},{"billing_code":"Q9967","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"LOCM 300-399MG/ML IODINE,1ML","allowed_amounts":[{"tin":{"type":"ein","value":"042104693"},"billing_class":"institutional","payments":[{"allowed_amount":469.02,"providers":[{"billed_charge":625.36,"npi":[1396738159]}]}]},{"tin":{"type":"ein","value":"042551124"},"billing_class":"institutional","payments":[{"allowed_amount":17.66,"providers":[{"billed_charge":30.45,"npi":[1780600825]}]}]},{"tin":{"type":"ein","value":"042774441"},"billing_class":"institutional","payments":[{"allowed_amount":103.39,"providers":[{"billed_charge":112.38,"npi":[1710087127]}]}]},{"tin":{"type":"ein","value":"060646844"},"billing_class":"institutional","payments":[{"allowed_amount":23.01,"providers":[{"billed_charge":38.40,"npi":[1760426969]}]}]},{"tin":{"type":"ein","value":"160756336"},"billing_class":"institutional","payments":[{"allowed_amount":14.20,"providers":[{"billed_charge":30.80,"npi":[1164464921]}]}]},{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":75.31,"providers":[{"billed_charge":285.00,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"231689692"},"billing_class":"institutional","payments":[{"allowed_amount":110.98,"providers":[{"billed_charge":268.52,"npi":[1164400131]}]}]},{"tin":{"type":"ein","value":"240862246"},"billing_class":"institutional","payments":[{"allowed_amount":26.82,"providers":[{"billed_charge":436.88,"npi":[1366444507]}]}]},{"tin":{"type":"ein","value":"264572436"},"billing_class":"institutional","payments":[{"allowed_amount":19.13,"providers":[{"billed_charge":600.00,"npi":[1235417288]}]}]},{"tin":{"type":"ein","value":"340714585"},"billing_class":"institutional","payments":[{"allowed_amount":237.40,"providers":[{"billed_charge":313.20,"npi":[1679525919]}]},{"allowed_amount":263.77,"providers":[{"billed_charge":348.00,"npi":[1679525919]}]},{"allowed_amount":263.78,"providers":[{"billed_charge":348.00,"npi":[1679525919]}]}]},{"tin":{"type":"ein","value":"350211370"},"billing_class":"institutional","payments":[{"allowed_amount":76.72,"providers":[{"billed_charge":574.20,"npi":[1386683316]}]}]},{"tin":{"type":"ein","value":"474063406"},"billing_class":"institutional","payments":[{"allowed_amount":648.00,"providers":[{"billed_charge":720.00,"npi":[1922487966]}]}]},{"tin":{"type":"ein","value":"522218584"},"billing_class":"institutional","payments":[{"allowed_amount":230.52,"providers":[{"billed_charge":271.20,"npi":[1427145176]}]}]},{"tin":{"type":"ein","value":"550525724"},"billing_class":"institutional","payments":[{"allowed_amount":57.46,"providers":[{"billed_charge":60.48,"npi":[1184606600]}]}]},{"tin":{"type":"ein","value":"560530233"},"billing_class":"institutional","payments":[{"allowed_amount":5.99,"providers":[{"billed_charge":17.05,"npi":[1427030774]}]},{"allowed_amount":19.88,"providers":[{"billed_charge":56.60,"npi":[1427030774]}]}]},{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":17.60,"providers":[{"billed_charge":132.00,"npi":[1457719312]}]},{"allowed_amount":21.12,"providers":[{"billed_charge":165.00,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561871181"},"billing_class":"institutional","payments":[{"allowed_amount":17.00,"providers":[{"billed_charge":17.00,"npi":[1740377423]}]}]},{"tin":{"type":"ein","value":"580566256"},"billing_class":"institutional","payments":[{"allowed_amount":237.36,"providers":[{"billed_charge":296.70,"npi":[1588640692]}]},{"allowed_amount":343.11,"providers":[{"billed_charge":428.89,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"580566257"},"billing_class":"institutional","payments":[{"allowed_amount":254.31,"providers":[{"billed_charge":317.89,"npi":[1679664395]}]}]},{"tin":{"type":"ein","value":"580568702"},"billing_class":"institutional","payments":[{"allowed_amount":24.98,"providers":[{"billed_charge":103.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"590566256"},"billing_class":"institutional","payments":[{"allowed_amount":237.36,"providers":[{"billed_charge":296.70,"npi":[1588640692]}]}]},{"tin":{"type":"ein","value":"590724459"},"billing_class":"institutional","payments":[{"allowed_amount":116.45,"providers":[{"billed_charge":166.35,"npi":[1306938071]}]},{"allowed_amount":125.57,"providers":[{"billed_charge":179.39,"npi":[1306938071]}]},{"allowed_amount":145.55,"providers":[{"billed_charge":207.93,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"590747311"},"billing_class":"institutional","payments":[{"allowed_amount":0.80,"providers":[{"billed_charge":1.00,"npi":[1578620449]}]}]},{"tin":{"type":"ein","value":"591113901"},"billing_class":"institutional","payments":[{"allowed_amount":392.12,"providers":[{"billed_charge":560.17,"npi":[1053321919]}]}]},{"tin":{"type":"ein","value":"596012500"},"billing_class":"institutional","payments":[{"allowed_amount":342.79,"providers":[{"billed_charge":413.00,"npi":[1245294826]}]}]},{"tin":{"type":"ein","value":"611334601"},"billing_class":"institutional","payments":[{"allowed_amount":336.00,"providers":[{"billed_charge":420.00,"npi":[1992701429]}]}]},{"tin":{"type":"ein","value":"641547408"},"billing_class":"institutional","payments":[{"allowed_amount":123.65,"providers":[{"billed_charge":640.00,"npi":[1437119310]}]}]},{"tin":{"type":"ein","value":"650666516"},"billing_class":"institutional","payments":[{"allowed_amount":44.24,"providers":[{"billed_charge":55.30,"npi":[1487760906]}]}]},{"tin":{"type":"ein","value":"741100555"},"billing_class":"institutional","payments":[{"allowed_amount":232.32,"providers":[{"billed_charge":264.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741282696"},"billing_class":"institutional","payments":[{"allowed_amount":243.71,"providers":[{"billed_charge":452.00,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"746001118"},"billing_class":"institutional","payments":[{"allowed_amount":10.21,"providers":[{"billed_charge":150.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"814015190"},"billing_class":"institutional","payments":[{"allowed_amount":187.11,"providers":[{"billed_charge":243.00,"npi":[1881144889]}]}]},{"tin":{"type":"ein","value":"841321373"},"billing_class":"institutional","payments":[{"allowed_amount":206.94,"providers":[{"billed_charge":331.10,"npi":[1659327013]}]}]},{"tin":{"type":"ein","value":"860800150"},"billing_class":"institutional","payments":[{"allowed_amount":26.98,"providers":[{"billed_charge":28.40,"npi":[1154392231]}]},{"allowed_amount":53.96,"providers":[{"billed_charge":56.80,"npi":[1154392231]}]},{"allowed_amount":58.90,"providers":[{"billed_charge":62.00,"npi":[1154392231]}]},{"allowed_amount":59.28,"providers":[{"billed_charge":62.40,"npi":[1154392231]}]}]},{"tin":{"type":"ein","value":"876000525"},"billing_class":"institutional","payments":[{"allowed_amount":36.51,"providers":[{"billed_charge":49.00,"npi":[1588656870]}]}]},{"tin":{"type":"ein","value":"933040761"},"billing_class":"institutional","payments":[{"allowed_amount":12.27,"providers":[{"billed_charge":17.00,"npi":[1407637531]}]}]}]},{"billing_code":"Q9969","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"NON-HEU TC-99M ADD-ON/DOSE","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":5.39,"providers":[{"billed_charge":24.87,"npi":[1578516902]}]}]}]},{"billing_code":"Q9969","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"TC-99M NON-HEU COST ADD-ON STDY DS","allowed_amounts":[{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":5.39,"providers":[{"billed_charge":24.87,"npi":[1578516902]}]}]}]},{"billing_code":"R0070","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Radiology","description":"TRANSPORT PORTABLE X-RAY","allowed_amounts":[{"tin":{"type":"ein","value":"020687152"},"billing_class":"professional","service_code":["32"],"payments":[{"allowed_amount":137.50,"providers":[{"billed_charge":250.00,"npi":[1578658837]}]}]}]},{"billing_code":"S0119","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"ONDANSETRON ORAL 4 MG","allowed_amounts":[{"tin":{"type":"ein","value":"471461238"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":3.19,"providers":[{"billed_charge":35.00,"npi":[1154721272]}]}]},{"tin":{"type":"ein","value":"561385165"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":3.19,"providers":[{"billed_charge":20.00,"npi":[1356345920]}]}]}]},{"billing_code":"S0119","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"ONDANSETRON ORAL 4 MG","allowed_amounts":[{"tin":{"type":"ein","value":"208737126"},"billing_class":"institutional","payments":[{"allowed_amount":37.36,"providers":[{"billed_charge":141.40,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"840166760"},"billing_class":"institutional","payments":[{"allowed_amount":13.57,"providers":[{"billed_charge":126.34,"npi":[1710348214]}]}]}]},{"billing_code":"S0164","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medicine/Pharmacy/Vaccine","description":"INJECTION PANTOPRAZOLE SODIUM 40 MG","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":5.02,"providers":[{"billed_charge":30.69,"npi":[1750333282]}]}]}]},{"billing_code":"S0190","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"MIFEPRISTONE ORAL 200 MG","allowed_amounts":[{"tin":{"type":"ein","value":"561282557"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":55.00,"providers":[{"billed_charge":110.00,"npi":[1811033210]}]}]}]},{"billing_code":"S0191","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"MISOPROSTOL ORAL 200 MCG","allowed_amounts":[{"tin":{"type":"ein","value":"561282557"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":10.00,"providers":[{"billed_charge":20.00,"npi":[1811033210]}]}]}]},{"billing_code":"S0199","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"Med abortion inc all ex drug","allowed_amounts":[{"tin":{"type":"ein","value":"561282557"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":454.50,"providers":[{"billed_charge":909.00,"npi":[1811033210]}]}]}]},{"billing_code":"S0201","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Psychological","description":"PART HOSITALIZATN SRVC<24 HR-DIEM","allowed_amounts":[{"tin":{"type":"ein","value":"383102731"},"billing_class":"institutional","payments":[{"allowed_amount":679.05,"providers":[{"billed_charge":3000.00,"npi":[1275695231]}]}]},{"tin":{"type":"ein","value":"474918169"},"billing_class":"institutional","payments":[{"allowed_amount":300.00,"providers":[{"billed_charge":600.00,"npi":[1134596794]}]}]},{"tin":{"type":"ein","value":"711045290"},"billing_class":"institutional","payments":[{"allowed_amount":636.15,"providers":[{"billed_charge":4000.00,"npi":[1306443650]}]}]},{"tin":{"type":"ein","value":"813661016"},"billing_class":"institutional","payments":[{"allowed_amount":612.99,"providers":[{"billed_charge":4600.00,"npi":[1811447832]}]}]},{"tin":{"type":"ein","value":"823727468"},"billing_class":"institutional","payments":[{"allowed_amount":636.15,"providers":[{"billed_charge":4000.00,"npi":[1306443650]}]}]},{"tin":{"type":"ein","value":"831335005"},"billing_class":"institutional","payments":[{"allowed_amount":515.00,"providers":[{"billed_charge":1688.00,"npi":[1114404530]}]}]},{"tin":{"type":"ein","value":"921028195"},"billing_class":"institutional","payments":[{"allowed_amount":679.04,"providers":[{"billed_charge":3000.00,"npi":[1124703988]}]},{"allowed_amount":679.05,"providers":[{"billed_charge":3000.00,"npi":[1124703988]}]},{"allowed_amount":860.00,"providers":[{"billed_charge":3000.00,"npi":[1124703988]}]}]},{"tin":{"type":"ein","value":"922901301"},"billing_class":"institutional","payments":[{"allowed_amount":625.00,"providers":[{"billed_charge":2500.00,"npi":[1033810916]}]},{"allowed_amount":750.00,"providers":[{"billed_charge":2500.00,"npi":[1033810916]}]}]}]},{"billing_code":"S0620","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"ROUTINE OPHTH EX W/REFRAC; NEW PT","allowed_amounts":[{"tin":{"type":"ein","value":"562118060"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":51.48,"providers":[{"billed_charge":111.00,"npi":[1790881076]}]}]}]},{"billing_code":"S4993","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"CONTRACEPTIVE PILLS BIRTH CONTROL","allowed_amounts":[{"tin":{"type":"ein","value":"576000286"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":10.50,"npi":[1063597987]}]},{"allowed_amount":7.79,"providers":[{"billed_charge":10.53,"npi":[1023191707]}]}]}]},{"billing_code":"S5190","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"WELLNESS ASSESS PRFRM NON-PHYSICIAN","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":332.32,"providers":[{"billed_charge":378.05,"npi":[1073557559]}]}]}]},{"billing_code":"S5498","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"HOME INFUS TX CATH CARE SIMPLE DIEM","allowed_amounts":[{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2.00,"providers":[{"billed_charge":20.00,"npi":[1407152689]}]}]}]},{"billing_code":"S8990","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"PHYS/MANIP TX MAINT NOT RESTORATION","allowed_amounts":[{"tin":{"type":"ein","value":"920576248"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":34.12,"providers":[{"billed_charge":50.00,"npi":[1083322887]}]}]}]},{"billing_code":"S9083","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"GLOBAL FEE URGENT CARE CENTERS","allowed_amounts":[{"tin":{"type":"ein","value":"202013359"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":215.00,"providers":[{"billed_charge":215.00,"npi":[1407893100]}]}]},{"tin":{"type":"ein","value":"264546400"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":210.00,"providers":[{"billed_charge":300.00,"npi":[1912133315]}]}]},{"tin":{"type":"ein","value":"274113826"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":190.00,"providers":[{"billed_charge":250.00,"npi":[1265662126]}]},{"allowed_amount":200.00,"providers":[{"billed_charge":250.00,"npi":[1265662126]}]}]},{"tin":{"type":"ein","value":"331095434"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":200.00,"npi":[1457478703]}]}]},{"tin":{"type":"ein","value":"383878115"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":149.02,"providers":[{"billed_charge":774.00,"npi":[1477087658]}]}]},{"tin":{"type":"ein","value":"752510007"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":198.00,"providers":[{"billed_charge":330.00,"npi":[1770048704]}]}]},{"tin":{"type":"ein","value":"814073032"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":100.00,"providers":[{"billed_charge":250.00,"npi":[1881182335]}]}]},{"tin":{"type":"ein","value":"814632899"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":143.60,"providers":[{"billed_charge":306.00,"npi":[1093248288]},{"billed_charge":356.00,"npi":[1093248288]},{"billed_charge":469.00,"npi":[1093248288]}]}]},{"tin":{"type":"ein","value":"824251331"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":275.00,"npi":[1316446651]}]}]},{"tin":{"type":"ein","value":"934104475"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":168.09,"providers":[{"billed_charge":300.00,"npi":[1629841788]}]}]}]},{"billing_code":"S9083","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Emergency Department Services","description":"GLOBAL FEE URGENT CARE CENTERS","allowed_amounts":[{"tin":{"type":"ein","value":"840405257"},"billing_class":"institutional","payments":[{"allowed_amount":238.00,"providers":[{"billed_charge":447.67,"npi":[1811465206]}]}]}]},{"billing_code":"S9088","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"SERVICES PROV AN URGENT CARE CENTER","allowed_amounts":[{"tin":{"type":"ein","value":"208785833"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":50.00,"npi":[1013163914]}]}]},{"tin":{"type":"ein","value":"232919472"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":40.00,"npi":[1881683100]}]}]},{"tin":{"type":"ein","value":"272208011"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":27.79,"providers":[{"billed_charge":88.00,"npi":[1902124647]}]},{"allowed_amount":30.30,"providers":[{"billed_charge":88.00,"npi":[1902124647]}]}]},{"tin":{"type":"ein","value":"272857996"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":88.00,"npi":[1477867844]}]}]},{"tin":{"type":"ein","value":"274437670"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":44.00,"providers":[{"billed_charge":88.00,"npi":[1619274446]}]}]},{"tin":{"type":"ein","value":"432001418"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":32.23,"providers":[{"billed_charge":104.71,"npi":[1558753749]}]}]},{"tin":{"type":"ein","value":"452961880"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":50.00,"providers":[{"billed_charge":100.00,"npi":[1497034946]}]}]},{"tin":{"type":"ein","value":"461555497"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":18.00,"providers":[{"billed_charge":30.00,"npi":[1942546890]}]}]},{"tin":{"type":"ein","value":"470902244"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":18.00,"providers":[{"billed_charge":30.00,"npi":[1205814118]}]}]},{"tin":{"type":"ein","value":"561463611"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":28.00,"providers":[{"billed_charge":35.00,"npi":[1437175700]}]},{"allowed_amount":30.30,"providers":[{"billed_charge":35.00,"npi":[1437175700]}]}]},{"tin":{"type":"ein","value":"822969638"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":19.92,"providers":[{"billed_charge":35.00,"npi":[1407419138]}]}]},{"tin":{"type":"ein","value":"830705469"},"billing_class":"professional","service_code":["20"],"payments":[{"allowed_amount":30.30,"providers":[{"billed_charge":88.00,"npi":[1679066658]}]}]}]},{"billing_code":"S9123","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"NRS CARE HOM; REGISTERED NURSE-HOUR","allowed_amounts":[{"tin":{"type":"ein","value":"271101034"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":600.00,"providers":[{"billed_charge":1200.00,"npi":[1205163185]}]},{"allowed_amount":650.00,"providers":[{"billed_charge":1300.00,"npi":[1205163185]}]},{"allowed_amount":750.00,"providers":[{"billed_charge":1500.00,"npi":[1205163185]}]}]}]},{"billing_code":"S9124","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"NURSING CARE THE HOME; LPN PER HOUR","allowed_amounts":[{"tin":{"type":"ein","value":"271101034"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":300.00,"npi":[1205163185]}]},{"allowed_amount":300.00,"providers":[{"billed_charge":600.00,"npi":[1205163185]}]},{"allowed_amount":450.00,"providers":[{"billed_charge":900.00,"npi":[1205163185]}]},{"allowed_amount":500.00,"providers":[{"billed_charge":1000.00,"npi":[1205163185]}]},{"allowed_amount":512.50,"providers":[{"billed_charge":1025.00,"npi":[1205163185]}]},{"allowed_amount":575.00,"providers":[{"billed_charge":1150.00,"npi":[1205163185]}]},{"allowed_amount":600.00,"providers":[{"billed_charge":1200.00,"npi":[1205163185]}]}]}]},{"billing_code":"S9126","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"HOSPICE CARE IN THE HOME PER DIEM","allowed_amounts":[{"tin":{"type":"ein","value":"201032665"},"billing_class":"institutional","payments":[{"allowed_amount":451.20,"providers":[{"billed_charge":752.00,"npi":[1215976436]}]}]}]},{"billing_code":"S9152","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"SPEECH THERAPY RE-EVALUATION","allowed_amounts":[{"tin":{"type":"ein","value":"262897981"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":101.59,"providers":[{"billed_charge":300.00,"npi":[1568627826]}]}]},{"tin":{"type":"ein","value":"571118290"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":100.00,"providers":[{"billed_charge":200.00,"npi":[1477537207]}]}]}]},{"billing_code":"S9328","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"HIT IMPLANTED PUMP PAIN MGMT; DIEM","allowed_amounts":[{"tin":{"type":"ein","value":"640913966"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":1824.94,"providers":[{"billed_charge":3120.00,"npi":[1336243393]}]},{"allowed_amount":2105.70,"providers":[{"billed_charge":3600.00,"npi":[1336243393]}]},{"allowed_amount":2175.89,"providers":[{"billed_charge":3720.00,"npi":[1336243393]}]}]}]},{"billing_code":"S9338","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"HOME INFUS TX IMMUOTHAPY; PER DIEM","allowed_amounts":[{"tin":{"type":"ein","value":"203733871"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":31.50,"providers":[{"billed_charge":350.00,"npi":[1851309595]}]},{"allowed_amount":40.00,"providers":[{"billed_charge":350.00,"npi":[1851309595]}]},{"allowed_amount":59.54,"providers":[{"billed_charge":350.00,"npi":[1851309595]}]},{"allowed_amount":64.65,"providers":[{"billed_charge":350.00,"npi":[1851309595]}]},{"allowed_amount":167.74,"providers":[{"billed_charge":350.00,"npi":[1851309595]}]}]},{"tin":{"type":"ein","value":"843772669"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":39.98,"providers":[{"billed_charge":200.00,"npi":[1912239096]}]},{"allowed_amount":40.00,"providers":[{"billed_charge":200.00,"npi":[1912239096]}]},{"allowed_amount":49.99,"providers":[{"billed_charge":200.00,"npi":[1912239096]}]},{"allowed_amount":50.00,"providers":[{"billed_charge":200.00,"npi":[1912239096]}]}]}]},{"billing_code":"S9351","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"HIT CONT ANTI-EMETIC; PER DIEM","allowed_amounts":[{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":25.00,"providers":[{"billed_charge":110.00,"npi":[1407152689]}]}]}]},{"billing_code":"S9359","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"Hit anti-tnf per diem","allowed_amounts":[{"tin":{"type":"ein","value":"811177414"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":0.51,"providers":[{"billed_charge":250.00,"npi":[1396288338]}]}]},{"tin":{"type":"ein","value":"852511623"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":82.55,"providers":[{"billed_charge":120.00,"npi":[1851902605]}]}]},{"tin":{"type":"ein","value":"854141201"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":74.68,"providers":[{"billed_charge":375.00,"npi":[1033782255]}]},{"allowed_amount":87.42,"providers":[{"billed_charge":375.00,"npi":[1033782255]}]}]}]},{"billing_code":"S9379","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"HOME INFUS TX INFUSION TX NOC; DIEM","allowed_amounts":[{"tin":{"type":"ein","value":"854141201"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":73.92,"providers":[{"billed_charge":375.00,"npi":[1033782255]}]}]}]},{"billing_code":"S9480","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Psychological","description":"INTENSIVE OP PSYC SERVICES PER DIEM","allowed_amounts":[{"tin":{"type":"ein","value":"820800055"},"billing_class":"institutional","payments":[{"allowed_amount":204.48,"providers":[{"billed_charge":1380.00,"npi":[1376149120]}]}]},{"tin":{"type":"ein","value":"823353257"},"billing_class":"institutional","payments":[{"allowed_amount":213.14,"providers":[{"billed_charge":1800.00,"npi":[1578051553]}]}]},{"tin":{"type":"ein","value":"843926648"},"billing_class":"institutional","payments":[{"allowed_amount":69.29,"providers":[{"billed_charge":715.00,"npi":[1386283521]}]},{"allowed_amount":215.78,"providers":[{"billed_charge":715.00,"npi":[1386283521]}]},{"allowed_amount":500.50,"providers":[{"billed_charge":715.00,"npi":[1386283521]}]}]},{"tin":{"type":"ein","value":"850746228"},"billing_class":"institutional","payments":[{"allowed_amount":188.91,"providers":[{"billed_charge":2365.00,"npi":[1598386807]}]},{"allowed_amount":188.96,"providers":[{"billed_charge":2365.00,"npi":[1598386807]}]}]},{"tin":{"type":"ein","value":"882208981"},"billing_class":"institutional","payments":[{"allowed_amount":204.48,"providers":[{"billed_charge":3075.00,"npi":[1053050401]}]}]}]},{"billing_code":"S9501","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"Hit antibiotic q12h diem","allowed_amounts":[{"tin":{"type":"ein","value":"620646012"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":25.00,"providers":[{"billed_charge":125.00,"npi":[1407152689]}]}]}]},{"billing_code":"S9999","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"SALES TAX","allowed_amounts":[{"tin":{"type":"ein","value":"910851599"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":0.63,"providers":[{"billed_charge":1.26,"npi":[1992759427]}]},{"allowed_amount":2.32,"providers":[{"billed_charge":4.64,"npi":[1992759427]}]},{"allowed_amount":2.37,"providers":[{"billed_charge":4.73,"npi":[1992759427]}]},{"allowed_amount":3.90,"providers":[{"billed_charge":7.80,"npi":[1992759427]}]},{"allowed_amount":6.87,"providers":[{"billed_charge":13.73,"npi":[1992759427]}]},{"allowed_amount":23.22,"providers":[{"billed_charge":46.44,"npi":[1992759427]}]},{"allowed_amount":64.50,"providers":[{"billed_charge":129.00,"npi":[1992759427]}]}]}]},{"billing_code":"T1002","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"RN SERVICES UP TO 15 MINUTES","allowed_amounts":[{"tin":{"type":"ein","value":"566000299"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":206.24,"providers":[{"billed_charge":340.00,"npi":[1619058955]}]}]},{"tin":{"type":"ein","value":"566000305"},"billing_class":"professional","service_code":["71"],"payments":[{"allowed_amount":33.00,"providers":[{"billed_charge":33.00,"npi":[1245272657]}]}]}]},{"billing_code":"T1017","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"TARGETED CASE MANAGEMENT EA 15 MINS","allowed_amounts":[{"tin":{"type":"ein","value":"562033116"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":18.18,"providers":[{"billed_charge":33.00,"npi":[1679798029]}]}]},{"tin":{"type":"ein","value":"562033116"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":36.36,"providers":[{"billed_charge":66.00,"npi":[1679798029]}]},{"allowed_amount":72.72,"providers":[{"billed_charge":132.00,"npi":[1679798029]}]}]},{"tin":{"type":"ein","value":"566000319"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":16.53,"providers":[{"billed_charge":23.61,"npi":[1396814331]}]}]},{"tin":{"type":"ein","value":"566000319"},"billing_class":"professional","service_code":["11","12"],"payments":[{"allowed_amount":33.05,"providers":[{"billed_charge":47.22,"npi":[1396814331]},{"billed_charge":47.22,"npi":[1396814331]}]},{"allowed_amount":49.58,"providers":[{"billed_charge":70.83,"npi":[1396814331]},{"billed_charge":70.83,"npi":[1396814331]}]},{"allowed_amount":66.11,"providers":[{"billed_charge":94.44,"npi":[1396814331]},{"billed_charge":94.44,"npi":[1396814331]}]},{"allowed_amount":82.64,"providers":[{"billed_charge":118.05,"npi":[1396814331]},{"billed_charge":118.05,"npi":[1396814331]}]}]},{"tin":{"type":"ein","value":"566000319"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":99.16,"providers":[{"billed_charge":141.66,"npi":[1396814331]}]},{"allowed_amount":214.85,"providers":[{"billed_charge":306.93,"npi":[1396814331]}]}]},{"tin":{"type":"ein","value":"882813067"},"billing_class":"professional","service_code":["11","12"],"payments":[{"allowed_amount":18.18,"providers":[{"billed_charge":33.00,"npi":[1801011242,1114143542,1568686988,1063637411,1891919254,1346464716]},{"billed_charge":33.00,"npi":[1801011242]}]},{"allowed_amount":36.36,"providers":[{"billed_charge":66.00,"npi":[1801011242,1114143542,1568686988,1346464716]},{"billed_charge":66.00,"npi":[1568686988,1891919254]}]},{"allowed_amount":54.54,"providers":[{"billed_charge":99.00,"npi":[1801011242,1891919254,1346464716]},{"billed_charge":99.00,"npi":[1568686988,1891919254]}]},{"allowed_amount":72.72,"providers":[{"billed_charge":132.00,"npi":[1891919254]},{"billed_charge":132.00,"npi":[1801011242,1114143542,1568686988,1063637411,1891919254,1346464716]}]}]},{"tin":{"type":"ein","value":"882813067"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":90.90,"providers":[{"billed_charge":165.00,"npi":[1063637411]}]},{"allowed_amount":109.08,"providers":[{"billed_charge":198.00,"npi":[1891919254]}]},{"allowed_amount":145.44,"providers":[{"billed_charge":264.00,"npi":[1801011242,1568686988]}]},{"allowed_amount":181.80,"providers":[{"billed_charge":330.00,"npi":[1568686988]}]}]}]},{"billing_code":"T1024","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"EVAL&TX TEAM MX/SEV HANDICAP CHILD","allowed_amounts":[{"tin":{"type":"ein","value":"825104187"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":29.06,"providers":[{"billed_charge":50.00,"npi":[1104313261]}]}]}]},{"billing_code":"T2045","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"HOSPICE GENERAL INPAT CARE PER DIEM","allowed_amounts":[{"tin":{"type":"ein","value":"263385545"},"billing_class":"institutional","payments":[{"allowed_amount":700.00,"providers":[{"billed_charge":1325.00,"npi":[1033369616]}]}]}]},{"billing_code":"T4521","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"ADLT SZ DISPBL INCONT BRF/DIAPER SM","allowed_amounts":[{"tin":{"type":"ein","value":"561341080"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":142.08,"providers":[{"billed_charge":142.08,"npi":[1700810645]}]}]}]},{"billing_code":"T4522","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"ADLT SZ DISPBL INCONT BRF/DIAPER MD","allowed_amounts":[{"tin":{"type":"ein","value":"300088456"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":68.00,"providers":[{"billed_charge":80.00,"npi":[1104811629]}]},{"allowed_amount":153.00,"providers":[{"billed_charge":180.00,"npi":[1104811629]}]},{"allowed_amount":170.00,"providers":[{"billed_charge":200.00,"npi":[1104811629]}]}]}]},{"billing_code":"T4523","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"ADLT SZ DISPBL INCONT BRF/DIAPER LG","allowed_amounts":[{"tin":{"type":"ein","value":"431511171"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":185.40,"providers":[{"billed_charge":319.90,"npi":[1427606110]}]}]}]},{"billing_code":"T4525","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"ADLT SZD DISPBL INCONT UNDWEAR SM","allowed_amounts":[{"tin":{"type":"ein","value":"300088456"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":58.80,"providers":[{"billed_charge":120.00,"npi":[1104811629]}]},{"allowed_amount":98.00,"providers":[{"billed_charge":200.00,"npi":[1104811629]}]}]}]},{"billing_code":"T4527","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"ADLT SZD DISPBL INCONT UNDWEAR LG","allowed_amounts":[{"tin":{"type":"ein","value":"300088456"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":163.20,"providers":[{"billed_charge":192.00,"npi":[1104811629]}]}]}]},{"billing_code":"T4530","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"PED SZ DISPBL INCONT BRF/DIAPER LG","allowed_amounts":[{"tin":{"type":"ein","value":"263911472"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":95.04,"providers":[{"billed_charge":118.80,"npi":[1659319325]}]}]}]},{"billing_code":"T4541","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Category II","description":"INCONT PRODUCT DISPBL UNDPAD LG EA","allowed_amounts":[{"tin":{"type":"ein","value":"431511171"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":117.00,"providers":[{"billed_charge":164.85,"npi":[1427606110]}]}]}]},{"billing_code":"U0001","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"COVID-19","description":"2019-NCOV DIAGNOSTIC P","allowed_amounts":[{"tin":{"type":"ein","value":"863641751"},"billing_class":"professional","service_code":["23"],"payments":[{"allowed_amount":20.00,"providers":[{"billed_charge":20.00,"npi":[1215511043]}]}]}]},{"billing_code":"V2020","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"VISION SVCS FRAMES PURCHASES","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":94.67,"providers":[{"billed_charge":168.39,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"581910859"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":146.97,"providers":[{"billed_charge":209.95,"npi":[1831927755]}]}]},{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":94.47,"providers":[{"billed_charge":100.00,"npi":[1902980865]}]}]}]},{"billing_code":"V2020","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"FRAMES PURCHASES","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":103.00,"providers":[{"billed_charge":147.14,"npi":[1750333282]}]},{"allowed_amount":117.87,"providers":[{"billed_charge":168.39,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":135.76,"providers":[{"billed_charge":175.34,"npi":[1992754758]}]},{"allowed_amount":136.78,"providers":[{"billed_charge":175.34,"npi":[1992754758]}]}]}]},{"billing_code":"V2020","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"VISION SVCS FRAMES PURCHASES","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":103.00,"providers":[{"billed_charge":147.14,"npi":[1750333282]}]},{"allowed_amount":117.87,"providers":[{"billed_charge":168.39,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":135.76,"providers":[{"billed_charge":175.34,"npi":[1992754758]}]},{"allowed_amount":136.78,"providers":[{"billed_charge":175.34,"npi":[1992754758]}]}]}]},{"billing_code":"V2100","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"LENS SPHER SINGLE PLANO 4.00","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":49.02,"providers":[{"billed_charge":70.03,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":56.46,"providers":[{"billed_charge":72.92,"npi":[1992754758]}]}]}]},{"billing_code":"V2100","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"SPHER 1 VISN PLANO +/- 4.00-LENS","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":49.02,"providers":[{"billed_charge":70.03,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":56.46,"providers":[{"billed_charge":72.92,"npi":[1992754758]}]}]}]},{"billing_code":"V2103","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"1 VISN PLANO-+/-4.00D 0.12-2.00D EA","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":45.45,"providers":[{"billed_charge":64.93,"npi":[1750333282]}]},{"allowed_amount":90.90,"providers":[{"billed_charge":129.86,"npi":[1750333282]}]}]}]},{"billing_code":"V2103","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"SPHEROCYLINDR 4.00D/12-2.00D","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":45.45,"providers":[{"billed_charge":64.93,"npi":[1750333282]}]},{"allowed_amount":90.90,"providers":[{"billed_charge":129.86,"npi":[1750333282]}]}]}]},{"billing_code":"V2104","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"1 VISN PLANO-+/-4.00D 2.12-4.00D EA","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":47.62,"providers":[{"billed_charge":68.03,"npi":[1750333282]}]}]}]},{"billing_code":"V2104","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"SPHEROCYLINDR 4.00D/2.12-4D","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":47.62,"providers":[{"billed_charge":68.03,"npi":[1750333282]}]}]}]},{"billing_code":"V2107","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"SPHEROCYLINDER 4.25D/12-2D","allowed_amounts":[{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.00,"providers":[{"billed_charge":50.00,"npi":[1902980865]}]}]}]},{"billing_code":"V2107","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"1 VISN +/-4.25-+/-7.00 0.12-2.00D","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":53.44,"providers":[{"billed_charge":76.34,"npi":[1750333282]}]}]}]},{"billing_code":"V2107","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"SPHEROCYLINDER 4.25D/12-2D","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":53.44,"providers":[{"billed_charge":76.34,"npi":[1750333282]}]}]}]},{"billing_code":"V2200","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"LENS SPHER BIFOC PLANO 4.00D","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":57.34,"providers":[{"billed_charge":81.91,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":66.52,"providers":[{"billed_charge":85.28,"npi":[1992754758]}]}]}]},{"billing_code":"V2200","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"SPHERE BIFOCL PLANO +/-4.00D LENS","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":57.34,"providers":[{"billed_charge":81.91,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":66.52,"providers":[{"billed_charge":85.28,"npi":[1992754758]}]}]}]},{"billing_code":"V2203","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"LENS SPHCYL BIFOCAL 4.00D/.1","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":167.00,"providers":[{"billed_charge":167.00,"npi":[1750333282]}]}]}]},{"billing_code":"V2203","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"BIFOCL PLANO +/-4.00D 0.12-2.00D EA","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":52.47,"providers":[{"billed_charge":74.96,"npi":[1750333282]}]},{"allowed_amount":58.45,"providers":[{"billed_charge":83.50,"npi":[1750333282]}]}]}]},{"billing_code":"V2203","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"LENS SPHCYL BIFOCAL 4.00D/.1","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":52.47,"providers":[{"billed_charge":74.96,"npi":[1750333282]}]},{"allowed_amount":58.45,"providers":[{"billed_charge":83.50,"npi":[1750333282]}]}]}]},{"billing_code":"V2624","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"POLISHING ARTIFICAL EYE","allowed_amounts":[{"tin":{"type":"ein","value":"202006066"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":99.90,"providers":[{"billed_charge":100.00,"npi":[1831255561]}]}]},{"tin":{"type":"ein","value":"263061736"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":103.97,"providers":[{"billed_charge":175.00,"npi":[1922244425]}]}]}]},{"billing_code":"V2627","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"SCLERAL COVER SHELL","allowed_amounts":[{"tin":{"type":"ein","value":"202006066"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":2114.14,"providers":[{"billed_charge":5000.00,"npi":[1831255561]}]}]}]},{"billing_code":"V2632","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"POST CHMBR INTRAOCULAR LENS","allowed_amounts":[{"tin":{"type":"ein","value":"205562797"},"billing_class":"professional","service_code":["24"],"payments":[{"allowed_amount":23.46,"providers":[{"billed_charge":138.00,"npi":[1700842358]}]}]}]},{"billing_code":"V2632","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"POST CHMBR INTRAOCULAR LENS","allowed_amounts":[{"tin":{"type":"ein","value":"464112873"},"billing_class":"institutional","payments":[{"allowed_amount":78.57,"providers":[{"billed_charge":200.00,"npi":[1518338052]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":88.65,"providers":[{"billed_charge":297.32,"npi":[1578516902]}]},{"allowed_amount":100.55,"providers":[{"billed_charge":297.32,"npi":[1578516902]}]}]}]},{"billing_code":"V2632","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"POSTERIOR CHAMBER INTRAOCULAR LENS","allowed_amounts":[{"tin":{"type":"ein","value":"464112873"},"billing_class":"institutional","payments":[{"allowed_amount":78.57,"providers":[{"billed_charge":200.00,"npi":[1518338052]}]}]},{"tin":{"type":"ein","value":"561303855"},"billing_class":"institutional","payments":[{"allowed_amount":88.65,"providers":[{"billed_charge":297.32,"npi":[1578516902]}]},{"allowed_amount":100.55,"providers":[{"billed_charge":297.32,"npi":[1578516902]}]}]}]},{"billing_code":"V2744","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"TINT PHOTOCHROMATIC LENS/ES","allowed_amounts":[{"tin":{"type":"ein","value":"581910859"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":44.80,"providers":[{"billed_charge":64.00,"npi":[1831927755]}]}]}]},{"billing_code":"V2744","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"TINT PHOTOCHROMATIC LENS/ES","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":32.91,"providers":[{"billed_charge":47.02,"npi":[1750333282]}]},{"allowed_amount":65.83,"providers":[{"billed_charge":94.04,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":38.18,"providers":[{"billed_charge":48.95,"npi":[1992754758]}]}]}]},{"billing_code":"V2744","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"TINT PHOTOCHROMATIC PER LENS","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":32.91,"providers":[{"billed_charge":47.02,"npi":[1750333282]}]},{"allowed_amount":65.83,"providers":[{"billed_charge":94.04,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":38.18,"providers":[{"billed_charge":48.95,"npi":[1992754758]}]}]}]},{"billing_code":"V2750","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"ANTI-REFLECTIVE COATING","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":83.52,"providers":[{"billed_charge":101.42,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"581910859"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":35.00,"providers":[{"billed_charge":50.00,"npi":[1831927755]}]}]}]},{"billing_code":"V2750","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"ANTI-REFLECTIVE COATING","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":35.50,"providers":[{"billed_charge":50.71,"npi":[1750333282]}]}]}]},{"billing_code":"V2750","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Administration","description":"ANTIREFLECTIVE COATING PER LENS","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":35.50,"providers":[{"billed_charge":50.71,"npi":[1750333282]}]}]}]},{"billing_code":"V2750","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"ANTI-REFLECTIVE COATING","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":31.89,"providers":[{"billed_charge":45.56,"npi":[1750333282]}]},{"allowed_amount":35.50,"providers":[{"billed_charge":50.71,"npi":[1750333282]}]},{"allowed_amount":70.99,"providers":[{"billed_charge":101.42,"npi":[1750333282]}]}]}]},{"billing_code":"V2750","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"ANTIREFLECTIVE COATING PER LENS","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":31.89,"providers":[{"billed_charge":45.56,"npi":[1750333282]}]},{"allowed_amount":35.50,"providers":[{"billed_charge":50.71,"npi":[1750333282]}]},{"allowed_amount":70.99,"providers":[{"billed_charge":101.42,"npi":[1750333282]}]}]}]},{"billing_code":"V2762","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"POLARIZATION, ANY LENS","allowed_amounts":[{"tin":{"type":"ein","value":"581910859"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":21.00,"providers":[{"billed_charge":30.00,"npi":[1831927755]}]}]}]},{"billing_code":"V2781","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"PROGRESSIVE LENS PER LENS","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"professional","service_code":["12"],"payments":[{"allowed_amount":17.90,"providers":[{"billed_charge":173.76,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"581910859"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":130.90,"providers":[{"billed_charge":187.00,"npi":[1831927755]}]}]}]},{"billing_code":"V2781","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"PROGRESSIVE LENS PER LENS","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":53.94,"providers":[{"billed_charge":77.06,"npi":[1750333282]}]},{"allowed_amount":60.82,"providers":[{"billed_charge":86.88,"npi":[1750333282]}]},{"allowed_amount":121.63,"providers":[{"billed_charge":173.76,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":70.57,"providers":[{"billed_charge":90.47,"npi":[1992754758]}]}]}]},{"billing_code":"V2782","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"LENS, 1.54-1.65 P/1.60-1.79G","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":63.90,"providers":[{"billed_charge":91.28,"npi":[1750333282]}]}]}]},{"billing_code":"V2782","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"LNS I 1.54-1.65 PLST/1.60-1.79 GLA","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":63.90,"providers":[{"billed_charge":91.28,"npi":[1750333282]}]}]}]},{"billing_code":"V2783","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"LENS, >= 1.66 P/>=1.80 G","allowed_amounts":[{"tin":{"type":"ein","value":"610712406"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.00,"providers":[{"billed_charge":50.00,"npi":[1902980865]}]}]}]},{"billing_code":"V2783","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"LENS, >= 1.66 P/>=1.80 G","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":71.76,"providers":[{"billed_charge":102.51,"npi":[1750333282]}]}]}]},{"billing_code":"V2783","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"LNS INDX >/=1.66 PLSTC/>/=1.80 GLA","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":71.76,"providers":[{"billed_charge":102.51,"npi":[1750333282]}]}]}]},{"billing_code":"V2784","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Eye and Ocular Adnexa","description":"LENS POLYCARB OR EQUAL","allowed_amounts":[{"tin":{"type":"ein","value":"581910859"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":50.40,"providers":[{"billed_charge":72.00,"npi":[1831927755]}]}]}]},{"billing_code":"V2784","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"LENS POLYCARB OR EQUAL","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":45.67,"providers":[{"billed_charge":65.24,"npi":[1750333282]}]},{"allowed_amount":50.88,"providers":[{"billed_charge":72.68,"npi":[1750333282]}]},{"allowed_amount":101.75,"providers":[{"billed_charge":145.36,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":58.60,"providers":[{"billed_charge":75.68,"npi":[1992754758]}]},{"allowed_amount":59.03,"providers":[{"billed_charge":75.68,"npi":[1992754758]}]}]}]},{"billing_code":"V2784","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"LENS POLYCARBATE/EQUL ANY INDX-LENS","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":45.67,"providers":[{"billed_charge":65.24,"npi":[1750333282]}]},{"allowed_amount":50.88,"providers":[{"billed_charge":72.68,"npi":[1750333282]}]},{"allowed_amount":101.75,"providers":[{"billed_charge":145.36,"npi":[1750333282]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":58.60,"providers":[{"billed_charge":75.68,"npi":[1992754758]}]},{"allowed_amount":59.03,"providers":[{"billed_charge":75.68,"npi":[1992754758]}]}]}]},{"billing_code":"V5011","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Auditory","description":"FIT/ORIENTATION/CHECK HEARING AID","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":39.46,"providers":[{"billed_charge":308.33,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":50.46,"providers":[{"billed_charge":229.06,"npi":[1992754758]}]},{"allowed_amount":52.69,"providers":[{"billed_charge":229.06,"npi":[1992754758]}]}]}]},{"billing_code":"V5011","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Auditory","description":"HEARING AID FITTING/CHECKING","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":39.46,"providers":[{"billed_charge":308.33,"npi":[1457719312]}]}]},{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":50.46,"providers":[{"billed_charge":229.06,"npi":[1992754758]}]},{"allowed_amount":52.69,"providers":[{"billed_charge":229.06,"npi":[1992754758]}]}]}]},{"billing_code":"V5014","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Auditory","description":"HEARING AID REPAIR/MODIFYING","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":27.71,"providers":[{"billed_charge":216.58,"npi":[1457719312]}]}]}]},{"billing_code":"V5014","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Auditory","description":"REPAIR/MODIFICATION OF HEARING AID","allowed_amounts":[{"tin":{"type":"ein","value":"560564309"},"billing_class":"institutional","payments":[{"allowed_amount":27.71,"providers":[{"billed_charge":216.58,"npi":[1457719312]}]}]}]},{"billing_code":"V5020","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Auditory","description":"CONFORMITY EVALUATION","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":29.67,"providers":[{"billed_charge":134.67,"npi":[1992754758]}]}]}]},{"billing_code":"V5160","billing_code_type":"HCPCS","billing_code_type_version":"2022 CMS,AHA","name":"Medical and Surgical Supplies","description":"DISPENSING FEE BINAURAL","allowed_amounts":[{"tin":{"type":"ein","value":"561932832"},"billing_class":"institutional","payments":[{"allowed_amount":179.29,"providers":[{"billed_charge":813.84,"npi":[1992754758]}]}]}]},{"billing_code":"V5255","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Auditory","description":"HEARING AID, DIGIT, MON, ITC","allowed_amounts":[{"tin":{"type":"ein","value":"262916543"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1110.83,"providers":[{"billed_charge":3950.00,"npi":[1033585302]}]}]}]},{"billing_code":"V5257","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Auditory","description":"HEARING AID, DIGIT, MON, BTE","allowed_amounts":[{"tin":{"type":"ein","value":"261387344"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":1406.04,"providers":[{"billed_charge":3300.00,"npi":[1679751812]}]}]}]},{"billing_code":"V5261","billing_code_type":"CPT","billing_code_type_version":"2022 AMA","name":"Auditory","description":"HEARING AID, DIGIT, BIN, BTE","allowed_amounts":[{"tin":{"type":"ein","value":"474152328"},"billing_class":"professional","service_code":["11"],"payments":[{"allowed_amount":3182.51,"providers":[{"billed_charge":7290.00,"npi":[1841670890]}]}]}]}]}