{"reporting_entity_name": "Oscar Health", "reporting_entity_type": "Health Insurance Issuer", "plan_id": "69512MO001", "last_updated_on": "2025-12-23", "version": "1.0.0", "out_of_network": [{"name": "Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)", "billing_code_type": "CPT", "billing_code": "A0427", "billing_code_type_version": "2022", "description": "Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)", "allowed_amounts": [{"tin": {"type": "ein", "value": "113647024"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 675.16, "providers": [{"billed_charge": 1092.5, "npi": [1073554861]}]}]}, {"tin": {"type": "ein", "value": "421674975"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1297.31, "providers": [{"billed_charge": 2350.0, "npi": [1306946371]}]}]}, {"tin": {"type": "ein", "value": "426151614"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 880.67, "providers": [{"billed_charge": 1037.83, "npi": [1942214218]}]}]}, {"tin": {"type": "ein", "value": "430839443"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 733.48, "providers": [{"billed_charge": 1000.0, "npi": [1356692750]}]}]}, {"tin": {"type": "ein", "value": "431065833"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 945.0, "providers": [{"billed_charge": 945.0, "npi": [1396790218]}]}, {"allowed_amount": 1047.31, "providers": [{"billed_charge": 1181.0, "npi": [1396790218]}]}]}, {"tin": {"type": "ein", "value": "431097068"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 733.48, "providers": [{"billed_charge": 1609.17, "npi": [1457386385]}, {"billed_charge": 1679.14, "npi": [1457386385]}, {"billed_charge": 1863.89, "npi": [1457386385]}, {"billed_charge": 1978.4, "npi": [1457386385]}, {"billed_charge": 1991.55, "npi": [1457386385]}, {"billed_charge": 2129.49, "npi": [1457386385]}, {"billed_charge": 2228.96, "npi": [1457386385]}, {"billed_charge": 2295.5, "npi": [1457386385]}, {"billed_charge": 2443.58, "npi": [1457386385]}]}]}, {"tin": {"type": "ein", "value": "431189325"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 733.48, "providers": [{"billed_charge": 1000.0, "npi": [1598843450]}]}]}, {"tin": {"type": "ein", "value": "431214755"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 733.48, "providers": [{"billed_charge": 850.0, "npi": [1407992225]}]}]}, {"tin": {"type": "ein", "value": "431246624"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1313.02, "providers": [{"billed_charge": 1489.71, "npi": [1922073519]}]}]}, {"tin": {"type": "ein", "value": "431338669"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 733.48, "providers": [{"billed_charge": 1296.0, "npi": [1013961259]}]}]}, {"tin": {"type": "ein", "value": "431457536"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 675.16, "providers": [{"billed_charge": 1230.0, "npi": [1710912381]}]}]}, {"tin": {"type": "ein", "value": "431496774"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1047.31, "providers": [{"billed_charge": 2503.06, "npi": [1578613253]}, {"billed_charge": 2596.16, "npi": [1578613253]}, {"billed_charge": 2607.31, "npi": [1578613253]}, {"billed_charge": 2699.18, "npi": [1578613253]}, {"billed_charge": 2768.86, "npi": [1578613253]}, {"billed_charge": 3000.7, "npi": [1578613253]}, {"billed_charge": 3024.12, "npi": [1578613253]}]}]}, {"tin": {"type": "ein", "value": "431566991"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 733.48, "providers": [{"billed_charge": 900.0, "npi": [1184617029]}]}]}, {"tin": {"type": "ein", "value": "436003231"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 950.0, "providers": [{"billed_charge": 950.0, "npi": [1952490682]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1802.51, "providers": [{"billed_charge": 2141.0, "npi": [1073769329]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1887.0, "providers": [{"billed_charge": 3145.0, "npi": [1942346804]}]}]}, {"tin": {"type": "ein", "value": "446000176"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 733.48, "providers": [{"billed_charge": 1200.0, "npi": [1285637058]}]}]}, {"tin": {"type": "ein", "value": "446000201"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 733.48, "providers": [{"billed_charge": 1200.0, "npi": [1730419227]}]}]}, {"tin": {"type": "ein", "value": "446000208"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 733.48, "providers": [{"billed_charge": 1066.0, "npi": [1396721502]}, {"billed_charge": 1422.0, "npi": [1396721502]}]}]}, {"tin": {"type": "ein", "value": "446000213"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 733.48, "providers": [{"billed_charge": 800.0, "npi": [1437228699]}, {"billed_charge": 975.0, "npi": [1437228699]}]}]}, {"tin": {"type": "ein", "value": "446005558"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 733.48, "providers": [{"billed_charge": 900.0, "npi": [1801936547]}]}]}, {"tin": {"type": "ein", "value": "476006256"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 833.46, "providers": [{"billed_charge": 1538.65, "npi": [1477588101]}, {"billed_charge": 1615.58, "npi": [1477588101]}]}]}, {"tin": {"type": "ein", "value": "486033148"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 603.75, "providers": [{"billed_charge": 1250.0, "npi": [1942341565]}]}]}, {"tin": {"type": "ein", "value": "486034760"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 603.75, "providers": [{"billed_charge": 758.25, "npi": [1093792046]}]}]}, {"tin": {"type": "ein", "value": "486038307"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 603.75, "providers": [{"billed_charge": 725.0, "npi": [1558361162]}]}]}, {"tin": {"type": "ein", "value": "576000365"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 133.77, "providers": [{"billed_charge": 507.74, "npi": [1700839370]}]}]}, {"tin": {"type": "ein", "value": "731601148"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1047.31, "providers": [{"billed_charge": 1700.0, "npi": [1114006939]}]}]}]}, {"name": "Ambulance service, basic life support, emergency transport (bls-emergency)", "billing_code_type": "CPT", "billing_code": "A0429", "billing_code_type_version": "2022", "description": "Ambulance service, basic life support, emergency transport (bls-emergency)", "allowed_amounts": [{"tin": {"type": "ein", "value": "391397209"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 821.57, "providers": [{"billed_charge": 1416.25, "npi": [1063579381]}]}]}, {"tin": {"type": "ein", "value": "430839443"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 587.84, "providers": [{"billed_charge": 900.0, "npi": [1356692750]}]}]}, {"tin": {"type": "ein", "value": "431065833"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 690.23, "providers": [{"billed_charge": 945.0, "npi": [1396790218]}]}]}, {"tin": {"type": "ein", "value": "431097068"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 587.84, "providers": [{"billed_charge": 1515.84, "npi": [1457386385]}, {"billed_charge": 1551.45, "npi": [1457386385]}, {"billed_charge": 1640.02, "npi": [1457386385]}, {"billed_charge": 1675.63, "npi": [1457386385]}, {"billed_charge": 1679.11, "npi": [1457386385]}, {"billed_charge": 1714.72, "npi": [1457386385]}]}]}, {"tin": {"type": "ein", "value": "431111568"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 541.16, "providers": [{"billed_charge": 575.0, "npi": [1417904822]}]}]}, {"tin": {"type": "ein", "value": "431338669"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 587.84, "providers": [{"billed_charge": 1296.0, "npi": [1013961259]}]}]}, {"tin": {"type": "ein", "value": "431496774"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 690.23, "providers": [{"billed_charge": 1915.79, "npi": [1578613253]}, {"billed_charge": 1926.94, "npi": [1578613253]}, {"billed_charge": 2102.99, "npi": [1578613253]}, {"billed_charge": 2125.84, "npi": [1578613253]}]}]}, {"tin": {"type": "ein", "value": "436003231"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 690.23, "providers": [{"billed_charge": 850.0, "npi": [1952490682]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1122.67, "providers": [{"billed_charge": 1297.0, "npi": [1073769329]}]}]}, {"tin": {"type": "ein", "value": "446000201"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 587.84, "providers": [{"billed_charge": 1125.0, "npi": [1730419227]}]}]}, {"tin": {"type": "ein", "value": "446000208"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 587.84, "providers": [{"billed_charge": 924.0, "npi": [1396721502]}, {"billed_charge": 1308.0, "npi": [1396721502]}]}]}, {"tin": {"type": "ein", "value": "446000209"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 587.84, "providers": [{"billed_charge": 902.75, "npi": [1568492932]}]}]}, {"tin": {"type": "ein", "value": "446000236"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 587.84, "providers": [{"billed_charge": 850.0, "npi": [1952473241]}]}]}, {"tin": {"type": "ein", "value": "470829179"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 587.84, "providers": [{"billed_charge": 1380.0, "npi": [1871991125]}]}]}, {"tin": {"type": "ein", "value": "476006475"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 672.93, "providers": [{"billed_charge": 1475.32, "npi": [1376594929]}]}]}, {"tin": {"type": "ein", "value": "481194075"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 566.42, "providers": [{"billed_charge": 875.0, "npi": [1639157555]}]}]}, {"tin": {"type": "ein", "value": "731601148"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 690.23, "providers": [{"billed_charge": 1430.0, "npi": [1114006939, 1336114131]}]}]}]}, {"name": "Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)", "billing_code_type": "CPT", "billing_code": "80048", "billing_code_type_version": "2022", "description": "BASIC METABOLIC PANEL CALCIUM TOTAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.0, "providers": [{"billed_charge": 267.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "350867958"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.43, "providers": [{"billed_charge": 48.0, "npi": [1225195340]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.75, "providers": [{"billed_charge": 57.75, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.56, "providers": [{"billed_charge": 227.0, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.6, "providers": [{"billed_charge": 24.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.4, "providers": [{"billed_charge": 104.0, "npi": [1366515488, 1154400232]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.91, "providers": [{"billed_charge": 209.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "462162669"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.61, "providers": [{"billed_charge": 311.85, "npi": [1528301900]}]}]}, {"tin": {"type": "ein", "value": "471669781"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.91, "providers": [{"billed_charge": 383.22, "npi": [1528463080]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.91, "providers": [{"billed_charge": 399.28, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "620347580"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 81.91, "providers": [{"billed_charge": 540.5, "npi": [1629025648]}]}]}, {"tin": {"type": "ein", "value": "990073524"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.03, "providers": [{"billed_charge": 122.0, "npi": [1184612764]}]}]}]}, {"name": "Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count", "billing_code_type": "CPT", "billing_code": "85025", "billing_code_type_version": "2022", "description": "BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC", "allowed_amounts": [{"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.11, "providers": [{"billed_charge": 190.0, "npi": [1649299827]}]}, {"allowed_amount": 30.99, "providers": [{"billed_charge": 190.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "237339737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.36, "providers": [{"billed_charge": 174.0, "npi": [1386619450]}]}]}, {"tin": {"type": "ein", "value": "350867958"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.44, "providers": [{"billed_charge": 45.0, "npi": [1225195340]}]}]}, {"tin": {"type": "ein", "value": "412140764"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.11, "providers": [{"billed_charge": 134.0, "npi": [1508938044]}]}]}, {"tin": {"type": "ein", "value": "426037829"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.36, "providers": [{"billed_charge": 116.0, "npi": [1508810714]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.99, "providers": [{"billed_charge": 170.0, "npi": [1427098169]}]}]}, {"tin": {"type": "ein", "value": "430662495"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.36, "providers": [{"billed_charge": 108.0, "npi": [1922042704]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.3, "providers": [{"billed_charge": 27.3, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "431332368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.36, "providers": [{"billed_charge": 123.0, "npi": [1003824061]}]}]}, {"tin": {"type": "ein", "value": "431610561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.11, "providers": [{"billed_charge": 190.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "431704371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 186.0, "npi": [1265546048]}]}]}, {"tin": {"type": "ein", "value": "431936696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.36, "providers": [{"billed_charge": 99.0, "npi": [1467543090]}]}]}, {"tin": {"type": "ein", "value": "436003859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 68.0, "npi": [1699769901]}]}, {"allowed_amount": 16.0, "providers": [{"billed_charge": 68.0, "npi": [1699769901]}]}, {"allowed_amount": 30.49, "providers": [{"billed_charge": 68.0, "npi": [1699769901]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.93, "providers": [{"billed_charge": 260.0, "npi": [1770536740]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.08, "providers": [{"billed_charge": 134.0, "npi": [1639186760]}]}, {"allowed_amount": 25.11, "providers": [{"billed_charge": 134.0, "npi": [1639186760]}]}, {"allowed_amount": 30.99, "providers": [{"billed_charge": 134.0, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.8, "providers": [{"billed_charge": 27.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.0, "providers": [{"billed_charge": 485.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.93, "providers": [{"billed_charge": 89.0, "npi": [1811905375]}]}, {"allowed_amount": 89.0, "providers": [{"billed_charge": 89.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.93, "providers": [{"billed_charge": 115.0, "npi": [1316733116]}]}]}, {"tin": {"type": "ein", "value": "452652006"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.05, "providers": [{"billed_charge": 313.0, "npi": [1023398807]}]}]}, {"tin": {"type": "ein", "value": "462162669"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.08, "providers": [{"billed_charge": 119.1, "npi": [1528301900]}]}]}, {"tin": {"type": "ein", "value": "462171791"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.28, "providers": [{"billed_charge": 119.1, "npi": [1568705267]}]}]}, {"tin": {"type": "ein", "value": "470378779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.65, "providers": [{"billed_charge": 149.74, "npi": [1831203488]}]}]}, {"tin": {"type": "ein", "value": "471669781"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.93, "providers": [{"billed_charge": 359.13, "npi": [1528463080]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.93, "providers": [{"billed_charge": 359.13, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "620123940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.96, "providers": [{"billed_charge": 171.0, "npi": [1578527172]}]}]}, {"tin": {"type": "ein", "value": "620347580"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.12, "providers": [{"billed_charge": 206.8, "npi": [1629025648]}]}]}, {"tin": {"type": "ein", "value": "720408982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.05, "providers": [{"billed_charge": 129.0, "npi": [1417950106]}]}]}, {"tin": {"type": "ein", "value": "820207116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.62, "providers": [{"billed_charge": 46.62, "npi": [1154563963]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.22, "providers": [{"billed_charge": 224.5, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.82, "providers": [{"billed_charge": 66.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "990073524"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.39, "providers": [{"billed_charge": 88.0, "npi": [1184612764]}]}]}]}, {"name": "Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)", "billing_code_type": "CPT", "billing_code": "80053", "billing_code_type_version": "2022", "description": "COMPREHENSIVE METABOLIC PANEL", "allowed_amounts": [{"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.13, "providers": [{"billed_charge": 379.0, "npi": [1649299827]}]}, {"allowed_amount": 43.75, "providers": [{"billed_charge": 379.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "237339737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.18, "providers": [{"billed_charge": 438.0, "npi": [1386619450]}]}]}, {"tin": {"type": "ein", "value": "412140764"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.88, "providers": [{"billed_charge": 312.0, "npi": [1508938044]}]}]}, {"tin": {"type": "ein", "value": "426037829"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.18, "providers": [{"billed_charge": 203.0, "npi": [1508810714]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.13, "providers": [{"billed_charge": 329.0, "npi": [1427098169]}]}]}, {"tin": {"type": "ein", "value": "430662495"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.18, "providers": [{"billed_charge": 188.0, "npi": [1922042704]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.27, "providers": [{"billed_charge": 176.4, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "431332368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.18, "providers": [{"billed_charge": 311.0, "npi": [1003824061]}]}]}, {"tin": {"type": "ein", "value": "431610561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.75, "providers": [{"billed_charge": 379.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "431704371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.71, "providers": [{"billed_charge": 440.0, "npi": [1265546048]}]}]}, {"tin": {"type": "ein", "value": "431767432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 395.03, "providers": [{"billed_charge": 398.0, "npi": [1447284898]}]}]}, {"tin": {"type": "ein", "value": "431936696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.18, "providers": [{"billed_charge": 271.0, "npi": [1467543090]}]}]}, {"tin": {"type": "ein", "value": "436003859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.59, "providers": [{"billed_charge": 143.5, "npi": [1699769901]}]}, {"allowed_amount": 21.71, "providers": [{"billed_charge": 143.5, "npi": [1699769901]}]}, {"allowed_amount": 41.4, "providers": [{"billed_charge": 143.5, "npi": [1699769901]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.27, "providers": [{"billed_charge": 342.16, "npi": [1770536740]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.13, "providers": [{"billed_charge": 312.0, "npi": [1639186760]}]}, {"allowed_amount": 43.75, "providers": [{"billed_charge": 312.0, "npi": [1639186760]}]}, {"allowed_amount": 135.7, "providers": [{"billed_charge": 312.0, "npi": [1639186760]}]}, {"allowed_amount": 397.35, "providers": [{"billed_charge": 312.0, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.8, "providers": [{"billed_charge": 32.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 348.0, "providers": [{"billed_charge": 870.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.0, "providers": [{"billed_charge": 130.0, "npi": [1366515488]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.27, "providers": [{"billed_charge": 334.0, "npi": [1811905375]}]}, {"allowed_amount": 49.88, "providers": [{"billed_charge": 334.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.27, "providers": [{"billed_charge": 295.0, "npi": [1316733116]}]}]}, {"tin": {"type": "ein", "value": "452652006"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 197.86, "providers": [{"billed_charge": 400.0, "npi": [1023398807]}]}]}, {"tin": {"type": "ein", "value": "462171791"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 428.26, "providers": [{"billed_charge": 535.32, "npi": [1568705267]}]}]}, {"tin": {"type": "ein", "value": "470378779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 160.6, "providers": [{"billed_charge": 230.15, "npi": [1831203488]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.27, "providers": [{"billed_charge": 563.36, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "620123940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 127.07, "providers": [{"billed_charge": 865.0, "npi": [1578527172]}]}]}, {"tin": {"type": "ein", "value": "621650582"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.78, "providers": [{"billed_charge": 3001.83, "npi": [1902857766]}]}]}, {"tin": {"type": "ein", "value": "640682111"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 127.07, "providers": [{"billed_charge": 865.0, "npi": [1194789818]}]}]}, {"tin": {"type": "ein", "value": "720408982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.0, "providers": [{"billed_charge": 194.0, "npi": [1417950106]}]}]}, {"tin": {"type": "ein", "value": "820207116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.36, "providers": [{"billed_charge": 63.36, "npi": [1154563963]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.14, "providers": [{"billed_charge": 653.0, "npi": [1104381292]}]}]}]}, {"name": "Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing", "billing_code_type": "CPT", "billing_code": "71275", "billing_code_type_version": "2022", "description": "CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST", "allowed_amounts": [{"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 333.0, "npi": [1730368721, 1215904677]}]}, {"allowed_amount": 193.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 333.0, "npi": [1154374718]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 540.24, "providers": [{"billed_charge": 2829.0, "npi": [1427098169]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 111.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 690.0, "npi": [1760725352, 1295918019, 1184249443]}]}]}, {"tin": {"type": "ein", "value": "430948536"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 111.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 291.0, "npi": [1114904539]}]}]}, {"tin": {"type": "ein", "value": "431332368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 630.23, "providers": [{"billed_charge": 2758.0, "npi": [1003824061]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 123.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 256.0, "npi": [1922084490, 1952347270, 1700020823]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 3868.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 7844.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.6, "npi": [1316942667]}]}]}, {"tin": {"type": "ein", "value": "452652006"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 538.04, "providers": [{"billed_charge": 4935.0, "npi": [1023398807]}]}]}, {"tin": {"type": "ein", "value": "481200790"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 319.62, "npi": [1164537346]}]}]}, {"tin": {"type": "ein", "value": "481220873"}, "billing_class": "professional", "service_codes": ["21", "23", "22"], "payments": [{"allowed_amount": 97.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.0, "npi": [1790912897, 1629365010, 1265656979, 1588693949]}]}, {"allowed_amount": 158.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.0, "npi": [1316942576, 1891799557]}]}, {"allowed_amount": 190.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.0, "npi": [1194840918]}]}]}, {"tin": {"type": "ein", "value": "730775105"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 151.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 257.0, "npi": [1033422951]}]}, {"allowed_amount": 169.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 257.0, "npi": [1265625347]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 97.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 319.0, "npi": [1720008394, 1366707564, 1407149941, 1184990574]}]}]}, {"tin": {"type": "ein", "value": "842772374"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 97.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1629276555, 1578096566]}]}]}]}, {"name": "Computed tomography, abdomen and pelvis; with contrast material(s)", "billing_code_type": "CPT", "billing_code": "74177", "billing_code_type_version": "2022", "description": "CT ABDOMEN & PELVIS W/CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1815.42, "providers": [{"billed_charge": 1815.42, "npi": [1386183143]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 334.0, "npi": [1215904677, 1306400361, 1851304299, 1992956494, 1811094071]}]}, {"allowed_amount": 143.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 334.0, "npi": [1306400361, 1144298167]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 143.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 692.0, "npi": [1306289509, 1457367526, 1760725352, 1720427982, 1114124054, 1265937916]}]}]}, {"tin": {"type": "ein", "value": "430662495"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1760.69, "providers": [{"billed_charge": 7885.0, "npi": [1922042704]}]}]}, {"tin": {"type": "ein", "value": "430662495"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 540.0, "npi": [1366480022]}]}]}, {"tin": {"type": "ein", "value": "430948536"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1306827829]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 688.61, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3126.9, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 325.28, "npi": [1245625375]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 123.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 257.0, "npi": [1215135751]}]}]}, {"tin": {"type": "ein", "value": "431735565"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 3410.0, "npi": [1912948308]}]}]}, {"tin": {"type": "ein", "value": "436003859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 517.34, "providers": [{"billed_charge": 3697.0, "npi": [1699769901]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 688.61, "providers": [{"billed_charge": 4680.72, "npi": [1770536740]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.25, "npi": [1649613134]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 324.12, "providers": [{"billed_charge": 4115.0, "npi": [1639186760]}]}, {"allowed_amount": 939.97, "providers": [{"billed_charge": 4115.0, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 4935.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 10910.0, "npi": [1942241799]}]}, {"allowed_amount": 4364.0, "providers": [{"billed_charge": 10910.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 97.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.6, "npi": [1538507256]}]}, {"allowed_amount": 183.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.6, "npi": [1194840918]}]}]}, {"tin": {"type": "ein", "value": "470376552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 512.62, "providers": [{"billed_charge": 4394.0, "npi": [1528006103]}]}]}, {"tin": {"type": "ein", "value": "470548630"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1427310523]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 688.61, "providers": [{"billed_charge": 8068.26, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "481200790"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 97.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 399.0, "npi": [1699062232, 1538368451, 1194741652, 1043266117]}]}, {"allowed_amount": 104.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 399.0, "npi": [1376694901]}]}, {"allowed_amount": 153.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 399.0, "npi": [1871750729, 1053346452, 1376511766]}]}]}, {"tin": {"type": "ein", "value": "481220873"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 97.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1790912897, 1871936518, 1790838407, 1538507256, 1588693949]}]}, {"allowed_amount": 153.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1588693949]}]}, {"allowed_amount": 183.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1194840918]}]}, {"allowed_amount": 265.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1316942667, 1710981469, 1588693949]}]}]}, {"tin": {"type": "ein", "value": "562488077"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 10910.0, "npi": [1053353490]}]}]}, {"tin": {"type": "ein", "value": "620347580"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1107.99, "providers": [{"billed_charge": 5642.95, "npi": [1629025648]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 151.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.0, "npi": [1801884606]}]}]}, {"tin": {"type": "ein", "value": "820207116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2612.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2612.0, "npi": [1154563963]}]}]}, {"tin": {"type": "ein", "value": "820207116"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 209.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 302.0, "npi": [1114375086]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1518370113, 1720008394, 1366707564, 1184990574, 1093710832]}]}, {"allowed_amount": 123.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1477930337]}]}, {"allowed_amount": 183.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1518282441, 1033616396, 1245596014]}]}]}, {"tin": {"type": "ein", "value": "842772374"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 97.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1386039337, 1437513322, 1629276555, 1255780029]}]}]}]}, {"name": "Computed tomography, abdomen and pelvis; without contrast material", "billing_code_type": "CPT", "billing_code": "74176", "billing_code_type_version": "2022", "description": "CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 598.14, "providers": [{"billed_charge": 3309.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 661.0, "npi": [1306289509]}]}]}, {"tin": {"type": "ein", "value": "430948536"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 153.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 331.0, "npi": [1013167600, 1558868356]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.96, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1907.85, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 176.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 308.84, "npi": [1285635763]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 122.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.6, "npi": [1538507256, 1790912897, 1588693949, 1104319664]}]}]}, {"tin": {"type": "ein", "value": "481200790"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 381.0, "npi": [1851564892]}]}, {"allowed_amount": 152.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 381.0, "npi": [1912096868]}]}, {"allowed_amount": 165.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 381.0, "npi": [1770515249]}]}]}, {"tin": {"type": "ein", "value": "481220873"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 122.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1538507256, 1073774923]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 305.0, "npi": [1366707564]}]}]}, {"tin": {"type": "ein", "value": "842772374"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 122.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 385.0, "npi": [1386039337]}]}]}, {"tin": {"type": "ein", "value": "880820406"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 155.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1588614523]}]}]}, {"tin": {"type": "ein", "value": "990073524"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 880.47, "providers": [{"billed_charge": 3370.0, "npi": [1184612764]}]}]}]}, {"name": "Computed tomography, cervical spine; without contrast material", "billing_code_type": "CPT", "billing_code": "72125", "billing_code_type_version": "2022", "description": "CT CERVICAL SPINE W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 496.36, "providers": [{"billed_charge": 496.36, "npi": [1386183143]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1093712473]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 68.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 406.0, "npi": [1205802154]}]}, {"allowed_amount": 102.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 406.0, "npi": [1255426672]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1952347270]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 3185.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 5988.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "462171791"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4429.86, "providers": [{"billed_charge": 5537.32, "npi": [1568705267]}]}]}, {"tin": {"type": "ein", "value": "470376552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1326.16, "providers": [{"billed_charge": 2166.0, "npi": [1528006103]}]}]}, {"tin": {"type": "ein", "value": "470548630"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1427310523]}]}]}, {"tin": {"type": "ein", "value": "481200790"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1053346452, 1689607301]}]}]}, {"tin": {"type": "ein", "value": "481220873"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 68.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1497728422, 1871936518, 1487064945, 1245521426, 1265656979]}]}, {"allowed_amount": 78.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1487064945]}]}]}, {"tin": {"type": "ein", "value": "620123940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 463.86, "providers": [{"billed_charge": 4386.0, "npi": [1578527172]}]}]}, {"tin": {"type": "ein", "value": "620809858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 128.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1114244001]}]}]}, {"tin": {"type": "ein", "value": "820207116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 864.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 864.0, "npi": [1154563963]}]}]}, {"tin": {"type": "ein", "value": "820207116"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 130.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1114375086]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 187.0, "npi": [1487858270, 1578686242, 1285838862, 1104263839]}]}, {"allowed_amount": 107.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 187.0, "npi": [1518282441]}]}]}, {"tin": {"type": "ein", "value": "842772374"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1942454897, 1578096566]}]}, {"allowed_amount": 78.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1952378069, 1396061966]}]}]}]}, {"name": "Computed tomography, head or brain; without contrast material", "billing_code_type": "CPT", "billing_code": "70450", "billing_code_type_version": "2022", "description": "CT HEAD/BRAIN W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 682.33, "providers": [{"billed_charge": 2876.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "260376717"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 45.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1598769036]}]}, {"allowed_amount": 85.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1245641109]}]}]}, {"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 573.24, "providers": [{"billed_charge": 573.24, "npi": [1386183143]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1093712473]}]}, {"allowed_amount": 81.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1750378626]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 71.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 323.0, "npi": [1205802154, 1386115715, 1346735172, 1457367526]}]}, {"allowed_amount": 76.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 323.0, "npi": [1255426672]}]}]}, {"tin": {"type": "ein", "value": "430948536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 71.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 246.0, "npi": [1558896894]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 176.36, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 892.5, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.28, "npi": [1356343024]}]}]}, {"tin": {"type": "ein", "value": "431332368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 607.73, "providers": [{"billed_charge": 1466.0, "npi": [1003824061]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1952347270]}]}]}, {"tin": {"type": "ein", "value": "440545289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 301.01, "providers": [{"billed_charge": 2500.0, "npi": [1437259694]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 2959.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 4534.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.6, "npi": [1588693949]}]}]}, {"tin": {"type": "ein", "value": "462162669"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 257.49, "providers": [{"billed_charge": 4731.89, "npi": [1528301900]}]}]}, {"tin": {"type": "ein", "value": "470376552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 996.68, "providers": [{"billed_charge": 1737.0, "npi": [1528006103]}]}]}, {"tin": {"type": "ein", "value": "470548630"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1427310523]}]}]}, {"tin": {"type": "ein", "value": "481200790"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 45.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.74, "npi": [1164537346, 1689607301, 1629183884, 1770515249, 1053346452, 1497779961]}]}, {"allowed_amount": 73.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.74, "npi": [1538368451, 1376511766, 1164546479]}]}, {"allowed_amount": 85.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.74, "npi": [1780028563]}]}]}, {"tin": {"type": "ein", "value": "481220873"}, "billing_class": "professional", "service_codes": ["21", "23", "22"], "payments": [{"allowed_amount": 45.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1891226304, 1790912897, 1497728422, 1871936518, 1073774923, 1316942667, 1487064945, 1245521426, 1265656979, 1447285465, 1588693949]}]}, {"allowed_amount": 73.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1073774923, 1306161237, 1588693949]}]}]}, {"tin": {"type": "ein", "value": "710924732"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 210.0, "npi": [1336397124]}]}]}, {"tin": {"type": "ein", "value": "820207116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 864.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 864.0, "npi": [1154563963]}]}]}, {"tin": {"type": "ein", "value": "820207116"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1114375086]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 45.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 149.0, "npi": [1578686242, 1285838862, 1093710832, 1982047346, 1487858270]}]}, {"allowed_amount": 85.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 149.0, "npi": [1518282441, 1194107839]}]}]}, {"tin": {"type": "ein", "value": "842772374"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1386039337, 1942454897, 1326454166, 1578096566, 1548688567]}]}, {"allowed_amount": 73.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1952378069, 1396061966]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1679991442]}]}]}]}, {"name": "Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes", "billing_code_type": "CPT", "billing_code": "99291", "billing_code_type_version": "2022", "description": "CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "020785510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 344.92, "providers": [{"billed_charge": 1547.0, "npi": [1174814727]}]}]}, {"tin": {"type": "ein", "value": "237339737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1715.49, "providers": [{"billed_charge": 3506.0, "npi": [1386619450]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 432.13, "providers": [{"billed_charge": 1693.0, "npi": [1518452499, 1982612677]}]}]}, {"tin": {"type": "ein", "value": "331428277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 231.34, "providers": [{"billed_charge": 1075.0, "npi": [1922812254]}]}, {"allowed_amount": 432.13, "providers": [{"billed_charge": 1075.0, "npi": [1770145724]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 231.34, "providers": [{"billed_charge": 1158.0, "npi": [1992746903]}]}, {"allowed_amount": 277.42, "providers": [{"billed_charge": 1158.0, "npi": [1265964621]}]}, {"allowed_amount": 383.22, "providers": [{"billed_charge": 1075.0, "npi": [1124584651]}]}, {"allowed_amount": 410.89, "providers": [{"billed_charge": 1158.0, "npi": [1760657332]}]}, {"allowed_amount": 432.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1075.0, "npi": [1245438050, 1811349541, 1972128742, 1871619932, 1790043784, 1609087915, 1649206061, 1770145724]}]}]}, {"tin": {"type": "ein", "value": "430998341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 401.75, "providers": [{"billed_charge": 818.0, "npi": [1417586371]}]}, {"allowed_amount": 432.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 818.0, "npi": [1962590968, 1912975715, 1699769885, 1659365807]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 511.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3103.8, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 432.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4050.9, "npi": [1356343024]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 304.83, "providers": [{"billed_charge": 686.0, "npi": [1194774356]}]}]}, {"tin": {"type": "ein", "value": "431610561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 511.79, "providers": [{"billed_charge": 6064.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "431832147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 432.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1468.0, "npi": [1306402128, 1922111418, 1881156842, 1609901727]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 511.79, "providers": [{"billed_charge": 6375.0, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2700.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7579.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "452652006"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 664.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6603.0, "npi": [1023398807]}]}]}, {"tin": {"type": "ein", "value": "461796402"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 379.46, "providers": [{"billed_charge": 533.07, "npi": [1235513466]}]}]}, {"tin": {"type": "ein", "value": "471669781"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 511.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4261.31, "npi": [1528463080]}]}]}, {"tin": {"type": "ein", "value": "472538324"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 379.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 650.0, "npi": [1164486254]}]}]}, {"tin": {"type": "ein", "value": "820207116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1691.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1691.0, "npi": [1154563963]}]}]}, {"tin": {"type": "ein", "value": "820207116"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 439.96, "providers": [{"billed_charge": 596.0, "npi": [1942417670]}]}]}, {"tin": {"type": "ein", "value": "820380784"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 373.74, "providers": [{"billed_charge": 531.0, "npi": [1003445503]}]}]}, {"tin": {"type": "ein", "value": "922110411"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 432.13, "providers": [{"billed_charge": 1217.0, "npi": [1336762186]}]}]}, {"tin": {"type": "ein", "value": "923763921"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 353.2, "providers": [{"billed_charge": 1516.0, "npi": [1831149152]}]}]}, {"tin": {"type": "ein", "value": "931346622"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 320.0, "providers": [{"billed_charge": 320.0, "npi": [1013356583]}]}]}, {"tin": {"type": "ein", "value": "992417615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 231.34, "providers": [{"billed_charge": 1219.0, "npi": [1225871163]}]}, {"allowed_amount": 432.13, "providers": [{"billed_charge": 1219.0, "npi": [1255919270, 1316180839]}]}]}]}, {"name": "Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only", "billing_code_type": "CPT", "billing_code": "93010", "billing_code_type_version": "2022", "description": "ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY", "allowed_amounts": [{"tin": {"type": "ein", "value": "020785510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.48, "providers": [{"billed_charge": 61.0, "npi": [1174814727]}]}]}, {"tin": {"type": "ein", "value": "371665955"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.8, "providers": [{"billed_charge": 117.0, "npi": [1831537570, 1649697574]}]}]}, {"tin": {"type": "ein", "value": "412175615"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 11.56, "providers": [{"billed_charge": 26.0, "npi": [1114974532, 1164777694, 1528407822]}]}, {"allowed_amount": 14.38, "providers": [{"billed_charge": 26.0, "npi": [1942695937]}]}]}, {"tin": {"type": "ein", "value": "426005830"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.08, "providers": [{"billed_charge": 24.0, "npi": [1255376331]}]}]}, {"tin": {"type": "ein", "value": "426037829"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.21, "providers": [{"billed_charge": 58.0, "npi": [1760408918]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 11.56, "providers": [{"billed_charge": 49.0, "npi": [1366469876]}]}, {"allowed_amount": 16.09, "providers": [{"billed_charge": 51.0, "npi": [1245438050, 1811349541, 1538542758, 1609087915, 1669490124, 1508361775, 1912925330, 1760944342, 1912427543, 1144459512, 1851973531, 1871619932, 1881182558, 1962429407]}]}, {"allowed_amount": 237.51, "providers": [{"billed_charge": 51.0, "npi": [1104866656]}]}]}, {"tin": {"type": "ein", "value": "431560263"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.39, "providers": [{"billed_charge": 28.0, "npi": [1467541433]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.49, "providers": [{"billed_charge": 22.0, "npi": [1891866018, 1912955303, 1144758699, 1215973102, 1760869556, 1811193428, 1376839894, 1891719993, 1871983577]}]}]}, {"tin": {"type": "ein", "value": "431704371"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.09, "providers": [{"billed_charge": 38.75, "npi": [1861804056]}]}, {"allowed_amount": 16.22, "providers": [{"billed_charge": 38.75, "npi": [1780337865]}]}]}, {"tin": {"type": "ein", "value": "431832147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.8, "providers": [{"billed_charge": 56.0, "npi": [1265019400, 1972999225, 1093881500, 1922746056]}]}, {"allowed_amount": 16.09, "providers": [{"billed_charge": 56.0, "npi": [1578095840, 1659546273, 1487145025, 1932132032, 1861717696, 1972892453, 1831505544, 1447825385, 1881156842, 1154431724, 1306402128, 1184011702, 1265164214, 1922111418, 1427161918, 1609901727]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.4, "providers": [{"billed_charge": 54.0, "npi": [1366441545]}]}]}, {"tin": {"type": "ein", "value": "440577118"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.17, "providers": [{"billed_charge": 30.64, "npi": [1922126077]}]}]}, {"tin": {"type": "ein", "value": "440665266"}, "billing_class": "professional", "service_codes": ["21", "23", "22"], "payments": [{"allowed_amount": 15.8, "providers": [{"billed_charge": 47.9, "npi": [1013211002]}]}, {"allowed_amount": 47.9, "providers": [{"billed_charge": 47.9, "npi": [1922055862]}]}]}, {"tin": {"type": "ein", "value": "472538324"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 6.17, "providers": [{"billed_charge": 22.71, "npi": [1427449487]}]}, {"allowed_amount": 11.08, "providers": [{"billed_charge": 15.9, "npi": [1174577431]}, {"billed_charge": 22.71, "npi": [1659328599, 1174577431]}]}, {"allowed_amount": 13.4, "providers": [{"billed_charge": 15.9, "npi": [1093735557]}, {"billed_charge": 22.71, "npi": [1093735557]}]}]}, {"tin": {"type": "ein", "value": "480778482"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.09, "providers": [{"billed_charge": 68.0, "npi": [1013336320, 1356695001, 1851329908, 1245506229]}]}]}, {"tin": {"type": "ein", "value": "611604897"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.39, "providers": [{"billed_charge": 31.0, "npi": [1780846881]}]}]}, {"tin": {"type": "ein", "value": "620123940"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.8, "providers": [{"billed_charge": 75.0, "npi": [1154356764]}]}]}, {"tin": {"type": "ein", "value": "621179254"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.17, "providers": [{"billed_charge": 47.0, "npi": [1407122955]}]}]}, {"tin": {"type": "ein", "value": "621529858"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.17, "providers": [{"billed_charge": 17.0, "npi": [1083722524]}]}]}, {"tin": {"type": "ein", "value": "800841009"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 6.17, "providers": [{"billed_charge": 28.0, "npi": [1760736615]}]}]}, {"tin": {"type": "ein", "value": "820380784"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.19, "providers": [{"billed_charge": 18.0, "npi": [1841397304]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.19, "providers": [{"billed_charge": 20.0, "npi": [1336381342]}]}, {"allowed_amount": 13.08, "providers": [{"billed_charge": 20.0, "npi": [1235138470]}]}]}, {"tin": {"type": "ein", "value": "853947817"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.58, "providers": [{"billed_charge": 121.0, "npi": [1245619642]}]}]}, {"tin": {"type": "ein", "value": "900294051"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.39, "providers": [{"billed_charge": 35.0, "npi": [1912959412]}]}]}, {"tin": {"type": "ein", "value": "943448764"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.17, "providers": [{"billed_charge": 34.0, "npi": [1689828501]}]}, {"allowed_amount": 11.08, "providers": [{"billed_charge": 34.0, "npi": [1124011028]}]}, {"allowed_amount": 11.56, "providers": [{"billed_charge": 34.0, "npi": [1598758583]}]}]}, {"tin": {"type": "ein", "value": "992417615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.09, "providers": [{"billed_charge": 46.0, "npi": [1144634148, 1316180839]}]}]}]}, {"name": "Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report", "billing_code_type": "CPT", "billing_code": "93005", "billing_code_type_version": "2022", "description": "ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R", "allowed_amounts": [{"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.79, "providers": [{"billed_charge": 521.0, "npi": [1649299827]}]}, {"allowed_amount": 169.21, "providers": [{"billed_charge": 521.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "237339737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 131.49, "providers": [{"billed_charge": 359.0, "npi": [1386619450]}]}]}, {"tin": {"type": "ein", "value": "426037829"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 131.49, "providers": [{"billed_charge": 285.0, "npi": [1508810714]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 169.21, "providers": [{"billed_charge": 476.0, "npi": [1427098169]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.82, "providers": [{"billed_charge": 459.9, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "431332368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 131.49, "providers": [{"billed_charge": 306.0, "npi": [1003824061]}]}]}, {"tin": {"type": "ein", "value": "431610561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.79, "providers": [{"billed_charge": 521.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "431704371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.93, "providers": [{"billed_charge": 428.5, "npi": [1265546048]}]}]}, {"tin": {"type": "ein", "value": "431936696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 131.49, "providers": [{"billed_charge": 284.0, "npi": [1467543090]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.82, "providers": [{"billed_charge": 408.72, "npi": [1770536740]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.79, "providers": [{"billed_charge": 414.0, "npi": [1639186760]}]}, {"allowed_amount": 169.21, "providers": [{"billed_charge": 414.0, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.82, "providers": [{"billed_charge": 415.0, "npi": [1316733116]}]}]}, {"tin": {"type": "ein", "value": "452652006"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.98, "providers": [{"billed_charge": 492.0, "npi": [1023398807]}]}]}, {"tin": {"type": "ein", "value": "462162669"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 529.24, "providers": [{"billed_charge": 773.51, "npi": [1528301900]}]}]}, {"tin": {"type": "ein", "value": "462171791"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 618.81, "providers": [{"billed_charge": 773.51, "npi": [1568705267]}]}]}, {"tin": {"type": "ein", "value": "470468078"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 255.41, "providers": [{"billed_charge": 360.0, "npi": [1477660397]}]}]}, {"tin": {"type": "ein", "value": "471669781"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.82, "providers": [{"billed_charge": 681.53, "npi": [1528463080]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.82, "providers": [{"billed_charge": 681.53, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "620123940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 150.51, "providers": [{"billed_charge": 418.0, "npi": [1578527172]}]}]}, {"tin": {"type": "ein", "value": "620347580"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.32, "providers": [{"billed_charge": 356.2, "npi": [1629025648]}]}]}, {"tin": {"type": "ein", "value": "720408982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.98, "providers": [{"billed_charge": 257.0, "npi": [1417950106]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.62, "providers": [{"billed_charge": 342.25, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.46, "providers": [{"billed_charge": 320.0, "npi": [1215913470]}]}]}]}, {"name": "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making", "billing_code_type": "CPT", "billing_code": "99285", "billing_code_type_version": "2022", "description": "EMERGENCY DEPARTMENT VISIT HIGH MDM", "allowed_amounts": [{"tin": {"type": "ein", "value": "020785510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 248.1, "providers": [{"billed_charge": 1191.0, "npi": [1174059661]}]}, {"allowed_amount": 643.66, "providers": [{"billed_charge": 1191.0, "npi": [1477130102]}]}]}, {"tin": {"type": "ein", "value": "201652231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 217.75, "providers": [{"billed_charge": 915.0, "npi": [1720066624]}]}]}, {"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 452.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4517.0, "npi": [1649299827]}]}, {"allowed_amount": 539.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4517.0, "npi": [1649299827]}]}, {"allowed_amount": 1132.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4517.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 116.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1286.0, "npi": [1063494581]}]}, {"allowed_amount": 232.48, "providers": [{"billed_charge": 1286.0, "npi": [1730716705, 1093831042, 1780035139, 1982612677, 1801230313, 1942829775, 1629487665, 1639690514, 1366609331, 1518452499, 1063494581, 1346700374, 1568023158, 1275947095, 1063943124]}]}, {"allowed_amount": 248.18, "providers": [{"billed_charge": 1286.0, "npi": [1255965422, 1497493431]}]}, {"allowed_amount": 264.15, "providers": [{"billed_charge": 1286.0, "npi": [1740530898]}]}, {"allowed_amount": 306.44, "providers": [{"billed_charge": 1286.0, "npi": [1881044709, 1740932458, 1902519598, 1639914609, 1295312817, 1760019442, 1902484983, 1609372952]}]}, {"allowed_amount": 406.49, "providers": [{"billed_charge": 1286.0, "npi": [1215471594, 1316467095]}]}]}, {"tin": {"type": "ein", "value": "272774116"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 240.39, "providers": [{"billed_charge": 1144.0, "npi": [1477789725]}]}]}, {"tin": {"type": "ein", "value": "331428277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 232.48, "providers": [{"billed_charge": 870.0, "npi": [1881182558, 1093731309, 1497076798]}]}, {"allowed_amount": 248.18, "providers": [{"billed_charge": 870.0, "npi": [1093135980]}]}, {"allowed_amount": 306.44, "providers": [{"billed_charge": 870.0, "npi": [1992357784]}]}]}, {"tin": {"type": "ein", "value": "334223732"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 217.75, "providers": [{"billed_charge": 1114.0, "npi": [1659833895, 1255919270, 1518499607]}]}]}, {"tin": {"type": "ein", "value": "350867958"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1349.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5135.0, "npi": [1225195340]}]}]}, {"tin": {"type": "ein", "value": "371665955"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 379.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2352.0, "npi": [1831537570, 1649697574]}]}]}, {"tin": {"type": "ein", "value": "426005830"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 329.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 728.0, "npi": [1255376331]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1132.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2568.0, "npi": [1427098169]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 232.48, "providers": [{"billed_charge": 503.0, "npi": [1598874448, 1528473410]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 232.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 870.0, "npi": [1992995393, 1538542758, 1083631527, 1417539628, 1023075405, 1790247310, 1811514581, 1851973531, 1275829277]}]}, {"allowed_amount": 306.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 870.0, "npi": [1992357784, 1700374303]}]}]}, {"tin": {"type": "ein", "value": "430980256"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 232.48, "providers": [{"billed_charge": 503.0, "npi": [1194396895]}]}]}, {"tin": {"type": "ein", "value": "430998341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 524.0, "npi": [1699769885]}]}, {"allowed_amount": 217.75, "providers": [{"billed_charge": 524.0, "npi": [1912975715, 1508429895, 1649451881, 1659766731, 1659365807, 1467879346, 1962590968, 1619136793, 1700870110]}]}, {"allowed_amount": 248.18, "providers": [{"billed_charge": 524.0, "npi": [1194177543]}]}, {"allowed_amount": 290.51, "providers": [{"billed_charge": 524.0, "npi": [1467984161, 1851564033, 1417586371, 1528592060, 1952764581, 1508429895, 1821721127, 1609191964, 1447810429, 1861838559]}]}, {"allowed_amount": 406.49, "providers": [{"billed_charge": 524.0, "npi": [1912398496, 1699464545, 1174302632, 1053205534, 1033451646]}]}]}, {"tin": {"type": "ein", "value": "431066883"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 232.48, "providers": [{"billed_charge": 495.0, "npi": [1750476594, 1245438779]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1394.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5180.7, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "431332368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2894.0, "npi": [1003824061]}]}]}, {"tin": {"type": "ein", "value": "431704371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 457.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1265546048]}]}]}, {"tin": {"type": "ein", "value": "431704371"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 232.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 592.0, "npi": [1144208992]}]}, {"allowed_amount": 406.49, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 592.0, "npi": [1780337865]}]}]}, {"tin": {"type": "ein", "value": "431832147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 217.75, "providers": [{"billed_charge": 1144.0, "npi": [1598406530, 1831505544, 1225141138, 1598864662, 1477789725, 1538435870, 1609901727, 1659546273, 1972892453, 1285020198, 1184011702, 1265164214, 1922111418, 1427161918, 1861717696, 1487145025, 1932132032, 1578142923, 1306402128, 1003829078, 1528231255, 1578095840, 1932569571, 1447825385, 1154431724]}]}, {"allowed_amount": 290.51, "providers": [{"billed_charge": 1144.0, "npi": [1265019400, 1972999225, 1720583628, 1093881500]}]}]}, {"tin": {"type": "ein", "value": "431936696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 622.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1739.0, "npi": [1467543090]}]}]}, {"tin": {"type": "ein", "value": "431936696"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 379.4, "providers": [{"billed_charge": 568.0, "npi": [1972917466]}]}]}, {"tin": {"type": "ein", "value": "432020057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 291.54, "providers": [{"billed_charge": 1870.0, "npi": [1598407421]}]}]}, {"tin": {"type": "ein", "value": "436003859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 457.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3813.0, "npi": [1699769901]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 539.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5164.0, "npi": [1639186760]}]}, {"allowed_amount": 825.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5164.0, "npi": [1639186760]}]}, {"allowed_amount": 1132.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5164.0, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2700.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4430.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1603.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4008.0, "npi": [1942241799]}]}, {"allowed_amount": 2700.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4008.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1863.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4658.0, "npi": [1154400232]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 275.4, "providers": [{"billed_charge": 459.0, "npi": [1851661508]}]}]}, {"tin": {"type": "ein", "value": "440665266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 356.8, "providers": [{"billed_charge": 356.8, "npi": [1225575558]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1236.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2515.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 217.75, "providers": [{"billed_charge": 1600.0, "npi": [1568682722, 1043294267]}]}]}, {"tin": {"type": "ein", "value": "462162669"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1097.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3419.4, "npi": [1528301900]}]}]}, {"tin": {"type": "ein", "value": "462171791"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2579.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3224.79, "npi": [1568705267]}]}]}, {"tin": {"type": "ein", "value": "470376552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1280.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2540.0, "npi": [1528006103]}]}]}, {"tin": {"type": "ein", "value": "470468078"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1354.39, "providers": [{"billed_charge": 1578.0, "npi": [1477660397]}]}]}, {"tin": {"type": "ein", "value": "470468078"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 378.0, "providers": [{"billed_charge": 378.0, "npi": [1912605221]}]}]}, {"tin": {"type": "ein", "value": "470809403"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 240.39, "providers": [{"billed_charge": 1229.0, "npi": [1457362873]}]}]}, {"tin": {"type": "ein", "value": "471669781"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1394.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3256.22, "npi": [1528463080]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1097.31, "providers": [{"billed_charge": 4070.84, "npi": [1912303579]}]}, {"allowed_amount": 1394.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4070.84, "npi": [1912303579]}]}, {"allowed_amount": 3256.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4070.84, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "480778482"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 240.39, "providers": [{"billed_charge": 1454.0, "npi": [1013336320, 1801018536, 1639178668, 1841224946, 1851329908, 1245506229, 1770584310, 1356695001]}]}, {"allowed_amount": 292.68, "providers": [{"billed_charge": 1454.0, "npi": [1568826022, 1336362953, 1174262026, 1992200695, 1154881498, 1588927420]}]}]}, {"tin": {"type": "ein", "value": "562488077"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2700.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4008.0, "npi": [1053353490]}]}]}, {"tin": {"type": "ein", "value": "590657322"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1067.31, "providers": [{"billed_charge": 6200.0, "npi": [1700979465]}]}]}, {"tin": {"type": "ein", "value": "620123940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 745.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4703.0, "npi": [1578527172]}]}]}, {"tin": {"type": "ein", "value": "620347580"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 925.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3200.0, "npi": [1629025648]}]}]}, {"tin": {"type": "ein", "value": "621179254"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 561.19, "providers": [{"billed_charge": 1664.0, "npi": [1407122955]}]}]}, {"tin": {"type": "ein", "value": "621266047"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 604.41, "providers": [{"billed_charge": 1686.0, "npi": [1902485238]}, {"billed_charge": 1704.0, "npi": [1780203620]}]}, {"allowed_amount": 610.28, "providers": [{"billed_charge": 1712.0, "npi": [1992383939]}]}]}, {"tin": {"type": "ein", "value": "621453389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 620.39, "providers": [{"billed_charge": 1479.0, "npi": [1356415863]}]}]}, {"tin": {"type": "ein", "value": "752737522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 675.61, "providers": [{"billed_charge": 1624.0, "npi": [1154764702]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1000.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1798.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 261.19, "providers": [{"billed_charge": 1036.0, "npi": [1710181219]}]}]}, {"tin": {"type": "ein", "value": "853947817"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 643.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2423.0, "npi": [1245619642]}]}]}, {"tin": {"type": "ein", "value": "880590424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 240.39, "providers": [{"billed_charge": 1482.0, "npi": [1568789519]}]}, {"allowed_amount": 406.49, "providers": [{"billed_charge": 1482.0, "npi": [1861186710]}]}]}, {"tin": {"type": "ein", "value": "900294051"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 248.18, "providers": [{"billed_charge": 472.0, "npi": [1871206193]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 984.0, "providers": [{"billed_charge": 984.0, "npi": [1043917180]}]}]}, {"tin": {"type": "ein", "value": "922110411"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 146.64, "providers": [{"billed_charge": 984.0, "npi": [1023715182]}]}, {"allowed_amount": 217.75, "providers": [{"billed_charge": 984.0, "npi": [1235870338, 1902098916, 1669001384, 1558345769, 1376121962, 1053428201, 1063739308, 1790171627, 1265069173, 1598345209]}]}, {"allowed_amount": 248.18, "providers": [{"billed_charge": 984.0, "npi": [1437846300, 1245920461, 1427001742]}]}, {"allowed_amount": 406.49, "providers": [{"billed_charge": 984.0, "npi": [1083276042, 1245973676, 1730967597, 1831952530, 1730957333, 1235614454]}]}]}, {"tin": {"type": "ein", "value": "922576754"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 240.39, "providers": [{"billed_charge": 984.0, "npi": [1063739308, 1528696374]}]}]}, {"tin": {"type": "ein", "value": "990073524"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1881.1, "providers": [{"billed_charge": 4131.0, "npi": [1184612764]}]}]}, {"tin": {"type": "ein", "value": "992417615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 217.75, "providers": [{"billed_charge": 1004.0, "npi": [1144634148, 1659021129, 1720583917, 1902461965, 1871027888, 1598758096]}]}]}]}, {"name": "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making", "billing_code_type": "CPT", "billing_code": "99283", "billing_code_type_version": "2022", "description": "EMERGENCY DEPARTMENT VISIT LOW MDM", "allowed_amounts": [{"tin": {"type": "ein", "value": "201652231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.48, "providers": [{"billed_charge": 329.0, "npi": [1154319861]}]}, {"allowed_amount": 148.99, "providers": [{"billed_charge": 329.0, "npi": [1649613134]}]}]}, {"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 262.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1815.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "270892426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.48, "providers": [{"billed_charge": 329.0, "npi": [1518935626]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 106.5, "providers": [{"billed_charge": 462.0, "npi": [1780366815]}]}, {"allowed_amount": 116.08, "providers": [{"billed_charge": 462.0, "npi": [1497493431]}]}]}, {"tin": {"type": "ein", "value": "272774116"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 84.45, "providers": [{"billed_charge": 409.0, "npi": [1194705772, 1841303245]}]}]}, {"tin": {"type": "ein", "value": "331428277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.48, "providers": [{"billed_charge": 600.0, "npi": [1770145724, 1225055783]}]}]}, {"tin": {"type": "ein", "value": "382589966"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 406.44, "providers": [{"billed_charge": 814.0, "npi": [1831132133]}]}]}, {"tin": {"type": "ein", "value": "412140764"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 262.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2510.0, "npi": [1508938044]}]}]}, {"tin": {"type": "ein", "value": "430652656"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 262.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2510.0, "npi": [1487663506]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 569.3, "providers": [{"billed_charge": 1435.0, "npi": [1427098169]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.8, "providers": [{"billed_charge": 600.0, "npi": [1104866656]}]}, {"allowed_amount": 91.48, "providers": [{"billed_charge": 600.0, "npi": [1487612370]}]}, {"allowed_amount": 106.5, "providers": [{"billed_charge": 600.0, "npi": [1245431220, 1902829823]}]}]}, {"tin": {"type": "ein", "value": "430662495"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1285.0, "npi": [1922042704]}]}]}, {"tin": {"type": "ein", "value": "430662495"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.01, "providers": [{"billed_charge": 300.0, "npi": [1447589056]}]}]}, {"tin": {"type": "ein", "value": "430980256"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 568.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1370.0, "npi": [1568481984]}]}, {"allowed_amount": 839.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1370.0, "npi": [1568481984]}]}]}, {"tin": {"type": "ein", "value": "430998341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.48, "providers": [{"billed_charge": 204.0, "npi": [1962590968, 1649451881]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 999.8, "providers": [{"billed_charge": 1817.55, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1444.8, "npi": [1518947696]}]}, {"allowed_amount": 91.48, "providers": [{"billed_charge": 1444.8, "npi": [1356343024, 1609864107, 1285635763]}]}]}, {"tin": {"type": "ein", "value": "431238701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.85, "providers": [{"billed_charge": 1300.54, "npi": [1700831724]}]}, {"allowed_amount": 584.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 650.27, "npi": [1700831724]}]}]}, {"tin": {"type": "ein", "value": "431452426"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 262.88, "providers": [{"billed_charge": 2510.0, "npi": [1144238908]}]}]}, {"tin": {"type": "ein", "value": "431610561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 236.04, "providers": [{"billed_charge": 1815.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "431832147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.48, "providers": [{"billed_charge": 409.0, "npi": [1154431724, 1477789725, 1568422046, 1609901727]}]}, {"allowed_amount": 107.41, "providers": [{"billed_charge": 409.0, "npi": [1972999225]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 873.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 873.93, "npi": [1770536740]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 568.15, "providers": [{"billed_charge": 2532.0, "npi": [1639186760]}]}, {"allowed_amount": 838.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2532.0, "npi": [1639186760]}]}, {"allowed_amount": 839.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2532.0, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440545289"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 135.23, "providers": [{"billed_charge": 210.0, "npi": [1871171256]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1100.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2011.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440552485"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 132.69, "providers": [{"billed_charge": 414.0, "npi": [1619645918]}]}]}, {"tin": {"type": "ein", "value": "440552490"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.01, "providers": [{"billed_charge": 211.0, "npi": [1669582102]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1100.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2121.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "440577118"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.48, "providers": [{"billed_charge": 277.85, "npi": [1457790230]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.0, "providers": [{"billed_charge": 1895.0, "npi": [1154400232]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 186.0, "npi": [1780106039]}]}, {"allowed_amount": 59.8, "providers": [{"billed_charge": 186.0, "npi": [1851437719]}]}, {"allowed_amount": 111.6, "providers": [{"billed_charge": 186.0, "npi": [1326309162, 1811934854]}]}]}, {"tin": {"type": "ein", "value": "440655986"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.01, "providers": [{"billed_charge": 189.63, "npi": [1144961236]}]}]}, {"tin": {"type": "ein", "value": "440665266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 145.6, "providers": [{"billed_charge": 145.6, "npi": [1508854670]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 896.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1133.0, "npi": [1811905375]}]}, {"allowed_amount": 999.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1133.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.99, "providers": [{"billed_charge": 1133.0, "npi": [1902834930]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 992.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 992.0, "npi": [1316733116]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.48, "providers": [{"billed_charge": 650.0, "npi": [1568682722, 1881707750, 1194705772, 1043294267, 1679572606]}]}, {"allowed_amount": 148.99, "providers": [{"billed_charge": 650.0, "npi": [1265408215]}]}]}, {"tin": {"type": "ein", "value": "462171791"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 218.2, "providers": [{"billed_charge": 1435.28, "npi": [1568705267]}]}]}, {"tin": {"type": "ein", "value": "470376552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 478.38, "providers": [{"billed_charge": 800.0, "npi": [1528006103]}]}, {"allowed_amount": 575.4, "providers": [{"billed_charge": 800.0, "npi": [1528006103]}]}]}, {"tin": {"type": "ein", "value": "470378779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.84, "providers": [{"billed_charge": 902.94, "npi": [1831203488]}]}]}, {"tin": {"type": "ein", "value": "470378779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 144.0, "providers": [{"billed_charge": 144.0, "npi": [1316725856]}]}]}, {"tin": {"type": "ein", "value": "470379836"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 575.4, "providers": [{"billed_charge": 943.0, "npi": [1336155738]}]}]}, {"tin": {"type": "ein", "value": "470468078"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 574.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 630.0, "npi": [1477660397]}]}]}, {"tin": {"type": "ein", "value": "470468078"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.0, "providers": [{"billed_charge": 148.0, "npi": [1912605221]}]}]}, {"tin": {"type": "ein", "value": "470765154"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.95, "providers": [{"billed_charge": 200.0, "npi": [1427700863]}]}]}, {"tin": {"type": "ein", "value": "470809403"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.95, "providers": [{"billed_charge": 501.0, "npi": [1629709878]}]}]}, {"tin": {"type": "ein", "value": "471669781"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 619.07, "providers": [{"billed_charge": 1472.07, "npi": [1528463080]}]}, {"allowed_amount": 999.8, "providers": [{"billed_charge": 1472.07, "npi": [1528463080]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 999.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1839.22, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "480561974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1048.0, "npi": [1932151487]}]}]}, {"tin": {"type": "ein", "value": "481203262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 2121.0, "npi": [1154303337]}]}, {"allowed_amount": 1100.0, "providers": [{"billed_charge": 2121.0, "npi": [1154303337]}]}]}, {"tin": {"type": "ein", "value": "562488077"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1100.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2121.0, "npi": [1053353490]}]}]}, {"tin": {"type": "ein", "value": "621130266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 246.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 665.0, "npi": [1386698058]}]}]}, {"tin": {"type": "ein", "value": "621266047"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 246.26, "providers": [{"billed_charge": 693.0, "npi": [1467985754]}]}]}, {"tin": {"type": "ein", "value": "640682111"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 620.13, "providers": [{"billed_charge": 1076.0, "npi": [1194789818]}]}]}, {"tin": {"type": "ein", "value": "730579286"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 658.95, "providers": [{"billed_charge": 1431.0, "npi": [1154417368]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 248.12, "providers": [{"billed_charge": 924.0, "npi": [1528076866]}]}]}, {"tin": {"type": "ein", "value": "840601621"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1331.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1580.0, "npi": [1154312981]}]}]}, {"tin": {"type": "ein", "value": "841325382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 226.58, "providers": [{"billed_charge": 297.0, "npi": [1609370154]}]}]}, {"tin": {"type": "ein", "value": "922110411"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.48, "providers": [{"billed_charge": 403.0, "npi": [1619506730, 1003337163, 1396937934]}]}, {"allowed_amount": 132.69, "providers": [{"billed_charge": 403.0, "npi": [1124771993, 1386428910]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.82, "providers": [{"billed_charge": 149.0, "npi": [1295354462]}]}, {"allowed_amount": 149.0, "providers": [{"billed_charge": 149.0, "npi": [1295304376]}]}]}, {"tin": {"type": "ein", "value": "992417615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.48, "providers": [{"billed_charge": 406.0, "npi": [1154558674, 1972588663]}]}]}]}, {"name": "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making", "billing_code_type": "CPT", "billing_code": "99284", "billing_code_type_version": "2022", "description": "EMERGENCY DEPARTMENT VISIT MODERATE MDM", "allowed_amounts": [{"tin": {"type": "ein", "value": "201652231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.28, "providers": [{"billed_charge": 625.0, "npi": [1720066624, 1104818053]}]}, {"allowed_amount": 197.73, "providers": [{"billed_charge": 625.0, "npi": [1649613134]}]}]}, {"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 452.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2801.0, "npi": [1649299827]}]}, {"allowed_amount": 1075.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2801.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "237339737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2033.0, "npi": [1386619450]}]}]}, {"tin": {"type": "ein", "value": "261467290"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 379.6, "providers": [{"billed_charge": 1151.76, "npi": [1326536608]}]}]}, {"tin": {"type": "ein", "value": "270892426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.28, "providers": [{"billed_charge": 625.0, "npi": [1609950229, 1104818053]}]}, {"allowed_amount": 197.73, "providers": [{"billed_charge": 625.0, "npi": [1649613134]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.99, "providers": [{"billed_charge": 874.0, "npi": [1942855366]}]}, {"allowed_amount": 102.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 874.0, "npi": [1881044709]}]}, {"allowed_amount": 177.23, "providers": [{"billed_charge": 874.0, "npi": [1629487665, 1508353178, 1063943124, 1902391865]}]}, {"allowed_amount": 197.57, "providers": [{"billed_charge": 874.0, "npi": [1558079186]}]}, {"allowed_amount": 205.74, "providers": [{"billed_charge": 874.0, "npi": [1609372952, 1912584681, 1902519598, 1295312817, 1326538968]}]}]}, {"tin": {"type": "ein", "value": "272774116"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 185.29, "providers": [{"billed_charge": 776.0, "npi": [1649536632, 1154384626]}]}]}, {"tin": {"type": "ein", "value": "331065485"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2521.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2521.0, "npi": [1700809829]}]}]}, {"tin": {"type": "ein", "value": "331428277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.23, "providers": [{"billed_charge": 650.0, "npi": [1922081348, 1538104229, 1821583626, 1346369584, 1881182558]}]}, {"allowed_amount": 197.57, "providers": [{"billed_charge": 650.0, "npi": [1689691289]}]}, {"allowed_amount": 220.81, "providers": [{"billed_charge": 650.0, "npi": [1518402064, 1720543838, 1194487439]}]}]}, {"tin": {"type": "ein", "value": "334223732"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.28, "providers": [{"billed_charge": 768.0, "npi": [1720066624, 1477535235, 1033850284, 1720583917, 1871027888]}]}]}, {"tin": {"type": "ein", "value": "370661172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 853.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3699.0, "npi": [1548278476]}]}]}, {"tin": {"type": "ein", "value": "426037829"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 597.0, "npi": [1508810714]}]}]}, {"tin": {"type": "ein", "value": "426037829"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 223.22, "providers": [{"billed_charge": 488.0, "npi": [1033500772]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1075.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1750.0, "npi": [1427098169]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.23, "providers": [{"billed_charge": 347.0, "npi": [1245250331]}]}, {"allowed_amount": 205.74, "providers": [{"billed_charge": 347.0, "npi": [1689875106]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.99, "providers": [{"billed_charge": 650.0, "npi": [1104866656]}]}, {"allowed_amount": 110.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 650.0, "npi": [1750340279]}]}, {"allowed_amount": 177.23, "providers": [{"billed_charge": 650.0, "npi": [1366785362, 1609087915, 1386149763, 1265775357]}]}, {"allowed_amount": 197.57, "providers": [{"billed_charge": 650.0, "npi": [1639493372, 1750125860]}]}, {"allowed_amount": 205.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 650.0, "npi": [1720493406, 1174540983]}, {"billed_charge": 806.0, "npi": [1467409797]}]}]}, {"tin": {"type": "ein", "value": "430980256"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 347.0, "npi": [1053428201, 1952887333]}]}]}, {"tin": {"type": "ein", "value": "430998341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 98.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 356.0, "npi": [1508947938]}]}, {"allowed_amount": 150.28, "providers": [{"billed_charge": 356.0, "npi": [1699769885, 1912975715, 1508429895, 1649451881, 1659766731, 1659365807, 1467879346, 1962590968, 1619136793, 1013018555, 1861427965, 1700870110]}]}, {"allowed_amount": 197.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 356.0, "npi": [1508947938, 1194177543]}]}, {"allowed_amount": 197.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 356.0, "npi": [1851564033, 1467984161, 1952764581, 1821721127, 1508429895, 1326543943, 1861838559]}]}, {"allowed_amount": 220.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 356.0, "npi": [1912398496, 1699464545, 1174302632, 1033451646]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 999.8, "providers": [{"billed_charge": 3062.85, "npi": [1609870310]}]}, {"allowed_amount": 1394.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3062.85, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.28, "providers": [{"billed_charge": 2029.65, "npi": [1245625375]}]}, {"allowed_amount": 197.73, "providers": [{"billed_charge": 2029.65, "npi": [1750875969]}]}]}, {"tin": {"type": "ein", "value": "431735565"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2200.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 817.0, "npi": [1912948308]}]}]}, {"tin": {"type": "ein", "value": "431735565"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 170.4, "providers": [{"billed_charge": 238.0, "npi": [1154558674]}]}]}, {"tin": {"type": "ein", "value": "431767432"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.99, "providers": [{"billed_charge": 617.0, "npi": [1447284898]}]}]}, {"tin": {"type": "ein", "value": "431832147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 776.0, "npi": [1649536632, 1528231255]}]}, {"allowed_amount": 150.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 776.0, "npi": [1578095840, 1932569571, 1972892453, 1285020198, 1447825385, 1902087018, 1578142923, 1841221355, 1306402128, 1225141138, 1235379124, 1427161918, 1144236159]}]}, {"allowed_amount": 197.73, "providers": [{"billed_charge": 776.0, "npi": [1922746056, 1972999225, 1093881500]}]}]}, {"tin": {"type": "ein", "value": "431936696"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 215.02, "providers": [{"billed_charge": 370.0, "npi": [1174242283]}]}]}, {"tin": {"type": "ein", "value": "436003859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 502.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2520.0, "npi": [1699769901]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1394.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1419.06, "npi": [1770536740]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 452.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3699.0, "npi": [1639186760]}]}, {"allowed_amount": 839.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3699.0, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440545289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 271.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2400.0, "npi": [1437259694]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2200.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2708.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440552490"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2828.0, "npi": [1235102690]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2200.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2433.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1283.6, "providers": [{"billed_charge": 3209.0, "npi": [1366515488]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.2, "providers": [{"billed_charge": 317.0, "npi": [1851853089]}]}]}, {"tin": {"type": "ein", "value": "440665266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 244.5, "providers": [{"billed_charge": 244.5, "npi": [1215161344]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 717.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1597.0, "npi": [1811905375]}]}, {"allowed_amount": 999.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1597.0, "npi": [1811905375]}]}, {"allowed_amount": 1394.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1597.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 197.73, "providers": [{"billed_charge": 1597.0, "npi": [1902834930]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1394.98, "providers": [{"billed_charge": 1588.0, "npi": [1316733116]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 990.0, "npi": [1568682722, 1134340805, 1881707750, 1194705772, 1679572606]}]}]}, {"tin": {"type": "ein", "value": "452652006"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3265.0, "npi": [1023398807]}]}]}, {"tin": {"type": "ein", "value": "462162669"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 825.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2152.31, "npi": [1528301900]}]}]}, {"tin": {"type": "ein", "value": "470376552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 369.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1657.0, "npi": [1528006103]}]}]}, {"tin": {"type": "ein", "value": "470378779"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 574.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1569.99, "npi": [1831203488]}]}]}, {"tin": {"type": "ein", "value": "470378779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 215.02, "providers": [{"billed_charge": 245.0, "npi": [1316725856]}]}]}, {"tin": {"type": "ein", "value": "470809403"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 185.29, "providers": [{"billed_charge": 848.0, "npi": [1336150747, 1417527243, 1851302269, 1336150739]}]}]}, {"tin": {"type": "ein", "value": "471669781"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 999.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2137.53, "npi": [1528463080]}]}, {"allowed_amount": 1394.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2137.53, "npi": [1528463080]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 999.8, "providers": [{"billed_charge": 2671.06, "npi": [1912303579]}]}, {"allowed_amount": 1394.98, "providers": [{"billed_charge": 2671.06, "npi": [1912303579]}]}, {"allowed_amount": 2136.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2671.06, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "480561974"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 215.02, "providers": [{"billed_charge": 687.0, "npi": [1265088959]}]}, {"allowed_amount": 223.34, "providers": [{"billed_charge": 687.0, "npi": [1952965634]}]}]}, {"tin": {"type": "ein", "value": "480778482"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 185.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1003.0, "npi": [1992062129, 1821148123, 1245506229, 1649682303]}]}, {"allowed_amount": 204.19, "providers": [{"billed_charge": 1003.0, "npi": [1053059550]}]}]}, {"tin": {"type": "ein", "value": "481203262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2200.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2433.0, "npi": [1154303337]}]}]}, {"tin": {"type": "ein", "value": "562488077"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2200.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2433.0, "npi": [1053353490]}]}]}, {"tin": {"type": "ein", "value": "620123940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 689.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3005.0, "npi": [1578527172]}]}]}, {"tin": {"type": "ein", "value": "621130266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 416.08, "providers": [{"billed_charge": 1033.0, "npi": [1679567523, 1538107206]}]}, {"allowed_amount": 431.62, "providers": [{"billed_charge": 1207.0, "npi": [1023117272]}]}]}, {"tin": {"type": "ein", "value": "621266047"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 416.08, "providers": [{"billed_charge": 1161.0, "npi": [1780203620]}]}]}, {"tin": {"type": "ein", "value": "621453389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 389.76, "providers": [{"billed_charge": 891.0, "npi": [1154639318]}]}]}, {"tin": {"type": "ein", "value": "621650582"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1029.33, "providers": [{"billed_charge": 4146.71, "npi": [1902857766]}]}]}, {"tin": {"type": "ein", "value": "621762364"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 255.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2945.99, "npi": [1114003175]}]}]}, {"tin": {"type": "ein", "value": "660573658"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 325.0, "providers": [{"billed_charge": 325.0, "npi": [1023008653]}]}]}, {"tin": {"type": "ein", "value": "710236917"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 952.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2205.0, "npi": [1629011002]}]}]}, {"tin": {"type": "ein", "value": "720408982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 780.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1469.0, "npi": [1417950106]}]}]}, {"tin": {"type": "ein", "value": "752684562"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 433.02, "providers": [{"billed_charge": 1026.0, "npi": [1134500077]}]}]}, {"tin": {"type": "ein", "value": "752796815"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 780.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3485.0, "npi": [1295736734]}]}]}, {"tin": {"type": "ein", "value": "813562771"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 238.01, "providers": [{"billed_charge": 450.0, "npi": [1356901292]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1408.5, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "833563831"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 379.6, "providers": [{"billed_charge": 1534.0, "npi": [1518220862]}]}]}, {"tin": {"type": "ein", "value": "880590424"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 165.51, "providers": [{"billed_charge": 1024.0, "npi": [1861186710]}]}, {"allowed_amount": 185.29, "providers": [{"billed_charge": 1024.0, "npi": [1124568498]}]}]}, {"tin": {"type": "ein", "value": "900294051"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.23, "providers": [{"billed_charge": 318.0, "npi": [1770102758]}]}]}, {"tin": {"type": "ein", "value": "911828806"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 195.95, "providers": [{"billed_charge": 589.0, "npi": [1285924217]}]}]}, {"tin": {"type": "ein", "value": "922110411"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1265069173]}]}, {"allowed_amount": 100.99, "providers": [{"billed_charge": 678.0, "npi": [1023715182]}]}, {"allowed_amount": 150.28, "providers": [{"billed_charge": 678.0, "npi": [1194702050, 1902098916, 1669001384, 1811209224, 1619506730, 1003337163, 1467074443, 1376121962, 1396937934, 1134781107, 1265069173, 1598345209, 1396719035]}]}, {"allowed_amount": 197.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1588738884, 1245920461, 1427001742, 1710347984, 1639656085, 1437846300]}]}, {"allowed_amount": 220.81, "providers": [{"billed_charge": 678.0, "npi": [1083276042, 1245973676, 1730967597, 1386428910, 1619668845, 1831952530, 1730957333, 1235614454, 1124771993]}]}]}, {"tin": {"type": "ein", "value": "922576754"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 165.51, "providers": [{"billed_charge": 678.0, "npi": [1912347600]}]}, {"allowed_amount": 185.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1538796081, 1063739308, 1528696374]}]}, {"allowed_amount": 197.57, "providers": [{"billed_charge": 678.0, "npi": [1154867356]}]}]}, {"tin": {"type": "ein", "value": "934423843"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 215.02, "providers": [{"billed_charge": 570.0, "npi": [1619917598]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 240.96, "providers": [{"billed_charge": 267.0, "npi": [1205099819]}]}]}, {"tin": {"type": "ein", "value": "992417615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 692.0, "npi": [1871027888]}]}, {"allowed_amount": 150.28, "providers": [{"billed_charge": 692.0, "npi": [1255919270, 1316180839, 1033850284, 1902461965, 1144726837, 1518499607, 1851929145, 1336763069]}]}, {"allowed_amount": 220.81, "providers": [{"billed_charge": 692.0, "npi": [1336634294]}]}, {"allowed_amount": 553.6, "providers": [{"billed_charge": 692.0, "npi": [1336763069]}]}]}]}, {"name": "Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making", "billing_code_type": "CPT", "billing_code": "99282", "billing_code_type_version": "2022", "description": "EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM", "allowed_amounts": [{"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 568.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 868.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.2, "providers": [{"billed_charge": 108.0, "npi": [1689875106]}]}]}, {"tin": {"type": "ein", "value": "430998341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.22, "providers": [{"billed_charge": 146.0, "npi": [1447810429]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 619.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 784.35, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.56, "providers": [{"billed_charge": 794.85, "npi": [1063622058, 1366443525]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 443.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1109.0, "npi": [1366515488]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.0, "providers": [{"billed_charge": 110.0, "npi": [1356602569]}]}]}, {"tin": {"type": "ein", "value": "440665266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.15, "providers": [{"billed_charge": 84.2, "npi": [1508854670]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 619.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 630.0, "npi": [1811905375]}]}, {"allowed_amount": 630.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 630.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "471669781"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 619.07, "providers": [{"billed_charge": 843.31, "npi": [1528463080]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 619.07, "providers": [{"billed_charge": 850.19, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "480561974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.42, "providers": [{"billed_charge": 603.0, "npi": [1932151487]}]}]}, {"tin": {"type": "ein", "value": "480561974"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.48, "providers": [{"billed_charge": 266.0, "npi": [1952965634]}]}]}, {"tin": {"type": "ein", "value": "581123037"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 601.51, "providers": [{"billed_charge": 853.98, "npi": [1508810565]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 328.88, "providers": [{"billed_charge": 2019.0, "npi": [1245226190]}]}]}, {"tin": {"type": "ein", "value": "621762364"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 255.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 889.89, "npi": [1114003175]}]}]}, {"tin": {"type": "ein", "value": "922110411"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.46, "providers": [{"billed_charge": 237.0, "npi": [1831952530, 1730967597]}]}, {"allowed_amount": 82.56, "providers": [{"billed_charge": 237.0, "npi": [1215679527]}]}]}, {"tin": {"type": "ein", "value": "922576754"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.3, "providers": [{"billed_charge": 237.0, "npi": [1407293236]}]}]}]}, {"name": "Ground mileage, per statute mile", "billing_code_type": "CPT", "billing_code": "A0425", "billing_code_type_version": "2022", "description": "Ground mileage, per statute mile", "allowed_amounts": [{"tin": {"type": "ein", "value": "113647024"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 18.0, "npi": [1073554861]}]}]}, {"tin": {"type": "ein", "value": "391397209"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.2, "providers": [{"billed_charge": 24.2, "npi": [1063579381]}]}]}, {"tin": {"type": "ein", "value": "421674975"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.51, "providers": [{"billed_charge": 33.0, "npi": [1306946371]}]}, {"allowed_amount": 33.0, "providers": [{"billed_charge": 33.0, "npi": [1306946371]}]}]}, {"tin": {"type": "ein", "value": "426151614"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.94, "providers": [{"billed_charge": 18.94, "npi": [1942214218]}]}]}, {"tin": {"type": "ein", "value": "430839443"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.13, "providers": [{"billed_charge": 14.0, "npi": [1356692750]}]}, {"allowed_amount": 14.0, "providers": [{"billed_charge": 14.0, "npi": [1356692750]}]}]}, {"tin": {"type": "ein", "value": "431065833"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2.34, "providers": [{"billed_charge": 15.0, "npi": [1396790218]}]}, {"allowed_amount": 3.61, "providers": [{"billed_charge": 15.0, "npi": [1396790218]}]}, {"allowed_amount": 5.1, "providers": [{"billed_charge": 15.0, "npi": [1396790218]}]}, {"allowed_amount": 5.28, "providers": [{"billed_charge": 15.0, "npi": [1396790218]}]}, {"allowed_amount": 12.83, "providers": [{"billed_charge": 15.0, "npi": [1396790218]}]}, {"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1396790218]}]}]}, {"tin": {"type": "ein", "value": "431097068"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 4.15, "providers": [{"billed_charge": 18.73, "npi": [1457386385]}]}, {"allowed_amount": 5.99, "providers": [{"billed_charge": 18.73, "npi": [1457386385]}]}, {"allowed_amount": 6.34, "providers": [{"billed_charge": 18.73, "npi": [1457386385]}]}, {"allowed_amount": 7.19, "providers": [{"billed_charge": 18.73, "npi": [1457386385]}]}, {"allowed_amount": 7.7, "providers": [{"billed_charge": 18.73, "npi": [1457386385]}]}, {"allowed_amount": 8.29, "providers": [{"billed_charge": 18.73, "npi": [1457386385]}]}, {"allowed_amount": 11.98, "providers": [{"billed_charge": 18.73, "npi": [1457386385]}]}, {"allowed_amount": 13.47, "providers": [{"billed_charge": 18.73, "npi": [1457386385]}]}, {"allowed_amount": 17.96, "providers": [{"billed_charge": 18.73, "npi": [1457386385]}]}, {"allowed_amount": 18.73, "providers": [{"billed_charge": 18.73, "npi": [1457386385]}]}]}, {"tin": {"type": "ein", "value": "431111568"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 7.44, "providers": [{"billed_charge": 15.0, "npi": [1417904822]}]}]}, {"tin": {"type": "ein", "value": "431189325"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1598843450]}]}]}, {"tin": {"type": "ein", "value": "431214755"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.0, "providers": [{"billed_charge": 12.0, "npi": [1407992225]}]}]}, {"tin": {"type": "ein", "value": "431246624"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 21.92, "providers": [{"billed_charge": 21.92, "npi": [1922073519]}]}]}, {"tin": {"type": "ein", "value": "431338669"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 3.62, "providers": [{"billed_charge": 18.0, "npi": [1013961259]}]}, {"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1013961259]}]}]}, {"tin": {"type": "ein", "value": "431457536"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.05, "providers": [{"billed_charge": 23.0, "npi": [1710912381]}]}]}, {"tin": {"type": "ein", "value": "431496774"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 4.99, "providers": [{"billed_charge": 28.94, "npi": [1578613253]}]}, {"allowed_amount": 12.83, "providers": [{"billed_charge": 32.66, "npi": [1578613253]}]}, {"allowed_amount": 17.96, "providers": [{"billed_charge": 28.94, "npi": [1578613253]}]}, {"allowed_amount": 22.45, "providers": [{"billed_charge": 28.94, "npi": [1578613253]}]}, {"allowed_amount": 28.94, "providers": [{"billed_charge": 28.94, "npi": [1578613253]}]}, {"allowed_amount": 29.94, "providers": [{"billed_charge": 32.66, "npi": [1578613253]}]}, {"allowed_amount": 32.66, "providers": [{"billed_charge": 32.66, "npi": [1578613253]}]}]}, {"tin": {"type": "ein", "value": "431566991"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.23, "providers": [{"billed_charge": 16.0, "npi": [1184617029]}]}]}, {"tin": {"type": "ein", "value": "436003231"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.8, "providers": [{"billed_charge": 10.8, "npi": [1952490682]}]}, {"allowed_amount": 11.23, "providers": [{"billed_charge": 11.7, "npi": [1952490682]}]}, {"allowed_amount": 11.31, "providers": [{"billed_charge": 11.31, "npi": [1952490682]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1952490682]}]}, {"allowed_amount": 12.8, "providers": [{"billed_charge": 12.8, "npi": [1952490682]}]}, {"allowed_amount": 12.96, "providers": [{"billed_charge": 12.96, "npi": [1952490682]}]}, {"allowed_amount": 13.2, "providers": [{"billed_charge": 13.2, "npi": [1952490682]}]}, {"allowed_amount": 13.6, "providers": [{"billed_charge": 13.6, "npi": [1952490682]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.36, "providers": [{"billed_charge": 45.43, "npi": [1073769329]}]}, {"allowed_amount": 35.23, "providers": [{"billed_charge": 40.42, "npi": [1073769329]}, {"billed_charge": 43.24, "npi": [1073769329]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.53, "providers": [{"billed_charge": 54.21, "npi": [1942346804]}]}]}, {"tin": {"type": "ein", "value": "446000176"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 8.49, "providers": [{"billed_charge": 20.0, "npi": [1285637058]}]}]}, {"tin": {"type": "ein", "value": "446000201"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.34, "providers": [{"billed_charge": 10.0, "npi": [1730419227]}]}, {"allowed_amount": 8.98, "providers": [{"billed_charge": 10.0, "npi": [1730419227]}]}, {"allowed_amount": 9.8, "providers": [{"billed_charge": 10.0, "npi": [1730419227]}]}, {"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1730419227]}]}]}, {"tin": {"type": "ein", "value": "446000208"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 8.42, "providers": [{"billed_charge": 17.5, "npi": [1396721502]}]}, {"allowed_amount": 9.98, "providers": [{"billed_charge": 17.5, "npi": [1396721502]}]}, {"allowed_amount": 14.76, "providers": [{"billed_charge": 17.5, "npi": [1396721502]}]}, {"allowed_amount": 17.5, "providers": [{"billed_charge": 17.5, "npi": [1396721502]}]}]}, {"tin": {"type": "ein", "value": "446000209"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 3.13, "providers": [{"billed_charge": 12.67, "npi": [1568492932]}]}]}, {"tin": {"type": "ein", "value": "446000213"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.5, "providers": [{"billed_charge": 13.5, "npi": [1437228699]}]}]}, {"tin": {"type": "ein", "value": "446000236"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1952473241]}]}]}, {"tin": {"type": "ein", "value": "446005558"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.25, "providers": [{"billed_charge": 14.0, "npi": [1801936547]}]}]}, {"tin": {"type": "ein", "value": "470829179"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 0.75, "providers": [{"billed_charge": 27.5, "npi": [1871991125]}]}]}, {"tin": {"type": "ein", "value": "476006256"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 22.33, "providers": [{"billed_charge": 27.91, "npi": [1477588101]}, {"billed_charge": 29.3, "npi": [1477588101]}]}, {"allowed_amount": 27.91, "providers": [{"billed_charge": 27.91, "npi": [1477588101]}]}]}, {"tin": {"type": "ein", "value": "476006475"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 25.08, "providers": [{"billed_charge": 25.08, "npi": [1376594929]}]}]}, {"tin": {"type": "ein", "value": "481194075"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.18, "providers": [{"billed_charge": 15.0, "npi": [1639157555]}]}]}, {"tin": {"type": "ein", "value": "486033148"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.91, "providers": [{"billed_charge": 17.5, "npi": [1942341565]}]}]}, {"tin": {"type": "ein", "value": "486034760"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.72, "providers": [{"billed_charge": 13.72, "npi": [1093792046]}]}]}, {"tin": {"type": "ein", "value": "486038307"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 4.07, "providers": [{"billed_charge": 15.0, "npi": [1558361162]}]}]}, {"tin": {"type": "ein", "value": "731601148"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.23, "providers": [{"billed_charge": 30.0, "npi": [1114006939]}]}, {"allowed_amount": 22.45, "providers": [{"billed_charge": 30.0, "npi": [1114006939]}]}, {"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1336114131]}]}]}]}, {"name": "Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter", "billing_code_type": "CPT", "billing_code": "99239", "billing_code_type_version": "2022", "description": "HOSPITAL IP/OBS DISCHARGE DAY MGMT > 30 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "203279920"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.23, "providers": [{"billed_charge": 411.0, "npi": [1083835441]}]}, {"allowed_amount": 125.41, "providers": [{"billed_charge": 411.0, "npi": [1992267165]}]}]}, {"tin": {"type": "ein", "value": "262973565"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.53, "providers": [{"billed_charge": 320.0, "npi": [1518494194]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 173.13, "providers": [{"billed_charge": 682.0, "npi": [1275947095]}]}]}, {"tin": {"type": "ein", "value": "271371893"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.41, "providers": [{"billed_charge": 737.0, "npi": [1871170258, 1578738191]}]}]}, {"tin": {"type": "ein", "value": "274185968"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 132.61, "providers": [{"billed_charge": 432.0, "npi": [1376810598]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.13, "providers": [{"billed_charge": 318.0, "npi": [1891549747]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 138.62, "providers": [{"billed_charge": 269.0, "npi": [1134555279]}]}, {"allowed_amount": 163.08, "providers": [{"billed_charge": 269.0, "npi": [1275821282, 1649473331, 1699769356, 1265896047]}]}]}, {"tin": {"type": "ein", "value": "431854902"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.93, "providers": [{"billed_charge": 188.0, "npi": [1275161796]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 149.64, "providers": [{"billed_charge": 166.0, "npi": [1396910469]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.53, "providers": [{"billed_charge": 235.0, "npi": [1811481153]}]}, {"allowed_amount": 149.64, "providers": [{"billed_charge": 235.0, "npi": [1104321603]}]}]}, {"tin": {"type": "ein", "value": "461796402"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.64, "providers": [{"billed_charge": 222.47, "npi": [1235513466]}]}]}, {"tin": {"type": "ein", "value": "464504901"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.93, "providers": [{"billed_charge": 239.0, "npi": [1457614430]}]}]}, {"tin": {"type": "ein", "value": "472538324"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.64, "providers": [{"billed_charge": 500.0, "npi": [1104929603]}]}]}, {"tin": {"type": "ein", "value": "813453196"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 157.77, "providers": [{"billed_charge": 175.0, "npi": [1063866374]}]}]}, {"tin": {"type": "ein", "value": "820380784"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.36, "providers": [{"billed_charge": 221.0, "npi": [1588013536]}]}]}, {"tin": {"type": "ein", "value": "820554975"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.64, "providers": [{"billed_charge": 185.0, "npi": [1659959740]}]}]}, {"tin": {"type": "ein", "value": "821368185"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.64, "providers": [{"billed_charge": 333.0, "npi": [1457703530, 1659959989]}]}]}, {"tin": {"type": "ein", "value": "834419854"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.53, "providers": [{"billed_charge": 325.0, "npi": [1730400888]}]}]}, {"tin": {"type": "ein", "value": "882355153"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.53, "providers": [{"billed_charge": 476.0, "npi": [1568002236]}]}]}, {"tin": {"type": "ein", "value": "923763921"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.72, "providers": [{"billed_charge": 726.0, "npi": [1831149152]}]}]}, {"tin": {"type": "ein", "value": "931515952"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.53, "providers": [{"billed_charge": 325.0, "npi": [1124508692]}]}]}, {"tin": {"type": "ein", "value": "993151146"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.64, "providers": [{"billed_charge": 726.0, "npi": [1588226302]}]}]}]}, {"name": "Infusion, normal saline solution , 1000 cc", "billing_code_type": "CPT", "billing_code": "J7030", "billing_code_type_version": "2022", "description": "Infusion, normal saline solution , 1000 cc", "allowed_amounts": [{"tin": {"type": "ein", "value": "237339737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.66, "providers": [{"billed_charge": 19.0, "npi": [1386619450]}]}]}, {"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.28, "providers": [{"billed_charge": 10.0, "npi": [1457100810]}]}]}, {"tin": {"type": "ein", "value": "431704371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.88, "providers": [{"billed_charge": 99.99, "npi": [1265546048]}]}]}, {"tin": {"type": "ein", "value": "431936696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.66, "providers": [{"billed_charge": 105.0, "npi": [1467543090]}]}]}, {"tin": {"type": "ein", "value": "436003859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.88, "providers": [{"billed_charge": 70.0, "npi": [1699769901]}]}, {"allowed_amount": 26.98, "providers": [{"billed_charge": 70.0, "npi": [1699769901]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.42, "providers": [{"billed_charge": 258.35, "npi": [1063494177]}]}, {"allowed_amount": 103.76, "providers": [{"billed_charge": 296.45, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.42, "providers": [{"billed_charge": 258.35, "npi": [1942241799]}]}, {"allowed_amount": 103.76, "providers": [{"billed_charge": 296.45, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.88, "providers": [{"billed_charge": 150.0, "npi": [1811905375]}]}, {"allowed_amount": 42.69, "providers": [{"billed_charge": 150.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.88, "providers": [{"billed_charge": 65.0, "npi": [1316733116]}]}]}, {"tin": {"type": "ein", "value": "471669781"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.88, "providers": [{"billed_charge": 28.71, "npi": [1528463080]}, {"billed_charge": 30.0, "npi": [1528463080]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.88, "providers": [{"billed_charge": 30.0, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "562488077"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.42, "providers": [{"billed_charge": 258.35, "npi": [1053353490]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.19, "providers": [{"billed_charge": 50.0, "npi": [1104381292]}]}]}]}, {"name": "Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99223", "billing_code_type_version": "2022", "description": "1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "203279920"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 162.57, "providers": [{"billed_charge": 773.0, "npi": [1083835441]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 190.02, "providers": [{"billed_charge": 1255.0, "npi": [1609372952]}]}]}, {"tin": {"type": "ein", "value": "271371893"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 190.02, "providers": [{"billed_charge": 1389.0, "npi": [1992208706]}]}, {"allowed_amount": 204.43, "providers": [{"billed_charge": 1389.0, "npi": [1871170258]}]}]}, {"tin": {"type": "ein", "value": "272663826"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 270.76, "providers": [{"billed_charge": 534.0, "npi": [1720516776]}]}]}, {"tin": {"type": "ein", "value": "274185968"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 429.79, "providers": [{"billed_charge": 812.0, "npi": [1467844340]}]}]}, {"tin": {"type": "ein", "value": "363966745"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 283.41, "providers": [{"billed_charge": 480.0, "npi": [1336777184]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 307.96, "providers": [{"billed_charge": 533.0, "npi": [1285290601, 1417680141, 1255075214]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 162.57, "providers": [{"billed_charge": 509.0, "npi": [1093263717]}]}, {"allowed_amount": 210.15, "providers": [{"billed_charge": 509.0, "npi": [1033500210]}]}, {"allowed_amount": 247.23, "providers": [{"billed_charge": 509.0, "npi": [1518531680, 1205102597, 1023422219, 1194175026, 1376830646, 1609124759, 1689603771]}]}]}, {"tin": {"type": "ein", "value": "461796402"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 262.13, "providers": [{"billed_charge": 337.28, "npi": [1205198231]}]}, {"allowed_amount": 307.96, "providers": [{"billed_charge": 337.28, "npi": [1235513466]}]}]}, {"tin": {"type": "ein", "value": "472538324"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 307.96, "providers": [{"billed_charge": 600.0, "npi": [1487605259]}]}]}, {"tin": {"type": "ein", "value": "820380784"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 286.5, "providers": [{"billed_charge": 400.0, "npi": [1588013536]}]}]}, {"tin": {"type": "ein", "value": "821101530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 296.19, "providers": [{"billed_charge": 462.0, "npi": [1699398438]}]}]}, {"tin": {"type": "ein", "value": "821368185"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 262.33, "providers": [{"billed_charge": 505.0, "npi": [1265997290]}]}, {"allowed_amount": 307.96, "providers": [{"billed_charge": 505.0, "npi": [1942825328, 1386873743]}]}]}, {"tin": {"type": "ein", "value": "880820406"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 354.64, "providers": [{"billed_charge": 460.0, "npi": [1437491784]}]}]}, {"tin": {"type": "ein", "value": "881042781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 283.41, "providers": [{"billed_charge": 478.0, "npi": [1790826063]}]}]}, {"tin": {"type": "ein", "value": "882355153"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.02, "providers": [{"billed_charge": 719.6, "npi": [1588168322]}]}, {"allowed_amount": 262.33, "providers": [{"billed_charge": 719.6, "npi": [1144817529]}]}]}, {"tin": {"type": "ein", "value": "922202315"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 303.0, "providers": [{"billed_charge": 303.0, "npi": [1679592414]}]}]}, {"tin": {"type": "ein", "value": "943342387"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 254.04, "providers": [{"billed_charge": 1255.0, "npi": [1205086998]}]}, {"allowed_amount": 307.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1255.0, "npi": [1871943530]}]}]}, {"tin": {"type": "ein", "value": "993151146"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 162.57, "providers": [{"billed_charge": 1373.0, "npi": [1437990082]}]}, {"allowed_amount": 307.96, "providers": [{"billed_charge": 1373.0, "npi": [1306823273, 1396321907, 1063073492, 1144437310]}]}]}]}, {"name": "Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99222", "billing_code_type_version": "2022", "description": "1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "200406365"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.26, "providers": [{"billed_charge": 481.0, "npi": [1770546483]}]}]}, {"tin": {"type": "ein", "value": "203279920"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.56, "providers": [{"billed_charge": 525.0, "npi": [1952701666]}]}]}, {"tin": {"type": "ein", "value": "274185968"}, "billing_class": "professional", "service_codes": ["61", "21", "51"], "payments": [{"allowed_amount": 152.89, "providers": [{"billed_charge": 551.0, "npi": [1194704312]}]}, {"allowed_amount": 195.71, "providers": [{"billed_charge": 551.0, "npi": [1902899834]}]}, {"allowed_amount": 345.98, "providers": [{"billed_charge": 551.0, "npi": [1356051676]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 176.66, "providers": [{"billed_charge": 303.0, "npi": [1952585812]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.86, "providers": [{"billed_charge": 375.0, "npi": [1134169568]}]}, {"allowed_amount": 170.86, "providers": [{"billed_charge": 382.0, "npi": [1477121176, 1457732745]}]}, {"allowed_amount": 176.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 375.0, "npi": [1457466989]}, {"billed_charge": 415.0, "npi": [1801002779]}]}, {"allowed_amount": 219.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 415.0, "npi": [1568622702]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 148.56, "providers": [{"billed_charge": 1349.25, "npi": [1730506684]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 157.67, "providers": [{"billed_charge": 344.0, "npi": [1134838014]}]}, {"allowed_amount": 185.49, "providers": [{"billed_charge": 344.0, "npi": [1760869556, 1699769356, 1073142618]}]}]}, {"tin": {"type": "ein", "value": "431695358"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.74, "providers": [{"billed_charge": 341.52, "npi": [1720124191]}]}]}, {"tin": {"type": "ein", "value": "431704371"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 148.56, "providers": [{"billed_charge": 462.0, "npi": [1912781295]}]}]}, {"tin": {"type": "ein", "value": "440665266"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 199.25, "providers": [{"billed_charge": 344.3, "npi": [1700659083, 1699478396, 1629610126]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 148.56, "providers": [{"billed_charge": 236.0, "npi": [1902834930]}]}]}, {"tin": {"type": "ein", "value": "446000696"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 290.5, "providers": [{"billed_charge": 376.0, "npi": [1942283866]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.56, "providers": [{"billed_charge": 303.0, "npi": [1104321603]}]}]}, {"tin": {"type": "ein", "value": "461093547"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 187.76, "providers": [{"billed_charge": 385.0, "npi": [1023370640]}]}]}, {"tin": {"type": "ein", "value": "472538324"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 211.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 366.69, "npi": [1093735557]}]}]}, {"tin": {"type": "ein", "value": "811548385"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 160.0, "npi": [1598874851]}]}]}, {"tin": {"type": "ein", "value": "812951254"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.89, "providers": [{"billed_charge": 248.0, "npi": [1619075355]}]}, {"allowed_amount": 214.0, "providers": [{"billed_charge": 214.0, "npi": [1902366867]}]}, {"allowed_amount": 219.31, "providers": [{"billed_charge": 248.0, "npi": [1548674989]}]}]}, {"tin": {"type": "ein", "value": "820380784"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 250.11, "providers": [{"billed_charge": 271.0, "npi": [1982135828]}]}]}, {"tin": {"type": "ein", "value": "820554975"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 148.56, "providers": [{"billed_charge": 230.0, "npi": [1558725291]}]}]}, {"tin": {"type": "ein", "value": "830528240"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 244.27, "providers": [{"billed_charge": 266.0, "npi": [1790712750]}]}]}, {"tin": {"type": "ein", "value": "832810272"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.74, "providers": [{"billed_charge": 260.0, "npi": [1235441619]}]}]}, {"tin": {"type": "ein", "value": "863916317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.74, "providers": [{"billed_charge": 653.0, "npi": [1073007589]}]}]}, {"tin": {"type": "ein", "value": "922202315"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 148.56, "providers": [{"billed_charge": 201.0, "npi": [1215432067]}]}]}, {"tin": {"type": "ein", "value": "934423843"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.25, "providers": [{"billed_charge": 605.0, "npi": [1396357141]}]}]}]}, {"name": "Injection, ketorolac tromethamine, per 15 mg", "billing_code_type": "CPT", "billing_code": "J1885", "billing_code_type_version": "2022", "description": "Injection, ketorolac tromethamine, per 15 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.07, "providers": [{"billed_charge": 2.42, "npi": [1649299827]}, {"billed_charge": 4.8, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "350867958"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.96, "providers": [{"billed_charge": 56.05, "npi": [1225195340]}]}]}, {"tin": {"type": "ein", "value": "430652656"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.07, "providers": [{"billed_charge": 3.2, "npi": [1487663506]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.62, "providers": [{"billed_charge": 4.8, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "431936696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.92, "providers": [{"billed_charge": 17.4, "npi": [1467543090]}]}]}, {"tin": {"type": "ein", "value": "436003859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.88, "providers": [{"billed_charge": 30.0, "npi": [1699769901]}]}, {"allowed_amount": 19.17, "providers": [{"billed_charge": 30.0, "npi": [1699769901]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.62, "providers": [{"billed_charge": 35.0, "npi": [1770536740]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.65, "providers": [{"billed_charge": 1.65, "npi": [1639186760]}]}, {"allowed_amount": 1.68, "providers": [{"billed_charge": 1.68, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440545289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.88, "providers": [{"billed_charge": 25.0, "npi": [1437259694]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.11, "providers": [{"billed_charge": 60.3, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.6, "providers": [{"billed_charge": 7.42, "npi": [1942241799]}]}, {"allowed_amount": 2.61, "providers": [{"billed_charge": 7.45, "npi": [1942241799]}]}, {"allowed_amount": 4.38, "providers": [{"billed_charge": 12.5, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.62, "providers": [{"billed_charge": 11.5, "npi": [1316733116]}, {"billed_charge": 17.5, "npi": [1316733116]}, {"billed_charge": 35.0, "npi": [1316733116]}]}]}, {"tin": {"type": "ein", "value": "471669781"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.62, "providers": [{"billed_charge": 36.11, "npi": [1528463080]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.62, "providers": [{"billed_charge": 17.1, "npi": [1912303579]}, {"billed_charge": 34.2, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "481203262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.49, "providers": [{"billed_charge": 18.52, "npi": [1154303337]}]}]}, {"tin": {"type": "ein", "value": "562488077"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.61, "providers": [{"billed_charge": 7.45, "npi": [1053353490]}]}, {"allowed_amount": 4.38, "providers": [{"billed_charge": 12.5, "npi": [1053353490]}]}]}, {"tin": {"type": "ein", "value": "620123940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.65, "providers": [{"billed_charge": 4.65, "npi": [1578527172]}]}]}, {"tin": {"type": "ein", "value": "720408982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.4, "providers": [{"billed_charge": 34.79, "npi": [1417950106]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.86, "providers": [{"billed_charge": 10.0, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "990073524"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.84, "providers": [{"billed_charge": 7.84, "npi": [1184612764]}]}, {"allowed_amount": 10.32, "providers": [{"billed_charge": 10.32, "npi": [1184612764]}]}]}]}, {"name": "Injection, ondansetron hydrochloride, per 1 mg", "billing_code_type": "CPT", "billing_code": "J2405", "billing_code_type_version": "2022", "description": "Injection, ondansetron hydrochloride, per 1 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.3, "providers": [{"billed_charge": 0.3, "npi": [1649299827]}]}, {"allowed_amount": 0.55, "providers": [{"billed_charge": 0.55, "npi": [1649299827]}]}, {"allowed_amount": 0.76, "providers": [{"billed_charge": 0.76, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.29, "providers": [{"billed_charge": 10.0, "npi": [1457100810]}]}]}, {"tin": {"type": "ein", "value": "412140764"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.3, "providers": [{"billed_charge": 0.3, "npi": [1508938044]}]}, {"allowed_amount": 0.49, "providers": [{"billed_charge": 0.49, "npi": [1508938044]}]}]}, {"tin": {"type": "ein", "value": "426037829"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.27, "providers": [{"billed_charge": 4.85, "npi": [1508810714]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.21, "providers": [{"billed_charge": 1.25, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "431735565"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.14, "providers": [{"billed_charge": 3.25, "npi": [1912948308]}]}]}, {"tin": {"type": "ein", "value": "431936696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.75, "providers": [{"billed_charge": 2.75, "npi": [1467543090]}]}]}, {"tin": {"type": "ein", "value": "436003859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.96, "providers": [{"billed_charge": 15.0, "npi": [1699769901]}]}, {"allowed_amount": 5.53, "providers": [{"billed_charge": 15.0, "npi": [1699769901]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.21, "providers": [{"billed_charge": 50.0, "npi": [1770536740]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.39, "providers": [{"billed_charge": 0.39, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.76, "providers": [{"billed_charge": 5.03, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.09, "providers": [{"billed_charge": 3.13, "npi": [1942241799]}]}, {"allowed_amount": 1.11, "providers": [{"billed_charge": 3.17, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.86, "providers": [{"billed_charge": 9.77, "npi": [1366515488]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.21, "providers": [{"billed_charge": 35.0, "npi": [1811905375]}]}, {"allowed_amount": 4.37, "providers": [{"billed_charge": 35.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.21, "providers": [{"billed_charge": 8.75, "npi": [1316733116]}]}]}, {"tin": {"type": "ein", "value": "471669781"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.21, "providers": [{"billed_charge": 1.8, "npi": [1528463080]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.21, "providers": [{"billed_charge": 1.8, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "562488077"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.11, "providers": [{"billed_charge": 3.17, "npi": [1053353490]}]}]}, {"tin": {"type": "ein", "value": "620347580"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.6, "providers": [{"billed_charge": 1.6, "npi": [1629025648]}]}]}, {"tin": {"type": "ein", "value": "621650582"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.05, "providers": [{"billed_charge": 134.93, "npi": [1902857766]}]}]}, {"tin": {"type": "ein", "value": "820207116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.57, "providers": [{"billed_charge": 8.13, "npi": [1154563963]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.4, "providers": [{"billed_charge": 2.5, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "990073524"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.66, "providers": [{"billed_charge": 0.66, "npi": [1184612764]}]}]}]}, {"name": "Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy", "billing_code_type": "CPT", "billing_code": "88305", "billing_code_type_version": "2022", "description": "LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM", "allowed_amounts": [{"tin": {"type": "ein", "value": "430922750"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 119.88, "providers": [{"billed_charge": 255.0, "npi": [1619167418]}]}]}, {"tin": {"type": "ein", "value": "430995408"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 210.0, "npi": [1457433732]}]}]}, {"tin": {"type": "ein", "value": "431891234"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 56.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1821070665]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.6, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 326.0, "npi": [1366515488]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 67.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 113.0, "npi": [1366798555]}]}]}, {"tin": {"type": "ein", "value": "821927787"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1497271480]}]}]}, {"tin": {"type": "ein", "value": "854208910"}, "billing_class": "professional", "service_codes": ["21", "23", "22"], "payments": [{"allowed_amount": 36.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1730142902]}]}, {"allowed_amount": 52.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1528175577]}]}, {"allowed_amount": 57.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1790218725, 1972947026, 1528175577, 1467492314, 1477014173]}]}, {"allowed_amount": 73.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1730142902]}]}]}, {"tin": {"type": "ein", "value": "900294051"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 56.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.66, "npi": [1649652520]}]}]}]}, {"name": "Lipase", "billing_code_type": "CPT", "billing_code": "83690", "billing_code_type_version": "2022", "description": "ASSAY OF LIPASE", "allowed_amounts": [{"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.55, "providers": [{"billed_charge": 91.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "426037829"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.97, "providers": [{"billed_charge": 96.0, "npi": [1508810714]}]}]}, {"tin": {"type": "ein", "value": "430662495"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.97, "providers": [{"billed_charge": 249.0, "npi": [1922042704]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.52, "providers": [{"billed_charge": 81.9, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "436003859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.73, "providers": [{"billed_charge": 57.35, "npi": [1699769901]}]}, {"allowed_amount": 21.55, "providers": [{"billed_charge": 57.35, "npi": [1699769901]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.52, "providers": [{"billed_charge": 158.08, "npi": [1770536740]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.41, "providers": [{"billed_charge": 130.0, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.2, "providers": [{"billed_charge": 273.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.52, "providers": [{"billed_charge": 163.0, "npi": [1316733116]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.52, "providers": [{"billed_charge": 448.63, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "620123940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.58, "providers": [{"billed_charge": 358.0, "npi": [1578527172]}]}]}, {"tin": {"type": "ein", "value": "620347580"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.94, "providers": [{"billed_charge": 134.5, "npi": [1629025648]}]}]}, {"tin": {"type": "ein", "value": "621650582"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 137.51, "providers": [{"billed_charge": 1207.37, "npi": [1902857766]}]}]}, {"tin": {"type": "ein", "value": "820207116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.95, "providers": [{"billed_charge": 41.34, "npi": [1154563963]}]}]}, {"tin": {"type": "ein", "value": "990073524"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.93, "providers": [{"billed_charge": 113.0, "npi": [1184612764]}]}]}]}, {"name": "Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml", "billing_code_type": "CPT", "billing_code": "Q9967", "billing_code_type_version": "2022", "description": "Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml", "allowed_amounts": [{"tin": {"type": "ein", "value": "350867958"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.08, "providers": [{"billed_charge": 3.35, "npi": [1225195340]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.32, "providers": [{"billed_charge": 1.95, "npi": [1427098169]}, {"billed_charge": 2.02, "npi": [1427098169]}]}]}, {"tin": {"type": "ein", "value": "431735565"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 1.32, "npi": [1912948308]}]}]}, {"tin": {"type": "ein", "value": "436003859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.66, "providers": [{"billed_charge": 1.66, "npi": [1699769901]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.61, "providers": [{"billed_charge": 12.48, "npi": [1770536740]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.45, "providers": [{"billed_charge": 0.45, "npi": [1639186760]}]}, {"allowed_amount": 0.57, "providers": [{"billed_charge": 0.57, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 1.32, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 1.32, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "452652006"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.89, "providers": [{"billed_charge": 2.89, "npi": [1023398807]}]}]}, {"tin": {"type": "ein", "value": "470376552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 1.25, "npi": [1528006103]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.15, "providers": [{"billed_charge": 0.15, "npi": [1912303579]}]}, {"allowed_amount": 1.0, "providers": [{"billed_charge": 1.0, "npi": [1912303579]}]}, {"allowed_amount": 2.61, "providers": [{"billed_charge": 11.69, "npi": [1912303579]}, {"billed_charge": 16.07, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "562488077"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 1.32, "npi": [1053353490]}]}]}, {"tin": {"type": "ein", "value": "620347580"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.52, "providers": [{"billed_charge": 7.2, "npi": [1629025648]}]}]}, {"tin": {"type": "ein", "value": "820207116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.68, "providers": [{"billed_charge": 4.09, "npi": [1154563963]}]}]}]}, {"name": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99213", "billing_code_type_version": "2022", "description": "OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "160743024"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.71, "providers": [{"billed_charge": 352.0, "npi": [1194776351]}]}]}, {"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 109.66, "providers": [{"billed_charge": 182.06, "npi": [1013400357]}]}]}, {"tin": {"type": "ein", "value": "430899356"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 90.05, "providers": [{"billed_charge": 277.0, "npi": [1386195113]}]}, {"allowed_amount": 97.92, "providers": [{"billed_charge": 277.0, "npi": [1124390620]}]}]}, {"tin": {"type": "ein", "value": "430957840"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 97.92, "providers": [{"billed_charge": 175.0, "npi": [1104410059, 1619663036]}]}]}, {"tin": {"type": "ein", "value": "431032835"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 109.66, "providers": [{"billed_charge": 314.0, "npi": [1699211748]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["11", "17"], "payments": [{"allowed_amount": 110.49, "providers": [{"billed_charge": 210.0, "npi": [1245606250, 1124791959]}]}, {"allowed_amount": 129.99, "providers": [{"billed_charge": 210.0, "npi": [1972556587, 1356637037]}]}]}, {"tin": {"type": "ein", "value": "436003859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.66, "providers": [{"billed_charge": 407.0, "npi": [1699769901]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 113.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 284.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.4, "providers": [{"billed_charge": 304.0, "npi": [1366515488]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "professional", "service_codes": ["19", "20"], "payments": [{"allowed_amount": 106.2, "providers": [{"billed_charge": 177.0, "npi": [1124482112, 1295099570, 1629598883, 1255931655]}]}]}, {"tin": {"type": "ein", "value": "440665266"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 65.6, "providers": [{"billed_charge": 65.6, "npi": [1740978303]}]}]}, {"tin": {"type": "ein", "value": "481179538"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 166.0, "providers": [{"billed_charge": 166.0, "npi": [1689841025]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 98.27, "providers": [{"billed_charge": 500.0, "npi": [1558970129]}]}]}, {"tin": {"type": "ein", "value": "931346622"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 116.73, "providers": [{"billed_charge": 177.0, "npi": [1457314361]}]}]}, {"tin": {"type": "ein", "value": "993289318"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 117.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 140.0, "npi": [1093744948]}]}]}]}, {"name": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99214", "billing_code_type_version": "2022", "description": "OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 163.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 318.0, "npi": [1457100810]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["17", "19", "11"], "payments": [{"allowed_amount": 138.56, "providers": [{"billed_charge": 252.0, "npi": [1609023803]}]}, {"allowed_amount": 155.69, "providers": [{"billed_charge": 252.0, "npi": [1184370306, 1790403582]}]}, {"allowed_amount": 176.22, "providers": [{"billed_charge": 252.0, "npi": [1679993760]}]}, {"allowed_amount": 183.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 252.0, "npi": [1114947488, 1891866018, 1841498946, 1386601235, 1821417338, 1659711901]}]}]}, {"tin": {"type": "ein", "value": "431775643"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 106.15, "providers": [{"billed_charge": 150.0, "npi": [1306892666]}]}]}, {"tin": {"type": "ein", "value": "431854902"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 137.35, "providers": [{"billed_charge": 159.0, "npi": [1376898536]}]}]}, {"tin": {"type": "ein", "value": "436003859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 338.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 488.0, "npi": [1699769901]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 147.0, "providers": [{"billed_charge": 147.0, "npi": [1568443935]}]}]}, {"tin": {"type": "ein", "value": "440545289"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 163.2, "providers": [{"billed_charge": 250.0, "npi": [1841218948]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 268.8, "providers": [{"billed_charge": 448.0, "npi": [1366515488]}]}]}, {"tin": {"type": "ein", "value": "440605373"}, "billing_class": "professional", "service_codes": ["19", "20"], "payments": [{"allowed_amount": 149.4, "providers": [{"billed_charge": 249.0, "npi": [1396234308, 1417767799]}]}]}, {"tin": {"type": "ein", "value": "881042781"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 148.34, "providers": [{"billed_charge": 251.0, "npi": [1790826063]}]}]}, {"tin": {"type": "ein", "value": "992912370"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 184.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 318.0, "npi": [1508343161]}]}]}]}, {"name": "Radiologic examination, ankle; complete, minimum of 3 views", "billing_code_type": "CPT", "billing_code": "73610", "billing_code_type_version": "2022", "description": "RADEX ANKLE COMPLETE MINIMUM 3 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1518051846]}]}]}, {"tin": {"type": "ein", "value": "430948536"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1235175779]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1003185828]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.74, "providers": [{"billed_charge": 571.0, "npi": [1811905375]}]}, {"allowed_amount": 295.99, "providers": [{"billed_charge": 571.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 295.99, "providers": [{"billed_charge": 994.76, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "481200790"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 9.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.91, "npi": [1699062232, 1770515249, 1376511766]}]}, {"allowed_amount": 14.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.91, "npi": [1538368451]}]}, {"allowed_amount": 17.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1790149748]}]}]}, {"tin": {"type": "ein", "value": "481220873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1790912897, 1588693949, 1497728422, 1790838407]}]}]}, {"tin": {"type": "ein", "value": "562488077"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 1167.0, "npi": [1053353490]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1578686242]}]}]}]}, {"name": "Radiologic examination, chest; 2 views", "billing_code_type": "CPT", "billing_code": "71046", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAM CHEST 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.18, "providers": [{"billed_charge": 568.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "331065485"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.15, "providers": [{"billed_charge": 280.0, "npi": [1700809829]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1427378298]}]}, {"allowed_amount": 15.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1295918019, 1932487428, 1306289509, 1760725352, 1780002543, 1003822164, 1619389566]}]}, {"allowed_amount": 16.19, "providers": [{"billed_charge": 70.0, "npi": [1962442475]}]}]}, {"tin": {"type": "ein", "value": "430917818"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1013118702]}]}]}, {"tin": {"type": "ein", "value": "430948536"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1750313094]}]}]}, {"tin": {"type": "ein", "value": "431109990"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1588701130, 1700875788]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1063753291]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 339.4, "providers": [{"billed_charge": 722.8, "npi": [1770536740]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.9, "npi": [1649613134]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.18, "providers": [{"billed_charge": 397.0, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 940.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 265.19, "providers": [{"billed_charge": 450.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.6, "npi": [1104319664]}]}]}, {"tin": {"type": "ein", "value": "481200790"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 12.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1649659459]}]}, {"allowed_amount": 15.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1194741652, 1043266117]}]}, {"allowed_amount": 18.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1538368451]}]}]}, {"tin": {"type": "ein", "value": "481220873"}, "billing_class": "professional", "service_codes": ["21", "23", "22"], "payments": [{"allowed_amount": 12.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1194840918]}]}, {"allowed_amount": 15.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1790912897, 1871936518, 1902801129, 1285297549, 1538507256, 1588693949]}]}, {"allowed_amount": 18.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1891799557, 1497728422, 1558579763, 1306161237, 1588693949]}]}]}, {"tin": {"type": "ein", "value": "620123940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 254.46, "providers": [{"billed_charge": 458.0, "npi": [1578527172]}]}]}, {"tin": {"type": "ein", "value": "620809858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1851346621]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1801884606]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1720008394, 1487858270]}]}, {"allowed_amount": 21.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1194107839]}]}]}, {"tin": {"type": "ein", "value": "842772374"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1396061966]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1508095423]}]}]}]}, {"name": "Radiologic examination, chest; single view", "billing_code_type": "CPT", "billing_code": "71045", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAM CHEST SINGLE VIEW", "allowed_amounts": [{"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.4, "providers": [{"billed_charge": 361.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.68, "providers": [{"billed_charge": 34.0, "npi": [1932342029]}]}, {"allowed_amount": 9.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1225021413, 1710272661]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.72, "providers": [{"billed_charge": 370.0, "npi": [1427098169]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 6.68, "providers": [{"billed_charge": 61.0, "npi": [1962442475]}]}, {"allowed_amount": 15.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1184249443, 1295918019, 1760725352, 1164593406, 1144314477, 1114124054, 1265937916, 1619389566, 1902330111]}]}]}, {"tin": {"type": "ein", "value": "430948536"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1992746937, 1306827829, 1609823558]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.27, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 191.1, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "431560263"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1730173964]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 12.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1811330145, 1316102338, 1952347270, 1922084490, 1376659953, 1700020823, 1427005149]}]}]}, {"tin": {"type": "ein", "value": "431610561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.4, "providers": [{"billed_charge": 361.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "431704371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.4, "providers": [{"billed_charge": 637.0, "npi": [1265546048]}]}]}, {"tin": {"type": "ein", "value": "431704371"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1114363850]}]}]}, {"tin": {"type": "ein", "value": "436003859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.4, "providers": [{"billed_charge": 378.0, "npi": [1699769901]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.4, "providers": [{"billed_charge": 378.0, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 817.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440552490"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 81.68, "providers": [{"billed_charge": 402.0, "npi": [1235102690]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 698.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.27, "providers": [{"billed_charge": 265.0, "npi": [1811905375]}]}, {"allowed_amount": 238.9, "providers": [{"billed_charge": 265.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 9.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.6, "npi": [1104319664, 1790912897]}]}]}, {"tin": {"type": "ein", "value": "452652006"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.26, "providers": [{"billed_charge": 1565.0, "npi": [1023398807]}]}]}, {"tin": {"type": "ein", "value": "462162669"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 238.9, "providers": [{"billed_charge": 742.82, "npi": [1528301900]}]}]}, {"tin": {"type": "ein", "value": "462171791"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.26, "providers": [{"billed_charge": 741.58, "npi": [1568705267]}]}]}, {"tin": {"type": "ein", "value": "471669781"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.27, "providers": [{"billed_charge": 654.0, "npi": [1528463080]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.27, "providers": [{"billed_charge": 416.49, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "481200790"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 6.68, "providers": [{"billed_charge": 32.0, "npi": [1467400663]}]}, {"allowed_amount": 9.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1164537346, 1912096868, 1083729222, 1164546479, 1770515249, 1194741652, 1831194901, 1679598197, 1376694901, 1699062232, 1376511766, 1396762746]}, {"billed_charge": 33.0, "npi": [1538368451]}]}, {"allowed_amount": 12.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1790149748, 1649659459, 1780028563]}, {"billed_charge": 33.0, "npi": [1649659459]}]}, {"allowed_amount": 13.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1770515249, 1538368451, 1194741652]}]}, {"allowed_amount": 15.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1376511766]}]}, {"allowed_amount": 15.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1538368451, 1689607301, 1083729222, 1124113972, 1376511766, 1699062232, 1497779961, 1396762746, 1851564892]}]}]}, {"tin": {"type": "ein", "value": "481220873"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 9.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1790912897, 1891799557, 1497728422, 1871936518, 1902801129, 1316942667, 1164426797, 1104319664, 1245521426, 1538507256, 1447285465, 1588693949]}]}, {"allowed_amount": 15.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1316942576, 1487064945, 1285297549]}]}, {"allowed_amount": 18.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1447697321]}]}]}, {"tin": {"type": "ein", "value": "562488077"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 698.0, "npi": [1053353490]}]}]}, {"tin": {"type": "ein", "value": "620347580"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.17, "providers": [{"billed_charge": 352.35, "npi": [1629025648]}]}]}, {"tin": {"type": "ein", "value": "720408982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.26, "providers": [{"billed_charge": 518.0, "npi": [1417950106]}]}]}, {"tin": {"type": "ein", "value": "720891412"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1437121134]}]}]}, {"tin": {"type": "ein", "value": "730775105"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 17.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1982046769, 1326096850, 1083731517, 1033554589]}]}]}, {"tin": {"type": "ein", "value": "820207116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 202.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 202.0, "npi": [1154563963]}]}]}, {"tin": {"type": "ein", "value": "820207116"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1114375086]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 9.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1033537857, 1366707564, 1093710832, 1982047346, 1164868212, 1407149941, 1902164825, 1356389597]}]}, {"allowed_amount": 12.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1477930337]}]}, {"allowed_amount": 18.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1033616396, 1194107839]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.96, "providers": [{"billed_charge": 638.5, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "842772374"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 9.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1205299849, 1437513322, 1396061966]}]}, {"allowed_amount": 15.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1902873441, 1386039337, 1235166620]}]}]}, {"tin": {"type": "ein", "value": "900294051"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1558455196]}]}]}]}, {"name": "Radiologic examination, foot; complete, minimum of 3 views", "billing_code_type": "CPT", "billing_code": "73630", "billing_code_type_version": "2022", "description": "RADEX FOOT COMPLETE MINIMUM 3 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 7.92, "providers": [{"billed_charge": 64.0, "npi": [1962442475]}]}, {"allowed_amount": 12.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1811239312, 1518051846]}]}]}, {"tin": {"type": "ein", "value": "430948536"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1235175779]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1003185828, 1295963478]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 1012.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.21, "providers": [{"billed_charge": 549.0, "npi": [1811905375]}]}, {"allowed_amount": 196.85, "providers": [{"billed_charge": 549.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 9.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.6, "npi": [1790912897]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.21, "providers": [{"billed_charge": 994.76, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "481200790"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.91, "npi": [1699062232, 1194741652, 1043266117, 1376511766]}]}]}, {"tin": {"type": "ein", "value": "481220873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1891799557, 1588693949, 1790838407]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 9.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1487858270, 1477782969, 1750648507, 1285838862]}]}]}, {"tin": {"type": "ein", "value": "842772374"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1386039337, 1396793923, 1114906245]}]}]}]}, {"name": "Radiologic examination, hand; minimum of 3 views", "billing_code_type": "CPT", "billing_code": "73130", "billing_code_type_version": "2022", "description": "RADEX HAND MINIMUM 3 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "370661172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 275.03, "providers": [{"billed_charge": 296.0, "npi": [1548278476]}]}]}, {"tin": {"type": "ein", "value": "370919221"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1669490413]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1184822231]}]}]}, {"tin": {"type": "ein", "value": "430948536"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1306827829]}]}]}, {"tin": {"type": "ein", "value": "430980256"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 155.78, "providers": [{"billed_charge": 265.0, "npi": [1568481984]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1003185828]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 1047.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 809.58, "providers": [{"billed_charge": 1011.98, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "481200790"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 9.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.91, "npi": [1194741652, 1164546479]}]}, {"allowed_amount": 14.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.91, "npi": [1942867411]}]}, {"allowed_amount": 17.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.91, "npi": [1649659459, 1780028563]}]}]}, {"tin": {"type": "ein", "value": "481220873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1538507256, 1588693949, 1871936518]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1093710832, 1043261969, 1306003579, 1285838862]}]}]}, {"tin": {"type": "ein", "value": "840597929"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1538113923]}]}]}, {"tin": {"type": "ein", "value": "840601621"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.5, "providers": [{"billed_charge": 523.0, "npi": [1154312981]}]}]}, {"tin": {"type": "ein", "value": "842772374"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1437513322]}]}]}]}, {"name": "Radiologic examination, shoulder; complete, minimum of 2 views", "billing_code_type": "CPT", "billing_code": "73030", "billing_code_type_version": "2022", "description": "RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1265937916, 1144314477, 1457367526, 1114124054]}]}]}, {"tin": {"type": "ein", "value": "430948536"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1730642604]}]}]}, {"tin": {"type": "ein", "value": "431109990"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1457383796]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 305.87, "providers": [{"billed_charge": 843.44, "npi": [1770536740]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.8, "npi": [1518935626]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 1261.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 10.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.6, "npi": [1104319664]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 305.87, "providers": [{"billed_charge": 980.99, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "481200790"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 10.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.24, "npi": [1053346452]}]}]}, {"tin": {"type": "ein", "value": "481203262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 1261.0, "npi": [1154303337]}]}]}, {"tin": {"type": "ein", "value": "481220873"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 10.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1447285465, 1790912897]}]}, {"allowed_amount": 15.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1790838407]}]}, {"allowed_amount": 19.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1447697321]}]}]}, {"tin": {"type": "ein", "value": "842772374"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 10.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1477751584, 1578096566]}]}]}]}, {"name": "Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed", "billing_code_type": "CPT", "billing_code": "77067", "billing_code_type_version": "2022", "description": "SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD", "allowed_amounts": [{"tin": {"type": "ein", "value": "431109990"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 52.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1588701130]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 70.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1790952869]}]}]}, {"tin": {"type": "ein", "value": "480637331"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 168.75, "providers": [{"billed_charge": 376.0, "npi": [1578178521]}]}]}, {"tin": {"type": "ein", "value": "481200790"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 52.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 221.0, "npi": [1881983864, 1063507853]}]}, {"allowed_amount": 68.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 221.0, "npi": [1871750729, 1083135180]}]}]}, {"tin": {"type": "ein", "value": "481220873"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 52.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1194826016, 1316942667, 1790838407]}]}, {"allowed_amount": 68.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1316942667, 1164426797]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 52.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1831517770]}]}]}]}, {"name": "Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99233", "billing_code_type_version": "2022", "description": "SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "201024250"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 170.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 329.0, "npi": [1194971895]}]}]}, {"tin": {"type": "ein", "value": "271371893"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.12, "providers": [{"billed_charge": 718.0, "npi": [1639305832, 1871170258, 1104961002, 1578738191]}]}]}, {"tin": {"type": "ein", "value": "272663826"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.48, "providers": [{"billed_charge": 364.0, "npi": [1720516776]}]}]}, {"tin": {"type": "ein", "value": "274185968"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 134.8, "providers": [{"billed_charge": 418.0, "npi": [1376810598]}]}]}, {"tin": {"type": "ein", "value": "363966745"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.0, "providers": [{"billed_charge": 200.0, "npi": [1336777184]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 84.01, "providers": [{"billed_charge": 317.0, "npi": [1992746903]}]}, {"allowed_amount": 127.47, "providers": [{"billed_charge": 317.0, "npi": [1285290601, 1417307570, 1144843244, 1518317825]}]}, {"allowed_amount": 134.8, "providers": [{"billed_charge": 317.0, "npi": [1891549747]}]}, {"allowed_amount": 135.33, "providers": [{"billed_charge": 317.0, "npi": [1790288595]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 143.08, "providers": [{"billed_charge": 235.0, "npi": [1730500265, 1033500210, 1457703118]}]}, {"allowed_amount": 168.33, "providers": [{"billed_charge": 235.0, "npi": [1518531680, 1275821282, 1194774356, 1407840853]}]}]}, {"tin": {"type": "ein", "value": "461796402"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.56, "providers": [{"billed_charge": 230.99, "npi": [1205198231]}]}, {"allowed_amount": 146.01, "providers": [{"billed_charge": 230.99, "npi": [1235513466]}]}]}, {"tin": {"type": "ein", "value": "471369512"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.01, "providers": [{"billed_charge": 300.0, "npi": [1215921804]}]}]}, {"tin": {"type": "ein", "value": "472538324"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.01, "providers": [{"billed_charge": 400.0, "npi": [1487605259]}]}]}, {"tin": {"type": "ein", "value": "821101530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.25, "providers": [{"billed_charge": 317.0, "npi": [1699398438]}]}]}, {"tin": {"type": "ein", "value": "821368185"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.8, "providers": [{"billed_charge": 346.0, "npi": [1265997290]}]}, {"allowed_amount": 146.01, "providers": [{"billed_charge": 346.0, "npi": [1437569670, 1457703530, 1073964524, 1386873743, 1942825328, 1659959989, 1518545144]}]}]}, {"tin": {"type": "ein", "value": "845458768"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.01, "providers": [{"billed_charge": 200.0, "npi": [1538251020]}]}]}, {"tin": {"type": "ein", "value": "881042781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.0, "providers": [{"billed_charge": 240.0, "npi": [1790826063]}]}]}, {"tin": {"type": "ein", "value": "881286239"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.2, "providers": [{"billed_charge": 277.0, "npi": [1659720027]}]}]}, {"tin": {"type": "ein", "value": "881730151"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.0, "providers": [{"billed_charge": 130.0, "npi": [1346388667]}]}]}, {"tin": {"type": "ein", "value": "882355153"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.2, "providers": [{"billed_charge": 492.8, "npi": [1568002236]}]}, {"allowed_amount": 146.01, "providers": [{"billed_charge": 492.8, "npi": [1548553456]}]}]}, {"tin": {"type": "ein", "value": "931346622"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.23, "providers": [{"billed_charge": 175.0, "npi": [1013356583]}]}, {"allowed_amount": 146.01, "providers": [{"billed_charge": 175.0, "npi": [1013356583]}]}]}, {"tin": {"type": "ein", "value": "993151146"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.23, "providers": [{"billed_charge": 705.0, "npi": [1952036220]}]}, {"allowed_amount": 146.01, "providers": [{"billed_charge": 705.0, "npi": [1306823273, 1588226302, 1205363926, 1891996039]}]}]}]}, {"name": "Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99232", "billing_code_type_version": "2022", "description": "SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "203279920"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.46, "providers": [{"billed_charge": 278.0, "npi": [1083835441]}]}, {"allowed_amount": 93.88, "providers": [{"billed_charge": 278.0, "npi": [1992267165]}]}]}, {"tin": {"type": "ein", "value": "271371893"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.16, "providers": [{"billed_charge": 500.0, "npi": [1871170258, 1497066799]}]}]}, {"tin": {"type": "ein", "value": "272663826"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.4, "providers": [{"billed_charge": 244.0, "npi": [1720516776]}]}]}, {"tin": {"type": "ein", "value": "274185968"}, "billing_class": "professional", "service_codes": ["61", "21", "51"], "payments": [{"allowed_amount": 93.2, "providers": [{"billed_charge": 292.0, "npi": [1467844340, 1376810598]}]}, {"allowed_amount": 93.54, "providers": [{"billed_charge": 292.0, "npi": [1194704312]}]}, {"allowed_amount": 94.16, "providers": [{"billed_charge": 292.0, "npi": [1902899834, 1932194925]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.46, "providers": [{"billed_charge": 223.0, "npi": [1992746903]}]}, {"allowed_amount": 90.23, "providers": [{"billed_charge": 223.0, "npi": [1518317825, 1417307570, 1144843244, 1265964621]}]}, {"allowed_amount": 92.54, "providers": [{"billed_charge": 223.0, "npi": [1326781972]}]}, {"allowed_amount": 102.95, "providers": [{"billed_charge": 229.0, "npi": [1801002779]}]}, {"allowed_amount": 117.43, "providers": [{"billed_charge": 223.0, "npi": [1992746903]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 95.92, "providers": [{"billed_charge": 217.0, "npi": [1730500265, 1134832389]}]}, {"allowed_amount": 112.85, "providers": [{"billed_charge": 217.0, "npi": [1376981217, 1275821282, 1790958791, 1629495502, 1265896047, 1942244272, 1174079412, 1407840853, 1376830646, 1871983577, 1639110810, 1538398300]}]}]}, {"tin": {"type": "ein", "value": "440665266"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.63, "providers": [{"billed_charge": 187.3, "npi": [1992760292]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 95.46, "providers": [{"billed_charge": 113.0, "npi": [1902834930, 1396910469]}]}]}, {"tin": {"type": "ein", "value": "462602656"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.26, "providers": [{"billed_charge": 108.0, "npi": [1548766504]}]}]}, {"tin": {"type": "ein", "value": "464504901"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.23, "providers": [{"billed_charge": 166.0, "npi": [1457614430]}]}]}, {"tin": {"type": "ein", "value": "472538324"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.36, "providers": [{"billed_charge": 223.05, "npi": [1093735557]}]}]}, {"tin": {"type": "ein", "value": "620863523"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.65, "providers": [{"billed_charge": 118.0, "npi": [1750589610]}]}, {"allowed_amount": 111.68, "providers": [{"billed_charge": 118.0, "npi": [1972036283]}]}]}, {"tin": {"type": "ein", "value": "812951254"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.54, "providers": [{"billed_charge": 151.0, "npi": [1619075355]}]}, {"allowed_amount": 97.4, "providers": [{"billed_charge": 151.0, "npi": [1619075355]}]}]}, {"tin": {"type": "ein", "value": "820380784"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.88, "providers": [{"billed_charge": 153.0, "npi": [1659310860]}]}, {"allowed_amount": 138.76, "providers": [{"billed_charge": 153.0, "npi": [1982135828]}]}]}, {"tin": {"type": "ein", "value": "820554975"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 95.46, "providers": [{"billed_charge": 125.0, "npi": [1275945073, 1659959740]}]}]}, {"tin": {"type": "ein", "value": "822510454"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.46, "providers": [{"billed_charge": 150.0, "npi": [1790071074]}]}]}, {"tin": {"type": "ein", "value": "830528240"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.07, "providers": [{"billed_charge": 142.0, "npi": [1790712750]}]}]}, {"tin": {"type": "ein", "value": "832810272"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.4, "providers": [{"billed_charge": 160.0, "npi": [1235441619]}]}]}, {"tin": {"type": "ein", "value": "833170281"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.46, "providers": [{"billed_charge": 100.0, "npi": [1821013517]}]}]}, {"tin": {"type": "ein", "value": "834419854"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.61, "providers": [{"billed_charge": 210.0, "npi": [1730400888]}]}]}, {"tin": {"type": "ein", "value": "863916317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.61, "providers": [{"billed_charge": 347.0, "npi": [1528482759]}]}]}, {"tin": {"type": "ein", "value": "881042781"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.26, "providers": [{"billed_charge": 169.0, "npi": [1790826063]}]}]}, {"tin": {"type": "ein", "value": "900743550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.23, "providers": [{"billed_charge": 128.0, "npi": [1962933911]}]}]}, {"tin": {"type": "ein", "value": "931515952"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.61, "providers": [{"billed_charge": 210.0, "npi": [1124508692]}]}]}, {"tin": {"type": "ein", "value": "993151146"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.88, "providers": [{"billed_charge": 489.0, "npi": [1952036220]}]}]}]}, {"name": "Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "96375", "billing_code_type_version": "2022", "description": "THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG", "allowed_amounts": [{"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.87, "providers": [{"billed_charge": 290.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.68, "providers": [{"billed_charge": 45.0, "npi": [1457100810]}]}]}, {"tin": {"type": "ein", "value": "412140764"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.87, "providers": [{"billed_charge": 428.0, "npi": [1508938044]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.84, "providers": [{"billed_charge": 354.0, "npi": [1427098169]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.32, "providers": [{"billed_charge": 133.35, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "431610561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1113.2, "providers": [{"billed_charge": 580.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "431936696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.61, "providers": [{"billed_charge": 191.0, "npi": [1467543090]}]}]}, {"tin": {"type": "ein", "value": "436003859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.33, "providers": [{"billed_charge": 156.0, "npi": [1699769901]}]}, {"allowed_amount": 125.44, "providers": [{"billed_charge": 156.0, "npi": [1699769901]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.32, "providers": [{"billed_charge": 251.68, "npi": [1770536740]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.87, "providers": [{"billed_charge": 428.0, "npi": [1639186760]}]}, {"allowed_amount": 159.69, "providers": [{"billed_charge": 428.0, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440565393"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.6, "providers": [{"billed_charge": 279.0, "npi": [1942241799]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.32, "providers": [{"billed_charge": 227.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.32, "providers": [{"billed_charge": 220.0, "npi": [1316733116]}]}]}, {"tin": {"type": "ein", "value": "452652006"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.86, "providers": [{"billed_charge": 458.0, "npi": [1023398807]}]}]}, {"tin": {"type": "ein", "value": "471669781"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.32, "providers": [{"billed_charge": 351.1, "npi": [1528463080]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.32, "providers": [{"billed_charge": 176.69, "npi": [1912303579]}, {"billed_charge": 176.7, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "620347580"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.84, "providers": [{"billed_charge": 186.6, "npi": [1629025648]}]}]}, {"tin": {"type": "ein", "value": "820207116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.0, "providers": [{"billed_charge": 96.0, "npi": [1154563963]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.46, "providers": [{"billed_charge": 320.25, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "990073524"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.29, "providers": [{"billed_charge": 401.0, "npi": [1184612764]}]}]}]}, {"name": "Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug", "billing_code_type": "CPT", "billing_code": "96374", "billing_code_type_version": "2022", "description": "THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG", "allowed_amounts": [{"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.23, "providers": [{"billed_charge": 338.0, "npi": [1649299827]}]}, {"allowed_amount": 183.62, "providers": [{"billed_charge": 338.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "237339737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.36, "providers": [{"billed_charge": 428.0, "npi": [1386619450]}]}]}, {"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.2, "providers": [{"billed_charge": 103.0, "npi": [1457100810]}]}]}, {"tin": {"type": "ein", "value": "412140764"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.23, "providers": [{"billed_charge": 445.0, "npi": [1508938044]}]}]}, {"tin": {"type": "ein", "value": "426037829"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.36, "providers": [{"billed_charge": 186.0, "npi": [1508810714]}]}]}, {"tin": {"type": "ein", "value": "430652656"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.23, "providers": [{"billed_charge": 445.0, "npi": [1487663506]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.07, "providers": [{"billed_charge": 651.0, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "431936696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.36, "providers": [{"billed_charge": 191.0, "npi": [1467543090]}]}]}, {"tin": {"type": "ein", "value": "436003859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.57, "providers": [{"billed_charge": 462.0, "npi": [1699769901]}]}, {"allowed_amount": 97.96, "providers": [{"billed_charge": 462.0, "npi": [1699769901]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.07, "providers": [{"billed_charge": 277.61, "npi": [1770536740]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.23, "providers": [{"billed_charge": 445.0, "npi": [1639186760]}]}, {"allowed_amount": 183.62, "providers": [{"billed_charge": 445.0, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440552490"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.36, "providers": [{"billed_charge": 708.0, "npi": [1235102690]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.07, "providers": [{"billed_charge": 440.0, "npi": [1811905375]}]}, {"allowed_amount": 128.51, "providers": [{"billed_charge": 440.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.07, "providers": [{"billed_charge": 250.0, "npi": [1316733116]}]}]}, {"tin": {"type": "ein", "value": "471669781"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.07, "providers": [{"billed_charge": 1093.44, "npi": [1528463080]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.07, "providers": [{"billed_charge": 176.7, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "621650582"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.62, "providers": [{"billed_charge": 547.33, "npi": [1902857766]}]}]}, {"tin": {"type": "ein", "value": "720408982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.13, "providers": [{"billed_charge": 565.0, "npi": [1417950106]}]}]}, {"tin": {"type": "ein", "value": "820207116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 209.0, "providers": [{"billed_charge": 209.0, "npi": [1154563963]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.57, "providers": [{"billed_charge": 320.25, "npi": [1104381292]}]}]}]}, {"name": "Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular", "billing_code_type": "CPT", "billing_code": "96372", "billing_code_type_version": "2022", "description": "THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM", "allowed_amounts": [{"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.73, "providers": [{"billed_charge": 289.0, "npi": [1649299827]}]}, {"allowed_amount": 72.49, "providers": [{"billed_charge": 289.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 113.45, "providers": [{"billed_charge": 224.0, "npi": [1427098169]}]}]}, {"tin": {"type": "ein", "value": "431704371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.49, "providers": [{"billed_charge": 89.25, "npi": [1265546048]}]}]}, {"tin": {"type": "ein", "value": "431936696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.51, "providers": [{"billed_charge": 134.0, "npi": [1467543090]}]}]}, {"tin": {"type": "ein", "value": "436003859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.9, "providers": [{"billed_charge": 195.0, "npi": [1699769901]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.49, "providers": [{"billed_charge": 184.0, "npi": [1639186760]}]}, {"allowed_amount": 113.45, "providers": [{"billed_charge": 184.0, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440545289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.49, "providers": [{"billed_charge": 150.0, "npi": [1437259694]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.2, "providers": [{"billed_charge": 298.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.39, "providers": [{"billed_charge": 145.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.39, "providers": [{"billed_charge": 165.0, "npi": [1316733116]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.39, "providers": [{"billed_charge": 146.86, "npi": [1912303579]}]}, {"allowed_amount": 117.49, "providers": [{"billed_charge": 146.86, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "480561974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.51, "providers": [{"billed_charge": 352.0, "npi": [1932151487]}]}]}, {"tin": {"type": "ein", "value": "620123940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.79, "providers": [{"billed_charge": 114.0, "npi": [1578527172]}]}]}, {"tin": {"type": "ein", "value": "620347580"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 85.26, "providers": [{"billed_charge": 186.6, "npi": [1629025648]}]}]}, {"tin": {"type": "ein", "value": "621650582"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.79, "providers": [{"billed_charge": 161.79, "npi": [1902857766]}]}]}, {"tin": {"type": "ein", "value": "752796815"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 87.71, "providers": [{"billed_charge": 395.0, "npi": [1295736734]}]}]}, {"tin": {"type": "ein", "value": "992912370"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.18, "providers": [{"billed_charge": 20.0, "npi": [1508343161]}]}]}, {"tin": {"type": "ein", "value": "995136683"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.79, "providers": [{"billed_charge": 31.0, "npi": [1720064835]}]}]}]}, {"name": "Troponin, quantitative", "billing_code_type": "CPT", "billing_code": "84484", "billing_code_type_version": "2022", "description": "ASSAY OF TROPONIN QUANTITATIVE", "allowed_amounts": [{"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.36, "providers": [{"billed_charge": 269.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "237339737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.98, "providers": [{"billed_charge": 261.0, "npi": [1386619450]}]}]}, {"tin": {"type": "ein", "value": "426037829"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.98, "providers": [{"billed_charge": 199.0, "npi": [1508810714]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.75, "providers": [{"billed_charge": 193.0, "npi": [1427098169]}]}, {"allowed_amount": 44.63, "providers": [{"billed_charge": 193.0, "npi": [1427098169]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.3, "providers": [{"billed_charge": 27.3, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "431332368"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.98, "providers": [{"billed_charge": 158.0, "npi": [1003824061]}]}]}, {"tin": {"type": "ein", "value": "431610561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.36, "providers": [{"billed_charge": 807.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "431704371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.36, "providers": [{"billed_charge": 291.0, "npi": [1265546048]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.76, "providers": [{"billed_charge": 399.36, "npi": [1770536740]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.36, "providers": [{"billed_charge": 143.0, "npi": [1639186760]}, {"billed_charge": 572.0, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.76, "providers": [{"billed_charge": 275.0, "npi": [1316733116]}]}]}, {"tin": {"type": "ein", "value": "452652006"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.2, "providers": [{"billed_charge": 320.0, "npi": [1023398807]}]}]}, {"tin": {"type": "ein", "value": "462162669"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.29, "providers": [{"billed_charge": 180.49, "npi": [1528301900]}]}]}, {"tin": {"type": "ein", "value": "462171791"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 144.39, "providers": [{"billed_charge": 180.49, "npi": [1568705267]}]}]}, {"tin": {"type": "ein", "value": "471669781"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.76, "providers": [{"billed_charge": 359.13, "npi": [1528463080]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.76, "providers": [{"billed_charge": 448.63, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "620123940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.95, "providers": [{"billed_charge": 321.0, "npi": [1578527172]}]}]}, {"tin": {"type": "ein", "value": "620347580"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 81.89, "providers": [{"billed_charge": 103.2, "npi": [1629025648]}]}]}, {"tin": {"type": "ein", "value": "720408982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.2, "providers": [{"billed_charge": 230.0, "npi": [1417950106]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.37, "providers": [{"billed_charge": 147.5, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.59, "providers": [{"billed_charge": 223.0, "npi": [1215913470]}]}]}]}, {"name": "Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy", "billing_code_type": "CPT", "billing_code": "81001", "billing_code_type_version": "2022", "description": "URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY", "allowed_amounts": [{"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.6, "providers": [{"billed_charge": 27.0, "npi": [1649299827]}]}, {"allowed_amount": 27.0, "providers": [{"billed_charge": 27.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "237339737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.47, "providers": [{"billed_charge": 122.0, "npi": [1386619450]}]}]}, {"tin": {"type": "ein", "value": "412140764"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.6, "providers": [{"billed_charge": 42.0, "npi": [1508938044]}]}]}, {"tin": {"type": "ein", "value": "430662495"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.47, "providers": [{"billed_charge": 80.0, "npi": [1922042704]}]}]}, {"tin": {"type": "ein", "value": "431080811"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.61, "providers": [{"billed_charge": 127.05, "npi": [1609870310]}]}]}, {"tin": {"type": "ein", "value": "436003859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.75, "providers": [{"billed_charge": 31.75, "npi": [1699769901]}]}]}, {"tin": {"type": "ein", "value": "436052772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.61, "providers": [{"billed_charge": 177.84, "npi": [1770536740]}]}]}, {"tin": {"type": "ein", "value": "436057893"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.6, "providers": [{"billed_charge": 42.0, "npi": [1639186760]}]}, {"allowed_amount": 41.88, "providers": [{"billed_charge": 42.0, "npi": [1639186760]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.0, "providers": [{"billed_charge": 74.0, "npi": [1811905375]}]}]}, {"tin": {"type": "ein", "value": "446006038"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.61, "providers": [{"billed_charge": 101.0, "npi": [1316733116]}]}]}, {"tin": {"type": "ein", "value": "462162669"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.99, "providers": [{"billed_charge": 58.94, "npi": [1528301900]}]}]}, {"tin": {"type": "ein", "value": "470376552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.68, "providers": [{"billed_charge": 104.0, "npi": [1528006103]}]}, {"allowed_amount": 17.29, "providers": [{"billed_charge": 104.0, "npi": [1528006103]}]}]}, {"tin": {"type": "ein", "value": "470468078"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.01, "providers": [{"billed_charge": 73.0, "npi": [1477660397]}]}]}, {"tin": {"type": "ein", "value": "472264005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.61, "providers": [{"billed_charge": 448.63, "npi": [1912303579]}]}]}, {"tin": {"type": "ein", "value": "480561974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.0, "providers": [{"billed_charge": 33.0, "npi": [1932151487]}]}]}, {"tin": {"type": "ein", "value": "620123940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.63, "providers": [{"billed_charge": 191.0, "npi": [1578527172]}]}]}, {"tin": {"type": "ein", "value": "621650582"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.94, "providers": [{"billed_charge": 766.23, "npi": [1902857766]}]}]}, {"tin": {"type": "ein", "value": "710236917"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.0, "providers": [{"billed_charge": 57.0, "npi": [1629011002]}]}]}, {"tin": {"type": "ein", "value": "720408982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.19, "providers": [{"billed_charge": 138.0, "npi": [1417950106]}]}]}, {"tin": {"type": "ein", "value": "990073524"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.48, "providers": [{"billed_charge": 49.0, "npi": [1184612764]}]}]}]}]}