{"reporting_entity_name": "Oscar Health", "reporting_entity_type": "Health Insurance Issuer", "plan_id": "20069TX051", "last_updated_on": "2026-06-23", "version": "2.0.0", "out_of_network": [{"name": "Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance", "billing_code_type": "CPT", "billing_code": "49083", "billing_code_type_version": "2022", "description": "ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 211.44, "providers": [{"billed_charge": 436.0, "npi": [1336578517]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.84, "providers": [{"billed_charge": 299.0, "npi": [1568751329, 1629210638, 1730422486, 1467089433, 1265829147]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 139.41, "providers": [{"billed_charge": 542.0, "npi": [1104893536, 1871560193, 1023085891, 1265753289, 1245207562, 1639691025, 1558651091, 1760778518, 1407823834]}]}, {"allowed_amount": 211.44, "providers": [{"billed_charge": 542.0, "npi": [1922299577]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.9, "providers": [{"billed_charge": 836.0, "npi": [1871232868]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7410.2, "providers": [{"billed_charge": 21172.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 886.66, "providers": [{"billed_charge": 2533.32, "npi": [1124074273]}]}, {"allowed_amount": 964.88, "providers": [{"billed_charge": 2756.8, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 1773.32, "providers": [{"billed_charge": 5066.64, "npi": [1124074273]}]}, {"allowed_amount": 1965.45, "providers": [{"billed_charge": 5615.58, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2095.58, "providers": [{"billed_charge": 1129.55, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1440.0, "providers": [{"billed_charge": 3200.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 43.18, "providers": [{"billed_charge": 438.0, "npi": [1518774777]}]}, {"allowed_amount": 86.36, "providers": [{"billed_charge": 438.0, "npi": [1518774777]}]}, {"allowed_amount": 101.6, "providers": [{"billed_charge": 438.0, "npi": [1720042070]}]}, {"allowed_amount": 243.37, "providers": [{"billed_charge": 438.0, "npi": [1619605383, 1124664982, 1770816399]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 182.24, "providers": [{"billed_charge": 361.0, "npi": [1053756098]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.5, "providers": [{"billed_charge": 315.0, "npi": [1790340784]}]}, {"allowed_amount": 315.0, "providers": [{"billed_charge": 315.0, "npi": [1275766693]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 240.1, "providers": [{"billed_charge": 265.0, "npi": [1730533308]}]}]}, {"tin": {"type": "ein", "value": "993954355"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.81, "providers": [{"billed_charge": 531.0, "npi": [1063410777]}]}]}]}, {"name": "Acetaminophen", "billing_code_type": "CPT", "billing_code": "80143", "billing_code_type_version": "2022", "description": "DRUG ASSAY ACETAMINOPHEN", "allowed_amounts": [{"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 264.25, "providers": [{"billed_charge": 755.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 352.45, "providers": [{"billed_charge": 1007.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 262.62, "providers": [{"billed_charge": 750.33, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "providers": [{"billed_charge": 379.0, "npi": [1821011248]}]}]}]}, {"name": "Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with one patient, each 15 minutes", "billing_code_type": "CPT", "billing_code": "97153", "billing_code_type_version": "2022", "description": "ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "932335094"}, "billing_class": "professional", "service_codes": ["11", "03", "12"], "payments": [{"allowed_amount": 75.93, "providers": [{"billed_charge": 330.0, "npi": [1932609682]}]}, {"allowed_amount": 85.0, "providers": [{"billed_charge": 330.0, "npi": [1932609682, 1205581915, 1720540388]}]}, {"allowed_amount": 86.0, "providers": [{"billed_charge": 330.0, "npi": [1932609682]}]}, {"allowed_amount": 106.25, "providers": [{"billed_charge": 330.0, "npi": [1932609682]}]}]}]}, {"name": "Adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with one patient, each 15 minutes", "billing_code_type": "CPT", "billing_code": "97155", "billing_code_type_version": "2022", "description": "ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "932335094"}, "billing_class": "professional", "service_codes": ["10", "11", "02"], "payments": [{"allowed_amount": 85.0, "providers": [{"billed_charge": 475.0, "npi": [1932609682]}]}, {"allowed_amount": 101.38, "providers": [{"billed_charge": 475.0, "npi": [1932609682]}]}, {"allowed_amount": 130.0, "providers": [{"billed_charge": 475.0, "npi": [1932609682, 1205581915]}]}]}]}, {"name": "Advanced life support, level 2 (als 2)", "billing_code_type": "CPT", "billing_code": "A0433", "billing_code_type_version": "2022", "description": "Advanced life support, level 2 (als 2)", "allowed_amounts": [{"tin": {"type": "ein", "value": "200197342"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1750.0, "providers": [{"billed_charge": 1750.0, "npi": [1548823263]}]}]}, {"tin": {"type": "ein", "value": "264304912"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2526.03, "providers": [{"billed_charge": 2600.0, "npi": [1871724864]}]}]}, {"tin": {"type": "ein", "value": "272498157"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1700.0, "providers": [{"billed_charge": 1700.0, "npi": [1033437405]}]}]}, {"tin": {"type": "ein", "value": "300688582"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2454.53, "providers": [{"billed_charge": 3188.0, "npi": [1750676870]}]}]}, {"tin": {"type": "ein", "value": "741469344"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1638.4, "providers": [{"billed_charge": 1850.0, "npi": [1043213606]}]}]}, {"tin": {"type": "ein", "value": "741772120"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1539.38, "providers": [{"billed_charge": 1539.38, "npi": [1437218062]}]}]}, {"tin": {"type": "ein", "value": "742043456"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1800.0, "providers": [{"billed_charge": 2200.0, "npi": [1790769743]}]}]}, {"tin": {"type": "ein", "value": "742855426"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1600.0, "providers": [{"billed_charge": 1600.0, "npi": [1942367677]}]}]}, {"tin": {"type": "ein", "value": "746000085"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1139.0, "providers": [{"billed_charge": 1393.0, "npi": [1295704732]}]}]}, {"tin": {"type": "ein", "value": "746000749"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1050.0, "providers": [{"billed_charge": 1050.0, "npi": [1306909395]}]}]}, {"tin": {"type": "ein", "value": "746001164"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2117.45, "providers": [{"billed_charge": 2158.16, "npi": [1447375282]}]}]}, {"tin": {"type": "ein", "value": "746002070"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1500.0, "providers": [{"billed_charge": 1500.0, "npi": [1053377713]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2612.22, "providers": [{"billed_charge": 4881.0, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "751333555"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1750.0, "providers": [{"billed_charge": 2150.0, "npi": [1467473165]}]}]}, {"tin": {"type": "ein", "value": "752234266"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1785.0, "providers": [{"billed_charge": 1785.0, "npi": [1710981774]}]}]}, {"tin": {"type": "ein", "value": "756000478"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 950.0, "providers": [{"billed_charge": 1500.0, "npi": [1033240718]}]}]}, {"tin": {"type": "ein", "value": "756000594"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 863.0, "providers": [{"billed_charge": 1850.0, "npi": [1598781742]}]}]}]}, {"name": "Albumin; urine (eg, microalbumin), quantitative", "billing_code_type": "CPT", "billing_code": "82043", "billing_code_type_version": "2022", "description": "URINE ALBUMIN QUANTITATIVE", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.05, "providers": [{"billed_charge": 79.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.05, "providers": [{"billed_charge": 23.12, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.2, "providers": [{"billed_charge": 76.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 6.36, "providers": [{"billed_charge": 51.0, "npi": [1467642611]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.74, "providers": [{"billed_charge": 17.84, "npi": [1235186800]}]}, {"allowed_amount": 12.08, "providers": [{"billed_charge": 17.84, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.74, "providers": [{"billed_charge": 8.0, "npi": [1487429874]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.74, "providers": [{"billed_charge": 14.45, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.74, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 17.34, "npi": [1790721538]}]}]}]}, {"name": "Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)", "billing_code_type": "CPT", "billing_code": "H0020", "billing_code_type_version": "2022", "description": "Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)", "allowed_amounts": [{"tin": {"type": "ein", "value": "272417811"}, "billing_class": "professional", "service_codes": ["58"], "payments": [{"allowed_amount": 38.42, "providers": [{"billed_charge": 300.0, "npi": [1689194151]}]}]}, {"tin": {"type": "ein", "value": "454413440"}, "billing_class": "professional", "service_codes": ["58"], "payments": [{"allowed_amount": 26.71, "providers": [{"billed_charge": 300.0, "npi": [1811417397]}]}]}, {"tin": {"type": "ein", "value": "593630442"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 26.71, "providers": [{"billed_charge": 807.0, "npi": [1457793861]}]}]}, {"tin": {"type": "ein", "value": "742538356"}, "billing_class": "professional", "service_codes": ["58"], "payments": [{"allowed_amount": 248.75, "providers": [{"billed_charge": 248.75, "npi": [1437317245]}]}]}]}, {"name": "Alcohols", "billing_code_type": "CPT", "billing_code": "80320", "billing_code_type_version": "2022", "description": "DRUG SCREEN QUANTITATIVE ALCOHOLS", "allowed_amounts": [{"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 134.1, "providers": [{"billed_charge": 298.0, "npi": [1821011248]}]}]}]}, {"name": "Als routine disposable supplies", "billing_code_type": "CPT", "billing_code": "A0398", "billing_code_type_version": "2022", "description": "Als routine disposable supplies", "allowed_amounts": [{"tin": {"type": "ein", "value": "200197342"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 241.28, "providers": [{"billed_charge": 400.0, "npi": [1548823263]}]}, {"allowed_amount": 400.0, "providers": [{"billed_charge": 400.0, "npi": [1548823263]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 19.53, "providers": [{"billed_charge": 131.6, "npi": [1699207522]}]}]}, {"tin": {"type": "ein", "value": "205479358"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 400.0, "providers": [{"billed_charge": 400.0, "npi": [1508260332]}]}]}, {"tin": {"type": "ein", "value": "208424689"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 225.0, "providers": [{"billed_charge": 225.0, "npi": [1952588329]}]}]}, {"tin": {"type": "ein", "value": "264304912"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 223.93, "providers": [{"billed_charge": 425.0, "npi": [1871724864]}]}, {"allowed_amount": 241.28, "providers": [{"billed_charge": 425.0, "npi": [1871724864]}]}]}, {"tin": {"type": "ein", "value": "270096232"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 172.5, "npi": [1003307489]}]}]}, {"tin": {"type": "ein", "value": "300688582"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 48.29, "providers": [{"billed_charge": 48.29, "npi": [1750676870]}]}, {"allowed_amount": 94.0, "providers": [{"billed_charge": 94.0, "npi": [1750676870]}]}, {"allowed_amount": 96.57, "providers": [{"billed_charge": 96.57, "npi": [1750676870]}]}, {"allowed_amount": 116.0, "providers": [{"billed_charge": 116.0, "npi": [1750676870]}]}, {"allowed_amount": 124.0, "providers": [{"billed_charge": 124.0, "npi": [1750676870]}]}, {"allowed_amount": 148.67, "providers": [{"billed_charge": 148.67, "npi": [1750676870]}]}, {"allowed_amount": 156.75, "providers": [{"billed_charge": 156.75, "npi": [1750676870]}]}, {"allowed_amount": 182.0, "providers": [{"billed_charge": 182.0, "npi": [1750676870]}]}, {"allowed_amount": 192.33, "providers": [{"billed_charge": 192.33, "npi": [1750676870]}]}, {"allowed_amount": 197.75, "providers": [{"billed_charge": 197.75, "npi": [1750676870]}]}, {"allowed_amount": 198.0, "providers": [{"billed_charge": 198.0, "npi": [1750676870]}]}]}, {"tin": {"type": "ein", "value": "465332224"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 71.5, "providers": [{"billed_charge": 71.5, "npi": [1932652815]}]}]}, {"tin": {"type": "ein", "value": "720701964"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 122.5, "providers": [{"billed_charge": 122.5, "npi": [1316943566]}]}]}, {"tin": {"type": "ein", "value": "742060965"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.0, "providers": [{"billed_charge": 450.0, "npi": [1477577245]}]}]}, {"tin": {"type": "ein", "value": "742151203"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 298.02, "providers": [{"billed_charge": 298.02, "npi": [1417007188]}]}]}, {"tin": {"type": "ein", "value": "742855426"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 400.0, "providers": [{"billed_charge": 400.0, "npi": [1942367677]}]}]}, {"tin": {"type": "ein", "value": "746000374"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 52.5, "providers": [{"billed_charge": 52.5, "npi": [1679594568]}]}]}, {"tin": {"type": "ein", "value": "746000574"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 52.74, "providers": [{"billed_charge": 52.74, "npi": [1972609337]}]}]}, {"tin": {"type": "ein", "value": "746000978"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 171.47, "providers": [{"billed_charge": 171.47, "npi": [1114995586]}]}, {"allowed_amount": 256.96, "providers": [{"billed_charge": 257.21, "npi": [1114995586]}]}]}, {"tin": {"type": "ein", "value": "746001774"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 347.0, "providers": [{"billed_charge": 400.0, "npi": [1033139977]}]}]}, {"tin": {"type": "ein", "value": "746002070"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 3.0, "providers": [{"billed_charge": 3.0, "npi": [1053377713]}]}, {"allowed_amount": 5.0, "providers": [{"billed_charge": 5.0, "npi": [1053377713]}]}, {"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1053377713]}]}, {"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1053377713]}]}, {"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1053377713]}]}, {"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1053377713]}]}, {"allowed_amount": 35.0, "providers": [{"billed_charge": 35.0, "npi": [1053377713]}]}, {"allowed_amount": 38.0, "providers": [{"billed_charge": 38.0, "npi": [1053377713]}]}, {"allowed_amount": 40.0, "providers": [{"billed_charge": 40.0, "npi": [1053377713]}]}, {"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1053377713]}]}, {"allowed_amount": 53.0, "providers": [{"billed_charge": 53.0, "npi": [1053377713]}]}, {"allowed_amount": 55.0, "providers": [{"billed_charge": 55.0, "npi": [1053377713]}]}, {"allowed_amount": 65.0, "providers": [{"billed_charge": 65.0, "npi": [1053377713]}]}, {"allowed_amount": 70.0, "providers": [{"billed_charge": 70.0, "npi": [1053377713]}]}, {"allowed_amount": 76.0, "providers": [{"billed_charge": 76.0, "npi": [1053377713]}]}, {"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1053377713]}]}, {"allowed_amount": 155.0, "providers": [{"billed_charge": 155.0, "npi": [1053377713]}]}, {"allowed_amount": 462.62, "providers": [{"billed_charge": 50.0, "npi": [1053377713]}]}]}, {"tin": {"type": "ein", "value": "746027491"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 416.0, "providers": [{"billed_charge": 424.32, "npi": [1447674825]}, {"billed_charge": 446.5, "npi": [1447674825]}]}]}, {"tin": {"type": "ein", "value": "751102555"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 400.0, "providers": [{"billed_charge": 400.0, "npi": [1063550168]}]}]}, {"tin": {"type": "ein", "value": "751235137"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.0, "providers": [{"billed_charge": 450.0, "npi": [1669177903]}]}]}, {"tin": {"type": "ein", "value": "751279194"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 248.24, "providers": [{"billed_charge": 450.0, "npi": [1386665750]}]}, {"allowed_amount": 248.98, "providers": [{"billed_charge": 450.0, "npi": [1386665750]}]}]}, {"tin": {"type": "ein", "value": "751680420"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 241.28, "providers": [{"billed_charge": 400.0, "npi": [1265163414]}]}]}, {"tin": {"type": "ein", "value": "751962356"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1861477762]}]}, {"allowed_amount": 65.0, "providers": [{"billed_charge": 65.0, "npi": [1861477762]}]}]}, {"tin": {"type": "ein", "value": "752213204"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 475.0, "providers": [{"billed_charge": 475.0, "npi": [1831229384]}]}]}, {"tin": {"type": "ein", "value": "752234266"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 136.0, "providers": [{"billed_charge": 136.0, "npi": [1710981774]}]}, {"allowed_amount": 156.0, "providers": [{"billed_charge": 156.0, "npi": [1710981774]}]}, {"allowed_amount": 318.11, "providers": [{"billed_charge": 156.0, "npi": [1710981774]}]}, {"allowed_amount": 327.53, "providers": [{"billed_charge": 156.0, "npi": [1710981774]}]}]}, {"tin": {"type": "ein", "value": "756000528"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 156.0, "providers": [{"billed_charge": 156.0, "npi": [1629871512]}]}]}, {"tin": {"type": "ein", "value": "756000543"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 400.0, "providers": [{"billed_charge": 400.0, "npi": [1194728402]}]}]}, {"tin": {"type": "ein", "value": "756000599"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1558460329]}]}]}, {"tin": {"type": "ein", "value": "756004020"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 248.24, "providers": [{"billed_charge": 250.0, "npi": [1376681353]}]}]}, {"tin": {"type": "ein", "value": "756004414"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 248.98, "providers": [{"billed_charge": 400.0, "npi": [1396952321]}]}]}, {"tin": {"type": "ein", "value": "756004591"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 400.0, "providers": [{"billed_charge": 400.0, "npi": [1306851829]}]}]}, {"tin": {"type": "ein", "value": "756004644"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 400.0, "providers": [{"billed_charge": 400.0, "npi": [1891716452]}]}]}, {"tin": {"type": "ein", "value": "756005182"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 248.24, "providers": [{"billed_charge": 400.0, "npi": [1316961824]}]}]}, {"tin": {"type": "ein", "value": "756005431"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.0, "providers": [{"billed_charge": 450.0, "npi": [1366509556]}]}]}, {"tin": {"type": "ein", "value": "760521530"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 205.43, "providers": [{"billed_charge": 205.43, "npi": [1801864368]}]}]}, {"tin": {"type": "ein", "value": "810438237"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 247.88, "providers": [{"billed_charge": 263.0, "npi": [1124570403]}]}]}, {"tin": {"type": "ein", "value": "991971421"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 241.28, "providers": [{"billed_charge": 450.0, "npi": [1174331052]}]}]}]}, {"name": "Als specialized service disposable supplies; iv drug therapy", "billing_code_type": "CPT", "billing_code": "A0394", "billing_code_type_version": "2022", "description": "Als specialized service disposable supplies; iv drug therapy", "allowed_amounts": [{"tin": {"type": "ein", "value": "300688582"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 99.35, "providers": [{"billed_charge": 183.0, "npi": [1750676870]}]}, {"allowed_amount": 109.82, "providers": [{"billed_charge": 183.0, "npi": [1750676870]}]}]}, {"tin": {"type": "ein", "value": "742151203"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 299.94, "providers": [{"billed_charge": 299.94, "npi": [1417007188]}]}]}, {"tin": {"type": "ein", "value": "751962356"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1861477762]}]}, {"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1861477762]}]}, {"allowed_amount": 18.16, "providers": [{"billed_charge": 18.16, "npi": [1861477762]}]}, {"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1861477762]}]}]}, {"tin": {"type": "ein", "value": "810438237"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 103.97, "providers": [{"billed_charge": 133.0, "npi": [1124570403]}]}]}]}, {"name": "Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation", "billing_code_type": "CPT", "billing_code": "A0422", "billing_code_type_version": "2022", "description": "Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation", "allowed_amounts": [{"tin": {"type": "ein", "value": "208424689"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 175.0, "providers": [{"billed_charge": 175.0, "npi": [1952588329]}]}]}, {"tin": {"type": "ein", "value": "264304912"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1871724864]}]}]}, {"tin": {"type": "ein", "value": "300688582"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 179.56, "providers": [{"billed_charge": 337.0, "npi": [1750676870]}]}]}, {"tin": {"type": "ein", "value": "721404705"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 183.01, "providers": [{"billed_charge": 219.0, "npi": [1306289996]}]}]}, {"tin": {"type": "ein", "value": "742151203"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 210.94, "providers": [{"billed_charge": 210.94, "npi": [1417007188]}]}]}, {"tin": {"type": "ein", "value": "743253181"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1588809255]}]}]}, {"tin": {"type": "ein", "value": "746001432"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 290.0, "npi": [1710977061]}]}]}, {"tin": {"type": "ein", "value": "746027491"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 130.0, "providers": [{"billed_charge": 132.6, "npi": [1447674825]}]}]}, {"tin": {"type": "ein", "value": "751102555"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1063550168]}]}]}, {"tin": {"type": "ein", "value": "751962356"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 65.0, "providers": [{"billed_charge": 65.0, "npi": [1861477762]}]}]}, {"tin": {"type": "ein", "value": "752039960"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 75.0, "providers": [{"billed_charge": 75.0, "npi": [1992778492]}]}]}, {"tin": {"type": "ein", "value": "756000543"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 110.0, "providers": [{"billed_charge": 110.0, "npi": [1194728402]}]}]}, {"tin": {"type": "ein", "value": "756000583"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1871623470]}]}]}, {"tin": {"type": "ein", "value": "756004020"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 110.0, "providers": [{"billed_charge": 110.0, "npi": [1376681353]}]}]}, {"tin": {"type": "ein", "value": "756004644"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 110.0, "providers": [{"billed_charge": 110.0, "npi": [1891716452]}]}]}]}, {"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": "043171173"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1600.9, "providers": [{"billed_charge": 1600.9, "npi": [1366492910]}]}, {"allowed_amount": 1633.78, "providers": [{"billed_charge": 1716.34, "npi": [1366492910]}]}]}, {"tin": {"type": "ein", "value": "161025659"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1746.52, "providers": [{"billed_charge": 2939.44, "npi": [1831285410]}]}]}, {"tin": {"type": "ein", "value": "162978803"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 285.28, "providers": [{"billed_charge": 1785.0, "npi": [1710981774]}]}]}, {"tin": {"type": "ein", "value": "200197342"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1600.0, "providers": [{"billed_charge": 1600.0, "npi": [1548823263]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 271.02, "providers": [{"billed_charge": 1785.0, "npi": [1699207522]}]}, {"allowed_amount": 333.54, "providers": [{"billed_charge": 1785.0, "npi": [1699207522]}]}]}, {"tin": {"type": "ein", "value": "201919780"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2610.65, "providers": [{"billed_charge": 2662.86, "npi": [1952995888]}]}]}, {"tin": {"type": "ein", "value": "202950769"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1804.79, "providers": [{"billed_charge": 3660.0, "npi": [1700801693]}, {"billed_charge": 4005.86, "npi": [1700801693]}]}]}, {"tin": {"type": "ein", "value": "203948307"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1745.25, "providers": [{"billed_charge": 2370.75, "npi": [1376644609]}, {"billed_charge": 2468.75, "npi": [1376644609]}]}]}, {"tin": {"type": "ein", "value": "205479358"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1500.0, "providers": [{"billed_charge": 1500.0, "npi": [1508260332]}]}]}, {"tin": {"type": "ein", "value": "208424689"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1728.32, "providers": [{"billed_charge": 3050.0, "npi": [1952588329]}]}, {"allowed_amount": 1745.25, "providers": [{"billed_charge": 3050.0, "npi": [1952588329]}]}, {"allowed_amount": 1800.99, "providers": [{"billed_charge": 3050.0, "npi": [1952588329]}]}]}, {"tin": {"type": "ein", "value": "237112065"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1792.15, "providers": [{"billed_charge": 2000.0, "npi": [1235150889]}]}]}, {"tin": {"type": "ein", "value": "237153831"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2448.6, "providers": [{"billed_charge": 2898.6, "npi": [1417977356]}]}]}, {"tin": {"type": "ein", "value": "237329437"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 740.99, "providers": [{"billed_charge": 1242.07, "npi": [1093790974]}, {"billed_charge": 1254.72, "npi": [1093790974]}]}]}, {"tin": {"type": "ein", "value": "264304912"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1728.32, "providers": [{"billed_charge": 2100.0, "npi": [1871724864]}]}, {"allowed_amount": 1745.25, "providers": [{"billed_charge": 2100.0, "npi": [1871724864]}]}]}, {"tin": {"type": "ein", "value": "270096232"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1950.0, "providers": [{"billed_charge": 2242.5, "npi": [1003307489]}]}]}, {"tin": {"type": "ein", "value": "272498157"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1700.0, "providers": [{"billed_charge": 1700.0, "npi": [1033437405]}]}]}, {"tin": {"type": "ein", "value": "272953899"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1635.0, "providers": [{"billed_charge": 1635.0, "npi": [1356649826]}]}]}, {"tin": {"type": "ein", "value": "273923442"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 886.0, "providers": [{"billed_charge": 886.0, "npi": [1376845008]}]}]}, {"tin": {"type": "ein", "value": "300688582"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1695.85, "providers": [{"billed_charge": 2398.0, "npi": [1750676870]}]}, {"allowed_amount": 1728.32, "providers": [{"billed_charge": 2398.0, "npi": [1750676870]}]}, {"allowed_amount": 1787.27, "providers": [{"billed_charge": 2398.0, "npi": [1750676870]}]}]}, {"tin": {"type": "ein", "value": "320356516"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1745.25, "providers": [{"billed_charge": 3050.0, "npi": [1386908499]}]}]}, {"tin": {"type": "ein", "value": "341255249"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 875.0, "providers": [{"billed_charge": 875.0, "npi": [1922295823]}]}]}, {"tin": {"type": "ein", "value": "356000179"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1250.0, "providers": [{"billed_charge": 1250.0, "npi": [1417955873]}]}]}, {"tin": {"type": "ein", "value": "364670894"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1500.0, "providers": [{"billed_charge": 1500.0, "npi": [1578379582]}]}]}, {"tin": {"type": "ein", "value": "382285796"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1039.0, "providers": [{"billed_charge": 1039.0, "npi": [1689621047]}]}]}, {"tin": {"type": "ein", "value": "431065833"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 945.0, "providers": [{"billed_charge": 945.0, "npi": [1396790218]}]}]}, {"tin": {"type": "ein", "value": "451837687"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1728.32, "providers": [{"billed_charge": 1728.32, "npi": [1316229677]}]}]}, {"tin": {"type": "ein", "value": "452538975"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1745.25, "providers": [{"billed_charge": 2700.0, "npi": [1083912554]}]}]}, {"tin": {"type": "ein", "value": "465332224"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1202.74, "providers": [{"billed_charge": 1202.74, "npi": [1932652815]}]}]}, {"tin": {"type": "ein", "value": "576000379"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 716.0, "providers": [{"billed_charge": 716.0, "npi": [1154314409]}]}]}, {"tin": {"type": "ein", "value": "596000344"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 635.0, "providers": [{"billed_charge": 635.0, "npi": [1356341531]}]}]}, {"tin": {"type": "ein", "value": "596000695"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 650.0, "providers": [{"billed_charge": 650.0, "npi": [1811476930]}]}]}, {"tin": {"type": "ein", "value": "596000885"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 802.0, "providers": [{"billed_charge": 802.0, "npi": [1487933248]}]}]}, {"tin": {"type": "ein", "value": "710907561"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1470.15, "providers": [{"billed_charge": 1470.15, "npi": [1568563278]}]}]}, {"tin": {"type": "ein", "value": "720701964"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1605.0, "providers": [{"billed_charge": 1605.0, "npi": [1316943566]}]}]}, {"tin": {"type": "ein", "value": "731327939"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1800.0, "providers": [{"billed_charge": 1800.0, "npi": [1093736746]}]}]}, {"tin": {"type": "ein", "value": "741282696"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1295.0, "providers": [{"billed_charge": 1695.0, "npi": [1083744940]}]}]}, {"tin": {"type": "ein", "value": "741469344"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1474.56, "providers": [{"billed_charge": 1690.0, "npi": [1043213606]}]}, {"allowed_amount": 1690.0, "providers": [{"billed_charge": 1690.0, "npi": [1043213606]}]}]}, {"tin": {"type": "ein", "value": "741497712"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1400.0, "providers": [{"billed_charge": 1800.0, "npi": [1063410850]}, {"billed_charge": 1920.0, "npi": [1063410850]}]}]}, {"tin": {"type": "ein", "value": "741499194"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1728.32, "providers": [{"billed_charge": 3753.74, "npi": [1851597538]}]}, {"allowed_amount": 1745.25, "providers": [{"billed_charge": 3338.8, "npi": [1851597538]}, {"billed_charge": 3350.4, "npi": [1851597538]}, {"billed_charge": 4035.83, "npi": [1851597538]}]}]}, {"tin": {"type": "ein", "value": "741685167"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1800.99, "providers": [{"billed_charge": 2250.0, "npi": [1447316377]}, {"billed_charge": 2450.0, "npi": [1447316377]}]}]}, {"tin": {"type": "ein", "value": "741772120"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1063.58, "providers": [{"billed_charge": 1063.58, "npi": [1437218062]}]}]}, {"tin": {"type": "ein", "value": "742060965"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1608.26, "providers": [{"billed_charge": 1800.0, "npi": [1477577245]}]}]}, {"tin": {"type": "ein", "value": "742151203"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 975.0, "providers": [{"billed_charge": 975.0, "npi": [1417007188]}]}]}, {"tin": {"type": "ein", "value": "742276859"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1300.0, "providers": [{"billed_charge": 1700.0, "npi": [1134279425]}, {"billed_charge": 1825.0, "npi": [1134279425]}]}, {"allowed_amount": 1700.0, "providers": [{"billed_charge": 1700.0, "npi": [1134279425]}]}]}, {"tin": {"type": "ein", "value": "742570068"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1745.25, "providers": [{"billed_charge": 3093.0, "npi": [1326037607]}]}]}, {"tin": {"type": "ein", "value": "742653285"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 950.0, "providers": [{"billed_charge": 1375.0, "npi": [1609296805]}]}]}, {"tin": {"type": "ein", "value": "743010903"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1600.0, "providers": [{"billed_charge": 1750.0, "npi": [1023323417]}]}]}, {"tin": {"type": "ein", "value": "746000085"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1082.0, "providers": [{"billed_charge": 1323.0, "npi": [1295704732]}]}, {"allowed_amount": 1139.0, "providers": [{"billed_charge": 1323.0, "npi": [1295704732]}]}]}, {"tin": {"type": "ein", "value": "746000374"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1745.25, "providers": [{"billed_charge": 1800.0, "npi": [1679594568]}]}]}, {"tin": {"type": "ein", "value": "746000408"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1700.0, "providers": [{"billed_charge": 1700.0, "npi": [1811075807]}]}]}, {"tin": {"type": "ein", "value": "746000574"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1592.63, "providers": [{"billed_charge": 1592.63, "npi": [1972609337]}]}]}, {"tin": {"type": "ein", "value": "746000749"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1050.0, "providers": [{"billed_charge": 1050.0, "npi": [1306909395]}]}]}, {"tin": {"type": "ein", "value": "746000974"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1400.0, "providers": [{"billed_charge": 1850.0, "npi": [1265808430]}]}]}, {"tin": {"type": "ein", "value": "746000978"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1598.84, "providers": [{"billed_charge": 1600.4, "npi": [1114995586]}]}]}, {"tin": {"type": "ein", "value": "746001164"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2117.45, "providers": [{"billed_charge": 2158.16, "npi": [1447375282]}]}]}, {"tin": {"type": "ein", "value": "746001420"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1887.85, "providers": [{"billed_charge": 2480.5, "npi": [1710064100]}]}]}, {"tin": {"type": "ein", "value": "746001432"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1500.0, "providers": [{"billed_charge": 1500.0, "npi": [1710977061]}]}]}, {"tin": {"type": "ein", "value": "746001490"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1092.98, "providers": [{"billed_charge": 1312.35, "npi": [1730186636]}]}, {"allowed_amount": 1312.35, "providers": [{"billed_charge": 1312.35, "npi": [1730186636]}]}]}, {"tin": {"type": "ein", "value": "746001774"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1320.0, "providers": [{"billed_charge": 1450.0, "npi": [1033139977]}]}]}, {"tin": {"type": "ein", "value": "746001969"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2300.0, "providers": [{"billed_charge": 2355.0, "npi": [1457322885]}]}]}, {"tin": {"type": "ein", "value": "746002069"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1025.0, "providers": [{"billed_charge": 1225.0, "npi": [1932100427]}]}]}, {"tin": {"type": "ein", "value": "746002070"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1500.0, "providers": [{"billed_charge": 1500.0, "npi": [1053377713]}]}, {"allowed_amount": 1600.0, "providers": [{"billed_charge": 1600.0, "npi": [1053377713]}]}]}, {"tin": {"type": "ein", "value": "746002441"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1800.0, "providers": [{"billed_charge": 1900.0, "npi": [1336169192]}]}]}, {"tin": {"type": "ein", "value": "746027491"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1957.0, "providers": [{"billed_charge": 1996.14, "npi": [1447674825]}, {"billed_charge": 2100.5, "npi": [1447674825]}]}]}, {"tin": {"type": "ein", "value": "751102555"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1600.0, "providers": [{"billed_charge": 1600.0, "npi": [1063550168]}]}]}, {"tin": {"type": "ein", "value": "751235137"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1600.0, "providers": [{"billed_charge": 1600.0, "npi": [1669177903]}]}]}, {"tin": {"type": "ein", "value": "751279194"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1600.0, "providers": [{"billed_charge": 1600.0, "npi": [1386665750]}]}]}, {"tin": {"type": "ein", "value": "751333555"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1600.0, "providers": [{"billed_charge": 2000.0, "npi": [1467473165]}]}]}, {"tin": {"type": "ein", "value": "751657155"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1792.15, "providers": [{"billed_charge": 2100.0, "npi": [1275509259]}]}]}, {"tin": {"type": "ein", "value": "751680420"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1500.0, "providers": [{"billed_charge": 1500.0, "npi": [1265163414]}]}]}, {"tin": {"type": "ein", "value": "751962356"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 885.0, "providers": [{"billed_charge": 885.0, "npi": [1861477762]}]}, {"allowed_amount": 1070.0, "providers": [{"billed_charge": 1070.0, "npi": [1861477762]}]}]}, {"tin": {"type": "ein", "value": "752039960"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1745.25, "providers": [{"billed_charge": 1998.0, "npi": [1992778492]}]}]}, {"tin": {"type": "ein", "value": "752213204"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1500.0, "providers": [{"billed_charge": 1500.0, "npi": [1831229384]}]}]}, {"tin": {"type": "ein", "value": "752234266"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1785.0, "providers": [{"billed_charge": 1785.0, "npi": [1710981774]}]}]}, {"tin": {"type": "ein", "value": "752474011"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1295.0, "providers": [{"billed_charge": 1295.0, "npi": [1194750802]}]}, {"allowed_amount": 1634.73, "providers": [{"billed_charge": 1835.88, "npi": [1881628014]}]}, {"allowed_amount": 1835.88, "providers": [{"billed_charge": 1835.88, "npi": [1881628014]}]}]}, {"tin": {"type": "ein", "value": "752747708"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1571.0, "providers": [{"billed_charge": 1571.0, "npi": [1457444150]}]}]}, {"tin": {"type": "ein", "value": "756000478"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 950.0, "providers": [{"billed_charge": 1250.0, "npi": [1033240718]}, {"billed_charge": 1350.0, "npi": [1033240718]}]}, {"allowed_amount": 1350.0, "providers": [{"billed_charge": 1350.0, "npi": [1033240718]}]}]}, {"tin": {"type": "ein", "value": "756000508"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1473.0, "providers": [{"billed_charge": 1473.0, "npi": [1861530990]}]}, {"allowed_amount": 1475.25, "providers": [{"billed_charge": 1475.25, "npi": [1861530990]}]}, {"allowed_amount": 1475.42, "providers": [{"billed_charge": 1475.42, "npi": [1861530990]}]}, {"allowed_amount": 1476.79, "providers": [{"billed_charge": 1476.79, "npi": [1861530990]}]}, {"allowed_amount": 1477.67, "providers": [{"billed_charge": 1477.67, "npi": [1861530990]}]}, {"allowed_amount": 1489.87, "providers": [{"billed_charge": 1489.87, "npi": [1861530990]}]}, {"allowed_amount": 1492.12, "providers": [{"billed_charge": 1492.12, "npi": [1861530990]}]}, {"allowed_amount": 1493.66, "providers": [{"billed_charge": 1493.66, "npi": [1861530990]}]}, {"allowed_amount": 1516.69, "providers": [{"billed_charge": 1516.69, "npi": [1861530990]}]}, {"allowed_amount": 1517.44, "providers": [{"billed_charge": 1517.44, "npi": [1861530990]}]}, {"allowed_amount": 1518.84, "providers": [{"billed_charge": 1518.84, "npi": [1861530990]}]}, {"allowed_amount": 1518.94, "providers": [{"billed_charge": 1518.94, "npi": [1861530990]}]}, {"allowed_amount": 1519.69, "providers": [{"billed_charge": 1519.69, "npi": [1861530990]}]}, {"allowed_amount": 1520.48, "providers": [{"billed_charge": 1520.48, "npi": [1861530990]}]}, {"allowed_amount": 1526.09, "providers": [{"billed_charge": 1526.09, "npi": [1861530990]}]}, {"allowed_amount": 1533.56, "providers": [{"billed_charge": 1533.56, "npi": [1861530990]}]}, {"allowed_amount": 1535.81, "providers": [{"billed_charge": 1535.81, "npi": [1861530990]}]}, {"allowed_amount": 1536.56, "providers": [{"billed_charge": 1536.56, "npi": [1861530990]}]}, {"allowed_amount": 1544.31, "providers": [{"billed_charge": 1544.31, "npi": [1861530990]}]}, {"allowed_amount": 1565.88, "providers": [{"billed_charge": 1565.88, "npi": [1861530990]}]}, {"allowed_amount": 1589.51, "providers": [{"billed_charge": 1589.51, "npi": [1861530990]}]}, {"allowed_amount": 1787.27, "providers": [{"billed_charge": 1870.25, "npi": [1861530990]}]}, {"allowed_amount": 1804.79, "providers": [{"billed_charge": 1870.25, "npi": [1861530990]}, {"billed_charge": 1911.69, "npi": [1861530990]}, {"billed_charge": 1913.94, "npi": [1861530990]}, {"billed_charge": 1930.81, "npi": [1861530990]}]}]}, {"tin": {"type": "ein", "value": "756000514"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1286.06, "providers": [{"billed_charge": 1286.06, "npi": [1275548182]}]}, {"allowed_amount": 1544.0, "providers": [{"billed_charge": 1544.0, "npi": [1275548182]}]}, {"allowed_amount": 1544.39, "providers": [{"billed_charge": 1544.39, "npi": [1275548182]}]}]}, {"tin": {"type": "ein", "value": "756000528"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1774.73, "providers": [{"billed_charge": 1785.0, "npi": [1629871512]}]}, {"allowed_amount": 1785.0, "providers": [{"billed_charge": 1785.0, "npi": [1629871512]}]}]}, {"tin": {"type": "ein", "value": "756000531"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 857.0, "providers": [{"billed_charge": 857.0, "npi": [1538207642]}]}]}, {"tin": {"type": "ein", "value": "756000534"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 550.0, "providers": [{"billed_charge": 550.0, "npi": [1750323556]}]}, {"allowed_amount": 650.0, "providers": [{"billed_charge": 650.0, "npi": [1750323556]}]}, {"allowed_amount": 1600.0, "providers": [{"billed_charge": 1600.0, "npi": [1750323556]}]}]}, {"tin": {"type": "ein", "value": "756000543"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1600.0, "providers": [{"billed_charge": 1600.0, "npi": [1194728402]}]}]}, {"tin": {"type": "ein", "value": "756000546"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1280.0, "providers": [{"billed_charge": 2000.0, "npi": [1790790947]}]}]}, {"tin": {"type": "ein", "value": "756000566"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 850.0, "providers": [{"billed_charge": 850.0, "npi": [1962432930]}]}, {"allowed_amount": 868.89, "providers": [{"billed_charge": 868.89, "npi": [1962432930]}]}]}, {"tin": {"type": "ein", "value": "756000580"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1804.79, "providers": [{"billed_charge": 2050.0, "npi": [1518085646]}]}]}, {"tin": {"type": "ein", "value": "756000583"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1045.0, "providers": [{"billed_charge": 1045.0, "npi": [1871623470]}, {"billed_charge": 1394.0, "npi": [1871623470]}]}]}, {"tin": {"type": "ein", "value": "756000594"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 941.25, "providers": [{"billed_charge": 1650.0, "npi": [1598781742]}]}, {"allowed_amount": 1249.5, "providers": [{"billed_charge": 1650.0, "npi": [1598781742]}]}]}, {"tin": {"type": "ein", "value": "756000599"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 870.0, "providers": [{"billed_charge": 870.0, "npi": [1558460329]}]}]}, {"tin": {"type": "ein", "value": "756000606"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1128.51, "providers": [{"billed_charge": 1128.51, "npi": [1770621492]}]}]}, {"tin": {"type": "ein", "value": "756000640"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1267.5, "providers": [{"billed_charge": 1267.5, "npi": [1982742698]}]}, {"allowed_amount": 1342.5, "providers": [{"billed_charge": 1342.5, "npi": [1982742698]}]}]}, {"tin": {"type": "ein", "value": "756001812"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1600.0, "providers": [{"billed_charge": 3261.4, "npi": [1578565917]}]}]}, {"tin": {"type": "ein", "value": "756003955"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1050.0, "providers": [{"billed_charge": 1050.0, "npi": [1003820705]}]}, {"allowed_amount": 1075.2, "providers": [{"billed_charge": 1350.0, "npi": [1003820705]}]}]}, {"tin": {"type": "ein", "value": "756004020"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1600.0, "providers": [{"billed_charge": 1600.0, "npi": [1376681353]}]}]}, {"tin": {"type": "ein", "value": "756004414"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1600.0, "providers": [{"billed_charge": 1600.0, "npi": [1396952321]}]}]}, {"tin": {"type": "ein", "value": "756004591"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1600.0, "providers": [{"billed_charge": 1600.0, "npi": [1306851829]}]}]}, {"tin": {"type": "ein", "value": "756004644"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1600.0, "providers": [{"billed_charge": 1600.0, "npi": [1891716452]}]}]}, {"tin": {"type": "ein", "value": "756004695"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1950.0, "providers": [{"billed_charge": 1950.0, "npi": [1790709814]}]}]}, {"tin": {"type": "ein", "value": "756005182"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1600.0, "providers": [{"billed_charge": 1600.0, "npi": [1316961824]}]}]}, {"tin": {"type": "ein", "value": "756005194"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1792.15, "providers": [{"billed_charge": 2015.0, "npi": [1265570295]}]}]}, {"tin": {"type": "ein", "value": "756005431"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1700.0, "providers": [{"billed_charge": 1700.0, "npi": [1366509556]}]}]}, {"tin": {"type": "ein", "value": "760133493"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1800.99, "providers": [{"billed_charge": 1836.11, "npi": [1760033526]}]}]}, {"tin": {"type": "ein", "value": "760521530"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1742.0, "providers": [{"billed_charge": 1742.0, "npi": [1801864368]}]}]}, {"tin": {"type": "ein", "value": "770324739"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1931.51, "providers": [{"billed_charge": 3953.56, "npi": [1134147150]}]}]}, {"tin": {"type": "ein", "value": "810438237"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1809.86, "providers": [{"billed_charge": 2100.0, "npi": [1124570403]}]}]}, {"tin": {"type": "ein", "value": "811424190"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1745.25, "providers": [{"billed_charge": 2015.0, "npi": [1104286087]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1690.28, "providers": [{"billed_charge": 1690.28, "npi": [1851441075]}]}]}, {"tin": {"type": "ein", "value": "880421120"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1312.34, "providers": [{"billed_charge": 1312.34, "npi": [1003006180]}]}, {"allowed_amount": 1355.91, "providers": [{"billed_charge": 1355.91, "npi": [1003006180]}]}]}, {"tin": {"type": "ein", "value": "880426848"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 700.0, "npi": [1437210978]}]}]}, {"tin": {"type": "ein", "value": "886000198"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1355.91, "providers": [{"billed_charge": 1355.91, "npi": [1336290964]}]}]}, {"tin": {"type": "ein", "value": "946000417"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2329.31, "providers": [{"billed_charge": 2555.0, "npi": [1376600965]}]}]}, {"tin": {"type": "ein", "value": "951488421"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2041.72, "providers": [{"billed_charge": 3655.0, "npi": [1679660674]}]}]}, {"tin": {"type": "ein", "value": "952223085"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1931.51, "providers": [{"billed_charge": 2472.32, "npi": [1518075449]}]}]}, {"tin": {"type": "ein", "value": "990338416"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1983.44, "providers": [{"billed_charge": 2981.44, "npi": [1730183252]}]}]}, {"tin": {"type": "ein", "value": "991971421"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1600.0, "providers": [{"billed_charge": 1600.0, "npi": [1174331052]}]}]}]}, {"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": "200197342"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1400.0, "providers": [{"billed_charge": 1400.0, "npi": [1548823263]}]}]}, {"tin": {"type": "ein", "value": "201186634"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1469.68, "providers": [{"billed_charge": 1500.0, "npi": [1528163243]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 257.17, "providers": [{"billed_charge": 1685.0, "npi": [1699207522]}]}, {"allowed_amount": 261.79, "providers": [{"billed_charge": 1473.0, "npi": [1699207522]}]}, {"allowed_amount": 263.47, "providers": [{"billed_charge": 1473.0, "npi": [1699207522]}]}]}, {"tin": {"type": "ein", "value": "201919780"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2063.43, "providers": [{"billed_charge": 2104.7, "npi": [1952995888]}]}]}, {"tin": {"type": "ein", "value": "202950769"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1519.83, "providers": [{"billed_charge": 2196.0, "npi": [1700801693]}, {"billed_charge": 2781.6, "npi": [1700801693]}]}]}, {"tin": {"type": "ein", "value": "203948307"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1469.68, "providers": [{"billed_charge": 2043.75, "npi": [1376644609]}]}]}, {"tin": {"type": "ein", "value": "205479358"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1300.0, "providers": [{"billed_charge": 1300.0, "npi": [1508260332]}]}]}, {"tin": {"type": "ein", "value": "208424689"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1250.0, "providers": [{"billed_charge": 1250.0, "npi": [1952588329]}]}, {"allowed_amount": 1455.42, "providers": [{"billed_charge": 2750.0, "npi": [1952588329]}]}, {"allowed_amount": 1494.51, "providers": [{"billed_charge": 2750.0, "npi": [1952588329]}]}, {"allowed_amount": 1516.65, "providers": [{"billed_charge": 2750.0, "npi": [1952588329]}]}]}, {"tin": {"type": "ein", "value": "236003047"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 950.0, "providers": [{"billed_charge": 950.0, "npi": [1255468435]}]}, {"allowed_amount": 960.0, "providers": [{"billed_charge": 960.0, "npi": [1255468435]}]}]}, {"tin": {"type": "ein", "value": "264304912"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1469.68, "providers": [{"billed_charge": 1500.0, "npi": [1871724864]}]}]}, {"tin": {"type": "ein", "value": "272953899"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1501.92, "providers": [{"billed_charge": 1535.0, "npi": [1356649826]}]}]}, {"tin": {"type": "ein", "value": "273923442"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 834.0, "providers": [{"billed_charge": 834.0, "npi": [1376845008]}]}]}, {"tin": {"type": "ein", "value": "300688582"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1428.08, "providers": [{"billed_charge": 2184.0, "npi": [1750676870]}, {"billed_charge": 2398.0, "npi": [1750676870]}]}]}, {"tin": {"type": "ein", "value": "320356516"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1469.68, "providers": [{"billed_charge": 2318.0, "npi": [1386908499]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1555.03, "providers": [{"billed_charge": 2610.0, "npi": [1407897309]}]}]}, {"tin": {"type": "ein", "value": "451837687"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1455.42, "providers": [{"billed_charge": 1455.42, "npi": [1316229677]}]}]}, {"tin": {"type": "ein", "value": "454662986"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 650.4, "providers": [{"billed_charge": 650.4, "npi": [1205183605]}]}]}, {"tin": {"type": "ein", "value": "455508689"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1469.68, "providers": [{"billed_charge": 1500.0, "npi": [1992144885]}]}]}, {"tin": {"type": "ein", "value": "462546402"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 647.58, "providers": [{"billed_charge": 647.58, "npi": [1376182741]}]}]}, {"tin": {"type": "ein", "value": "486000798"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 815.0, "providers": [{"billed_charge": 815.0, "npi": [1215075411]}]}]}, {"tin": {"type": "ein", "value": "526000769"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 920.0, "providers": [{"billed_charge": 920.0, "npi": [1679609366]}]}]}, {"tin": {"type": "ein", "value": "566000229"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 561.22, "providers": [{"billed_charge": 561.22, "npi": [1851390553]}]}]}, {"tin": {"type": "ein", "value": "576000379"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 716.0, "providers": [{"billed_charge": 716.0, "npi": [1154314409]}]}]}, {"tin": {"type": "ein", "value": "596000375"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 800.0, "providers": [{"billed_charge": 800.0, "npi": [1821109612]}]}]}, {"tin": {"type": "ein", "value": "616001804"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 800.0, "providers": [{"billed_charge": 800.0, "npi": [1477551372]}]}]}, {"tin": {"type": "ein", "value": "710907561"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1470.15, "providers": [{"billed_charge": 1470.15, "npi": [1568563278]}]}]}, {"tin": {"type": "ein", "value": "741463668"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1000.0, "providers": [{"billed_charge": 1150.0, "npi": [1891870168]}]}]}, {"tin": {"type": "ein", "value": "741469344"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1239.04, "providers": [{"billed_charge": 1460.0, "npi": [1043213606]}]}]}, {"tin": {"type": "ein", "value": "741685167"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1516.65, "providers": [{"billed_charge": 1700.0, "npi": [1447316377]}, {"billed_charge": 1950.0, "npi": [1447316377]}]}]}, {"tin": {"type": "ein", "value": "741772120"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 895.64, "providers": [{"billed_charge": 895.64, "npi": [1437218062]}]}]}, {"tin": {"type": "ein", "value": "741818451"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1501.92, "providers": [{"billed_charge": 1660.0, "npi": [1053317347]}]}]}, {"tin": {"type": "ein", "value": "742060965"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1223.65, "providers": [{"billed_charge": 1600.0, "npi": [1477577245]}]}]}, {"tin": {"type": "ein", "value": "742276859"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1100.0, "providers": [{"billed_charge": 1450.0, "npi": [1134279425]}]}]}, {"tin": {"type": "ein", "value": "742644883"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1200.0, "providers": [{"billed_charge": 1500.0, "npi": [1942665286]}]}]}, {"tin": {"type": "ein", "value": "743253181"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1469.68, "providers": [{"billed_charge": 1870.0, "npi": [1588809255]}]}]}, {"tin": {"type": "ein", "value": "746000085"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1013.0, "providers": [{"billed_charge": 1250.0, "npi": [1295704732]}]}, {"allowed_amount": 1139.0, "providers": [{"billed_charge": 1250.0, "npi": [1295704732]}]}]}, {"tin": {"type": "ein", "value": "746000278"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1193.0, "providers": [{"billed_charge": 1193.0, "npi": [1982695268]}]}]}, {"tin": {"type": "ein", "value": "746000374"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1200.0, "providers": [{"billed_charge": 1200.0, "npi": [1679594568]}]}]}, {"tin": {"type": "ein", "value": "746000749"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 228.22, "providers": [{"billed_charge": 1050.0, "npi": [1306909395]}]}, {"allowed_amount": 1050.0, "providers": [{"billed_charge": 1050.0, "npi": [1306909395]}]}]}, {"tin": {"type": "ein", "value": "746000974"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1300.0, "providers": [{"billed_charge": 1650.0, "npi": [1265808430]}]}]}, {"tin": {"type": "ein", "value": "746000978"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1084.93, "providers": [{"billed_charge": 1085.99, "npi": [1114995586]}]}]}, {"tin": {"type": "ein", "value": "746001164"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 419.81, "providers": [{"billed_charge": 419.81, "npi": [1447375282]}]}, {"allowed_amount": 2117.45, "providers": [{"billed_charge": 2158.16, "npi": [1447375282]}]}, {"allowed_amount": 2158.16, "providers": [{"billed_charge": 2158.16, "npi": [1447375282]}]}]}, {"tin": {"type": "ein", "value": "746001774"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1085.0, "providers": [{"billed_charge": 1250.0, "npi": [1033139977]}]}]}, {"tin": {"type": "ein", "value": "746001969"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1469.68, "providers": [{"billed_charge": 1843.0, "npi": [1457322885]}]}, {"allowed_amount": 1800.0, "providers": [{"billed_charge": 1843.0, "npi": [1457322885]}]}]}, {"tin": {"type": "ein", "value": "746002070"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1469.68, "providers": [{"billed_charge": 1500.0, "npi": [1053377713]}, {"billed_charge": 1550.0, "npi": [1053377713]}, {"billed_charge": 1600.0, "npi": [1053377713]}]}]}, {"tin": {"type": "ein", "value": "746002330"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1516.65, "providers": [{"billed_charge": 1700.47, "npi": [1174521249]}]}]}, {"tin": {"type": "ein", "value": "746027491"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1283.5, "providers": [{"billed_charge": 1283.5, "npi": [1447674825]}]}, {"allowed_amount": 1435.2, "providers": [{"billed_charge": 1540.2, "npi": [1447674825]}]}]}, {"tin": {"type": "ein", "value": "751102555"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1400.0, "providers": [{"billed_charge": 1400.0, "npi": [1063550168]}]}]}, {"tin": {"type": "ein", "value": "751279194"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1400.0, "providers": [{"billed_charge": 1400.0, "npi": [1386665750]}]}]}, {"tin": {"type": "ein", "value": "751360556"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 935.0, "providers": [{"billed_charge": 1210.0, "npi": [1235285289]}]}]}, {"tin": {"type": "ein", "value": "751570670"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 850.0, "providers": [{"billed_charge": 1000.0, "npi": [1699811034]}]}]}, {"tin": {"type": "ein", "value": "751657155"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1509.17, "providers": [{"billed_charge": 1600.0, "npi": [1275509259]}]}]}, {"tin": {"type": "ein", "value": "751962356"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 930.0, "providers": [{"billed_charge": 930.0, "npi": [1861477762]}]}]}, {"tin": {"type": "ein", "value": "752234266"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1682.0, "providers": [{"billed_charge": 1685.0, "npi": [1710981774]}]}, {"allowed_amount": 1685.0, "providers": [{"billed_charge": 1685.0, "npi": [1710981774]}]}]}, {"tin": {"type": "ein", "value": "752707125"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1469.68, "providers": [{"billed_charge": 1500.0, "npi": [1942201272]}]}]}, {"tin": {"type": "ein", "value": "756000478"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 750.0, "providers": [{"billed_charge": 950.0, "npi": [1033240718]}]}, {"allowed_amount": 850.0, "providers": [{"billed_charge": 950.0, "npi": [1033240718]}, {"billed_charge": 1050.0, "npi": [1033240718]}]}]}, {"tin": {"type": "ein", "value": "756000508"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1455.42, "providers": [{"billed_charge": 1870.25, "npi": [1861530990]}]}, {"allowed_amount": 1473.0, "providers": [{"billed_charge": 1473.0, "npi": [1861530990]}]}, {"allowed_amount": 1475.25, "providers": [{"billed_charge": 1475.25, "npi": [1861530990]}]}, {"allowed_amount": 1477.5, "providers": [{"billed_charge": 1477.5, "npi": [1861530990]}]}, {"allowed_amount": 1480.0, "providers": [{"billed_charge": 1480.0, "npi": [1861530990]}]}, {"allowed_amount": 1519.83, "providers": [{"billed_charge": 1531.2, "npi": [1861530990]}, {"billed_charge": 1560.06, "npi": [1861530990]}, {"billed_charge": 1609.5, "npi": [1861530990]}, {"billed_charge": 1868.0, "npi": [1861530990]}, {"billed_charge": 1870.25, "npi": [1861530990]}, {"billed_charge": 1911.69, "npi": [1861530990]}]}]}, {"tin": {"type": "ein", "value": "756000514"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 944.0, "providers": [{"billed_charge": 944.0, "npi": [1275548182]}]}]}, {"tin": {"type": "ein", "value": "756000528"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1494.51, "providers": [{"billed_charge": 1685.0, "npi": [1629871512]}]}, {"allowed_amount": 1509.17, "providers": [{"billed_charge": 1685.0, "npi": [1629871512]}]}]}, {"tin": {"type": "ein", "value": "756000531"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 794.0, "providers": [{"billed_charge": 794.0, "npi": [1538207642]}]}]}, {"tin": {"type": "ein", "value": "756000534"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 500.0, "providers": [{"billed_charge": 500.0, "npi": [1750323556]}]}, {"allowed_amount": 1400.0, "providers": [{"billed_charge": 1400.0, "npi": [1750323556]}]}]}, {"tin": {"type": "ein", "value": "756000543"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1400.0, "providers": [{"billed_charge": 1400.0, "npi": [1194728402]}]}]}, {"tin": {"type": "ein", "value": "756000546"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1024.0, "providers": [{"billed_charge": 1750.0, "npi": [1790790947]}]}]}, {"tin": {"type": "ein", "value": "756000566"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 750.0, "providers": [{"billed_charge": 750.0, "npi": [1962432930]}]}]}, {"tin": {"type": "ein", "value": "756000580"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1519.83, "providers": [{"billed_charge": 1750.0, "npi": [1518085646]}]}]}, {"tin": {"type": "ein", "value": "756000583"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1045.0, "providers": [{"billed_charge": 1045.0, "npi": [1871623470]}]}]}, {"tin": {"type": "ein", "value": "756000599"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 785.0, "providers": [{"billed_charge": 785.0, "npi": [1558460329]}]}]}, {"tin": {"type": "ein", "value": "756000606"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 945.33, "providers": [{"billed_charge": 945.33, "npi": [1770621492]}]}]}, {"tin": {"type": "ein", "value": "756000609"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1400.0, "providers": [{"billed_charge": 1400.0, "npi": [1225058084]}]}]}, {"tin": {"type": "ein", "value": "756000640"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1035.0, "providers": [{"billed_charge": 1035.0, "npi": [1982742698]}]}, {"allowed_amount": 1185.0, "providers": [{"billed_charge": 1185.0, "npi": [1982742698]}]}]}, {"tin": {"type": "ein", "value": "756000642"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1075.2, "providers": [{"billed_charge": 1750.0, "npi": [1922147206]}]}]}, {"tin": {"type": "ein", "value": "756001203"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1469.68, "providers": [{"billed_charge": 1989.0, "npi": [1891700753]}]}]}, {"tin": {"type": "ein", "value": "756004591"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1400.0, "providers": [{"billed_charge": 1400.0, "npi": [1306851829]}]}]}, {"tin": {"type": "ein", "value": "756005194"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1385.0, "providers": [{"billed_charge": 1385.0, "npi": [1265570295]}]}]}, {"tin": {"type": "ein", "value": "760133493"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 974.61, "providers": [{"billed_charge": 974.61, "npi": [1760033526]}]}]}, {"tin": {"type": "ein", "value": "834593298"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1500.0, "providers": [{"billed_charge": 1500.0, "npi": [1790343937]}]}]}, {"tin": {"type": "ein", "value": "850211037"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 551.04, "providers": [{"billed_charge": 551.04, "npi": [1750448841]}]}]}]}, {"name": "Ammonia", "billing_code_type": "CPT", "billing_code": "82140", "billing_code_type_version": "2022", "description": "ASSAY OF AMMONIA", "allowed_amounts": [{"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.8, "providers": [{"billed_charge": 200.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 434.0, "providers": [{"billed_charge": 1240.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 279.14, "providers": [{"billed_charge": 797.55, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.4, "providers": [{"billed_charge": 132.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.0, "providers": [{"billed_charge": 41.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "813562144"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 500.2, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 300.0, "npi": [1639663370]}]}]}]}, {"name": "Amylase", "billing_code_type": "CPT", "billing_code": "82150", "billing_code_type_version": "2022", "description": "ASSAY OF AMYLASE", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.54, "providers": [{"billed_charge": 85.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 267.5, "providers": [{"billed_charge": 535.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 267.5, "providers": [{"billed_charge": 535.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 459.55, "providers": [{"billed_charge": 1313.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 235.28, "providers": [{"billed_charge": 672.22, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.15, "providers": [{"billed_charge": 67.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.31, "providers": [{"billed_charge": 27.18, "npi": [1235186800]}]}, {"allowed_amount": 13.54, "providers": [{"billed_charge": 27.18, "npi": [1235186800]}, {"billed_charge": 70.0, "npi": [1235186800]}]}]}]}, {"name": "Anesthesia for access to central venous circulation", "billing_code_type": "CPT", "billing_code": "00532", "billing_code_type_version": "2022", "description": "ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION", "allowed_amounts": [{"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 117.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 678.23, "npi": [1548639107]}]}, {"allowed_amount": 314.17, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1834.92, "npi": [1871080002]}]}, {"allowed_amount": 502.32, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1427.16, "npi": [1245290303]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "24", "22"], "payments": [{"allowed_amount": 83.87, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1215170584]}]}, {"allowed_amount": 87.91, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1457079394]}]}, {"allowed_amount": 120.2, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2275.0, "npi": [1548154958]}]}, {"allowed_amount": 123.97, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1780927020]}]}, {"allowed_amount": 135.37, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1679072458]}]}, {"allowed_amount": 139.64, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 3250.0, "npi": [1346386810]}]}, {"allowed_amount": 140.54, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2904.0, "npi": [1073233326]}]}, {"allowed_amount": 146.09, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1427776384]}]}, {"allowed_amount": 157.18, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1831817451]}]}, {"allowed_amount": 170.99, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3900.0, "npi": [1962775593]}]}, {"allowed_amount": 351.7, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1700875440]}]}, {"allowed_amount": 384.04, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1962729608]}]}, {"allowed_amount": 396.17, "billing_code_modifier": ["QY,P4"], "providers": [{"billed_charge": 3250.0, "npi": [1306885751]}]}, {"allowed_amount": 485.11, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3900.0, "npi": [1699271833]}]}, {"allowed_amount": 488.02, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2275.0, "npi": [1407419583]}]}, {"allowed_amount": 563.1, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2600.0, "npi": [1023197753, 1710718267]}]}, {"allowed_amount": 570.61, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2904.0, "npi": [1407419583]}]}, {"allowed_amount": 593.13, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1851746184]}]}, {"allowed_amount": 623.17, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1861846362]}]}, {"allowed_amount": 638.18, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1124312517]}]}, {"allowed_amount": 653.2, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1861404501]}]}, {"allowed_amount": 657.94, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1902154511]}]}, {"allowed_amount": 1099.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2600.0, "npi": [1689676744]}]}, {"allowed_amount": 1144.76, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1861603771]}]}, {"allowed_amount": 1186.27, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1992196026]}]}, {"allowed_amount": 1216.3, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1992118384]}]}, {"allowed_amount": 1276.36, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 2925.0, "npi": [1063415925, 1386627198]}, {"billed_charge": 3267.0, "npi": [1669905410]}]}, {"allowed_amount": 1292.12, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1083934251]}]}, {"allowed_amount": 1351.44, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1932763232]}]}, {"allowed_amount": 1377.62, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1902883408]}]}]}, {"tin": {"type": "ein", "value": "821391429"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 114.46, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 992.0, "npi": [1013587971]}]}, {"allowed_amount": 254.68, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2250.0, "npi": [1013587971]}]}, {"allowed_amount": 586.22, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 1008.0, "npi": [1902426513]}]}]}, {"tin": {"type": "ein", "value": "853082840"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 1318.99, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4500.0, "npi": [1043638331]}]}, {"allowed_amount": 1582.79, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 5500.0, "npi": [1043638331]}]}]}]}, {"name": "Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; not otherwise specified, age 1 year or older", "billing_code_type": "CPT", "billing_code": "00320", "billing_code_type_version": "2022", "description": "ANES PX ESOPH THYR LARX TRCH&LYMPH NCK NOS 1YR/>", "allowed_amounts": [{"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1412.5, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1412.5, "npi": [1891053401]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 157.21, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1550.24, "npi": [1346761202]}]}, {"allowed_amount": 405.8, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2131.58, "npi": [1952635385]}]}, {"allowed_amount": 1730.23, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4485.36, "npi": [1861451619]}]}, {"allowed_amount": 1961.46, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 3262.08, "npi": [1568624914]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 107.11, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3993.0, "npi": [1225226913]}]}, {"allowed_amount": 110.14, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3575.0, "npi": [1225226913]}]}, {"allowed_amount": 127.32, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4719.0, "npi": [1225226913]}]}, {"allowed_amount": 134.4, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5082.0, "npi": [1366880346]}]}, {"allowed_amount": 136.42, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1215170584]}]}, {"allowed_amount": 202.3, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1043925449]}]}, {"allowed_amount": 212.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3900.0, "npi": [1831355619]}]}, {"allowed_amount": 795.85, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3993.0, "npi": [1063415925]}]}, {"allowed_amount": 818.37, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3575.0, "npi": [1528388097]}]}, {"allowed_amount": 862.56, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1205817905]}]}, {"allowed_amount": 863.42, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3900.0, "npi": [1053571018]}]}, {"allowed_amount": 946.01, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4719.0, "npi": [1063415925]}]}, {"allowed_amount": 998.57, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 5082.0, "npi": [1063415925]}]}, {"allowed_amount": 1013.58, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1063415925]}]}, {"allowed_amount": 1133.71, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5200.0, "npi": [1063415925]}]}, {"allowed_amount": 1685.38, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4356.0, "npi": [1831536739]}]}, {"allowed_amount": 2022.46, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4550.0, "npi": [1730390709]}]}, {"allowed_amount": 3385.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7800.0, "npi": [1689676744]}]}]}]}, {"name": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and hand", "billing_code_type": "CPT", "billing_code": "01810", "billing_code_type_version": "2022", "description": "ANES NERVE MUSCLE TDN FASCIA&BURSA FOREARM WRIST", "allowed_amounts": [{"tin": {"type": "ein", "value": "271009253"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 183.91, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1260.0, "npi": [1467996538]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.69, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 990.72, "npi": [1376314856]}]}, {"allowed_amount": 216.36, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1486.08, "npi": [1700690781]}]}, {"allowed_amount": 563.1, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 990.72, "npi": [1013990977]}]}, {"allowed_amount": 878.44, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1486.08, "npi": [1013979178]}]}, {"allowed_amount": 990.72, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 990.72, "npi": [1548672074]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1215.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1215.0, "npi": [1558998823]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 490.96, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 910.0, "npi": [1699017954]}]}, {"allowed_amount": 549.58, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1040.0, "npi": [1598126484]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 95.86, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 481.7, "npi": [1568032944]}]}, {"allowed_amount": 107.31, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 531.42, "npi": [1063023406]}]}]}, {"tin": {"type": "ein", "value": "760462852"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 518.61, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1855.0, "npi": [1144290156]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 79.8, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2178.0, "npi": [1942976659]}]}, {"allowed_amount": 85.5, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1950.0, "npi": [1861824005]}]}, {"allowed_amount": 89.93, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1427676667]}]}, {"allowed_amount": 96.2, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1487498143]}]}, {"allowed_amount": 120.2, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2275.0, "npi": [1639750573]}]}, {"allowed_amount": 242.55, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1950.0, "npi": [1730221490]}]}, {"allowed_amount": 452.77, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 2178.0, "npi": [1982624243]}]}, {"allowed_amount": 488.02, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2275.0, "npi": [1962485953]}]}, {"allowed_amount": 492.68, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1760011860]}]}, {"allowed_amount": 668.21, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1861846362]}]}, {"allowed_amount": 751.92, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3630.0, "npi": [1770545857]}]}, {"allowed_amount": 885.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2178.0, "npi": [1598851750]}]}, {"allowed_amount": 930.99, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1598851750]}]}, {"allowed_amount": 1726.84, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3900.0, "npi": [1861846362]}]}]}, {"tin": {"type": "ein", "value": "831147073"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 79.52, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2200.0, "npi": [1043087075]}]}, {"allowed_amount": 85.06, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3080.0, "npi": [1083449466]}]}, {"allowed_amount": 98.01, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2640.0, "npi": [1750057832]}]}, {"allowed_amount": 322.84, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2250.0, "npi": [1720295819]}]}, {"allowed_amount": 345.37, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3150.0, "npi": [1497016224]}]}, {"allowed_amount": 397.92, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2700.0, "npi": [1497016224]}]}]}]}, {"name": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and posterior trunk, not otherwise specified", "billing_code_type": "CPT", "billing_code": "00300", "billing_code_type_version": "2022", "description": "ANES INTEG MUSC & NRV HEAD NECK&POSTERIOR TRUNK", "allowed_amounts": [{"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.02, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1362.24, "npi": [1013587294]}]}, {"allowed_amount": 795.85, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1362.24, "npi": [1245859024]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 164.58, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1427776384]}]}, {"allowed_amount": 184.92, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3630.0, "npi": [1366074924]}]}, {"allowed_amount": 223.52, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2600.0, "npi": [1275049256]}]}, {"allowed_amount": 235.63, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4225.0, "npi": [1619669686]}]}, {"allowed_amount": 290.68, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3993.0, "npi": [1770725798]}]}, {"allowed_amount": 310.38, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1396094561]}]}, {"allowed_amount": 668.21, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1851746184]}]}, {"allowed_amount": 750.8, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3630.0, "npi": [1619951696]}]}, {"allowed_amount": 801.73, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1023546983]}]}, {"allowed_amount": 1004.65, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 4225.0, "npi": [1629562962]}]}, {"allowed_amount": 1066.14, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2600.0, "npi": [1023197753]}]}, {"allowed_amount": 1426.52, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3250.0, "npi": [1326300203]}]}, {"allowed_amount": 1456.55, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3630.0, "npi": [1184943078]}]}, {"allowed_amount": 1606.72, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1679777155]}]}]}, {"tin": {"type": "ein", "value": "810584868"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 114.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1809.0, "npi": [1497568620]}]}, {"allowed_amount": 586.87, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1818.0, "npi": [1063469021]}]}]}, {"tin": {"type": "ein", "value": "821391429"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1892.02, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1053804187]}]}]}, {"tin": {"type": "ein", "value": "823273056"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 292.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3550.0, "npi": [1023251493]}]}, {"allowed_amount": 608.71, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3905.0, "npi": [1942746870]}]}]}, {"tin": {"type": "ein", "value": "850709838"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 346.54, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3732.0, "npi": [1215200332]}]}, {"allowed_amount": 895.14, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3744.0, "npi": [1760846562]}]}]}]}, {"name": "Anesthesia for cesarean delivery following neuraxial labor analgesia/anesthesia (List separately in addition to code for primary procedure performed)", "billing_code_type": "CPT", "billing_code": "01968", "billing_code_type_version": "2022", "description": "ANES CESARN DLVR FLWG NEURAXIAL LABOR ANALG/ANES", "allowed_amounts": [{"tin": {"type": "ein", "value": "471804903"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 329.16, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 6800.0, "npi": [1821091505]}]}, {"allowed_amount": 812.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5950.0, "npi": [1568736114]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1227.9, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1631.04, "npi": [1356596316]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.29, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2600.0, "npi": [1619612512]}]}, {"allowed_amount": 106.1, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2904.0, "npi": [1780057976]}]}, {"allowed_amount": 131.29, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2600.0, "npi": [1295971653]}]}, {"allowed_amount": 144.24, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2904.0, "npi": [1073233326]}]}, {"allowed_amount": 151.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2600.0, "npi": [1306202429]}]}, {"allowed_amount": 172.8, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2904.0, "npi": [1871881474]}]}, {"allowed_amount": 232.01, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2904.0, "npi": [1710067384]}]}, {"allowed_amount": 294.14, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2904.0, "npi": [1336335777]}]}, {"allowed_amount": 476.12, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2904.0, "npi": [1093942336]}]}, {"allowed_amount": 533.07, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2600.0, "npi": [1215956545]}]}, {"allowed_amount": 543.4, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2904.0, "npi": [1164051660]}]}, {"allowed_amount": 585.63, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2904.0, "npi": [1154852903]}]}, {"allowed_amount": 622.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2600.0, "npi": [1477916039]}]}, {"allowed_amount": 1066.14, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2600.0, "npi": [1407839350]}]}, {"allowed_amount": 1111.19, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2904.0, "npi": [1740263078]}]}, {"allowed_amount": 1126.2, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2600.0, "npi": [1780662098]}]}, {"allowed_amount": 1141.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2600.0, "npi": [1831778307]}]}, {"allowed_amount": 1186.27, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1962485953]}]}, {"allowed_amount": 1276.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2600.0, "npi": [1851746184]}]}, {"allowed_amount": 1291.38, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2904.0, "npi": [1740263078]}]}, {"allowed_amount": 1553.48, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 2600.0, "npi": [1831309947]}]}]}, {"tin": {"type": "ein", "value": "854230695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1008.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1008.0, "npi": [1093059040]}]}]}]}, {"name": "Anesthesia for cesarean delivery only", "billing_code_type": "CPT", "billing_code": "01961", "billing_code_type_version": "2022", "description": "ANESTHESIA CESAREAN DELIVERY ONLY", "allowed_amounts": [{"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.03, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1065.79, "npi": [1528744364]}]}, {"allowed_amount": 142.82, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1356.46, "npi": [1730631292]}]}, {"allowed_amount": 209.45, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1162.68, "npi": [1881827863]}]}, {"allowed_amount": 877.07, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2242.68, "npi": [1356596316]}]}, {"allowed_amount": 988.7, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1259.57, "npi": [1902289101]}, {"billed_charge": 2650.44, "npi": [1023077880]}]}, {"allowed_amount": 1578.73, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 2854.32, "npi": [1699793083]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1857.6, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1857.6, "npi": [1205829553]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 406.81, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1890.0, "npi": [1699085944]}]}, {"allowed_amount": 1050.82, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1890.0, "npi": [1649406612]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 345.19, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1632.0, "npi": [1205889011]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 203.17, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1017.59, "npi": [1902142680]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1084.44, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1962938738]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.11, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3900.0, "npi": [1780057976]}]}, {"allowed_amount": 171.18, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4225.0, "npi": [1811080625]}]}, {"allowed_amount": 190.3, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5082.0, "npi": [1306202429]}]}, {"allowed_amount": 201.74, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4875.0, "npi": [1356115059]}]}, {"allowed_amount": 208.96, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3900.0, "npi": [1942759428]}]}, {"allowed_amount": 212.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4356.0, "npi": [1942759428]}]}, {"allowed_amount": 216.36, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3900.0, "npi": [1528882867]}]}, {"allowed_amount": 218.21, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3900.0, "npi": [1265152631]}]}, {"allowed_amount": 247.79, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5082.0, "npi": [1295971653]}]}, {"allowed_amount": 271.83, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4875.0, "npi": [1073233326]}]}, {"allowed_amount": 346.25, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4225.0, "npi": [1184303067]}]}, {"allowed_amount": 358.6, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3900.0, "npi": [1093942336]}, {"billed_charge": 4356.0, "npi": [1023062908]}]}, {"allowed_amount": 370.65, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4719.0, "npi": [1336800879]}]}, {"allowed_amount": 403.49, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4875.0, "npi": [1134782113]}]}, {"allowed_amount": 430.92, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4875.0, "npi": [1093942336]}]}, {"allowed_amount": 840.45, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3900.0, "npi": [1548462435]}]}, {"allowed_amount": 848.41, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3900.0, "npi": [1407839350]}]}, {"allowed_amount": 863.42, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4356.0, "npi": [1962485953]}]}, {"allowed_amount": 876.68, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4225.0, "npi": [1972654861]}]}, {"allowed_amount": 878.44, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3900.0, "npi": [1992872964]}]}, {"allowed_amount": 885.95, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3900.0, "npi": [1053571018]}]}, {"allowed_amount": 926.28, "billing_code_modifier": ["QK", "QY"], "providers": [{"billed_charge": 3900.0, "npi": [1376598144]}, {"billed_charge": 4356.0, "npi": [1538621214]}]}, {"allowed_amount": 957.41, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4719.0, "npi": [1356785877]}]}, {"allowed_amount": 974.59, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 5082.0, "npi": [1174789846]}]}, {"allowed_amount": 1006.07, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 5082.0, "npi": [1144202508]}]}, {"allowed_amount": 1029.48, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1093275703]}]}, {"allowed_amount": 1033.21, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4875.0, "npi": [1831309947]}]}, {"allowed_amount": 1103.68, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 4875.0, "npi": [1053571018]}]}, {"allowed_amount": 1113.09, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 4875.0, "npi": [1083934251]}]}, {"allowed_amount": 1413.58, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4225.0, "npi": [1285714949]}]}, {"allowed_amount": 1636.75, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3575.0, "npi": [1760662191]}]}, {"allowed_amount": 1756.88, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3900.0, "npi": [1992872964]}]}, {"allowed_amount": 1802.62, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5082.0, "npi": [1639101314]}]}, {"allowed_amount": 1877.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4225.0, "npi": [1396728101]}]}, {"allowed_amount": 1967.1, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1518940600]}]}, {"allowed_amount": 2012.15, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1528388097]}]}, {"allowed_amount": 2177.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4875.0, "npi": [1740263078]}]}]}, {"tin": {"type": "ein", "value": "821391429"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 327.73, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3000.0, "npi": [1740816826]}]}]}, {"tin": {"type": "ein", "value": "823273056"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 717.2, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4260.0, "npi": [1881934180]}]}, {"allowed_amount": 813.62, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4970.0, "npi": [1902084395]}]}, {"allowed_amount": 1992.66, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4615.0, "npi": [1699925891]}]}, {"allowed_amount": 2054.93, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4970.0, "npi": [1063545895]}]}]}, {"tin": {"type": "ein", "value": "831147073"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.11, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5280.0, "npi": [1265831986]}]}, {"allowed_amount": 840.45, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 5400.0, "npi": [1184030231]}]}]}, {"tin": {"type": "ein", "value": "854230695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 410.53, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1500.0, "npi": [1831588326]}]}, {"allowed_amount": 417.92, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1500.0, "npi": [1558171116, 1831588326]}]}, {"allowed_amount": 425.32, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1500.0, "npi": [1831588326]}]}, {"allowed_amount": 440.11, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1500.0, "npi": [1558171116]}]}, {"allowed_amount": 454.91, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1625.0, "npi": [1285668368]}]}, {"allowed_amount": 491.89, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1750.0, "npi": [1558171116]}]}, {"allowed_amount": 521.48, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1875.0, "npi": [1831588326]}]}, {"allowed_amount": 1638.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1638.0, "npi": [1093059040, 1336134907]}]}]}]}, {"name": "Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum", "billing_code_type": "CPT", "billing_code": "00813", "billing_code_type_version": "2022", "description": "ANESTHESIA COMBINED UPPER&LOWER GI ENDOSCOPIC PX", "allowed_amounts": [{"tin": {"type": "ein", "value": "203414340"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 98.32, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1575.0, "npi": [1922064310]}]}, {"allowed_amount": 278.94, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1575.0, "npi": [1780803197]}]}]}, {"tin": {"type": "ein", "value": "260507982"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 94.13, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 690.0, "npi": [1619784550]}]}, {"allowed_amount": 107.77, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 790.0, "npi": [1326331505]}]}, {"allowed_amount": 113.23, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1030.0, "npi": [1619784550]}]}, {"allowed_amount": 267.04, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 690.0, "npi": [1477131753]}]}, {"allowed_amount": 305.75, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 790.0, "npi": [1477131753]}]}, {"allowed_amount": 321.23, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1030.0, "npi": [1477131753]}]}, {"allowed_amount": 565.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1460.0, "npi": [1760063432]}]}]}, {"tin": {"type": "ein", "value": "333380360"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 217.48, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4500.0, "npi": [1720134273]}]}]}, {"tin": {"type": "ein", "value": "461743879"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 277.24, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3200.0, "npi": [1528011962]}]}, {"allowed_amount": 328.46, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3520.0, "npi": [1942717269]}]}, {"allowed_amount": 716.11, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3200.0, "npi": [1609019892]}]}, {"allowed_amount": 848.44, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3520.0, "npi": [1609019892]}]}]}, {"tin": {"type": "ein", "value": "471804903"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 145.51, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3332.0, "npi": [1457031445]}]}, {"allowed_amount": 379.79, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3468.0, "npi": [1568736114]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 141.61, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 775.12, "npi": [1346731239]}]}, {"allowed_amount": 295.47, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1631.04, "npi": [1881827863]}]}, {"allowed_amount": 321.65, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1834.92, "npi": [1487120697]}]}, {"allowed_amount": 355.31, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2038.8, "npi": [1447693858]}]}, {"allowed_amount": 603.79, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1631.04, "npi": [1528228129]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 181.22, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1238.4, "npi": [1780225805]}]}, {"allowed_amount": 735.79, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1238.4, "npi": [1679552145]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 280.11, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1350.0, "npi": [1770112971]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 674.15, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1300.0, "npi": [1710949599]}]}, {"allowed_amount": 989.24, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1820.0, "npi": [1699017954]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.63, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 596.01, "npi": [1992040877]}]}, {"allowed_amount": 193.16, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 885.29, "npi": [1427688308]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "24", "22"], "payments": [{"allowed_amount": 77.81, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1518561497]}]}, {"allowed_amount": 103.27, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2600.0, "npi": [1275049256]}]}, {"allowed_amount": 108.93, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2600.0, "npi": [1487498143]}]}, {"allowed_amount": 114.59, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1659675957]}]}, {"allowed_amount": 118.27, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1578515185]}]}, {"allowed_amount": 124.48, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1356115059]}]}, {"allowed_amount": 132.52, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1093076101]}]}, {"allowed_amount": 152.33, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2275.0, "npi": [1033552500]}]}, {"allowed_amount": 153.48, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1730709353]}]}, {"allowed_amount": 186.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2275.0, "npi": [1124485511]}]}, {"allowed_amount": 203.17, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2600.0, "npi": [1124485511]}]}, {"allowed_amount": 250.11, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1730626227]}]}, {"allowed_amount": 259.3, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2275.0, "npi": [1619063336]}]}, {"allowed_amount": 335.53, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1700875440]}]}, {"allowed_amount": 557.89, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2600.0, "npi": [1164607321]}]}, {"allowed_amount": 578.12, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1861846362]}]}, {"allowed_amount": 586.87, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1861603771]}]}, {"allowed_amount": 590.21, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1417992017]}]}, {"allowed_amount": 623.17, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1215956545]}]}, {"allowed_amount": 637.51, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1609087857]}]}, {"allowed_amount": 646.06, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1285845438]}]}, {"allowed_amount": 679.15, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1720315542]}]}, {"allowed_amount": 768.0, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 2600.0, "npi": [1972654861]}]}, {"allowed_amount": 912.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2275.0, "npi": [1730390980]}]}, {"allowed_amount": 1006.07, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2275.0, "npi": [1629045943]}]}, {"allowed_amount": 1096.17, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 2600.0, "npi": [1043296635]}, {"billed_charge": 2904.0, "npi": [1295770741]}]}, {"allowed_amount": 1126.2, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2904.0, "npi": [1194707844]}]}, {"allowed_amount": 1156.23, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2600.0, "npi": [1417930025]}]}, {"allowed_amount": 1246.33, "billing_code_modifier": ["AA,P4", "AA,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1285714949]}, {"billed_charge": 3267.0, "npi": [1194707844]}]}, {"allowed_amount": 1336.43, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1043296635]}]}, {"allowed_amount": 1351.44, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1811979552]}]}, {"allowed_amount": 1354.39, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2925.0, "npi": [1952939167]}]}, {"allowed_amount": 1381.47, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1386627198]}]}, {"allowed_amount": 1426.52, "billing_code_modifier": ["AA,P4", "AA,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1497738058]}, {"billed_charge": 3630.0, "npi": [1114940707]}]}, {"allowed_amount": 1728.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3900.0, "npi": [1477739456]}]}]}, {"tin": {"type": "ein", "value": "800751621"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 65.68, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3165.5, "npi": [1780989095]}]}, {"allowed_amount": 89.93, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4334.3, "npi": [1205224508]}]}, {"allowed_amount": 342.86, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3165.5, "npi": [1629338439]}]}, {"allowed_amount": 469.46, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4334.3, "npi": [1629338439]}]}, {"allowed_amount": 1089.74, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3409.0, "npi": [1831480706]}]}]}, {"tin": {"type": "ein", "value": "822558721"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 247.79, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1760460281]}]}, {"allowed_amount": 251.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1477524049, 1740294826]}]}, {"allowed_amount": 255.19, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1740294826]}]}, {"allowed_amount": 262.59, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2800.0, "npi": [1477524049]}]}, {"allowed_amount": 266.29, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2800.0, "npi": [1144209370]}]}, {"allowed_amount": 269.99, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2800.0, "npi": [1760460281, 1144209370]}]}, {"allowed_amount": 273.68, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2800.0, "npi": [1760460281]}]}, {"allowed_amount": 281.08, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2800.0, "npi": [1740294826]}]}, {"allowed_amount": 284.78, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2800.0, "npi": [1760460281]}]}, {"allowed_amount": 288.48, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2800.0, "npi": [1760460281]}]}, {"allowed_amount": 292.18, "billing_code_modifier": ["QZ", "QZ,P3"], "providers": [{"billed_charge": 2800.0, "npi": [1740294826, 1144209370]}]}, {"allowed_amount": 325.46, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3150.0, "npi": [1477524049]}]}, {"allowed_amount": 332.86, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3150.0, "npi": [1477524049]}]}]}, {"tin": {"type": "ein", "value": "831147073"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 123.9, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3080.0, "npi": [1700837085]}]}, {"allowed_amount": 503.04, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3150.0, "npi": [1497016224]}]}, {"allowed_amount": 976.04, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3150.0, "npi": [1730316050]}]}]}, {"tin": {"type": "ein", "value": "832348658"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 125.3, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1417494428]}]}, {"allowed_amount": 127.32, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1538672738, 1417494428, 1154896991]}]}, {"allowed_amount": 131.37, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1538672738, 1417494428]}]}, {"allowed_amount": 135.41, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1538672738, 1730482340]}]}, {"allowed_amount": 139.45, "billing_code_modifier": ["QZ", "QZ,P3"], "providers": [{"billed_charge": 1743.0, "npi": [1497244974, 1154896991]}]}, {"allowed_amount": 143.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1992.0, "npi": [1861422172]}]}]}, {"tin": {"type": "ein", "value": "832592426"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1420.08, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 5000.0, "npi": [1649206657]}]}]}, {"tin": {"type": "ein", "value": "833504379"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 314.37, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11660.0, "npi": [1063711828]}]}]}, {"tin": {"type": "ein", "value": "842830378"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 190.94, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1922259910]}]}, {"allowed_amount": 193.79, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1346480134]}]}, {"allowed_amount": 202.34, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2800.0, "npi": [1588016067, 1710173364]}]}]}, {"tin": {"type": "ein", "value": "844277052"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 557.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1790.0, "npi": [1063688752]}]}]}, {"tin": {"type": "ein", "value": "850869895"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.79, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1125.0, "npi": [1194342857]}]}, {"allowed_amount": 395.61, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1125.0, "npi": [1679566715]}]}]}]}, {"name": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular procedures)", "billing_code_type": "CPT", "billing_code": "00670", "billing_code_type_version": "2022", "description": "ANESTHESIA EXTENSIVE SPINE&SPINAL CORD PROCEDURE", "allowed_amounts": [{"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 469.38, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2519.14, "npi": [1700846375]}]}, {"allowed_amount": 525.48, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2809.81, "npi": [1700846375]}]}, {"allowed_amount": 2001.32, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 5300.88, "npi": [1750693016]}]}, {"allowed_amount": 2240.53, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5912.52, "npi": [1558780536]}]}]}, {"tin": {"type": "ein", "value": "742661711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 435.02, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3750.0, "npi": [1861762254]}]}, {"allowed_amount": 716.19, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 6150.0, "npi": [1225856701]}]}, {"allowed_amount": 1846.97, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3750.0, "npi": [1326078247]}]}, {"allowed_amount": 3040.75, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 6150.0, "npi": [1346203585]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 209.17, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 6825.0, "npi": [1215170584]}]}, {"allowed_amount": 370.65, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 9801.0, "npi": [1952119505]}]}, {"allowed_amount": 577.5, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 9438.0, "npi": [1932937158]}]}, {"allowed_amount": 638.85, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 7986.0, "npi": [1659457430]}]}, {"allowed_amount": 696.79, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 15925.0, "npi": [1003516659]}]}, {"allowed_amount": 913.07, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 11253.0, "npi": [1669823167]}]}, {"allowed_amount": 983.03, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 9438.0, "npi": [1760725899]}]}, {"allowed_amount": 1030.59, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 12705.0, "npi": [1073020319]}]}, {"allowed_amount": 1063.74, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 13068.0, "npi": [1073020319]}]}, {"allowed_amount": 1554.16, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 6825.0, "npi": [1861404501]}]}, {"allowed_amount": 1554.93, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 8450.0, "npi": [1679045587]}]}, {"allowed_amount": 1650.17, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 7986.0, "npi": [1407267602]}]}, {"allowed_amount": 1898.26, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 9801.0, "npi": [1184601585]}]}, {"allowed_amount": 1976.81, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 15925.0, "npi": [1487807335]}]}, {"allowed_amount": 2102.24, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 10164.0, "npi": [1861846362, 1962124875]}]}, {"allowed_amount": 2358.5, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 11253.0, "npi": [1083691455]}]}, {"allowed_amount": 2662.07, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 12705.0, "npi": [1083691455]}]}, {"allowed_amount": 2747.69, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 13068.0, "npi": [1326124421]}]}, {"allowed_amount": 3869.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8775.0, "npi": [1568951531]}]}, {"allowed_amount": 4249.54, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 9425.0, "npi": [1619951696]}]}, {"allowed_amount": 4381.99, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 10890.0, "npi": [1720039282]}]}, {"allowed_amount": 4411.3, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11253.0, "npi": [1720039282]}]}]}]}, {"name": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified", "billing_code_type": "CPT", "billing_code": "00840", "billing_code_type_version": "2022", "description": "ANESTHESIA INTRAPERITONEAL PX LWR ABD W/LAPS NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.77, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 515.0, "npi": [1083001424]}]}, {"allowed_amount": 416.38, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 772.5, "npi": [1700964046]}]}, {"allowed_amount": 784.26, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1212.5, "npi": [1053847202]}]}]}, {"tin": {"type": "ein", "value": "271009253"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 387.63, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2520.0, "npi": [1194314138]}]}]}, {"tin": {"type": "ein", "value": "461634378"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 220.87, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 990.0, "npi": [1780299362]}, {"billed_charge": 1100.0, "npi": [1639461304]}]}]}, {"tin": {"type": "ein", "value": "464663595"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 2506.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3150.0, "npi": [1285692079]}]}]}, {"tin": {"type": "ein", "value": "471804903"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 264.75, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11900.0, "npi": [1871060558]}]}, {"allowed_amount": 297.09, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 12750.0, "npi": [1033108907]}]}, {"allowed_amount": 366.14, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 8500.0, "npi": [1326196015]}]}, {"allowed_amount": 443.81, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1800.0, "npi": [1326196015]}]}, {"allowed_amount": 628.73, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 14450.0, "npi": [1659094357]}]}, {"allowed_amount": 643.53, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 15300.0, "npi": [1326196015]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 145.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1065.79, "npi": [1790042166]}]}, {"allowed_amount": 272.19, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1453.35, "npi": [1942094180]}]}, {"allowed_amount": 412.34, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2242.68, "npi": [1780731646]}]}, {"allowed_amount": 863.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2446.56, "npi": [1629158969]}]}, {"allowed_amount": 1160.54, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3058.2, "npi": [1912967928]}]}, {"allowed_amount": 1546.65, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2242.68, "npi": [1780061952]}]}, {"allowed_amount": 2702.89, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3669.84, "npi": [1659591022]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 226.01, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1087.5, "npi": [1134217177]}]}, {"allowed_amount": 957.41, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1783.5, "npi": [1891097564]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 872.0, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1560.0, "npi": [1710949599]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 170.27, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 849.13, "npi": [1578294278]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "24", "22"], "payments": [{"allowed_amount": 104.08, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3575.0, "npi": [1215170584]}]}, {"allowed_amount": 114.19, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3900.0, "npi": [1457079394]}]}, {"allowed_amount": 118.23, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3900.0, "npi": [1740039437]}]}, {"allowed_amount": 162.69, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5525.0, "npi": [1588434989]}]}, {"allowed_amount": 170.99, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4356.0, "npi": [1073172946]}]}, {"allowed_amount": 171.18, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4225.0, "npi": [1730428723]}]}, {"allowed_amount": 184.92, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3250.0, "npi": [1295971653]}]}, {"allowed_amount": 186.77, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3575.0, "npi": [1528882867]}]}, {"allowed_amount": 193.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4550.0, "npi": [1275049256]}]}, {"allowed_amount": 201.56, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3575.0, "npi": [1639750573]}]}, {"allowed_amount": 205.26, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3900.0, "npi": [1093185381]}]}, {"allowed_amount": 209.17, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3630.0, "npi": [1386790350]}]}, {"allowed_amount": 212.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4356.0, "npi": [1265152631]}]}, {"allowed_amount": 215.99, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3250.0, "npi": [1700922275]}]}, {"allowed_amount": 216.36, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3900.0, "npi": [1104241041]}]}, {"allowed_amount": 227.45, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4719.0, "npi": [1548154958]}]}, {"allowed_amount": 228.15, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4225.0, "npi": [1679964084]}]}, {"allowed_amount": 229.41, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5525.0, "npi": [1770725798]}]}, {"allowed_amount": 233.0, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4225.0, "npi": [1831758770]}]}, {"allowed_amount": 238.55, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4225.0, "npi": [1295971653]}]}, {"allowed_amount": 240.4, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4719.0, "npi": [1831758770]}]}, {"allowed_amount": 242.24, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5525.0, "npi": [1164877452]}]}, {"allowed_amount": 253.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4550.0, "npi": [1073233326]}]}, {"allowed_amount": 268.14, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4875.0, "npi": [1447844857]}]}, {"allowed_amount": 268.57, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3250.0, "npi": [1740421379]}]}, {"allowed_amount": 282.93, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5808.0, "npi": [1831817451]}]}, {"allowed_amount": 300.12, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4550.0, "npi": [1821837964]}]}, {"allowed_amount": 305.12, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 6171.0, "npi": [1417836453]}]}, {"allowed_amount": 313.76, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4550.0, "npi": [1760883003]}]}, {"allowed_amount": 316.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5850.0, "npi": [1417836453]}]}, {"allowed_amount": 319.91, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 6534.0, "npi": [1255201497]}]}, {"allowed_amount": 324.88, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 8349.0, "npi": [1164877452]}]}, {"allowed_amount": 325.46, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 6534.0, "npi": [1831817451]}]}, {"allowed_amount": 327.4, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 5445.0, "npi": [1245101559]}]}, {"allowed_amount": 329.16, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 6534.0, "npi": [1255201497]}]}, {"allowed_amount": 334.49, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3900.0, "npi": [1902349244]}]}, {"allowed_amount": 356.06, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3630.0, "npi": [1093275703]}]}, {"allowed_amount": 382.79, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 6825.0, "npi": [1396476776]}]}, {"allowed_amount": 396.13, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 5082.0, "npi": [1023215480]}]}, {"allowed_amount": 403.49, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 9425.0, "npi": [1508287483]}]}, {"allowed_amount": 412.37, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 7475.0, "npi": [1265152631]}]}, {"allowed_amount": 423.47, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 8349.0, "npi": [1447844857]}]}, {"allowed_amount": 430.92, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4875.0, "npi": [1902349244]}]}, {"allowed_amount": 485.11, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4356.0, "npi": [1689872228]}]}, {"allowed_amount": 503.13, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 3250.0, "npi": [1619063336]}]}, {"allowed_amount": 557.31, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5445.0, "npi": [1982705703]}]}, {"allowed_amount": 581.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 7260.0, "npi": [1447849385]}]}, {"allowed_amount": 641.22, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 8349.0, "npi": [1306270632]}]}, {"allowed_amount": 647.89, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 7986.0, "npi": [1043020860]}]}, {"allowed_amount": 650.85, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 5525.0, "npi": [1114191814]}]}, {"allowed_amount": 687.24, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 5525.0, "npi": [1508012964]}]}, {"allowed_amount": 750.8, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3250.0, "npi": [1487636841]}]}, {"allowed_amount": 758.31, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3575.0, "npi": [1407419583]}]}, {"allowed_amount": 773.33, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3575.0, "npi": [1861404501]}]}, {"allowed_amount": 789.52, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 4550.0, "npi": [1336288380]}]}, {"allowed_amount": 818.37, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3575.0, "npi": [1215956545]}]}, {"allowed_amount": 833.39, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3900.0, "npi": [1407419583]}]}, {"allowed_amount": 835.97, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 4550.0, "npi": [1619063336]}]}, {"allowed_amount": 848.41, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3900.0, "npi": [1528388097]}]}, {"allowed_amount": 863.42, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4356.0, "npi": [1740465640]}]}, {"allowed_amount": 864.01, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3900.0, "npi": [1083691455]}]}, {"allowed_amount": 876.68, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 4225.0, "npi": [1154539773]}]}, {"allowed_amount": 878.44, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3900.0, "npi": [1851746184, 1861846362]}]}, {"allowed_amount": 921.7, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 8349.0, "npi": [1508012964]}]}, {"allowed_amount": 923.49, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4719.0, "npi": [1407419583]}]}, {"allowed_amount": 946.01, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4225.0, "npi": [1487636841]}]}, {"allowed_amount": 968.53, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4225.0, "npi": [1043296635]}]}, {"allowed_amount": 972.75, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4225.0, "npi": [1770826489]}]}, {"allowed_amount": 976.04, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4719.0, "npi": [1437177508]}]}, {"allowed_amount": 1028.6, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4550.0, "npi": [1487636841]}]}, {"allowed_amount": 1088.66, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 4875.0, "npi": [1740465640, 1366707861, 1255904967]}]}, {"allowed_amount": 1113.09, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4875.0, "npi": [1356720833]}]}, {"allowed_amount": 1148.73, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 5808.0, "npi": [1740465640]}]}, {"allowed_amount": 1208.79, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 5525.0, "npi": [1528388097]}]}, {"allowed_amount": 1238.82, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 6171.0, "npi": [1518945864]}]}, {"allowed_amount": 1283.87, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 5850.0, "npi": [1114048014]}]}, {"allowed_amount": 1298.89, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 6534.0, "npi": [1043296635]}]}, {"allowed_amount": 1321.41, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 6534.0, "npi": [1740465640]}]}, {"allowed_amount": 1336.43, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 6534.0, "npi": [1457914285]}]}, {"allowed_amount": 1377.62, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3630.0, "npi": [1649249145]}]}, {"allowed_amount": 1471.57, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3250.0, "npi": [1215986658]}]}, {"allowed_amount": 1502.28, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 7260.0, "npi": [1083691455]}]}, {"allowed_amount": 1516.62, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3575.0, "npi": [1689966301]}]}, {"allowed_amount": 1538.83, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 3575.0, "npi": [1447236385, 1699110627]}]}, {"allowed_amount": 1550.49, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 4550.0, "npi": [1043505704]}]}, {"allowed_amount": 1554.16, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 6825.0, "npi": [1114940707]}]}, {"allowed_amount": 1591.7, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3993.0, "npi": [1588984140]}]}, {"allowed_amount": 1603.47, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3575.0, "npi": [1598990012]}]}, {"allowed_amount": 1626.76, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3900.0, "npi": [1144257700]}]}, {"allowed_amount": 1656.07, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4356.0, "npi": [1891742052]}]}, {"allowed_amount": 1665.74, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3575.0, "npi": [1497786180]}]}, {"allowed_amount": 1673.52, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 7986.0, "npi": [1467914325]}]}, {"allowed_amount": 1674.29, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 7475.0, "npi": [1740465640]}]}, {"allowed_amount": 1719.34, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 8349.0, "npi": [1285617282]}]}, {"allowed_amount": 1741.86, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3900.0, "npi": [1366707861]}]}, {"allowed_amount": 1787.97, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4719.0, "npi": [1902014202]}]}, {"allowed_amount": 1831.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4225.0, "npi": [1902017163]}]}, {"allowed_amount": 2066.42, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 9425.0, "npi": [1609087857]}]}, {"allowed_amount": 2207.36, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4875.0, "npi": [1669905410]}]}, {"allowed_amount": 2297.45, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5200.0, "npi": [1194707844]}]}, {"allowed_amount": 2315.57, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5808.0, "npi": [1659358190]}]}, {"allowed_amount": 2366.28, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5200.0, "npi": [1356380687]}]}, {"allowed_amount": 2477.64, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5525.0, "npi": [1407419583]}]}, {"allowed_amount": 2507.68, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 5525.0, "npi": [1093799066]}]}, {"allowed_amount": 2642.82, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5850.0, "npi": [1578546305]}]}, {"allowed_amount": 2717.9, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 6175.0, "npi": [1679777155]}]}, {"allowed_amount": 2732.92, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6175.0, "npi": [1588984140]}]}, {"allowed_amount": 2975.06, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7623.0, "npi": [1821048356]}]}, {"allowed_amount": 3092.31, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7986.0, "npi": [1821048356]}]}, {"allowed_amount": 3376.3, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 7800.0, "npi": [1154417970]}]}, {"allowed_amount": 4032.02, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 8450.0, "npi": [1750520946]}]}]}, {"tin": {"type": "ein", "value": "810584868"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 220.75, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2010.0, "npi": [1598487639]}]}, {"allowed_amount": 296.64, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2613.0, "npi": [1144119892]}]}, {"allowed_amount": 703.46, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2020.0, "npi": [1336670330]}]}, {"allowed_amount": 1023.06, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2626.0, "npi": [1578858221]}]}, {"allowed_amount": 1773.31, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2626.0, "npi": [1194739391]}]}, {"allowed_amount": 1869.28, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2626.0, "npi": [1598969602]}]}]}, {"tin": {"type": "ein", "value": "811415241"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 2535.4, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7650.0, "npi": [1437136850]}]}, {"allowed_amount": 3444.04, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6960.0, "npi": [1730508623]}]}]}, {"tin": {"type": "ein", "value": "812397142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1463.55, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4125.0, "npi": [1023305851]}]}]}, {"tin": {"type": "ein", "value": "812508256"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 421.85, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1458.0, "npi": [1679623151]}]}, {"allowed_amount": 825.0, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1430.0, "npi": [1962788836]}]}, {"allowed_amount": 952.07, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4524.0, "npi": [1679623151]}]}]}, {"tin": {"type": "ein", "value": "821391429"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 434.96, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4000.0, "npi": [1013587971]}]}]}, {"tin": {"type": "ein", "value": "823273056"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 1277.69, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 7810.0, "npi": [1033390802]}]}, {"allowed_amount": 2079.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4970.0, "npi": [1194797241]}]}]}, {"tin": {"type": "ein", "value": "850709838"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 142.49, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3110.0, "npi": [1265701452]}]}, {"allowed_amount": 293.15, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2830.0, "npi": [1093045221]}]}, {"allowed_amount": 310.38, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3421.0, "npi": [1508518994]}]}, {"allowed_amount": 404.26, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3120.0, "npi": [1962666180]}]}, {"allowed_amount": 464.07, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4976.0, "npi": [1861967606]}]}, {"allowed_amount": 675.11, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 5304.0, "npi": [1669521894]}]}, {"allowed_amount": 708.33, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2840.0, "npi": [1821484635]}]}, {"allowed_amount": 763.69, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5287.0, "npi": [1609305762]}]}, {"allowed_amount": 801.73, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3432.0, "npi": [1184111759]}]}, {"allowed_amount": 1198.71, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4992.0, "npi": [1447351002]}]}]}, {"tin": {"type": "ein", "value": "850869895"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.3, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1860.0, "npi": [1003520461]}]}, {"allowed_amount": 654.08, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1860.0, "npi": [1639254527]}]}]}, {"tin": {"type": "ein", "value": "853082840"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1744.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6000.0, "npi": [1497286405]}]}]}, {"tin": {"type": "ein", "value": "854230695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 602.84, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2125.0, "npi": [1700431228]}]}, {"allowed_amount": 1638.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1638.0, "npi": [1568615029]}]}]}, {"tin": {"type": "ein", "value": "933257678"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 2102.24, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3318.0, "npi": [1235413352]}]}]}]}, {"name": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified", "billing_code_type": "CPT", "billing_code": "00790", "billing_code_type_version": "2022", "description": "ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "260507982"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.46, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1670.0, "npi": [1003358417]}]}, {"allowed_amount": 263.61, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2050.0, "npi": [1093757882]}]}, {"allowed_amount": 594.26, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1670.0, "npi": [1104185404]}]}, {"allowed_amount": 747.87, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2050.0, "npi": [1104185404]}]}]}, {"tin": {"type": "ein", "value": "394343935"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 2233.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3375.0, "npi": [1609826650]}]}]}, {"tin": {"type": "ein", "value": "461743879"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1666.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3840.0, "npi": [1306825633]}]}, {"allowed_amount": 2023.8, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4160.0, "npi": [1962604231]}]}]}, {"tin": {"type": "ein", "value": "471804903"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 525.18, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 12750.0, "npi": [1396492765]}]}, {"allowed_amount": 673.11, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 16150.0, "npi": [1326196015]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 302.95, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1647.13, "npi": [1508639261]}]}, {"allowed_amount": 519.87, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2854.32, "npi": [1639508377]}]}, {"allowed_amount": 917.45, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1162.68, "npi": [1881667814]}, {"billed_charge": 2446.56, "npi": [1811957897]}]}, {"allowed_amount": 1291.69, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3465.96, "npi": [1669828646]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 312.52, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2105.28, "npi": [1407058753]}]}, {"allowed_amount": 517.78, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3467.52, "npi": [1366256190]}]}, {"allowed_amount": 1268.85, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2105.28, "npi": [1245859024]}]}, {"allowed_amount": 1981.44, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1981.44, "npi": [1245859024]}]}, {"allowed_amount": 2102.24, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3467.52, "npi": [1306834668]}]}, {"allowed_amount": 2105.28, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2105.28, "npi": [1679552145]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 249.36, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3040.0, "npi": [1497997977]}]}, {"allowed_amount": 369.42, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3021.0, "npi": [1619329745]}]}]}, {"tin": {"type": "ein", "value": "752661618"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 1593.96, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5477.12, "npi": [1396949996]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 129.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4719.0, "npi": [1588434989]}]}, {"allowed_amount": 167.4, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3900.0, "npi": [1346018835]}]}, {"allowed_amount": 173.13, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4225.0, "npi": [1346018835]}]}, {"allowed_amount": 192.32, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3993.0, "npi": [1366074924]}]}, {"allowed_amount": 197.87, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3993.0, "npi": [1780370049]}]}, {"allowed_amount": 205.26, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3900.0, "npi": [1831817451]}]}, {"allowed_amount": 208.96, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3900.0, "npi": [1124391578]}]}, {"allowed_amount": 212.31, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4875.0, "npi": [1326658808]}]}, {"allowed_amount": 212.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4356.0, "npi": [1831355619]}]}, {"allowed_amount": 214.51, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3900.0, "npi": [1134717283]}]}, {"allowed_amount": 218.21, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3900.0, "npi": [1306868591]}]}, {"allowed_amount": 219.28, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5200.0, "npi": [1497588057]}]}, {"allowed_amount": 220.06, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3900.0, "npi": [1528882867]}]}, {"allowed_amount": 223.76, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4719.0, "npi": [1396476776, 1447844857]}]}, {"allowed_amount": 227.45, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4225.0, "npi": [1417836453]}, {"billed_charge": 4719.0, "npi": [1306868591]}]}, {"allowed_amount": 238.55, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4225.0, "npi": [1639750573]}]}, {"allowed_amount": 239.39, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 5525.0, "npi": [1871132167]}]}, {"allowed_amount": 241.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 6171.0, "npi": [1417955220]}]}, {"allowed_amount": 242.25, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1396476776]}]}, {"allowed_amount": 255.19, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1447844857]}]}, {"allowed_amount": 258.89, "billing_code_modifier": ["QX,P4", "QX"], "providers": [{"billed_charge": 5082.0, "npi": [1871265041, 1306868591]}]}, {"allowed_amount": 262.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4875.0, "npi": [1265152631]}]}, {"allowed_amount": 277.38, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4875.0, "npi": [1548154958]}]}, {"allowed_amount": 288.75, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4225.0, "npi": [1629891023]}]}, {"allowed_amount": 297.72, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 5525.0, "npi": [1366074924]}]}, {"allowed_amount": 340.52, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4356.0, "npi": [1023000734]}]}, {"allowed_amount": 358.6, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3900.0, "npi": [1386305696]}]}, {"allowed_amount": 381.97, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1629068176]}]}, {"allowed_amount": 384.73, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4550.0, "npi": [1366573719]}]}, {"allowed_amount": 390.18, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 7986.0, "npi": [1134717283]}]}, {"allowed_amount": 397.77, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4550.0, "npi": [1013189968]}]}, {"allowed_amount": 426.38, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 4875.0, "npi": [1831906601]}]}, {"allowed_amount": 473.4, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4719.0, "npi": [1306868591]}]}, {"allowed_amount": 476.12, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 5200.0, "npi": [1821075581]}]}, {"allowed_amount": 485.16, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5525.0, "npi": [1750251674]}, {"billed_charge": 6171.0, "npi": [1831841956]}]}, {"allowed_amount": 491.52, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4225.0, "npi": [1437595402]}]}, {"allowed_amount": 602.34, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4875.0, "npi": [1467689687]}]}, {"allowed_amount": 780.83, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3993.0, "npi": [1497738058]}]}, {"allowed_amount": 803.36, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3993.0, "npi": [1356498190]}]}, {"allowed_amount": 833.39, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3900.0, "npi": [1487636841]}]}, {"allowed_amount": 848.41, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3900.0, "npi": [1619951696]}]}, {"allowed_amount": 857.35, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3900.0, "npi": [1023438744]}]}, {"allowed_amount": 863.42, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4356.0, "npi": [1487636841]}]}, {"allowed_amount": 870.93, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3900.0, "npi": [1114048014]}]}, {"allowed_amount": 878.44, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3900.0, "npi": [1528388097, 1962124875]}]}, {"allowed_amount": 879.57, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4356.0, "npi": [1811378268]}]}, {"allowed_amount": 885.95, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3900.0, "npi": [1619951696]}]}, {"allowed_amount": 886.66, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4225.0, "npi": [1205497047]}]}, {"allowed_amount": 893.45, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3900.0, "npi": [1023197753]}]}, {"allowed_amount": 908.47, "billing_code_modifier": ["QK", "QY"], "providers": [{"billed_charge": 4719.0, "npi": [1487636841, 1023197753]}]}, {"allowed_amount": 923.49, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 4719.0, "npi": [1366707861]}]}, {"allowed_amount": 926.28, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3900.0, "npi": [1073568853]}]}, {"allowed_amount": 961.03, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4719.0, "npi": [1063415925]}]}, {"allowed_amount": 968.53, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 4225.0, "npi": [1053571018]}]}, {"allowed_amount": 983.55, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1962485953]}]}, {"allowed_amount": 1027.47, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4550.0, "npi": [1083829022]}]}, {"allowed_amount": 1034.9, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 5525.0, "npi": [1982624243]}]}, {"allowed_amount": 1036.11, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1407419583]}]}, {"allowed_amount": 1051.12, "billing_code_modifier": ["QK,P4", "QK"], "providers": [{"billed_charge": 5082.0, "npi": [1740465640, 1366707861]}]}, {"allowed_amount": 1066.14, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4875.0, "npi": [1023197753]}]}, {"allowed_amount": 1123.02, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 5200.0, "npi": [1467413518]}]}, {"allowed_amount": 1126.2, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 4875.0, "npi": [1851746184]}]}, {"allowed_amount": 1208.79, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5525.0, "npi": [1134102098]}]}, {"allowed_amount": 1229.85, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5200.0, "npi": [1083934251]}]}, {"allowed_amount": 1238.39, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 6171.0, "npi": [1972508257]}]}, {"allowed_amount": 1246.33, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 4225.0, "npi": [1437177508]}]}, {"allowed_amount": 1253.2, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 6171.0, "npi": [1376598144]}]}, {"allowed_amount": 1404.0, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 6175.0, "npi": [1528388097, 1962124875]}]}, {"allowed_amount": 1584.19, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 7986.0, "npi": [1619951696]}]}, {"allowed_amount": 1801.92, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3900.0, "npi": [1619951696]}]}, {"allowed_amount": 1802.62, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4719.0, "npi": [1871548404]}]}, {"allowed_amount": 1831.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4225.0, "npi": [1861450108]}]}, {"allowed_amount": 1831.96, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4225.0, "npi": [1619951696]}]}, {"allowed_amount": 1877.0, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4225.0, "npi": [1316467434]}]}, {"allowed_amount": 1883.69, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 5525.0, "npi": [1215914510]}]}, {"allowed_amount": 1907.04, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 4225.0, "npi": [1508840588]}, {"billed_charge": 4719.0, "npi": [1578546305, 1760709869, 1386627198]}]}, {"allowed_amount": 1937.07, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4225.0, "npi": [1609196088]}]}, {"allowed_amount": 1952.08, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4225.0, "npi": [1023197753]}]}, {"allowed_amount": 1970.72, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1972654861]}]}, {"allowed_amount": 2014.19, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4550.0, "npi": [1235115411]}]}, {"allowed_amount": 2087.23, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1114048014]}, {"billed_charge": 5082.0, "npi": [1619951696]}]}, {"allowed_amount": 2132.28, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5445.0, "npi": [1124312517]}]}, {"allowed_amount": 2183.67, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4875.0, "npi": [1295946457]}]}, {"allowed_amount": 2212.98, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 5200.0, "npi": [1952920365]}, {"billed_charge": 5808.0, "npi": [1831536739]}]}, {"allowed_amount": 2403.5, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 6171.0, "npi": [1831536739]}]}, {"allowed_amount": 2637.99, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 5850.0, "npi": [1861980062]}]}, {"allowed_amount": 2687.87, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 5850.0, "npi": [1336122589]}]}, {"allowed_amount": 2869.13, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 6500.0, "npi": [1689968901]}]}]}, {"tin": {"type": "ein", "value": "823273056"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 439.96, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2663.0, "npi": [1942746870]}]}, {"allowed_amount": 735.28, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4615.0, "npi": [1053079558]}]}, {"allowed_amount": 1136.44, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2663.0, "npi": [1023251493]}]}]}, {"tin": {"type": "ein", "value": "850709838"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 418.87, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4354.0, "npi": [1508518994]}]}, {"allowed_amount": 482.15, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4976.0, "npi": [1861967606]}]}, {"allowed_amount": 1081.95, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4368.0, "npi": [1215128749]}]}, {"allowed_amount": 1245.41, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4992.0, "npi": [1518426782]}]}]}, {"tin": {"type": "ein", "value": "850869895"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1508.6, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2145.0, "npi": [1639254527]}]}]}, {"tin": {"type": "ein", "value": "850889913"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 437.82, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2464.0, "npi": [1750972352]}]}, {"allowed_amount": 1042.65, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2772.0, "npi": [1265646509]}]}]}, {"tin": {"type": "ein", "value": "853082840"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 483.61, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 8500.0, "npi": [1811274376]}]}, {"allowed_amount": 1729.35, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6000.0, "npi": [1043638331]}]}, {"allowed_amount": 2183.67, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7500.0, "npi": [1043638331]}]}]}, {"tin": {"type": "ein", "value": "854230695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 721.19, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2500.0, "npi": [1104996016]}]}]}, {"tin": {"type": "ein", "value": "934728840"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 216.25, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 27500.0, "npi": [1558054106]}]}, {"allowed_amount": 222.31, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 27500.0, "npi": [1043643679]}]}, {"allowed_amount": 1181.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 30000.0, "npi": [1205852043]}]}]}]}, {"name": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified", "billing_code_type": "CPT", "billing_code": "00811", "billing_code_type_version": "2022", "description": "ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "260507982"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 70.94, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 520.0, "npi": [1619784550]}]}, {"allowed_amount": 75.03, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 550.0, "npi": [1407842370]}]}, {"allowed_amount": 76.39, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 560.0, "npi": [1104976687]}]}, {"allowed_amount": 77.76, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 570.0, "npi": [1619784550, 1104976687]}, {"billed_charge": 770.0, "npi": [1104976687]}]}, {"allowed_amount": 80.49, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 590.0, "npi": [1326331505]}]}, {"allowed_amount": 81.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 770.0, "npi": [1174674063]}]}, {"allowed_amount": 94.13, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 690.0, "npi": [1326331505]}]}, {"allowed_amount": 201.25, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 520.0, "npi": [1477131753]}]}, {"allowed_amount": 212.86, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 550.0, "npi": [1821040197]}]}, {"allowed_amount": 216.73, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 560.0, "npi": [1396123006]}]}, {"allowed_amount": 220.6, "billing_code_modifier": ["QK", "QY"], "providers": [{"billed_charge": 570.0, "npi": [1396123006, 1396737359]}, {"billed_charge": 770.0, "npi": [1447837539]}]}, {"allowed_amount": 228.34, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 590.0, "npi": [1396737359]}]}, {"allowed_amount": 230.43, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 770.0, "npi": [1093759946]}]}, {"allowed_amount": 267.04, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 690.0, "npi": [1477131753]}]}]}, {"tin": {"type": "ein", "value": "461743879"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 153.68, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1920.0, "npi": [1558785527]}]}, {"allowed_amount": 159.71, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1920.0, "npi": [1558785527]}]}, {"allowed_amount": 165.74, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1920.0, "npi": [1942717269]}]}, {"allowed_amount": 213.95, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2560.0, "npi": [1497086425, 1942717269]}]}, {"allowed_amount": 396.98, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1920.0, "npi": [1609019892]}]}, {"allowed_amount": 412.54, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1920.0, "npi": [1609019892]}]}, {"allowed_amount": 428.11, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1920.0, "npi": [1609019892]}]}, {"allowed_amount": 552.65, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2560.0, "npi": [1609019892]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["21", "24"], "payments": [{"allowed_amount": 169.2, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 968.9, "npi": [1346731239]}]}, {"allowed_amount": 250.59, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1427.16, "npi": [1679555288]}]}, {"allowed_amount": 721.42, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2038.8, "npi": [1619953445]}]}, {"allowed_amount": 1231.31, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1834.92, "npi": [1508487216]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.55, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1114.56, "npi": [1689451254]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "24", "22"], "payments": [{"allowed_amount": 77.26, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1950.0, "npi": [1356115059]}]}, {"allowed_amount": 88.35, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1942976659]}]}, {"allowed_amount": 98.73, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1649887233]}]}, {"allowed_amount": 101.59, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1134998792]}]}, {"allowed_amount": 104.45, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2904.0, "npi": [1033865050]}]}, {"allowed_amount": 109.1, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1950.0, "npi": [1447844857]}]}, {"allowed_amount": 118.35, "billing_code_modifier": ["QX", "QX,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1831758770]}, {"billed_charge": 2541.0, "npi": [1477860419]}]}, {"allowed_amount": 120.2, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2275.0, "npi": [1871265041]}]}, {"allowed_amount": 123.9, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1871265041]}]}, {"allowed_amount": 138.69, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2541.0, "npi": [1326589342]}]}, {"allowed_amount": 140.54, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1780370049]}]}, {"allowed_amount": 213.95, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2600.0, "npi": [1639641871]}]}, {"allowed_amount": 236.08, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2541.0, "npi": [1205934569]}]}, {"allowed_amount": 250.64, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1982624243]}]}, {"allowed_amount": 379.69, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1013797885]}]}, {"allowed_amount": 427.96, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 1950.0, "npi": [1063415925, 1255904967]}]}, {"allowed_amount": 442.97, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1950.0, "npi": [1124312517]}]}, {"allowed_amount": 480.51, "billing_code_modifier": ["QK,P3", "QK"], "providers": [{"billed_charge": 2275.0, "npi": [1487636841]}, {"billed_charge": 2541.0, "npi": [1134102098]}]}, {"allowed_amount": 488.02, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2275.0, "npi": [1487636841]}]}, {"allowed_amount": 503.04, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1487636841]}]}, {"allowed_amount": 505.61, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1609087857]}]}, {"allowed_amount": 520.27, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1205497047]}]}, {"allowed_amount": 534.93, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2904.0, "npi": [1609087857]}]}, {"allowed_amount": 552.65, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2600.0, "npi": [1215914510]}]}, {"allowed_amount": 570.61, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1215956545]}]}, {"allowed_amount": 644.84, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1950.0, "npi": [1821048356]}]}, {"allowed_amount": 750.8, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1625.0, "npi": [1457914285]}]}, {"allowed_amount": 765.82, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2178.0, "npi": [1194707844]}]}, {"allowed_amount": 835.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2178.0, "npi": [1902014202]}]}, {"allowed_amount": 885.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1770511057]}]}, {"allowed_amount": 970.87, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1356380687]}]}, {"allowed_amount": 976.04, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2275.0, "npi": [1417930025]}]}, {"allowed_amount": 1066.14, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1598851750]}]}, {"allowed_amount": 1156.23, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1295717924]}]}]}, {"tin": {"type": "ein", "value": "800751621"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 55.58, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2678.5, "npi": [1609351907]}]}, {"allowed_amount": 61.64, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2970.7, "npi": [1205224508]}]}, {"allowed_amount": 290.11, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2678.5, "npi": [1720195217]}]}, {"allowed_amount": 321.76, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2970.7, "npi": [1720195217]}]}]}, {"tin": {"type": "ein", "value": "815066225"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 295.32, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1000.0, "npi": [1477857779]}]}]}, {"tin": {"type": "ein", "value": "822558721"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 196.02, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1760460281]}]}, {"allowed_amount": 207.11, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1477524049]}]}, {"allowed_amount": 214.51, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1144209370]}]}, {"allowed_amount": 218.21, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1477524049]}]}, {"allowed_amount": 233.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1144209370]}]}]}, {"tin": {"type": "ein", "value": "832348658"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 94.99, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1245.0, "npi": [1417494428]}]}, {"allowed_amount": 99.03, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1245.0, "npi": [1154896991]}]}]}, {"tin": {"type": "ein", "value": "833504379"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 199.72, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11550.0, "npi": [1003150681]}]}, {"allowed_amount": 207.11, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11760.0, "npi": [1063711828]}]}, {"allowed_amount": 251.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11760.0, "npi": [1558931121]}]}]}, {"tin": {"type": "ein", "value": "850709838"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 250.11, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 2799.0, "npi": [1366228108]}]}, {"allowed_amount": 433.93, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2488.0, "npi": [1689838799]}]}, {"allowed_amount": 646.06, "billing_code_modifier": ["QY,P4"], "providers": [{"billed_charge": 2808.0, "npi": [1215128749]}]}]}, {"tin": {"type": "ein", "value": "850889913"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 266.13, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 1540.0, "npi": [1982842654]}]}]}, {"tin": {"type": "ein", "value": "934728840"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 129.34, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 17500.0, "npi": [1346608023]}]}, {"allowed_amount": 171.79, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 22500.0, "npi": [1558054106]}]}]}]}, {"name": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy", "billing_code_type": "CPT", "billing_code": "00812", "billing_code_type_version": "2022", "description": "ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC", "allowed_amounts": [{"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 111.85, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 866.88, "npi": [1588555817]}]}]}, {"tin": {"type": "ein", "value": "260507982"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 86.92, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 810.0, "npi": [1861797094]}]}, {"allowed_amount": 89.77, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 630.0, "npi": [1952789141]}]}, {"allowed_amount": 246.6, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 810.0, "npi": [1326569385]}]}, {"allowed_amount": 254.68, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 630.0, "npi": [1871170662]}]}]}, {"tin": {"type": "ein", "value": "300706634"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 157.39, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1932470507]}]}]}, {"tin": {"type": "ein", "value": "320293376"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 96.84, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8500.0, "npi": [1114138377]}]}, {"allowed_amount": 122.11, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 8500.0, "npi": [1114138377]}]}, {"allowed_amount": 124.21, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 8500.0, "npi": [1114138377]}]}, {"allowed_amount": 128.42, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 8500.0, "npi": [1114138377]}]}, {"allowed_amount": 141.06, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 8500.0, "npi": [1114138377]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 63.71, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 678.23, "npi": [1528744364]}]}, {"allowed_amount": 829.23, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1427.16, "npi": [1396239018]}]}, {"allowed_amount": 846.88, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1223.28, "npi": [1417584269]}]}]}, {"tin": {"type": "ein", "value": "760462852"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 472.17, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1855.0, "npi": [1235128042, 1578558599]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 51.54, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2178.0, "npi": [1366880346]}]}, {"allowed_amount": 77.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1950.0, "npi": [1730428723]}]}, {"allowed_amount": 82.99, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2178.0, "npi": [1780291377]}]}, {"allowed_amount": 91.57, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2541.0, "npi": [1780291377]}]}, {"allowed_amount": 91.96, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2275.0, "npi": [1275049256]}]}, {"allowed_amount": 98.73, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1225876220, 1417494261]}]}, {"allowed_amount": 102.85, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2178.0, "npi": [1902582653]}]}, {"allowed_amount": 105.41, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2178.0, "npi": [1477860419]}]}, {"allowed_amount": 106.1, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1275049256]}]}, {"allowed_amount": 110.17, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1477324606]}]}, {"allowed_amount": 111.76, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1679036107]}]}, {"allowed_amount": 114.07, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2275.0, "npi": [1043575640]}]}, {"allowed_amount": 116.5, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2541.0, "npi": [1265152631]}]}, {"allowed_amount": 122.78, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1950.0, "npi": [1932937158]}]}, {"allowed_amount": 123.49, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2178.0, "npi": [1891257291]}]}, {"allowed_amount": 125.05, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1950.0, "npi": [1174104640, 1891257291]}]}, {"allowed_amount": 127.32, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1950.0, "npi": [1184369258]}, {"billed_charge": 2178.0, "npi": [1326589342]}]}, {"allowed_amount": 129.03, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1043575640]}]}, {"allowed_amount": 129.6, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1950.0, "npi": [1326589342]}]}, {"allowed_amount": 136.42, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2178.0, "npi": [1033737614]}]}, {"allowed_amount": 168.75, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1950.0, "npi": [1629372313]}]}, {"allowed_amount": 189.99, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1962754853]}]}, {"allowed_amount": 195.87, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2541.0, "npi": [1295304814]}]}, {"allowed_amount": 197.81, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3267.0, "npi": [1720464050]}]}, {"allowed_amount": 208.99, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1950.0, "npi": [1164401816]}]}, {"allowed_amount": 210.21, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2178.0, "npi": [1437209954]}]}, {"allowed_amount": 211.02, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 2904.0, "npi": [1962282939]}]}, {"allowed_amount": 212.86, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1950.0, "npi": [1275795452, 1376619759]}]}, {"allowed_amount": 216.73, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1950.0, "npi": [1609865419]}, {"billed_charge": 2178.0, "npi": [1205934569]}]}, {"allowed_amount": 220.6, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1950.0, "npi": [1679622807]}]}, {"allowed_amount": 232.21, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2178.0, "npi": [1134757107]}]}, {"allowed_amount": 323.41, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1437227337]}]}, {"allowed_amount": 336.71, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3267.0, "npi": [1548593197]}]}, {"allowed_amount": 382.91, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2178.0, "npi": [1063415925]}]}, {"allowed_amount": 398.49, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1950.0, "npi": [1861603771]}]}, {"allowed_amount": 425.01, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2178.0, "npi": [1720038250]}]}, {"allowed_amount": 427.96, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2178.0, "npi": [1215956545]}]}, {"allowed_amount": 435.89, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1950.0, "npi": [1083691364]}]}, {"allowed_amount": 436.6, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2178.0, "npi": [1164401816]}]}, {"allowed_amount": 438.54, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2178.0, "npi": [1043847643]}]}, {"allowed_amount": 470.94, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2275.0, "npi": [1043505704]}]}, {"allowed_amount": 473.0, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2541.0, "npi": [1053571018]}]}, {"allowed_amount": 486.38, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2275.0, "npi": [1598393944]}]}, {"allowed_amount": 505.61, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1881058162, 1124265293]}]}, {"allowed_amount": 505.95, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2541.0, "npi": [1750368049]}]}, {"allowed_amount": 543.4, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1972654861]}]}, {"allowed_amount": 550.16, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1598393944]}]}, {"allowed_amount": 572.38, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1972654861]}]}, {"allowed_amount": 735.79, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1625.0, "npi": [1497738058]}]}, {"allowed_amount": 791.4, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 2541.0, "npi": [1881058162]}]}, {"allowed_amount": 795.85, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1629045943]}]}, {"allowed_amount": 806.05, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1013414713]}]}, {"allowed_amount": 810.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1629045943]}]}, {"allowed_amount": 825.09, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2178.0, "npi": [1356720833]}]}, {"allowed_amount": 825.88, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1043296635, 1598851750, 1629045943]}]}, {"allowed_amount": 840.9, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2178.0, "npi": [1194707844]}]}, {"allowed_amount": 861.13, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2178.0, "npi": [1043847643]}]}, {"allowed_amount": 869.43, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2178.0, "npi": [1073568853]}]}, {"allowed_amount": 870.93, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2178.0, "npi": [1497738058]}]}, {"allowed_amount": 887.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1730129966]}]}, {"allowed_amount": 900.96, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1043296635]}, {"billed_charge": 2178.0, "npi": [1194707844]}]}, {"allowed_amount": 915.98, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2275.0, "npi": [1043296635]}, {"billed_charge": 2541.0, "npi": [1497738058, 1043296635]}]}, {"allowed_amount": 927.4, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1609263243]}]}, {"allowed_amount": 930.99, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2275.0, "npi": [1043296635]}]}, {"allowed_amount": 976.04, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1285617282]}]}, {"allowed_amount": 980.76, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2275.0, "npi": [1437442068]}]}, {"allowed_amount": 981.92, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1174789846]}]}, {"allowed_amount": 1006.07, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1992118384]}]}, {"allowed_amount": 1011.9, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1083691364]}]}, {"allowed_amount": 1021.09, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1043296635]}]}, {"allowed_amount": 1051.12, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1043296635]}]}, {"allowed_amount": 1066.14, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1740263078]}]}, {"allowed_amount": 1229.85, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1477739456]}]}]}, {"tin": {"type": "ein", "value": "760639565"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 194.8, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1225.0, "npi": [1952331092]}]}]}, {"tin": {"type": "ein", "value": "800751621"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 49.51, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2386.3, "npi": [1710201066, 1154896991]}]}, {"allowed_amount": 50.53, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2435.0, "npi": [1205224508]}]}, {"allowed_amount": 52.55, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2532.4, "npi": [1215180609]}]}, {"allowed_amount": 53.56, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2581.1, "npi": [1699210393, 1912937236]}]}, {"allowed_amount": 54.57, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2629.8, "npi": [1669826160, 1780989095]}]}, {"allowed_amount": 55.58, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2678.5, "npi": [1780550608]}]}, {"allowed_amount": 57.6, "billing_code_modifier": ["QX", "QX,P3"], "providers": [{"billed_charge": 2775.9, "npi": [1780989095, 1154896991]}]}, {"allowed_amount": 59.62, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2873.3, "npi": [1205224508]}]}, {"allowed_amount": 60.63, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2922.0, "npi": [1780989095]}]}, {"allowed_amount": 69.72, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3360.3, "npi": [1609351907, 1205224508]}]}, {"allowed_amount": 258.47, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2386.3, "npi": [1629338439]}]}, {"allowed_amount": 263.74, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2435.0, "npi": [1629338439]}]}, {"allowed_amount": 274.29, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2532.4, "npi": [1629338439]}]}, {"allowed_amount": 279.56, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2581.1, "npi": [1629338439]}]}, {"allowed_amount": 284.84, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2629.8, "npi": [1720195217, 1629338439]}]}, {"allowed_amount": 290.11, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2678.5, "npi": [1629338439]}]}, {"allowed_amount": 300.66, "billing_code_modifier": ["QK,P3", "QK"], "providers": [{"billed_charge": 2775.9, "npi": [1841677044, 1629338439]}]}, {"allowed_amount": 311.21, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2873.3, "npi": [1629338439]}]}, {"allowed_amount": 316.49, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2922.0, "npi": [1629338439]}]}, {"allowed_amount": 363.96, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3360.3, "npi": [1720195217, 1629338439]}]}, {"allowed_amount": 825.09, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2094.1, "npi": [1801319058]}]}]}, {"tin": {"type": "ein", "value": "815066225"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 548.44, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2000.0, "npi": [1477857779]}]}]}, {"tin": {"type": "ein", "value": "822558721"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 184.92, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1750.0, "npi": [1760460281]}]}, {"allowed_amount": 192.32, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1760460281]}]}, {"allowed_amount": 196.02, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1477524049, 1740294826, 1760460281]}]}, {"allowed_amount": 199.72, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1477524049, 1760460281, 1144209370]}]}, {"allowed_amount": 203.41, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1477524049, 1760460281]}]}, {"allowed_amount": 207.11, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1760460281, 1144209370]}]}, {"allowed_amount": 210.81, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1740294826, 1477524049, 1326565268, 1760460281, 1144209370]}]}, {"allowed_amount": 214.51, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1740294826, 1477524049, 1144209370]}]}, {"allowed_amount": 218.21, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1144209370]}]}, {"allowed_amount": 221.91, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1760460281]}]}, {"allowed_amount": 225.6, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1477524049, 1760460281, 1144209370]}]}, {"allowed_amount": 229.3, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1760460281, 1740294826]}]}, {"allowed_amount": 233.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1477524049, 1760460281, 1144209370]}]}, {"allowed_amount": 236.7, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2450.0, "npi": [1477524049]}]}, {"allowed_amount": 240.4, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1760460281]}]}, {"allowed_amount": 247.79, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1144209370]}]}, {"allowed_amount": 255.19, "billing_code_modifier": ["QZ", "QZ,P3"], "providers": [{"billed_charge": 2450.0, "npi": [1477524049, 1740294826, 1144209370]}]}, {"allowed_amount": 258.89, "billing_code_modifier": ["QZ", "QZ,P3"], "providers": [{"billed_charge": 2450.0, "npi": [1477524049, 1144209370]}]}, {"allowed_amount": 262.59, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2800.0, "npi": [1477524049]}]}, {"allowed_amount": 269.99, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2800.0, "npi": [1760460281, 1144209370]}]}]}, {"tin": {"type": "ein", "value": "823247574"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 82.65, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3300.0, "npi": [1861621260]}]}, {"allowed_amount": 85.5, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3300.0, "npi": [1679991376]}]}, {"allowed_amount": 234.47, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3300.0, "npi": [1447496781]}]}]}, {"tin": {"type": "ein", "value": "832348658"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 82.86, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1245.0, "npi": [1417494428]}]}, {"allowed_amount": 88.92, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1245.0, "npi": [1154896991]}]}, {"allowed_amount": 94.99, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1245.0, "npi": [1417494428, 1154896991]}]}, {"allowed_amount": 99.03, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1245.0, "npi": [1417494428]}]}, {"allowed_amount": 103.07, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1861422172]}]}, {"allowed_amount": 107.11, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1154896991]}]}, {"allowed_amount": 109.13, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1730482340]}]}, {"allowed_amount": 113.18, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1154896991]}]}, {"allowed_amount": 115.2, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1861422172]}]}, {"allowed_amount": 119.24, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1538672738]}]}, {"allowed_amount": 129.34, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1743.0, "npi": [1497244974]}]}]}, {"tin": {"type": "ein", "value": "832592426"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 146.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4000.0, "npi": [1427685197]}]}, {"allowed_amount": 1376.6, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 5500.0, "npi": [1164457354]}]}]}, {"tin": {"type": "ein", "value": "833504379"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 196.02, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11000.0, "npi": [1003150681]}, {"billed_charge": 11780.0, "npi": [1326208141]}]}, {"allowed_amount": 203.41, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11000.0, "npi": [1003150681]}, {"billed_charge": 11500.0, "npi": [1003150681]}]}, {"allowed_amount": 210.81, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11750.0, "npi": [1003150681]}]}, {"allowed_amount": 218.21, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11600.0, "npi": [1326208141]}]}, {"allowed_amount": 221.91, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11400.0, "npi": [1326208141]}, {"billed_charge": 12000.0, "npi": [1326208141]}]}, {"allowed_amount": 225.6, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11470.0, "npi": [1760616718]}]}, {"allowed_amount": 229.3, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11220.0, "npi": [1063711828]}, {"billed_charge": 11550.0, "npi": [1063711828]}]}, {"allowed_amount": 233.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11560.0, "npi": [1760616718]}, {"billed_charge": 11900.0, "npi": [1558931121, 1760616718]}]}, {"allowed_amount": 236.7, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11520.0, "npi": [1003150681, 1760616718]}, {"billed_charge": 11880.0, "npi": [1760616718]}]}, {"allowed_amount": 240.4, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11840.0, "npi": [1760616718]}]}, {"allowed_amount": 244.1, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 10800.0, "npi": [1003150681]}, {"billed_charge": 12000.0, "npi": [1003150681]}]}, {"allowed_amount": 251.49, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 11880.0, "npi": [1003150681]}]}, {"allowed_amount": 255.19, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11610.0, "npi": [1760616718]}]}, {"allowed_amount": 262.59, "billing_code_modifier": ["QZ", "QZ,P3"], "providers": [{"billed_charge": 11200.0, "npi": [1003150681]}, {"billed_charge": 11780.0, "npi": [1326208141]}, {"billed_charge": 11960.0, "npi": [1326208141]}]}, {"allowed_amount": 266.29, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 12000.0, "npi": [1760616718]}]}, {"allowed_amount": 269.99, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11760.0, "npi": [1760616718]}]}, {"allowed_amount": 277.38, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 11840.0, "npi": [1003150681]}]}, {"allowed_amount": 284.78, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11200.0, "npi": [1760616718]}]}, {"allowed_amount": 292.18, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11600.0, "npi": [1275103798]}]}, {"allowed_amount": 310.67, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 11730.0, "npi": [1003150681]}]}]}, {"tin": {"type": "ein", "value": "842830378"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 151.04, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1801146865]}]}, {"allowed_amount": 159.59, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1346480134]}]}, {"allowed_amount": 168.14, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1346480134]}]}, {"allowed_amount": 233.69, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3150.0, "npi": [1538515812]}]}, {"allowed_amount": 363.8, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1750.0, "npi": [1679579882]}]}, {"allowed_amount": 495.39, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2450.0, "npi": [1679579882]}]}]}, {"tin": {"type": "ein", "value": "844277052"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 98.32, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1800.0, "npi": [1649323163]}]}, {"allowed_amount": 278.94, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1800.0, "npi": [1134129000]}]}]}, {"tin": {"type": "ein", "value": "850709838"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 81.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1866.0, "npi": [1891232070]}]}, {"allowed_amount": 189.85, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1981.0, "npi": [1932403284]}]}, {"allowed_amount": 230.43, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1872.0, "npi": [1821484635]}]}, {"allowed_amount": 490.38, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1988.0, "npi": [1215128749]}]}]}, {"tin": {"type": "ein", "value": "934728840"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 119.24, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 12500.0, "npi": [1558054106]}]}, {"allowed_amount": 135.41, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 15000.0, "npi": [1346608023]}]}]}]}, {"name": "Anesthesia for non-invasive imaging or radiation therapy", "billing_code_type": "CPT", "billing_code": "01922", "billing_code_type_version": "2022", "description": "ANES NON-INVASIVE IMAGING/RADIATION THERAPY", "allowed_amounts": [{"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 164.56, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 872.01, "npi": [1457620478]}]}, {"allowed_amount": 701.66, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1834.92, "npi": [1245492420]}]}, {"allowed_amount": 1339.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1834.92, "npi": [1164641494]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 208.96, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1486.08, "npi": [1720844772]}]}, {"allowed_amount": 214.51, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1486.08, "npi": [1093375305]}]}, {"allowed_amount": 848.41, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1486.08, "npi": [1598071359]}]}, {"allowed_amount": 870.93, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1486.08, "npi": [1154360212]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 148.54, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1366204604]}]}, {"allowed_amount": 160.88, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1568755155]}]}, {"allowed_amount": 197.81, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1720464050]}]}, {"allowed_amount": 211.45, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3630.0, "npi": [1033552500]}]}, {"allowed_amount": 228.15, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 4225.0, "npi": [1043925324]}]}, {"allowed_amount": 258.89, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1073233326]}]}, {"allowed_amount": 288.6, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1225576945]}]}, {"allowed_amount": 336.71, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1336335777]}]}, {"allowed_amount": 352.57, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4356.0, "npi": [1386305696]}]}, {"allowed_amount": 359.93, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3630.0, "npi": [1548593197]}]}, {"allowed_amount": 653.2, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1023197753]}]}, {"allowed_amount": 760.75, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1326024142]}]}, {"allowed_amount": 873.19, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1942265152]}]}, {"allowed_amount": 910.71, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4356.0, "npi": [1497700348]}]}, {"allowed_amount": 972.75, "billing_code_modifier": ["QY,P4"], "providers": [{"billed_charge": 4225.0, "npi": [1982685616]}]}, {"allowed_amount": 1051.12, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1053571018]}]}, {"allowed_amount": 1275.03, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1225327307]}]}, {"allowed_amount": 1351.44, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2925.0, "npi": [1477536209]}]}, {"allowed_amount": 1396.49, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1619951696, 1699758201]}]}, {"allowed_amount": 1591.7, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1194707844]}]}, {"allowed_amount": 1685.38, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3900.0, "npi": [1659340594]}]}, {"allowed_amount": 1934.52, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 4550.0, "npi": [1902195985]}]}]}, {"tin": {"type": "ein", "value": "821391429"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1336.43, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2250.0, "npi": [1073920989]}]}]}, {"tin": {"type": "ein", "value": "823273056"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 536.39, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3195.0, "npi": [1699306654]}]}, {"allowed_amount": 584.6, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3550.0, "npi": [1497568620]}]}, {"allowed_amount": 620.77, "billing_code_modifier": ["QZ,P3", "QZ,P4"], "providers": [{"billed_charge": 3905.0, "npi": [1457383754, 1679687685]}]}, {"allowed_amount": 687.06, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 4260.0, "npi": [1902084395]}]}, {"allowed_amount": 3097.96, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 7100.0, "npi": [1811087380]}]}]}, {"tin": {"type": "ein", "value": "850709838"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1432.22, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2830.0, "npi": [1043080138]}]}]}]}, {"name": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified", "billing_code_type": "CPT", "billing_code": "01400", "billing_code_type_version": "2022", "description": "ANES OPEN/SURG ARTHROSCOPIC PX KNEE JOINT NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 145.29, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 775.12, "npi": [1346653938]}]}, {"allowed_amount": 351.57, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2038.8, "npi": [1508639261]}]}, {"allowed_amount": 619.48, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1631.04, "npi": [1932631942]}]}, {"allowed_amount": 1216.3, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1834.92, "npi": [1437331956]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 170.13, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1114.56, "npi": [1871154716]}]}, {"allowed_amount": 690.74, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1114.56, "npi": [1699221978]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "24", "22"], "payments": [{"allowed_amount": 172.42, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4225.0, "npi": [1447268719]}]}, {"allowed_amount": 177.85, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 6534.0, "npi": [1215170584]}]}, {"allowed_amount": 212.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4356.0, "npi": [1780370049]}]}, {"allowed_amount": 221.3, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 7150.0, "npi": [1215170584]}]}, {"allowed_amount": 334.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4875.0, "npi": [1760883003]}]}, {"allowed_amount": 489.15, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4225.0, "npi": [1982624243]}]}, {"allowed_amount": 568.92, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4875.0, "npi": [1336335777]}]}, {"allowed_amount": 863.42, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4356.0, "npi": [1962485953]}]}, {"allowed_amount": 1006.07, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 5082.0, "npi": [1861404501, 1255904967]}]}, {"allowed_amount": 1021.09, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2275.0, "npi": [1194381996]}]}, {"allowed_amount": 1081.15, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2600.0, "npi": [1093398703]}]}, {"allowed_amount": 1105.3, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2904.0, "npi": [1437442068]}]}, {"allowed_amount": 1321.41, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 6534.0, "npi": [1063415925]}]}, {"allowed_amount": 1336.43, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1609196088]}]}, {"allowed_amount": 1486.59, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3250.0, "npi": [1598851750]}]}, {"allowed_amount": 1644.26, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 7150.0, "npi": [1528388097]}]}, {"allowed_amount": 3138.35, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6825.0, "npi": [1366707861]}]}]}, {"tin": {"type": "ein", "value": "800751621"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 382.7, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 6184.9, "npi": [1730138462]}]}, {"allowed_amount": 988.55, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 6184.9, "npi": [1437619806]}]}]}, {"tin": {"type": "ein", "value": "812268354"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1927.25, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 28000.0, "npi": [1356360317]}]}]}, {"tin": {"type": "ein", "value": "831147073"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 112.8, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3520.0, "npi": [1083449466, 1043087075]}]}, {"allowed_amount": 457.99, "billing_code_modifier": ["QK", "QY"], "providers": [{"billed_charge": 3600.0, "npi": [1497016224, 1720295819]}]}]}, {"tin": {"type": "ein", "value": "850709838"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 307.37, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3421.0, "npi": [1356524920]}]}, {"allowed_amount": 793.95, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3432.0, "npi": [1184111759]}]}]}, {"tin": {"type": "ein", "value": "854230695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 177.52, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 625.0, "npi": [1730615733]}]}, {"allowed_amount": 1134.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1134.0, "npi": [1629654314]}]}]}]}, {"name": "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty", "billing_code_type": "CPT", "billing_code": "01402", "billing_code_type_version": "2022", "description": "ANESTH OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY", "allowed_amounts": [{"tin": {"type": "ein", "value": "271009253"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 753.36, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2340.0, "npi": [1194314138]}]}]}, {"tin": {"type": "ein", "value": "461743879"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 485.16, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 5440.0, "npi": [1558785527]}]}, {"allowed_amount": 1253.2, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5440.0, "npi": [1609019892]}]}]}, {"tin": {"type": "ein", "value": "471804903"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 148.54, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 5831.0, "npi": [1194261545]}]}, {"allowed_amount": 345.59, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 15300.0, "npi": [1194261545]}]}, {"allowed_amount": 353.68, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 15300.0, "npi": [1194261545]}]}, {"allowed_amount": 369.84, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 16150.0, "npi": [1144591884]}]}, {"allowed_amount": 654.62, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 15300.0, "npi": [1659094357]}]}, {"allowed_amount": 775.4, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 6919.0, "npi": [1043282981]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 183.92, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1744.02, "npi": [1043834088]}]}, {"allowed_amount": 1427.24, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3669.84, "npi": [1689106171]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "24", "22"], "payments": [{"allowed_amount": 159.66, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 5200.0, "npi": [1205322302]}]}, {"allowed_amount": 239.39, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 6171.0, "npi": [1811976350]}]}, {"allowed_amount": 262.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4875.0, "npi": [1780370049]}]}, {"allowed_amount": 284.78, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 5808.0, "npi": [1780370049]}]}, {"allowed_amount": 288.48, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 5808.0, "npi": [1629324819]}]}, {"allowed_amount": 347.86, "billing_code_modifier": ["QX", "QX,P3"], "providers": [{"billed_charge": 5200.0, "npi": [1760883003]}, {"billed_charge": 5808.0, "npi": [1265924914]}]}, {"allowed_amount": 379.7, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 6171.0, "npi": [1831580679]}]}, {"allowed_amount": 679.15, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 6171.0, "npi": [1134118045]}]}, {"allowed_amount": 874.67, "billing_code_modifier": ["AD", "AD,P3"], "providers": [{"billed_charge": 5200.0, "npi": [1093275703]}, {"billed_charge": 5808.0, "npi": [1548273154]}]}, {"allowed_amount": 983.03, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 6171.0, "npi": [1336335777]}]}, {"allowed_amount": 1066.14, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4875.0, "npi": [1336122589]}]}, {"allowed_amount": 1156.23, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5808.0, "npi": [1265415400]}]}, {"allowed_amount": 1171.25, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5808.0, "npi": [1215956545]}]}, {"allowed_amount": 1186.27, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 5200.0, "npi": [1861404501]}]}, {"allowed_amount": 2132.28, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5445.0, "npi": [1598851750]}]}, {"allowed_amount": 2212.98, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5200.0, "npi": [1952805236]}]}, {"allowed_amount": 2782.19, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 6500.0, "npi": [1043505704]}]}]}, {"tin": {"type": "ein", "value": "812268354"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1970.72, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 28000.0, "npi": [1356360317]}]}]}, {"tin": {"type": "ein", "value": "831147073"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 260.74, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 6600.0, "npi": [1083449466]}]}, {"allowed_amount": 1058.63, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 6750.0, "npi": [1093059040]}]}]}]}, {"name": "Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wrist, or hand joints; not otherwise specified", "billing_code_type": "CPT", "billing_code": "01830", "billing_code_type_version": "2022", "description": "ANES ARTHRS/NDSC DSTL RADIUS ULNA/WRIST/HAND NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "471804903"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 373.54, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 9350.0, "npi": [1659094357]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 253.34, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1733.76, "npi": [1366256190]}]}, {"allowed_amount": 990.72, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 990.72, "npi": [1720266042]}]}, {"allowed_amount": 1028.6, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1733.76, "npi": [1013411941]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 126.82, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3267.0, "npi": [1245970300]}]}, {"allowed_amount": 138.69, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2600.0, "npi": [1124391578]}]}, {"allowed_amount": 168.14, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3900.0, "npi": [1144039587]}]}, {"allowed_amount": 171.98, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3630.0, "npi": [1134717283]}]}, {"allowed_amount": 242.25, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 5082.0, "npi": [1639750573]}]}, {"allowed_amount": 283.3, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3250.0, "npi": [1811353493]}]}, {"allowed_amount": 477.02, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3900.0, "npi": [1366932410]}]}, {"allowed_amount": 563.1, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2600.0, "npi": [1497738058]}]}, {"allowed_amount": 698.25, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3630.0, "npi": [1134102098]}]}, {"allowed_amount": 719.58, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 3267.0, "npi": [1982624243]}]}, {"allowed_amount": 983.55, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 5082.0, "npi": [1962485953]}]}, {"allowed_amount": 1285.54, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5808.0, "npi": [1922191170]}]}, {"allowed_amount": 2087.23, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1598851750]}]}]}, {"tin": {"type": "ein", "value": "823273056"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 560.5, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3550.0, "npi": [1902084395]}]}, {"allowed_amount": 1217.42, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 7455.0, "npi": [1912515016]}]}]}, {"tin": {"type": "ein", "value": "831147073"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 251.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4400.0, "npi": [1043087075]}]}]}, {"tin": {"type": "ein", "value": "854230695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1134.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1134.0, "npi": [1295303022]}]}]}]}, {"name": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified", "billing_code_type": "CPT", "billing_code": "01480", "billing_code_type_version": "2022", "description": "ANES OPEN PX BONES LOWER LEG ANKLE&FOOT NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "471804903"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 896.72, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7650.0, "npi": [1265761845]}]}]}, {"tin": {"type": "ein", "value": "742661711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 168.0, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1500.0, "npi": [1063489581]}]}, {"allowed_amount": 713.26, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 1500.0, "npi": [1720021314]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.54, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 990.72, "npi": [1689451254]}]}, {"allowed_amount": 227.45, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1609.92, "npi": [1912675315]}]}, {"allowed_amount": 570.61, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 990.72, "npi": [1710968516]}]}, {"allowed_amount": 923.49, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1609.92, "npi": [1679552145]}]}, {"allowed_amount": 1114.56, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1114.56, "npi": [1720266042]}]}, {"allowed_amount": 2848.32, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2848.32, "npi": [1548672074]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 910.0, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 910.0, "npi": [1992760078]}]}, {"allowed_amount": 1170.0, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1170.0, "npi": [1811382450]}]}, {"allowed_amount": 1300.0, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1300.0, "npi": [1366896011]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "24", "22"], "payments": [{"allowed_amount": 109.1, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1950.0, "npi": [1366074924]}]}, {"allowed_amount": 110.95, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2178.0, "npi": [1477860419]}]}, {"allowed_amount": 120.2, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1366074924]}]}, {"allowed_amount": 123.9, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2541.0, "npi": [1265152631]}]}, {"allowed_amount": 125.75, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1780370049]}]}, {"allowed_amount": 127.6, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1124391578]}]}, {"allowed_amount": 128.77, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2925.0, "npi": [1033865050]}]}, {"allowed_amount": 140.54, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1639750573]}]}, {"allowed_amount": 186.77, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3993.0, "npi": [1477860419]}]}, {"allowed_amount": 214.51, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4356.0, "npi": [1265152631]}]}, {"allowed_amount": 226.21, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4719.0, "npi": [1336950674]}]}, {"allowed_amount": 294.74, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1992240600]}]}, {"allowed_amount": 338.41, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 6175.0, "npi": [1134717283]}]}, {"allowed_amount": 442.97, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 1950.0, "npi": [1619951696]}]}, {"allowed_amount": 450.48, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2178.0, "npi": [1356498190]}]}, {"allowed_amount": 488.02, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1366707861]}]}, {"allowed_amount": 503.04, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2541.0, "npi": [1487636841]}]}, {"allowed_amount": 510.55, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1336122589]}]}, {"allowed_amount": 518.05, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1578546305]}]}, {"allowed_amount": 570.61, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1265415400]}]}, {"allowed_amount": 590.89, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1275691024]}]}, {"allowed_amount": 659.5, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2925.0, "npi": [1275556235]}]}, {"allowed_amount": 705.75, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1625.0, "npi": [1043296635]}]}, {"allowed_amount": 758.31, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3993.0, "npi": [1891291589]}]}, {"allowed_amount": 840.9, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2178.0, "npi": [1578546305]}]}, {"allowed_amount": 870.93, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4356.0, "npi": [1407419583]}]}, {"allowed_amount": 946.01, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1407419583]}]}, {"allowed_amount": 964.5, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4719.0, "npi": [1780977892]}]}, {"allowed_amount": 996.33, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1124386164]}]}, {"allowed_amount": 996.57, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1417418518]}]}, {"allowed_amount": 1036.11, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1851788905]}]}, {"allowed_amount": 1051.12, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 2275.0, "npi": [1366707861]}]}, {"allowed_amount": 1115.77, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2600.0, "npi": [1417933235]}]}, {"allowed_amount": 1136.44, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1124386164]}]}, {"allowed_amount": 1373.97, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 6175.0, "npi": [1497738058]}]}, {"allowed_amount": 1391.09, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3630.0, "npi": [1144563776]}]}, {"allowed_amount": 1576.68, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1619951696]}]}, {"allowed_amount": 1711.83, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3900.0, "npi": [1437441607]}]}, {"allowed_amount": 2195.04, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5445.0, "npi": [1235457839]}]}, {"allowed_amount": 2492.66, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 5525.0, "npi": [1619951696]}]}, {"allowed_amount": 2970.57, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6825.0, "npi": [1508842782]}]}]}, {"tin": {"type": "ein", "value": "812397142"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 1289.66, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3375.0, "npi": [1023305851]}]}, {"allowed_amount": 2390.94, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 6375.0, "npi": [1023305851]}]}]}, {"tin": {"type": "ein", "value": "823273056"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 268.19, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1598.0, "npi": [1033390802]}]}, {"allowed_amount": 464.07, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2840.0, "npi": [1689952582]}]}, {"allowed_amount": 692.76, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1598.0, "npi": [1952351603]}]}]}, {"tin": {"type": "ein", "value": "850709838"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 364.62, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4043.0, "npi": [1265275374]}]}, {"allowed_amount": 941.84, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4056.0, "npi": [1760846562]}]}]}, {"tin": {"type": "ein", "value": "850869895"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.87, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 600.0, "npi": [1659148088]}]}, {"allowed_amount": 111.16, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1650.0, "npi": [1235288341]}]}, {"allowed_amount": 437.81, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 600.0, "npi": [1205856838]}]}, {"allowed_amount": 580.23, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1650.0, "npi": [1205856838]}]}, {"allowed_amount": 1065.51, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1515.0, "npi": [1144218561]}]}]}, {"tin": {"type": "ein", "value": "854230695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 203.41, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 750.0, "npi": [1477739548]}]}, {"allowed_amount": 392.03, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1375.0, "npi": [1104996016]}]}, {"allowed_amount": 882.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 882.0, "npi": [1629503115]}]}]}, {"tin": {"type": "ein", "value": "934728840"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 1149.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 27500.0, "npi": [1205852043]}]}]}, {"tin": {"type": "ein", "value": "995091370"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 1817.28, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 12571.0, "npi": [1366635161]}]}, {"allowed_amount": 2154.36, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 14505.0, "npi": [1992382816]}]}]}]}, {"name": "Anesthesia for procedures on eye; lens surgery", "billing_code_type": "CPT", "billing_code": "00142", "billing_code_type_version": "2022", "description": "ANESTHESIA PX ON EYE LENS SURGERY", "allowed_amounts": [{"tin": {"type": "ein", "value": "260507982"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 68.21, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 600.0, "npi": [1407842370]}]}, {"allowed_amount": 72.3, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 530.0, "npi": [1164409835]}]}, {"allowed_amount": 75.03, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 750.0, "npi": [1952789141]}]}, {"allowed_amount": 193.51, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 600.0, "npi": [1376120998]}]}, {"allowed_amount": 205.12, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 530.0, "npi": [1205038205]}]}, {"allowed_amount": 212.86, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 750.0, "npi": [1477131753]}]}]}, {"tin": {"type": "ein", "value": "414317296"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 424.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 424.0, "npi": [1881618676]}]}]}, {"tin": {"type": "ein", "value": "472616561"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 181.22, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3250.0, "npi": [1639128275]}]}, {"allowed_amount": 188.62, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3250.0, "npi": [1639128275]}]}, {"allowed_amount": 192.32, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3250.0, "npi": [1639128275, 1972269462]}]}, {"allowed_amount": 196.02, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3250.0, "npi": [1639128275, 1093185381, 1942805270, 1326011479]}, {"billed_charge": 3900.0, "npi": [1972269462, 1699335455]}]}, {"allowed_amount": 203.41, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3900.0, "npi": [1083780340, 1851899652, 1699335455]}]}, {"allowed_amount": 207.11, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3900.0, "npi": [1639128275, 1083780340, 1942805270, 1699335455]}]}, {"allowed_amount": 210.81, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3900.0, "npi": [1639128275, 1083780340]}]}, {"allowed_amount": 225.6, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3900.0, "npi": [1134758840, 1639128275]}]}, {"allowed_amount": 281.08, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5200.0, "npi": [1093375305]}]}, {"allowed_amount": 306.97, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5200.0, "npi": [1699335455]}]}, {"allowed_amount": 358.75, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 6500.0, "npi": [1851899652]}]}]}, {"tin": {"type": "ein", "value": "752438938"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 1216.4, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1530.0, "npi": [1760428262]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 116.37, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1625.0, "npi": [1114305281]}]}, {"allowed_amount": 198.09, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1625.0, "npi": [1447305917]}]}]}, {"tin": {"type": "ein", "value": "821391429"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 92.62, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 868.0, "npi": [1154665255, 1972703759]}]}, {"allowed_amount": 262.77, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 882.0, "npi": [1427166651, 1225035439]}]}]}, {"tin": {"type": "ein", "value": "934728840"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 175.83, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 22500.0, "npi": [1447556071]}]}, {"allowed_amount": 696.27, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 17500.0, "npi": [1770765901]}]}]}]}, {"name": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; not otherwise specified", "billing_code_type": "CPT", "billing_code": "00400", "billing_code_type_version": "2022", "description": "ANES PX INTEG SYS XTR ANT TRUNK & PERINEUM NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "270492434"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 210.81, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 781.2, "npi": [1598861908]}]}, {"allowed_amount": 329.16, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1562.4, "npi": [1598861908]}]}]}, {"tin": {"type": "ein", "value": "461743879"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1369.95, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2880.0, "npi": [1962604231]}]}]}, {"tin": {"type": "ein", "value": "471804903"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 67.7, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2916.0, "npi": [1033108907]}]}, {"allowed_amount": 353.41, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3035.0, "npi": [1568736114]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.94, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 678.23, "npi": [1497021604]}]}, {"allowed_amount": 494.35, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1427.16, "npi": [1154522308]}]}]}, {"tin": {"type": "ein", "value": "742661711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.22, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1650.0, "npi": [1639883713]}]}, {"allowed_amount": 938.5, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 1950.0, "npi": [1346203585]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.94, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 990.72, "npi": [1699424093]}]}, {"allowed_amount": 600.64, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 990.72, "npi": [1588907430]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 910.0, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 910.0, "npi": [1063474120]}]}, {"allowed_amount": 915.97, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 1690.0, "npi": [1811382450]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 105.41, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1950.0, "npi": [1780370049]}]}, {"allowed_amount": 109.1, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1950.0, "npi": [1134717283]}]}, {"allowed_amount": 113.18, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1275049256]}]}, {"allowed_amount": 115.86, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2275.0, "npi": [1023293032]}]}, {"allowed_amount": 140.54, "billing_code_modifier": ["QX", "QX,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1306868591, 1265152631]}]}, {"allowed_amount": 143.99, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1114594876]}]}, {"allowed_amount": 147.73, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1790672160, 1740165224]}]}, {"allowed_amount": 149.6, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1376354621]}]}, {"allowed_amount": 156.32, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1811986227]}]}, {"allowed_amount": 170.17, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1851288724]}]}, {"allowed_amount": 179.52, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1669035200]}]}, {"allowed_amount": 181.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3250.0, "npi": [1447844857]}]}, {"allowed_amount": 189.85, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1669459863]}]}, {"allowed_amount": 195.23, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1578071601]}]}, {"allowed_amount": 205.71, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1851540439]}]}, {"allowed_amount": 207.93, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2541.0, "npi": [1467826495]}]}, {"allowed_amount": 427.96, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1950.0, "npi": [1063415925]}]}, {"allowed_amount": 442.97, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1950.0, "npi": [1134102098]}]}, {"allowed_amount": 490.38, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1538621214]}]}, {"allowed_amount": 494.01, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2275.0, "npi": [1801877303]}]}, {"allowed_amount": 537.08, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2541.0, "npi": [1326124421]}]}, {"allowed_amount": 570.61, "billing_code_modifier": ["QK,P3", "QY"], "providers": [{"billed_charge": 2904.0, "npi": [1497738058, 1407419583]}]}, {"allowed_amount": 608.15, "billing_code_modifier": ["QX", "QY"], "providers": [{"billed_charge": 2925.0, "npi": [1710718267, 1063415925]}]}, {"allowed_amount": 621.93, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1982685616]}]}, {"allowed_amount": 629.9, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1982685616, 1659305803]}]}, {"allowed_amount": 637.87, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1831170588]}]}, {"allowed_amount": 666.53, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1740261239]}]}, {"allowed_amount": 725.58, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1285657015]}]}, {"allowed_amount": 735.79, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3250.0, "npi": [1437177508]}]}, {"allowed_amount": 765.45, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1033190780]}]}, {"allowed_amount": 810.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1578546305]}]}, {"allowed_amount": 825.88, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1950.0, "npi": [1134162712]}]}, {"allowed_amount": 855.91, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2178.0, "npi": [1376559013]}]}, {"allowed_amount": 877.07, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1366423816]}]}, {"allowed_amount": 883.92, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2275.0, "npi": [1104891142]}]}, {"allowed_amount": 956.38, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2275.0, "npi": [1689968901]}]}, {"allowed_amount": 1006.07, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1386627198]}]}, {"allowed_amount": 1066.14, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1790965507]}]}, {"allowed_amount": 1111.19, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1770511057]}]}, {"allowed_amount": 1159.25, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1043505704]}]}, {"allowed_amount": 1171.25, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1932763232]}]}, {"allowed_amount": 1201.28, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2600.0, "npi": [1407419583]}]}, {"allowed_amount": 1227.9, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1093125015]}]}, {"allowed_amount": 1231.31, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2925.0, "npi": [1063415925]}]}, {"allowed_amount": 1246.33, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3267.0, "npi": [1457914285]}]}, {"allowed_amount": 1291.38, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1477536209]}]}, {"allowed_amount": 1306.39, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3267.0, "npi": [1366707861]}]}, {"allowed_amount": 1436.24, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3630.0, "npi": [1881802932]}]}, {"allowed_amount": 1456.55, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1275951956]}]}, {"allowed_amount": 1597.45, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3575.0, "npi": [1881058162]}]}, {"allowed_amount": 1656.07, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 3900.0, "npi": [1194145540]}]}, {"allowed_amount": 1666.78, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 3900.0, "npi": [1609196088]}]}, {"allowed_amount": 1744.0, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 3900.0, "npi": [1346451507]}]}]}, {"tin": {"type": "ein", "value": "821391429"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 273.59, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2500.0, "npi": [1275879934]}]}]}, {"tin": {"type": "ein", "value": "831147073"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1028.83, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4950.0, "npi": [1770872657]}]}, {"allowed_amount": 1086.79, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4950.0, "npi": [1770872657]}]}, {"allowed_amount": 1318.64, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5850.0, "npi": [1770872657]}]}]}, {"tin": {"type": "ein", "value": "850709838"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 195.07, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1415.0, "npi": [1154719417]}]}, {"allowed_amount": 276.44, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3110.0, "npi": [1346106416]}]}, {"allowed_amount": 369.6, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1420.0, "npi": [1427147958]}]}, {"allowed_amount": 391.75, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2177.0, "npi": [1144864323]}]}]}, {"tin": {"type": "ein", "value": "854230695"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 314.37, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1125.0, "npi": [1477739548]}]}, {"allowed_amount": 630.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 630.0, "npi": [1780110122]}]}]}, {"tin": {"type": "ein", "value": "934728840"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 115.2, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 15000.0, "npi": [1053073817]}]}]}]}, {"name": "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified", "billing_code_type": "CPT", "billing_code": "00910", "billing_code_type_version": "2022", "description": "ANES TRANSURETHRAL W/URETHROCYSTOSCOPY NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "420698295"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 338.8, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 587.5, "npi": [1598757734]}]}]}, {"tin": {"type": "ein", "value": "471804903"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 749.02, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 6800.0, "npi": [1790055994]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 106.67, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 581.34, "npi": [1699746388]}]}, {"allowed_amount": 454.81, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1223.28, "npi": [1568485514]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "24", "22"], "payments": [{"allowed_amount": 94.78, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1952937823]}]}, {"allowed_amount": 208.04, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2904.0, "npi": [1033662945]}]}, {"allowed_amount": 473.4, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 9438.0, "npi": [1366074924]}]}, {"allowed_amount": 485.43, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1154565414]}]}, {"allowed_amount": 533.07, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2600.0, "npi": [1366707861, 1255904967]}]}, {"allowed_amount": 855.91, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2178.0, "npi": [1063769784]}]}, {"allowed_amount": 915.98, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1023197753]}]}, {"allowed_amount": 930.99, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1194381996]}]}, {"allowed_amount": 976.04, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1184085227]}]}, {"allowed_amount": 999.85, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1518596386]}]}, {"allowed_amount": 1066.14, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2600.0, "npi": [1477536209]}]}, {"allowed_amount": 1419.27, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1215217625]}]}, {"allowed_amount": 1471.57, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1457914285]}]}, {"allowed_amount": 1922.05, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 9438.0, "npi": [1578546305]}]}, {"allowed_amount": 3115.47, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7150.0, "npi": [1922154319]}]}]}, {"tin": {"type": "ein", "value": "800751621"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 949.63, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2970.7, "npi": [1538190442]}]}]}, {"tin": {"type": "ein", "value": "821391429"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1051.12, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1750.0, "npi": [1053804187]}]}]}, {"tin": {"type": "ein", "value": "933486415"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 100.44, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 7700.0, "npi": [1992333694]}]}]}, {"tin": {"type": "ein", "value": "933607244"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 514.42, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 7700.0, "npi": [1750483384]}]}]}]}, {"name": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulation and/or removal of ureteral calculus", "billing_code_type": "CPT", "billing_code": "00918", "billing_code_type_version": "2022", "description": "ANES TRURL PX FRAGMNTJ MNPJ&/RMVL URTRL CALCULUS", "allowed_amounts": [{"tin": {"type": "ein", "value": "461743879"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 429.56, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3520.0, "npi": [1316360647]}]}, {"allowed_amount": 825.09, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3520.0, "npi": [1033732623]}]}]}, {"tin": {"type": "ein", "value": "471804903"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 347.65, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 8500.0, "npi": [1326196015]}]}, {"allowed_amount": 351.35, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 8500.0, "npi": [1396492765]}]}]}, {"tin": {"type": "ein", "value": "593542796"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1330.78, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2700.0, "npi": [1437252798]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "24", "22"], "payments": [{"allowed_amount": 126.31, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4225.0, "npi": [1225226913]}]}, {"allowed_amount": 137.23, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3250.0, "npi": [1629068176]}]}, {"allowed_amount": 138.22, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3630.0, "npi": [1336588797]}]}, {"allowed_amount": 143.92, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3575.0, "npi": [1669248860]}]}, {"allowed_amount": 164.56, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3267.0, "npi": [1679339691]}]}, {"allowed_amount": 177.52, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3250.0, "npi": [1073233326]}]}, {"allowed_amount": 183.07, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3630.0, "npi": [1780370049]}]}, {"allowed_amount": 206.9, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3250.0, "npi": [1760883003]}]}, {"allowed_amount": 207.11, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3900.0, "npi": [1396476776]}]}, {"allowed_amount": 215.99, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3250.0, "npi": [1386927184]}]}, {"allowed_amount": 223.52, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2904.0, "npi": [1629068176]}]}, {"allowed_amount": 258.97, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 6897.0, "npi": [1184303067]}]}, {"allowed_amount": 352.19, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3250.0, "npi": [1336288380]}]}, {"allowed_amount": 367.67, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3250.0, "npi": [1548593197]}]}, {"allowed_amount": 392.13, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3630.0, "npi": [1467689687]}]}, {"allowed_amount": 408.3, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3575.0, "npi": [1629334321]}]}, {"allowed_amount": 623.17, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 3267.0, "npi": [1962124875, 1861404501]}]}, {"allowed_amount": 701.66, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3267.0, "npi": [1548241961]}]}, {"allowed_amount": 702.79, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3250.0, "npi": [1093792467]}]}, {"allowed_amount": 704.38, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1093275703]}]}, {"allowed_amount": 720.77, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3250.0, "npi": [1407419583]}]}, {"allowed_amount": 729.25, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4225.0, "npi": [1073344784]}]}, {"allowed_amount": 743.29, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3630.0, "npi": [1962485953]}]}, {"allowed_amount": 840.9, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3900.0, "npi": [1457914285]}]}, {"allowed_amount": 938.5, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 4225.0, "npi": [1063415925]}]}, {"allowed_amount": 1202.72, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2925.0, "npi": [1518596386]}]}, {"allowed_amount": 1326.32, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 6897.0, "npi": [1720038250]}]}, {"allowed_amount": 1336.43, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1407419583]}]}, {"allowed_amount": 1546.65, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3993.0, "npi": [1669748612]}]}, {"allowed_amount": 2102.24, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4550.0, "npi": [1134162712]}]}]}, {"tin": {"type": "ein", "value": "850709838"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 222.99, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2488.0, "npi": [1215200332]}]}, {"allowed_amount": 286.28, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3110.0, "npi": [1700858511]}]}, {"allowed_amount": 576.0, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2496.0, "npi": [1760846562]}]}, {"allowed_amount": 739.46, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3120.0, "npi": [1336111715]}]}]}, {"tin": {"type": "ein", "value": "854230695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1260.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1260.0, "npi": [1629503115]}]}]}]}, {"name": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; endoscopic retrograde cholangiopancreatography (ERCP)", "billing_code_type": "CPT", "billing_code": "00732", "billing_code_type_version": "2022", "description": "ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP", "allowed_amounts": [{"tin": {"type": "ein", "value": "260507982"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 118.27, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1030.0, "npi": [1003358417]}]}, {"allowed_amount": 335.53, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 1030.0, "npi": [1831535996]}]}, {"allowed_amount": 751.92, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2060.0, "npi": [1104185404]}]}, {"allowed_amount": 840.85, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2280.0, "npi": [1841465762]}]}]}, {"tin": {"type": "ein", "value": "461743879"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1447.79, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3200.0, "npi": [1033732623]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 351.57, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2038.8, "npi": [1508639261]}]}, {"allowed_amount": 826.5, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1834.92, "npi": [1558780536]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 369.84, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1238.4, "npi": [1356784581]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 170.13, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3630.0, "npi": [1831758770]}]}, {"allowed_amount": 244.61, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1730927211]}]}, {"allowed_amount": 298.33, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3250.0, "npi": [1669823167]}]}, {"allowed_amount": 416.38, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1437209954]}]}, {"allowed_amount": 690.74, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3630.0, "npi": [1740465640]}]}, {"allowed_amount": 770.6, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 3250.0, "npi": [1073538526]}]}, {"allowed_amount": 1186.27, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2600.0, "npi": [1457914285]}]}, {"allowed_amount": 1231.31, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1295717924]}]}, {"allowed_amount": 1261.35, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 3267.0, "npi": [1295717924, 1386627198]}]}, {"allowed_amount": 1336.43, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1154555647]}]}, {"allowed_amount": 1366.46, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1043296635]}]}, {"allowed_amount": 1396.49, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1295770741]}]}, {"allowed_amount": 1411.51, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3630.0, "npi": [1093799066]}]}, {"allowed_amount": 1471.57, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1215986658]}]}]}, {"tin": {"type": "ein", "value": "832592426"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 1318.99, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4500.0, "npi": [1104065796]}]}, {"allowed_amount": 1656.07, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 6000.0, "npi": [1649206657]}]}]}, {"tin": {"type": "ein", "value": "850709838"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 244.09, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2799.0, "npi": [1689838799]}]}, {"allowed_amount": 630.49, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2808.0, "npi": [1386901312]}]}]}]}, {"name": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified", "billing_code_type": "CPT", "billing_code": "00731", "billing_code_type_version": "2022", "description": "ANESTHESIA UPPER GI ENDOSCOPIC PX NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "260507982"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 101.17, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 710.0, "npi": [1316677586]}]}, {"allowed_amount": 287.02, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 710.0, "npi": [1871170662]}]}]}, {"tin": {"type": "ein", "value": "421008717"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 699.23, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2080.0, "npi": [1467027557]}]}]}, {"tin": {"type": "ein", "value": "461743879"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 192.86, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2240.0, "npi": [1992126874]}]}, {"allowed_amount": 498.17, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2240.0, "npi": [1609019892]}]}]}, {"tin": {"type": "ein", "value": "471804903"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 75.79, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2916.0, "npi": [1194370486]}]}, {"allowed_amount": 233.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5950.0, "npi": [1659094357]}]}, {"allowed_amount": 395.61, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3885.0, "npi": [1811244270]}]}, {"allowed_amount": 770.12, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6800.0, "npi": [1811244270]}]}, {"allowed_amount": 1186.27, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 6800.0, "npi": [1104116169]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["21", "24"], "payments": [{"allowed_amount": 70.9, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 678.23, "npi": [1366743320]}]}, {"allowed_amount": 114.07, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 678.23, "npi": [1730149337]}]}, {"allowed_amount": 149.6, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 775.12, "npi": [1831698299]}]}, {"allowed_amount": 486.38, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1427.16, "npi": [1568968618]}]}, {"allowed_amount": 550.16, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1427.16, "npi": [1164083481]}]}, {"allowed_amount": 637.87, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1631.04, "npi": [1558321539]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 26.27, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 990.72, "npi": [1730818618]}]}, {"allowed_amount": 225.6, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 743.04, "npi": [1518902717]}]}, {"allowed_amount": 255.19, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 866.88, "npi": [1699424093]}]}, {"allowed_amount": 281.08, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 990.72, "npi": [1295104651]}]}, {"allowed_amount": 299.57, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 990.72, "npi": [1003112673]}]}, {"allowed_amount": 306.97, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1114.56, "npi": [1780225805]}]}, {"allowed_amount": 340.26, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1114.56, "npi": [1720844772]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 608.2, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1170.0, "npi": [1285846535]}]}, {"allowed_amount": 652.17, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1170.0, "npi": [1710949599]}]}, {"allowed_amount": 813.38, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 1560.0, "npi": [1063469757]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.76, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 532.73, "npi": [1003497512]}]}, {"allowed_amount": 127.34, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 573.41, "npi": [1457169658]}]}, {"allowed_amount": 158.82, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 654.77, "npi": [1558606038]}]}]}, {"tin": {"type": "ein", "value": "760462852"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 472.17, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1855.0, "npi": [1235128042]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "24", "22"], "payments": [{"allowed_amount": 28.21, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 3267.0, "npi": [1881802932]}]}, {"allowed_amount": 73.77, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1366880346]}]}, {"allowed_amount": 79.8, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2178.0, "npi": [1548405939]}]}, {"allowed_amount": 84.07, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2178.0, "npi": [1750008777]}]}, {"allowed_amount": 87.28, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2541.0, "npi": [1902634926]}]}, {"allowed_amount": 93.0, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2541.0, "npi": [1649887233]}]}, {"allowed_amount": 100.03, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1992278766]}]}, {"allowed_amount": 100.16, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1487255774]}]}, {"allowed_amount": 107.77, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1649093196]}]}, {"allowed_amount": 109.13, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 2600.0, "npi": [1538602057]}]}, {"allowed_amount": 109.72, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1578574752]}]}, {"allowed_amount": 113.03, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1417494261]}]}, {"allowed_amount": 124.48, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1649781667]}]}, {"allowed_amount": 132.98, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 3250.0, "npi": [1235302647]}]}, {"allowed_amount": 138.69, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1417836453]}]}, {"allowed_amount": 140.12, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 1950.0, "npi": [1801996038]}]}, {"allowed_amount": 142.39, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1447844857]}]}, {"allowed_amount": 145.29, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1447036488]}]}, {"allowed_amount": 153.1, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1649781667]}]}, {"allowed_amount": 156.88, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1659058105, 1831580679]}]}, {"allowed_amount": 161.43, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1720464050]}]}, {"allowed_amount": 165.97, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2904.0, "npi": [1700922275]}]}, {"allowed_amount": 166.93, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1950.0, "npi": [1740459262]}]}, {"allowed_amount": 170.52, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1588403802]}, {"billed_charge": 2904.0, "npi": [1245862226]}]}, {"allowed_amount": 171.98, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 3250.0, "npi": [1265152631]}]}, {"allowed_amount": 173.13, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4719.0, "npi": [1619741303]}]}, {"allowed_amount": 186.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2541.0, "npi": [1124485511]}]}, {"allowed_amount": 194.59, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2541.0, "npi": [1811353493]}]}, {"allowed_amount": 208.9, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1356115059]}]}, {"allowed_amount": 213.72, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3630.0, "npi": [1720464050]}]}, {"allowed_amount": 222.99, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1104938661]}]}, {"allowed_amount": 226.38, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2178.0, "npi": [1588700041]}]}, {"allowed_amount": 234.84, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1952937823]}]}, {"allowed_amount": 238.51, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1950.0, "npi": [1982705703]}, {"billed_charge": 2178.0, "npi": [1962666180]}]}, {"allowed_amount": 267.04, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1093275703, 1376619759]}]}, {"allowed_amount": 274.79, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1447305917]}]}, {"allowed_amount": 282.53, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2904.0, "npi": [1437209954]}]}, {"allowed_amount": 283.78, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1679651848]}]}, {"allowed_amount": 290.27, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1437209954]}]}, {"allowed_amount": 305.75, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1134239551]}]}, {"allowed_amount": 309.62, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 2600.0, "npi": [1962722264]}]}, {"allowed_amount": 311.28, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1295817740]}]}, {"allowed_amount": 357.7, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 4225.0, "npi": [1346956307]}]}, {"allowed_amount": 363.8, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3630.0, "npi": [1548593197]}]}, {"allowed_amount": 415.85, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2275.0, "npi": [1811956170]}]}, {"allowed_amount": 425.72, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1619063336]}]}, {"allowed_amount": 446.99, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 2541.0, "npi": [1124265293]}]}, {"allowed_amount": 470.09, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1750277182]}]}, {"allowed_amount": 476.3, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2541.0, "npi": [1952351132]}]}, {"allowed_amount": 548.09, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1063415925]}]}, {"allowed_amount": 549.57, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1275795452]}]}, {"allowed_amount": 563.1, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1043296635]}]}, {"allowed_amount": 576.0, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1497732697]}]}, {"allowed_amount": 578.12, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1437177508]}]}, {"allowed_amount": 578.89, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2904.0, "npi": [1720038250]}]}, {"allowed_amount": 611.49, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 2904.0, "npi": [1063630903]}]}, {"allowed_amount": 619.48, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1568443265]}]}, {"allowed_amount": 681.06, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 3250.0, "npi": [1972654861]}]}, {"allowed_amount": 698.25, "billing_code_modifier": ["QK,P4"], "providers": [{"billed_charge": 3250.0, "npi": [1124312517]}]}, {"allowed_amount": 732.77, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1174789846]}]}, {"allowed_amount": 840.45, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2178.0, "npi": [1497700348]}]}, {"allowed_amount": 900.96, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2178.0, "npi": [1386627198]}]}, {"allowed_amount": 915.98, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2275.0, "npi": [1255727970]}]}, {"allowed_amount": 930.99, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2541.0, "npi": [1386627198]}]}, {"allowed_amount": 949.63, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2275.0, "npi": [1437442068]}]}, {"allowed_amount": 961.03, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2541.0, "npi": [1043296635]}]}, {"allowed_amount": 976.04, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1295717924]}]}, {"allowed_amount": 981.92, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1063673721]}]}, {"allowed_amount": 991.06, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2541.0, "npi": [1992196026]}]}, {"allowed_amount": 1006.07, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1295717924]}, {"billed_charge": 2541.0, "npi": [1699758201]}]}, {"allowed_amount": 1036.11, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1134102098, 1285714949]}, {"billed_charge": 2541.0, "npi": [1699758201]}]}, {"allowed_amount": 1051.12, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2275.0, "npi": [1134102098, 1437441607]}]}, {"allowed_amount": 1066.14, "billing_code_modifier": ["AA,P3", "AA"], "providers": [{"billed_charge": 2600.0, "npi": [1255727970, 1295717924]}]}, {"allowed_amount": 1081.15, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1417930025]}, {"billed_charge": 2904.0, "npi": [1811979552]}]}, {"allowed_amount": 1105.3, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2904.0, "npi": [1730129966]}]}, {"allowed_amount": 1111.19, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1942866348, 1740263078]}]}, {"allowed_amount": 1126.2, "billing_code_modifier": ["AA,P4", "AA,P3", "AA"], "providers": [{"billed_charge": 2600.0, "npi": [1295717924]}, {"billed_charge": 2904.0, "npi": [1295770741, 1386627198]}]}, {"allowed_amount": 1136.44, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1437442068]}]}, {"allowed_amount": 1152.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2600.0, "npi": [1821315169]}]}, {"allowed_amount": 1156.23, "billing_code_modifier": ["AA,P4", "AA,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1770511057]}, {"billed_charge": 2904.0, "npi": [1508840588, 1194707844, 1295717924, 1588984140]}]}, {"allowed_amount": 1186.27, "billing_code_modifier": ["AA,P4", "AA,P3"], "providers": [{"billed_charge": 2600.0, "npi": [1316467434, 1295717924]}]}, {"allowed_amount": 1261.35, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 2925.0, "npi": [1588984140]}]}, {"allowed_amount": 1275.03, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 3575.0, "npi": [1225533185]}]}, {"allowed_amount": 1362.96, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1558312975]}]}, {"allowed_amount": 1406.93, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1952351132]}]}, {"allowed_amount": 1480.2, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 4719.0, "npi": [1275556235]}]}, {"allowed_amount": 1696.81, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 4356.0, "npi": [1477536209]}]}]}, {"tin": {"type": "ein", "value": "800751621"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 56.59, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2727.2, "npi": [1215180609]}]}, {"allowed_amount": 59.62, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2873.3, "npi": [1215180609]}]}, {"allowed_amount": 63.66, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3068.1, "npi": [1780550608]}]}, {"allowed_amount": 65.68, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3165.5, "npi": [1609351907]}]}, {"allowed_amount": 295.39, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2727.2, "npi": [1629338439]}]}, {"allowed_amount": 311.21, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2873.3, "npi": [1629338439]}]}, {"allowed_amount": 332.31, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3068.1, "npi": [1841677044]}]}, {"allowed_amount": 342.86, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3165.5, "npi": [1720195217]}]}]}, {"tin": {"type": "ein", "value": "812397142"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 1014.34, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2625.0, "npi": [1467740761]}]}]}, {"tin": {"type": "ein", "value": "821391429"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1276.36, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 2250.0, "npi": [1750350153]}]}]}, {"tin": {"type": "ein", "value": "822558721"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 214.51, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1760460281]}]}, {"allowed_amount": 218.21, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1760460281]}]}, {"allowed_amount": 225.6, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1740294826]}]}, {"allowed_amount": 236.7, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1477524049]}]}, {"allowed_amount": 240.4, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1477524049]}]}, {"allowed_amount": 247.79, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1760460281]}]}, {"allowed_amount": 255.19, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2450.0, "npi": [1760460281]}]}, {"allowed_amount": 262.59, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2800.0, "npi": [1477524049]}]}, {"allowed_amount": 266.29, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2800.0, "npi": [1477524049]}]}, {"allowed_amount": 277.38, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2800.0, "npi": [1760460281]}]}, {"allowed_amount": 281.08, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2800.0, "npi": [1477524049]}]}]}, {"tin": {"type": "ein", "value": "823273056"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 470.09, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2840.0, "npi": [1568413292]}]}, {"allowed_amount": 620.77, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3905.0, "npi": [1033390802]}]}]}, {"tin": {"type": "ein", "value": "832348658"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 107.11, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1494.0, "npi": [1154896991]}]}, {"allowed_amount": 123.28, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1743.0, "npi": [1861422172, 1497244974]}]}]}, {"tin": {"type": "ein", "value": "832592426"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1040.54, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4000.0, "npi": [1942214309]}]}]}, {"tin": {"type": "ein", "value": "833504379"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 225.6, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11200.0, "npi": [1063711828]}]}, {"allowed_amount": 244.1, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 12000.0, "npi": [1558931121]}]}, {"allowed_amount": 247.79, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 12000.0, "npi": [1760616718]}]}, {"allowed_amount": 255.19, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11200.0, "npi": [1760616718]}, {"billed_charge": 11760.0, "npi": [1558931121]}]}, {"allowed_amount": 258.89, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 12000.0, "npi": [1558931121]}]}]}, {"tin": {"type": "ein", "value": "842830378"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 165.29, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1922259910]}]}, {"allowed_amount": 176.69, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1346480134]}]}, {"allowed_amount": 185.24, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1013143601]}]}]}, {"tin": {"type": "ein", "value": "850709838"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 207.93, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2177.0, "npi": [1477163749]}]}, {"allowed_amount": 244.09, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2547.0, "npi": [1265275374]}]}, {"allowed_amount": 265.18, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 2799.0, "npi": [1184711533]}]}, {"allowed_amount": 532.22, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2547.0, "npi": [1346738176]}]}, {"allowed_amount": 537.08, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2184.0, "npi": [1336111715]}]}, {"allowed_amount": 630.49, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2556.0, "npi": [1386901312]}]}, {"allowed_amount": 684.98, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 2808.0, "npi": [1518426782]}]}]}, {"tin": {"type": "ein", "value": "850869895"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.81, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1155.0, "npi": [1720586670]}]}, {"allowed_amount": 87.91, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 1305.0, "npi": [1194342857]}]}, {"allowed_amount": 406.16, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1155.0, "npi": [1679566715]}]}, {"allowed_amount": 458.91, "billing_code_modifier": ["QY,P4"], "providers": [{"billed_charge": 1305.0, "npi": [1679566715]}]}]}, {"tin": {"type": "ein", "value": "854230695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 244.1, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 875.0, "npi": [1477739548]}]}, {"allowed_amount": 255.19, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 875.0, "npi": [1073318820]}]}, {"allowed_amount": 756.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 756.0, "npi": [1265000749]}]}]}, {"tin": {"type": "ein", "value": "934728840"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 125.3, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 17500.0, "npi": [1053558551]}]}]}, {"tin": {"type": "ein", "value": "994110036"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 600.0, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 600.0, "npi": [1912938580]}]}]}]}, {"name": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hysteroscopy and/or hysterosalpingography", "billing_code_type": "CPT", "billing_code": "00952", "billing_code_type_version": "2022", "description": "ANES VAG PX HYSTEROSCOPY&/HYSTEROSALPINGOGRAPHY", "allowed_amounts": [{"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 75.79, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2600.0, "npi": [1740039437]}]}, {"allowed_amount": 127.6, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2541.0, "npi": [1447844857]}]}, {"allowed_amount": 136.84, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2600.0, "npi": [1730709353]}]}, {"allowed_amount": 153.48, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2925.0, "npi": [1265152631]}]}, {"allowed_amount": 518.05, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2541.0, "npi": [1487636841]}]}, {"allowed_amount": 555.59, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2600.0, "npi": [1114048014]}]}, {"allowed_amount": 563.1, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2600.0, "npi": [1861404501]}]}, {"allowed_amount": 623.17, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2925.0, "npi": [1114048014]}]}, {"allowed_amount": 626.97, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3267.0, "npi": [1093275703]}]}, {"allowed_amount": 653.2, "billing_code_modifier": ["QK", "QX"], "providers": [{"billed_charge": 2925.0, "npi": [1700360294, 1114048014]}]}, {"allowed_amount": 1066.14, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2904.0, "npi": [1578546305]}]}, {"allowed_amount": 1157.78, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2600.0, "npi": [1144257700]}]}, {"allowed_amount": 1167.57, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2600.0, "npi": [1083691364]}]}, {"allowed_amount": 1173.74, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2925.0, "npi": [1174598114]}]}]}, {"tin": {"type": "ein", "value": "811415241"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1392.27, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4250.0, "npi": [1174500649]}]}]}, {"tin": {"type": "ein", "value": "850709838"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 126.82, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2799.0, "npi": [1891232070]}]}, {"allowed_amount": 359.79, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2556.0, "npi": [1669521894]}, {"billed_charge": 2808.0, "npi": [1649295601]}]}, {"allowed_amount": 452.61, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2547.0, "npi": [1871233163]}]}]}, {"tin": {"type": "ein", "value": "854230695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 343.95, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1250.0, "npi": [1730615733]}]}]}]}, {"name": "Anesthesia for; anorectal procedure", "billing_code_type": "CPT", "billing_code": "00902", "billing_code_type_version": "2022", "description": "ANESTHESIA ANORECTAL PROCEDURE", "allowed_amounts": [{"tin": {"type": "ein", "value": "203069260"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 353.41, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 968.0, "npi": [1811094147]}]}]}, {"tin": {"type": "ein", "value": "260507982"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 131.09, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 920.0, "npi": [1003358417]}]}, {"allowed_amount": 371.92, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 920.0, "npi": [1780173070]}]}]}, {"tin": {"type": "ein", "value": "471804903"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 314.37, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 7650.0, "npi": [1396492765]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["21", "24"], "payments": [{"allowed_amount": 143.99, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 775.12, "npi": [1467828152]}]}, {"allowed_amount": 613.95, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 1631.04, "npi": [1831158617]}]}, {"allowed_amount": 1084.38, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 1834.92, "npi": [1417584269]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1238.4, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1238.4, "npi": [1982126967]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 930.62, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 1690.0, "npi": [1427582428]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.71, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 831.05, "npi": [1992040877]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "24", "22"], "payments": [{"allowed_amount": 93.98, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 3250.0, "npi": [1366880346]}]}, {"allowed_amount": 162.73, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2925.0, "npi": [1134717283]}]}, {"allowed_amount": 163.87, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3900.0, "npi": [1316325004]}]}, {"allowed_amount": 175.68, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1548154958]}]}, {"allowed_amount": 181.22, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3630.0, "npi": [1629324819]}]}, {"allowed_amount": 189.52, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1447934997]}]}, {"allowed_amount": 202.34, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2904.0, "npi": [1144896580]}]}, {"allowed_amount": 231.15, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 4225.0, "npi": [1447844857]}]}, {"allowed_amount": 254.65, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3267.0, "npi": [1730428723]}]}, {"allowed_amount": 295.32, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1821075581]}]}, {"allowed_amount": 537.66, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1659420875]}]}, {"allowed_amount": 660.71, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 2925.0, "npi": [1497738058]}]}, {"allowed_amount": 698.25, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3250.0, "npi": [1861846362]}]}, {"allowed_amount": 713.26, "billing_code_modifier": ["QK,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1407419583]}]}, {"allowed_amount": 735.79, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3630.0, "npi": [1497738058]}]}, {"allowed_amount": 762.82, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1629033576]}]}, {"allowed_amount": 768.09, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 3900.0, "npi": [1609865419]}]}, {"allowed_amount": 938.5, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 4225.0, "npi": [1851746184]}]}, {"allowed_amount": 1276.36, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2925.0, "npi": [1184085227]}]}, {"allowed_amount": 1306.39, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3267.0, "npi": [1295717924]}]}, {"allowed_amount": 1603.47, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3993.0, "npi": [1326124421]}]}, {"allowed_amount": 2125.04, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4875.0, "npi": [1679034672]}]}]}, {"tin": {"type": "ein", "value": "812508547"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 208.04, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2320.0, "npi": [1427646579]}]}]}, {"tin": {"type": "ein", "value": "854230695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1134.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1134.0, "npi": [1609309525]}]}]}, {"tin": {"type": "ein", "value": "934728840"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 143.49, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 20000.0, "npi": [1558054106]}]}]}]}, {"name": "Antibody screen, RBC, each serum technique", "billing_code_type": "CPT", "billing_code": "86850", "billing_code_type_version": "2022", "description": "ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE", "allowed_amounts": [{"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 467.95, "providers": [{"billed_charge": 1337.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.98, "providers": [{"billed_charge": 454.22, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.1, "providers": [{"billed_charge": 218.0, "npi": [1821011248]}]}, {"allowed_amount": 302.58, "providers": [{"billed_charge": 218.0, "npi": [1821011248]}]}, {"allowed_amount": 895.8, "providers": [{"billed_charge": 218.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.01, "providers": [{"billed_charge": 17.3, "npi": [1235186800]}]}]}]}, {"name": "Antibody; Treponema pallidum", "billing_code_type": "CPT", "billing_code": "86780", "billing_code_type_version": "2022", "description": "ANTIBODY TREPONEMA PALLIDUM", "allowed_amounts": [{"tin": {"type": "ein", "value": "201494502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.65, "providers": [{"billed_charge": 360.0, "npi": [1275592131]}]}]}, {"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 21.45, "providers": [{"billed_charge": 50.0, "npi": [1912903717]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.38, "providers": [{"billed_charge": 66.0, "npi": [1780867390]}, {"billed_charge": 258.0, "npi": [1780867390]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 169.14, "providers": [{"billed_charge": 483.27, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.45, "providers": [{"billed_charge": 67.32, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.95, "providers": [{"billed_charge": 71.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.6, "providers": [{"billed_charge": 267.88, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.65, "providers": [{"billed_charge": 163.81, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.65, "providers": [{"billed_charge": 163.81, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 37.0, "providers": [{"billed_charge": 37.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.6, "providers": [{"billed_charge": 257.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756000905"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.12, "providers": [{"billed_charge": 11.12, "npi": [1427012152]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.6, "providers": [{"billed_charge": 232.0, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.65, "providers": [{"billed_charge": 227.0, "npi": [1932123247]}]}, {"allowed_amount": 20.66, "providers": [{"billed_charge": 227.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.86, "providers": [{"billed_charge": 23.45, "npi": [1235186800]}, {"billed_charge": 56.91, "npi": [1235186800]}]}, {"allowed_amount": 27.67, "providers": [{"billed_charge": 56.91, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.38, "providers": [{"billed_charge": 278.0, "npi": [1003539073]}]}]}]}, {"name": "Antibody; herpes simplex, type 1", "billing_code_type": "CPT", "billing_code": "86695", "billing_code_type_version": "2022", "description": "ANTIBODY HERPES SMPLX TYPE 1", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.23, "providers": [{"billed_charge": 75.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.54, "providers": [{"billed_charge": 715.82, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.82, "providers": [{"billed_charge": 55.29, "npi": [1235186800]}]}, {"allowed_amount": 27.57, "providers": [{"billed_charge": 55.29, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1841798667]}]}]}]}, {"name": "Antibody; herpes simplex, type 2", "billing_code_type": "CPT", "billing_code": "86696", "billing_code_type_version": "2022", "description": "ANTIBODY HERPES SMPLX TYPE 2", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.55, "providers": [{"billed_charge": 75.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 264.53, "providers": [{"billed_charge": 755.79, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.87, "providers": [{"billed_charge": 81.15, "npi": [1235186800]}]}, {"allowed_amount": 40.44, "providers": [{"billed_charge": 81.15, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1841798667]}]}]}]}, {"name": "Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous", "billing_code_type": "CPT", "billing_code": "36620", "billing_code_type_version": "2022", "description": "ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "203542589"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 59.6, "providers": [{"billed_charge": 313.0, "npi": [1780153718]}]}]}, {"tin": {"type": "ein", "value": "204790934"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.43, "providers": [{"billed_charge": 108.05, "npi": [1821016023]}]}]}, {"tin": {"type": "ein", "value": "271595277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.7, "providers": [{"billed_charge": 128.0, "npi": [1205009099]}]}, {"allowed_amount": 73.2, "providers": [{"billed_charge": 128.0, "npi": [1700018587]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.24, "providers": [{"billed_charge": 481.0, "npi": [1790134450]}]}]}, {"tin": {"type": "ein", "value": "461743879"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 309.52, "providers": [{"billed_charge": 960.0, "npi": [1164401642]}]}]}, {"tin": {"type": "ein", "value": "471804903"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 73.6, "providers": [{"billed_charge": 471.0, "npi": [1326196015]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 316.76, "providers": [{"billed_charge": 1347.87, "npi": [1558780536]}]}]}, {"tin": {"type": "ein", "value": "742661711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.39, "providers": [{"billed_charge": 300.0, "npi": [1639883713]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.6, "providers": [{"billed_charge": 259.32, "npi": [1093375305, 1912675315]}]}, {"allowed_amount": 259.32, "providers": [{"billed_charge": 259.32, "npi": [1548672074, 1013411941, 1821069170, 1982126967]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.85, "providers": [{"billed_charge": 480.0, "npi": [1497997977]}]}, {"allowed_amount": 81.26, "providers": [{"billed_charge": 480.0, "npi": [1003621681]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 595.8, "providers": [{"billed_charge": 1324.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.15, "providers": [{"billed_charge": 251.0, "npi": [1629245915]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.44, "providers": [{"billed_charge": 113.0, "npi": [1023033834]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 56.9, "providers": [{"billed_charge": 714.0, "npi": [1831906601, 1508287483]}]}, {"allowed_amount": 73.6, "providers": [{"billed_charge": 714.0, "npi": [1134717283]}]}, {"allowed_amount": 119.83, "providers": [{"billed_charge": 714.0, "npi": [1073020319]}]}, {"allowed_amount": 160.78, "providers": [{"billed_charge": 714.0, "npi": [1245468073, 1427340769, 1437152063, 1487807335]}]}, {"allowed_amount": 288.38, "providers": [{"billed_charge": 714.0, "npi": [1942576376, 1659891265, 1548462435, 1558342188]}]}, {"allowed_amount": 291.39, "providers": [{"billed_charge": 714.0, "npi": [1689106049, 1003083395, 1891742052, 1346240934, 1740430578, 1881058162, 1710054291, 1720039282, 1154374072]}]}, {"allowed_amount": 298.83, "providers": [{"billed_charge": 714.0, "npi": [1124135280, 1861846362, 1871112565, 1396372728]}]}, {"allowed_amount": 309.52, "providers": [{"billed_charge": 714.0, "npi": [1083691455, 1083934251, 1558628735]}]}]}, {"tin": {"type": "ein", "value": "760567380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.96, "providers": [{"billed_charge": 330.0, "npi": [1477577435]}]}]}, {"tin": {"type": "ein", "value": "832592426"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 288.38, "providers": [{"billed_charge": 1500.0, "npi": [1437592813]}]}]}, {"tin": {"type": "ein", "value": "833838272"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.86, "providers": [{"billed_charge": 370.0, "npi": [1790133049]}]}]}, {"tin": {"type": "ein", "value": "850709838"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.83, "providers": [{"billed_charge": 721.0, "npi": [1811949696, 1700858511]}]}]}, {"tin": {"type": "ein", "value": "863284696"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.45, "providers": [{"billed_charge": 198.0, "npi": [1083902506]}]}]}, {"tin": {"type": "ein", "value": "932683132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.2, "providers": [{"billed_charge": 364.0, "npi": [1144499344]}]}]}, {"tin": {"type": "ein", "value": "934328384"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.0, "providers": [{"billed_charge": 165.0, "npi": [1710340617, 1518371954, 1407234339, 1396890828]}]}]}]}, {"name": "Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of newborn", "billing_code_type": "CPT", "billing_code": "99464", "billing_code_type_version": "2022", "description": "ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN", "allowed_amounts": [{"tin": {"type": "ein", "value": "332672530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 116.72, "providers": [{"billed_charge": 416.0, "npi": [1689083057]}]}, {"allowed_amount": 157.73, "providers": [{"billed_charge": 416.0, "npi": [1982908430]}]}]}, {"tin": {"type": "ein", "value": "650578395"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 52.99, "providers": [{"billed_charge": 648.0, "npi": [1942312137, 1972050540, 1255682605]}]}, {"allowed_amount": 84.78, "providers": [{"billed_charge": 648.0, "npi": [1407043383]}]}, {"allowed_amount": 96.97, "providers": [{"billed_charge": 648.0, "npi": [1346815693]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.66, "providers": [{"billed_charge": 393.9, "npi": [1396544656]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.78, "providers": [{"billed_charge": 648.0, "npi": [1366685943]}]}, {"allowed_amount": 88.42, "providers": [{"billed_charge": 648.0, "npi": [1205886322]}]}, {"allowed_amount": 89.15, "providers": [{"billed_charge": 648.0, "npi": [1578587531]}]}, {"allowed_amount": 94.09, "providers": [{"billed_charge": 648.0, "npi": [1093281164]}]}, {"allowed_amount": 96.97, "providers": [{"billed_charge": 648.0, "npi": [1952536096, 1134897861, 1043238322, 1861872087, 1114694171]}]}, {"allowed_amount": 113.46, "providers": [{"billed_charge": 648.0, "npi": [1700226859]}]}, {"allowed_amount": 144.66, "providers": [{"billed_charge": 648.0, "npi": [1013313063]}]}]}]}, {"name": "Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis", "billing_code_type": "CPT", "billing_code": "92650", "billing_code_type_version": "2022", "description": "AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS", "allowed_amounts": [{"tin": {"type": "ein", "value": "472706830"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 32.59, "providers": [{"billed_charge": 378.0, "npi": [1386925741]}]}, {"allowed_amount": 37.62, "providers": [{"billed_charge": 378.0, "npi": [1932512332]}]}, {"allowed_amount": 39.09, "providers": [{"billed_charge": 378.0, "npi": [1932512332]}]}, {"allowed_amount": 39.29, "providers": [{"billed_charge": 378.0, "npi": [1386925741]}]}]}, {"tin": {"type": "ein", "value": "650578395"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.51, "providers": [{"billed_charge": 326.0, "npi": [1568624138]}]}, {"allowed_amount": 29.88, "providers": [{"billed_charge": 326.0, "npi": [1780642041, 1770548190]}]}, {"allowed_amount": 33.44, "providers": [{"billed_charge": 326.0, "npi": [1982047726]}]}, {"allowed_amount": 37.87, "providers": [{"billed_charge": 326.0, "npi": [1003925827]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 28.1, "providers": [{"billed_charge": 326.0, "npi": [1194916072]}]}, {"allowed_amount": 29.26, "providers": [{"billed_charge": 326.0, "npi": [1750481792, 1790985984, 1912117730, 1427001890]}]}, {"allowed_amount": 33.44, "providers": [{"billed_charge": 326.0, "npi": [1194916072, 1831397231, 1942263926, 1750339503]}]}, {"allowed_amount": 35.16, "providers": [{"billed_charge": 326.0, "npi": [1174547608]}]}, {"allowed_amount": 35.95, "providers": [{"billed_charge": 326.0, "npi": [1366404196]}]}, {"allowed_amount": 37.57, "providers": [{"billed_charge": 326.0, "npi": [1174547608]}]}, {"allowed_amount": 130.46, "providers": [{"billed_charge": 326.0, "npi": [1750481792]}]}]}]}, {"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": "232825878"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 393.18, "providers": [{"billed_charge": 1224.0, "npi": [1962579029]}]}]}, {"tin": {"type": "ein", "value": "560585243"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.38, "providers": [{"billed_charge": 212.42, "npi": [1043218944]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 615.3, "providers": [{"billed_charge": 1758.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 570.39, "providers": [{"billed_charge": 1629.7, "npi": [1124074273]}]}, {"allowed_amount": 570.4, "providers": [{"billed_charge": 1629.7, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.7, "providers": [{"billed_charge": 166.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 16.0, "providers": [{"billed_charge": 16.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.94, "providers": [{"billed_charge": 28.92, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "823021953"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.94, "providers": [{"billed_charge": 25.38, "npi": [1447760814]}]}]}, {"tin": {"type": "ein", "value": "841229620"}, "billing_class": "professional", "service_codes": ["32"], "payments": [{"allowed_amount": 12.94, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 21.15, "npi": [1780867390]}]}]}]}, {"name": "Beta 2 Glycoprotein I antibody, each", "billing_code_type": "CPT", "billing_code": "86146", "billing_code_type_version": "2022", "description": "BETA 2 GLYCOPROTEIN I ANTIBODY EACH", "allowed_amounts": [{"tin": {"type": "ein", "value": "200434866"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 41.23, "providers": [{"billed_charge": 136.16, "npi": [1245494517]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 35.63, "providers": [{"billed_charge": 63.63, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.35, "providers": [{"billed_charge": 183.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.0, "providers": [{"billed_charge": 71.0, "npi": [1538140439]}]}]}]}, {"name": "Bilirubin; direct", "billing_code_type": "CPT", "billing_code": "82248", "billing_code_type_version": "2022", "description": "BILIRUBIN DIRECT", "allowed_amounts": [{"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 271.95, "providers": [{"billed_charge": 777.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.31, "providers": [{"billed_charge": 218.02, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.1, "providers": [{"billed_charge": 118.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.0, "providers": [{"billed_charge": 14.0, "npi": [1538140439]}]}]}]}, {"name": "Blood count; blood smear, microscopic examination with manual differential WBC count", "billing_code_type": "CPT", "billing_code": "85007", "billing_code_type_version": "2022", "description": "BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT", "allowed_amounts": [{"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.54, "providers": [{"billed_charge": 68.36, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.56, "providers": [{"billed_charge": 261.61, "npi": [1124074273, 1376071530]}]}]}, {"tin": {"type": "ein", "value": "752848392"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 5.21, "providers": [{"billed_charge": 22.0, "npi": [1326303470]}]}]}]}, {"name": "Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)", "billing_code_type": "CPT", "billing_code": "85027", "billing_code_type_version": "2022", "description": "BLOOD COUNT COMPLETE AUTOMATED", "allowed_amounts": [{"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.1, "providers": [{"billed_charge": 106.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "300491632"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 9.06, "providers": [{"billed_charge": 30.0, "npi": [1932665734]}]}]}, {"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 81.09, "providers": [{"billed_charge": 155.95, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 277.9, "providers": [{"billed_charge": 794.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.07, "providers": [{"billed_charge": 408.79, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 143.08, "providers": [{"billed_charge": 408.79, "npi": [1124074273, 1376071530, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742938437"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 11.78, "providers": [{"billed_charge": 13.0, "npi": [1437655164]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.2, "providers": [{"billed_charge": 56.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "752848392"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 8.86, "providers": [{"billed_charge": 34.0, "npi": [1326303470]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.31, "providers": [{"billed_charge": 27.12, "npi": [1235186800]}]}, {"allowed_amount": 13.52, "providers": [{"billed_charge": 27.0, "npi": [1235186800]}, {"billed_charge": 27.12, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "823021953"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.31, "providers": [{"billed_charge": 19.41, "npi": [1447760814]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 336.6, "providers": [{"billed_charge": 961.72, "npi": [1659327013]}]}]}, {"tin": {"type": "ein", "value": "952321136"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.08, "providers": [{"billed_charge": 1468.79, "npi": [1306890389]}]}]}]}, {"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": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.44, "providers": [{"billed_charge": 31.08, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.12, "providers": [{"billed_charge": 6.37, "npi": [1740262880]}]}]}, {"tin": {"type": "ein", "value": "270492434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.72, "providers": [{"billed_charge": 81.58, "npi": [1427048453]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 130.93, "providers": [{"billed_charge": 167.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 260.0, "providers": [{"billed_charge": 520.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472166397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 825.95, "providers": [{"billed_charge": 450.0, "npi": [1093191397]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 260.0, "providers": [{"billed_charge": 520.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.59, "providers": [{"billed_charge": 30.0, "npi": [1912903717]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.01, "providers": [{"billed_charge": 174.75, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.7, "providers": [{"billed_charge": 102.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "741603120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 148.47, "providers": [{"billed_charge": 180.31, "npi": [1740288505]}]}]}, {"tin": {"type": "ein", "value": "742425482"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.48, "providers": [{"billed_charge": 235.52, "npi": [1992285282]}]}]}, {"tin": {"type": "ein", "value": "742638006"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.7, "providers": [{"billed_charge": 706.0, "npi": [1841844735]}]}]}, {"tin": {"type": "ein", "value": "742840487"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 17.48, "providers": [{"billed_charge": 37.0, "npi": [1649229733]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.75, "providers": [{"billed_charge": 95.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751188675"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 129.0, "providers": [{"billed_charge": 129.0, "npi": [1396748471]}]}]}, {"tin": {"type": "ein", "value": "752301801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.0, "providers": [{"billed_charge": 108.0, "npi": [1831170273]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 22.0, "providers": [{"billed_charge": 22.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.12, "providers": [{"billed_charge": 262.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.37, "providers": [{"billed_charge": 12.0, "npi": [1104839380]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 8.55, "providers": [{"billed_charge": 31.0, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.37, "providers": [{"billed_charge": 13.76, "npi": [1235186800]}, {"billed_charge": 15.54, "npi": [1235186800]}]}, {"allowed_amount": 15.54, "providers": [{"billed_charge": 15.54, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "813334196"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2085.91, "providers": [{"billed_charge": 1010.0, "npi": [1013499383]}]}, {"allowed_amount": 2156.64, "providers": [{"billed_charge": 1010.0, "npi": [1013499383]}]}]}, {"tin": {"type": "ein", "value": "813562144"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1353.72, "providers": [{"billed_charge": 1010.0, "npi": [1639663370]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.37, "providers": [{"billed_charge": 19.43, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.37, "providers": [{"billed_charge": 10.0, "npi": [1487429874]}]}, {"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "823021953"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.37, "providers": [{"billed_charge": 23.31, "npi": [1447760814]}]}]}, {"tin": {"type": "ein", "value": "824681345"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 10.1, "providers": [{"billed_charge": 29.0, "npi": [1730164591]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.98, "providers": [{"billed_charge": 35.0, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.37, "providers": [{"billed_charge": 11.66, "npi": [1457977209]}, {"billed_charge": 19.43, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 921.56, "providers": [{"billed_charge": 309.38, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "851929979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 851.07, "providers": [{"billed_charge": 345.22, "npi": [1851180400]}]}]}, {"tin": {"type": "ein", "value": "851984103"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1061.51, "providers": [{"billed_charge": 285.93, "npi": [1376151365]}]}]}, {"tin": {"type": "ein", "value": "854234950"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1801399019]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.37, "providers": [{"billed_charge": 7.77, "npi": [1821749896]}, {"billed_charge": 15.54, "npi": [1821749896]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.59, "providers": [{"billed_charge": 27.0, "npi": [1770545519]}]}]}, {"tin": {"type": "ein", "value": "882459039"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.09, "providers": [{"billed_charge": 277.0, "npi": [1346289576]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.13, "providers": [{"billed_charge": 62.13, "npi": [1073200309]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 213.0, "providers": [{"billed_charge": 213.0, "npi": [1518012301]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.59, "providers": [{"billed_charge": 94.0, "npi": [1982606992]}]}]}, {"tin": {"type": "ein", "value": "952226406"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.0, "providers": [{"billed_charge": 80.0, "npi": [1689608150]}]}]}, {"tin": {"type": "ein", "value": "995104341"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 743.43, "providers": [{"billed_charge": 450.0, "npi": [1609697242]}]}]}]}, {"name": "Blood count; hematocrit (Hct)", "billing_code_type": "CPT", "billing_code": "85014", "billing_code_type_version": "2022", "description": "BLOOD COUNT HEMATOCRIT", "allowed_amounts": [{"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.4, "providers": [{"billed_charge": 604.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.48, "providers": [{"billed_charge": 227.09, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.35, "providers": [{"billed_charge": 63.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 7.0, "providers": [{"billed_charge": 7.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.84, "providers": [{"billed_charge": 29.0, "npi": [1982606992]}]}]}]}, {"name": "Blood count; hemoglobin (Hgb)", "billing_code_type": "CPT", "billing_code": "85018", "billing_code_type_version": "2022", "description": "BLOOD COUNT HEMOGLOBIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.52, "providers": [{"billed_charge": 54.97, "npi": [1679591101]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.75, "providers": [{"billed_charge": 53.18, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 176.75, "providers": [{"billed_charge": 505.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.48, "providers": [{"billed_charge": 227.09, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.1, "providers": [{"billed_charge": 38.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 7.0, "providers": [{"billed_charge": 7.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.84, "providers": [{"billed_charge": 29.0, "npi": [1982606992]}]}]}]}, {"name": "Blood smear, peripheral, interpretation by physician with written report", "billing_code_type": "CPT", "billing_code": "85060", "billing_code_type_version": "2022", "description": "BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT", "allowed_amounts": [{"tin": {"type": "ein", "value": "371925902"}, "billing_class": "professional", "service_codes": ["21", "22", "11"], "payments": [{"allowed_amount": 20.97, "providers": [{"billed_charge": 125.0, "npi": [1649767211, 1497963862, 1306293543]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.89, "providers": [{"billed_charge": 83.0, "npi": [1003245317]}]}]}, {"tin": {"type": "ein", "value": "741209207"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 25.55, "providers": [{"billed_charge": 72.0, "npi": [1275767626]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.31, "providers": [{"billed_charge": 65.0, "npi": [1558592634]}]}]}, {"tin": {"type": "ein", "value": "741619182"}, "billing_class": "professional", "service_codes": ["21", "22", "11", "23"], "payments": [{"allowed_amount": 25.37, "providers": [{"billed_charge": 62.7, "npi": [1952564288, 1730398181, 1215193701, 1578881413, 1104020775, 1790984359, 1386716967, 1457607566, 1639350036, 1104817022]}]}, {"allowed_amount": 41.09, "providers": [{"billed_charge": 62.7, "npi": [1215193701, 1255424974]}]}]}, {"tin": {"type": "ein", "value": "741720245"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 23.26, "providers": [{"billed_charge": 100.0, "npi": [1629455886]}]}, {"allowed_amount": 25.81, "providers": [{"billed_charge": 100.0, "npi": [1780882381]}]}]}, {"tin": {"type": "ein", "value": "742922218"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.37, "providers": [{"billed_charge": 85.0, "npi": [1326669342]}]}]}, {"tin": {"type": "ein", "value": "742934350"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.21, "providers": [{"billed_charge": 59.0, "npi": [1356559934]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 20.67, "providers": [{"billed_charge": 166.0, "npi": [1780049627, 1629386974]}]}, {"allowed_amount": 20.97, "providers": [{"billed_charge": 166.0, "npi": [1063831451, 1467642611]}]}]}, {"tin": {"type": "ein", "value": "751093698"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 20.97, "providers": [{"billed_charge": 65.0, "npi": [1336304468]}]}]}, {"tin": {"type": "ein", "value": "751788181"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 20.67, "providers": [{"billed_charge": 70.0, "npi": [1720304298]}]}, {"allowed_amount": 20.93, "providers": [{"billed_charge": 70.0, "npi": [1023237872, 1255461349]}]}, {"allowed_amount": 20.97, "providers": [{"billed_charge": 70.0, "npi": [1023376696, 1548292899, 1255461349]}]}, {"allowed_amount": 26.11, "providers": [{"billed_charge": 70.0, "npi": [1720010077]}]}]}, {"tin": {"type": "ein", "value": "760182525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.36, "providers": [{"billed_charge": 91.0, "npi": [1205812674, 1275021255]}]}]}]}, {"name": "Blood typing, serologic; ABO", "billing_code_type": "CPT", "billing_code": "86900", "billing_code_type_version": "2022", "description": "BLOOD TYPING SEROLOGIC ABO", "allowed_amounts": [{"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.1, "providers": [{"billed_charge": 546.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.92, "providers": [{"billed_charge": 319.76, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.2, "providers": [{"billed_charge": 316.0, "npi": [1821011248]}]}, {"allowed_amount": 618.76, "providers": [{"billed_charge": 316.0, "npi": [1821011248]}]}, {"allowed_amount": 1589.63, "providers": [{"billed_charge": 316.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 8.88, "providers": [{"billed_charge": 9.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.45, "providers": [{"billed_charge": 5.3, "npi": [1235186800]}]}, {"allowed_amount": 6.25, "providers": [{"billed_charge": 15.0, "npi": [1235186800]}]}]}]}, {"name": "Blood typing, serologic; Rh (D)", "billing_code_type": "CPT", "billing_code": "86901", "billing_code_type_version": "2022", "description": "BLOOD TYPING SEROLOGIC RH (D)", "allowed_amounts": [{"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.1, "providers": [{"billed_charge": 546.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.92, "providers": [{"billed_charge": 299.78, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.3, "providers": [{"billed_charge": 114.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 8.88, "providers": [{"billed_charge": 9.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.45, "providers": [{"billed_charge": 5.29, "npi": [1235186800]}]}, {"allowed_amount": 6.25, "providers": [{"billed_charge": 15.0, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.84, "providers": [{"billed_charge": 17.5, "npi": [1770545519]}]}]}]}, {"name": "Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations", "billing_code_type": "CPT", "billing_code": "82274", "billing_code_type_version": "2022", "description": "BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3", "allowed_amounts": [{"tin": {"type": "ein", "value": "263844242"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.05, "providers": [{"billed_charge": 39.8, "npi": [1346472859]}]}]}, {"tin": {"type": "ein", "value": "680541648"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 20.7, "providers": [{"billed_charge": 40.0, "npi": [1093598997]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.3, "providers": [{"billed_charge": 338.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742872207"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 15.92, "providers": [{"billed_charge": 77.0, "npi": [1154325603]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.95, "providers": [{"billed_charge": 91.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.84, "providers": [{"billed_charge": 200.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 33.27, "providers": [{"billed_charge": 66.66, "npi": [1235186800]}]}]}]}, {"name": "Bls routine disposable supplies", "billing_code_type": "CPT", "billing_code": "A0382", "billing_code_type_version": "2022", "description": "Bls routine disposable supplies", "allowed_amounts": [{"tin": {"type": "ein", "value": "200197342"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1548823263]}]}]}, {"tin": {"type": "ein", "value": "205479358"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1508260332]}]}]}, {"tin": {"type": "ein", "value": "208424689"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 105.63, "providers": [{"billed_charge": 125.0, "npi": [1952588329]}]}, {"allowed_amount": 121.55, "providers": [{"billed_charge": 125.0, "npi": [1952588329]}]}]}, {"tin": {"type": "ein", "value": "264304912"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 100.2, "providers": [{"billed_charge": 280.0, "npi": [1871724864]}]}]}, {"tin": {"type": "ein", "value": "300688582"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 98.31, "providers": [{"billed_charge": 182.0, "npi": [1750676870]}]}, {"allowed_amount": 114.24, "providers": [{"billed_charge": 182.0, "npi": [1750676870]}]}, {"allowed_amount": 182.0, "providers": [{"billed_charge": 182.0, "npi": [1750676870]}]}]}, {"tin": {"type": "ein", "value": "465332224"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 101.24, "providers": [{"billed_charge": 121.39, "npi": [1932652815]}]}]}, {"tin": {"type": "ein", "value": "741100555"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.63, "providers": [{"billed_charge": 375.0, "npi": [1477643690]}]}]}, {"tin": {"type": "ein", "value": "742060965"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 350.0, "providers": [{"billed_charge": 350.0, "npi": [1477577245]}]}]}, {"tin": {"type": "ein", "value": "743253181"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 100.2, "providers": [{"billed_charge": 300.0, "npi": [1588809255]}]}]}, {"tin": {"type": "ein", "value": "746000374"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 52.5, "providers": [{"billed_charge": 52.5, "npi": [1679594568]}]}]}, {"tin": {"type": "ein", "value": "746000978"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 114.21, "providers": [{"billed_charge": 114.32, "npi": [1114995586]}]}]}, {"tin": {"type": "ein", "value": "746001774"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 247.19, "providers": [{"billed_charge": 247.19, "npi": [1033139977]}]}]}, {"tin": {"type": "ein", "value": "746002070"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 3.0, "providers": [{"billed_charge": 3.0, "npi": [1053377713]}]}, {"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1053377713]}]}, {"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1053377713]}]}, {"allowed_amount": 35.0, "providers": [{"billed_charge": 35.0, "npi": [1053377713]}]}, {"allowed_amount": 38.0, "providers": [{"billed_charge": 38.0, "npi": [1053377713]}]}, {"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1053377713]}]}, {"allowed_amount": 53.0, "providers": [{"billed_charge": 53.0, "npi": [1053377713]}]}, {"allowed_amount": 56.0, "providers": [{"billed_charge": 56.0, "npi": [1053377713]}]}, {"allowed_amount": 65.0, "providers": [{"billed_charge": 65.0, "npi": [1053377713]}]}]}, {"tin": {"type": "ein", "value": "746027491"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 390.75, "providers": [{"billed_charge": 390.75, "npi": [1447674825]}]}, {"allowed_amount": 436.8, "providers": [{"billed_charge": 468.9, "npi": [1447674825]}]}]}, {"tin": {"type": "ein", "value": "751102555"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 350.0, "providers": [{"billed_charge": 350.0, "npi": [1063550168]}]}]}, {"tin": {"type": "ein", "value": "751279194"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 103.42, "providers": [{"billed_charge": 350.0, "npi": [1386665750]}]}]}, {"tin": {"type": "ein", "value": "751962356"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.0, "providers": [{"billed_charge": 5.0, "npi": [1861477762]}]}, {"allowed_amount": 35.0, "providers": [{"billed_charge": 35.0, "npi": [1861477762]}]}]}, {"tin": {"type": "ein", "value": "752039960"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1992778492]}]}]}, {"tin": {"type": "ein", "value": "752234266"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1710981774]}]}, {"allowed_amount": 282.48, "providers": [{"billed_charge": 100.0, "npi": [1710981774]}]}, {"allowed_amount": 288.37, "providers": [{"billed_charge": 100.0, "npi": [1710981774]}]}]}, {"tin": {"type": "ein", "value": "752707125"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1942201272]}]}]}, {"tin": {"type": "ein", "value": "756000528"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1629871512]}]}]}, {"tin": {"type": "ein", "value": "756000599"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1558460329]}]}]}, {"tin": {"type": "ein", "value": "756004591"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 350.0, "providers": [{"billed_charge": 350.0, "npi": [1306851829]}]}]}]}, {"name": "Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument", "billing_code_type": "CPT", "billing_code": "96127", "billing_code_type_version": "2022", "description": "BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "allowed_amounts": [{"tin": {"type": "ein", "value": "300491632"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 5.88, "providers": [{"billed_charge": 15.0, "npi": [1932665734]}]}]}, {"tin": {"type": "ein", "value": "473850768"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 5.64, "providers": [{"billed_charge": 13.48, "npi": [1295979136]}]}]}, {"tin": {"type": "ein", "value": "474843039"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 9.14, "providers": [{"billed_charge": 50.0, "npi": [1104840545]}]}]}, {"tin": {"type": "ein", "value": "742654990"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 7.65, "providers": [{"billed_charge": 20.0, "npi": [1952301285]}]}]}, {"tin": {"type": "ein", "value": "752098992"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 7.5, "providers": [{"billed_charge": 7.5, "npi": [1952410037]}]}]}, {"tin": {"type": "ein", "value": "843619402"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 5.64, "providers": [{"billed_charge": 50.0, "npi": [1588279533]}]}]}, {"tin": {"type": "ein", "value": "852204789"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 11.06, "providers": [{"billed_charge": 25.0, "npi": [1407114291, 1073612115]}]}]}, {"tin": {"type": "ein", "value": "921765035"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 5.64, "providers": [{"billed_charge": 15.0, "npi": [1174117683]}]}]}, {"tin": {"type": "ein", "value": "934338249"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 9.14, "providers": [{"billed_charge": 50.0, "npi": [1750640249]}]}]}]}, {"name": "C-peptide", "billing_code_type": "CPT", "billing_code": "84681", "billing_code_type_version": "2022", "description": "ASSAY OF C-PEPTIDE", "allowed_amounts": [{"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 58.0, "providers": [{"billed_charge": 58.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.06, "providers": [{"billed_charge": 87.21, "npi": [1235186800]}]}, {"allowed_amount": 43.49, "providers": [{"billed_charge": 87.21, "npi": [1235186800]}]}]}]}, {"name": "C-reactive protein;", "billing_code_type": "CPT", "billing_code": "86140", "billing_code_type_version": "2022", "description": "C-REACTIVE PROTEIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "521022572"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.39, "providers": [{"billed_charge": 30.0, "npi": [1164420568]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.2, "providers": [{"billed_charge": 32.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 284.55, "providers": [{"billed_charge": 813.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.54, "providers": [{"billed_charge": 401.53, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.35, "providers": [{"billed_charge": 43.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.25, "providers": [{"billed_charge": 21.69, "npi": [1235186800]}]}, {"allowed_amount": 10.83, "providers": [{"billed_charge": 21.69, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.25, "providers": [{"billed_charge": 12.95, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.99, "providers": [{"billed_charge": 10.36, "npi": [1336758952]}]}]}]}, {"name": "C-reactive protein; high sensitivity (hsCRP)", "billing_code_type": "CPT", "billing_code": "86141", "billing_code_type_version": "2022", "description": "C-REACTIVE PROTEIN HIGH SENSITIVITY", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.07, "providers": [{"billed_charge": 110.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 18.13, "providers": [{"billed_charge": 32.38, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.5, "providers": [{"billed_charge": 501.43, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.62, "providers": [{"billed_charge": 54.27, "npi": [1235186800]}]}, {"allowed_amount": 27.07, "providers": [{"billed_charge": 32.38, "npi": [1235186800]}, {"billed_charge": 54.27, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.62, "providers": [{"billed_charge": 17.0, "npi": [1487429874]}]}]}]}, {"name": "Cardiolipin (phospholipid) antibody, each Ig class", "billing_code_type": "CPT", "billing_code": "86147", "billing_code_type_version": "2022", "description": "CARDIOLIPIN ANTIBODY EACH IG CLASS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200434866"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 41.23, "providers": [{"billed_charge": 136.16, "npi": [1245494517]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 35.63, "providers": [{"billed_charge": 63.63, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.1, "providers": [{"billed_charge": 158.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.0, "providers": [{"billed_charge": 71.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 19.6, "providers": [{"billed_charge": 50.9, "npi": [1336758952]}]}]}]}, {"name": "Carrier screening for severe inherited conditions (eg, cystic fibrosis, spinal muscular atrophy, beta hemoglobinopathies [including sickle cell disease], alpha thalassemia), regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes (CFTR, SMN1, HBB, HBA1, HBA2)", "billing_code_type": "CPT", "billing_code": "0449U", "billing_code_type_version": "2022", "description": "CAR SCR SEV INH COND GENOMIC SEQ ALYS PNL 5 GEN", "allowed_amounts": [{"tin": {"type": "ein", "value": "811082020"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 1478.15, "providers": [{"billed_charge": 5926.28, "npi": [1598314437]}]}, {"allowed_amount": 2956.31, "providers": [{"billed_charge": 7299.52, "npi": [1598314437]}, {"billed_charge": 11852.56, "npi": [1598314437]}]}]}]}, {"name": "Cesarean delivery only;", "billing_code_type": "CPT", "billing_code": "59514", "billing_code_type_version": "2022", "description": "CESAREAN DELIVERY ONLY", "allowed_amounts": [{"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.03, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 447.0, "npi": [1538142971, 1891146148, 1003312919]}]}, {"allowed_amount": 714.14, "providers": [{"billed_charge": 2794.0, "npi": [1992729875]}]}, {"allowed_amount": 1161.86, "providers": [{"billed_charge": 2794.0, "npi": [1760544795]}]}]}, {"tin": {"type": "ein", "value": "463696501"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.61, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 1101.0, "npi": [1215170782]}]}]}, {"tin": {"type": "ein", "value": "611744250"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 156.0, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 741.0, "npi": [1124475322]}]}]}, {"tin": {"type": "ein", "value": "612008875"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 280.37, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 6000.0, "npi": [1639969041]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1041.87, "providers": [{"billed_charge": 2576.0, "npi": [1811517162]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 714.14, "providers": [{"billed_charge": 2670.0, "npi": [1841854122]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.03, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 1060.85, "npi": [1447217245]}]}, {"allowed_amount": 937.68, "providers": [{"billed_charge": 3031.0, "npi": [1659353605]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 941.01, "providers": [{"billed_charge": 3701.0, "npi": [1881798122]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 958.04, "providers": [{"billed_charge": 3374.0, "npi": [1235164476]}]}]}, {"tin": {"type": "ein", "value": "900813612"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.8, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 856.02, "npi": [1306652490]}]}, {"allowed_amount": 288.52, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 856.02, "npi": [1568952794]}]}]}, {"tin": {"type": "ein", "value": "923158426"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.2, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 16153.29, "npi": [1982980520, 1427484096]}]}]}, {"tin": {"type": "ein", "value": "990675124"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.03, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 5276.0, "npi": [1528488186, 1861475402, 1386645927]}]}, {"allowed_amount": 150.56, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 5276.0, "npi": [1912137753]}]}]}]}, {"name": "Circumcision, using clamp or other device with regional dorsal penile or ring block", "billing_code_type": "CPT", "billing_code": "54150", "billing_code_type_version": "2022", "description": "CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK", "allowed_amounts": [{"tin": {"type": "ein", "value": "650578395"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.88, "providers": [{"billed_charge": 958.0, "npi": [1184967960]}]}, {"allowed_amount": 151.34, "providers": [{"billed_charge": 958.0, "npi": [1245404805]}]}, {"allowed_amount": 208.73, "providers": [{"billed_charge": 958.0, "npi": [1770847337, 1568460756]}]}, {"allowed_amount": 1173.67, "providers": [{"billed_charge": 958.0, "npi": [1366804866]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.11, "providers": [{"billed_charge": 958.0, "npi": [1942810148]}]}, {"allowed_amount": 98.37, "providers": [{"billed_charge": 958.0, "npi": [1265691810]}]}, {"allowed_amount": 116.94, "providers": [{"billed_charge": 958.0, "npi": [1023209327]}]}, {"allowed_amount": 118.2, "providers": [{"billed_charge": 958.0, "npi": [1215951744]}]}, {"allowed_amount": 128.58, "providers": [{"billed_charge": 958.0, "npi": [1619402468, 1942810148, 1588254668, 1679591952, 1932133972, 1124570262]}]}, {"allowed_amount": 152.92, "providers": [{"billed_charge": 958.0, "npi": [1700347929, 1487873386, 1083918163, 1225778483]}]}]}]}, {"name": "Collection of venous blood by venipuncture", "billing_code_type": "CPT", "billing_code": "36415", "billing_code_type_version": "2022", "description": "COLLECTION VENOUS BLOOD VENIPUNCTURE", "allowed_amounts": [{"tin": {"type": "ein", "value": "010668616"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 12.86, "providers": [{"billed_charge": 25.0, "npi": [1932104569]}]}]}, {"tin": {"type": "ein", "value": "010894487"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1558672279]}]}]}, {"tin": {"type": "ein", "value": "200470861"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 549.04, "providers": [{"billed_charge": 98.02, "npi": [1720037799]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.54, "providers": [{"billed_charge": 34.28, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "260771184"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 10.27, "providers": [{"billed_charge": 34.0, "npi": [1396729810]}]}]}, {"tin": {"type": "ein", "value": "486033703"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 288.69, "providers": [{"billed_charge": 54.25, "npi": [1508883422]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 14.48, "providers": [{"billed_charge": 18.0, "npi": [1942526447]}]}]}, {"tin": {"type": "ein", "value": "742089103"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 14.53, "providers": [{"billed_charge": 15.0, "npi": [1609596832]}]}]}, {"tin": {"type": "ein", "value": "742766753"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1508978214]}]}]}, {"tin": {"type": "ein", "value": "742938437"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 20.0, "npi": [1437655164]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.17, "providers": [{"billed_charge": 47.75, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "752848392"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 12.8, "providers": [{"billed_charge": 20.0, "npi": [1326303470]}]}]}, {"tin": {"type": "ein", "value": "813802267"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 10.27, "providers": [{"billed_charge": 34.0, "npi": [1477535680, 1174516165, 1285649863, 1518393768, 1396729810, 1710178900]}]}]}, {"tin": {"type": "ein", "value": "824681345"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 9.0, "providers": [{"billed_charge": 9.0, "npi": [1730164591]}]}]}, {"tin": {"type": "ein", "value": "831215760"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 9.0, "providers": [{"billed_charge": 9.0, "npi": [1376614487]}]}]}, {"tin": {"type": "ein", "value": "843619402"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 11.11, "providers": [{"billed_charge": 20.0, "npi": [1588279533]}]}]}, {"tin": {"type": "ein", "value": "844600812"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 10.72, "providers": [{"billed_charge": 15.0, "npi": [1780463323]}]}]}, {"tin": {"type": "ein", "value": "852281859"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 10.27, "providers": [{"billed_charge": 34.0, "npi": [1518393768, 1689884330, 1720306202, 1912126616]}]}]}, {"tin": {"type": "ein", "value": "856003005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 129.83, "providers": [{"billed_charge": 42.0, "npi": [1689747552]}]}]}, {"tin": {"type": "ein", "value": "862407610"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 11.11, "providers": [{"billed_charge": 13.25, "npi": [1154077220]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 10.27, "providers": [{"billed_charge": 34.0, "npi": [1518393768, 1417310939, 1427555903]}]}]}, {"tin": {"type": "ein", "value": "994908444"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 10.72, "providers": [{"billed_charge": 54.54, "npi": [1528534435]}]}]}]}, {"name": "Compatibility test each unit; electronic", "billing_code_type": "CPT", "billing_code": "86923", "billing_code_type_version": "2022", "description": "COMPATIBILITY EACH UNIT ELECTRONIC", "allowed_amounts": [{"tin": {"type": "ein", "value": "741720245"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1518254309]}]}, {"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1518254309]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.92, "providers": [{"billed_charge": 299.78, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 179.55, "providers": [{"billed_charge": 399.0, "npi": [1821011248]}]}]}]}, {"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": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.39, "providers": [{"billed_charge": 42.24, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 2343.69, "npi": [1134172406]}]}]}, {"tin": {"type": "ein", "value": "237156945"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 5.28, "providers": [{"billed_charge": 50.0, "npi": [1659379592]}]}]}, {"tin": {"type": "ein", "value": "263075429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 270.86, "providers": [{"billed_charge": 74.0, "npi": [1558659714]}]}]}, {"tin": {"type": "ein", "value": "270492434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.41, "providers": [{"billed_charge": 137.15, "npi": [1427048453]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 256.37, "providers": [{"billed_charge": 327.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 126.5, "providers": [{"billed_charge": 253.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 126.5, "providers": [{"billed_charge": 253.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.11, "providers": [{"billed_charge": 32.0, "npi": [1912903717]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 512.75, "providers": [{"billed_charge": 1465.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1266.39, "providers": [{"billed_charge": 494.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 167.27, "providers": [{"billed_charge": 293.0, "npi": [1720088123]}]}]}, {"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 185.74, "providers": [{"billed_charge": 357.21, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "741603120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 248.06, "providers": [{"billed_charge": 301.24, "npi": [1740288505]}]}]}, {"tin": {"type": "ein", "value": "742425482"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.54, "providers": [{"billed_charge": 238.88, "npi": [1992285282]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 769.65, "providers": [{"billed_charge": 2199.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742638006"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.21, "providers": [{"billed_charge": 2252.0, "npi": [1841844735]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 185.0, "providers": [{"billed_charge": 2854.2, "npi": [1124074273]}]}, {"allowed_amount": 300.0, "providers": [{"billed_charge": 2854.2, "npi": [1124074273]}]}, {"allowed_amount": 723.93, "providers": [{"billed_charge": 2854.2, "npi": [1124074273]}]}, {"allowed_amount": 941.41, "providers": [{"billed_charge": 2854.2, "npi": [1124074273]}]}, {"allowed_amount": 998.97, "providers": [{"billed_charge": 2854.2, "npi": [1124074273, 1376071530, 1659525236]}]}, {"allowed_amount": 1289.0, "providers": [{"billed_charge": 2854.2, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 148.05, "providers": [{"billed_charge": 329.0, "npi": [1821011248]}]}, {"allowed_amount": 150.88, "providers": [{"billed_charge": 329.0, "npi": [1821011248]}]}, {"allowed_amount": 292.29, "providers": [{"billed_charge": 329.0, "npi": [1821011248]}]}, {"allowed_amount": 2583.68, "providers": [{"billed_charge": 329.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751188675"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 215.0, "providers": [{"billed_charge": 215.0, "npi": [1396748471]}]}]}, {"tin": {"type": "ein", "value": "752301801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 299.0, "providers": [{"billed_charge": 299.0, "npi": [1831170273]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 11.62, "providers": [{"billed_charge": 63.47, "npi": [1467642611]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "752848392"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 14.47, "providers": [{"billed_charge": 64.0, "npi": [1326303470]}]}]}, {"tin": {"type": "ein", "value": "752896138"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 14.78, "providers": [{"billed_charge": 17.0, "npi": [1639742257, 1326312026]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1100.0, "providers": [{"billed_charge": 679.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.47, "providers": [{"billed_charge": 592.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.66, "providers": [{"billed_charge": 16.0, "npi": [1104839380]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 11.62, "providers": [{"billed_charge": 35.0, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "760714523"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 392.04, "providers": [{"billed_charge": 2252.0, "npi": [1598744856]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.66, "providers": [{"billed_charge": 21.12, "npi": [1235186800]}]}, {"allowed_amount": 21.12, "providers": [{"billed_charge": 21.12, "npi": [1235186800]}]}, {"allowed_amount": 22.07, "providers": [{"billed_charge": 36.0, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.66, "providers": [{"billed_charge": 26.4, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.66, "providers": [{"billed_charge": 14.0, "npi": [1487429874]}]}, {"allowed_amount": 14.0, "providers": [{"billed_charge": 14.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "822913146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4515.08, "providers": [{"billed_charge": 1236.0, "npi": [1972517365]}]}]}, {"tin": {"type": "ein", "value": "823021953"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.66, "providers": [{"billed_charge": 31.68, "npi": [1447760814]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 711.81, "providers": [{"billed_charge": 2033.74, "npi": [1659327013]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.13, "providers": [{"billed_charge": 35.0, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "844939989"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.66, "providers": [{"billed_charge": 31.68, "npi": [1639791007]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.66, "providers": [{"billed_charge": 15.84, "npi": [1457977209]}, {"billed_charge": 26.4, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.66, "providers": [{"billed_charge": 10.56, "npi": [1821749896]}, {"billed_charge": 21.12, "npi": [1821749896]}]}]}, {"tin": {"type": "ein", "value": "882459039"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.74, "providers": [{"billed_charge": 759.0, "npi": [1346289576]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.55, "providers": [{"billed_charge": 103.55, "npi": [1073200309]}]}]}, {"tin": {"type": "ein", "value": "941534475"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 486.28, "providers": [{"billed_charge": 276.77, "npi": [1740688894]}]}, {"allowed_amount": 3650.0, "providers": [{"billed_charge": 276.77, "npi": [1740688894]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.11, "providers": [{"billed_charge": 127.0, "npi": [1982606992]}]}]}, {"tin": {"type": "ein", "value": "952226406"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1689608150]}]}]}, {"tin": {"type": "ein", "value": "952321136"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1014.58, "providers": [{"billed_charge": 2898.8, "npi": [1306890389]}]}]}]}, {"name": "Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing", "billing_code_type": "CPT", "billing_code": "70471", "billing_code_type_version": "2022", "description": "CTA HEAD&NECK C+ W/NONCONTRAST IMG&POST-PXESSING", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 53.98, "providers": [{"billed_charge": 467.0, "npi": [1932516556]}]}, {"allowed_amount": 177.85, "providers": [{"billed_charge": 467.0, "npi": [1104001122, 1932516556, 1174514509, 1366433740, 1922487446, 1003376088]}]}, {"allowed_amount": 211.56, "providers": [{"billed_charge": 467.0, "npi": [1942863048]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.85, "providers": [{"billed_charge": 349.0, "npi": [1306994231]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.85, "providers": [{"billed_charge": 697.0, "npi": [1770739260]}]}, {"allowed_amount": 232.48, "providers": [{"billed_charge": 697.0, "npi": [1366646416]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 673.22, "providers": [{"billed_charge": 9811.0, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.25, "providers": [{"billed_charge": 9811.0, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 932.15, "providers": [{"billed_charge": 10824.4, "npi": [1588190904]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4944.0, "providers": [{"billed_charge": 9888.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 375.07, "providers": [{"billed_charge": 2258.0, "npi": [1851603005]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 2080.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 23.36, "providers": [{"billed_charge": 349.0, "npi": [1508001603]}]}, {"allowed_amount": 177.85, "providers": [{"billed_charge": 349.0, "npi": [1477556868, 1568412518, 1043940455, 1033312905, 1083634794, 1225327406, 1346455672]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 177.85, "providers": [{"billed_charge": 436.0, "npi": [1043348386, 1023085891, 1851828008, 1891762217, 1457338188, 1831165778, 1801813266, 1174630230, 1760672919, 1750512281, 1417924283]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 232.48, "providers": [{"billed_charge": 663.0, "npi": [1922017409, 1871583278, 1407397847]}, {"billed_charge": 1408.0, "npi": [1093913675]}]}, {"allowed_amount": 241.16, "providers": [{"billed_charge": 663.0, "npi": [1841396025, 1548823586, 1639368939, 1750329470]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8380.05, "providers": [{"billed_charge": 23943.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6255.8, "providers": [{"billed_charge": 17873.72, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 169.71, "providers": [{"billed_charge": 766.0, "npi": [1376030825]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 241.16, "providers": [{"billed_charge": 663.0, "npi": [1295293587]}, {"billed_charge": 1408.0, "npi": [1821397084]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 127.86, "providers": [{"billed_charge": 492.0, "npi": [1730383829]}]}, {"allowed_amount": 129.72, "providers": [{"billed_charge": 492.0, "npi": [1366902884, 1992858757, 1740303429, 1578812905, 1679891980, 1508094640, 1366948721, 1053671636, 1518386325, 1396189494, 1124277371, 1699200253, 1013273630, 1871823039]}]}, {"allowed_amount": 129.98, "providers": [{"billed_charge": 492.0, "npi": [1568465920, 1780902593, 1992858757, 1336464874, 1821256363, 1144204652, 1467474189, 1891798286, 1508094640, 1366948721, 1043208978, 1396794004, 1053671636, 1518386325]}]}, {"allowed_amount": 158.03, "providers": [{"billed_charge": 492.0, "npi": [1073003075]}]}, {"allowed_amount": 177.85, "providers": [{"billed_charge": 492.0, "npi": [1053671636]}]}, {"allowed_amount": 193.41, "providers": [{"billed_charge": 492.0, "npi": [1871750604]}]}, {"allowed_amount": 235.86, "providers": [{"billed_charge": 492.0, "npi": [1962452557, 1962474726]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.25, "providers": [{"billed_charge": 11751.19, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 232.48, "providers": [{"billed_charge": 407.0, "npi": [1568665321, 1285195859]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 291.0, "providers": [{"billed_charge": 291.0, "npi": [1639964273]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 9811.0, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 129.98, "providers": [{"billed_charge": 473.0, "npi": [1316902133, 1215141171, 1477814085]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 690.48, "providers": [{"billed_charge": 2080.0, "npi": [1184179194, 1497871628]}]}]}, {"tin": {"type": "ein", "value": "800810304"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 4305.6, "npi": [1295213601]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 156.92, "providers": [{"billed_charge": 6400.0, "npi": [1053007914, 1053791459]}]}]}, {"tin": {"type": "ein", "value": "822818488"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 127.86, "providers": [{"billed_charge": 1807.0, "npi": [1063472579]}]}]}, {"tin": {"type": "ein", "value": "840597929"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 194.48, "providers": [{"billed_charge": 495.0, "npi": [1275519084]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3996.21, "providers": [{"billed_charge": 11417.73, "npi": [1659327013]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 614.26, "providers": [{"billed_charge": 4400.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.28, "providers": [{"billed_charge": 1400.0, "npi": [1215461868]}]}]}, {"tin": {"type": "ein", "value": "910979582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 193.91, "providers": [{"billed_charge": 389.0, "npi": [1871914457]}]}]}, {"tin": {"type": "ein", "value": "934370183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1316.23, "providers": [{"billed_charge": 8000.0, "npi": [1538934864]}]}]}]}, {"name": "Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing", "billing_code_type": "CPT", "billing_code": "74174", "billing_code_type_version": "2022", "description": "CTA ABD&PLVS W/CNTRST & IMG POSTPROCESSING", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 151.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1104001122, 1407482409, 1932516556, 1174514509, 1003376088]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 11506.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 151.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 325.0, "npi": [1538363114]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.25, "providers": [{"billed_charge": 7946.13, "npi": [1598196206]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 379.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 592.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.25, "providers": [{"billed_charge": 10189.0, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.25, "providers": [{"billed_charge": 10189.0, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 911.2, "providers": [{"billed_charge": 5990.0, "npi": [1447883301]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 151.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 296.0, "npi": [1225091952, 1629301544, 1902056203, 1568412518]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 151.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 421.0, "npi": [1487857504, 1104893536, 1043348386, 1336324383, 1023261062, 1265753289, 1043715980, 1639691025, 1801813266, 1558651091, 1174630230, 1548554553, 1881731099, 1639388572, 1376510685, 1366701567]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 198.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 942.0, "npi": [1851895718, 1376954446]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7614.95, "providers": [{"billed_charge": 21757.0, "npi": [1770536120]}]}, {"allowed_amount": 7617.75, "providers": [{"billed_charge": 21765.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4484.59, "providers": [{"billed_charge": 12813.12, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4490.55, "providers": [{"billed_charge": 9979.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 110.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 434.0, "npi": [1821314667, 1114289741, 1164539631, 1568620789, 1508209495]}]}, {"allowed_amount": 110.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 434.0, "npi": [1780902593, 1558628354, 1922057959, 1063808392, 1689623464, 1336464874, 1740283118, 1447233713, 1386627958, 1144512765]}]}, {"allowed_amount": 201.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 434.0, "npi": [1477533404, 1912951245]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 9294.97, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 198.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 362.0, "npi": [1568665321, 1275589475, 1508363292]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 273.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 273.0, "npi": [1497615744]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 10189.0, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 756.99, "providers": [{"billed_charge": 974.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 4673.0, "npi": [1497871628]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1950.0, "npi": [1003564568]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1068.9, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 11694.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "992545052"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 4080.0, "npi": [1619760907]}]}]}]}, {"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": "150532221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 343.75, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2049.3, "npi": [1629087580]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 20.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 364.0, "npi": [1407482409]}]}, {"allowed_amount": 125.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 364.0, "npi": [1891938924, 1407482409, 1932516556, 1174514509]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1013.0, "npi": [1366401713]}]}, {"allowed_amount": 71.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1013.0, "npi": [1366401713]}]}]}, {"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 458.12, "providers": [{"billed_charge": 4298.84, "npi": [1265568638]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 6290.97, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "262157500"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 192.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1427445626]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 5000.0, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 125.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 344.0, "npi": [1851319057, 1538363114, 1306994231]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 381.22, "providers": [{"billed_charge": 5621.49, "npi": [1598196206]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 988.0, "npi": [1700834777]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 5659.25, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 381.22, "providers": [{"billed_charge": 5659.25, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "452528414"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 405.81, "providers": [{"billed_charge": 4956.24, "npi": [1972585347]}]}]}, {"tin": {"type": "ein", "value": "464389870"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 281.92, "providers": [{"billed_charge": 2282.0, "npi": [1952723967]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3781.0, "providers": [{"billed_charge": 7562.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 2856.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "560945616"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 121.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 286.0, "npi": [1558525535]}]}]}, {"tin": {"type": "ein", "value": "590973502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 906.21, "providers": [{"billed_charge": 5278.4, "npi": [1063426823]}]}]}, {"tin": {"type": "ein", "value": "620842484"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 146.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1679809537]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 8569.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "680334324"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1205014297]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.41, "providers": [{"billed_charge": 2878.0, "npi": [1194787218]}]}, {"allowed_amount": 1316.23, "providers": [{"billed_charge": 2878.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741287015"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 281.92, "providers": [{"billed_charge": 2282.0, "npi": [1891789772]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 125.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1073588513, 1215192836, 1568412518, 1033312905, 1902056203, 1972513711, 1841631280, 1861943599, 1831534973, 1699407379, 1346455672, 1689683005]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 170.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1487644910]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 125.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 352.0, "npi": [1427319813, 1023261062, 1093158024, 1245207562, 1043715980, 1194792846, 1639691025, 1801813266, 1457676306, 1760778518, 1881731099, 1639388572, 1336324383, 1497722144, 1043348386, 1083691810, 1689781668, 1902105893, 1710954037, 1376519223, 1265939383, 1184078008, 1801003454, 1205240512, 1427219526, 1073833927, 1831165778, 1558651091, 1174630230, 1184600918, 1407823834, 1902080476, 1376510685, 1104893536, 1487857504, 1558749283, 1063728103, 1871926899, 1366701567]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 164.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 704.0, "npi": [1235443789, 1578095063]}]}, {"allowed_amount": 170.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 704.0, "npi": [1346243144, 1770939753, 1962668947, 1245793397, 1205223799, 1053845784]}]}]}, {"tin": {"type": "ein", "value": "741774669"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 5880.0, "npi": [1235685892]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4134.55, "providers": [{"billed_charge": 11813.0, "npi": [1770536120]}]}, {"allowed_amount": 4135.95, "providers": [{"billed_charge": 11817.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4112.22, "providers": [{"billed_charge": 11749.21, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 164.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 420.0, "npi": [1588619845]}]}, {"allowed_amount": 314.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 420.0, "npi": [1114582640, 1205241072, 1568025468, 1245426790]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 405.26, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 675.5, "npi": [1316936990]}, {"billed_charge": 2121.11, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 170.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 513.0, "npi": [1699764506, 1033525597, 1245233022]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 381.22, "providers": [{"billed_charge": 5659.25, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 5659.25, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 90.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1689623464, 1447233713, 1013966043, 1144512765]}]}, {"allowed_amount": 91.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1679891980, 1598883217, 1225443096, 1811381536, 1407829922, 1942326699, 1821256363, 1134623796, 1962464958, 1043449028, 1124066246, 1508209495, 1821314667, 1023228525, 1164539631, 1144287475, 1568620789, 1689897977, 1124277371]}]}, {"allowed_amount": 91.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1730189572, 1063808392, 1740271881, 1639130644, 1396794004, 1598764821, 1285890079, 1689623464, 1821256363, 1447233713, 1083078836, 1962603191, 1841257664, 1780902593, 1194992842, 1669816658, 1730383829, 1013966043, 1689963357, 1164405734, 1922057959, 1336464874, 1881697258, 1740283118, 1164539631, 1386627958, 1194169847, 1811307259, 1144512765]}]}, {"allowed_amount": 125.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1700812815, 1629397245, 1164539631]}]}, {"allowed_amount": 164.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1194705137]}]}, {"allowed_amount": 166.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1639121254, 1578514246, 1568416204, 1912951245, 1366652729, 1366495483, 1477533404]}]}, {"allowed_amount": 166.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1700839511]}]}, {"allowed_amount": 314.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1053439935]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 190.61, "providers": [{"billed_charge": 5659.25, "npi": [1104845015]}]}, {"allowed_amount": 381.22, "providers": [{"billed_charge": 5659.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 381.22, "providers": [{"billed_charge": 6290.97, "npi": [1073511762]}]}, {"allowed_amount": 933.68, "providers": [{"billed_charge": 6290.97, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 6290.97, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 6290.97, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 164.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 344.0, "npi": [1508363292, 1396186367]}]}]}, {"tin": {"type": "ein", "value": "752559845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 575.57, "providers": [{"billed_charge": 5230.0, "npi": [1992707228]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 6290.97, "npi": [1992700983]}]}, {"allowed_amount": 673.22, "providers": [{"billed_charge": 6290.97, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752600873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 125.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 368.0, "npi": [1629396072, 1619236189]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 228.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 228.0, "npi": [1497615744, 1750465514]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 381.22, "providers": [{"billed_charge": 5659.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 5659.25, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 380.59, "providers": [{"billed_charge": 5659.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 15.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 406.0, "npi": [1700116456]}]}, {"allowed_amount": 36.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 406.0, "npi": [1699574350]}]}, {"allowed_amount": 91.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 406.0, "npi": [1558894246, 1205396991, 1316904717, 1497098925, 1003877200, 1306305206, 1205393535]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 281.92, "providers": [{"billed_charge": 2282.0, "npi": [1083937593, 1184179194]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 458.12, "providers": [{"billed_charge": 4298.84, "npi": [1144781501, 1346729159]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2125.0, "npi": [1053791459]}]}]}, {"tin": {"type": "ein", "value": "813562144"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 458.12, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 5400.0, "npi": [1639663370]}]}]}, {"tin": {"type": "ein", "value": "822913146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 992.57, "providers": [{"billed_charge": 8836.0, "npi": [1972517365]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 6290.97, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 164.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 319.0, "npi": [1407485014]}]}]}, {"tin": {"type": "ein", "value": "825410675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 224.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1453.35, "npi": [1033539861]}]}]}, {"tin": {"type": "ein", "value": "831002191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1205014297]}]}]}, {"tin": {"type": "ein", "value": "843654542"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 281.92, "providers": [{"billed_charge": 865.7, "npi": [1245878990]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 2899.14, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.41, "providers": [{"billed_charge": 7877.0, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 90.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 445.0, "npi": [1457399818, 1831627918, 1497702542]}]}]}, {"tin": {"type": "ein", "value": "853256127"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 90.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1083979710]}]}]}, {"tin": {"type": "ein", "value": "871781373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 258.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1288.94, "npi": [1659667129]}]}]}, {"tin": {"type": "ein", "value": "883572858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 111.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1288.94, "npi": [1093812455]}]}]}, {"tin": {"type": "ein", "value": "883576979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 932.15, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9820.46, "npi": [1851028146]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 406.47, "providers": [{"billed_charge": 6372.0, "npi": [1548393127]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 134.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 306.0, "npi": [1215381116]}]}]}, {"tin": {"type": "ein", "value": "910852058"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1972954832]}]}]}, {"tin": {"type": "ein", "value": "923209338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3382.19, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6000.0, "npi": [1558132365]}]}]}, {"tin": {"type": "ein", "value": "923637942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9820.46, "npi": [1679263883]}]}]}, {"tin": {"type": "ein", "value": "923978738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 258.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1288.94, "npi": [1467416727]}]}]}, {"tin": {"type": "ein", "value": "933479511"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 476.0, "npi": [1629260187]}]}]}, {"tin": {"type": "ein", "value": "933488698"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 281.92, "providers": [{"billed_charge": 5760.0, "npi": [1740042175]}]}]}, {"tin": {"type": "ein", "value": "934370183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.41, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 7667.0, "npi": [1538934864]}]}]}, {"tin": {"type": "ein", "value": "990517950"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1000.0, "npi": [1770963282]}]}]}, {"tin": {"type": "ein", "value": "990576438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 344.0, "npi": [1215198163]}]}]}, {"tin": {"type": "ein", "value": "992078911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 690.48, "providers": [{"billed_charge": 6359.0, "npi": [1770333403]}]}]}, {"tin": {"type": "ein", "value": "992545052"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 281.92, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 10930.0, "npi": [1619760907]}]}]}]}, {"name": "Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing", "billing_code_type": "CPT", "billing_code": "70496", "billing_code_type_version": "2022", "description": "CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST", "allowed_amounts": [{"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.68, "providers": [{"billed_charge": 5332.31, "npi": [1598196206]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1238.0, "npi": [1336467059]}]}]}, {"tin": {"type": "ein", "value": "731553050"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 745.08, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2088.0, "npi": [1255364923]}]}]}, {"tin": {"type": "ein", "value": "731553050"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 98.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 525.0, "npi": [1891040689]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.41, "providers": [{"billed_charge": 2564.0, "npi": [1194787218]}]}, {"allowed_amount": 1316.23, "providers": [{"billed_charge": 2564.0, "npi": [1194787218, 1780867390]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1346455672]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 338.0, "npi": [1851828008, 1750512281]}]}]}, {"tin": {"type": "ein", "value": "742425482"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1702.05, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 5455.28, "npi": [1992285282]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4112.22, "providers": [{"billed_charge": 11749.21, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1263.6, "providers": [{"billed_charge": 2808.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 346.0, "npi": [1518386325]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 381.22, "providers": [{"billed_charge": 5907.07, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 5907.07, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 219.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 219.0, "npi": [1639964273]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 673.22, "providers": [{"billed_charge": 3194.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 932.15, "providers": [{"billed_charge": 1837.0, "npi": [1992753222]}, {"billed_charge": 6273.0, "npi": [1992753222]}]}]}]}, {"name": "Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)", "billing_code_type": "CPT", "billing_code": "75574", "billing_code_type_version": "2022", "description": "CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST", "allowed_amounts": [{"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 1366.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 166.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 456.0, "npi": [1043348386, 1558749283, 1689781668, 1063728103, 1093158024, 1801813266, 1639388572]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2535.75, "providers": [{"billed_charge": 7245.01, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 121.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 467.0, "npi": [1124066246]}]}, {"allowed_amount": 121.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 467.0, "npi": [1063808392, 1922057959]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 1385.0, "npi": [1083112023]}]}]}]}, {"name": "Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing", "billing_code_type": "CPT", "billing_code": "70498", "billing_code_type_version": "2022", "description": "CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 347.0, "npi": [1003376088]}]}]}, {"tin": {"type": "ein", "value": "208488778"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 99.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 434.0, "npi": [1790281608]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1561.0, "npi": [1336467059]}]}]}, {"tin": {"type": "ein", "value": "731553050"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 98.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 506.0, "npi": [1891040689]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1043940455]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1679367221]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 120.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 338.0, "npi": [1851828008, 1457338188]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4112.22, "providers": [{"billed_charge": 11749.21, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1212.3, "providers": [{"billed_charge": 2694.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 381.22, "providers": [{"billed_charge": 4905.5, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 88.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 346.0, "npi": [1710060348]}]}, {"allowed_amount": 88.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 346.0, "npi": [1558628354]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 380.59, "providers": [{"billed_charge": 1837.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 159.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 218.0, "npi": [1710500269]}]}]}]}, {"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": "010901796"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1891743373]}]}]}, {"tin": {"type": "ein", "value": "136326908"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.25, "providers": [{"billed_charge": 6795.5, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 103.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 364.0, "npi": [1942863048]}]}, {"allowed_amount": 126.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 364.0, "npi": [1104001122, 1407482409, 1366433740, 1174514509, 1891938924, 1922487446, 1003376088, 1225599582]}]}, {"allowed_amount": 149.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 364.0, "npi": [1942863048]}]}, {"allowed_amount": 315.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 364.0, "npi": [1407482409, 1104001122]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 353.0, "npi": [1043348386]}, {"billed_charge": 1671.0, "npi": [1174936496]}]}, {"allowed_amount": 71.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 353.0, "npi": [1043348386]}, {"billed_charge": 1671.0, "npi": [1942557616]}]}]}, {"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 911.2, "providers": [{"billed_charge": 6403.43, "npi": [1265568638]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 756.99, "providers": [{"billed_charge": 21638.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 6484.35, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "260684968"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 6795.5, "npi": [1902047376]}]}, {"allowed_amount": 673.22, "providers": [{"billed_charge": 6795.5, "npi": [1902047376]}]}]}, {"tin": {"type": "ein", "value": "262157500"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 193.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 351.0, "npi": [1427445626]}]}]}, {"tin": {"type": "ein", "value": "262978009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 5914.76, "npi": [1407010622]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 7478.91, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "272008627"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 126.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 323.0, "npi": [1003296146]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1538363114]}]}, {"allowed_amount": 126.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1760522353, 1538363114, 1306994231]}]}, {"allowed_amount": 164.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1902855471]}]}]}, {"tin": {"type": "ein", "value": "301205721"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 911.2, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 18801.0, "npi": [1588215461]}]}]}, {"tin": {"type": "ein", "value": "320612926"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 224.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4127.0, "npi": [1336253590]}]}]}, {"tin": {"type": "ein", "value": "333807317"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1068.9, "providers": [{"billed_charge": 9850.69, "npi": [1083586747]}]}]}, {"tin": {"type": "ein", "value": "334253489"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1068.9, "providers": [{"billed_charge": 9980.0, "npi": [1518752302]}]}]}, {"tin": {"type": "ein", "value": "334308192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1068.9, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9980.0, "npi": [1932094976]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1068.9, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9980.0, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.25, "providers": [{"billed_charge": 5914.76, "npi": [1831629526, 1598196206]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 126.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 492.0, "npi": [1770739260]}]}, {"allowed_amount": 164.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 492.0, "npi": [1366646416]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 126.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 334.0, "npi": [1689622094]}]}]}, {"tin": {"type": "ein", "value": "420680452"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 409.18, "providers": [{"billed_charge": 6736.93, "npi": [1598905762]}]}, {"allowed_amount": 411.1, "providers": [{"billed_charge": 6736.93, "npi": [1356433049]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.64, "providers": [{"billed_charge": 3853.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "421480598"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 362.0, "npi": [1477903144]}]}]}, {"tin": {"type": "ein", "value": "421516894"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1205299849, 1841298262]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 692.0, "npi": [1649892928]}]}]}, {"tin": {"type": "ein", "value": "430917818"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 576.0, "npi": [1538456363]}]}]}, {"tin": {"type": "ein", "value": "431527130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 485.72, "providers": [{"billed_charge": 4732.0, "npi": [1831107895]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 6795.5, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.25, "providers": [{"billed_charge": 6795.5, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.25, "providers": [{"billed_charge": 10034.98, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "464389870"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 4724.0, "npi": [1952723967]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3839.5, "providers": [{"billed_charge": 7679.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472166397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1054.88, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 16000.0, "npi": [1093191397]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 12735.76, "npi": [1790174860]}]}, {"allowed_amount": 9929.85, "providers": [{"billed_charge": 12735.76, "npi": [1790174860]}]}, {"allowed_amount": 10746.55, "providers": [{"billed_charge": 12735.76, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "473918725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1068.9, "providers": [{"billed_charge": 15649.0, "npi": [1205212313]}]}]}, {"tin": {"type": "ein", "value": "541147892"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 168.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 326.0, "npi": [1851360077]}]}]}, {"tin": {"type": "ein", "value": "560554230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1277.43, "providers": [{"billed_charge": 5640.0, "npi": [1881647204]}]}]}, {"tin": {"type": "ein", "value": "560945616"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 390.0, "npi": [1558525535]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 299.24, "providers": [{"billed_charge": 1050.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 132.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1396711719]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 127.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1235379017]}]}]}, {"tin": {"type": "ein", "value": "582296052"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 714.93, "providers": [{"billed_charge": 5226.0, "npi": [1205889458]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 728.64, "providers": [{"billed_charge": 7553.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 200.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 596.0, "npi": [1447235874]}]}]}, {"tin": {"type": "ein", "value": "591289802"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 114.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 429.0, "npi": [1932408358]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 725.0, "providers": [{"billed_charge": 10759.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 263.0, "npi": [1093888489]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 14458.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "621762526"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 784.19, "providers": [{"billed_charge": 12827.0, "npi": [1790722346]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 9317.23, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "680273974"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 142.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 384.0, "npi": [1194911800]}]}]}, {"tin": {"type": "ein", "value": "710395194"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 128.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 296.0, "npi": [1083601447]}]}]}, {"tin": {"type": "ein", "value": "731008550"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 481.54, "providers": [{"billed_charge": 5398.0, "npi": [1851396394]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.25, "providers": [{"billed_charge": 6795.5, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "736061037"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 449.62, "providers": [{"billed_charge": 4282.13, "npi": [1720022379]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 911.2, "providers": [{"billed_charge": 5801.0, "npi": [1447883301]}]}, {"allowed_amount": 1068.9, "providers": [{"billed_charge": 5801.0, "npi": [1194787218, 1780867390]}]}, {"allowed_amount": 5646.82, "providers": [{"billed_charge": 5801.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 19247.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 4724.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 6491.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 126.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 246.0, "npi": [1073588513, 1003541699, 1215192836, 1568412518, 1629301544, 1033312905, 1902056203, 1225327406, 1861943599, 1841631280, 1699407379, 1689683005, 1346455672, 1447367420, 1831534973, 1649634270, 1619464575]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 171.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 236.0, "npi": [1043607690, 1003892506, 1306231733]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 32.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 353.0, "npi": [1427319813]}]}, {"allowed_amount": 67.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 353.0, "npi": [1639374374]}]}, {"allowed_amount": 82.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 353.0, "npi": [1093158024]}]}, {"allowed_amount": 126.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 353.0, "npi": [1871560193, 1831326081, 1831620863, 1396721155, 1427319813, 1023261062, 1093158024, 1043715980, 1730156688, 1639691025, 1801813266, 1457676306, 1760778518, 1972579993, 1881731099, 1639388572, 1336324383, 1497722144, 1083691810, 1043348386, 1689781668, 1902105893, 1639374374, 1548640428, 1710954037, 1265939383, 1184078008, 1376519223, 1548554553, 1801003454, 1205240512, 1376518720, 1427219526, 1073833927, 1265753289, 1558651091, 1831237973, 1174630230, 1184600918, 1407823834, 1891777371, 1902080476, 1376510685, 1104893536, 1487857504, 1871797472, 1558749283, 1225005168, 1366701567]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 164.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 903.0, "npi": [1851381404]}, {"billed_charge": 948.0, "npi": [1922569250, 1205298627, 1518461284, 1346243144, 1639407083, 1871936591, 1598772915, 1053845784, 1578811741, 1376991935]}]}, {"allowed_amount": 171.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 903.0, "npi": [1124214945]}, {"billed_charge": 948.0, "npi": [1881191617, 1770939753, 1871936591, 1962668947, 1598772915, 1205223799, 1467672824, 1851682876, 1578811741]}]}]}, {"tin": {"type": "ein", "value": "741940911"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 315.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 330.0, "npi": [1710240775]}]}]}, {"tin": {"type": "ein", "value": "742019736"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1068.9, "providers": [{"billed_charge": 4015.5, "npi": [1871599829]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8397.9, "providers": [{"billed_charge": 23994.0, "npi": [1770536120]}]}, {"allowed_amount": 8401.4, "providers": [{"billed_charge": 24004.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5200.69, "providers": [{"billed_charge": 14859.1, "npi": [1124074273, 1376071530, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 120.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 398.0, "npi": [1376030825]}]}, {"allowed_amount": 315.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 398.0, "npi": [1619312832, 1588844609, 1356871875, 1386802395, 1740240829]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 806.06, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1221.5, "npi": [1316936990]}, {"billed_charge": 6207.6, "npi": [1316936990]}]}, {"allowed_amount": 992.57, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6207.6, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4266.45, "providers": [{"billed_charge": 9481.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 171.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 597.0, "npi": [1740422369, 1891226114, 1366947509, 1336431352, 1073018073, 1699764506, 1760460059, 1033525597, 1245233022, 1982682399]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 5758.0, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.25, "providers": [{"billed_charge": 6795.5, "npi": [1174533343]}]}, {"allowed_amount": 933.68, "providers": [{"billed_charge": 6795.5, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "750974351"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 5446.0, "npi": [1124092036]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 756.99, "providers": [{"billed_charge": 6484.35, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751037591"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 6484.35, "npi": [1851108765]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 6795.5, "npi": [1396779948]}]}, {"allowed_amount": 673.22, "providers": [{"billed_charge": 6795.5, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 90.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.0, "npi": [1780902593, 1922057959, 1063808392, 1689623464, 1336464874, 1881697258, 1164539631, 1265409585, 1386627958, 1740717495, 1689963357]}]}, {"allowed_amount": 91.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.0, "npi": [1235592064, 1033552005, 1629397245, 1821382409, 1336262153, 1851556617, 1679891980, 1598883217, 1790019347, 1467847574, 1225443096, 1013273630, 1811381536, 1407829922, 1891104550, 1942326699, 1821256363, 1396189106, 1134623796, 1841583796, 1740717495, 1710060348, 1467744573, 1962464958, 1669771325, 1043449028, 1740303429, 1124066246, 1255759437, 1114289741, 1649595091, 1992021075, 1508209495, 1891180634, 1861951964, 1629151584, 1619437670, 1760686950, 1780637546, 1821314667, 1720298219, 1023228525, 1164539631, 1144287475, 1568620789, 1689897977, 1992967293]}]}, {"allowed_amount": 92.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.0, "npi": [1730189572, 1992018055, 1063808392, 1740271881, 1790019347, 1386901270, 1295051159, 1285890079, 1811381536, 1891104550, 1689623464, 1972698793, 1942326699, 1821256363, 1447233713, 1962603191, 1760709182, 1841257664, 1780902593, 1831199686, 1194992842, 1255759437, 1669816658, 1730383829, 1104169432, 1013966043, 1861951964, 1689963357, 1336464874, 1881697258, 1740283118, 1164539631, 1801156336, 1194169847, 1811307259, 1629397245]}]}, {"allowed_amount": 112.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.0, "npi": [1508020736, 1073003075]}]}, {"allowed_amount": 126.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.0, "npi": [1700812815, 1447233713, 1295051159, 1629397245, 1689963357]}]}, {"allowed_amount": 152.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.0, "npi": [1508020736]}]}, {"allowed_amount": 164.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.0, "npi": [1578514246, 1639121254, 1700839511]}]}, {"allowed_amount": 167.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.0, "npi": [1346211810, 1578514246, 1639121254, 1568416204, 1962452557, 1629020243, 1366652729, 1477533404, 1063464030]}]}, {"allowed_amount": 167.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.0, "npi": [1467985986, 1568416204, 1700839511]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.25, "providers": [{"billed_charge": 6795.5, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751459885"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1671.0, "npi": [1043268089]}]}, {"allowed_amount": 67.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1671.0, "npi": [1740777226]}]}]}, {"tin": {"type": "ein", "value": "751584559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 806.06, "providers": [{"billed_charge": 10892.0, "npi": [1255325817]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.25, "providers": [{"billed_charge": 6484.35, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 6484.35, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 6484.35, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 164.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1275589475, 1285195859, 1295725398, 1508363292, 1396186367]}]}]}, {"tin": {"type": "ein", "value": "752537587"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 315.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 485.0, "npi": [1861682700]}]}]}, {"tin": {"type": "ein", "value": "752559845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1144.82, "providers": [{"billed_charge": 5657.0, "npi": [1992707228]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 6484.35, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752600873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 126.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 365.0, "npi": [1114934452]}]}]}, {"tin": {"type": "ein", "value": "752603847"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 8670.0, "npi": [1275592131]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 229.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 229.0, "npi": [1497615744, 1790014496, 1508821430, 1225269178, 1518349851]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.25, "providers": [{"billed_charge": 6795.5, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 6795.5, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752771437"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 673.22, "providers": [{"billed_charge": 6795.5, "npi": [1457382798]}]}]}, {"tin": {"type": "ein", "value": "752905434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 732.18, "providers": [{"billed_charge": 15488.0, "npi": [1205882503]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 3946.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 756.99, "providers": [{"billed_charge": 2704.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 756.99, "providers": [{"billed_charge": 6795.5, "npi": [1336172105]}]}, {"allowed_amount": 932.15, "providers": [{"billed_charge": 6795.5, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 92.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 272.0, "npi": [1801329537, 1316904717, 1629572367, 1578767760, 1407811219, 1417418260, 1689363095, 1205892767, 1942404132, 1073253936, 1912602673, 1306305206, 1801239876, 1669501383, 1831155027, 1821054305, 1942268263, 1487756532, 1346407285, 1720214901, 1063709558, 1427011196, 1205396991]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 4748.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 167.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1114303070]}]}]}, {"tin": {"type": "ein", "value": "760536234"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 19247.0, "npi": [1942208616]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 4724.0, "npi": [1083937593, 1184179194, 1497871628]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 911.2, "providers": [{"billed_charge": 6403.43, "npi": [1144781501]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 111.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2200.0, "npi": [1326204744, 1891720777, 1740572569]}]}]}, {"tin": {"type": "ein", "value": "813334196"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 911.2, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 8517.0, "npi": [1013499383]}]}]}, {"tin": {"type": "ein", "value": "813556450"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 911.2, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 11381.36, "npi": [1467935866]}]}]}, {"tin": {"type": "ein", "value": "820551704"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 6484.35, "npi": [1649273434]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1068.9, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 15649.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "823463299"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9850.69, "npi": [1649770488]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 7920.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 6484.35, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 171.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1306003579, 1366707564]}]}, {"allowed_amount": 188.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1487946463]}]}, {"allowed_amount": 315.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1588615603]}]}]}, {"tin": {"type": "ein", "value": "825410675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 273.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1598.4, "npi": [1144450131]}]}]}, {"tin": {"type": "ein", "value": "826041596"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 129.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 240.0, "npi": [1063801678]}]}]}, {"tin": {"type": "ein", "value": "831785901"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 315.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1598.4, "npi": [1376707349]}]}]}, {"tin": {"type": "ein", "value": "831864010"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 231.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1598.4, "npi": [1649212747]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 756.99, "providers": [{"billed_charge": 10034.98, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "843475920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1068.9, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 15649.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 4525.59, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "850106941"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 827.5, "providers": [{"billed_charge": 2930.0, "npi": [1578587150]}]}]}, {"tin": {"type": "ein", "value": "850213470"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 134.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 794.0, "npi": [1306342167]}]}]}, {"tin": {"type": "ein", "value": "850278235"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 322.0, "npi": [1376791343]}]}]}, {"tin": {"type": "ein", "value": "851820894"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 5000.0, "npi": [1982047791]}]}]}, {"tin": {"type": "ein", "value": "851931322"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 259.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 5000.0, "npi": [1629068366]}]}]}, {"tin": {"type": "ein", "value": "851984103"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 756.99, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 11617.88, "npi": [1376151365]}]}]}, {"tin": {"type": "ein", "value": "852007987"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7275.23, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 11617.88, "npi": [1144838947]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 488.0, "npi": [1063860120, 1457399818, 1891226114, 1629737770]}]}]}, {"tin": {"type": "ein", "value": "852713042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 9850.69, "npi": [1376141556]}]}, {"allowed_amount": 16280.12, "providers": [{"billed_charge": 9850.69, "npi": [1376141556]}]}]}, {"tin": {"type": "ein", "value": "853503076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 673.22, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 10615.21, "npi": [1124623889]}]}]}, {"tin": {"type": "ein", "value": "853903021"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1393.24, "npi": [1912352162]}]}]}, {"tin": {"type": "ein", "value": "854239627"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 269.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 500.0, "npi": [1053639039]}]}]}, {"tin": {"type": "ein", "value": "860719855"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 111.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.0, "npi": [1114940228]}]}]}, {"tin": {"type": "ein", "value": "871224784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.68, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 10615.21, "npi": [1003489212]}]}]}, {"tin": {"type": "ein", "value": "871781373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 259.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1393.24, "npi": [1659667129]}]}]}, {"tin": {"type": "ein", "value": "873769568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 98.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 6274.89, "npi": [1801095880]}]}, {"allowed_amount": 123.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 6274.89, "npi": [1407883788, 1629143029]}]}]}, {"tin": {"type": "ein", "value": "881716225"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1068.9, "providers": [{"billed_charge": 11837.25, "npi": [1053175794]}]}]}, {"tin": {"type": "ein", "value": "882501936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 9850.69, "npi": [1750013769]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 911.2, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 18801.0, "npi": [1003539073]}]}, {"allowed_amount": 1068.9, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 18801.0, "npi": [1003539073]}]}, {"allowed_amount": 1991.84, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 18801.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 111.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4127.0, "npi": [1184916546, 1144807322]}]}, {"allowed_amount": 224.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4127.0, "npi": [1275598393]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3151.74, "providers": [{"billed_charge": 3151.74, "npi": [1073200309]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 246.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 246.21, "npi": [1063860120]}]}]}, {"tin": {"type": "ein", "value": "922858146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 756.99, "providers": [{"billed_charge": 14400.8, "npi": [1184305609]}]}]}, {"tin": {"type": "ein", "value": "923209338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3976.5, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 16000.0, "npi": [1558132365]}]}]}, {"tin": {"type": "ein", "value": "933488698"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 9850.69, "npi": [1740042175]}]}]}, {"tin": {"type": "ein", "value": "934935234"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1393.24, "npi": [1598720658]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4926.84, "providers": [{"billed_charge": 7700.0, "npi": [1376698043]}]}]}, {"tin": {"type": "ein", "value": "941156621"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5438.94, "providers": [{"billed_charge": 8287.0, "npi": [1811946734]}]}]}, {"tin": {"type": "ein", "value": "951750445"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 526.0, "npi": [1497193387]}]}]}, {"tin": {"type": "ein", "value": "952321136"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4763.96, "providers": [{"billed_charge": 13611.3, "npi": [1306890389]}]}]}, {"tin": {"type": "ein", "value": "952367304"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4926.84, "providers": [{"billed_charge": 7216.0, "npi": [1396728630]}]}]}, {"tin": {"type": "ein", "value": "952669833"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 142.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 276.0, "npi": [1275822413]}]}]}, {"tin": {"type": "ein", "value": "990517950"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 111.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 500.0, "npi": [1124656210, 1558673236]}]}]}, {"tin": {"type": "ein", "value": "993319912"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 12120.23, "npi": [1306679378]}]}]}, {"tin": {"type": "ein", "value": "993694300"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 259.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1598.4, "npi": [1548217193]}]}]}, {"tin": {"type": "ein", "value": "994785298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 560.74, "providers": [{"billed_charge": 6679.25, "npi": [1639992514]}]}]}, {"tin": {"type": "ein", "value": "995104341"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1054.88, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 16000.0, "npi": [1609697242]}]}]}, {"tin": {"type": "ein", "value": "995114582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 111.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 500.0, "npi": [1124448097]}]}]}]}, {"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": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 120.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 346.0, "npi": [1104001122, 1407482409, 1366433740, 1174514509, 1922487446, 1003376088, 1225599582]}]}, {"allowed_amount": 300.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 346.0, "npi": [1003376088]}]}]}, {"tin": {"type": "ein", "value": "201025679"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 189.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 357.5, "npi": [1538196977]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 345.0, "npi": [1811307259]}]}]}, {"tin": {"type": "ein", "value": "204881619"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 197.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 335.0, "npi": [1831160142]}]}]}, {"tin": {"type": "ein", "value": "232678055"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 119.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 375.0, "npi": [1366428351, 1265819791]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 5896.8, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.66, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 16168.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 5400.0, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "273925303"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 249.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 249.0, "npi": [1841282571]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 261.0, "npi": [1992858328, 1841274651, 1306994231]}]}]}, {"tin": {"type": "ein", "value": "333465465"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9556.67, "npi": [1831995950]}]}]}, {"tin": {"type": "ein", "value": "333672238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 247.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1254.32, "npi": [1629068366]}]}]}, {"tin": {"type": "ein", "value": "334228227"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 517.73, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9980.0, "npi": [1538950837]}]}]}, {"tin": {"type": "ein", "value": "334308192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 731.05, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9980.0, "npi": [1932094976]}]}]}, {"tin": {"type": "ein", "value": "334308303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 731.05, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9980.0, "npi": [1174310841]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 731.05, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9980.0, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "334335561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 731.05, "providers": [{"billed_charge": 9980.0, "npi": [1952295164]}]}]}, {"tin": {"type": "ein", "value": "340714461"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1030.05, "providers": [{"billed_charge": 1962.0, "npi": [1225128432]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 518.57, "providers": [{"billed_charge": 5270.25, "npi": [1598196206, 1679903967]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 468.0, "npi": [1922661859, 1770739260]}]}, {"allowed_amount": 157.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 468.0, "npi": [1366646416]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 120.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 317.0, "npi": [1417914169]}]}]}, {"tin": {"type": "ein", "value": "421480598"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 132.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 318.0, "npi": [1609135243]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 5817.25, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "464125750"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2537.0, "npi": [1457748238]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 1167.6, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 4559.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 108.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1063468486]}]}, {"allowed_amount": 151.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1860.0, "npi": [1659300093]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 495.85, "providers": [{"billed_charge": 7303.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 182.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.0, "npi": [1558571794]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 9994.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 518.57, "providers": [{"billed_charge": 5817.0, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 623.19, "providers": [{"billed_charge": 6778.5, "npi": [1578780870, 1619115383]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 731.05, "providers": [{"billed_charge": 5446.0, "npi": [1194787218, 1780867390]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 120.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1285815811, 1033312905, 1699407379, 1225327406]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 120.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 337.0, "npi": [1871560193, 1396721155, 1427319813, 1093158024, 1245207562, 1043715980, 1801813266, 1760778518, 1881731099, 1639388572, 1336324383, 1043348386, 1083691810, 1689781668, 1902105893, 1639374374, 1710954037, 1265939383, 1184078008, 1548554553, 1972589752, 1801003454, 1205240512, 1427219526, 1073833927, 1558651091, 1174630230, 1184600918, 1407823834, 1902080476, 1376510685, 1487857504, 1558749283, 1063728103, 1366701567]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 157.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 887.0, "npi": [1780816744, 1770939753, 1831365261, 1598772915, 1275875098, 1245550458]}]}, {"allowed_amount": 162.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 887.0, "npi": [1780816744, 1538159272]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8074.85, "providers": [{"billed_charge": 23071.0, "npi": [1770536120]}]}, {"allowed_amount": 8078.35, "providers": [{"billed_charge": 23081.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3979.28, "providers": [{"billed_charge": 11369.37, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 300.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 381.0, "npi": [1568025468]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 551.29, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 801.5, "npi": [1316936990]}, {"billed_charge": 970.76, "npi": [1619747938]}, {"billed_charge": 5865.43, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 596.3, "providers": [{"billed_charge": 7429.0, "npi": [1821011248]}]}, {"allowed_amount": 3343.05, "providers": [{"billed_charge": 7429.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 162.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 572.0, "npi": [1740422369, 1770561185, 1295793958, 1003128976, 1295293587, 1336431352, 1073018073, 1699764506, 1508252636, 1033525597, 1245233022, 1982682399]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.92, "providers": [{"billed_charge": 5817.25, "npi": [1174533343]}]}, {"allowed_amount": 518.57, "providers": [{"billed_charge": 5817.25, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 517.73, "providers": [{"billed_charge": 5896.8, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 5817.25, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 86.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 345.0, "npi": [1851556617, 1336464874, 1295051159]}]}, {"allowed_amount": 87.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 345.0, "npi": [1821382409, 1336262153, 1679891980, 1790019347, 1992967293, 1386901270, 1467847574, 1811381536, 1942326699, 1396189106, 1669771325, 1124066246, 1255759437, 1932763984, 1891180634, 1760686950, 1023228525, 1982724720, 1689897977, 1629397245]}]}, {"allowed_amount": 87.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 345.0, "npi": [1558628354, 1730189572, 1063808392, 1639130644, 1396794004, 1285890079, 1811381536, 1689623464, 1972698793, 1124348073, 1821256363, 1447233713, 1962603191, 1467744573, 1780902593, 1194992842, 1255759437, 1730383829, 1144204652, 1740283118, 1659875573, 1386627958, 1194169847, 1144512765, 1811307259, 1992967293]}]}, {"allowed_amount": 120.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 345.0, "npi": [1689963357]}]}, {"allowed_amount": 159.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 345.0, "npi": [1639121254, 1578514246, 1568416204, 1912951245, 1154300283, 1366495483, 1063464030]}]}, {"allowed_amount": 159.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 345.0, "npi": [1568416204]}]}]}, {"tin": {"type": "ein", "value": "751375446"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 87.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 447.0, "npi": [1003268194]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 518.57, "providers": [{"billed_charge": 5817.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 518.57, "providers": [{"billed_charge": 5817.25, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 5896.8, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 5896.8, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 157.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 310.0, "npi": [1215378872, 1285195859, 1275589475]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 5896.8, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 219.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 219.0, "npi": [1225269178]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 5817.25, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752932830"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 809.8, "providers": [{"billed_charge": 15788.0, "npi": [1952333205]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 2486.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 517.73, "providers": [{"billed_charge": 2704.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 517.73, "providers": [{"billed_charge": 5817.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 87.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 261.0, "npi": [1801239876, 1942268263, 1043945801, 1043449101, 1881898831, 1902861628, 1205892767]}]}, {"allowed_amount": 111.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 261.0, "npi": [1386828341]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 3804.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.5, "providers": [{"billed_charge": 4294.0, "npi": [1184179194, 1497871628, 1871619254]}]}]}, {"tin": {"type": "ein", "value": "760631448"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1162.0, "npi": [1114932845]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2500.0, "npi": [1003340381]}]}]}, {"tin": {"type": "ein", "value": "820551704"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 5896.8, "npi": [1649273434]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 7799.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "832329088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.5, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2175.48, "npi": [1457820995]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 533.6, "providers": [{"billed_charge": 12373.74, "npi": [1619985942]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 335.0, "npi": [1992144752]}]}]}, {"tin": {"type": "ein", "value": "843475920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 731.05, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 13863.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 3510.08, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "851917572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 106.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 5000.0, "npi": [1386140226]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 731.05, "providers": [{"billed_charge": 8071.0, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "851931245"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 517.73, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 12950.6, "npi": [1750909974]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 290.0, "npi": [1457399818, 1831627918]}]}]}, {"tin": {"type": "ein", "value": "852382362"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.5, "providers": [{"billed_charge": 9850.69, "npi": [1538854872]}]}]}, {"tin": {"type": "ein", "value": "852713042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.5, "providers": [{"billed_charge": 9850.69, "npi": [1376141556]}]}]}, {"tin": {"type": "ein", "value": "853503076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9556.67, "npi": [1124623889]}]}]}, {"tin": {"type": "ein", "value": "853903021"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 109.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1254.32, "npi": [1912352162]}]}]}, {"tin": {"type": "ein", "value": "882501936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.5, "providers": [{"billed_charge": 9850.69, "npi": [1750013769]}]}]}, {"tin": {"type": "ein", "value": "883572858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 106.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1254.32, "npi": [1093812455]}]}, {"allowed_amount": 246.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1254.32, "npi": [1164748810]}]}]}, {"tin": {"type": "ein", "value": "883576979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 517.73, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9556.67, "npi": [1851028146]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 731.05, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 15888.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 105.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 5016.0, "npi": [1275598393]}]}, {"allowed_amount": 214.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 5016.0, "npi": [1184916546]}]}]}, {"tin": {"type": "ein", "value": "920937062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.5, "providers": [{"billed_charge": 9850.69, "npi": [1558056895]}]}]}, {"tin": {"type": "ein", "value": "933488698"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.5, "providers": [{"billed_charge": 9850.69, "npi": [1740042175]}]}]}, {"tin": {"type": "ein", "value": "941044474"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 323.0, "npi": [1679795538]}]}]}, {"tin": {"type": "ein", "value": "952226406"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2102.0, "providers": [{"billed_charge": 2102.0, "npi": [1689608150]}]}]}, {"tin": {"type": "ein", "value": "952586432"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 369.0, "npi": [1336163732]}]}]}, {"tin": {"type": "ein", "value": "990576438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 310.0, "npi": [1215198163, 1508153685]}]}]}, {"tin": {"type": "ein", "value": "992069011"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.5, "providers": [{"billed_charge": 8050.0, "npi": [1477303105]}]}]}, {"tin": {"type": "ein", "value": "993319912"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9643.33, "npi": [1306679378]}]}]}, {"tin": {"type": "ein", "value": "993694300"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 247.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1162.0, "npi": [1336109818]}]}]}, {"tin": {"type": "ein", "value": "995020733"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 460.96, "providers": [{"billed_charge": 16191.81, "npi": [1184440828]}]}]}]}, {"name": "Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions", "billing_code_type": "CPT", "billing_code": "74178", "billing_code_type_version": "2022", "description": "CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 139.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 399.0, "npi": [1932516556]}]}]}, {"tin": {"type": "ein", "value": "260771184"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 367.63, "providers": [{"billed_charge": 1800.0, "npi": [1396729810]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 139.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1003541699, 1568412518, 1699157289, 1033312905, 1902056203, 1699407379, 1831534973, 1649634270]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 387.0, "npi": [1184078008]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 806.06, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1372.0, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4587.75, "providers": [{"billed_charge": 10195.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 101.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 398.0, "npi": [1992967293]}]}, {"allowed_amount": 102.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 398.0, "npi": [1730189572, 1922057959]}]}, {"allowed_amount": 185.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 398.0, "npi": [1477533404]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 251.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 251.0, "npi": [1225269178]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 323.0, "npi": [1669501383]}]}]}]}, {"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": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 213.0, "npi": [1104001122, 1407482409, 1932516556, 1174514509, 1003376088]}]}, {"allowed_amount": 83.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 213.0, "npi": [1942863048]}]}]}, {"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 577.95, "providers": [{"billed_charge": 3516.3, "npi": [1265568638]}]}]}, {"tin": {"type": "ein", "value": "204881619"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 114.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1710320148]}]}]}, {"tin": {"type": "ein", "value": "208737126"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.15, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2724.6, "npi": [1104086941]}]}]}, {"tin": {"type": "ein", "value": "262157500"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 106.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1992032577]}]}]}, {"tin": {"type": "ein", "value": "272814378"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 2822.5, "npi": [1841562709]}]}]}, {"tin": {"type": "ein", "value": "334228227"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6118.8, "npi": [1538950837]}]}]}, {"tin": {"type": "ein", "value": "340714461"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1030.05, "providers": [{"billed_charge": 1962.0, "npi": [1225128432]}]}]}, {"tin": {"type": "ein", "value": "350868157"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 234.49, "providers": [{"billed_charge": 3133.0, "npi": [1841245594]}]}]}, {"tin": {"type": "ein", "value": "390816857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 467.25, "providers": [{"billed_charge": 1620.0, "npi": [1427007384]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 186.0, "npi": [1942208699]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 491.31, "providers": [{"billed_charge": 913.0, "npi": [1407897309]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 191.0, "npi": [1184659294]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 4150.0, "npi": [1003883158]}]}, {"allowed_amount": 346.77, "providers": [{"billed_charge": 4150.0, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.92, "providers": [{"billed_charge": 4150.0, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "464007700"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1201.69, "providers": [{"billed_charge": 3433.91, "npi": [1396138970]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 2264.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 333.0, "npi": [1699330308]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1891105896]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 239.0, "npi": [1003253238]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 281.0, "npi": [1770878001]}]}]}, {"tin": {"type": "ein", "value": "620809858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 132.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1083619456]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "providers": [{"billed_charge": 1973.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1508001603, 1477556868, 1568412518, 1043940455, 1033312905, 1316626252, 1760055693, 1225327406, 1215138227, 1346455672, 1831534973]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1679367221]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1386611713, 1023261062, 1093158024, 1760672919, 1750512281, 1497722144, 1043348386, 1851828008, 1891762217, 1376519223, 1417924283, 1801003454, 1023085891, 1578590154, 1457338188, 1831165778, 1831237973, 1255568598, 1174630230, 1326020702]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 466.0, "npi": [1376907576]}]}, {"allowed_amount": 94.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 466.0, "npi": [1649612763]}]}]}, {"tin": {"type": "ein", "value": "741940911"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 174.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1710240775]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5780.95, "providers": [{"billed_charge": 16517.0, "npi": [1770536120]}]}, {"allowed_amount": 5783.05, "providers": [{"billed_charge": 16523.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2749.78, "providers": [{"billed_charge": 7856.5, "npi": [1124074273, 1376256354, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1376030825]}]}, {"allowed_amount": 174.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1750398236]}]}, {"allowed_amount": 179.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1124559760]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 401.5, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2270.25, "providers": [{"billed_charge": 5045.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 302.0, "npi": [1326433442, 1760460059, 1508252636, 1982682399]}]}]}, {"tin": {"type": "ein", "value": "750827446"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.23, "providers": [{"billed_charge": 7071.58, "npi": [1528064649]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.92, "providers": [{"billed_charge": 4150.0, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.15, "providers": [{"billed_charge": 3403.77, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751037591"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 673.22, "providers": [{"billed_charge": 3403.77, "npi": [1851108765]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 346.77, "providers": [{"billed_charge": 4150.0, "npi": [1396779948]}]}, {"allowed_amount": 673.22, "providers": [{"billed_charge": 4150.0, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 50.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 213.0, "npi": [1265409585, 1144512765]}]}, {"allowed_amount": 50.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 213.0, "npi": [1386901270, 1841585304, 1447575840, 1003819426, 1942326699, 1396189106, 1962464958, 1740303429, 1124066246, 1255759437, 1114289741, 1649595091, 1053671636, 1992021075, 1508209495, 1891180634, 1366902884, 1578812905, 1821314667, 1023228525, 1164539631, 1366948721, 1629397245, 1124277371, 1699200253]}]}, {"allowed_amount": 51.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 121.23, "npi": [1780902593]}, {"billed_charge": 213.0, "npi": [1558628354, 1992858757, 1467474189, 1891798286, 1396794004, 1285890079, 1730127903, 1447233713, 1871823039, 1780902593, 1194992842, 1053671636, 1689963357, 1366902884, 1336464874, 1144204652, 1659875573, 1194169847, 1144512765]}]}, {"allowed_amount": 62.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 213.0, "npi": [1073003075]}]}, {"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 213.0, "npi": [1992018055, 1164539631]}]}, {"allowed_amount": 92.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 213.0, "npi": [1578514246, 1639121254, 1568416204, 1194705137, 1629020243]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.92, "providers": [{"billed_charge": 4150.0, "npi": [1104845015]}]}, {"allowed_amount": 933.68, "providers": [{"billed_charge": 4150.0, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.92, "providers": [{"billed_charge": 4150.0, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.92, "providers": [{"billed_charge": 3403.77, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3403.77, "npi": [1447250253]}]}, {"allowed_amount": 346.77, "providers": [{"billed_charge": 3403.77, "npi": [1447250253]}]}, {"allowed_amount": 673.22, "providers": [{"billed_charge": 3403.77, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 673.22, "providers": [{"billed_charge": 3403.77, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1568665321]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 346.77, "providers": [{"billed_charge": 3403.77, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 134.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1649148750, 1093682999]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 346.77, "providers": [{"billed_charge": 4150.0, "npi": [1770514077]}]}, {"allowed_amount": 673.22, "providers": [{"billed_charge": 4150.0, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 4150.0, "npi": [1336172105]}]}, {"allowed_amount": 480.15, "providers": [{"billed_charge": 4150.0, "npi": [1336172105]}]}, {"allowed_amount": 932.15, "providers": [{"billed_charge": 4150.0, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 51.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 224.0, "npi": [1649255878, 1912963208, 1356970735, 1215141171, 1689352403, 1053601237, 1316902133, 1750961272, 1013304153, 1205396991]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 346.77, "providers": [{"billed_charge": 5498.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1336247907]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1122.03, "providers": [{"billed_charge": 3516.3, "npi": [1144781501]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 346.77, "providers": [{"billed_charge": 3403.77, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "833180104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 665.0, "npi": [1306865639]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 2309.99, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "850214117"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1417905522, 1639462450]}]}]}, {"tin": {"type": "ein", "value": "851762272"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4000.0, "npi": [1710070685]}]}]}, {"tin": {"type": "ein", "value": "851778208"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 346.77, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6899.72, "npi": [1366056194]}]}]}, {"tin": {"type": "ein", "value": "851943296"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 876.0, "npi": [1861699076]}]}]}, {"tin": {"type": "ein", "value": "851961472"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3858.7, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 13630.4, "npi": [1235747304]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 207.0, "npi": [1497702542]}]}]}, {"tin": {"type": "ein", "value": "882459039"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 8176.0, "npi": [1346289576]}]}]}, {"tin": {"type": "ein", "value": "882501936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.66, "providers": [{"billed_charge": 7428.53, "npi": [1750013769]}]}]}, {"tin": {"type": "ein", "value": "882995935"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4000.0, "npi": [1568477339]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 61.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2508.0, "npi": [1144807322]}]}]}]}, {"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": "112677302"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 3566.75, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "131624096"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 433.67, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1800.0, "npi": [1245248939]}]}]}, {"tin": {"type": "ein", "value": "160393490"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 841.93, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2803.84, "npi": [1346241973]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 59.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1104001122, 1407482409, 1932516556, 1174514509, 1366433740, 1922487446, 1003376088, 1225599582]}]}, {"allowed_amount": 70.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1942863048]}]}, {"allowed_amount": 148.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1104001122, 1225599582]}]}]}, {"tin": {"type": "ein", "value": "201330997"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1003819426]}]}]}, {"tin": {"type": "ein", "value": "201355256"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1500.0, "providers": [{"billed_charge": 1500.0, "npi": [1013970862]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1740303429]}, {"billed_charge": 608.0, "npi": [1730218413]}]}]}, {"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 3291.05, "npi": [1144566316]}]}, {"allowed_amount": 1122.03, "providers": [{"billed_charge": 3291.05, "npi": [1265568638]}]}]}, {"tin": {"type": "ein", "value": "204881619"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1689889057, 1710320148]}]}]}, {"tin": {"type": "ein", "value": "232678055"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1366428351]}]}]}, {"tin": {"type": "ein", "value": "232825878"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1521.69, "providers": [{"billed_charge": 6742.0, "npi": [1962579029]}]}]}, {"tin": {"type": "ein", "value": "250815795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 212.0, "npi": [1336183482]}]}]}, {"tin": {"type": "ein", "value": "251403958"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.0, "npi": [1922326404]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3178.59, "npi": [1205018439]}]}, {"allowed_amount": 673.22, "providers": [{"billed_charge": 3178.59, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6855.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "262157500"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.0, "npi": [1992032577]}]}]}, {"tin": {"type": "ein", "value": "262978009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 2840.32, "npi": [1689002651]}]}, {"allowed_amount": 346.77, "providers": [{"billed_charge": 2840.32, "npi": [1407010622]}]}, {"allowed_amount": 673.22, "providers": [{"billed_charge": 2840.32, "npi": [1407010622, 1619308319]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3000.0, "npi": [1861690364]}]}, {"allowed_amount": 346.77, "providers": [{"billed_charge": 3000.0, "npi": [1861690364]}]}, {"allowed_amount": 673.22, "providers": [{"billed_charge": 3000.0, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "272184637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 209.0, "npi": [1407149941]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1538363114, 1851319057, 1760522353, 1306994231, 1992858328]}]}]}, {"tin": {"type": "ein", "value": "330449527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1918.14, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3603.0, "npi": [1528041811]}]}]}, {"tin": {"type": "ein", "value": "331929227"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 9416.0, "npi": [1144112129]}]}]}, {"tin": {"type": "ein", "value": "334308303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 5404.8, "npi": [1174310841]}]}, {"allowed_amount": 677.98, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 5404.8, "npi": [1174310841]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.98, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 5404.8, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "340714461"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1030.05, "providers": [{"billed_charge": 1962.0, "npi": [1225128432]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 2840.32, "npi": [1598196206, 1679903967]}]}, {"allowed_amount": 933.68, "providers": [{"billed_charge": 2840.32, "npi": [1598196206]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 59.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 229.0, "npi": [1770739260, 1396940342]}]}, {"allowed_amount": 77.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 229.0, "npi": [1366646416]}]}, {"allowed_amount": 148.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 229.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 59.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1942208699]}]}]}, {"tin": {"type": "ein", "value": "412101361"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3178.59, "npi": [1962504340]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1063640100, 1184659294]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3566.75, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "440552490"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.43, "providers": [{"billed_charge": 2495.0, "npi": [1235102690]}]}]}, {"tin": {"type": "ein", "value": "450310462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 513.29, "providers": [{"billed_charge": 195.0, "npi": [1154346161]}]}]}, {"tin": {"type": "ein", "value": "450310462"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 98.0, "npi": [1083053573]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 3566.75, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 3741.12, "npi": [1033120423]}]}, {"allowed_amount": 480.92, "providers": [{"billed_charge": 3741.12, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "454435955"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 5766.75, "npi": [1467897447]}]}]}, {"tin": {"type": "ein", "value": "464125750"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2960.0, "npi": [1457748238]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 346.77, "providers": [{"billed_charge": 3878.0, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "474717998"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 242.51, "providers": [{"billed_charge": 1822.0, "npi": [1104295864]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 346.57, "providers": [{"billed_charge": 2172.0, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 2218.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "560554230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 310.87, "providers": [{"billed_charge": 2148.0, "npi": [1881647204]}]}]}, {"tin": {"type": "ein", "value": "560945616"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1164666046]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1891105896]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 501.19, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1289.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.0, "npi": [1003253238]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 494.95, "providers": [{"billed_charge": 3609.24, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 53.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1649536376, 1215929948, 1437390390]}]}, {"allowed_amount": 125.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1851603005, 1033181839]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1770878001]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 829.95, "providers": [{"billed_charge": 3472.88, "npi": [1174551147]}]}]}, {"tin": {"type": "ein", "value": "620123940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 346.48, "providers": [{"billed_charge": 3038.0, "npi": [1578527172]}]}]}, {"tin": {"type": "ein", "value": "620809858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 187.0, "npi": [1083619456]}]}]}, {"tin": {"type": "ein", "value": "620963389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1447756960]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 673.22, "providers": [{"billed_charge": 4876.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 4191.71, "npi": [1700805678]}]}, {"allowed_amount": 346.77, "providers": [{"billed_charge": 4191.71, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "623181415"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 84.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1104210673]}]}]}, {"tin": {"type": "ein", "value": "630639615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1023429495]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.68, "providers": [{"billed_charge": 3566.75, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 3742.25, "npi": [1619115383, 1093810327]}]}, {"allowed_amount": 1122.03, "providers": [{"billed_charge": 3742.25, "npi": [1578780870]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 2205.0, "npi": [1447883301]}]}, {"allowed_amount": 320.31, "providers": [{"billed_charge": 1409.0, "npi": [1194787218, 1780867390]}, {"billed_charge": 1974.0, "npi": [1821004151]}]}, {"allowed_amount": 677.98, "providers": [{"billed_charge": 1409.0, "npi": [1194787218]}, {"billed_charge": 1974.0, "npi": [1821004151]}]}, {"allowed_amount": 1122.03, "providers": [{"billed_charge": 2205.0, "npi": [1447883301]}]}, {"allowed_amount": 1316.23, "providers": [{"billed_charge": 1409.0, "npi": [1194787218, 1780867390]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 2240.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.66, "providers": [{"billed_charge": 2320.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 59.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1508001603, 1477556868, 1568412518, 1043940455, 1629301544, 1033312905, 1316626252, 1760055693, 1225327406, 1215138227, 1689683005, 1346455672, 1831534973]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1679367221]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 7.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1750512281]}]}, {"allowed_amount": 59.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1023261062, 1093158024, 1245207562, 1801813266, 1760672919, 1750512281, 1639388572, 1336324383, 1497722144, 1043348386, 1851828008, 1891762217, 1417924283, 1023085891, 1578590154, 1457338188, 1831165778, 1831237973, 1255568598, 1174630230, 1154398808, 1184600918, 1902080476, 1326020702, 1871926899]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 77.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 343.0, "npi": [1639368939, 1871583278, 1184983538, 1649612763, 1750329470, 1376991935]}]}, {"allowed_amount": 80.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 343.0, "npi": [1093913675, 1306081518, 1952696692, 1740519321, 1538159389, 1003806654]}]}]}, {"tin": {"type": "ein", "value": "741940911"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1710240775]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1730342841, 1104210673]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3549.7, "providers": [{"billed_charge": 10142.0, "npi": [1770536120]}]}, {"allowed_amount": 3550.75, "providers": [{"billed_charge": 10145.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742519752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 690.48, "providers": [{"billed_charge": 2758.19, "npi": [1154315307]}]}]}, {"tin": {"type": "ein", "value": "742557820"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "providers": [{"billed_charge": 4100.0, "npi": [1790782704]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2236.89, "providers": [{"billed_charge": 6391.11, "npi": [1124074273, 1376256354, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 186.0, "npi": [1376030825]}]}, {"allowed_amount": 148.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 186.0, "npi": [1326009093, 1922064294, 1669885620, 1891274841, 1750398236]}]}, {"allowed_amount": 152.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 186.0, "npi": [1124559760]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 401.5, "npi": [1316936990]}, {"billed_charge": 471.93, "npi": [1619747938]}]}, {"allowed_amount": 511.27, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 401.5, "npi": [1316936990]}, {"billed_charge": 3159.91, "npi": [1316936990]}]}, {"allowed_amount": 992.57, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 401.5, "npi": [1316936990]}, {"billed_charge": 3159.91, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1951.65, "providers": [{"billed_charge": 4337.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 80.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 239.0, "npi": [1326433442, 1891226114, 1942734629, 1821397084, 1336431352, 1073018073, 1760460059, 1508252636, 1982682399]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3977.0, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "750974351"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 2291.0, "npi": [1124092036]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 3178.59, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751037591"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3178.59, "npi": [1124305065]}]}, {"allowed_amount": 673.22, "providers": [{"billed_charge": 3178.59, "npi": [1124305065]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3566.75, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 7.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1386627958]}]}, {"allowed_amount": 8.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1558628354]}]}, {"allowed_amount": 31.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1568620789, 1023228525, 1013273630, 1508209495]}]}, {"allowed_amount": 42.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1407050693, 1164405734, 1194992842, 1265409585, 1639130644, 1730383829, 1982419321, 1811307259]}]}, {"allowed_amount": 43.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1235592064, 1033552005, 1992858757, 1336262153, 1720442890, 1821382409, 1518386325, 1992967293, 1386901270, 1841585304, 1013273630, 1730127903, 1447575840, 1003819426, 1891104550, 1942326699, 1821256363, 1508094640, 1396189106, 1841583796, 1134623796, 1396189494, 1740717495, 1710060348, 1467744573, 1669771325, 1962464958, 1871823039, 1073631297, 1740303429, 1124066246, 1649265612, 1114289741, 1255759437, 1649595091, 1053671636, 1992021075, 1508209495, 1629431895, 1699200253, 1891180634, 1952899676, 1679849822, 1629151584, 1366902884, 1578812905, 1821314667, 1023228525, 1164539631, 1982724720, 1366948721, 1144287475, 1568620789, 1689897977, 1124277371, 1629397245, 1912394495]}]}, {"allowed_amount": 43.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.4, "npi": [1780902593]}, {"billed_charge": 168.0, "npi": [1568465920, 1558628354, 1992858757, 1063808392, 1467474189, 1891798286, 1396794004, 1518386325, 1295051159, 1841585304, 1730127903, 1447575840, 1285890079, 1003819426, 1689623464, 1942326699, 1134489263, 1508094640, 1265409585, 1447233713, 1396189106, 1871823039, 1780902593, 1194992842, 1902226301, 1407894736, 1053671636, 1730383829, 1699200253, 1013966043, 1689963357, 1366902884, 1164405734, 1922057959, 1578812905, 1336464874, 1144204652, 1164539631, 1801156336, 1366948721, 1659875573, 1386627958, 1194169847, 1811307259, 1144512765]}]}, {"allowed_amount": 59.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1780902593, 1164849154, 1992018055, 1689963357, 1164539631, 1447233713, 1699200253, 1467744573]}]}, {"allowed_amount": 64.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1871750604]}]}, {"allowed_amount": 64.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1871750604]}]}, {"allowed_amount": 77.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1578514246]}]}, {"allowed_amount": 78.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1578514246, 1962474726, 1639121254, 1568416204, 1962452557, 1194705137, 1629020243, 1154300283, 1124008503, 1366652729, 1366495483, 1477533404, 1063464030]}]}, {"allowed_amount": 78.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1467985986, 1639121254, 1962474726, 1568416204, 1366652729, 1063464030]}]}, {"allowed_amount": 148.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1053439935]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 3566.75, "npi": [1508899204]}]}, {"allowed_amount": 933.68, "providers": [{"billed_charge": 3566.75, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751752253"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 242.96, "providers": [{"billed_charge": 3566.75, "npi": [1922031541]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 3178.59, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3178.59, "npi": [1447250253]}]}, {"allowed_amount": 346.77, "providers": [{"billed_charge": 3178.59, "npi": [1447250253]}]}, {"allowed_amount": 673.22, "providers": [{"billed_charge": 3178.59, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3178.59, "npi": [1265430177]}]}, {"allowed_amount": 673.22, "providers": [{"billed_charge": 3178.59, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1568665321, 1285195859, 1508363292, 1083959142]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3178.59, "npi": [1992700983]}]}, {"allowed_amount": 346.77, "providers": [{"billed_charge": 3178.59, "npi": [1992700983]}]}, {"allowed_amount": 673.22, "providers": [{"billed_charge": 3178.59, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 107.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1639964273, 1750465514, 1386874741, 1093682999]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 3566.75, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3566.75, "npi": [1770514077]}]}, {"allowed_amount": 346.77, "providers": [{"billed_charge": 3566.75, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752771437"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3566.75, "npi": [1457382798]}]}]}, {"tin": {"type": "ein", "value": "752865177"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 2441.68, "npi": [1922002674]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 346.77, "providers": [{"billed_charge": 2125.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 4436.0, "npi": [1992753222]}]}, {"allowed_amount": 480.15, "providers": [{"billed_charge": 4436.0, "npi": [1992753222]}]}, {"allowed_amount": 932.15, "providers": [{"billed_charge": 4436.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 3566.75, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 43.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1649255878, 1912963208, 1639127210, 1346635695, 1356970735, 1215141171, 1689352403, 1316902133, 1053601237, 1558366294, 1750961272, 1013304153, 1205396991]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 2154.0, "npi": [1932123247]}]}, {"allowed_amount": 346.77, "providers": [{"billed_charge": 2154.0, "npi": [1932123247]}]}, {"allowed_amount": 673.22, "providers": [{"billed_charge": 2154.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1336247907]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 2240.0, "npi": [1497871628]}]}, {"allowed_amount": 355.66, "providers": [{"billed_charge": 2240.0, "npi": [1184179194]}]}, {"allowed_amount": 690.48, "providers": [{"billed_charge": 2240.0, "npi": [1497871628]}]}]}, {"tin": {"type": "ein", "value": "810306157"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 256.0, "npi": [1851612782]}]}]}, {"tin": {"type": "ein", "value": "812527918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2960.0, "npi": [1396280756]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 3291.05, "npi": [1902366305, 1144781501]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1800.0, "npi": [1326204744, 1053007914, 1053791459]}]}]}, {"tin": {"type": "ein", "value": "814584169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 7761.12, "npi": [1376064295]}]}]}, {"tin": {"type": "ein", "value": "820161600"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 983.38, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1361.0, "npi": [1770586794]}]}]}, {"tin": {"type": "ein", "value": "820301061"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1760974331]}]}]}, {"tin": {"type": "ein", "value": "820551704"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3178.59, "npi": [1649273434]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6467.0, "npi": [1063051159]}]}, {"allowed_amount": 859.56, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6467.0, "npi": [1063051159]}]}, {"allowed_amount": 1316.23, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6467.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 4495.0, "npi": [1083112023]}]}, {"allowed_amount": 346.77, "providers": [{"billed_charge": 4495.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3178.59, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "831002191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1831188739]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 3741.12, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3566.75, "npi": [1104381292]}]}, {"allowed_amount": 346.77, "providers": [{"billed_charge": 3566.75, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "833180104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 493.0, "npi": [1306865639]}]}]}, {"tin": {"type": "ein", "value": "841155936"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.0, "npi": [1669784310]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 494.85, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 5857.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1952.53, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "850214117"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1619173721, 1568431682]}]}]}, {"tin": {"type": "ein", "value": "851762272"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 121.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3000.0, "npi": [1710070685]}]}]}, {"tin": {"type": "ein", "value": "851917572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 121.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3000.0, "npi": [1649369521]}]}, {"allowed_amount": 571.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3000.0, "npi": [1487940482]}]}]}, {"tin": {"type": "ein", "value": "851929979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 577.95, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 5125.07, "npi": [1851180400]}]}]}, {"tin": {"type": "ein", "value": "851931245"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 14780.7, "npi": [1750909974]}]}]}, {"tin": {"type": "ein", "value": "851943296"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 550.0, "npi": [1861699076]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 42.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1386840940, 1457399818, 1629737770]}]}]}, {"tin": {"type": "ein", "value": "852713042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 5760.0, "npi": [1376141556]}]}]}, {"tin": {"type": "ein", "value": "853503076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9250.43, "npi": [1124623889]}]}, {"allowed_amount": 346.77, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9250.43, "npi": [1124623889]}]}]}, {"tin": {"type": "ein", "value": "853903021"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1214.12, "npi": [1053323261]}]}, {"allowed_amount": 120.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1214.12, "npi": [1184104218]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.07, "providers": [{"billed_charge": 9416.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "863009016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 346.77, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 10346.0, "npi": [1417615006]}]}]}, {"tin": {"type": "ein", "value": "882459039"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 8866.0, "npi": [1346289576]}]}]}, {"tin": {"type": "ein", "value": "882501936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 5760.0, "npi": [1750013769]}]}, {"allowed_amount": 355.66, "providers": [{"billed_charge": 5760.0, "npi": [1750013769]}]}]}, {"tin": {"type": "ein", "value": "882995935"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 571.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 3000.0, "npi": [1568477339]}]}]}, {"tin": {"type": "ein", "value": "910433740"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 256.65, "providers": [{"billed_charge": 634.0, "npi": [1306992151]}]}]}, {"tin": {"type": "ein", "value": "910979582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1871914457]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1062.88, "providers": [{"billed_charge": 1728.0, "npi": [1841231461]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 7425.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 52.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2508.0, "npi": [1144807322]}]}, {"allowed_amount": 258.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2508.0, "npi": [1972578714]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1228.0, "providers": [{"billed_charge": 1228.0, "npi": [1073200309]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 114.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.54, "npi": [1548615594]}]}]}, {"tin": {"type": "ein", "value": "921903817"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14023.23, "npi": [1083920888]}]}]}, {"tin": {"type": "ein", "value": "921924347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 16138.16, "npi": [1639875750]}]}]}, {"tin": {"type": "ein", "value": "934295804"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9250.43, "npi": [1851165013]}]}, {"allowed_amount": 690.48, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9250.43, "npi": [1851165013]}]}]}, {"tin": {"type": "ein", "value": "934370183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6467.0, "npi": [1538934864]}]}]}, {"tin": {"type": "ein", "value": "934627934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1437188604]}]}]}, {"tin": {"type": "ein", "value": "934935234"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1214.12, "npi": [1598720658]}]}, {"allowed_amount": 48.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1214.12, "npi": [1063688711]}]}]}, {"tin": {"type": "ein", "value": "941720882"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1073812970]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 224.42, "providers": [{"billed_charge": 1785.82, "npi": [1043220650]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.27, "npi": [1508905514]}]}]}, {"tin": {"type": "ein", "value": "990576438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1548681042]}]}]}, {"tin": {"type": "ein", "value": "992892769"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 244.16, "providers": [{"billed_charge": 5864.0, "npi": [1255171096]}]}]}]}, {"name": "Computed tomography, lower extremity; with contrast material(s)", "billing_code_type": "CPT", "billing_code": "73701", "billing_code_type_version": "2022", "description": "CT LOWER EXTREMITY W/CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 80.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 231.0, "npi": [1104001122, 1225599582]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 3999.86, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1538363114]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 311.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "430917818"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.9, "providers": [{"billed_charge": 263.0, "npi": [1548299977]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 458.12, "providers": [{"billed_charge": 2727.5, "npi": [1578780870]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.41, "providers": [{"billed_charge": 3105.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1073588513, 1518972884, 1831534973, 1568412518]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 80.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1497722144, 1043348386, 1225005168, 1801813266, 1831237973, 1265939383]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2323.9, "providers": [{"billed_charge": 6639.72, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1222.65, "providers": [{"billed_charge": 2717.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 58.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 231.0, "npi": [1801156336]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1568665321]}]}]}, {"tin": {"type": "ein", "value": "910852058"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 217.0, "npi": [1548266877]}]}]}]}, {"name": "Computed tomography, lower extremity; without contrast material", "billing_code_type": "CPT", "billing_code": "73700", "billing_code_type_version": "2022", "description": "CT LOWER EXTREMITY W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1407482409, 1104001122]}]}, {"allowed_amount": 83.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1942863048]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 189.0, "npi": [1306994231]}]}]}, {"tin": {"type": "ein", "value": "334335561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "providers": [{"billed_charge": 4486.8, "npi": [1952295164]}]}]}, {"tin": {"type": "ein", "value": "710900575"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 174.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1831515287]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 2365.25, "npi": [1578780870]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "providers": [{"billed_charge": 2409.0, "npi": [1780867390]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1073588513, 1285815811]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 194.0, "npi": [1396721155, 1831237973, 1891777371, 1902080476, 1801003454]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3382.4, "providers": [{"billed_charge": 9664.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2187.17, "providers": [{"billed_charge": 6249.06, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1158.75, "providers": [{"billed_charge": 2575.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 50.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1235592064, 1508209495, 1700812815]}]}, {"allowed_amount": 51.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1922057959, 1689623464, 1801156336, 1447233713, 1659875573]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 2858.93, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1225269178]}]}]}, {"tin": {"type": "ein", "value": "815287624"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "providers": [{"billed_charge": 5424.72, "npi": [1174059208]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 2858.93, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 76.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1730138876]}]}]}, {"tin": {"type": "ein", "value": "994033449"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 6461.8, "npi": [1902644263]}]}]}]}, {"name": "Computed tomography, lumbar spine; without contrast material", "billing_code_type": "CPT", "billing_code": "72131", "billing_code_type_version": "2022", "description": "CT LUMBAR SPINE W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3424.65, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3400.0, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "272184637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 387.0, "npi": [1053755694]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 238.0, "npi": [1538363114, 1306994231]}]}]}, {"tin": {"type": "ein", "value": "333465465"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6857.74, "npi": [1831995950]}]}]}, {"tin": {"type": "ein", "value": "333672238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 900.08, "npi": [1114933983]}]}]}, {"tin": {"type": "ein", "value": "334308303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6145.71, "npi": [1174310841]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6145.71, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 2908.75, "npi": [1679903967]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 4150.0, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 4150.0, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3717.5, "providers": [{"billed_charge": 7435.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 2541.0, "npi": [1255579389]}]}, {"allowed_amount": 346.77, "providers": [{"billed_charge": 2541.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "591266388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 281.0, "npi": [1447235874]}]}]}, {"tin": {"type": "ein", "value": "710900575"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 174.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1841780699]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.98, "providers": [{"billed_charge": 2506.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 2449.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1831534973, 1225327406, 1043940455]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 194.0, "npi": [1023085891, 1851828008, 1891762217, 1265939383, 1831165778, 1255568598, 1376519223, 1760672919, 1750512281, 1417924283, 1801003454]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 466.0, "npi": [1346534120, 1407397847, 1750329470, 1205223799]}]}, {"allowed_amount": 94.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 466.0, "npi": [1346534120]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5610.15, "providers": [{"billed_charge": 16029.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2749.78, "providers": [{"billed_charge": 7856.5, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 174.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 218.0, "npi": [1811162449]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 401.5, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1030.95, "providers": [{"billed_charge": 2291.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 56.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 302.0, "npi": [1982990156]}]}, {"allowed_amount": 94.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 302.0, "npi": [1770561185, 1326433442, 1821397084, 1033525597]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 4150.0, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 4150.0, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 50.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1558628354, 1124277371, 1366902884]}]}, {"allowed_amount": 50.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1366902884, 1831488519, 1821382409, 1942326699, 1023228525, 1164539631, 1932763984, 1043208978, 1790019347, 1053671636, 1467847574, 1508209495, 1699200253]}]}, {"allowed_amount": 51.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1568465920, 1780902593, 1558628354, 1366902884, 1194992842, 1144204652, 1508094640, 1447233713, 1801156336, 1306883483, 1659875573, 1396189494, 1013966043, 1730127903, 1144512765, 1811307259]}]}, {"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1164849154, 1689963357]}]}, {"allowed_amount": 91.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1366652729]}]}, {"allowed_amount": 92.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1194705137, 1568416204, 1578514246]}]}]}, {"tin": {"type": "ein", "value": "751301362"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 511.27, "providers": [{"billed_charge": 3843.0, "npi": [1821087164]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3424.65, "npi": [1447250253]}]}, {"allowed_amount": 346.77, "providers": [{"billed_charge": 3424.65, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1508363292]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3424.65, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 4150.0, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 673.22, "providers": [{"billed_charge": 4150.0, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 2474.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 4150.0, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 51.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1912963208, 1013304153, 1316902133, 1346635695]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 5891.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1336247907]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 2449.0, "npi": [1497871628]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1800.0, "npi": [1588638720]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 3553.67, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "832041336"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 6804.0, "npi": [1245705417]}]}]}, {"tin": {"type": "ein", "value": "852713042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 6804.0, "npi": [1376141556]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1518311844]}]}]}, {"tin": {"type": "ein", "value": "933488698"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5081.11, "providers": [{"billed_charge": 6804.0, "npi": [1740042175]}]}]}, {"tin": {"type": "ein", "value": "991725632"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6857.74, "npi": [1780442517]}]}]}, {"tin": {"type": "ein", "value": "991770453"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 900.08, "npi": [1023221413]}]}]}, {"tin": {"type": "ein", "value": "992762070"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 6804.0, "npi": [1124865126]}]}]}]}, {"name": "Computed tomography, maxillofacial area; with contrast material(s)", "billing_code_type": "CPT", "billing_code": "70487", "billing_code_type_version": "2022", "description": "CT MAXILLOFACIAL W/CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 78.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 224.0, "npi": [1932516556]}]}, {"allowed_amount": 93.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 224.0, "npi": [1942863048]}]}]}, {"tin": {"type": "ein", "value": "262157500"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 119.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 218.0, "npi": [1437605037]}]}]}, {"tin": {"type": "ein", "value": "590724459"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 364.51, "providers": [{"billed_charge": 7982.0, "npi": [1306938071]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 78.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 152.0, "npi": [1568412518, 1043940455, 1629301544, 1033312905, 1225327406, 1215138227, 1346455672, 1831534973]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 217.0, "npi": [1750512281, 1043348386, 1801813266, 1174630230]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3697.75, "providers": [{"billed_charge": 10565.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2601.69, "providers": [{"billed_charge": 7433.4, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1532.25, "providers": [{"billed_charge": 3405.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 381.22, "providers": [{"billed_charge": 3064.5, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 57.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 242.0, "npi": [1790019347, 1679891980, 1992858757]}]}, {"allowed_amount": 57.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 242.0, "npi": [1780902593, 1053671636, 1992858757]}]}, {"allowed_amount": 103.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 242.0, "npi": [1366652729, 1629020243]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 3340.68, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 3340.68, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 381.22, "providers": [{"billed_charge": 3064.5, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 380.59, "providers": [{"billed_charge": 4407.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 380.59, "providers": [{"billed_charge": 3064.5, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 5179.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1950.0, "npi": [1104052307]}]}]}, {"tin": {"type": "ein", "value": "820301061"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1760974331]}]}]}, {"tin": {"type": "ein", "value": "923209338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2750.18, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 8000.0, "npi": [1558132365]}]}]}, {"tin": {"type": "ein", "value": "934370183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.41, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 7600.0, "npi": [1538934864]}]}]}, {"tin": {"type": "ein", "value": "990517950"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 430.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 500.0, "npi": [1710320155]}]}]}]}, {"name": "Computed tomography, maxillofacial area; without contrast material", "billing_code_type": "CPT", "billing_code": "70486", "billing_code_type_version": "2022", "description": "CT MAXILLOFACIAL W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 59.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1407482409, 1932516556, 1174514509, 1003376088, 1225599582]}]}, {"allowed_amount": 71.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1942863048]}]}]}, {"tin": {"type": "ein", "value": "261775172"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 123.04, "providers": [{"billed_charge": 505.0, "npi": [1851399463]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 491.31, "providers": [{"billed_charge": 1121.0, "npi": [1407897309]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 191.0, "npi": [1063640100]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 673.22, "providers": [{"billed_charge": 1884.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "620809858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 189.0, "npi": [1003921404]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "providers": [{"billed_charge": 1453.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 59.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1508001603, 1477556868, 1568412518, 1043940455, 1225327406, 1215138227, 1346455672, 1831534973]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.0, "npi": [1679367221]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 59.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1043348386, 1023261062, 1851828008, 1891762217, 1154398808, 1457338188, 1831165778, 1255568598, 1760672919, 1174630230, 1750512281, 1326020702]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 434.0, "npi": [1639368939]}]}]}, {"tin": {"type": "ein", "value": "741940911"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 236.0, "npi": [1710240775]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 224.0, "npi": [1104210673]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2489.82, "providers": [{"billed_charge": 7113.77, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 511.27, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3762.04, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1343.7, "providers": [{"billed_charge": 2986.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1326433442, 1508252636]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 2889.5, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 43.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 212.0, "npi": [1629151584, 1124066246, 1821314667, 1841583796, 1124277371, 1013273630]}]}, {"allowed_amount": 43.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 103.28, "npi": [1780902593]}, {"billed_charge": 212.0, "npi": [1780902593, 1336464874, 1467474189, 1053671636, 1013966043, 1285890079, 1144512765, 1730127903]}]}, {"allowed_amount": 59.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 212.0, "npi": [1740717495]}]}, {"allowed_amount": 79.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 212.0, "npi": [1578514246, 1629020243, 1568416204, 1962474726]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 2840.9, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1093682999]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 4407.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 43.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1649255878, 1912963208, 1639127210, 1356970735, 1215141171, 1689352403, 1316902133, 1013304153, 1205396991]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 4435.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 2601.0, "npi": [1083937593]}]}]}, {"tin": {"type": "ein", "value": "813562144"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1251.03, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 5500.0, "npi": [1639663370]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3586.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "825410675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 106.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 657.8, "npi": [1144450131]}]}]}, {"tin": {"type": "ein", "value": "831886473"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3835.11, "npi": [1376018382]}]}]}, {"tin": {"type": "ein", "value": "851917572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2000.0, "npi": [1649369521]}]}]}, {"tin": {"type": "ein", "value": "851931245"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.15, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 4627.72, "npi": [1750909974]}]}]}, {"tin": {"type": "ein", "value": "853903021"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 887.33, "npi": [1053323261]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1518311844]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 52.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1664.0, "npi": [1144807322]}]}]}]}, {"name": "Computed tomography, pelvis; without contrast material", "billing_code_type": "CPT", "billing_code": "72192", "billing_code_type_version": "2022", "description": "CT PELVIS W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "390816857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.76, "providers": [{"billed_charge": 1588.0, "npi": [1427007384]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3536.0, "providers": [{"billed_charge": 7072.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 74.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 211.0, "npi": [1043348386, 1871926899, 1831237973, 1184600918, 1265939383, 1376519223, 1801003454]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1687.81, "providers": [{"billed_charge": 4822.3, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 54.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1003347113]}]}, {"allowed_amount": 54.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1801156336, 1972698793, 1194992842]}]}, {"allowed_amount": 74.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1164849154, 1689963357]}]}, {"allowed_amount": 99.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1366495483]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 3608.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 137.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 137.0, "npi": [1225269178]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1891825063]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2400.0, "npi": [1902893183]}]}]}, {"tin": {"type": "ein", "value": "833180104"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 622.0, "npi": [1376588202]}]}]}, {"tin": {"type": "ein", "value": "843475920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6123.0, "npi": [1063051159]}]}]}]}, {"name": "Computed tomography, soft tissue neck; with contrast material(s)", "billing_code_type": "CPT", "billing_code": "70491", "billing_code_type_version": "2022", "description": "CT SOFT TISSUE NECK W/CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 95.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 276.0, "npi": [1003376088, 1922487446]}]}, {"allowed_amount": 113.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 276.0, "npi": [1942863048]}]}]}, {"tin": {"type": "ein", "value": "204361034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 239.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.0, "npi": [1609302967]}]}]}, {"tin": {"type": "ein", "value": "332476324"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 521.58, "providers": [{"billed_charge": 4119.0, "npi": [1114731064]}]}]}, {"tin": {"type": "ein", "value": "392717734"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12035.44, "providers": [{"billed_charge": 9478.54, "npi": [1093604662]}]}]}, {"tin": {"type": "ein", "value": "640362400"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 281.94, "providers": [{"billed_charge": 2456.0, "npi": [1649226952]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 458.12, "providers": [{"billed_charge": 2564.0, "npi": [1447883301]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 95.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1508001603, 1477556868, 1043940455, 1225327406, 1346455672, 1831534973]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 95.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 268.0, "npi": [1043348386, 1851828008, 1891762217, 1831165778, 1801813266, 1760672919, 1750512281, 1417924283]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4080.65, "providers": [{"billed_charge": 11659.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3078.36, "providers": [{"billed_charge": 8795.31, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 239.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 303.0, "npi": [1891274841]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1216.35, "providers": [{"billed_charge": 2703.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 129.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 390.0, "npi": [1477503365]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 381.22, "providers": [{"billed_charge": 4150.0, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 69.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1821256363, 1053671636, 1871823039]}]}, {"allowed_amount": 69.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1447233713, 1821256363, 1730189572]}]}, {"allowed_amount": 126.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1629020243]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 381.22, "providers": [{"billed_charge": 4150.0, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 3306.97, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 381.22, "providers": [{"billed_charge": 4150.0, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 3637.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 69.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1649255878, 1912963208, 1487886602, 1598720302, 1356970735]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 458.12, "providers": [{"billed_charge": 4330.56, "npi": [1144781501, 1346729159]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 7076.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 243.0, "npi": [1932554896]}]}]}, {"tin": {"type": "ein", "value": "850278235"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 246.0, "npi": [1194773549]}]}]}, {"tin": {"type": "ein", "value": "873769568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 4204.66, "npi": [1407883788]}]}]}, {"tin": {"type": "ein", "value": "882898646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 380.59, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6455.01, "npi": [1699406173]}]}]}, {"tin": {"type": "ein", "value": "882995935"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 196.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2000.0, "npi": [1215192828]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.41, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 6701.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 84.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2964.0, "npi": [1184916546]}]}]}]}, {"name": "Computed tomography, thoracic spine; without contrast material", "billing_code_type": "CPT", "billing_code": "72128", "billing_code_type_version": "2022", "description": "CT THORACIC SPINE W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1942863048]}]}, {"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1932516556]}]}, {"allowed_amount": 83.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1942863048]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1538363114]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 346.77, "providers": [{"billed_charge": 4150.0, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 577.95, "providers": [{"billed_charge": 1521.75, "npi": [1093810327]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.98, "providers": [{"billed_charge": 2076.0, "npi": [1194787218]}]}, {"allowed_amount": 1316.23, "providers": [{"billed_charge": 2076.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1215138227]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 69.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 194.0, "npi": [1891762217, 1265939383, 1801813266, 1376519223, 1750512281, 1801003454]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 466.0, "npi": [1205223799]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5234.95, "providers": [{"billed_charge": 14957.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2749.78, "providers": [{"billed_charge": 7856.5, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 174.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 218.0, "npi": [1811162449]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1586.25, "providers": [{"billed_charge": 3525.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 302.0, "npi": [1760460059]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 50.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1942326699, 1023228525, 1164539631]}]}, {"allowed_amount": 51.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1558628354, 1194992842, 1336464874, 1659875573, 1306883483, 1730127903]}]}, {"allowed_amount": 92.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1568416204, 1578514246]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 51.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1912963208, 1013304153, 1316902133]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1336247907]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2588.0, "npi": [1588638720]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 677.98, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 7606.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1518311844]}]}]}]}, {"name": "Computed tomography, thorax, diagnostic; with contrast material(s)", "billing_code_type": "CPT", "billing_code": "71260", "billing_code_type_version": "2022", "description": "DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 80.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 248.0, "npi": [1407482409, 1104001122, 1225599582]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 313.0, "npi": [1770739260]}]}, {"allowed_amount": 105.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 313.0, "npi": [1366646416]}]}]}, {"tin": {"type": "ein", "value": "464389870"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 690.48, "providers": [{"billed_charge": 2395.0, "npi": [1952723967]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 960.88, "providers": [{"billed_charge": 4263.05, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 673.22, "providers": [{"billed_charge": 4694.45, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "710395194"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 171.0, "npi": [1083601447]}]}]}, {"tin": {"type": "ein", "value": "731553050"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 378.0, "npi": [1891040689]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 80.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1215192836, 1568412518, 1033312905, 1225327406, 1861943599, 1972513711, 1841631280, 1093769234, 1699407379, 1346455672, 1831534973]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 109.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1003892506]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 80.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 240.0, "npi": [1427319813, 1023261062, 1093158024, 1245207562, 1043715980, 1639691025, 1801813266, 1639388572, 1497722144, 1043348386, 1689781668, 1902105893, 1710954037, 1265939383, 1184078008, 1427219526, 1073833927, 1831237973, 1174630230, 1891777371, 1104893536, 1558749283, 1063728103]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 109.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 501.0, "npi": [1598772915]}]}]}, {"tin": {"type": "ein", "value": "741940911"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 202.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 259.0, "npi": [1710240775]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4338.25, "providers": [{"billed_charge": 12395.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3041.62, "providers": [{"billed_charge": 8690.33, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 202.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 273.0, "npi": [1588844609]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 405.26, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3638.1, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2508.3, "providers": [{"billed_charge": 5574.0, "npi": [1821011248]}]}, {"allowed_amount": 2633.4, "providers": [{"billed_charge": 5852.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 109.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1336431352, 1760460059, 1245233022]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 58.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 247.0, "npi": [1265409585, 1881697258]}]}, {"allowed_amount": 58.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 247.0, "npi": [1235592064, 1124066246, 1720298219, 1679891980, 1023228525, 1821314667, 1114289741, 1598883217, 1649595091, 1134623796, 1568620789, 1467847574, 1508209495, 1891180634]}]}, {"allowed_amount": 59.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 247.0, "npi": [1841257664, 1831199686, 1063808392, 1942326699, 1447233713, 1790019347, 1730383829, 1295051159, 1104169432, 1689963357]}]}, {"allowed_amount": 107.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 247.0, "npi": [1629020243, 1568416204]}]}, {"allowed_amount": 107.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 247.0, "npi": [1700839511]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1295725398, 1396186367]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.87, "providers": [{"billed_charge": 3339.84, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 156.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1497615744, 1508821430]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 380.59, "providers": [{"billed_charge": 2474.0, "npi": [1992753222]}]}, {"allowed_amount": 932.15, "providers": [{"billed_charge": 2474.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 59.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 322.0, "npi": [1700116456, 1093770802, 1558894246]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 107.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1114303070]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1950.0, "npi": [1053791459]}]}]}, {"tin": {"type": "ein", "value": "820200895"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 983.38, "providers": [{"billed_charge": 2174.0, "npi": [1992736649]}]}]}, {"tin": {"type": "ein", "value": "826041596"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1063801678]}]}]}, {"tin": {"type": "ein", "value": "853256127"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 58.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1083979710]}]}]}, {"tin": {"type": "ein", "value": "853903021"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1282.64, "npi": [1912352162]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 71.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2060.0, "npi": [1144807322]}]}]}]}, {"name": "Computed tomography, thorax, diagnostic; without contrast material", "billing_code_type": "CPT", "billing_code": "71250", "billing_code_type_version": "2022", "description": "DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 74.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1407482409, 1174514509, 1922487446, 1003376088, 1225599582]}]}]}, {"tin": {"type": "ein", "value": "204881619"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 157.0, "npi": [1831160142]}]}]}, {"tin": {"type": "ein", "value": "232678055"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1366428351, 1265819791]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 74.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1538363114, 1306994231]}]}]}, {"tin": {"type": "ein", "value": "340714461"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1030.05, "providers": [{"billed_charge": 1962.0, "npi": [1225128432]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 74.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1417914169]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 131.28, "providers": [{"billed_charge": 988.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 768.0, "npi": [1063468486]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1122.03, "providers": [{"billed_charge": 2417.0, "npi": [1447883301]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 74.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1568412518, 1093769234, 1225327406, 1861943599]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 74.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1043348386, 1558749283, 1902080476, 1427319813, 1023261062, 1063728103, 1427219526, 1093158024, 1245207562, 1902105893, 1174630230, 1184078008, 1891777371, 1639388572, 1336324383]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 466.0, "npi": [1932454972]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2340.11, "providers": [{"billed_charge": 6686.04, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 387.5, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 185.58, "providers": [{"billed_charge": 3762.0, "npi": [1821011248]}]}, {"allowed_amount": 1692.9, "providers": [{"billed_charge": 3762.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 100.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 330.0, "npi": [1740422369, 1821397084, 1982682399]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 4132.0, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 54.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1033552005, 1124066246, 1942326699, 1255759437, 1134623796, 1467847574, 1508209495, 1720049273, 1952899676, 1992967293, 1679849822]}]}, {"allowed_amount": 54.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1922057959, 1063808392, 1124348073, 1740271881, 1881697258, 1639130644, 1194169847]}]}, {"allowed_amount": 98.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1467985986, 1568416204]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1518164862]}]}, {"allowed_amount": 146.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1790014496, 1225269178]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 54.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 401.0, "npi": [1992721963, 1558894246, 1205393535]}]}]}, {"tin": {"type": "ein", "value": "813562144"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3777.9, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 5200.0, "npi": [1639663370]}]}]}, {"tin": {"type": "ein", "value": "825410675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 132.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 683.7, "npi": [1144450131]}]}]}, {"tin": {"type": "ein", "value": "851762272"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2000.0, "npi": [1710070685]}]}]}, {"tin": {"type": "ein", "value": "882501936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 5640.0, "npi": [1750013769]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 132.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1740.0, "npi": [1184916546]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 144.41, "providers": [{"billed_charge": 4000.0, "npi": [1164754743]}]}]}, {"tin": {"type": "ein", "value": "933488698"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 5640.0, "npi": [1740042175]}]}]}, {"tin": {"type": "ein", "value": "952586432"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 84.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 285.0, "npi": [1336163732]}]}]}]}, {"name": "Cortisol; total", "billing_code_type": "CPT", "billing_code": "82533", "billing_code_type_version": "2022", "description": "CORTISOL TOTAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.41, "providers": [{"billed_charge": 85.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.41, "providers": [{"billed_charge": 65.2, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 46.0, "providers": [{"billed_charge": 46.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.37, "providers": [{"billed_charge": 68.34, "npi": [1235186800]}]}, {"allowed_amount": 34.07, "providers": [{"billed_charge": 68.34, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.37, "providers": [{"billed_charge": 21.0, "npi": [1487429874]}]}, {"allowed_amount": 21.0, "providers": [{"billed_charge": 21.0, "npi": [1841798667]}]}]}]}, {"name": "Creatine", "billing_code_type": "CPT", "billing_code": "82540", "billing_code_type_version": "2022", "description": "ASSAY OF CREATINE", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.25, "providers": [{"billed_charge": 100.0, "npi": [1033281126]}]}]}]}, {"name": "Creatine kinase (CK), (CPK); total", "billing_code_type": "CPT", "billing_code": "82550", "billing_code_type_version": "2022", "description": "CREATINE KINASE TOTAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.56, "providers": [{"billed_charge": 45.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 9.11, "providers": [{"billed_charge": 16.28, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 130.55, "providers": [{"billed_charge": 373.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "720549907"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.0, "providers": [{"billed_charge": 37.0, "npi": [1093793408]}]}]}, {"tin": {"type": "ein", "value": "742425482"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.62, "providers": [{"billed_charge": 344.93, "npi": [1992285282]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.0, "providers": [{"billed_charge": 880.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.22, "providers": [{"billed_charge": 537.76, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.15, "providers": [{"billed_charge": 127.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 19.0, "providers": [{"billed_charge": 19.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 27.3, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.34, "providers": [{"billed_charge": 16.28, "npi": [1740715333]}]}]}]}, {"name": "Creatinine; other source", "billing_code_type": "CPT", "billing_code": "82570", "billing_code_type_version": "2022", "description": "CREATININE OTHER SOURCE", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.63, "providers": [{"billed_charge": 20.72, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "273012584"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.0, "providers": [{"billed_charge": 6.0, "npi": [1104255215]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.48, "providers": [{"billed_charge": 227.09, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.25, "providers": [{"billed_charge": 65.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 5.7, "providers": [{"billed_charge": 56.0, "npi": [1467642611]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.25, "providers": [{"billed_charge": 21.69, "npi": [1235186800]}]}, {"allowed_amount": 10.83, "providers": [{"billed_charge": 21.69, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.25, "providers": [{"billed_charge": 12.95, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.25, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 15.54, "npi": [1790721538]}]}]}]}, {"name": "Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service)", "billing_code_type": "CPT", "billing_code": "99292", "billing_code_type_version": "2022", "description": "CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "030571183"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.46, "providers": [{"billed_charge": 259.0, "npi": [1285730374]}]}]}, {"tin": {"type": "ein", "value": "203542589"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 182.35, "providers": [{"billed_charge": 771.0, "npi": [1114956554]}]}]}, {"tin": {"type": "ein", "value": "271595277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.06, "providers": [{"billed_charge": 299.0, "npi": [1205009099]}]}, {"allowed_amount": 179.4, "providers": [{"billed_charge": 299.0, "npi": [1801321856]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.85, "providers": [{"billed_charge": 243.0, "npi": [1699217547]}]}]}, {"tin": {"type": "ein", "value": "332241086"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.28, "providers": [{"billed_charge": 328.0, "npi": [1538589551]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 141.56, "providers": [{"billed_charge": 560.0, "npi": [1114240173]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 434.09, "providers": [{"billed_charge": 916.0, "npi": [1346828480]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.07, "providers": [{"billed_charge": 253.0, "npi": [1467030502]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 228.73, "providers": [{"billed_charge": 955.02, "npi": [1053906248]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.07, "providers": [{"billed_charge": 955.02, "npi": [1194073767, 1790348944, 1871854745, 1427136829, 1326667999]}]}, {"allowed_amount": 153.33, "providers": [{"billed_charge": 955.02, "npi": [1619712130]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 184.33, "providers": [{"billed_charge": 285.0, "npi": [1629245915, 1821021742]}]}, {"allowed_amount": 285.0, "providers": [{"billed_charge": 285.0, "npi": [1568550408]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 179.4, "providers": [{"billed_charge": 272.0, "npi": [1629642616]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 269.1, "providers": [{"billed_charge": 563.0, "npi": [1073076063]}]}, {"allowed_amount": 309.13, "providers": [{"billed_charge": 563.0, "npi": [1548671266, 1699110023, 1154733004, 1457856460, 1770892176]}]}]}, {"tin": {"type": "ein", "value": "814379788"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.2, "providers": [{"billed_charge": 220.0, "npi": [1942655667]}]}]}, {"tin": {"type": "ein", "value": "880900432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.14, "providers": [{"billed_charge": 612.0, "npi": [1285603084]}]}]}, {"tin": {"type": "ein", "value": "931447847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 309.13, "providers": [{"billed_charge": 2493.0, "npi": [1033477971]}]}]}, {"tin": {"type": "ein", "value": "932683132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 179.4, "providers": [{"billed_charge": 780.0, "npi": [1144499344]}]}]}, {"tin": {"type": "ein", "value": "933910567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.07, "providers": [{"billed_charge": 1612.0, "npi": [1437172566]}]}]}, {"tin": {"type": "ein", "value": "993991604"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 155.36, "providers": [{"billed_charge": 1095.81, "npi": [1538540208]}]}]}]}, {"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": "020571980"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 271.41, "providers": [{"billed_charge": 500.0, "npi": [1033226006]}]}]}, {"tin": {"type": "ein", "value": "020752585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 356.5, "providers": [{"billed_charge": 420.0, "npi": [1508177403]}]}]}, {"tin": {"type": "ein", "value": "030571183"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 277.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 514.0, "npi": [1285730374]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 174.62, "providers": [{"billed_charge": 1217.0, "npi": [1639638414]}, {"billed_charge": 1902.79, "npi": [1245345610, 1669410247]}]}]}, {"tin": {"type": "ein", "value": "202280943"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.47, "providers": [{"billed_charge": 668.0, "npi": [1912904079]}]}]}, {"tin": {"type": "ein", "value": "203542589"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 236.69, "providers": [{"billed_charge": 1534.0, "npi": [1447570593, 1164684908]}]}, {"allowed_amount": 274.23, "providers": [{"billed_charge": 1534.0, "npi": [1841400520]}]}, {"allowed_amount": 277.35, "providers": [{"billed_charge": 1534.0, "npi": [1912910126]}]}, {"allowed_amount": 291.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1534.0, "npi": [1780153718]}]}, {"allowed_amount": 362.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1534.0, "npi": [1114956554]}]}, {"allowed_amount": 366.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1534.0, "npi": [1770895252]}]}, {"allowed_amount": 1534.0, "providers": [{"billed_charge": 1534.0, "npi": [1104885714]}]}]}, {"tin": {"type": "ein", "value": "204790934"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 201.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 666.58, "npi": [1821016023]}]}]}, {"tin": {"type": "ein", "value": "205954281"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 342.79, "providers": [{"billed_charge": 400.0, "npi": [1104810910]}]}]}, {"tin": {"type": "ein", "value": "232691968"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 298.86, "providers": [{"billed_charge": 475.0, "npi": [1578911699, 1164783510]}]}]}, {"tin": {"type": "ein", "value": "237313346"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 287.46, "providers": [{"billed_charge": 667.0, "npi": [1275947285]}]}]}, {"tin": {"type": "ein", "value": "251403958"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 663.0, "npi": [1659378032]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1327.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6672.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 356.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 487.0, "npi": [1659626216, 1164646394, 1609072693, 1326021015]}]}, {"allowed_amount": 391.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 487.0, "npi": [1215906979, 1760979975, 1740711696, 1447288022, 1942267802, 1497962492, 1447795646]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 254.64, "providers": [{"billed_charge": 663.0, "npi": [1386063030]}]}, {"allowed_amount": 259.43, "providers": [{"billed_charge": 673.0, "npi": [1730479239]}]}, {"allowed_amount": 297.34, "providers": [{"billed_charge": 673.0, "npi": [1922292259]}]}, {"allowed_amount": 308.72, "providers": [{"billed_charge": 673.0, "npi": [1538547690, 1851051700]}]}]}, {"tin": {"type": "ein", "value": "271321606"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 235.06, "providers": [{"billed_charge": 662.0, "npi": [1679676795]}]}]}, {"tin": {"type": "ein", "value": "271463889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 235.75, "providers": [{"billed_charge": 633.0, "npi": [1912096694]}]}]}, {"tin": {"type": "ein", "value": "271595277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 201.76, "providers": [{"billed_charge": 668.0, "npi": [1184078412]}]}, {"allowed_amount": 266.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 668.0, "npi": [1205009099, 1790217420]}]}, {"allowed_amount": 356.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 668.0, "npi": [1801321856, 1700018587]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 356.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 487.0, "npi": [1407233349]}]}, {"allowed_amount": 391.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 487.0, "npi": [1205181674, 1205013463, 1699747790, 1700318599]}]}]}, {"tin": {"type": "ein", "value": "274428766"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 266.4, "providers": [{"billed_charge": 613.0, "npi": [1407936024]}]}]}, {"tin": {"type": "ein", "value": "300422715"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 266.4, "providers": [{"billed_charge": 668.0, "npi": [1932137882]}]}]}, {"tin": {"type": "ein", "value": "300520570"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 224.77, "providers": [{"billed_charge": 603.0, "npi": [1902480049, 1548738925]}]}, {"allowed_amount": 225.26, "providers": [{"billed_charge": 603.0, "npi": [1578982609]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 244.93, "providers": [{"billed_charge": 567.0, "npi": [1154760155]}]}]}, {"tin": {"type": "ein", "value": "320558440"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 225.26, "providers": [{"billed_charge": 1217.0, "npi": [1235542291]}]}, {"allowed_amount": 244.93, "providers": [{"billed_charge": 1217.0, "npi": [1881140135]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 685.37, "providers": [{"billed_charge": 2258.28, "npi": [1942465356]}]}]}, {"tin": {"type": "ein", "value": "331929227"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1327.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4708.0, "npi": [1144112129]}]}]}, {"tin": {"type": "ein", "value": "332241086"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 246.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 672.15, "npi": [1538589551]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2892.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3837.6, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "334634610"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 356.5, "providers": [{"billed_charge": 613.0, "npi": [1730573536]}]}]}, {"tin": {"type": "ein", "value": "351923783"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 223.71, "providers": [{"billed_charge": 350.0, "npi": [1386616308]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 249.44, "providers": [{"billed_charge": 420.46, "npi": [1124448972]}]}, {"allowed_amount": 265.28, "providers": [{"billed_charge": 395.94, "npi": [1114181633]}]}, {"allowed_amount": 366.24, "providers": [{"billed_charge": 395.94, "npi": [1932660297, 1366062499]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 281.39, "providers": [{"billed_charge": 1079.0, "npi": [1114240173]}]}]}, {"tin": {"type": "ein", "value": "392717734"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1327.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8090.0, "npi": [1093604662]}]}]}, {"tin": {"type": "ein", "value": "393414517"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 246.81, "providers": [{"billed_charge": 1562.0, "npi": [1376757609, 1710390067]}]}]}, {"tin": {"type": "ein", "value": "393441981"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 293.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3550.8, "npi": [1427059195]}]}]}, {"tin": {"type": "ein", "value": "393815337"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 308.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3814.24, "npi": [1861607962]}]}]}, {"tin": {"type": "ein", "value": "421550440"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 264.44, "providers": [{"billed_charge": 2155.0, "npi": [1366947095]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.2, "providers": [{"billed_charge": 1755.0, "npi": [1457970766]}]}, {"allowed_amount": 613.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1755.0, "npi": [1164162624, 1093334401, 1205122660, 1568082501, 1023050440, 1932780426, 1487073680, 1508826066, 1548840051, 1184074932, 1447510805, 1740869270, 1801472253, 1386887966]}]}]}, {"tin": {"type": "ein", "value": "454323821"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 235.75, "providers": [{"billed_charge": 402.78, "npi": [1730967316]}]}, {"allowed_amount": 274.23, "providers": [{"billed_charge": 402.78, "npi": [1215316336]}]}, {"allowed_amount": 277.16, "providers": [{"billed_charge": 402.78, "npi": [1972665289]}]}, {"allowed_amount": 366.24, "providers": [{"billed_charge": 402.78, "npi": [1215316336]}]}, {"allowed_amount": 402.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 402.78, "npi": [1356358311, 1609162007, 1851967061, 1750589727]}]}]}, {"tin": {"type": "ein", "value": "454656734"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 246.81, "providers": [{"billed_charge": 487.0, "npi": [1932109683]}]}]}, {"tin": {"type": "ein", "value": "460865221"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 356.5, "providers": [{"billed_charge": 400.0, "npi": [1609862127]}]}]}, {"tin": {"type": "ein", "value": "461415202"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 846.86, "providers": [{"billed_charge": 2035.0, "npi": [1972184208, 1316472947, 1194286302, 1730523895]}]}, {"allowed_amount": 861.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2035.0, "npi": [1144635905, 1922367531, 1033566476, 1740453778, 1770994295, 1497198360, 1023694684]}]}, {"allowed_amount": 867.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2035.0, "npi": [1760566277, 1588293526, 1215433495, 1043578263, 1639676315, 1861781536, 1922413475, 1174878391, 1104115898, 1083097786, 1346604352, 1407866056, 1679515720, 1790042844, 1265443949, 1548233968, 1225196017, 1437389681, 1154595056]}]}]}, {"tin": {"type": "ein", "value": "461908917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 366.5, "providers": [{"billed_charge": 398.18, "npi": [1841319498]}]}]}, {"tin": {"type": "ein", "value": "462236637"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 201.76, "providers": [{"billed_charge": 613.0, "npi": [1356521074]}]}]}, {"tin": {"type": "ein", "value": "464007700"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2310.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5103.7, "npi": [1396138970]}]}]}, {"tin": {"type": "ein", "value": "464139530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 235.75, "providers": [{"billed_charge": 1100.0, "npi": [1114445400, 1861899239]}]}, {"allowed_amount": 614.14, "providers": [{"billed_charge": 1100.0, "npi": [1346477841]}]}]}, {"tin": {"type": "ein", "value": "464198668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 308.73, "providers": [{"billed_charge": 4389.74, "npi": [1932154275]}]}]}, {"tin": {"type": "ein", "value": "464767731"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 264.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2700.0, "npi": [1497458624]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 614.14, "providers": [{"billed_charge": 2324.0, "npi": [1962933655, 1780247460, 1497071468, 1497860746]}]}]}, {"tin": {"type": "ein", "value": "471382605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 719.83, "providers": [{"billed_charge": 1978.0, "npi": [1841870722]}]}, {"allowed_amount": 846.86, "providers": [{"billed_charge": 1978.0, "npi": [1396163713, 1205221579, 1801152939, 1902424112, 1417932948, 1104015577, 1568107290]}]}]}, {"tin": {"type": "ein", "value": "472110560"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 233.1, "providers": [{"billed_charge": 632.0, "npi": [1417916594]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 735.05, "providers": [{"billed_charge": 1827.0, "npi": [1508538794]}]}, {"allowed_amount": 864.77, "providers": [{"billed_charge": 1827.0, "npi": [1346828480]}]}]}, {"tin": {"type": "ein", "value": "542094413"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 356.5, "providers": [{"billed_charge": 395.0, "npi": [1720196975]}]}]}, {"tin": {"type": "ein", "value": "542097675"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 201.76, "providers": [{"billed_charge": 668.0, "npi": [1831196559]}]}]}, {"tin": {"type": "ein", "value": "550832571"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 201.76, "providers": [{"billed_charge": 350.0, "npi": [1689658833]}]}]}, {"tin": {"type": "ein", "value": "562466775"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 246.81, "providers": [{"billed_charge": 315.0, "npi": [1962484378]}]}]}, {"tin": {"type": "ein", "value": "591835473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 558.5, "providers": [{"billed_charge": 1902.43, "npi": [1952041782]}]}]}, {"tin": {"type": "ein", "value": "633380762"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 241.33, "providers": [{"billed_charge": 2027.28, "npi": [1790314334]}]}]}, {"tin": {"type": "ein", "value": "710892430"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 223.71, "providers": [{"billed_charge": 479.0, "npi": [1225489255]}]}]}, {"tin": {"type": "ein", "value": "720839724"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 315.22, "providers": [{"billed_charge": 551.0, "npi": [1225411572]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2157.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6960.0, "npi": [1093810327]}]}, {"allowed_amount": 6831.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6960.0, "npi": [1093810327, 1619115383]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2157.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 10565.0, "npi": [1447883301]}]}, {"allowed_amount": 2530.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4856.0, "npi": [1821004151]}]}, {"allowed_amount": 8019.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 10566.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11767.15, "providers": [{"billed_charge": 4030.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 201.76, "providers": [{"billed_charge": 506.0, "npi": [1700140332, 1801126735]}]}, {"allowed_amount": 264.44, "providers": [{"billed_charge": 506.0, "npi": [1104404581, 1053653394, 1871869933, 1467030502]}]}, {"allowed_amount": 266.4, "providers": [{"billed_charge": 506.0, "npi": [1164877338]}]}, {"allowed_amount": 356.5, "providers": [{"billed_charge": 506.0, "npi": [1568751329, 1538369434, 1336637990]}]}, {"allowed_amount": 391.76, "providers": [{"billed_charge": 506.0, "npi": [1467864538, 1801814355, 1194229419, 1679758718]}]}, {"allowed_amount": 454.54, "providers": [{"billed_charge": 506.0, "npi": [1841609880, 1639241805]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 323.43, "providers": [{"billed_charge": 880.0, "npi": [1922191378]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 199.8, "providers": [{"billed_charge": 1902.79, "npi": [1760736664]}]}, {"allowed_amount": 209.94, "providers": [{"billed_charge": 1902.79, "npi": [1992107676]}]}, {"allowed_amount": 224.77, "providers": [{"billed_charge": 1902.79, "npi": [1316330400, 1558526350]}]}, {"allowed_amount": 264.44, "providers": [{"billed_charge": 1902.79, "npi": [1639734064, 1184205601, 1578959532]}]}, {"allowed_amount": 293.82, "providers": [{"billed_charge": 1902.79, "npi": [1871869537, 1154902757, 1639811847, 1124412267, 1306157334, 1073755773]}]}, {"allowed_amount": 308.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1902.79, "npi": [1154694529, 1518166404, 1336713932, 1316680333, 1639630031, 1629719281, 1952977753, 1457571804]}]}, {"allowed_amount": 454.54, "providers": [{"billed_charge": 1902.79, "npi": [1053906248]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 264.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1902.79, "npi": [1205185667, 1568752772, 1013075977, 1205332749, 1790348944, 1871854745, 1194073767, 1366933806, 1609302330, 1841435963, 1427136829, 1285731521, 1578741211, 1326667999, 1740714732, 1609363951, 1700049392, 1568817393, 1053817973, 1568812022]}]}, {"allowed_amount": 356.5, "providers": [{"billed_charge": 1902.79, "npi": [1508286451]}]}, {"allowed_amount": 454.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1902.79, "npi": [1609853720, 1841902319]}]}, {"allowed_amount": 687.68, "providers": [{"billed_charge": 1902.79, "npi": [1790348944, 1619712130, 1003264375, 1326667999]}]}, {"allowed_amount": 687.82, "providers": [{"billed_charge": 1902.79, "npi": [1790348944]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 264.44, "providers": [{"billed_charge": 894.37, "npi": [1750778429]}]}, {"allowed_amount": 356.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 894.37, "npi": [1922329408, 1427314459, 1912179524, 1386218311]}]}, {"allowed_amount": 391.76, "providers": [{"billed_charge": 894.37, "npi": [1255538682]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 238.09, "providers": [{"billed_charge": 535.0, "npi": [1649680554]}]}, {"allowed_amount": 266.4, "providers": [{"billed_charge": 535.0, "npi": [1942707252]}]}, {"allowed_amount": 280.11, "providers": [{"billed_charge": 535.0, "npi": [1518182344]}]}, {"allowed_amount": 342.79, "providers": [{"billed_charge": 535.0, "npi": [1225399694]}]}]}, {"tin": {"type": "ein", "value": "742981597"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 201.76, "providers": [{"billed_charge": 375.0, "npi": [1710901954]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4177.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9283.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1792.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4233.71, "npi": [1669472387]}]}, {"allowed_amount": 5675.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4233.71, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751604753"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 265.28, "providers": [{"billed_charge": 420.0, "npi": [1831154756, 1194250696, 1659698579, 1548375827, 1245764026]}]}, {"allowed_amount": 366.24, "providers": [{"billed_charge": 420.0, "npi": [1023491255]}]}]}, {"tin": {"type": "ein", "value": "751667190"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 225.26, "providers": [{"billed_charge": 820.0, "npi": [1962812461]}]}, {"allowed_amount": 227.83, "providers": [{"billed_charge": 820.0, "npi": [1942402466, 1962812461]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1795.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4233.71, "npi": [1073511762]}]}, {"allowed_amount": 5684.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4233.71, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1294.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4233.71, "npi": [1447250253]}]}, {"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4233.71, "npi": [1447250253]}]}, {"allowed_amount": 8013.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 12745.29, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1294.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4233.71, "npi": [1265430177]}]}, {"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4233.71, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752159087"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 613.71, "providers": [{"billed_charge": 1928.0, "npi": [1023691953]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 265.28, "providers": [{"billed_charge": 627.0, "npi": [1538547880, 1487855169, 1427199298, 1437438207]}]}, {"allowed_amount": 267.26, "providers": [{"billed_charge": 627.0, "npi": [1427491810]}]}, {"allowed_amount": 366.24, "providers": [{"billed_charge": 627.0, "npi": [1629245915, 1669529541, 1821021742]}]}, {"allowed_amount": 494.93, "providers": [{"billed_charge": 627.0, "npi": [1891889754]}]}, {"allowed_amount": 607.23, "providers": [{"billed_charge": 627.0, "npi": [1285894824]}]}, {"allowed_amount": 613.71, "providers": [{"billed_charge": 627.0, "npi": [1568550408]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 223.71, "providers": [{"billed_charge": 949.97, "npi": [1033464466, 1750812970, 1265051429]}]}, {"allowed_amount": 227.83, "providers": [{"billed_charge": 949.97, "npi": [1417481185, 1407485477]}]}, {"allowed_amount": 235.75, "providers": [{"billed_charge": 949.97, "npi": [1568852440]}]}, {"allowed_amount": 277.35, "providers": [{"billed_charge": 949.97, "npi": [1184836355, 1447645767, 1861955544, 1619357464, 1215294426, 1659931327]}]}, {"allowed_amount": 303.11, "providers": [{"billed_charge": 949.97, "npi": [1447250253]}]}, {"allowed_amount": 366.5, "providers": [{"billed_charge": 949.97, "npi": [1316233505, 1255655304, 1275853327, 1740464601, 1255775359]}]}, {"allowed_amount": 522.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 949.97, "npi": [1992395156]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1294.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4233.71, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 227.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 902.0, "npi": [1942402466, 1962812461]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 356.5, "providers": [{"billed_charge": 624.0, "npi": [1629642616, 1275604837]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 166.5, "providers": [{"billed_charge": 551.0, "npi": [1023778016, 1275882458, 1801421631]}]}, {"allowed_amount": 246.81, "providers": [{"billed_charge": 551.0, "npi": [1699703124, 1730475237, 1508025511]}]}, {"allowed_amount": 391.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 551.0, "npi": [1023033834]}]}, {"allowed_amount": 551.0, "providers": [{"billed_charge": 551.0, "npi": [1528488731]}]}, {"allowed_amount": 580.0, "providers": [{"billed_charge": 580.0, "npi": [1144251042, 1649854530]}]}]}, {"tin": {"type": "ein", "value": "752737522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 846.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2035.0, "npi": [1114030848, 1780094565, 1982132999, 1447562442, 1881129419]}]}, {"allowed_amount": 861.55, "providers": [{"billed_charge": 2035.0, "npi": [1831533827, 1467494344, 1477969905, 1609496306, 1689254518, 1881823672, 1417149592, 1528594942]}]}, {"allowed_amount": 867.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2035.0, "npi": [1215991021, 1568959286, 1043253495, 1972821882, 1235330556]}]}]}, {"tin": {"type": "ein", "value": "752772742"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 267.45, "providers": [{"billed_charge": 841.0, "npi": [1922238294]}]}]}, {"tin": {"type": "ein", "value": "752903508"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 480.15, "providers": [{"billed_charge": 2157.0, "npi": [1639220239]}]}]}, {"tin": {"type": "ein", "value": "752905110"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 243.68, "providers": [{"billed_charge": 500.0, "npi": [1003375296]}]}]}, {"tin": {"type": "ein", "value": "752927696"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 311.53, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 3354.0, "npi": [1760800734]}]}, {"allowed_amount": 366.5, "providers": [{"billed_charge": 3354.0, "npi": [1821092446]}]}, {"allowed_amount": 1471.96, "providers": [{"billed_charge": 3354.0, "npi": [1023127131]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 79.24, "providers": [{"billed_charge": 973.0, "npi": [1902909849]}]}, {"allowed_amount": 227.83, "providers": [{"billed_charge": 973.0, "npi": [1710417886]}]}, {"allowed_amount": 235.75, "providers": [{"billed_charge": 973.0, "npi": [1770284291]}]}, {"allowed_amount": 277.35, "providers": [{"billed_charge": 973.0, "npi": [1689884645, 1376003517]}]}, {"allowed_amount": 614.14, "providers": [{"billed_charge": 973.0, "npi": [1235492224, 1740691187, 1417319963, 1003040031]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4098.78, "providers": [{"billed_charge": 4290.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760420935"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 235.06, "providers": [{"billed_charge": 400.0, "npi": [1629043500]}]}]}, {"tin": {"type": "ein", "value": "760567380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 233.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 565.0, "npi": [1336113851, 1184076911]}]}, {"allowed_amount": 244.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 565.0, "npi": [1477577435, 1336113851, 1871531590]}]}]}, {"tin": {"type": "ein", "value": "800810304"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1327.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7838.82, "npi": [1295213601]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 522.02, "providers": [{"billed_charge": 1126.0, "npi": [1922035930]}]}, {"allowed_amount": 534.75, "providers": [{"billed_charge": 1126.0, "npi": [1073076063]}]}, {"allowed_amount": 538.67, "providers": [{"billed_charge": 1126.0, "npi": [1013328111]}]}, {"allowed_amount": 607.23, "providers": [{"billed_charge": 1126.0, "npi": [1558375980, 1275980237, 1740495472, 1942695796, 1184945016, 1053671578, 1336340892, 1972183325]}]}, {"allowed_amount": 613.71, "providers": [{"billed_charge": 1126.0, "npi": [1982011490, 1861856999, 1992094247, 1215131115, 1902245814, 1407266646, 1598347932]}]}, {"allowed_amount": 614.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1126.0, "npi": [1295230597, 1164985735, 1699110023, 1821529868, 1194345744, 1770892176, 1649891987, 1881343135, 1548671266, 1972894889, 1811317803, 1932265774, 1164955951, 1275150385, 1699272005, 1457856460, 1154733004, 1689316051, 1245859032, 1114312667, 1598108136, 1396373486, 1316206329, 1114367612, 1184088189]}]}]}, {"tin": {"type": "ein", "value": "811220861"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 264.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3814.24, "npi": [1639734064, 1972814648, 1750522272]}]}]}, {"tin": {"type": "ein", "value": "812574683"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 366.24, "providers": [{"billed_charge": 405.0, "npi": [1033206602]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 264.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4767.0, "npi": [1104052307]}]}]}, {"tin": {"type": "ein", "value": "814379788"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.5, "providers": [{"billed_charge": 320.0, "npi": [1639824485, 1578204566]}]}, {"allowed_amount": 246.81, "providers": [{"billed_charge": 320.0, "npi": [1942655667]}]}]}, {"tin": {"type": "ein", "value": "820551704"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4233.71, "npi": [1649273434]}]}]}, {"tin": {"type": "ein", "value": "823371276"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 391.76, "providers": [{"billed_charge": 1902.79, "npi": [1720044860]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1294.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4233.71, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "831002191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 298.86, "providers": [{"billed_charge": 610.0, "npi": [1538652177]}]}]}, {"tin": {"type": "ein", "value": "833838272"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 221.34, "providers": [{"billed_charge": 575.0, "npi": [1720256274]}]}, {"allowed_amount": 233.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 575.0, "npi": [1790133049]}]}]}, {"tin": {"type": "ein", "value": "841099826"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 323.43, "providers": [{"billed_charge": 2027.28, "npi": [1790314334]}]}]}, {"tin": {"type": "ein", "value": "841832545"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 233.1, "providers": [{"billed_charge": 3488.0, "npi": [1205871803]}]}, {"allowed_amount": 293.82, "providers": [{"billed_charge": 3488.0, "npi": [1083057483]}]}, {"allowed_amount": 308.73, "providers": [{"billed_charge": 3488.0, "npi": [1780180273]}]}]}, {"tin": {"type": "ein", "value": "842988873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 607.23, "providers": [{"billed_charge": 3305.0, "npi": [1821025305, 1184104218, 1821299108, 1063438174]}]}]}, {"tin": {"type": "ein", "value": "851182792"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 201.76, "providers": [{"billed_charge": 613.0, "npi": [1841633153]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2530.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4708.0, "npi": [1316617707]}]}, {"allowed_amount": 17995.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4708.0, "npi": [1316617707]}]}, {"allowed_amount": 19546.47, "providers": [{"billed_charge": 4708.0, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "852136296"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 362.38, "providers": [{"billed_charge": 800.0, "npi": [1164717401]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 274.23, "providers": [{"billed_charge": 515.0, "npi": [1356683189]}, {"billed_charge": 850.0, "npi": [1356683189]}]}]}, {"tin": {"type": "ein", "value": "852464463"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 233.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3801.0, "npi": [1629418025]}]}]}, {"tin": {"type": "ein", "value": "853319668"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 240.93, "providers": [{"billed_charge": 1062.0, "npi": [1245659325]}]}, {"allowed_amount": 266.4, "providers": [{"billed_charge": 1062.0, "npi": [1730523424]}]}, {"allowed_amount": 285.98, "providers": [{"billed_charge": 1062.0, "npi": [1275744526]}]}, {"allowed_amount": 391.76, "providers": [{"billed_charge": 1062.0, "npi": [1205027497, 1073969903, 1386910354, 1538626262, 1811156730]}]}]}, {"tin": {"type": "ein", "value": "853804440"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1558762666]}]}]}, {"tin": {"type": "ein", "value": "863284696"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 249.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1569.0, "npi": [1083902506]}]}]}, {"tin": {"type": "ein", "value": "871692562"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 195.88, "providers": [{"billed_charge": 664.0, "npi": [1700883196]}]}]}, {"tin": {"type": "ein", "value": "880900432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 391.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1217.0, "npi": [1285603084, 1609301670, 1518935055]}]}]}, {"tin": {"type": "ein", "value": "882501936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16690.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7602.0, "npi": [1750013769]}]}]}, {"tin": {"type": "ein", "value": "883572858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 265.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5000.0, "npi": [1093812455]}]}]}, {"tin": {"type": "ein", "value": "883576979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1792.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6905.16, "npi": [1851028146]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1904.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1904.82, "npi": [1073200309]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 750.22, "providers": [{"billed_charge": 1400.0, "npi": [1376166686]}]}]}, {"tin": {"type": "ein", "value": "931447847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 614.14, "providers": [{"billed_charge": 4953.0, "npi": [1033477971]}]}]}, {"tin": {"type": "ein", "value": "932683132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 201.76, "providers": [{"billed_charge": 1562.0, "npi": [1578520698]}]}, {"allowed_amount": 266.4, "providers": [{"billed_charge": 1562.0, "npi": [1689873358]}]}, {"allowed_amount": 356.5, "providers": [{"billed_charge": 1562.0, "npi": [1861637597, 1457580334]}]}]}, {"tin": {"type": "ein", "value": "933095141"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 304.69, "providers": [{"billed_charge": 1562.0, "npi": [1194439794]}]}]}, {"tin": {"type": "ein", "value": "933479511"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 296.1, "providers": [{"billed_charge": 2850.0, "npi": [1629260187]}]}]}, {"tin": {"type": "ein", "value": "933910567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 264.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3214.0, "npi": [1184916546, 1629718341, 1780325258, 1437172566, 1134863517]}]}]}, {"tin": {"type": "ein", "value": "933918299"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 534.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3214.0, "npi": [1730685496]}]}]}, {"tin": {"type": "ein", "value": "934370183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2530.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9000.0, "npi": [1538934864]}]}]}, {"tin": {"type": "ein", "value": "990832161"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 264.44, "providers": [{"billed_charge": 1562.0, "npi": [1487044608]}]}, {"allowed_amount": 356.5, "providers": [{"billed_charge": 1562.0, "npi": [1437590254]}]}]}, {"tin": {"type": "ein", "value": "992545052"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20925.23, "providers": [{"billed_charge": 6030.0, "npi": [1619760907]}]}]}, {"tin": {"type": "ein", "value": "993064915"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 308.73, "providers": [{"billed_charge": 2085.0, "npi": [1467193003]}]}]}, {"tin": {"type": "ein", "value": "993954355"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 195.88, "providers": [{"billed_charge": 518.0, "npi": [1063410777]}]}, {"allowed_amount": 246.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 518.0, "npi": [1063410777]}]}]}, {"tin": {"type": "ein", "value": "993991604"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 308.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3550.8, "npi": [1538540208]}]}]}, {"tin": {"type": "ein", "value": "994033554"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8281.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8090.0, "npi": [1912745274]}]}]}]}, {"name": "Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate", "billing_code_type": "CPT", "billing_code": "87077", "billing_code_type_version": "2022", "description": "CUL BACT AEROBIC ADDL METHS DEFINITIVE EA ISOL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.66, "providers": [{"billed_charge": 32.32, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "331168930"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.38, "providers": [{"billed_charge": 20.0, "npi": [1184814014]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.61, "providers": [{"billed_charge": 200.12, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 277.9, "providers": [{"billed_charge": 794.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 177.41, "providers": [{"billed_charge": 506.9, "npi": [1124074273]}]}, {"allowed_amount": 177.42, "providers": [{"billed_charge": 506.9, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.85, "providers": [{"billed_charge": 93.0, "npi": [1821011248]}]}, {"allowed_amount": 50.17, "providers": [{"billed_charge": 111.5, "npi": [1821011248]}]}, {"allowed_amount": 58.5, "providers": [{"billed_charge": 130.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 8.89, "providers": [{"billed_charge": 23.03, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.63, "providers": [{"billed_charge": 33.87, "npi": [1235186800]}]}, {"allowed_amount": 16.89, "providers": [{"billed_charge": 33.87, "npi": [1235186800]}]}]}]}, {"name": "Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates", "billing_code_type": "CPT", "billing_code": "87070", "billing_code_type_version": "2022", "description": "CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL", "allowed_amounts": [{"tin": {"type": "ein", "value": "331168930"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.81, "providers": [{"billed_charge": 25.0, "npi": [1184814014]}]}]}, {"tin": {"type": "ein", "value": "521022572"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.96, "providers": [{"billed_charge": 25.0, "npi": [1164420568]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 253.05, "providers": [{"billed_charge": 723.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 0.02, "npi": [1124074273]}]}, {"allowed_amount": 300.77, "providers": [{"billed_charge": 859.35, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 319.21, "providers": [{"billed_charge": 912.04, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.65, "providers": [{"billed_charge": 337.0, "npi": [1821011248]}]}]}]}, {"name": "Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)", "billing_code_type": "CPT", "billing_code": "87040", "billing_code_type_version": "2022", "description": "CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES", "allowed_amounts": [{"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 301.7, "providers": [{"billed_charge": 862.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 405.3, "providers": [{"billed_charge": 1158.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 339.56, "providers": [{"billed_charge": 970.17, "npi": [1124074273, 1376071530, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.35, "providers": [{"billed_charge": 103.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.0, "providers": [{"billed_charge": 29.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.0, "providers": [{"billed_charge": 65.0, "npi": [1073200309]}]}]}]}, {"name": "Culture, bacterial; quantitative colony count, urine", "billing_code_type": "CPT", "billing_code": "87086", "billing_code_type_version": "2022", "description": "CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.65, "providers": [{"billed_charge": 32.28, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "465374323"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.81, "providers": [{"billed_charge": 100.0, "npi": [1073939153]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 321.3, "providers": [{"billed_charge": 918.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 270.25, "providers": [{"billed_charge": 772.15, "npi": [1124074273, 1376071530, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.95, "providers": [{"billed_charge": 111.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 8.88, "providers": [{"billed_charge": 30.0, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "800235664"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.21, "providers": [{"billed_charge": 25.0, "npi": [1386817435]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.62, "providers": [{"billed_charge": 33.84, "npi": [1235186800]}]}, {"allowed_amount": 16.87, "providers": [{"billed_charge": 33.84, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 87.2, "providers": [{"billed_charge": 87.2, "npi": [1073200309]}]}]}]}, {"name": "Culture, bacterial; with isolation and presumptive identification of each isolate, urine", "billing_code_type": "CPT", "billing_code": "87088", "billing_code_type_version": "2022", "description": "CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE", "allowed_amounts": [{"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "800235664"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.23, "providers": [{"billed_charge": 150.0, "npi": [1386817435]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.23, "providers": [{"billed_charge": 25.0, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.0, "providers": [{"billed_charge": 183.0, "npi": [1518012301]}]}]}]}, {"name": "Cyanocobalamin (Vitamin B-12);", "billing_code_type": "CPT", "billing_code": "82607", "billing_code_type_version": "2022", "description": "CYANOCOBALAMIN VITAMIN B-12", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.56, "providers": [{"billed_charge": 125.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 21.11, "providers": [{"billed_charge": 37.7, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.56, "providers": [{"billed_charge": 60.32, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.49, "providers": [{"billed_charge": 338.68, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 348.6, "providers": [{"billed_charge": 996.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 285.51, "providers": [{"billed_charge": 815.73, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.4, "providers": [{"billed_charge": 132.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 16.59, "providers": [{"billed_charge": 90.48, "npi": [1467642611]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.0, "providers": [{"billed_charge": 42.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.37, "providers": [{"billed_charge": 40.0, "npi": [1104839380]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.37, "providers": [{"billed_charge": 63.18, "npi": [1235186800]}]}, {"allowed_amount": 31.52, "providers": [{"billed_charge": 63.0, "npi": [1235186800]}, {"billed_charge": 63.18, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.37, "providers": [{"billed_charge": 37.7, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.37, "providers": [{"billed_charge": 19.0, "npi": [1487429874]}]}, {"allowed_amount": 19.0, "providers": [{"billed_charge": 19.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "823021953"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.37, "providers": [{"billed_charge": 45.24, "npi": [1447760814]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.61, "providers": [{"billed_charge": 30.16, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.37, "providers": [{"billed_charge": 22.62, "npi": [1457977209]}, {"billed_charge": 37.7, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.37, "providers": [{"billed_charge": 15.08, "npi": [1821749896]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.43, "providers": [{"billed_charge": 181.0, "npi": [1982606992]}]}]}]}, {"name": "Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under physician supervision", "billing_code_type": "CPT", "billing_code": "88175", "billing_code_type_version": "2022", "description": "CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS", "allowed_amounts": [{"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 21.82, "providers": [{"billed_charge": 75.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 41.25, "providers": [{"billed_charge": 94.0, "npi": [1487897187, 1942526447, 1093753303, 1104973080, 1639260797]}]}]}, {"tin": {"type": "ein", "value": "741761309"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 36.19, "providers": [{"billed_charge": 80.0, "npi": [1992709356]}]}]}, {"tin": {"type": "ein", "value": "742258912"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 79.03, "providers": [{"billed_charge": 100.0, "npi": [1629039623]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 29.27, "providers": [{"billed_charge": 120.0, "npi": [1699744144, 1124162482]}]}]}]}, {"name": "Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician", "billing_code_type": "CPT", "billing_code": "88141", "billing_code_type_version": "2022", "description": "CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN", "allowed_amounts": [{"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 21.18, "providers": [{"billed_charge": 68.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 17.44, "providers": [{"billed_charge": 71.99, "npi": [1487897187]}]}, {"allowed_amount": 34.88, "providers": [{"billed_charge": 71.99, "npi": [1104973080, 1639260797]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 31.36, "providers": [{"billed_charge": 77.0, "npi": [1184631434]}]}]}, {"tin": {"type": "ein", "value": "741761309"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 32.82, "providers": [{"billed_charge": 98.0, "npi": [1023104528, 1679065585, 1184661332, 1659768695]}]}]}, {"tin": {"type": "ein", "value": "742258912"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 68.99, "providers": [{"billed_charge": 100.0, "npi": [1629039623]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 26.41, "providers": [{"billed_charge": 95.0, "npi": [1699744144, 1124162482]}]}]}]}, {"name": "Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)", "billing_code_type": "CPT", "billing_code": "88108", "billing_code_type_version": "2022", "description": "CYTP CONCENTRATION SMEARS & INTERPRETATION", "allowed_amounts": [{"tin": {"type": "ein", "value": "741209207"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 28.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1609287739]}]}, {"allowed_amount": 29.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1972698918]}]}]}, {"tin": {"type": "ein", "value": "741619182"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 28.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.5, "npi": [1215193701, 1386716967]}]}]}, {"tin": {"type": "ein", "value": "741720245"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 28.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1083000814]}]}]}, {"tin": {"type": "ein", "value": "742406834"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 28.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1912495086]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.06, "providers": [{"billed_charge": 783.04, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742922218"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 28.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1194707950, 1497199343, 1346248911, 1225018674, 1669462388, 1366838229, 1699973016, 1730422783]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 23.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1629386974]}]}]}, {"tin": {"type": "ein", "value": "751784456"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 23.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1750313904]}]}]}, {"tin": {"type": "ein", "value": "751788181"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 23.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1720304298, 1093784548]}]}, {"allowed_amount": 23.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1225211162]}]}, {"allowed_amount": 23.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1093784548, 1255461349, 1023237872, 1023376696, 1457383705]}]}]}, {"tin": {"type": "ein", "value": "752778206"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 103.0, "npi": [1437417458, 1265493126]}]}]}]}, {"name": "Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal", "billing_code_type": "CPT", "billing_code": "88112", "billing_code_type_version": "2022", "description": "CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V", "allowed_amounts": [{"tin": {"type": "ein", "value": "113272376"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 32.96, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 96.0, "npi": [1215921549]}]}]}, {"tin": {"type": "ein", "value": "371520288"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 231.0, "npi": [1477501948]}]}]}, {"tin": {"type": "ein", "value": "371925902"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 28.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1912529280]}]}, {"allowed_amount": 28.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1154608552, 1144367426, 1538149406]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 89.13, "providers": [{"billed_charge": 210.0, "npi": [1750622643]}]}]}, {"tin": {"type": "ein", "value": "453194060"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 120.67, "providers": [{"billed_charge": 370.0, "npi": [1659655124]}]}]}, {"tin": {"type": "ein", "value": "741209207"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1609287739]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 34.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.0, "npi": [1629637715, 1235450636, 1184079741]}]}]}, {"tin": {"type": "ein", "value": "741619182"}, "billing_class": "professional", "service_codes": ["21", "22", "11"], "payments": [{"allowed_amount": 34.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1730398181, 1215193701, 1104020775, 1790984359, 1578881413, 1134346067]}]}, {"allowed_amount": 56.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1912962333, 1962463158, 1184987158]}]}]}, {"tin": {"type": "ein", "value": "741720245"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1871904532]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 164.7, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 366.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 72.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1386294171, 1275093486]}]}]}, {"tin": {"type": "ein", "value": "843614961"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 94.93, "providers": [{"billed_charge": 164.0, "npi": [1326642083]}]}]}]}, {"name": "Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less", "billing_code_type": "CPT", "billing_code": "11042", "billing_code_type_version": "2022", "description": "DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/<", "allowed_amounts": [{"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 54.4, "providers": [{"billed_charge": 208.0, "npi": [1376168377, 1003822750]}]}]}, {"tin": {"type": "ein", "value": "273705652"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.62, "providers": [{"billed_charge": 116.0, "npi": [1194452417]}]}]}, {"tin": {"type": "ein", "value": "454028026"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 38.08, "providers": [{"billed_charge": 152.68, "npi": [1447403563]}]}, {"allowed_amount": 76.16, "providers": [{"billed_charge": 152.68, "npi": [1447403563]}]}]}, {"tin": {"type": "ein", "value": "463175783"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.62, "providers": [{"billed_charge": 227.7, "npi": [1174094486, 1205553815]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.4, "providers": [{"billed_charge": 172.0, "npi": [1396852380]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 755.22, "providers": [{"billed_charge": 2157.76, "npi": [1124074273]}]}, {"allowed_amount": 988.25, "providers": [{"billed_charge": 2823.57, "npi": [1124074273]}]}, {"allowed_amount": 1510.43, "providers": [{"billed_charge": 4315.52, "npi": [1124074273]}]}, {"allowed_amount": 1539.49, "providers": [{"billed_charge": 4398.54, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "850838487"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 84.62, "providers": [{"billed_charge": 270.0, "npi": [1295216554]}]}]}, {"tin": {"type": "ein", "value": "882335743"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 127.31, "providers": [{"billed_charge": 230.27, "npi": [1740552645]}]}]}, {"tin": {"type": "ein", "value": "990981025"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 140.04, "providers": [{"billed_charge": 330.0, "npi": [1699825505]}]}]}]}, {"name": "Decalcification procedure (List separately in addition to code for surgical pathology examination)", "billing_code_type": "CPT", "billing_code": "88311", "billing_code_type_version": "2022", "description": "DECALCIFICATION PROCEDURE", "allowed_amounts": [{"tin": {"type": "ein", "value": "371925902"}, "billing_class": "professional", "service_codes": ["21", "22", "11"], "payments": [{"allowed_amount": 12.27, "providers": [{"billed_charge": 88.0, "npi": [1619596053, 1164453486]}]}, {"allowed_amount": 12.47, "providers": [{"billed_charge": 88.0, "npi": [1538149406]}]}, {"allowed_amount": 12.5, "providers": [{"billed_charge": 88.0, "npi": [1649767211, 1497963862, 1306293543]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 27.12, "providers": [{"billed_charge": 62.0, "npi": [1366421927]}]}]}, {"tin": {"type": "ein", "value": "741209207"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.16, "providers": [{"billed_charge": 75.0, "npi": [1275767626]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.05, "providers": [{"billed_charge": 34.0, "npi": [1144859489, 1235450636]}]}]}, {"tin": {"type": "ein", "value": "741619182"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 15.05, "providers": [{"billed_charge": 37.9, "npi": [1730398181, 1215193701, 1104020775, 1790984359, 1578881413, 1134346067, 1639350036]}]}]}, {"tin": {"type": "ein", "value": "741720245"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.82, "providers": [{"billed_charge": 70.0, "npi": [1629455886]}]}, {"allowed_amount": 15.38, "providers": [{"billed_charge": 70.0, "npi": [1497766117, 1780882381]}]}, {"allowed_amount": 15.67, "providers": [{"billed_charge": 70.0, "npi": [1205968393]}]}]}, {"tin": {"type": "ein", "value": "742656670"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.12, "providers": [{"billed_charge": 65.0, "npi": [1740424142]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.46, "providers": [{"billed_charge": 327.03, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742922218"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.05, "providers": [{"billed_charge": 145.0, "npi": [1679796544, 1730537002, 1326669342]}]}]}, {"tin": {"type": "ein", "value": "751784456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.5, "providers": [{"billed_charge": 61.0, "npi": [1750313904]}]}]}, {"tin": {"type": "ein", "value": "751788181"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.47, "providers": [{"billed_charge": 59.0, "npi": [1225211162]}]}, {"allowed_amount": 12.5, "providers": [{"billed_charge": 59.0, "npi": [1447322458]}]}, {"allowed_amount": 15.2, "providers": [{"billed_charge": 59.0, "npi": [1720010077]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.61, "providers": [{"billed_charge": 32.0, "npi": [1689631301]}]}]}, {"tin": {"type": "ein", "value": "752778206"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.49, "providers": [{"billed_charge": 47.0, "npi": [1356302350]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.49, "providers": [{"billed_charge": 57.0, "npi": [1629259577]}]}, {"allowed_amount": 12.5, "providers": [{"billed_charge": 57.0, "npi": [1053463141]}]}]}, {"tin": {"type": "ein", "value": "872266063"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 28.8, "providers": [{"billed_charge": 30.47, "npi": [1770621658]}]}]}]}, {"name": "Dehydroepiandrosterone (DHEA)", "billing_code_type": "CPT", "billing_code": "82626", "billing_code_type_version": "2022", "description": "DEHYDROEPIANDROSTERONE", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.69, "providers": [{"billed_charge": 125.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 52.81, "providers": [{"billed_charge": 105.93, "npi": [1235186800]}]}]}]}, {"name": "Dehydroepiandrosterone-sulfate (DHEA-S)", "billing_code_type": "CPT", "billing_code": "82627", "billing_code_type_version": "2022", "description": "DEHYDROEPIANDROSTERONE-SULFATE", "allowed_amounts": [{"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 31.12, "providers": [{"billed_charge": 55.58, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.56, "providers": [{"billed_charge": 88.92, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 18.23, "providers": [{"billed_charge": 93.21, "npi": [1235186800]}]}, {"allowed_amount": 46.46, "providers": [{"billed_charge": 55.58, "npi": [1235186800]}, {"billed_charge": 93.21, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 18.23, "providers": [{"billed_charge": 28.0, "npi": [1487429874]}]}, {"allowed_amount": 28.0, "providers": [{"billed_charge": 28.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 18.23, "providers": [{"billed_charge": 33.35, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 18.23, "providers": [{"billed_charge": 22.23, "npi": [1821749896]}]}]}]}, {"name": "Dexamethasone, oral, 0.25 mg", "billing_code_type": "CPT", "billing_code": "J8540", "billing_code_type_version": "2022", "description": "Dexamethasone, oral, 0.25 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "202313462"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 25.0, "npi": [1215226451]}]}, {"allowed_amount": 0.02, "providers": [{"billed_charge": 1.0, "npi": [1861035701]}]}, {"allowed_amount": 0.03, "providers": [{"billed_charge": 1.0, "npi": [1366535445]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.5, "providers": [{"billed_charge": 7.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 1.31, "npi": [1124074273]}]}, {"allowed_amount": 0.69, "providers": [{"billed_charge": 1.96, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "831466906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.02, "providers": [{"billed_charge": 1.0, "npi": [1881873982]}]}]}]}, {"name": "Digitization of glass microscope slides for level IV, surgical pathology, gross and microscopic examination (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "0753T", "billing_code_type_version": "2022", "description": "DGTZ GLASS MCRSCP SLD LEVEL IV SURG PATH", "allowed_amounts": [{"tin": {"type": "ein", "value": "113272376"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 40.0, "npi": [1215921549]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 0.01, "npi": [1518134154, 1215490917, 1598129975]}]}]}, {"tin": {"type": "ein", "value": "581910975"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 50.0, "npi": [1225444300]}]}]}, {"tin": {"type": "ein", "value": "621637129"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 60.0, "npi": [1467433292]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 0.01, "npi": [1548440985, 1407293970, 1710939939, 1891713038]}]}]}, {"tin": {"type": "ein", "value": "760508645"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 0.01, "npi": [1598129975]}]}]}, {"tin": {"type": "ein", "value": "760543568"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 0.01, "npi": [1073512265, 1518134154, 1215490917, 1598129975]}]}]}, {"tin": {"type": "ein", "value": "911385504"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 22.5, "providers": [{"billed_charge": 45.0, "npi": [1801849369]}]}]}]}, {"name": "Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)", "billing_code_type": "CPT", "billing_code": "93325", "billing_code_type_version": "2022", "description": "DOPPLER ECHO COLOR FLOW VELOCITY MAPPING", "allowed_amounts": [{"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 5.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 11.0, "npi": [1659626216]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 10.0, "npi": [1205358835]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 5.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 11.0, "npi": [1407233349]}]}, {"allowed_amount": 6.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 11.0, "npi": [1649484080, 1134653983, 1912430216, 1700318599]}]}]}, {"tin": {"type": "ein", "value": "452820649"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 32.35, "providers": [{"billed_charge": 130.0, "npi": [1326120734]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 8.64, "npi": [1184731176]}]}]}, {"tin": {"type": "ein", "value": "741941710"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 8.82, "npi": [1194222356]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 644.42, "providers": [{"billed_charge": 1841.2, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21", "19"], "payments": [{"allowed_amount": 5.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 10.47, "npi": [1285897272, 1780046433]}]}, {"allowed_amount": 6.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 10.47, "npi": [1508946872]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 358.2, "providers": [{"billed_charge": 796.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.08, "npi": [1811351612]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 4.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 8.0, "npi": [1437618584]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 8.0, "npi": [1225047046]}]}, {"allowed_amount": 6.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 8.0, "npi": [1750958534]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 654.0, "npi": [1427340769, 1437152063]}]}, {"allowed_amount": 24.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 654.0, "npi": [1710054291, 1003083395, 1194145540, 1881058162]}]}, {"allowed_amount": 24.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 654.0, "npi": [1124135280, 1396372728]}]}]}, {"tin": {"type": "ein", "value": "844103517"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1770816951]}]}]}]}, {"name": "Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed", "billing_code_type": "CPT", "billing_code": "G0480", "billing_code_type_version": "2022", "description": "Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 80.1, "providers": [{"billed_charge": 343.29, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 155.62, "providers": [{"billed_charge": 290.0, "npi": [1366421927]}]}]}, {"tin": {"type": "ein", "value": "453717894"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 115.0, "providers": [{"billed_charge": 115.0, "npi": [1730466590]}]}, {"allowed_amount": 176.0, "providers": [{"billed_charge": 176.0, "npi": [1730466590]}]}]}, {"tin": {"type": "ein", "value": "472177895"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1871348938]}]}, {"allowed_amount": 226.01, "providers": [{"billed_charge": 150.0, "npi": [1871348938]}]}]}, {"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 185.38, "providers": [{"billed_charge": 250.0, "npi": [1912903717]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 159.88, "providers": [{"billed_charge": 159.88, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "811680891"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 88.11, "providers": [{"billed_charge": 125.9, "npi": [1225488455]}]}]}, {"tin": {"type": "ein", "value": "812244474"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 93.83, "providers": [{"billed_charge": 228.86, "npi": [1558717827]}]}]}, {"tin": {"type": "ein", "value": "843172409"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 93.83, "providers": [{"billed_charge": 1200.0, "npi": [1306739909]}]}]}, {"tin": {"type": "ein", "value": "854205837"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 93.83, "providers": [{"billed_charge": 228.86, "npi": [1164017422]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 93.83, "providers": [{"billed_charge": 228.86, "npi": [1821749896]}]}]}, {"tin": {"type": "ein", "value": "993314772"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 86.97, "providers": [{"billed_charge": 343.29, "npi": [1275369233]}]}]}]}, {"name": "Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed", "billing_code_type": "CPT", "billing_code": "G0482", "billing_code_type_version": "2022", "description": "Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed", "allowed_amounts": [{"tin": {"type": "ein", "value": "463888502"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 523.68, "providers": [{"billed_charge": 1589.92, "npi": [1760475180]}]}]}, {"tin": {"type": "ein", "value": "473588569"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 230.54, "providers": [{"billed_charge": 596.22, "npi": [1982091617]}]}]}, {"tin": {"type": "ein", "value": "800686939"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 219.0, "providers": [{"billed_charge": 219.0, "npi": [1699045674]}]}]}, {"tin": {"type": "ein", "value": "880241758"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 415.37, "providers": [{"billed_charge": 745.0, "npi": [1699782722]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 230.54, "providers": [{"billed_charge": 300.0, "npi": [1245921329]}]}]}]}, {"name": "Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed", "billing_code_type": "CPT", "billing_code": "G0483", "billing_code_type_version": "2022", "description": "Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed", "allowed_amounts": [{"tin": {"type": "ein", "value": "261565558"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 400.01, "providers": [{"billed_charge": 499.0, "npi": [1497933162]}]}]}, {"tin": {"type": "ein", "value": "450454268"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 400.01, "providers": [{"billed_charge": 617.3, "npi": [1588004410]}]}]}, {"tin": {"type": "ein", "value": "464163620"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 202.47, "providers": [{"billed_charge": 600.0, "npi": [1265854855]}, {"billed_charge": 14453.4, "npi": [1265854855]}]}]}, {"tin": {"type": "ein", "value": "465081856"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 202.47, "providers": [{"billed_charge": 1234.6, "npi": [1336556745]}]}]}, {"tin": {"type": "ein", "value": "471489220"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 202.47, "providers": [{"billed_charge": 617.3, "npi": [1861895500]}]}]}, {"tin": {"type": "ein", "value": "473588569"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 286.43, "providers": [{"billed_charge": 740.76, "npi": [1982091617]}]}]}, {"tin": {"type": "ein", "value": "474527287"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 195.07, "providers": [{"billed_charge": 740.76, "npi": [1851768097]}]}]}, {"tin": {"type": "ein", "value": "611803788"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 190.13, "providers": [{"billed_charge": 490.0, "npi": [1053841023]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 202.47, "providers": [{"billed_charge": 620.0, "npi": [1265017743]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 309.0, "providers": [{"billed_charge": 309.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "853374426"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 202.47, "providers": [{"billed_charge": 250.0, "npi": [1245838671]}]}]}, {"tin": {"type": "ein", "value": "854205837"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 202.47, "providers": [{"billed_charge": 493.84, "npi": [1164017422]}]}]}, {"tin": {"type": "ein", "value": "880241758"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 516.06, "providers": [{"billed_charge": 926.0, "npi": [1699782722]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 286.43, "providers": [{"billed_charge": 370.0, "npi": [1245921329]}]}]}]}, {"name": "Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service", "billing_code_type": "CPT", "billing_code": "80307", "billing_code_type_version": "2022", "description": "DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 43.5, "providers": [{"billed_charge": 186.42, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "261565558"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 100.67, "providers": [{"billed_charge": 124.0, "npi": [1497933162]}]}]}, {"tin": {"type": "ein", "value": "352523383"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 50.95, "providers": [{"billed_charge": 155.35, "npi": [1558544817]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 84.51, "providers": [{"billed_charge": 155.0, "npi": [1366421927]}]}]}, {"tin": {"type": "ein", "value": "453717894"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 99.0, "providers": [{"billed_charge": 99.0, "npi": [1730466590]}]}]}, {"tin": {"type": "ein", "value": "463888502"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 192.63, "providers": [{"billed_charge": 497.12, "npi": [1760475180]}]}]}, {"tin": {"type": "ein", "value": "464163620"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 50.95, "providers": [{"billed_charge": 200.0, "npi": [1265854855]}, {"billed_charge": 6865.8, "npi": [1265854855]}]}]}, {"tin": {"type": "ein", "value": "465081856"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 50.95, "providers": [{"billed_charge": 310.7, "npi": [1336556745]}]}]}, {"tin": {"type": "ein", "value": "471489220"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 50.95, "providers": [{"billed_charge": 155.35, "npi": [1861895500]}]}]}, {"tin": {"type": "ein", "value": "472177895"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 100.67, "providers": [{"billed_charge": 124.28, "npi": [1871348938]}]}]}, {"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 100.67, "providers": [{"billed_charge": 345.0, "npi": [1912903717]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.7, "providers": [{"billed_charge": 202.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "720549907"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.0, "providers": [{"billed_charge": 132.0, "npi": [1093793408]}]}]}, {"tin": {"type": "ein", "value": "742425482"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 67.39, "providers": [{"billed_charge": 216.0, "npi": [1992285282]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.15, "providers": [{"billed_charge": 309.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 317.3, "providers": [{"billed_charge": 906.58, "npi": [1124074273, 1376071530, 1659525236]}]}, {"allowed_amount": 317.31, "providers": [{"billed_charge": 906.58, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.35, "providers": [{"billed_charge": 203.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 162.0, "providers": [{"billed_charge": 162.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 567.0, "providers": [{"billed_charge": 567.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 50.95, "providers": [{"billed_charge": 150.0, "npi": [1265017743]}]}]}, {"tin": {"type": "ein", "value": "800686939"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 68.0, "providers": [{"billed_charge": 68.0, "npi": [1699045674]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 129.87, "providers": [{"billed_charge": 158.5, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "811680891"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 47.85, "providers": [{"billed_charge": 68.4, "npi": [1225488455]}]}]}, {"tin": {"type": "ein", "value": "812244474"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 50.95, "providers": [{"billed_charge": 124.28, "npi": [1558717827]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 78.0, "providers": [{"billed_charge": 78.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1277.98, "providers": [{"billed_charge": 3651.38, "npi": [1659327013]}]}]}, {"tin": {"type": "ein", "value": "842525329"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 50.95, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 150.0, "npi": [1265017743]}]}]}, {"tin": {"type": "ein", "value": "843172409"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 50.95, "providers": [{"billed_charge": 1300.0, "npi": [1306739909]}]}]}, {"tin": {"type": "ein", "value": "853374426"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 50.95, "providers": [{"billed_charge": 70.0, "npi": [1245838671]}]}]}, {"tin": {"type": "ein", "value": "854205837"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 50.95, "providers": [{"billed_charge": 124.28, "npi": [1164017422]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 50.95, "providers": [{"billed_charge": 124.28, "npi": [1821749896]}]}]}, {"tin": {"type": "ein", "value": "880241758"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 129.87, "providers": [{"billed_charge": 242.0, "npi": [1699782722]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 72.08, "providers": [{"billed_charge": 95.0, "npi": [1245921329]}]}]}, {"tin": {"type": "ein", "value": "993314772"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 47.23, "providers": [{"billed_charge": 186.42, "npi": [1275369233]}]}]}]}, {"name": "Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study", "billing_code_type": "CPT", "billing_code": "93975", "billing_code_type_version": "2022", "description": "DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 229.0, "npi": [1366433740]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 104.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1851400618]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.5, "providers": [{"billed_charge": 2893.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "334228114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 517.73, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1392.0, "npi": [1093506396]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 79.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1699407379, 1114178563]}]}, {"allowed_amount": 104.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1427291368]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 79.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 224.0, "npi": [1871797472, 1104893536, 1043348386, 1205240512, 1902105893, 1427219526, 1366701567, 1043715980, 1194792846, 1730156688, 1225005168, 1174630230, 1407823834, 1639388572, 1336324383]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1205.52, "providers": [{"billed_charge": 3444.35, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 551.29, "providers": [{"billed_charge": 427.8, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1038.6, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2308.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 422.0, "npi": [1891226114]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 58.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 339.0, "npi": [1558628354, 1730189572, 1164405734, 1922057959, 1063808392, 1689623464, 1639130644]}]}, {"allowed_amount": 105.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 339.0, "npi": [1467985986]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 518.57, "providers": [{"billed_charge": 1741.09, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 1741.09, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 1741.09, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 144.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1508821430]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 381.0, "npi": [1407811219, 1598060436]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 1899.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.5, "providers": [{"billed_charge": 4202.0, "npi": [1083937593]}]}]}, {"tin": {"type": "ein", "value": "813802267"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 281.52, "providers": [{"billed_charge": 1200.0, "npi": [1710178900]}]}]}, {"tin": {"type": "ein", "value": "852354189"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 962.5, "npi": [1215609896]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 420.11, "providers": [{"billed_charge": 2340.0, "npi": [1073576740]}]}]}, {"tin": {"type": "ein", "value": "871224784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 518.57, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 4484.59, "npi": [1003489212]}]}]}, {"tin": {"type": "ein", "value": "871781373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 588.6, "npi": [1992986368]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 281.52, "providers": [{"billed_charge": 1200.0, "npi": [1215104310]}]}]}]}, {"name": "Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study", "billing_code_type": "CPT", "billing_code": "93976", "billing_code_type_version": "2022", "description": "DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT", "allowed_amounts": [{"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1199.94, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "334308303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1390.8, "npi": [1174310841]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1366646416]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1208.5, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 2081.0, "npi": [1447883301]}]}, {"allowed_amount": 320.31, "providers": [{"billed_charge": 2809.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 55.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1629301544, 1447367420, 1831534973, 1619464575]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 55.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1871797472, 1386611713, 1205240512, 1831326081, 1902105893, 1891762217, 1548640428, 1043715980, 1194792846, 1730156688, 1225005168, 1174630230, 1639388572, 1902080476]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 421.0, "npi": [1770939753]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1780918276]}]}]}, {"tin": {"type": "ein", "value": "742638006"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3018.0, "npi": [1275592131]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 798.07, "providers": [{"billed_charge": 2280.2, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742896068"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1366701567]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1208.5, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1208.5, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 40.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1912394495]}]}, {"allowed_amount": 40.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1821256363]}]}, {"allowed_amount": 40.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1164405734, 1740271881, 1881697258, 1740283118, 1598764821, 1760709182]}]}, {"allowed_amount": 55.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1992018055]}]}, {"allowed_amount": 73.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1154300283, 1568416204]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1208.5, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.68, "npi": [1316107246]}]}]}, {"tin": {"type": "ein", "value": "752537587"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 139.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 242.0, "npi": [1386900173]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1199.94, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1208.5, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752771437"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1208.5, "npi": [1457382798]}]}]}, {"tin": {"type": "ein", "value": "752932830"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.8, "providers": [{"billed_charge": 2516.0, "npi": [1952333205]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 1208.5, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.0, "npi": [1205396991]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1868.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.79, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1212.0, "npi": [1477531580]}]}]}]}, {"name": "Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study", "billing_code_type": "CPT", "billing_code": "93970", "billing_code_type_version": "2022", "description": "DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 48.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1407482409, 1366433740, 1174514509]}]}]}, {"tin": {"type": "ein", "value": "232722771"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 61.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 78.75, "npi": [1558312579]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 48.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1205093200]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1831177161]}]}]}, {"tin": {"type": "ein", "value": "412101361"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 2001.42, "npi": [1609855139]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 74.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1396032033]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 518.57, "providers": [{"billed_charge": 2101.75, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 623.19, "providers": [{"billed_charge": 3474.0, "npi": [1447883301]}]}, {"allowed_amount": 731.05, "providers": [{"billed_charge": 4217.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 48.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1003541699, 1568412518, 1629301544, 1033312905, 1902056203, 1346455672, 1447367420, 1831534973]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 48.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1093158024, 1043715980, 1639691025, 1760778518, 1639388572, 1497722144, 1083691810, 1689781668, 1639374374, 1376519223, 1376518720, 1205240512, 1437126851, 1265753289, 1407823834, 1902080476, 1376510685, 1104893536, 1366701567]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 63.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 291.0, "npi": [1881191617, 1578095063]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1313.83, "providers": [{"billed_charge": 3753.81, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 551.29, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 335.0, "npi": [1316936990]}, {"billed_charge": 1831.3, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 867.15, "providers": [{"billed_charge": 1927.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 518.57, "providers": [{"billed_charge": 2101.75, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 35.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1164849154, 1124066246, 1720298219, 1023228525, 1255759437, 1164539631, 1508209495, 1225443096, 1629397245, 1669771325]}]}, {"allowed_amount": 35.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.73, "npi": [1780902593]}, {"billed_charge": 138.0, "npi": [1780902593, 1922057959, 1689623464, 1447233713, 1811307259, 1639130644, 1396794004, 1386627958, 1194169847, 1013966043, 1285890079]}]}, {"allowed_amount": 48.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1447233713, 1689963357]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 2001.42, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 2001.42, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 121.77, "npi": [1316107246]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 63.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1518164862]}]}, {"allowed_amount": 86.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1225269178, 1518349851]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 162.0, "npi": [1821054305, 1407811219, 1942404132, 1740161686]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.5, "providers": [{"billed_charge": 6892.0, "npi": [1497871628]}]}]}, {"tin": {"type": "ein", "value": "760677442"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 368.48, "providers": [{"billed_charge": 511.0, "npi": [1740519321]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1420.0, "npi": [1891720777]}]}]}, {"tin": {"type": "ein", "value": "820551704"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 2001.42, "npi": [1649273434]}]}]}, {"tin": {"type": "ein", "value": "822008670"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 381.18, "providers": [{"billed_charge": 626.4, "npi": [1659475309]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 731.05, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1420.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 2850.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "852713042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 383.5, "providers": [{"billed_charge": 3228.52, "npi": [1376141556]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 199.8, "providers": [{"billed_charge": 1200.0, "npi": [1538379805]}]}]}]}, {"name": "Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study", "billing_code_type": "CPT", "billing_code": "93971", "billing_code_type_version": "2022", "description": "DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY", "allowed_amounts": [{"tin": {"type": "ein", "value": "150532221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.89, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 942.12, "npi": [1629087580]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 30.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1407482409, 1932516556, 1174514509, 1922487446, 1003376088, 1225599582]}]}]}, {"tin": {"type": "ein", "value": "200470861"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 242.27, "providers": [{"billed_charge": 1107.75, "npi": [1720037799]}]}]}, {"tin": {"type": "ein", "value": "202848116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1130.5, "npi": [1629138029]}]}]}, {"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 1338.82, "npi": [1265568638]}]}]}, {"tin": {"type": "ein", "value": "205432782"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 208.04, "providers": [{"billed_charge": 505.0, "npi": [1710097936]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 2597.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "271385885"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 126.23, "providers": [{"billed_charge": 730.0, "npi": [1871532465]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 2195.2, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1871722850]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 30.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1992858328, 1760522353, 1851319057, 1306994231]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2001.6, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 963.2, "npi": [1598196206]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1770739260, 1366429383]}]}, {"allowed_amount": 40.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1366646416]}]}]}, {"tin": {"type": "ein", "value": "430917818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.15, "providers": [{"billed_charge": 81.0, "npi": [1659759553]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1130.5, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1602.98, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "562568765"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1336567031]}]}]}, {"tin": {"type": "ein", "value": "581245030"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.0, "npi": [1396233565]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.84, "providers": [{"billed_charge": 1368.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1558433870]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.07, "providers": [{"billed_charge": 1725.0, "npi": [1265065445]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 1604.75, "npi": [1093810327]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3090.0, "npi": [1194787218, 1780867390]}]}]}, {"tin": {"type": "ein", "value": "741109836"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 316.11, "providers": [{"billed_charge": 2298.0, "npi": [1689641680]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 30.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1003541699, 1568412518, 1902056203, 1225327406, 1841631280, 1699407379, 1346455672, 1831534973]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 30.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1023261062, 1093158024, 1194792846, 1730156688, 1639691025, 1760778518, 1639388572, 1336324383, 1497722144, 1083691810, 1043348386, 1902105893, 1639374374, 1891762217, 1548640428, 1376519223, 1376518720, 1205240512, 1437126851, 1427219526, 1265753289, 1174630230, 1184600918, 1407823834, 1104893536, 1558749283, 1225005168, 1366701567]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 186.0, "npi": [1790050052, 1245793397, 1932454972]}]}, {"allowed_amount": 41.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 186.0, "npi": [1902199474]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 695.8, "providers": [{"billed_charge": 1988.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 888.99, "providers": [{"billed_charge": 2539.97, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1023308541]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 173.13, "npi": [1316936990]}, {"billed_charge": 1056.72, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 695.25, "providers": [{"billed_charge": 1545.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 24.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1982990156]}]}, {"allowed_amount": 41.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1326433442, 1770561185, 1699764506, 1982682399]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1130.5, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 22.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1144512765, 1427316355, 1467744573]}]}, {"allowed_amount": 22.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1043449028, 1124066246, 1578812905, 1720298219, 1710121041, 1902199185, 1790019347, 1134623796, 1083078836, 1629397245, 1124277371, 1992967293, 1013273630]}]}, {"allowed_amount": 22.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1811381536, 1164405734, 1063808392, 1336464874, 1164539631, 1790788115, 1639130644, 1730383829, 1386627958, 1841585304, 1811307259, 1801920350, 1285890079]}]}, {"allowed_amount": 27.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1073003075]}]}, {"allowed_amount": 30.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1164539631]}]}, {"allowed_amount": 40.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1639121254, 1568416204, 1578514246]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1130.5, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1130.5, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1338.82, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1338.82, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1338.82, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.74, "npi": [1841264850]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1338.82, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1225269178, 1508821430]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1180.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 334.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 1130.5, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 22.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1942404132, 1316904717, 1871289777, 1912602673, 1407811219]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1596.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 4668.0, "npi": [1083937593, 1497871628]}]}]}, {"tin": {"type": "ein", "value": "760677442"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 232.56, "providers": [{"billed_charge": 327.0, "npi": [1740519321]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 780.0, "npi": [1326204744, 1740572569, 1902893183]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 980.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1906.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 1602.98, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1130.5, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "843475920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 980.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 843.91, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "853256127"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1104875087]}]}]}, {"tin": {"type": "ein", "value": "910852058"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1548266877]}]}]}, {"tin": {"type": "ein", "value": "923209338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 316.11, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3000.0, "npi": [1558132365]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 126.23, "providers": [{"billed_charge": 1200.0, "npi": [1851390108]}]}]}, {"tin": {"type": "ein", "value": "990517950"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 500.0, "npi": [1770963282]}]}]}, {"tin": {"type": "ein", "value": "990576438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1215198163]}]}]}, {"tin": {"type": "ein", "value": "991200998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1821044553]}]}]}, {"tin": {"type": "ein", "value": "993170252"}, "billing_class": "professional", "service_codes": ["32"], "payments": [{"allowed_amount": 30.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.34, "npi": [1093707457]}]}]}, {"tin": {"type": "ein", "value": "994033449"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 1191.6, "npi": [1902644263]}]}]}]}, {"name": "Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study", "billing_code_type": "CPT", "billing_code": "93926", "billing_code_type_version": "2022", "description": "DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY", "allowed_amounts": [{"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1295085892]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1184019416]}]}]}, {"tin": {"type": "ein", "value": "454656734"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1932109683]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 414.0, "npi": [1245261783]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1336324383]}]}, {"allowed_amount": 33.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1336324383]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 888.99, "providers": [{"billed_charge": 2539.97, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 587.25, "providers": [{"billed_charge": 1305.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 12.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1780902593]}]}, {"allowed_amount": 24.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1427316355, 1467744573]}]}, {"allowed_amount": 24.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1689897977, 1962464958]}]}, {"allowed_amount": 24.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1841585304, 1558628354, 1730383829]}]}, {"allowed_amount": 44.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1962452557]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1239.41, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 1558.23, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "862533154"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1038.97, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3091.32, "npi": [1548847601]}]}]}]}, {"name": "Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography", "billing_code_type": "CPT", "billing_code": "93306", "billing_code_type_version": "2022", "description": "ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D", "allowed_amounts": [{"tin": {"type": "ein", "value": "202396203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 700.0, "npi": [1861474595]}]}]}, {"tin": {"type": "ein", "value": "202706713"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1417972688]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["21", "22", "11"], "payments": [{"allowed_amount": 120.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1164646394, 1154305365, 1912393901, 1326021015]}]}, {"allowed_amount": 132.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1215906979, 1295085892, 1053674408, 1184624363, 1700234705, 1447288022, 1487858072, 1750709341, 1447795646]}]}, {"allowed_amount": 377.98, "providers": [{"billed_charge": 733.0, "npi": [1447795646]}]}]}, {"tin": {"type": "ein", "value": "263990588"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1275915282]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 90.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 240.0, "npi": [1295730828, 1417366873, 1295970820]}]}, {"allowed_amount": 93.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 224.0, "npi": [1306225784, 1134446172]}]}, {"allowed_amount": 99.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 224.0, "npi": [1710683545]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1669.14, "providers": [{"billed_charge": 2129.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "272184637"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 132.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1083721070]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 120.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1174834170, 1407233349]}]}, {"allowed_amount": 132.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1548377088, 1235174020, 1912430216, 1982920971, 1306953104, 1336533397, 1548211477, 1225139736, 1063875102, 1609837988, 1225011109, 1407217318, 1023089703, 1093911976, 1174753198, 1396774063, 1649484080, 1134303035, 1700317120, 1639526338, 1326071622, 1821183559, 1891140935, 1699747790, 1053506774, 1528325339, 1689933673, 1205181674, 1013994987, 1225037930, 1164421871, 1972890994, 1104322809, 1609810175]}]}]}, {"tin": {"type": "ein", "value": "273401164"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 234.54, "providers": [{"billed_charge": 586.0, "npi": [1790715035]}]}]}, {"tin": {"type": "ein", "value": "300520570"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 79.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1821046780]}]}, {"allowed_amount": 82.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 700.0, "npi": [1487684783]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 78.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 385.0, "npi": [1831342641]}]}, {"allowed_amount": 82.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 385.0, "npi": [1710367537]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1083666366]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 54.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.84, "npi": [1841246113]}]}, {"allowed_amount": 90.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.84, "npi": [1437682176, 1407086705]}]}, {"allowed_amount": 91.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.84, "npi": [1841246113]}, {"billed_charge": 135.16, "npi": [1841246113]}]}]}, {"tin": {"type": "ein", "value": "371908737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1003093824]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 91.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 428.0, "npi": [1073865341]}]}]}, {"tin": {"type": "ein", "value": "412101361"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 856.28, "providers": [{"billed_charge": 4315.93, "npi": [1609855139]}]}]}, {"tin": {"type": "ein", "value": "453337452"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1609268432]}]}]}, {"tin": {"type": "ein", "value": "454656734"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1538274824, 1043210792, 1487929584, 1952589970, 1932109683, 1730474552]}]}]}, {"tin": {"type": "ein", "value": "461237055"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 127.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 127.34, "npi": [1538153150]}]}]}, {"tin": {"type": "ein", "value": "463189636"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 374.0, "npi": [1831308725]}]}]}, {"tin": {"type": "ein", "value": "464327588"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.91, "npi": [1174604789]}]}]}, {"tin": {"type": "ein", "value": "474829203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1000.0, "npi": [1184828725]}]}]}, {"tin": {"type": "ein", "value": "510598546"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.11, "npi": [1033425087]}]}]}, {"tin": {"type": "ein", "value": "521467441"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 207.0, "npi": [1659734523]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1674.15, "providers": [{"billed_charge": 2544.0, "npi": [1780867390]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 120.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1972580967, 1558655431, 1235154154, 1003046806, 1386743839]}]}, {"allowed_amount": 132.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1184731176]}]}]}, {"tin": {"type": "ein", "value": "741941710"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 79.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1003874371]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5637.1, "providers": [{"billed_charge": 16106.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742689162"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 555.0, "npi": [1861482044]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3361.88, "providers": [{"billed_charge": 9605.36, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21", "19", "23"], "payments": [{"allowed_amount": 78.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.59, "npi": [1760427371]}]}, {"allowed_amount": 114.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.59, "npi": [1407208861]}]}, {"allowed_amount": 120.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.59, "npi": [1821110289, 1750888194, 1780046433, 1407208861]}]}, {"allowed_amount": 132.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.59, "npi": [1508946872, 1619170438]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 90.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 308.0, "npi": [1942707252]}]}, {"allowed_amount": 93.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 308.0, "npi": [1972595635]}]}, {"allowed_amount": 99.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 308.0, "npi": [1033231220]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1534.5, "providers": [{"billed_charge": 3410.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 856.28, "providers": [{"billed_charge": 4315.93, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 91.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.26, "npi": [1912999152, 1619531605]}]}, {"allowed_amount": 91.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.26, "npi": [1619142528, 1851568968, 1386844520, 1316107246, 1841264850]}]}, {"allowed_amount": 94.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.26, "npi": [1508251265]}]}, {"allowed_amount": 122.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.26, "npi": [1811420771]}]}, {"allowed_amount": 125.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.26, "npi": [1376842120, 1295129187, 1770939100, 1902034630]}]}]}, {"tin": {"type": "ein", "value": "752547668"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.0, "npi": [1104036185]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 89.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1609072065, 1003080375]}]}, {"allowed_amount": 91.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1336582436, 1841288453]}]}, {"allowed_amount": 91.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1235138306, 1598703803]}]}, {"allowed_amount": 122.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1679764948]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 89.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 230.0, "npi": [1619114659]}]}, {"allowed_amount": 120.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 230.0, "npi": [1417308065]}]}, {"allowed_amount": 132.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 230.0, "npi": [1679571376, 1588774061, 1376728279]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 83.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1861848749, 1225047046]}]}, {"allowed_amount": 132.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1629005400, 1124483292, 1639132558]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 13.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 330.0, "npi": [1548670011]}]}, {"allowed_amount": 91.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 330.0, "npi": [1275710402, 1053725093, 1548670011, 1003174954, 1710270038, 1891953337, 1265960827]}]}, {"allowed_amount": 125.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 330.0, "npi": [1124037528, 1437591211, 1932318615]}]}]}, {"tin": {"type": "ein", "value": "760151142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1700229234, 1649730342]}]}]}, {"tin": {"type": "ein", "value": "760298237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1720078181]}]}]}, {"tin": {"type": "ein", "value": "760565432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1861812612]}]}, {"allowed_amount": 82.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 325.0, "npi": [1972967198]}]}]}, {"tin": {"type": "ein", "value": "760588590"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 280.0, "npi": [1306951900]}]}]}, {"tin": {"type": "ein", "value": "800422518"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1871531434]}]}]}, {"tin": {"type": "ein", "value": "811453555"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 122.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 431.0, "npi": [1730509472]}]}]}, {"tin": {"type": "ein", "value": "813081687"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 500.0, "npi": [1720424542]}]}]}, {"tin": {"type": "ein", "value": "823463299"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 878.24, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 4153.81, "npi": [1649770488]}]}]}, {"tin": {"type": "ein", "value": "842704187"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1225294168, 1649558230]}]}]}, {"tin": {"type": "ein", "value": "851040784"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 116.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.0, "npi": [1396715868]}]}]}, {"tin": {"type": "ein", "value": "863083267"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 278.84, "providers": [{"billed_charge": 760.0, "npi": [1083901227]}]}]}, {"tin": {"type": "ein", "value": "870837459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1043444789]}]}]}, {"tin": {"type": "ein", "value": "873769568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2645.98, "npi": [1801095880]}]}]}, {"tin": {"type": "ein", "value": "874170895"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1790934321]}]}]}, {"tin": {"type": "ein", "value": "910565889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1790121648]}]}]}]}, {"name": "Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study", "billing_code_type": "CPT", "billing_code": "93308", "billing_code_type_version": "2022", "description": "ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD", "allowed_amounts": [{"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 84.0, "npi": [1659626216]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 48.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 84.0, "npi": [1407217318, 1700318599, 1205181674, 1225037930, 1134653983]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 32.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1073614434, 1548586787, 1528632528, 1053653394, 1629687199]}]}, {"allowed_amount": 48.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1184731176]}]}]}, {"tin": {"type": "ein", "value": "741941710"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 30.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.42, "npi": [1194222356]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 84.83, "npi": [1780046433]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 463.05, "providers": [{"billed_charge": 1029.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 1397.4, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 32.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.12, "npi": [1457779308]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 33.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1437618584]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 48.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1679571376]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 30.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1225047046]}]}, {"allowed_amount": 48.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1750958534]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 33.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1033250725]}]}, {"allowed_amount": 76.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1033405618, 1821360165, 1306295381]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 1378.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "850236178"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 186.0, "npi": [1417465204]}]}]}, {"tin": {"type": "ein", "value": "863284696"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 31.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1346655610]}]}]}]}, {"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": "200492277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.7, "providers": [{"billed_charge": 46.0, "npi": [1235570110]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.1, "providers": [{"billed_charge": 116.0, "npi": [1003027947, 1477139079]}]}]}, {"tin": {"type": "ein", "value": "201731332"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.72, "providers": [{"billed_charge": 77.0, "npi": [1255674776]}]}]}, {"tin": {"type": "ein", "value": "204791426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 23.0, "npi": [1194070482]}]}]}, {"tin": {"type": "ein", "value": "223586664"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.11, "providers": [{"billed_charge": 89.0, "npi": [1003965237]}]}]}, {"tin": {"type": "ein", "value": "232076152"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.16, "providers": [{"billed_charge": 53.0, "npi": [1558334169]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 105.0, "npi": [1598730269]}]}]}, {"tin": {"type": "ein", "value": "232691968"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 11.62, "providers": [{"billed_charge": 55.0, "npi": [1326533290]}]}, {"allowed_amount": 13.6, "providers": [{"billed_charge": 55.0, "npi": [1053594408]}]}]}, {"tin": {"type": "ein", "value": "250815795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.47, "providers": [{"billed_charge": 77.0, "npi": [1972932911]}]}]}, {"tin": {"type": "ein", "value": "251403958"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.25, "providers": [{"billed_charge": 31.0, "npi": [1609854363, 1023014149]}]}]}, {"tin": {"type": "ein", "value": "251775949"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.21, "providers": [{"billed_charge": 51.0, "npi": [1518278530]}]}]}, {"tin": {"type": "ein", "value": "260856658"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 9.84, "providers": [{"billed_charge": 30.0, "npi": [1952391161]}]}]}, {"tin": {"type": "ein", "value": "261378489"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.0, "providers": [{"billed_charge": 27.0, "npi": [1629398771]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 14.92, "providers": [{"billed_charge": 28.0, "npi": [1609072693, 1912393901]}]}, {"allowed_amount": 16.4, "providers": [{"billed_charge": 28.0, "npi": [1760457469]}]}]}, {"tin": {"type": "ein", "value": "263145514"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.19, "providers": [{"billed_charge": 113.0, "npi": [1942628193]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.94, "providers": [{"billed_charge": 71.0, "npi": [1558001784]}]}, {"allowed_amount": 19.87, "providers": [{"billed_charge": 71.0, "npi": [1639058068]}]}, {"allowed_amount": 20.5, "providers": [{"billed_charge": 71.0, "npi": [1154828564]}]}]}, {"tin": {"type": "ein", "value": "272184637"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 16.4, "providers": [{"billed_charge": 21.0, "npi": [1083721070]}]}]}, {"tin": {"type": "ein", "value": "272289671"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.38, "providers": [{"billed_charge": 125.0, "npi": [1588953509]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 14.92, "providers": [{"billed_charge": 28.0, "npi": [1174834170, 1407233349]}]}, {"allowed_amount": 16.4, "providers": [{"billed_charge": 28.0, "npi": [1609837988, 1225011109, 1043297989, 1700318599, 1093911976, 1912430216, 1205181674, 1982920971, 1164558540, 1225037930, 1164421871, 1003814898, 1720296437, 1750764437, 1265592570, 1134303035, 1124027743]}]}]}, {"tin": {"type": "ein", "value": "300520570"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 9.84, "providers": [{"billed_charge": 21.0, "npi": [1821046780, 1902843949]}, {"billed_charge": 50.0, "npi": [1629039904]}]}, {"allowed_amount": 10.12, "providers": [{"billed_charge": 50.0, "npi": [1841546157]}]}, {"allowed_amount": 10.2, "providers": [{"billed_charge": 50.0, "npi": [1902144736, 1134475239, 1164499240, 1215375019, 1356590970, 1861629818]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 9.84, "providers": [{"billed_charge": 45.0, "npi": [1639523897]}]}, {"allowed_amount": 10.12, "providers": [{"billed_charge": 45.0, "npi": [1114086931]}]}]}, {"tin": {"type": "ein", "value": "320612926"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 22.39, "providers": [{"billed_charge": 308.0, "npi": [1174579593, 1346277324, 1336253590]}]}]}, {"tin": {"type": "ein", "value": "332012020"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.42, "providers": [{"billed_charge": 64.08, "npi": [1427256619]}]}]}, {"tin": {"type": "ein", "value": "332241086"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 9.84, "providers": [{"billed_charge": 21.0, "npi": [1659510196, 1902843949]}, {"billed_charge": 50.0, "npi": [1164499240]}]}, {"allowed_amount": 10.12, "providers": [{"billed_charge": 50.0, "npi": [1881945236, 1841546157]}]}, {"allowed_amount": 10.2, "providers": [{"billed_charge": 50.0, "npi": [1356590970]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.01, "providers": [{"billed_charge": 75.0, "npi": [1407480288]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.39, "providers": [{"billed_charge": 22.0, "npi": [1508178567]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 2.81, "providers": [{"billed_charge": 16.66, "npi": [1417974155]}]}, {"allowed_amount": 6.42, "providers": [{"billed_charge": 16.66, "npi": [1417974155, 1104092741]}]}, {"allowed_amount": 8.33, "providers": [{"billed_charge": 16.66, "npi": [1104092741]}]}, {"allowed_amount": 11.16, "providers": [{"billed_charge": 16.02, "npi": [1437682176]}, {"billed_charge": 16.66, "npi": [1437682176, 1407086705, 1417974155, 1386083343]}]}, {"allowed_amount": 11.25, "providers": [{"billed_charge": 16.02, "npi": [1104092741, 1477754190]}, {"billed_charge": 16.66, "npi": [1841246113, 1104092741, 1477754190]}]}]}, {"tin": {"type": "ein", "value": "364705614"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.17, "providers": [{"billed_charge": 25.0, "npi": [1629074208]}]}]}, {"tin": {"type": "ein", "value": "364774713"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.07, "providers": [{"billed_charge": 26.0, "npi": [1437339223]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.48, "providers": [{"billed_charge": 75.0, "npi": [1659457612]}]}]}, {"tin": {"type": "ein", "value": "393441981"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.3, "providers": [{"billed_charge": 102.48, "npi": [1427059195]}]}]}, {"tin": {"type": "ein", "value": "408374183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.35, "providers": [{"billed_charge": 43.0, "npi": [1952493843]}]}]}, {"tin": {"type": "ein", "value": "412175615"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.17, "providers": [{"billed_charge": 26.0, "npi": [1528407822]}]}]}, {"tin": {"type": "ein", "value": "420680452"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.15, "providers": [{"billed_charge": 24.0, "npi": [1558986844, 1407203037]}]}]}, {"tin": {"type": "ein", "value": "421550440"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 90.0, "npi": [1366947095]}]}]}, {"tin": {"type": "ein", "value": "431560263"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.22, "providers": [{"billed_charge": 28.0, "npi": [1619225208]}]}]}, {"tin": {"type": "ein", "value": "440552490"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.51, "providers": [{"billed_charge": 57.0, "npi": [1740620251]}]}]}, {"tin": {"type": "ein", "value": "440577118"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.59, "providers": [{"billed_charge": 31.25, "npi": [1033153614]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.82, "providers": [{"billed_charge": 67.0, "npi": [1093334401, 1932780426, 1528700812, 1487073680, 1922062355, 1447510805, 1740869270, 1609370394, 1386887966, 1790072445, 1023540135, 1306164520, 1184074932, 1235320375, 1144457276, 1164162624, 1922274497, 1528697026, 1568082501, 1023050440, 1437735883, 1780796748, 1457970766, 1508826066, 1659385052, 1477057123, 1205122660, 1801472253]}]}, {"allowed_amount": 102.05, "providers": [{"billed_charge": 67.0, "npi": [1447510805]}]}, {"allowed_amount": 107.42, "providers": [{"billed_charge": 67.0, "npi": [1780796748]}]}]}, {"tin": {"type": "ein", "value": "452773050"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.21, "providers": [{"billed_charge": 92.0, "npi": [1508283482]}]}]}, {"tin": {"type": "ein", "value": "452955991"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.07, "providers": [{"billed_charge": 59.0, "npi": [1083903595]}]}]}, {"tin": {"type": "ein", "value": "460508979"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.81, "providers": [{"billed_charge": 34.0, "npi": [1598112906]}]}]}, {"tin": {"type": "ein", "value": "461415202"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.36, "providers": [{"billed_charge": 78.0, "npi": [1700467875, 1366976458, 1003376906, 1346984846, 1366025934, 1972184208, 1316525264, 1316472947, 1730523895, 1194286302]}]}]}, {"tin": {"type": "ein", "value": "461568739"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.92, "providers": [{"billed_charge": 84.0, "npi": [1750655411]}]}]}, {"tin": {"type": "ein", "value": "461602672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.42, "providers": [{"billed_charge": 99.0, "npi": [1609899475, 1629155916]}]}]}, {"tin": {"type": "ein", "value": "461883875"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.27, "providers": [{"billed_charge": 46.0, "npi": [1891792099]}]}]}, {"tin": {"type": "ein", "value": "462009634"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 40.0, "npi": [1518039965]}]}]}, {"tin": {"type": "ein", "value": "462354804"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.39, "providers": [{"billed_charge": 25.0, "npi": [1568436731, 1902843303]}]}]}, {"tin": {"type": "ein", "value": "462714379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 45.0, "npi": [1588845705]}]}]}, {"tin": {"type": "ein", "value": "463521234"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.82, "providers": [{"billed_charge": 84.0, "npi": [1902108004]}]}]}, {"tin": {"type": "ein", "value": "463902289"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.3, "providers": [{"billed_charge": 67.0, "npi": [1750658704, 1548670326, 1790075943]}]}, {"allowed_amount": 12.75, "providers": [{"billed_charge": 67.0, "npi": [1316964877]}]}, {"allowed_amount": 15.17, "providers": [{"billed_charge": 67.0, "npi": [1588847826]}]}, {"allowed_amount": 23.1, "providers": [{"billed_charge": 67.0, "npi": [1003041484]}]}]}, {"tin": {"type": "ein", "value": "464354068"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.52, "providers": [{"billed_charge": 32.0, "npi": [1679572069]}]}]}, {"tin": {"type": "ein", "value": "464409373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.84, "providers": [{"billed_charge": 15.72, "npi": [1801803069]}]}]}, {"tin": {"type": "ein", "value": "464767731"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 84.0, "npi": [1497458624, 1346467388, 1457316598, 1477597623]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.85, "providers": [{"billed_charge": 86.0, "npi": [1780247460, 1013978436, 1285047845, 1497071468, 1164407854, 1548550031, 1972062834]}]}]}, {"tin": {"type": "ein", "value": "471345819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.15, "providers": [{"billed_charge": 34.0, "npi": [1912093501]}]}]}, {"tin": {"type": "ein", "value": "471382605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.51, "providers": [{"billed_charge": 90.0, "npi": [1841870722, 1154752004, 1285080069, 1679076780, 1588436182]}]}, {"allowed_amount": 32.36, "providers": [{"billed_charge": 78.0, "npi": [1124387394, 1902424112, 1841789013, 1215137559, 1568107290, 1184683419]}, {"billed_charge": 90.0, "npi": [1396163713, 1417932948, 1487141396, 1568107290, 1841813151, 1245550367, 1871854505, 1801152939, 1902424112, 1336764851, 1558321331, 1609519677, 1205221579, 1861142606, 1609355858, 1841789013, 1013413335, 1104015577, 1205858271, 1033180898, 1548885353, 1477562221, 1275597171, 1699160051, 1114979572, 1407979255]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.51, "providers": [{"billed_charge": 65.0, "npi": [1396702676, 1922880335]}]}, {"allowed_amount": 28.2, "providers": [{"billed_charge": 80.0, "npi": [1588227656, 1508538794, 1871316018, 1528449626, 1639598204]}]}, {"allowed_amount": 32.36, "providers": [{"billed_charge": 65.0, "npi": [1619948742, 1194456335, 1457658544, 1639524242, 1528001237, 1073033247]}]}, {"allowed_amount": 33.18, "providers": [{"billed_charge": 80.0, "npi": [1346828480, 1669059044, 1669056107, 1306891726, 1346401999, 1982652947, 1669094579, 1669676979, 1457327579, 1144808700, 1578907549, 1073033247]}]}]}, {"tin": {"type": "ein", "value": "473592319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.42, "providers": [{"billed_charge": 218.0, "npi": [1851496228]}]}, {"allowed_amount": 25.82, "providers": [{"billed_charge": 75.0, "npi": [1306815592, 1235108895]}]}]}, {"tin": {"type": "ein", "value": "474717998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.53, "providers": [{"billed_charge": 39.0, "npi": [1659802130]}]}]}, {"tin": {"type": "ein", "value": "475013720"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.92, "providers": [{"billed_charge": 291.36, "npi": [1538574066]}]}]}, {"tin": {"type": "ein", "value": "475103702"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 84.0, "npi": [1346283025, 1609022847]}]}]}, {"tin": {"type": "ein", "value": "475138026"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.82, "providers": [{"billed_charge": 573.2, "npi": [1689627846]}]}]}, {"tin": {"type": "ein", "value": "510598546"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.84, "providers": [{"billed_charge": 24.72, "npi": [1316172067, 1801803069]}]}]}, {"tin": {"type": "ein", "value": "520962668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.75, "providers": [{"billed_charge": 85.75, "npi": [1548403835]}]}]}, {"tin": {"type": "ein", "value": "521467441"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.76, "providers": [{"billed_charge": 25.0, "npi": [1659734523]}]}]}, {"tin": {"type": "ein", "value": "550887020"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 33.0, "npi": [1316937394]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.99, "providers": [{"billed_charge": 23.7, "npi": [1043620719]}]}]}, {"tin": {"type": "ein", "value": "562066152"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.07, "providers": [{"billed_charge": 75.0, "npi": [1043317126]}]}, {"allowed_amount": 71.25, "providers": [{"billed_charge": 75.0, "npi": [1558892604]}]}]}, {"tin": {"type": "ein", "value": "562084786"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.75, "providers": [{"billed_charge": 23.0, "npi": [1417341850, 1447392659, 1821076142]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.5, "providers": [{"billed_charge": 46.0, "npi": [1225050297, 1831344340]}]}]}, {"tin": {"type": "ein", "value": "593082909"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.51, "providers": [{"billed_charge": 57.0, "npi": [1215166749]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.9, "providers": [{"billed_charge": 167.0, "npi": [1730706201]}]}]}, {"tin": {"type": "ein", "value": "593836772"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.84, "providers": [{"billed_charge": 15.0, "npi": [1598704819]}]}]}, {"tin": {"type": "ein", "value": "650351492"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.52, "providers": [{"billed_charge": 75.0, "npi": [1659312684]}]}]}, {"tin": {"type": "ein", "value": "651145436"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.79, "providers": [{"billed_charge": 43.0, "npi": [1427011444]}]}]}, {"tin": {"type": "ein", "value": "720839724"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.07, "providers": [{"billed_charge": 17.0, "npi": [1609816503]}]}]}, {"tin": {"type": "ein", "value": "731553050"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.2, "providers": [{"billed_charge": 80.0, "npi": [1104266659]}]}]}, {"tin": {"type": "ein", "value": "741282653"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.63, "providers": [{"billed_charge": 7.63, "npi": [1326783671]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.12, "providers": [{"billed_charge": 45.0, "npi": [1235591389, 1821403775]}]}]}, {"tin": {"type": "ein", "value": "741774669"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.39, "providers": [{"billed_charge": 61.12, "npi": [1700142387, 1932724630]}]}]}, {"tin": {"type": "ein", "value": "741941710"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 10.12, "providers": [{"billed_charge": 40.0, "npi": [1689929150]}]}, {"allowed_amount": 10.2, "providers": [{"billed_charge": 40.0, "npi": [1487838256, 1790938538, 1891835195, 1932147303]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 13.75, "providers": [{"billed_charge": 43.0, "npi": [1952493843, 1346274081, 1902213887, 1407141591]}]}, {"allowed_amount": 13.76, "providers": [{"billed_charge": 43.0, "npi": [1346274081]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.36, "providers": [{"billed_charge": 72.25, "npi": [1902381056, 1780179606, 1629307806]}]}, {"allowed_amount": 8.67, "providers": [{"billed_charge": 72.25, "npi": [1922886654, 1336884014]}]}, {"allowed_amount": 9.41, "providers": [{"billed_charge": 72.25, "npi": [1043237506, 1912558917, 1558526350, 1497331516, 1508331422]}]}, {"allowed_amount": 9.75, "providers": [{"billed_charge": 72.25, "npi": [1518499672, 1033506662]}]}, {"allowed_amount": 11.07, "providers": [{"billed_charge": 72.25, "npi": [1639734064, 1184205601, 1578959532, 1649790965]}]}, {"allowed_amount": 12.3, "providers": [{"billed_charge": 72.25, "npi": [1871869537, 1154902757, 1639811847, 1952805483, 1619504909, 1467895086, 1952839086, 1124523121, 1669630067, 1306157334, 1942627575, 1093976342, 1528599578, 1326360223]}]}, {"allowed_amount": 12.75, "providers": [{"billed_charge": 72.25, "npi": [1801424353, 1154694529, 1518166404, 1669904389, 1396109609, 1316680333, 1306061262, 1093057549, 1548550221, 1013477553, 1629719281, 1639630031, 1366962193, 1952977753, 1952697658, 1457571804]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 72.25, "npi": [1366805376, 1205185667, 1235452038, 1750345351, 1013075977, 1114973450, 1205332749, 1790348944, 1982840211, 1871854745, 1013043744, 1609868322, 1194073767, 1912223660, 1972007599, 1053538736, 1790880565, 1609302330, 1841435963, 1427136829, 1477082303, 1285731521, 1033376710, 1417921479, 1245345610, 1962794826, 1578741211, 1326667999, 1851357024, 1659352417, 1609363951, 1700049392, 1568817393, 1316252018, 1053817973, 1518083062, 1003264375, 1568812022, 1376749820, 1841392255]}]}, {"allowed_amount": 12.76, "providers": [{"billed_charge": 72.25, "npi": [1124659537]}]}, {"allowed_amount": 14.92, "providers": [{"billed_charge": 72.25, "npi": [1053538736, 1508286451, 1194766311]}]}, {"allowed_amount": 19.03, "providers": [{"billed_charge": 72.25, "npi": [1609853720, 1932578077, 1841902319]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21", "19", "22", "11"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 27.91, "npi": [1831585314, 1033171228]}]}, {"allowed_amount": 11.15, "providers": [{"billed_charge": 27.91, "npi": [1609434729]}]}, {"allowed_amount": 14.92, "providers": [{"billed_charge": 27.91, "npi": [1780046433, 1750888194, 1184365009, 1427314459, 1013200286]}]}, {"allowed_amount": 16.4, "providers": [{"billed_charge": 27.91, "npi": [1619170438, 1225325426, 1417956533, 1104872886, 1508946872]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.84, "providers": [{"billed_charge": 41.0, "npi": [1295001196]}]}, {"allowed_amount": 11.07, "providers": [{"billed_charge": 41.0, "npi": [1487699864]}]}, {"allowed_amount": 11.15, "providers": [{"billed_charge": 41.0, "npi": [1609047976]}]}, {"allowed_amount": 11.51, "providers": [{"billed_charge": 41.0, "npi": [1972595635]}]}, {"allowed_amount": 11.97, "providers": [{"billed_charge": 41.0, "npi": [1942684840]}]}, {"allowed_amount": 12.35, "providers": [{"billed_charge": 41.0, "npi": [1245232768, 1942684840, 1952560799]}]}, {"allowed_amount": 15.17, "providers": [{"billed_charge": 41.0, "npi": [1659639433]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1265460885]}]}]}, {"tin": {"type": "ein", "value": "751277293"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 24.0, "npi": [1821260670]}]}]}, {"tin": {"type": "ein", "value": "752159087"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.82, "providers": [{"billed_charge": 73.0, "npi": [1508821216, 1366063265, 1134147911, 1235592585, 1235559725, 1558302190, 1891994224, 1295090769, 1023691953]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 30.0, "npi": [1427292705, 1851568968, 1316023211, 1326035643, 1669574141, 1700873247]}]}, {"allowed_amount": 11.25, "providers": [{"billed_charge": 30.0, "npi": [1912999152, 1194783274]}]}, {"allowed_amount": 11.26, "providers": [{"billed_charge": 30.0, "npi": [1619142528, 1851568968, 1003816745, 1841264850, 1801863634, 1346604949, 1447245659]}]}, {"allowed_amount": 11.68, "providers": [{"billed_charge": 30.0, "npi": [1508251265]}]}, {"allowed_amount": 12.74, "providers": [{"billed_charge": 30.0, "npi": [1669472387]}]}, {"allowed_amount": 15.17, "providers": [{"billed_charge": 30.0, "npi": [1831570514, 1295129187]}]}, {"allowed_amount": 15.43, "providers": [{"billed_charge": 30.0, "npi": [1104825090, 1295129187, 1326401860, 1902034630, 1467654764, 1770939100]}]}]}, {"tin": {"type": "ein", "value": "752547668"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.25, "providers": [{"billed_charge": 34.0, "npi": [1699750471]}]}]}, {"tin": {"type": "ein", "value": "752600873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 35.0, "npi": [1215354113, 1871904987]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 28.0, "npi": [1588806749, 1669467445, 1033118278]}]}, {"allowed_amount": 11.16, "providers": [{"billed_charge": 28.0, "npi": [1760508592, 1356343867]}]}, {"allowed_amount": 11.25, "providers": [{"billed_charge": 28.0, "npi": [1073515508, 1649258757]}]}, {"allowed_amount": 11.26, "providers": [{"billed_charge": 28.0, "npi": [1588806749, 1669467445]}]}, {"allowed_amount": 15.17, "providers": [{"billed_charge": 28.0, "npi": [1396705919]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 14.92, "providers": [{"billed_charge": 19.0, "npi": [1760472948, 1003131533]}]}, {"allowed_amount": 15.17, "providers": [{"billed_charge": 19.0, "npi": [1578004859]}]}, {"allowed_amount": 16.4, "providers": [{"billed_charge": 19.0, "npi": [1679571376, 1760486757]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 10.33, "providers": [{"billed_charge": 22.0, "npi": [1861848749, 1225047046]}]}, {"allowed_amount": 16.4, "providers": [{"billed_charge": 22.0, "npi": [1639132558]}]}]}, {"tin": {"type": "ein", "value": "752737522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.51, "providers": [{"billed_charge": 78.0, "npi": [1255702692, 1578057709]}]}, {"allowed_amount": 28.06, "providers": [{"billed_charge": 78.0, "npi": [1346614039]}]}, {"allowed_amount": 32.36, "providers": [{"billed_charge": 76.0, "npi": [1003047796]}, {"billed_charge": 78.0, "npi": [1114030848, 1336196930, 1386853539, 1962866723, 1134416357, 1053617571, 1750761193, 1447562442, 1730122219, 1851683148, 1881129419, 1346984846, 1720436751, 1568506707, 1154301588, 1417972308, 1235369398, 1568789147]}]}, {"allowed_amount": 33.01, "providers": [{"billed_charge": 76.0, "npi": [1093169203, 1124302708, 1336436070]}, {"billed_charge": 78.0, "npi": [1548794753, 1831533827, 1487910154, 1508027020, 1740453778, 1417149592, 1720549272, 1376512921, 1477916443, 1962866723, 1457797029, 1538692520, 1881058733, 1467714741, 1962750646, 1588007991, 1881823672, 1033159736, 1164622007, 1174985147, 1568882108, 1497794101, 1235525312, 1154369601, 1104270016, 1982651840, 1144616004, 1467494344, 1114119880, 1871099978, 1750875209, 1982805321, 1649451725, 1093248205, 1114127438, 1922462928, 1689873234, 1659662674, 1518311380, 1215970132, 1457453912, 1275912537, 1245764315, 1144753757, 1144583774, 1245737188, 1508031204, 1578069605, 1952720617, 1962842732, 1932142445, 1578042735, 1477969905, 1700079985, 1609496306, 1407803125, 1689254518, 1528594942]}]}, {"allowed_amount": 33.26, "providers": [{"billed_charge": 78.0, "npi": [1568404739, 1730193178, 1689028516, 1073551917, 1003017393, 1568959286, 1982651840, 1972717510, 1528227782, 1235178823, 1497017958, 1861565160, 1952720617, 1164465514, 1992064620, 1215991021, 1043253495, 1972821882, 1235330556, 1548551294]}]}]}, {"tin": {"type": "ein", "value": "752966610"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 10.26, "providers": [{"billed_charge": 21.0, "npi": [1164487013]}]}]}, {"tin": {"type": "ein", "value": "753180248"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 21.0, "npi": [1093704827]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 1.67, "providers": [{"billed_charge": 38.0, "npi": [1124037528]}]}, {"allowed_amount": 11.26, "providers": [{"billed_charge": 38.0, "npi": [1356631683, 1801640727, 1427173533, 1639154461, 1174849566, 1265960827, 1053725093, 1033250725, 1003174954, 1134474539, 1982024626, 1326128695, 1891953337, 1205045184, 1275710402, 1972559177, 1750511820, 1225296338, 1205246931, 1710270038, 1043606502, 1225260136, 1366823536, 1730527227]}]}, {"allowed_amount": 15.17, "providers": [{"billed_charge": 38.0, "npi": [1720518921]}]}, {"allowed_amount": 15.43, "providers": [{"billed_charge": 38.0, "npi": [1417343872, 1710012448, 1487801387, 1437591211, 1902994700, 1578792495, 1578712725, 1124037528, 1205151834, 1144394461, 1326571902, 1215236799]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.98, "providers": [{"billed_charge": 30.0, "npi": [1447200308]}]}, {"allowed_amount": 10.12, "providers": [{"billed_charge": 30.0, "npi": [1053765016]}]}]}, {"tin": {"type": "ein", "value": "760423386"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 68.0, "npi": [1952613051]}]}]}, {"tin": {"type": "ein", "value": "760565432"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 30.0, "npi": [1912498692]}]}, {"allowed_amount": 9.84, "providers": [{"billed_charge": 30.0, "npi": [1275896649, 1497782858, 1336370881]}]}, {"allowed_amount": 9.96, "providers": [{"billed_charge": 30.0, "npi": [1801154810]}]}, {"allowed_amount": 10.12, "providers": [{"billed_charge": 30.0, "npi": [1871903484]}]}, {"allowed_amount": 10.2, "providers": [{"billed_charge": 30.0, "npi": [1609210897, 1801154810, 1437594892, 1972967198]}]}]}, {"tin": {"type": "ein", "value": "760588590"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.84, "providers": [{"billed_charge": 25.0, "npi": [1306951900]}]}]}, {"tin": {"type": "ein", "value": "760631448"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 158.4, "npi": [1124281456]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 39.0, "npi": [1306126032, 1275846842, 1568738730]}]}, {"allowed_amount": 21.95, "providers": [{"billed_charge": 39.0, "npi": [1144658295, 1033445663]}]}, {"allowed_amount": 21.98, "providers": [{"billed_charge": 39.0, "npi": [1609144781, 1235272014, 1083346480, 1508526674, 1245821107, 1104340694]}]}, {"allowed_amount": 22.39, "providers": [{"billed_charge": 39.0, "npi": [1154768877, 1073076063]}]}, {"allowed_amount": 25.42, "providers": [{"billed_charge": 39.0, "npi": [1164833927, 1609908490, 1821451915, 1417040015, 1922539030, 1053671578, 1336340892, 1225133085, 1225698848, 1265096259, 1720261449, 1699236042, 1720466378, 1275980237, 1154477016, 1770106460, 1649569260, 1740495472, 1962602995, 1942695796, 1184945016, 1689170425, 1922002682, 1427378686]}]}, {"allowed_amount": 25.82, "providers": [{"billed_charge": 39.0, "npi": [1346650496, 1831533827, 1205281425, 1710326681, 1790880672, 1811152416, 1306283429, 1992094247, 1881673259, 1639383730, 1487600573, 1760591689, 1114586443, 1558472530, 1003806803, 1407266646, 1639673056, 1528170081, 1982011490, 1992333157, 1780146662, 1861856999, 1477059178, 1215131115, 1407233265]}]}, {"allowed_amount": 25.85, "providers": [{"billed_charge": 39.0, "npi": [1023364866, 1295230597, 1164985735, 1699110023, 1053538314, 1528700812, 1821529868, 1770892176, 1194345744, 1891081873, 1588838676, 1720494230, 1881343135, 1235699745, 1548671266, 1588078885, 1194143529, 1972894889, 1811317803, 1932265774, 1164955951, 1053750703, 1275150385, 1265096259, 1699272005, 1457856460, 1821354317, 1477088078, 1154733004, 1689935314, 1689316051, 1205026390, 1245859032, 1710474713, 1013359322, 1285166553, 1457676892, 1215137245, 1114312667, 1285255521, 1598108136, 1386908010, 1902163181, 1396373486, 1316206329, 1114367612, 1184088189]}]}, {"allowed_amount": 39.0, "providers": [{"billed_charge": 39.0, "npi": [1679918114]}]}, {"allowed_amount": 190.23, "providers": [{"billed_charge": 39.0, "npi": [1013359322]}]}]}, {"tin": {"type": "ein", "value": "811220861"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 141.34, "npi": [1750522272, 1235193608, 1184088015, 1639734064, 1013353747, 1851344212, 1821333469]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 250.0, "npi": [1164511648, 1306011937, 1053791459, 1740572569, 1982231098, 1003340381, 1902893183]}]}]}, {"tin": {"type": "ein", "value": "815436418"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 84.0, "npi": [1922098573]}]}]}, {"tin": {"type": "ein", "value": "820956118"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 145.0, "npi": [1245347749, 1437361573, 1851595656, 1902089709, 1275563058, 1124191606]}]}]}, {"tin": {"type": "ein", "value": "822767201"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 23.1, "providers": [{"billed_charge": 308.0, "npi": [1801139423]}]}]}, {"tin": {"type": "ein", "value": "823920093"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.66, "providers": [{"billed_charge": 97.0, "npi": [1407417751]}]}]}, {"tin": {"type": "ein", "value": "825410675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.39, "providers": [{"billed_charge": 40.35, "npi": [1780022566, 1649212747, 1497073209, 1144450131, 1033539861, 1427085497]}]}]}, {"tin": {"type": "ein", "value": "831785901"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.39, "providers": [{"billed_charge": 40.35, "npi": [1982966099, 1457619595]}]}]}, {"tin": {"type": "ein", "value": "841337350"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.75, "providers": [{"billed_charge": 18.0, "npi": [1003986076]}]}]}, {"tin": {"type": "ein", "value": "841832545"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 110.0, "npi": [1073905097, 1467632372, 1174545461, 1881074581, 1205871803]}]}, {"allowed_amount": 12.3, "providers": [{"billed_charge": 110.0, "npi": [1740474337, 1649400482, 1871121574, 1689089674, 1053844555, 1871583500, 1649429556, 1326660309, 1710627898, 1588125595]}]}, {"allowed_amount": 15.17, "providers": [{"billed_charge": 110.0, "npi": [1831108661]}]}, {"allowed_amount": 25.42, "providers": [{"billed_charge": 110.0, "npi": [1316028517, 1255894150, 1306284211, 1982345112, 1215192828]}]}]}, {"tin": {"type": "ein", "value": "842988873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.42, "providers": [{"billed_charge": 39.0, "npi": [1598402208, 1821299108, 1689627846, 1962021485, 1891753232, 1821025305, 1447517594, 1184104218, 1063438174]}]}]}, {"tin": {"type": "ein", "value": "843316983"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.17, "providers": [{"billed_charge": 31.2, "npi": [1902062185]}]}, {"allowed_amount": 15.43, "providers": [{"billed_charge": 31.2, "npi": [1932300779]}]}, {"allowed_amount": 25.85, "providers": [{"billed_charge": 31.2, "npi": [1780859652, 1801872551, 1497071468, 1336336205, 1164607446]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.64, "providers": [{"billed_charge": 20.0, "npi": [1740284082, 1235138470]}]}, {"allowed_amount": 13.32, "providers": [{"billed_charge": 20.0, "npi": [1235138470]}]}]}, {"tin": {"type": "ein", "value": "850138775"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.41, "providers": [{"billed_charge": 48.99, "npi": [1043282395]}]}]}, {"tin": {"type": "ein", "value": "851917572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.16, "providers": [{"billed_charge": 573.2, "npi": [1386140226]}]}]}, {"tin": {"type": "ein", "value": "852099359"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.1, "providers": [{"billed_charge": 40.35, "npi": [1235334871]}]}]}, {"tin": {"type": "ein", "value": "852464463"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 251.51, "npi": [1144473570, 1922208776, 1629418025, 1912355983, 1922595727, 1235459769, 1952984668]}]}, {"allowed_amount": 10.12, "providers": [{"billed_charge": 251.51, "npi": [1922208776, 1922595727]}]}, {"allowed_amount": 11.07, "providers": [{"billed_charge": 251.51, "npi": [1780896829, 1134863517]}]}, {"allowed_amount": 12.3, "providers": [{"billed_charge": 251.51, "npi": [1710181664]}]}, {"allowed_amount": 12.75, "providers": [{"billed_charge": 251.51, "npi": [1073545588]}]}]}, {"tin": {"type": "ein", "value": "853861695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.15, "providers": [{"billed_charge": 78.0, "npi": [1336300045]}]}]}, {"tin": {"type": "ein", "value": "853903021"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.48, "providers": [{"billed_charge": 45.53, "npi": [1912352162]}]}, {"allowed_amount": 25.42, "providers": [{"billed_charge": 45.53, "npi": [1184104218, 1982658597]}]}]}, {"tin": {"type": "ein", "value": "854257664"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 125.0, "npi": [1336307081]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.07, "providers": [{"billed_charge": 28.0, "npi": [1427281641]}]}, {"allowed_amount": 15.25, "providers": [{"billed_charge": 28.0, "npi": [1497839302]}]}]}, {"tin": {"type": "ein", "value": "863284696"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 11.96, "providers": [{"billed_charge": 58.0, "npi": [1992774921]}]}, {"allowed_amount": 13.11, "providers": [{"billed_charge": 58.0, "npi": [1992774921]}]}]}, {"tin": {"type": "ein", "value": "870301301"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.25, "providers": [{"billed_charge": 63.0, "npi": [1003235151]}]}]}, {"tin": {"type": "ein", "value": "870837459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.12, "providers": [{"billed_charge": 60.0, "npi": [1043444789]}]}]}, {"tin": {"type": "ein", "value": "871781373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.82, "providers": [{"billed_charge": 45.53, "npi": [1659667129]}]}]}, {"tin": {"type": "ein", "value": "873769568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 291.36, "npi": [1801095880]}]}, {"allowed_amount": 12.3, "providers": [{"billed_charge": 291.36, "npi": [1407883788]}]}]}, {"tin": {"type": "ein", "value": "882126248"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.2, "providers": [{"billed_charge": 21.0, "npi": [1255369567]}]}]}, {"tin": {"type": "ein", "value": "882459039"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.85, "providers": [{"billed_charge": 257.0, "npi": [1346289576]}]}]}, {"tin": {"type": "ein", "value": "882995921"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.16, "providers": [{"billed_charge": 573.2, "npi": [1316119571]}]}, {"allowed_amount": 25.82, "providers": [{"billed_charge": 573.2, "npi": [1255651279]}]}]}, {"tin": {"type": "ein", "value": "882995935"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.82, "providers": [{"billed_charge": 573.2, "npi": [1568477339]}]}]}, {"tin": {"type": "ein", "value": "883572858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.16, "providers": [{"billed_charge": 45.53, "npi": [1093812455]}]}]}, {"tin": {"type": "ein", "value": "911911869"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.72, "providers": [{"billed_charge": 38.0, "npi": [1861444911]}]}]}, {"tin": {"type": "ein", "value": "920192097"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.4, "providers": [{"billed_charge": 22.0, "npi": [1023007085]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 308.0, "npi": [1184916546, 1770798563, 1972578714, 1275598393, 1144807322]}]}, {"allowed_amount": 22.39, "providers": [{"billed_charge": 308.0, "npi": [1275598393, 1184916546, 1972578714, 1144807322]}]}]}, {"tin": {"type": "ein", "value": "920750962"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.3, "providers": [{"billed_charge": 54.15, "npi": [1083814552, 1902249576]}]}]}, {"tin": {"type": "ein", "value": "920872236"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.42, "providers": [{"billed_charge": 83.0, "npi": [1295477271]}]}]}, {"tin": {"type": "ein", "value": "921903817"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.42, "providers": [{"billed_charge": 284.06, "npi": [1083920888]}]}]}, {"tin": {"type": "ein", "value": "923677515"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 11.16, "providers": [{"billed_charge": 36.0, "npi": [1871930594]}]}, {"allowed_amount": 11.25, "providers": [{"billed_charge": 36.0, "npi": [1821288085]}]}, {"allowed_amount": 11.26, "providers": [{"billed_charge": 36.0, "npi": [1821288085]}]}, {"allowed_amount": 15.43, "providers": [{"billed_charge": 36.0, "npi": [1871930594]}]}]}, {"tin": {"type": "ein", "value": "923905364"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 200.0, "npi": [1710917687]}]}, {"allowed_amount": 12.45, "providers": [{"billed_charge": 200.0, "npi": [1407802119]}]}]}, {"tin": {"type": "ein", "value": "923978738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.85, "providers": [{"billed_charge": 45.53, "npi": [1134151624, 1467416727]}]}]}, {"tin": {"type": "ein", "value": "931968492"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.41, "providers": [{"billed_charge": 71.55, "npi": [1386823672, 1114113818, 1831370758]}]}]}, {"tin": {"type": "ein", "value": "933910567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 125.0, "npi": [1013366145, 1184916546, 1689093924, 1629718341, 1962639047, 1508980327, 1477591337, 1780325258, 1619397452, 1093906604, 1780896829, 1437172566, 1619354776, 1609308634, 1134863517]}]}, {"allowed_amount": 14.92, "providers": [{"billed_charge": 125.0, "npi": [1598761207]}]}, {"allowed_amount": 102.05, "providers": [{"billed_charge": 72.25, "npi": [1972007599]}]}]}, {"tin": {"type": "ein", "value": "933918299"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 125.0, "npi": [1952937187, 1891172938, 1417205675, 1962039024, 1992382386]}]}, {"allowed_amount": 14.92, "providers": [{"billed_charge": 125.0, "npi": [1740573260]}]}, {"allowed_amount": 22.39, "providers": [{"billed_charge": 125.0, "npi": [1730685496, 1376047217]}]}]}, {"tin": {"type": "ein", "value": "934256759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.39, "providers": [{"billed_charge": 158.4, "npi": [1861699076]}]}]}, {"tin": {"type": "ein", "value": "934935234"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.2, "providers": [{"billed_charge": 45.53, "npi": [1063688711]}]}]}, {"tin": {"type": "ein", "value": "940562680"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 134.5, "providers": [{"billed_charge": 60.0, "npi": [1306407077]}]}]}, {"tin": {"type": "ein", "value": "953402085"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.42, "providers": [{"billed_charge": 35.0, "npi": [1548201650]}]}]}, {"tin": {"type": "ein", "value": "953652692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.42, "providers": [{"billed_charge": 135.0, "npi": [1639133960]}]}]}, {"tin": {"type": "ein", "value": "954801295"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.42, "providers": [{"billed_charge": 35.0, "npi": [1851319560]}]}]}, {"tin": {"type": "ein", "value": "990517950"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 125.0, "npi": [1124656210, 1770963282]}]}]}, {"tin": {"type": "ein", "value": "991770453"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.85, "providers": [{"billed_charge": 45.53, "npi": [1023221413]}]}]}, {"tin": {"type": "ein", "value": "992248967"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 118.0, "npi": [1124281456]}]}, {"allowed_amount": 12.3, "providers": [{"billed_charge": 118.0, "npi": [1417180324, 1467637462]}]}]}, {"tin": {"type": "ein", "value": "992535488"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.2, "providers": [{"billed_charge": 84.0, "npi": [1316442890]}]}]}, {"tin": {"type": "ein", "value": "992876513"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 254.23, "npi": [1265462618]}]}]}, {"tin": {"type": "ein", "value": "992916217"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.48, "providers": [{"billed_charge": 39.0, "npi": [1447291216]}]}]}, {"tin": {"type": "ein", "value": "993703293"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.85, "providers": [{"billed_charge": 158.4, "npi": [1023345923]}]}]}, {"tin": {"type": "ein", "value": "993726953"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.85, "providers": [{"billed_charge": 158.4, "npi": [1962491035, 1073743019]}]}]}, {"tin": {"type": "ein", "value": "993991604"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.75, "providers": [{"billed_charge": 102.48, "npi": [1538540208]}]}]}, {"tin": {"type": "ein", "value": "995114582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "providers": [{"billed_charge": 125.0, "npi": [1760772792, 1033444245]}]}]}]}, {"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": "270492434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 160.03, "providers": [{"billed_charge": 218.64, "npi": [1427048453]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 357.5, "providers": [{"billed_charge": 456.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "300688582"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 20.77, "providers": [{"billed_charge": 345.0, "npi": [1750676870]}]}, {"allowed_amount": 21.58, "providers": [{"billed_charge": 345.0, "npi": [1750676870]}]}, {"allowed_amount": 22.56, "providers": [{"billed_charge": 345.0, "npi": [1750676870]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.5, "providers": [{"billed_charge": 667.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.5, "providers": [{"billed_charge": 667.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.75, "providers": [{"billed_charge": 259.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.19, "providers": [{"billed_charge": 473.45, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "741603120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 334.01, "providers": [{"billed_charge": 405.61, "npi": [1740288505]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 513.8, "providers": [{"billed_charge": 1468.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 330.78, "providers": [{"billed_charge": 945.08, "npi": [1124074273, 1376071530, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.15, "providers": [{"billed_charge": 447.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.45, "providers": [{"billed_charge": 452.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.96, "providers": [{"billed_charge": 204.96, "npi": [1073200309]}]}]}, {"tin": {"type": "ein", "value": "934242663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2160.36, "providers": [{"billed_charge": 810.46, "npi": [1740054436]}]}]}]}, {"name": "Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional", "billing_code_type": "CPT", "billing_code": "99281", "billing_code_type_version": "2022", "description": "EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP", "allowed_amounts": [{"tin": {"type": "ein", "value": "202848116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 332.25, "npi": [1629138029]}]}]}, {"tin": {"type": "ein", "value": "205896848"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 110.7, "providers": [{"billed_charge": 721.65, "npi": [1699726695]}]}]}, {"tin": {"type": "ein", "value": "237309937"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.4, "providers": [{"billed_charge": 567.0, "npi": [1649299827]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 478.23, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "260684968"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 332.25, "npi": [1902047376]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.0, "providers": [{"billed_charge": 861.0, "npi": [1992799050]}]}]}, {"tin": {"type": "ein", "value": "334253489"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 285.66, "providers": [{"billed_charge": 634.8, "npi": [1518752302]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.28, "providers": [{"billed_charge": 498.0, "npi": [1598196206]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 332.25, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 332.25, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.97, "providers": [{"billed_charge": 510.19, "npi": [1588190904]}]}, {"allowed_amount": 183.28, "providers": [{"billed_charge": 510.19, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "464125750"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 454.0, "npi": [1457748238]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 656.0, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "621754940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 254.98, "providers": [{"billed_charge": 588.0, "npi": [1851343909]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 621.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "621762526"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.53, "providers": [{"billed_charge": 622.0, "npi": [1790722346]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 649.26, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.28, "providers": [{"billed_charge": 319.75, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "741100555"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 205.38, "providers": [{"billed_charge": 663.0, "npi": [1477643690]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.25, "providers": [{"billed_charge": 328.0, "npi": [1447355771]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 258.37, "providers": [{"billed_charge": 403.0, "npi": [1821004151]}, {"billed_charge": 710.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 135.54, "providers": [{"billed_charge": 653.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741287015"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 135.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 836.0, "npi": [1891789772]}]}]}, {"tin": {"type": "ein", "value": "741393060"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.36, "providers": [{"billed_charge": 531.07, "npi": [1861488579]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 135.54, "providers": [{"billed_charge": 160.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 771.05, "providers": [{"billed_charge": 2203.0, "npi": [1770536120]}]}, {"allowed_amount": 771.4, "providers": [{"billed_charge": 2204.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.86, "providers": [{"billed_charge": 649.2, "npi": [1124074273]}]}, {"allowed_amount": 227.22, "providers": [{"billed_charge": 649.2, "npi": [1124074273]}]}, {"allowed_amount": 227.76, "providers": [{"billed_charge": 650.73, "npi": [1124074273]}]}, {"allowed_amount": 232.62, "providers": [{"billed_charge": 664.63, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.55, "providers": [{"billed_charge": 139.55, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746000949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 135.54, "providers": [{"billed_charge": 695.0, "npi": [1548226988]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 52.9, "providers": [{"billed_charge": 500.0, "npi": [1821011248]}]}, {"allowed_amount": 84.29, "providers": [{"billed_charge": 500.0, "npi": [1821011248]}]}, {"allowed_amount": 225.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 332.25, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 478.23, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751037591"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 478.23, "npi": [1124305065]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 332.25, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.28, "providers": [{"billed_charge": 332.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 478.23, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 478.23, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752051646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 618.29, "npi": [1891765178]}]}, {"allowed_amount": 321.71, "providers": [{"billed_charge": 618.29, "npi": [1891765178]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 478.23, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 332.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 332.25, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752890358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 332.25, "npi": [1548291883]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 452.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.97, "providers": [{"billed_charge": 517.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.97, "providers": [{"billed_charge": 332.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.0, "providers": [{"billed_charge": 104.0, "npi": [1699737742]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 541.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 135.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 836.0, "npi": [1083937593, 1497871628]}]}]}, {"tin": {"type": "ein", "value": "831173631"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 172.46, "providers": [{"billed_charge": 666.0, "npi": [1427536325]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.97, "providers": [{"billed_charge": 510.19, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "843316983"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.95, "providers": [{"billed_charge": 43.92, "npi": [1154900819, 1801872551]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 523.6, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "851917572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.91, "providers": [{"billed_charge": 2252.6, "npi": [1972612935]}]}]}, {"tin": {"type": "ein", "value": "851931245"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3218.0, "npi": [1750909974]}]}]}, {"tin": {"type": "ein", "value": "851941193"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 448.89, "npi": [1184233785]}]}]}]}, {"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": "112677302"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1292.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1167.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5620.0, "npi": [1952476988]}]}]}, {"tin": {"type": "ein", "value": "136326908"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1294.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "160393490"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1167.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1481.95, "npi": [1346241973]}]}]}, {"tin": {"type": "ein", "value": "200175530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8617.77, "npi": [1548232044]}]}]}, {"tin": {"type": "ein", "value": "200492277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 505.75, "providers": [{"billed_charge": 1708.0, "npi": [1235570110]}]}]}, {"tin": {"type": "ein", "value": "201304953"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 279.05, "providers": [{"billed_charge": 2496.0, "npi": [1669415485]}]}]}, {"tin": {"type": "ein", "value": "201355256"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1300.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1300.0, "npi": [1013970862]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 556.07, "providers": [{"billed_charge": 3329.0, "npi": [1932123247]}]}, {"allowed_amount": 615.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1770514077]}]}, {"allowed_amount": 1824.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6448.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.27, "providers": [{"billed_charge": 984.0, "npi": [1033890249, 1790497402]}]}, {"allowed_amount": 95.91, "providers": [{"billed_charge": 1516.0, "npi": [1003027947]}]}, {"allowed_amount": 95.95, "providers": [{"billed_charge": 984.0, "npi": [1336670587]}, {"billed_charge": 1516.0, "npi": [1255917811, 1912261124, 1477139079]}]}, {"allowed_amount": 102.05, "providers": [{"billed_charge": 1364.0, "npi": [1487073680, 1235320375]}]}, {"allowed_amount": 108.4, "providers": [{"billed_charge": 1516.0, "npi": [1144759598]}]}]}, {"tin": {"type": "ein", "value": "201731332"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 276.05, "providers": [{"billed_charge": 1668.0, "npi": [1255674776]}]}]}, {"tin": {"type": "ein", "value": "202848116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1629138029]}]}]}, {"tin": {"type": "ein", "value": "204100362"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 546.87, "providers": [{"billed_charge": 1524.0, "npi": [1710376173]}]}]}, {"tin": {"type": "ein", "value": "205432782"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 830.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1648.0, "npi": [1710097936]}]}]}, {"tin": {"type": "ein", "value": "205908627"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4554.0, "npi": [1851390967]}]}]}, {"tin": {"type": "ein", "value": "208737126"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 905.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3592.47, "npi": [1104086941]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3592.47, "npi": [1104086941]}]}, {"allowed_amount": 1555.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3592.47, "npi": [1104086941]}]}]}, {"tin": {"type": "ein", "value": "223586664"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 708.88, "providers": [{"billed_charge": 1775.0, "npi": [1003965237]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5571.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "232691968"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 257.72, "providers": [{"billed_charge": 365.0, "npi": [1164783510]}]}]}, {"tin": {"type": "ein", "value": "232825878"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2109.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11804.0, "npi": [1962579029]}]}]}, {"tin": {"type": "ein", "value": "233069260"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1249.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9918.0, "npi": [1770573586]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "260684968"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1902047376]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 193.56, "providers": [{"billed_charge": 446.0, "npi": [1386467686]}]}, {"allowed_amount": 204.59, "providers": [{"billed_charge": 446.0, "npi": [1154918142, 1235802463]}]}, {"allowed_amount": 267.44, "providers": [{"billed_charge": 446.0, "npi": [1326377698, 1972009389, 1417390063]}]}]}, {"tin": {"type": "ein", "value": "261378489"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 314.85, "providers": [{"billed_charge": 630.0, "npi": [1780062646]}]}, {"allowed_amount": 522.91, "providers": [{"billed_charge": 630.0, "npi": [1942707906, 1174855548]}]}, {"allowed_amount": 527.56, "providers": [{"billed_charge": 630.0, "npi": [1881660652]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5029.0, "npi": [1659559573]}]}, {"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5029.0, "npi": [1659559573]}]}, {"allowed_amount": 957.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5029.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "262978009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3732.38, "npi": [1689002651]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3732.38, "npi": [1407010622, 1619308319]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3732.38, "npi": [1407010622]}]}, {"allowed_amount": 1292.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3732.38, "npi": [1689002651]}]}]}, {"tin": {"type": "ein", "value": "263075429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6043.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4830.0, "npi": [1558659714]}]}]}, {"tin": {"type": "ein", "value": "263145514"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 655.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2263.0, "npi": [1942628193]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1351.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1724.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 253.02, "providers": [{"billed_charge": 745.0, "npi": [1528621745, 1598908071]}]}]}, {"tin": {"type": "ein", "value": "271239241"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 270.83, "providers": [{"billed_charge": 919.0, "npi": [1366947228]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.27, "providers": [{"billed_charge": 1415.0, "npi": [1689205056]}]}, {"allowed_amount": 186.39, "providers": [{"billed_charge": 1415.0, "npi": [1841922218, 1659840957]}]}, {"allowed_amount": 259.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1415.0, "npi": [1225561384]}]}, {"allowed_amount": 261.08, "providers": [{"billed_charge": 1415.0, "npi": [1558001784]}]}, {"allowed_amount": 261.66, "providers": [{"billed_charge": 1415.0, "npi": [1841242658]}]}, {"allowed_amount": 411.3, "providers": [{"billed_charge": 1415.0, "npi": [1639058068, 1790213437]}]}, {"allowed_amount": 424.27, "providers": [{"billed_charge": 1415.0, "npi": [1609239458, 1154828564]}]}, {"allowed_amount": 645.34, "providers": [{"billed_charge": 1415.0, "npi": [1659840957]}]}, {"allowed_amount": 646.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1415.0, "npi": [1427138114, 1619401122, 1184187460, 1811348709, 1699777391, 1699086991, 1649563602, 1336764851, 1700270741, 1316470909, 1841789013, 1851385496, 1700310554, 1851854939, 1801893821]}]}, {"allowed_amount": 707.5, "providers": [{"billed_charge": 1415.0, "npi": [1801893821]}]}, {"allowed_amount": 800.0, "providers": [{"billed_charge": 1415.0, "npi": [1700310554, 1265869911]}]}, {"allowed_amount": 850.0, "providers": [{"billed_charge": 1415.0, "npi": [1841922218, 1750755799, 1265869911]}]}, {"allowed_amount": 1415.0, "providers": [{"billed_charge": 1415.0, "npi": [1427138114]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4200.0, "npi": [1861690364]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4200.0, "npi": [1861690364]}]}, {"allowed_amount": 7543.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4200.0, "npi": [1861690364]}]}, {"allowed_amount": 14599.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4200.0, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "272289671"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 279.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2496.0, "npi": [1033451893, 1588953509]}]}]}, {"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 337.36, "providers": [{"billed_charge": 478.0, "npi": [1437346822]}]}]}, {"tin": {"type": "ein", "value": "301205721"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1588215461]}]}, {"allowed_amount": 1555.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1588215461]}]}, {"allowed_amount": 23736.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1588215461]}]}, {"allowed_amount": 29560.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1588215461]}]}, {"allowed_amount": 32095.49, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1588215461]}]}, {"allowed_amount": 56640.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1588215461]}]}]}, {"tin": {"type": "ein", "value": "331358034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 3500.0, "npi": [1619952587]}]}]}, {"tin": {"type": "ein", "value": "332012020"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 422.97, "providers": [{"billed_charge": 1370.0, "npi": [1467964148]}]}, {"allowed_amount": 522.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1370.0, "npi": [1427256619]}]}]}, {"tin": {"type": "ein", "value": "332476324"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1770.85, "providers": [{"billed_charge": 2349.0, "npi": [1114731064]}]}]}, {"tin": {"type": "ein", "value": "333807317"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25021.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5520.0, "npi": [1083586747]}]}]}, {"tin": {"type": "ein", "value": "334228227"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1292.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1538950837]}]}, {"allowed_amount": 3644.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1538950837]}]}, {"allowed_amount": 5661.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1538950837]}]}]}, {"tin": {"type": "ein", "value": "334253489"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2427.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1518752302]}]}]}, {"tin": {"type": "ein", "value": "334308192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1932094976]}]}, {"allowed_amount": 2425.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1932094976]}]}, {"allowed_amount": 3199.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1932094976]}]}, {"allowed_amount": 3288.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1932094976]}]}, {"allowed_amount": 3997.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1932094976]}]}]}, {"tin": {"type": "ein", "value": "334308303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1174310841]}]}, {"allowed_amount": 1824.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1174310841]}]}, {"allowed_amount": 2892.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1174310841]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1824.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1801681606]}]}, {"allowed_amount": 2618.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1801681606]}]}, {"allowed_amount": 2625.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1801681606]}]}, {"allowed_amount": 2932.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1801681606]}]}, {"allowed_amount": 3245.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1801681606]}]}, {"allowed_amount": 3996.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1801681606]}]}, {"allowed_amount": 4536.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "334335561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1700.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1952295164]}]}, {"allowed_amount": 3089.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1952295164]}]}, {"allowed_amount": 3501.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6232.8, "npi": [1952295164]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 457.89, "providers": [{"billed_charge": 1760.0, "npi": [1396959672]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3732.38, "npi": [1679903967]}]}, {"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3732.38, "npi": [1831629526, 1598196206, 1679903967]}]}, {"allowed_amount": 1294.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3732.38, "npi": [1831629526, 1598196206, 1679903967]}]}, {"allowed_amount": 5684.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3732.38, "npi": [1679903967]}]}]}, {"tin": {"type": "ein", "value": "364774713"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 272.45, "providers": [{"billed_charge": 500.0, "npi": [1639638844]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.16, "providers": [{"billed_charge": 1654.0, "npi": [1336450162]}]}]}, {"tin": {"type": "ein", "value": "391412904"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 258.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1061.0, "npi": [1376071001, 1710500103]}]}]}, {"tin": {"type": "ein", "value": "392717734"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 957.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7210.5, "npi": [1093604662]}]}]}, {"tin": {"type": "ein", "value": "394313979"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 265.91, "providers": [{"billed_charge": 2331.0, "npi": [1841629375]}]}]}, {"tin": {"type": "ein", "value": "412806612"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 466.97, "providers": [{"billed_charge": 2760.0, "npi": [1982652947]}]}]}, {"tin": {"type": "ein", "value": "420680452"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 489.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3674.89, "npi": [1598905762]}]}, {"allowed_amount": 491.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3674.89, "npi": [1356433049]}]}, {"allowed_amount": 698.46, "providers": [{"billed_charge": 3674.89, "npi": [1598905762]}]}]}, {"tin": {"type": "ein", "value": "420680452"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 241.82, "providers": [{"billed_charge": 399.0, "npi": [1083329700]}]}, {"allowed_amount": 284.5, "providers": [{"billed_charge": 399.0, "npi": [1750602546]}]}]}, {"tin": {"type": "ein", "value": "421418897"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 241.82, "providers": [{"billed_charge": 1451.0, "npi": [1558159079]}]}, {"allowed_amount": 284.5, "providers": [{"billed_charge": 1451.0, "npi": [1689135519]}]}]}, {"tin": {"type": "ein", "value": "421550440"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.72, "providers": [{"billed_charge": 1855.0, "npi": [1679894067]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 260.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 677.0, "npi": [1649432816, 1366619108]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 241.88, "providers": [{"billed_charge": 503.0, "npi": [1821024803]}]}]}, {"tin": {"type": "ein", "value": "431560263"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 238.46, "providers": [{"billed_charge": 521.0, "npi": [1609423888]}]}]}, {"tin": {"type": "ein", "value": "431684627"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1491.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2937.0, "npi": [1548001464]}]}]}, {"tin": {"type": "ein", "value": "431704371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1491.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1265546048]}]}]}, {"tin": {"type": "ein", "value": "431832147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 220.55, "providers": [{"billed_charge": 1144.0, "npi": [1306402128, 1225141138]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1003883158]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1003883158]}]}, {"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1491.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5095.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "450503141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6549.3, "providers": [{"billed_charge": 5896.44, "npi": [1225085871]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1215296884]}]}, {"allowed_amount": 1294.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1215296884]}]}, {"allowed_amount": 5684.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 170.18, "providers": [{"billed_charge": 1364.0, "npi": [1568082501]}]}, {"allowed_amount": 527.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1364.0, "npi": [1093334401, 1417121799, 1932780426, 1528700812, 1487073680, 1922062355, 1447510805, 1669634838, 1740869270, 1609370394, 1386887966, 1790072445, 1023540135, 1306164520, 1184074932, 1235320375, 1144457276, 1053573055, 1164162624, 1922274497, 1821739202, 1568082501, 1841518024, 1023050440, 1437735883, 1780796748, 1457970766, 1508826066, 1659385052, 1477057123, 1548840051, 1801472253]}]}]}, {"tin": {"type": "ein", "value": "452528414"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1377.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3736.86, "npi": [1972585347]}]}]}, {"tin": {"type": "ein", "value": "452662980"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1249.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7187.0, "npi": [1154618742]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3886.45, "npi": [1033120423]}]}, {"allowed_amount": 1292.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3886.45, "npi": [1588190904]}]}, {"allowed_amount": 1294.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3886.45, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "452773050"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 597.84, "providers": [{"billed_charge": 1691.0, "npi": [1508283482]}]}]}, {"tin": {"type": "ein", "value": "452955991"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 265.84, "providers": [{"billed_charge": 1203.0, "npi": [1083903595]}]}]}, {"tin": {"type": "ein", "value": "455055149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 767.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.0, "npi": [1134123193]}]}]}, {"tin": {"type": "ein", "value": "455637445"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.0, "providers": [{"billed_charge": 984.0, "npi": [1659562916]}]}, {"allowed_amount": 173.74, "providers": [{"billed_charge": 1855.0, "npi": [1720372758]}]}, {"allowed_amount": 193.56, "providers": [{"billed_charge": 1855.0, "npi": [1366867129]}]}, {"allowed_amount": 227.72, "providers": [{"billed_charge": 1855.0, "npi": [1285374025, 1295720209]}]}]}, {"tin": {"type": "ein", "value": "460508979"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 589.26, "providers": [{"billed_charge": 1516.0, "npi": [1598112906]}]}]}, {"tin": {"type": "ein", "value": "461415202"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.04, "providers": [{"billed_charge": 1673.0, "npi": [1972184208]}]}, {"allowed_amount": 170.36, "providers": [{"billed_charge": 1673.0, "npi": [1821408451]}]}, {"allowed_amount": 594.37, "providers": [{"billed_charge": 1673.0, "npi": [1962945626, 1831727502]}]}, {"allowed_amount": 602.88, "providers": [{"billed_charge": 1673.0, "npi": [1225151160]}]}, {"allowed_amount": 606.2, "providers": [{"billed_charge": 1673.0, "npi": [1568211969, 1245728294, 1376143529, 1548573967, 1538805049, 1538473343]}]}, {"allowed_amount": 699.26, "providers": [{"billed_charge": 1673.0, "npi": [1700467875, 1366976458, 1215433495, 1346984846, 1366025934, 1316525264, 1316472947, 1730523895, 1194286302]}]}, {"allowed_amount": 709.27, "providers": [{"billed_charge": 1673.0, "npi": [1144635905, 1033566476, 1750672655, 1740453778, 1447440276, 1497198360, 1932527645, 1912952227, 1770994295, 1801171624, 1922367531, 1255561270, 1205891009, 1760615496, 1831162700, 1205967569, 1366676694, 1023694684, 1013940071, 1730523895, 1396165502]}]}, {"allowed_amount": 713.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1673.0, "npi": [1417535105, 1598965378, 1447218821, 1760566277, 1023314309, 1740718600, 1003376906, 1972184208, 1447440276, 1588293526, 1043578263, 1215433495, 1811008410, 1639676315, 1861781536, 1922413475, 1174813349, 1588075303, 1124448311, 1174878391, 1083097786, 1104115898, 1346604352, 1821408451, 1831577667, 1679515720, 1407866056, 1346746443, 1457671885, 1245572700, 1790042844, 1568882785, 1396036067, 1134416357, 1639379431, 1326095720, 1831533033, 1265443949, 1548233968, 1437389681, 1154595056, 1225196017, 1558757872, 1336569078, 1700916988, 1922560382]}]}]}, {"tin": {"type": "ein", "value": "461568739"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.72, "providers": [{"billed_charge": 2125.0, "npi": [1508883430]}]}, {"allowed_amount": 468.82, "providers": [{"billed_charge": 2125.0, "npi": [1508883430]}]}]}, {"tin": {"type": "ein", "value": "461602672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 522.91, "providers": [{"billed_charge": 2022.0, "npi": [1023188760, 1609899475]}]}]}, {"tin": {"type": "ein", "value": "463521234"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 527.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2125.0, "npi": [1902108004]}]}, {"allowed_amount": 574.35, "providers": [{"billed_charge": 2125.0, "npi": [1184820953]}]}]}, {"tin": {"type": "ein", "value": "463696501"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 199.12, "providers": [{"billed_charge": 368.0, "npi": [1780918185, 1750525226]}]}]}, {"tin": {"type": "ein", "value": "463902289"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 253.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1356.0, "npi": [1427385624, 1790075943, 1750658704, 1548670326, 1215137559, 1740429208]}]}, {"allowed_amount": 267.44, "providers": [{"billed_charge": 1356.0, "npi": [1316964877, 1972705333]}]}, {"allowed_amount": 312.06, "providers": [{"billed_charge": 1356.0, "npi": [1548222193, 1588847826]}]}, {"allowed_amount": 522.91, "providers": [{"billed_charge": 1356.0, "npi": [1235367368]}]}]}, {"tin": {"type": "ein", "value": "464125750"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4217.0, "npi": [1457748238]}]}]}, {"tin": {"type": "ein", "value": "464767731"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2125.0, "npi": [1477597623]}]}, {"allowed_amount": 457.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2125.0, "npi": [1346467388]}]}, {"allowed_amount": 467.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2125.0, "npi": [1457316598]}]}, {"allowed_amount": 468.82, "providers": [{"billed_charge": 2125.0, "npi": [1346467388]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.48, "providers": [{"billed_charge": 2113.0, "npi": [1386613859]}]}, {"allowed_amount": 527.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2113.0, "npi": [1386613859, 1780247460, 1285047845, 1821354598, 1013978436, 1578908679, 1215138086, 1497860746, 1497071468, 1245216878, 1548550031, 1164407854, 1972062834, 1487880308, 1285994517, 1164607446, 1962933655, 1295314557]}]}]}, {"tin": {"type": "ein", "value": "465400615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 1631.0, "npi": [1801988928]}]}]}, {"tin": {"type": "ein", "value": "471322854"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 527.56, "providers": [{"billed_charge": 2125.0, "npi": [1992771745]}]}]}, {"tin": {"type": "ein", "value": "471382605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 141.13, "providers": [{"billed_charge": 1620.0, "npi": [1568107290]}]}, {"allowed_amount": 594.37, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 1620.0, "npi": [1841870722]}, {"billed_charge": 1715.0, "npi": [1841870722, 1154752004, 1285080069, 1811507718, 1679076780, 1275597171, 1588436182, 1659036317]}]}, {"allowed_amount": 699.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1620.0, "npi": [1124387394, 1881654408, 1407979255, 1316575566, 1902424112, 1558321331, 1487141396, 1215137559, 1205858271]}, {"billed_charge": 1715.0, "npi": [1396163713, 1417932948, 1487141396, 1568107290, 1841813151, 1245550367, 1871854505, 1801152939, 1902424112, 1356717490, 1558321331, 1336764851, 1972949691, 1609519677, 1174878656, 1124387394, 1205221579, 1861142606, 1609355858, 1841789013, 1013413335, 1164788311, 1104015577, 1205858271, 1649267295, 1033180898, 1548885353, 1477562221, 1598733552, 1275597171, 1699160051, 1114979572, 1407979255, 1497806202]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2160.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4320.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472166397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1261.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11500.0, "npi": [1093191397]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3962.43, "npi": [1790174860]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3962.43, "npi": [1790174860]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3962.43, "npi": [1790174860]}]}, {"allowed_amount": 3057.53, "providers": [{"billed_charge": 3962.43, "npi": [1790174860]}]}, {"allowed_amount": 3293.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3962.43, "npi": [1790174860]}]}, {"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3962.43, "npi": [1790174860]}]}, {"allowed_amount": 4320.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3962.43, "npi": [1790174860]}]}, {"allowed_amount": 4440.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3962.43, "npi": [1790174860]}]}, {"allowed_amount": 4745.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3962.43, "npi": [1790174860]}]}, {"allowed_amount": 4769.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3962.43, "npi": [1790174860]}]}, {"allowed_amount": 5343.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3962.43, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "472258007"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 213.95, "providers": [{"billed_charge": 1482.0, "npi": [1740264571]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2160.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4320.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 301.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1619.0, "npi": [1154186187]}]}, {"allowed_amount": 354.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1619.0, "npi": [1265694038]}]}, {"allowed_amount": 594.37, "providers": [{"billed_charge": 1444.0, "npi": [1922880335, 1396702676, 1144517558, 1770263519]}]}, {"allowed_amount": 602.36, "providers": [{"billed_charge": 1619.0, "npi": [1861969511, 1588227656, 1508538794, 1144335050, 1871316018, 1528449626, 1679230619, 1639598204, 1770263519]}]}, {"allowed_amount": 699.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1444.0, "npi": [1679034276, 1659633030, 1184185886, 1679602478, 1194456335, 1457658544, 1760048094, 1528001237, 1588906747, 1487071742, 1073033247]}, {"billed_charge": 1766.0, "npi": [1851526792, 1124425129, 1336888908]}]}, {"allowed_amount": 708.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1444.0, "npi": [1396993499]}, {"billed_charge": 1619.0, "npi": [1164083978, 1477012235, 1578907549, 1073033247, 1215989793, 1376830380, 1669676979, 1659521276, 1669094579, 1346828480, 1801423553, 1831830595, 1306891726, 1346401999, 1528001237, 1265694038, 1669112280, 1457327579, 1023460706, 1669059044, 1679197669, 1669056107, 1528484722, 1386207348, 1588906747, 1144808700]}, {"billed_charge": 1735.0, "npi": [1437355542]}]}]}, {"tin": {"type": "ein", "value": "473239141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 468.82, "providers": [{"billed_charge": 2125.0, "npi": [1174722383]}]}]}, {"tin": {"type": "ein", "value": "473592319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 522.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2250.0, "npi": [1568431104]}, {"billed_charge": 4217.0, "npi": [1851496228]}]}, {"allowed_amount": 527.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1752.0, "npi": [1235108895]}]}]}, {"tin": {"type": "ein", "value": "473637912"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40897.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1215449954]}]}, {"allowed_amount": 64926.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1215449954]}]}]}, {"tin": {"type": "ein", "value": "474717998"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 277.52, "providers": [{"billed_charge": 666.0, "npi": [1881984326]}]}]}, {"tin": {"type": "ein", "value": "475046615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 699.26, "providers": [{"billed_charge": 1673.0, "npi": [1184020786, 1538336854]}]}]}, {"tin": {"type": "ein", "value": "475103702"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 468.82, "providers": [{"billed_charge": 2125.0, "npi": [1407812852, 1700176773, 1588078158]}]}]}, {"tin": {"type": "ein", "value": "475273455"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 276.74, "providers": [{"billed_charge": 1255.0, "npi": [1073930061]}]}]}, {"tin": {"type": "ein", "value": "481153331"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 98.48, "providers": [{"billed_charge": 1594.0, "npi": [1396313755, 1649633975]}]}]}, {"tin": {"type": "ein", "value": "481260190"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7669.0, "npi": [1982609558]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6574.0, "npi": [1255579389]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6574.0, "npi": [1255579389]}]}, {"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6574.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "520962668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 288.29, "providers": [{"billed_charge": 1750.88, "npi": [1962185306, 1043783715]}]}, {"allowed_amount": 339.17, "providers": [{"billed_charge": 1750.88, "npi": [1902429624, 1952891723, 1770146631]}]}]}, {"tin": {"type": "ein", "value": "522254699"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 298.47, "providers": [{"billed_charge": 833.0, "npi": [1639499544]}]}]}, {"tin": {"type": "ein", "value": "540261840"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1847.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2298.0, "npi": [1346248663]}]}]}, {"tin": {"type": "ein", "value": "540696355"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1372.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3136.0, "npi": [1417005760]}]}, {"allowed_amount": 1959.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3136.0, "npi": [1417005760]}]}]}, {"tin": {"type": "ein", "value": "541141362"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 339.17, "providers": [{"billed_charge": 704.0, "npi": [1821678889]}]}]}, {"tin": {"type": "ein", "value": "560554230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1770.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3453.0, "npi": [1881647204]}]}]}, {"tin": {"type": "ein", "value": "560928089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1524.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2175.0, "npi": [1447200233]}]}]}, {"tin": {"type": "ein", "value": "561903275"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 372.51, "providers": [{"billed_charge": 683.0, "npi": [1871558072]}]}]}, {"tin": {"type": "ein", "value": "562066152"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 265.84, "providers": [{"billed_charge": 1623.0, "npi": [1437103611, 1043317126]}]}]}, {"tin": {"type": "ein", "value": "566000403"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 119.88, "providers": [{"billed_charge": 701.25, "npi": [1043260474]}]}]}, {"tin": {"type": "ein", "value": "571098556"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1174.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2583.0, "npi": [1841914298]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 945.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2522.0, "npi": [1144203563]}]}, {"allowed_amount": 2522.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2522.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "581588823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 668.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2985.0, "npi": [1477591055]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5739.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3507.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1332.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2522.0, "npi": [1093716979]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 424.27, "providers": [{"billed_charge": 787.0, "npi": [1225050297, 1831344340]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1332.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3868.7, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "582296052"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1220.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2653.0, "npi": [1205889458]}]}]}, {"tin": {"type": "ein", "value": "590724459"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 867.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6054.0, "npi": [1306938071]}]}]}, {"tin": {"type": "ein", "value": "590973502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1256.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3931.31, "npi": [1063426823]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 867.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7811.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "593082909"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 710.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1969.0, "npi": [1215166749]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 485.41, "providers": [{"billed_charge": 1861.0, "npi": [1730706201, 1538628615]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1150.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3019.12, "npi": [1174551147]}]}]}, {"tin": {"type": "ein", "value": "600425026"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 155.27, "providers": [{"billed_charge": 688.0, "npi": [1730382102]}]}]}, {"tin": {"type": "ein", "value": "611185194"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 271.46, "providers": [{"billed_charge": 1334.0, "npi": [1992122287]}]}]}, {"tin": {"type": "ein", "value": "620123940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4891.0, "npi": [1578527172]}]}]}, {"tin": {"type": "ein", "value": "621179254"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 446.98, "providers": [{"billed_charge": 1689.0, "npi": [1518919224]}]}]}, {"tin": {"type": "ein", "value": "621266047"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 625.57, "providers": [{"billed_charge": 1391.0, "npi": [1164981478]}, {"billed_charge": 1433.0, "npi": [1801823604]}, {"billed_charge": 1597.0, "npi": [1902246333]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1536.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "621762420"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5035.67, "npi": [1528026267]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4118.0, "npi": [1144274226]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4118.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4860.24, "npi": [1700805678]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4860.24, "npi": [1700805678]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4860.24, "npi": [1700805678]}]}, {"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4860.24, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "640362400"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3344.0, "npi": [1649226952]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 738.25, "providers": [{"billed_charge": 2254.0, "npi": [1588960900]}]}]}, {"tin": {"type": "ein", "value": "650726225"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 765.81, "providers": [{"billed_charge": 1912.0, "npi": [1811933062]}]}]}, {"tin": {"type": "ein", "value": "726014963"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 524.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2415.0, "npi": [1285601088]}]}]}, {"tin": {"type": "ein", "value": "731553050"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 723.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1439.0, "npi": [1255364923]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1294.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2864.25, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "736061037"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1870.7, "npi": [1720022379]}]}]}, {"tin": {"type": "ein", "value": "741100555"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4203.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5392.0, "npi": [1477643690]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5575.0, "npi": [1619115383]}]}, {"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5575.0, "npi": [1164526786, 1578780870, 1093810327, 1124137054, 1619115383]}]}, {"allowed_amount": 1555.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4956.75, "npi": [1447355771]}, {"billed_charge": 5575.0, "npi": [1093810327, 1164526786, 1124137054, 1619115383]}]}, {"allowed_amount": 6831.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5575.0, "npi": [1164526786, 1578780870]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6538.0, "npi": [1447883301]}]}, {"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4763.0, "npi": [1821004151]}, {"billed_charge": 6538.0, "npi": [1194787218]}]}, {"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4763.0, "npi": [1821004151]}, {"billed_charge": 6538.0, "npi": [1194787218, 1780867390]}]}, {"allowed_amount": 1555.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6538.0, "npi": [1447883301]}]}, {"allowed_amount": 1824.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4763.0, "npi": [1821004151]}, {"billed_charge": 6538.0, "npi": [1194787218, 1780867390]}]}, {"allowed_amount": 5283.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6538.0, "npi": [1194787218]}]}, {"allowed_amount": 5365.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6538.0, "npi": [1194787218]}]}, {"allowed_amount": 5396.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6538.0, "npi": [1194787218]}]}, {"allowed_amount": 8013.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6538.0, "npi": [1194787218]}]}, {"allowed_amount": 16251.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6538.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741109836"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14604.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4412.0, "npi": [1689641680]}]}]}, {"tin": {"type": "ein", "value": "741161944"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3962.58, "npi": [1891882833]}]}]}, {"tin": {"type": "ein", "value": "741166904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1555.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3962.58, "npi": [1477516466]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4752.0, "npi": [1548387418]}]}, {"allowed_amount": 957.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4752.0, "npi": [1548387418]}]}, {"allowed_amount": 4203.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4752.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8013.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1929.0, "npi": [1720088123]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1594.0, "npi": [1205900370]}]}, {"allowed_amount": 957.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1594.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.74, "providers": [{"billed_charge": 416.0, "npi": [1235622465]}]}, {"allowed_amount": 33.91, "providers": [{"billed_charge": 416.0, "npi": [1962745687]}]}, {"allowed_amount": 45.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 416.0, "npi": [1548293905, 1659396596, 1467030502, 1962745687]}]}, {"allowed_amount": 95.95, "providers": [{"billed_charge": 984.0, "npi": [1992796635]}]}, {"allowed_amount": 173.74, "providers": [{"billed_charge": 416.0, "npi": [1801126735]}]}, {"allowed_amount": 227.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 416.0, "npi": [1144615808, 1245658624, 1639532419, 1467081349, 1518520071, 1144648700, 1780205070, 1396249744, 1053653394, 1457745432, 1629687199, 1548586787, 1710397732, 1811485865, 1669859245, 1295231413, 1891372470, 1265440440, 1598253114, 1235622465, 1962142018, 1215997507, 1528632528, 1750541264, 1912527060, 1861400020, 1962745687, 1649216987, 1881073500, 1093380701, 1649634783, 1871866335, 1841635042, 1073614434, 1104404581, 1467030502, 1164400487, 1194137323, 1659396596, 1548368376, 1790945657, 1023768058, 1215426556, 1770548349, 1891746046, 1871701631]}, {"billed_charge": 422.0, "npi": [1659396596, 1770548349, 1891372470]}]}, {"allowed_amount": 262.38, "providers": [{"billed_charge": 416.0, "npi": [1669154720, 1821445289, 1558137653]}]}, {"allowed_amount": 391.42, "providers": [{"billed_charge": 416.0, "npi": [1205257763, 1780791772, 1952803660]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 181.86, "providers": [{"billed_charge": 417.0, "npi": [1760025985]}]}, {"allowed_amount": 267.44, "providers": [{"billed_charge": 491.0, "npi": [1275717373]}]}]}, {"tin": {"type": "ein", "value": "741698143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1800.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1410.0, "npi": [1124052162]}]}]}, {"tin": {"type": "ein", "value": "741774669"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1887.25, "npi": [1235685892]}]}]}, {"tin": {"type": "ein", "value": "741774669"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 460.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1332.24, "npi": [1700142387, 1932724630]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 276.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 688.0, "npi": [1801206248, 1730382102]}]}]}, {"tin": {"type": "ein", "value": "742425482"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1695.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5435.22, "npi": [1992285282]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4170.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11916.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.27, "providers": [{"billed_charge": 1475.26, "npi": [1609238005]}]}, {"allowed_amount": 101.0, "providers": [{"billed_charge": 1475.26, "npi": [1962440933]}]}, {"allowed_amount": 172.05, "providers": [{"billed_charge": 1475.26, "npi": [1902381056, 1629307806, 1780179606]}]}, {"allowed_amount": 181.86, "providers": [{"billed_charge": 1475.26, "npi": [1922886654, 1649886995, 1336884014]}]}, {"allowed_amount": 193.56, "providers": [{"billed_charge": 1475.26, "npi": [1316330400, 1043237506, 1912558917, 1235175944, 1750825741, 1497331516, 1508331422]}]}, {"allowed_amount": 204.59, "providers": [{"billed_charge": 1475.26, "npi": [1598303554, 1881070563, 1033506662, 1013406503, 1811147820, 1518499672]}]}, {"allowed_amount": 227.72, "providers": [{"billed_charge": 1475.26, "npi": [1184205601, 1578959532, 1639734064, 1578723284, 1649790965, 1487220604]}]}, {"allowed_amount": 253.02, "providers": [{"billed_charge": 1475.26, "npi": [1639811847, 1619504909, 1093976342, 1306157334, 1528599578, 1124373790, 1225118623, 1326360223, 1073755773, 1053368878, 1467895086, 1952839086, 1063677490, 1275569469, 1851318471, 1154902757, 1225290091, 1124412267, 1952805483, 1790899953, 1124523121, 1669630067, 1942627575, 1275726077]}]}, {"allowed_amount": 262.38, "providers": [{"billed_charge": 1475.26, "npi": [1649935024, 1710950076, 1659048270]}]}, {"allowed_amount": 267.44, "providers": [{"billed_charge": 1475.26, "npi": [1801424353, 1346534534, 1508002312, 1356453641, 1396109609, 1548550221, 1306061262, 1013477553, 1063091700, 1164046744, 1114423225, 1952697658]}]}, {"allowed_amount": 391.42, "providers": [{"billed_charge": 1475.26, "npi": [1053906248]}]}]}, {"tin": {"type": "ein", "value": "742519752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 957.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3962.58, "npi": [1154315307]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1575.18, "providers": [{"billed_charge": 4500.52, "npi": [1124074273]}]}, {"allowed_amount": 1578.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4511.04, "npi": [1124074273]}]}, {"allowed_amount": 1612.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4607.43, "npi": [1124074273, 1376071530, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.95, "providers": [{"billed_charge": 1475.26, "npi": [1316525918]}]}, {"allowed_amount": 101.0, "providers": [{"billed_charge": 1475.26, "npi": [1497793475]}]}, {"allowed_amount": 131.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1475.26, "npi": [1356762405]}]}, {"allowed_amount": 227.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1475.26, "npi": [1366805376, 1821076738, 1205185667, 1235452038, 1750345351, 1013075977, 1114973450, 1124068234, 1093159949, 1205332749, 1790348944, 1982840211, 1760772503, 1871854745, 1104205343, 1013043744, 1609868322, 1144278698, 1912223660, 1972007599, 1053538736, 1063487023, 1225029424, 1790880565, 1427136829, 1477082303, 1841597887, 1467424069, 1417921479, 1245345610, 1962794826, 1154356178, 1821211988, 1578741211, 1326667999, 1659352417, 1366653669, 1740714732, 1700049392, 1568817393, 1316252018, 1720435571, 1053817973, 1568812022, 1003264375, 1518083062, 1376749820, 1841392255]}]}, {"allowed_amount": 262.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1475.26, "npi": [1124659537, 1619712130, 1609236694, 1518339902]}]}, {"allowed_amount": 307.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1475.26, "npi": [1194766311, 1548898059, 1053538736, 1558896274, 1508286451]}]}, {"allowed_amount": 391.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1475.26, "npi": [1609853720, 1952803660, 1932578077, 1841902319]}]}, {"allowed_amount": 466.97, "providers": [{"billed_charge": 1475.26, "npi": [1538355490, 1043630635]}]}, {"allowed_amount": 675.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1475.26, "npi": [1619712130, 1235452038, 1750345351, 1114973450, 1548898059, 1235221771, 1205332749, 1588011662, 1790348944, 1982840211, 1871854745, 1104205343, 1912223660, 1972007599, 1053538736, 1790880565, 1609302330, 1477082303, 1285731521, 1962794826, 1124659537, 1326667999, 1689695199, 1851357024, 1316910821, 1194766311, 1841902319, 1568817393, 1508286451, 1053817973, 1003264375, 1841392255]}]}, {"allowed_amount": 1253.29, "providers": [{"billed_charge": 1475.26, "npi": [1811335458]}]}]}, {"tin": {"type": "ein", "value": "742967081"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.72, "providers": [{"billed_charge": 628.0, "npi": [1598745705]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 964.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5768.0, "npi": [1619747938, 1316936990]}, {"billed_charge": 5888.43, "npi": [1316936990]}]}, {"allowed_amount": 1375.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5768.0, "npi": [1316936990]}, {"billed_charge": 5888.43, "npi": [1316936990]}, {"billed_charge": 6269.33, "npi": [1316936990]}]}, {"allowed_amount": 6043.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5768.0, "npi": [1316936990]}, {"billed_charge": 5888.43, "npi": [1619747938, 1316936990]}, {"billed_charge": 6269.33, "npi": [1316936990]}]}, {"allowed_amount": 17895.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5768.0, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746000949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 957.18, "providers": [{"billed_charge": 5991.0, "npi": [1548226988]}]}, {"allowed_amount": 4203.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5991.0, "npi": [1548226988]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2901.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6448.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3908.0, "npi": [1720480627, 1194743013]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3908.0, "npi": [1720480627, 1194743013]}]}, {"allowed_amount": 10330.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3908.0, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "750827446"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1383.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8893.2, "npi": [1528064649]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 258.87, "providers": [{"billed_charge": 2758.25, "npi": [1174533343]}]}, {"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1174533343]}]}, {"allowed_amount": 1294.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1174533343]}]}, {"allowed_amount": 5684.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "750974351"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9307.0, "npi": [1124092036]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9307.0, "npi": [1124092036]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 905.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1669472387]}]}, {"allowed_amount": 1292.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1669472387]}]}, {"allowed_amount": 5675.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1396779948]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1396779948]}]}, {"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1396779948]}]}, {"allowed_amount": 7438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1396779948]}]}, {"allowed_amount": 10493.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751277293"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4500.0, "npi": [1598750721]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1104845015]}]}, {"allowed_amount": 1294.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1104845015]}]}, {"allowed_amount": 5684.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1508899204]}]}, {"allowed_amount": 1294.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751752253"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 969.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1922031541]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1073511762]}]}, {"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1073511762]}]}, {"allowed_amount": 1294.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1073511762]}]}, {"allowed_amount": 5684.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1447250253]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1447250253]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1447250253]}]}, {"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1265430177]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1265430177]}]}, {"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "751912147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 969.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2600.0, "npi": [1023013448]}]}]}, {"tin": {"type": "ein", "value": "752051646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5354.41, "npi": [1891765178]}]}, {"allowed_amount": 1294.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5354.41, "npi": [1891765178]}]}]}, {"tin": {"type": "ein", "value": "752159087"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 527.56, "providers": [{"billed_charge": 1582.0, "npi": [1508821216, 1366063265, 1134147911, 1821046855, 1235592585, 1235559725, 1821354382, 1558302190, 1891994224, 1295090769, 1740453778, 1851040307, 1003566803, 1437890324, 1063909117]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.12, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 425.0, "npi": [1588866164]}]}, {"allowed_amount": 130.57, "providers": [{"billed_charge": 425.0, "npi": [1629158068]}]}, {"allowed_amount": 425.0, "providers": [{"billed_charge": 425.0, "npi": [1568741379, 1568550408, 1316289838, 1639376270, 1023456431]}]}]}, {"tin": {"type": "ein", "value": "752559845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1369.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4579.0, "npi": [1992707228]}]}, {"allowed_amount": 1954.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4579.0, "npi": [1992707228]}]}]}, {"tin": {"type": "ein", "value": "752562784"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 594.37, "providers": [{"billed_charge": 1366.0, "npi": [1518388313]}, {"billed_charge": 1527.0, "npi": [1558352625]}]}, {"allowed_amount": 699.26, "providers": [{"billed_charge": 1457.0, "npi": [1821016189]}, {"billed_charge": 1527.0, "npi": [1154958288]}, {"billed_charge": 1715.0, "npi": [1427034313]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1992700983]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1992700983]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1992700983]}]}, {"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752600873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.72, "providers": [{"billed_charge": 342.0, "npi": [1215354113, 1699152215]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.95, "providers": [{"billed_charge": 2496.0, "npi": [1851380810]}]}, {"allowed_amount": 103.74, "providers": [{"billed_charge": 2496.0, "npi": [1861718330]}]}, {"allowed_amount": 168.68, "providers": [{"billed_charge": 430.0, "npi": [1174550057]}]}, {"allowed_amount": 212.54, "providers": [{"billed_charge": 458.0, "npi": [1104184993]}]}, {"allowed_amount": 458.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 458.0, "npi": [1912023169, 1649854530, 1144251042, 1275766693, 1649466459, 1689664682, 1790340784, 1568594224, 1649563602, 1477972115, 1396762068, 1043467798, 1215593496, 1841429594, 1669978235, 1609052703]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1417980202]}]}, {"allowed_amount": 1294.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1417980202]}]}, {"allowed_amount": 5684.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752737522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.95, "providers": [{"billed_charge": 1673.0, "npi": [1922560382]}]}, {"allowed_amount": 594.37, "providers": [{"billed_charge": 1624.0, "npi": [1023415932]}, {"billed_charge": 1673.0, "npi": [1629090857, 1255702692]}]}, {"allowed_amount": 602.88, "providers": [{"billed_charge": 1673.0, "npi": [1346614039]}]}, {"allowed_amount": 699.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1624.0, "npi": [1003047796, 1245693175]}, {"billed_charge": 1673.0, "npi": [1114030848, 1821035783, 1346984846, 1720436751, 1154301588, 1568789147, 1154764702, 1962866723, 1053617571, 1386853539, 1124065958, 1235369398, 1336196930, 1730319427, 1386140226, 1104262344, 1447562442, 1427798347, 1851683148, 1881129419, 1568506707, 1417972308, 1811937493, 1578500054, 1508271446, 1558598490, 1790727899, 1134416357, 1750761193, 1265488233, 1730122219, 1245675115, 1033273834, 1427619055, 1619082872]}]}, {"allowed_amount": 709.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1624.0, "npi": [1336436070, 1881129419, 1326677147, 1629063409, 1376748947, 1124302708, 1093169203, 1871538645, 1679712533, 1417972308, 1679101851]}, {"billed_charge": 1673.0, "npi": [1093908998, 1568639508, 1932527645, 1962866723, 1801242151, 1043391022, 1497794101, 1588007991, 1033159736, 1154369601, 1144616004, 1750875209, 1871099978, 1114127438, 1144753757, 1144583774, 1720344161, 1578069605, 1962842732, 1891743860, 1689254518, 1386264182, 1508027020, 1316923030, 1417149592, 1326677147, 1548579998, 1841600681, 1467714741, 1164622007, 1104270016, 1235525312, 1114119880, 1093248205, 1649451725, 1922462928, 1245764315, 1245737188, 1508031204, 1952720617, 1407803125, 1831533827, 1699740423, 1487910154, 1477916443, 1982805321, 1689873234, 1659662674, 1215970132, 1457453912, 1275912537, 1821435744, 1265488233, 1932142445, 1578042735, 1700079985, 1043891583, 1548794753, 1396062097, 1740453778, 1720549272, 1376512921, 1528002466, 1457797029, 1902067622, 1538692520, 1881058733, 1376733618, 1881823672, 1174985147, 1568882108, 1982651840, 1518311380, 1760062434, 1649512419, 1396036067, 1134210537, 1477969905, 1528594942]}]}, {"allowed_amount": 713.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1673.0, "npi": [1780880641, 1447218821, 1336526599, 1730193178, 1114974748, 1689028516, 1073551917, 1003017393, 1568959286, 1982651840, 1972717510, 1235178823, 1528227782, 1932586591, 1861565160, 1952720617, 1164465514, 1992064620, 1215991021, 1043253495, 1235330556, 1548551294]}]}]}, {"tin": {"type": "ein", "value": "752760686"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 522.91, "providers": [{"billed_charge": 1627.0, "npi": [1639343403]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1770514077]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1770514077]}]}, {"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752771437"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1457382798]}]}]}, {"tin": {"type": "ein", "value": "752865177"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2080.09, "npi": [1922002674]}]}]}, {"tin": {"type": "ein", "value": "752926146"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 272.45, "providers": [{"billed_charge": 1697.0, "npi": [1639150410]}]}]}, {"tin": {"type": "ein", "value": "752932830"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1416.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4950.0, "npi": [1952333205]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3758.0, "npi": [1285798918]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3758.0, "npi": [1285798918]}]}, {"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3758.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 905.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3004.0, "npi": [1992753222]}]}, {"allowed_amount": 1292.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3004.0, "npi": [1992753222]}, {"billed_charge": 10121.0, "npi": [1992753222]}]}, {"allowed_amount": 3004.0, "providers": [{"billed_charge": 3004.0, "npi": [1992753222]}]}, {"allowed_amount": 5675.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3004.0, "npi": [1992753222]}]}, {"allowed_amount": 10946.4, "providers": [{"billed_charge": 3004.0, "npi": [1992753222]}]}, {"allowed_amount": 11898.53, "providers": [{"billed_charge": 3004.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 905.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1336172105]}]}, {"allowed_amount": 1292.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1336172105]}]}, {"allowed_amount": 5675.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 192.31, "providers": [{"billed_charge": 691.0, "npi": [1760915151]}]}, {"allowed_amount": 202.53, "providers": [{"billed_charge": 691.0, "npi": [1295289734, 1346957727]}]}, {"allowed_amount": 229.76, "providers": [{"billed_charge": 691.0, "npi": [1902909849, 1396124723, 1396031068, 1417375163]}]}, {"allowed_amount": 257.65, "providers": [{"billed_charge": 691.0, "npi": [1891314993]}]}, {"allowed_amount": 448.45, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 691.0, "npi": [1124343272, 1215291869, 1700238334, 1528415767]}]}, {"allowed_amount": 527.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 691.0, "npi": [1366861056, 1780947200, 1619322369, 1922636034, 1760648448, 1255919882, 1386689677, 1801239447, 1417319963, 1003040031, 1205128485, 1922489509, 1821360165, 1871122218, 1679007660, 1902368764, 1548794670, 1578586285, 1942366257, 1568774834, 1558618546, 1871056820, 1891314993, 1982024881, 1386964666, 1184687808, 1477726529, 1417418823, 1336407501, 1457319758, 1154853711, 1265827281, 1477671634, 1154903003, 1194466268, 1598159071, 1831551712, 1811952864, 1093248742, 1326095720, 1720041452, 1578069613, 1922063726, 1093916397, 1063440121, 1750919932, 1487159166]}]}, {"allowed_amount": 691.0, "providers": [{"billed_charge": 691.0, "npi": [1912526633]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3329.0, "npi": [1932123247]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3329.0, "npi": [1932123247]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3329.0, "npi": [1932123247]}]}, {"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3329.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 202.53, "providers": [{"billed_charge": 1437.0, "npi": [1518023050]}]}]}, {"tin": {"type": "ein", "value": "760273984"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 208.6, "providers": [{"billed_charge": 1236.0, "npi": [1164516860]}]}]}, {"tin": {"type": "ein", "value": "760536234"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 957.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5029.0, "npi": [1942208616]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4983.0, "npi": [1083937593]}]}, {"allowed_amount": 957.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4983.0, "npi": [1083937593, 1184179194, 1497871628, 1629828405]}]}, {"allowed_amount": 4203.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4983.0, "npi": [1083937593, 1497871628]}]}]}, {"tin": {"type": "ein", "value": "760729179"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 562.77, "providers": [{"billed_charge": 1778.0, "npi": [1427523935]}]}]}, {"tin": {"type": "ein", "value": "800945173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1143.21, "providers": [{"billed_charge": 2232.0, "npi": [1215939210]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.0, "providers": [{"billed_charge": 1486.0, "npi": [1184882003]}]}, {"allowed_amount": 200.73, "providers": [{"billed_charge": 1486.0, "npi": [1306126032, 1275846842, 1568738730, 1992778062]}]}, {"allowed_amount": 202.53, "providers": [{"billed_charge": 1486.0, "npi": [1740819861, 1770085110]}]}, {"allowed_amount": 368.81, "providers": [{"billed_charge": 1486.0, "npi": [1942695796]}]}, {"allowed_amount": 393.05, "providers": [{"billed_charge": 1486.0, "npi": [1821529868]}]}, {"allowed_amount": 444.47, "providers": [{"billed_charge": 1486.0, "npi": [1083346480, 1609316868]}]}, {"allowed_amount": 448.42, "providers": [{"billed_charge": 1486.0, "npi": [1578712832, 1033445663]}]}, {"allowed_amount": 448.45, "providers": [{"billed_charge": 1486.0, "npi": [1013504000, 1609316868, 1609144781, 1235272014, 1083346480, 1508526674, 1245821107, 1104340694, 1346821014, 1760064760, 1922035930, 1134570237]}]}, {"allowed_amount": 460.5, "providers": [{"billed_charge": 1486.0, "npi": [1235574658, 1447666979, 1154768877, 1841453503]}]}, {"allowed_amount": 463.87, "providers": [{"billed_charge": 1486.0, "npi": [1720549975]}]}, {"allowed_amount": 466.97, "providers": [{"billed_charge": 1486.0, "npi": [1952537268, 1225693948, 1225485204]}]}, {"allowed_amount": 522.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1486.0, "npi": [1811379456, 1467013763, 1265966980, 1164833927, 1922504968, 1174264071, 1609908490, 1821451915, 1417040015, 1619172624, 1922539030, 1366556441, 1053671578, 1336340892, 1083877021, 1740589597, 1346829215, 1225698848, 1225133085, 1184147621, 1013361195, 1558375980, 1083357883, 1548793532, 1033552831, 1265096259, 1356862148, 1720261449, 1720466378, 1699236042, 1275980237, 1073976791, 1154477016, 1093997785, 1770106460, 1174533855, 1144640996, 1093177834, 1891283180, 1649569260, 1740495472, 1962602995, 1942695796, 1689170425, 1922002682, 1427378686]}]}, {"allowed_amount": 527.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1486.0, "npi": [1831533827, 1205281425, 1285964312, 1710326681, 1962608026, 1598347932, 1811152416, 1790880672, 1689917601, 1306283429, 1881673259, 1053990317, 1639383730, 1487600573, 1245805373, 1760591689, 1114586443, 1205967569, 1558472530, 1003806803, 1245736917, 1407266646, 1205017308, 1639673056, 1528170081, 1982011490, 1992333157, 1780146662, 1043623911, 1861856999, 1477059178, 1215131115, 1407233265, 1649297656, 1205156601, 1538747258]}]}, {"allowed_amount": 527.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1486.0, "npi": [1023364866, 1295230597, 1164985735, 1699110023, 1053538314, 1457739658, 1528700812, 1821529868, 1356755854, 1194345744, 1891081873, 1770892176, 1649891987, 1588838676, 1720494230, 1417086364, 1881343135, 1235699745, 1548671266, 1588078885, 1972894889, 1194143529, 1811317803, 1588012587, 1932265774, 1164955951, 1053750703, 1275150385, 1265096259, 1699272005, 1457856460, 1821354317, 1477088078, 1154733004, 1295936508, 1306166350, 1689935314, 1689316051, 1205026390, 1245859032, 1710474713, 1285166553, 1114312667, 1457676892, 1215137245, 1013359322, 1285255521, 1598108136, 1386908010, 1902163181, 1396373486, 1316206329, 1114367612, 1184088189]}]}, {"allowed_amount": 570.14, "providers": [{"billed_charge": 1486.0, "npi": [1972982510, 1134755127]}]}, {"allowed_amount": 1209.44, "providers": [{"billed_charge": 1486.0, "npi": [1679918114]}]}]}, {"tin": {"type": "ein", "value": "811220861"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3368.55, "npi": [1619294592, 1235193608, 1013353747, 1851344212]}]}]}, {"tin": {"type": "ein", "value": "811407290"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1824.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7544.22, "npi": [1134654080]}]}, {"allowed_amount": 24205.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7544.22, "npi": [1134654080]}]}, {"allowed_amount": 24855.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7544.22, "npi": [1134654080]}]}, {"allowed_amount": 24950.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7544.22, "npi": [1134654080]}]}, {"allowed_amount": 27955.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7544.22, "npi": [1134654080]}]}, {"allowed_amount": 30524.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7544.22, "npi": [1134654080]}]}, {"allowed_amount": 30638.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7544.22, "npi": [1134654080]}]}, {"allowed_amount": 31448.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7544.22, "npi": [1134654080]}]}, {"allowed_amount": 33385.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7544.22, "npi": [1134654080]}]}, {"allowed_amount": 33536.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7544.22, "npi": [1134654080]}]}, {"allowed_amount": 34830.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7544.22, "npi": [1134654080]}]}, {"allowed_amount": 35542.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7544.22, "npi": [1134654080]}]}, {"allowed_amount": 35553.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7544.22, "npi": [1134654080]}]}, {"allowed_amount": 56733.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7544.22, "npi": [1134654080]}]}]}, {"tin": {"type": "ein", "value": "812098192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7553.32, "npi": [1649722463]}]}]}, {"tin": {"type": "ein", "value": "812527918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4217.0, "npi": [1396280756]}]}, {"allowed_amount": 1294.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4217.0, "npi": [1396280756]}]}]}, {"tin": {"type": "ein", "value": "812574422"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 279.05, "providers": [{"billed_charge": 416.0, "npi": [1043258510]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1555.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3962.58, "npi": [1346729159]}]}]}, {"tin": {"type": "ein", "value": "813066025"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 128.68, "providers": [{"billed_charge": 1750.88, "npi": [1952334997]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.72, "providers": [{"billed_charge": 4500.0, "npi": [1164511648, 1891720777]}]}]}, {"tin": {"type": "ein", "value": "813334196"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5400.0, "npi": [1013499383]}]}, {"allowed_amount": 1555.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5400.0, "npi": [1013499383]}]}]}, {"tin": {"type": "ein", "value": "813556450"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6575.0, "npi": [1467935866]}]}, {"allowed_amount": 1555.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6575.0, "npi": [1467935866]}]}]}, {"tin": {"type": "ein", "value": "813562144"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5400.0, "npi": [1639663370]}]}]}, {"tin": {"type": "ein", "value": "814581950"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 212.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8765.63, "npi": [1346648722]}]}]}, {"tin": {"type": "ein", "value": "814584169"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8765.63, "npi": [1376064295]}]}]}, {"tin": {"type": "ein", "value": "815287624"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26670.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6624.0, "npi": [1174059208]}]}]}, {"tin": {"type": "ein", "value": "815436418"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 457.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2125.0, "npi": [1922098573]}]}, {"allowed_amount": 468.82, "providers": [{"billed_charge": 2125.0, "npi": [1003564568]}]}, {"allowed_amount": 531.77, "providers": [{"billed_charge": 2125.0, "npi": [1730472135]}]}]}, {"tin": {"type": "ein", "value": "820200895"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 955.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2819.0, "npi": [1992736649]}]}]}, {"tin": {"type": "ein", "value": "820551704"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1649273434]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1649273434]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1824.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5300.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "822913146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1375.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7693.0, "npi": [1972517365]}]}, {"allowed_amount": 6041.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7693.0, "npi": [1972517365]}]}]}, {"tin": {"type": "ein", "value": "823328660"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 276.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1571.78, "npi": [1467686196]}]}]}, {"tin": {"type": "ein", "value": "823349983"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 957.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4079.96, "npi": [1346753118]}]}]}, {"tin": {"type": "ein", "value": "823463299"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6624.0, "npi": [1649770488]}]}, {"allowed_amount": 1964.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6624.0, "npi": [1649770488]}]}, {"allowed_amount": 7775.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6624.0, "npi": [1649770488]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3040.0, "npi": [1083112023]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3040.0, "npi": [1083112023]}]}, {"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3040.0, "npi": [1083112023]}]}, {"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3040.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "823656564"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 646.04, "providers": [{"billed_charge": 3522.0, "npi": [1013975697, 1194136812, 1730612359]}]}]}, {"tin": {"type": "ein", "value": "823920093"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 234.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1761.0, "npi": [1407417751]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3879.67, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "824372339"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5735.75, "providers": [{"billed_charge": 5202.0, "npi": [1740772268]}]}]}, {"tin": {"type": "ein", "value": "824540200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 466.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11500.0, "npi": [1124669262]}]}]}, {"tin": {"type": "ein", "value": "824557408"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.77, "providers": [{"billed_charge": 1715.0, "npi": [1609355858]}]}]}, {"tin": {"type": "ein", "value": "825084463"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 220.55, "providers": [{"billed_charge": 921.0, "npi": [1316168966]}]}]}, {"tin": {"type": "ein", "value": "825410675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 460.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4500.0, "npi": [1144450131, 1033539861]}]}]}, {"tin": {"type": "ein", "value": "831002191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.74, "providers": [{"billed_charge": 400.0, "npi": [1841929882]}]}]}, {"tin": {"type": "ein", "value": "831132382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 424.27, "providers": [{"billed_charge": 2331.0, "npi": [1710636873]}]}]}, {"tin": {"type": "ein", "value": "831785901"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 460.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4500.0, "npi": [1376707349]}]}, {"allowed_amount": 620.59, "providers": [{"billed_charge": 4500.0, "npi": [1376707349]}]}]}, {"tin": {"type": "ein", "value": "831864010"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 466.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4500.0, "npi": [1952537268]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 905.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3886.45, "npi": [1356960132]}]}, {"allowed_amount": 1292.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3886.45, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "831886473"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7544.22, "npi": [1376018382]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2758.25, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "832040784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 957.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7553.32, "npi": [1366917528]}]}]}, {"tin": {"type": "ein", "value": "832041336"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7553.32, "npi": [1245705417]}]}]}, {"tin": {"type": "ein", "value": "832765454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 372.51, "providers": [{"billed_charge": 1870.0, "npi": [1427020163]}]}]}, {"tin": {"type": "ein", "value": "841075994"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 276.74, "providers": [{"billed_charge": 1388.0, "npi": [1124256995]}]}]}, {"tin": {"type": "ein", "value": "841099826"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 276.74, "providers": [{"billed_charge": 1571.78, "npi": [1588304398]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1331.83, "providers": [{"billed_charge": 7892.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "841832545"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 193.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3073.0, "npi": [1386050284, 1164996492, 1902014772]}]}, {"allowed_amount": 193.57, "providers": [{"billed_charge": 3073.0, "npi": [1861052383]}]}, {"allowed_amount": 200.73, "providers": [{"billed_charge": 3073.0, "npi": [1073905097, 1023255858, 1467632372, 1174545461, 1881074581]}]}, {"allowed_amount": 253.02, "providers": [{"billed_charge": 3073.0, "npi": [1740474337, 1649400482, 1588125595, 1538804901, 1871121574, 1710627898, 1295077832, 1689089674, 1053844555, 1871583500, 1184252942, 1649429556, 1720020373, 1326660309, 1356877526, 1346400538, 1629260187, 1700464351]}]}, {"allowed_amount": 267.44, "providers": [{"billed_charge": 3073.0, "npi": [1275074668, 1144487109]}]}, {"allowed_amount": 312.06, "providers": [{"billed_charge": 3073.0, "npi": [1831108661]}]}, {"allowed_amount": 522.91, "providers": [{"billed_charge": 3073.0, "npi": [1316028517, 1255894150, 1306284211, 1982345112, 1215192828]}]}]}, {"tin": {"type": "ein", "value": "842589283"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4203.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8683.96, "npi": [1902453970]}]}, {"allowed_amount": 7389.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8683.96, "npi": [1902453970]}]}]}, {"tin": {"type": "ein", "value": "842988873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 522.91, "providers": [{"billed_charge": 2903.0, "npi": [1598402208, 1821299108, 1932789732, 1689627846, 1477596872, 1962021485, 1891753232, 1821025305, 1447517594, 1063438174]}]}]}, {"tin": {"type": "ein", "value": "843316983"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.21, "providers": [{"billed_charge": 674.96, "npi": [1902062185]}]}, {"allowed_amount": 314.85, "providers": [{"billed_charge": 674.96, "npi": [1235148370, 1932300779, 1639278799]}]}, {"allowed_amount": 527.59, "providers": [{"billed_charge": 674.96, "npi": [1497071468, 1336336205, 1164607446, 1801872551]}]}]}, {"tin": {"type": "ein", "value": "843475920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1824.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5300.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "843654542"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 957.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3266.78, "npi": [1245878990]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "providers": [{"billed_charge": 3091.2, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 237.9, "providers": [{"billed_charge": 1036.0, "npi": [1356720643, 1174134068]}]}, {"allowed_amount": 283.85, "providers": [{"billed_charge": 1036.0, "npi": [1578207379]}]}]}, {"tin": {"type": "ein", "value": "850236178"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 279.89, "providers": [{"billed_charge": 1351.0, "npi": [1417465204]}]}]}, {"tin": {"type": "ein", "value": "850416296"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 278.42, "providers": [{"billed_charge": 1036.0, "npi": [1225227069]}]}]}, {"tin": {"type": "ein", "value": "851778208"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7553.32, "npi": [1366056194]}]}]}, {"tin": {"type": "ein", "value": "851917572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 527.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9065.0, "npi": [1649369521, 1487940482]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1824.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4594.21, "npi": [1316617707]}]}, {"allowed_amount": 19778.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4594.21, "npi": [1316617707]}]}, {"allowed_amount": 20980.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4594.21, "npi": [1316617707]}]}, {"allowed_amount": 24419.49, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4594.21, "npi": [1316617707]}]}, {"allowed_amount": 27905.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4594.21, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "851929979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1212.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8070.56, "npi": [1851180400]}]}]}, {"tin": {"type": "ein", "value": "851931245"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 905.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 12950.0, "npi": [1750909974]}]}, {"allowed_amount": 2614.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 12950.0, "npi": [1750909974]}]}, {"allowed_amount": 5677.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 12950.0, "npi": [1750909974]}]}, {"allowed_amount": 9825.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 12950.0, "npi": [1750909974]}]}]}, {"tin": {"type": "ein", "value": "851961472"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 905.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 12950.0, "npi": [1235747304]}]}]}, {"tin": {"type": "ein", "value": "851978933"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6575.0, "npi": [1265044333]}]}, {"allowed_amount": 3157.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6575.0, "npi": [1265044333]}]}]}, {"tin": {"type": "ein", "value": "851984103"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 905.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 12950.0, "npi": [1376151365]}]}]}, {"tin": {"type": "ein", "value": "852007987"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1292.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 12950.0, "npi": [1144838947]}]}]}, {"tin": {"type": "ein", "value": "852354189"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5354.41, "npi": [1215609896]}]}]}, {"tin": {"type": "ein", "value": "852713042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 957.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5520.0, "npi": [1376141556]}]}, {"allowed_amount": 18560.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5520.0, "npi": [1376141556]}]}, {"allowed_amount": 20148.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5520.0, "npi": [1376141556]}]}]}, {"tin": {"type": "ein", "value": "853503076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5992.84, "npi": [1124623889]}]}]}, {"tin": {"type": "ein", "value": "853903021"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 613.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4500.0, "npi": [1912352162]}]}]}, {"tin": {"type": "ein", "value": "860181654"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1048.54, "providers": [{"billed_charge": 5490.0, "npi": [1114744752]}]}]}, {"tin": {"type": "ein", "value": "860719855"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 237.9, "providers": [{"billed_charge": 1036.0, "npi": [1790039998]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 734.66, "providers": [{"billed_charge": 4369.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 589.26, "providers": [{"billed_charge": 1354.0, "npi": [1790947422]}]}]}, {"tin": {"type": "ein", "value": "861464604"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7553.32, "npi": [1003493784]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 367.58, "providers": [{"billed_charge": 557.0, "npi": [1174175491]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1048.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4594.21, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "862533154"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7720.34, "npi": [1548847601]}]}]}, {"tin": {"type": "ein", "value": "863009016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8680.0, "npi": [1417615006]}]}]}, {"tin": {"type": "ein", "value": "870301301"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 272.82, "providers": [{"billed_charge": 1272.0, "npi": [1003235151]}]}]}, {"tin": {"type": "ein", "value": "870629690"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 272.82, "providers": [{"billed_charge": 1272.0, "npi": [1689109605]}]}]}, {"tin": {"type": "ein", "value": "871224784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1294.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5992.84, "npi": [1003489212]}]}]}, {"tin": {"type": "ein", "value": "871448102"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 466.97, "providers": [{"billed_charge": 2760.0, "npi": [1821447251]}]}]}, {"tin": {"type": "ein", "value": "873710985"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.16, "providers": [{"billed_charge": 1802.0, "npi": [1215215520]}]}]}, {"tin": {"type": "ein", "value": "873825600"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 589.26, "providers": [{"billed_charge": 3368.55, "npi": [1588649545]}]}]}, {"tin": {"type": "ein", "value": "880900432"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 228.04, "providers": [{"billed_charge": 984.0, "npi": [1205904190]}]}]}, {"tin": {"type": "ein", "value": "881716225"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4594.21, "npi": [1053175794]}]}]}, {"tin": {"type": "ein", "value": "882459039"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 527.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7438.0, "npi": [1346289576]}]}]}, {"tin": {"type": "ein", "value": "882501936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17777.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5520.0, "npi": [1750013769]}]}, {"allowed_amount": 22027.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5520.0, "npi": [1750013769]}]}]}, {"tin": {"type": "ein", "value": "882898646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2197.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 12950.0, "npi": [1699406173]}]}]}, {"tin": {"type": "ein", "value": "882917489"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8765.63, "npi": [1043942089]}]}]}, {"tin": {"type": "ein", "value": "882923822"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 905.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 12950.0, "npi": [1770214256]}]}]}, {"tin": {"type": "ein", "value": "882931023"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1292.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 12950.0, "npi": [1740911213]}]}, {"allowed_amount": 4673.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 12950.0, "npi": [1740911213]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1380.04, "providers": [{"billed_charge": 4836.0, "npi": [1548393127]}]}]}, {"tin": {"type": "ein", "value": "910433740"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1461.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2650.0, "npi": [1306992151]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1473.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4925.0, "npi": [1841231461]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 1555.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 1824.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 3993.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 9679.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 11035.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 11563.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 19275.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 21325.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 22056.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 23667.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 24142.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 24175.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 24542.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 25635.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 26628.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 26943.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 28634.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 29302.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 29680.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 30856.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 34803.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 36024.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 36099.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 37434.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 37973.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 38050.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 40335.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 41025.49, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 42508.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 42825.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 44459.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 46571.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 47525.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 48837.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 51674.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 54497.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 58800.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 61200.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 61496.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 68669.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 69667.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 70633.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 76090.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 82744.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 118791.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}, {"allowed_amount": 138256.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11020.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 460.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5069.0, "npi": [1275598393]}]}, {"allowed_amount": 532.73, "providers": [{"billed_charge": 5069.0, "npi": [1275598393]}]}, {"allowed_amount": 610.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5069.0, "npi": [1275598393]}]}]}, {"tin": {"type": "ein", "value": "920872236"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 522.91, "providers": [{"billed_charge": 1702.0, "npi": [1295477271]}]}]}, {"tin": {"type": "ein", "value": "921786783"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 953.0, "npi": [1144703406]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 597.84, "providers": [{"billed_charge": 984.0, "npi": [1942261821]}]}]}, {"tin": {"type": "ein", "value": "922110411"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 220.55, "providers": [{"billed_charge": 984.0, "npi": [1043300270]}]}]}, {"tin": {"type": "ein", "value": "922858146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1292.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7553.32, "npi": [1184305609]}]}]}, {"tin": {"type": "ein", "value": "923209338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1261.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11500.0, "npi": [1558132365]}]}, {"allowed_amount": 1800.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11500.0, "npi": [1558132365]}]}]}, {"tin": {"type": "ein", "value": "923637942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5992.84, "npi": [1679263883]}]}, {"allowed_amount": 2128.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5992.84, "npi": [1679263883]}]}]}, {"tin": {"type": "ein", "value": "923905364"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 253.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2760.0, "npi": [1407802119]}]}]}, {"tin": {"type": "ein", "value": "930602940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1502.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2895.67, "npi": [1982621447]}]}]}, {"tin": {"type": "ein", "value": "930623390"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 184.31, "providers": [{"billed_charge": 1145.0, "npi": [1285648386]}]}]}, {"tin": {"type": "ein", "value": "931447847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 314.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4255.0, "npi": [1568967909]}]}, {"allowed_amount": 527.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1687.0, "npi": [1124386321, 1114422623]}, {"billed_charge": 4255.0, "npi": [1124386321, 1033477971, 1417995291, 1821434333, 1114422623]}]}, {"allowed_amount": 977.0, "providers": [{"billed_charge": 4255.0, "npi": [1568967909]}]}]}, {"tin": {"type": "ein", "value": "931968492"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 646.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1546.02, "npi": [1831370758, 1821088824, 1003972183, 1386823672, 1154310233, 1114113818, 1356485759]}]}]}, {"tin": {"type": "ein", "value": "932307118"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.16, "providers": [{"billed_charge": 1497.0, "npi": [1861837650]}]}]}, {"tin": {"type": "ein", "value": "932446901"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 312.06, "providers": [{"billed_charge": 2496.0, "npi": [1942424403]}]}, {"allowed_amount": 522.91, "providers": [{"billed_charge": 2496.0, "npi": [1396972592, 1245521160, 1306835442, 1538322029]}]}]}, {"tin": {"type": "ein", "value": "932640055"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 210.12, "providers": [{"billed_charge": 1350.0, "npi": [1336362524]}]}]}, {"tin": {"type": "ein", "value": "933189938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6068.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9575.5, "npi": [1083488829]}]}]}, {"tin": {"type": "ein", "value": "933488698"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 957.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5520.0, "npi": [1740042175]}]}, {"allowed_amount": 14521.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5520.0, "npi": [1740042175]}]}, {"allowed_amount": 20885.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5520.0, "npi": [1740042175]}]}]}, {"tin": {"type": "ein", "value": "933910567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.27, "providers": [{"billed_charge": 984.0, "npi": [1659797249]}]}, {"allowed_amount": 193.56, "billing_code_modifier": ["25,SA"], "providers": [{"billed_charge": 2496.0, "npi": [1962639047]}]}, {"allowed_amount": 227.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2496.0, "npi": [1013366145, 1184916546, 1689093924, 1629718341, 1962639047, 1508980327, 1477591337, 1780325258, 1093906604, 1619397452, 1336266170, 1316252018, 1134863517, 1437172566, 1619354776, 1609308634, 1780896829, 1679799423]}]}, {"allowed_amount": 307.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2496.0, "npi": [1598761207]}]}]}, {"tin": {"type": "ein", "value": "933918299"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2496.0, "npi": [1982024873, 1891172938, 1164172458, 1962039024, 1992382386, 1609308634]}]}, {"allowed_amount": 307.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2496.0, "npi": [1740573260]}]}, {"allowed_amount": 460.5, "providers": [{"billed_charge": 2496.0, "npi": [1730685496, 1376047217, 1245316884, 1679223903]}]}]}, {"tin": {"type": "ein", "value": "934242663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1555.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8070.56, "npi": [1740054436]}]}]}, {"tin": {"type": "ein", "value": "934256759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 553.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6042.13, "npi": [1861699076]}]}]}, {"tin": {"type": "ein", "value": "934295804"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 957.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5992.84, "npi": [1851165013]}]}, {"allowed_amount": 3354.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5992.84, "npi": [1851165013]}]}]}, {"tin": {"type": "ein", "value": "934445461"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 527.59, "providers": [{"billed_charge": 2022.0, "npi": [1770163065]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5892.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6316.0, "npi": [1376698043]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.27, "providers": [{"billed_charge": 1415.0, "npi": [1487951430]}]}, {"allowed_amount": 100.0, "providers": [{"billed_charge": 1415.0, "npi": [1710445036]}]}]}, {"tin": {"type": "ein", "value": "943302301"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 658.07, "providers": [{"billed_charge": 1568.0, "npi": [1326668534]}]}, {"allowed_amount": 677.23, "providers": [{"billed_charge": 1283.0, "npi": [1609399500]}]}]}, {"tin": {"type": "ein", "value": "946346360"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.27, "providers": [{"billed_charge": 1302.0, "npi": [1508200890]}]}]}, {"tin": {"type": "ein", "value": "951750445"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.16, "providers": [{"billed_charge": 1050.0, "npi": [1447574363, 1861854804]}]}]}, {"tin": {"type": "ein", "value": "952367304"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5892.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6809.0, "npi": [1396728630]}]}]}, {"tin": {"type": "ein", "value": "953101325"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 700.0, "npi": [1508202144, 1851928162, 1265483176, 1245337609, 1760724850]}]}]}, {"tin": {"type": "ein", "value": "953192932"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.27, "providers": [{"billed_charge": 1110.0, "npi": [1720576796]}]}]}, {"tin": {"type": "ein", "value": "990517950"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 173.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5000.0, "npi": [1801126735]}]}, {"allowed_amount": 952.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5000.0, "npi": [1770963282]}]}]}, {"tin": {"type": "ein", "value": "990675124"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 199.12, "providers": [{"billed_charge": 984.0, "npi": [1831134667]}]}]}, {"tin": {"type": "ein", "value": "991725632"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5992.84, "npi": [1780442517]}]}]}, {"tin": {"type": "ein", "value": "991770453"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 527.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4500.0, "npi": [1023221413]}]}]}, {"tin": {"type": "ein", "value": "992069011"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6900.0, "npi": [1477303105]}]}]}, {"tin": {"type": "ein", "value": "992078911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 957.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6900.0, "npi": [1770333403]}]}, {"allowed_amount": 1643.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6900.0, "npi": [1770333403]}]}, {"allowed_amount": 1814.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6900.0, "npi": [1770333403]}]}]}, {"tin": {"type": "ein", "value": "992199214"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1824.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9368.65, "npi": [1013735786]}]}]}, {"tin": {"type": "ein", "value": "992248967"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 200.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3450.0, "npi": [1124281456]}]}, {"allowed_amount": 253.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3450.0, "npi": [1407943020, 1467637462]}]}]}, {"tin": {"type": "ein", "value": "992535488"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 210.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1806.0, "npi": [1316442890]}]}]}, {"tin": {"type": "ein", "value": "992892769"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1390.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4095.0, "npi": [1255171096]}]}]}, {"tin": {"type": "ein", "value": "993048683"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.08, "providers": [{"billed_charge": 1238.8, "npi": [1730383019]}]}]}, {"tin": {"type": "ein", "value": "993064915"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 267.44, "providers": [{"billed_charge": 1631.0, "npi": [1467193003, 1619148715, 1386149078]}]}]}, {"tin": {"type": "ein", "value": "993319912"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7325.62, "npi": [1306679378]}]}]}, {"tin": {"type": "ein", "value": "993340227"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1392.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7325.62, "npi": [1205669355]}]}]}, {"tin": {"type": "ein", "value": "993360712"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7325.62, "npi": [1922831999]}]}]}, {"tin": {"type": "ein", "value": "994033449"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7210.5, "npi": [1902644263]}]}]}, {"tin": {"type": "ein", "value": "994785298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3261.73, "npi": [1639992514]}]}, {"allowed_amount": 957.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3261.73, "npi": [1639992514]}]}]}, {"tin": {"type": "ein", "value": "995104341"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1261.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 11500.0, "npi": [1609697242]}]}]}]}, {"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": "132655001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "providers": [{"billed_charge": 870.32, "npi": [1043224355]}]}]}, {"tin": {"type": "ein", "value": "150532221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 785.79, "npi": [1629087580]}]}]}, {"tin": {"type": "ein", "value": "200470861"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.82, "providers": [{"billed_charge": 2219.0, "npi": [1720037799]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.36, "providers": [{"billed_charge": 531.0, "npi": [1205900370]}]}, {"allowed_amount": 53.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2630.0, "npi": [1275592131]}]}, {"allowed_amount": 55.61, "providers": [{"billed_charge": 1956.0, "npi": [1275592131]}]}, {"allowed_amount": 186.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2293.0, "npi": [1275592131]}]}, {"allowed_amount": 200.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2925.58, "npi": [1134172406]}]}, {"allowed_amount": 301.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1956.0, "npi": [1528027786]}]}, {"allowed_amount": 323.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3339.0, "npi": [1528027786]}]}]}, {"tin": {"type": "ein", "value": "202848116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1042.5, "npi": [1629138029]}]}, {"allowed_amount": 427.78, "providers": [{"billed_charge": 1042.5, "npi": [1629138029]}]}]}, {"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1676.95, "npi": [1144566316, 1265568638]}]}]}, {"tin": {"type": "ein", "value": "203904667"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1668.95, "npi": [1376662296]}]}]}, {"tin": {"type": "ein", "value": "205908627"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "providers": [{"billed_charge": 1928.0, "npi": [1851390967]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.0, "providers": [{"billed_charge": 188.0, "npi": [1609130046]}]}]}, {"tin": {"type": "ein", "value": "208737126"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "providers": [{"billed_charge": 998.43, "npi": [1104086941]}]}]}, {"tin": {"type": "ein", "value": "210634484"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 798.11, "providers": [{"billed_charge": 2212.0, "npi": [1003661554]}]}]}, {"tin": {"type": "ein", "value": "233001904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "providers": [{"billed_charge": 4111.0, "npi": [1396731105]}]}]}, {"tin": {"type": "ein", "value": "233069260"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.18, "providers": [{"billed_charge": 4901.0, "npi": [1770573586]}]}]}, {"tin": {"type": "ein", "value": "237094247"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.6, "providers": [{"billed_charge": 235.37, "npi": [1154055762]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1283.4, "npi": [1205018439]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1283.4, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.22, "providers": [{"billed_charge": 160.0, "npi": [1417666751]}]}, {"allowed_amount": 71.78, "providers": [{"billed_charge": 160.0, "npi": [1750791117]}]}, {"allowed_amount": 83.02, "providers": [{"billed_charge": 160.0, "npi": [1861835886]}]}, {"allowed_amount": 86.82, "providers": [{"billed_charge": 160.0, "npi": [1326164872]}]}, {"allowed_amount": 105.74, "providers": [{"billed_charge": 160.0, "npi": [1740054642]}]}, {"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1477085033]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2749.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "262294680"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 700.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 700.0, "npi": [1164688495]}]}]}, {"tin": {"type": "ein", "value": "262294680"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.4, "providers": [{"billed_charge": 315.0, "npi": [1760863138]}]}]}, {"tin": {"type": "ein", "value": "262978009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1468.9, "npi": [1407344880, 1407010622]}]}, {"allowed_amount": 592.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1468.9, "npi": [1689002651]}]}]}, {"tin": {"type": "ein", "value": "263075429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 630.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1811.0, "npi": [1558659714]}]}]}, {"tin": {"type": "ein", "value": "271112877"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.27, "providers": [{"billed_charge": 752.0, "npi": [1295769586]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 261.78, "providers": [{"billed_charge": 509.0, "npi": [1801893821]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1400.0, "npi": [1861690364]}]}, {"allowed_amount": 881.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1400.0, "npi": [1861690364]}]}, {"allowed_amount": 1083.5, "providers": [{"billed_charge": 1400.0, "npi": [1861690364]}]}, {"allowed_amount": 1518.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1400.0, "npi": [1861690364]}]}, {"allowed_amount": 1676.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1400.0, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "272409240"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 260.95, "providers": [{"billed_charge": 643.0, "npi": [1114968203]}, {"billed_charge": 699.0, "npi": [1255589487]}]}]}, {"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.97, "providers": [{"billed_charge": 171.0, "npi": [1811999600]}]}, {"allowed_amount": 80.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 171.0, "npi": [1437353026, 1194799171, 1962490755, 1164573861, 1851501845]}]}, {"allowed_amount": 82.02, "providers": [{"billed_charge": 171.0, "npi": [1962845123]}]}, {"allowed_amount": 83.23, "providers": [{"billed_charge": 171.0, "npi": [1740251610, 1063705036]}]}, {"allowed_amount": 107.3, "providers": [{"billed_charge": 171.0, "npi": [1215504857, 1477961621, 1740728526]}]}, {"allowed_amount": 136.7, "providers": [{"billed_charge": 171.0, "npi": [1225263429, 1396130613, 1689931933]}]}]}, {"tin": {"type": "ein", "value": "300427437"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.78, "providers": [{"billed_charge": 2749.0, "npi": [1184868879]}]}, {"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2749.0, "npi": [1184868879]}]}]}, {"tin": {"type": "ein", "value": "300999841"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.57, "providers": [{"billed_charge": 2099.9, "npi": [1306355680]}]}]}, {"tin": {"type": "ein", "value": "301205721"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4583.0, "npi": [1588215461]}]}]}, {"tin": {"type": "ein", "value": "310867547"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.46, "providers": [{"billed_charge": 342.0, "npi": [1245668557, 1437543006]}]}]}, {"tin": {"type": "ein", "value": "333069853"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 459.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2872.68, "npi": [1629882402]}]}]}, {"tin": {"type": "ein", "value": "333254033"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 119.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1100.56, "npi": [1407268162]}]}]}, {"tin": {"type": "ein", "value": "333465465"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3994.72, "npi": [1831995950]}]}, {"allowed_amount": 1291.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3994.72, "npi": [1831995950]}]}]}, {"tin": {"type": "ein", "value": "333672238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 127.59, "providers": [{"billed_charge": 2500.0, "npi": [1114933983]}]}, {"allowed_amount": 167.45, "providers": [{"billed_charge": 2500.0, "npi": [1114933983]}]}]}, {"tin": {"type": "ein", "value": "333807317"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "providers": [{"billed_charge": 2490.93, "npi": [1083586747]}]}, {"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2490.93, "npi": [1083586747]}]}]}, {"tin": {"type": "ein", "value": "334228227"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1778.4, "npi": [1538950837]}]}, {"allowed_amount": 1067.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1778.4, "npi": [1538950837]}]}]}, {"tin": {"type": "ein", "value": "334253489"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "providers": [{"billed_charge": 1778.4, "npi": [1518752302]}]}]}, {"tin": {"type": "ein", "value": "334308192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 800.28, "providers": [{"billed_charge": 1778.4, "npi": [1932094976]}]}, {"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1778.4, "npi": [1932094976]}]}]}, {"tin": {"type": "ein", "value": "334308303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1778.4, "npi": [1174310841]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1778.4, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "334335561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1778.4, "npi": [1952295164]}]}, {"allowed_amount": 967.0, "providers": [{"billed_charge": 1778.4, "npi": [1952295164]}]}]}, {"tin": {"type": "ein", "value": "334360456"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 927.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1778.4, "npi": [1174417240]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.13, "providers": [{"billed_charge": 137.92, "npi": [1285186965]}]}]}, {"tin": {"type": "ein", "value": "352635546"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.8, "providers": [{"billed_charge": 2116.13, "npi": [1194209155]}]}]}, {"tin": {"type": "ein", "value": "352644167"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1184.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7816.0, "npi": [1801364450]}]}]}, {"tin": {"type": "ein", "value": "356005697"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 612.28, "providers": [{"billed_charge": 1696.86, "npi": [1568407310]}]}]}, {"tin": {"type": "ein", "value": "356061776"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.88, "providers": [{"billed_charge": 480.0, "npi": [1265846752]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1468.9, "npi": [1598196206, 1831629526, 1679903967]}]}]}, {"tin": {"type": "ein", "value": "370156078"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.83, "providers": [{"billed_charge": 233.0, "npi": [1831753029]}]}]}, {"tin": {"type": "ein", "value": "370661183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 732.08, "npi": [1760571699]}]}]}, {"tin": {"type": "ein", "value": "370661183"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 420.25, "npi": [1932182326]}]}]}, {"tin": {"type": "ein", "value": "381357020"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.83, "providers": [{"billed_charge": 1068.0, "npi": [1134144801]}]}]}, {"tin": {"type": "ein", "value": "381357020"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 125.34, "providers": [{"billed_charge": 211.0, "npi": [1861949653]}]}]}, {"tin": {"type": "ein", "value": "390816857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 576.43, "providers": [{"billed_charge": 1952.0, "npi": [1427007384]}]}]}, {"tin": {"type": "ein", "value": "392717734"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1000.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3054.98, "npi": [1093604662]}]}, {"allowed_amount": 5965.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3054.98, "npi": [1093604662]}]}]}, {"tin": {"type": "ein", "value": "412806612"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 189.35, "providers": [{"billed_charge": 1932.0, "npi": [1730685496]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 606.11, "providers": [{"billed_charge": 801.0, "npi": [1407897309]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 89.56, "providers": [{"billed_charge": 242.0, "npi": [1164759528]}]}, {"allowed_amount": 105.36, "providers": [{"billed_charge": 242.0, "npi": [1083881098]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.8, "providers": [{"billed_charge": 600.0, "npi": [1649963836]}]}, {"allowed_amount": 161.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 656.0, "npi": [1417769605]}]}]}, {"tin": {"type": "ein", "value": "431343281"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 380.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1743.0, "npi": [1871665380]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1042.5, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.55, "providers": [{"billed_charge": 2204.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440552490"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.41, "providers": [{"billed_charge": 211.0, "npi": [1669582102]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 945.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.72, "providers": [{"billed_charge": 1042.5, "npi": [1215296884]}]}, {"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1042.5, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 213.78, "providers": [{"billed_charge": 588.0, "npi": [1093334401, 1487073680, 1508826066, 1548840051, 1447510805]}]}]}, {"tin": {"type": "ein", "value": "452662980"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 459.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4104.0, "npi": [1154618742]}]}]}, {"tin": {"type": "ein", "value": "452663071"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.18, "providers": [{"billed_charge": 3546.0, "npi": [1184911877]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.72, "providers": [{"billed_charge": 1551.97, "npi": [1033120423]}]}, {"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1551.97, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "454435955"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2548.26, "npi": [1467897447]}]}]}, {"tin": {"type": "ein", "value": "461322238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 182.0, "npi": [1699652644]}]}]}, {"tin": {"type": "ein", "value": "461415202"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 123.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 683.0, "npi": [1245728294]}]}, {"allowed_amount": 242.62, "billing_code_modifier": ["SA,25"], "providers": [{"billed_charge": 683.0, "npi": [1043859242, 1962945626, 1194286302]}]}, {"allowed_amount": 246.15, "providers": [{"billed_charge": 683.0, "npi": [1043859242, 1962945626]}]}, {"allowed_amount": 247.53, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 683.0, "npi": [1912391012, 1245728294, 1679515720, 1407740012, 1114650843, 1538473343]}]}, {"allowed_amount": 289.59, "providers": [{"billed_charge": 683.0, "npi": [1497198360, 1912952227]}]}, {"allowed_amount": 291.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 683.0, "npi": [1235428673, 1598965378, 1821408451, 1700916988, 1447218821, 1548233968, 1225196017, 1437389681, 1124448311, 1174878391, 1790042844]}]}]}, {"tin": {"type": "ein", "value": "461523194"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1040.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3565.0, "npi": [1457690471]}]}]}, {"tin": {"type": "ein", "value": "462714379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.99, "providers": [{"billed_charge": 672.0, "npi": [1922491547]}]}, {"allowed_amount": 81.34, "providers": [{"billed_charge": 199.0, "npi": [1528244233]}]}, {"allowed_amount": 92.27, "providers": [{"billed_charge": 199.0, "npi": [1922491547]}]}, {"allowed_amount": 106.32, "providers": [{"billed_charge": 199.0, "npi": [1619970662, 1487058897, 1699913780, 1295016822, 1164990198, 1194075705, 1114325594]}]}, {"allowed_amount": 158.61, "providers": [{"billed_charge": 199.0, "npi": [1255660288, 1831732346, 1922355379, 1568821064]}]}]}, {"tin": {"type": "ein", "value": "463902289"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.53, "providers": [{"billed_charge": 486.0, "npi": [1952721250, 1265499909, 1225086606, 1336105774, 1750658704, 1710333521, 1528697968, 1700044211, 1962723288, 1649345273]}]}, {"allowed_amount": 108.53, "providers": [{"billed_charge": 486.0, "npi": [1326149931, 1679952741]}]}, {"allowed_amount": 126.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 486.0, "npi": [1548222193]}]}, {"allowed_amount": 211.89, "providers": [{"billed_charge": 486.0, "npi": [1629026406, 1235367368, 1295981033, 1205053964, 1205277241, 1215137245]}]}]}, {"tin": {"type": "ein", "value": "464084062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 3114.82, "npi": [1669872610]}]}]}, {"tin": {"type": "ein", "value": "464125750"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1585.0, "npi": [1457748238]}]}]}, {"tin": {"type": "ein", "value": "464389870"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2435.0, "npi": [1952723967]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 213.81, "providers": [{"billed_charge": 833.0, "npi": [1285047845]}]}]}, {"tin": {"type": "ein", "value": "465400615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.27, "providers": [{"billed_charge": 611.0, "npi": [1790880565]}]}]}, {"tin": {"type": "ein", "value": "465557331"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3114.82, "npi": [1194125146]}]}]}, {"tin": {"type": "ein", "value": "465619077"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 450.0, "providers": [{"billed_charge": 1750.8, "npi": [1316352933]}]}]}, {"tin": {"type": "ein", "value": "465735510"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 464.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1164827093]}]}]}, {"tin": {"type": "ein", "value": "470379754"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.67, "providers": [{"billed_charge": 361.0, "npi": [1053448142]}]}]}, {"tin": {"type": "ein", "value": "471022656"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 221.81, "providers": [{"billed_charge": 672.0, "npi": [1508268442]}]}, {"allowed_amount": 260.95, "providers": [{"billed_charge": 672.0, "npi": [1801477955]}]}]}, {"tin": {"type": "ein", "value": "471382605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.88, "providers": [{"billed_charge": 648.0, "npi": [1891851135]}]}, {"allowed_amount": 242.62, "providers": [{"billed_charge": 621.0, "npi": [1326831397]}, {"billed_charge": 648.0, "npi": [1841870722, 1437390614, 1811507718]}]}, {"allowed_amount": 285.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 621.0, "npi": [1558321331, 1316575566, 1164788311]}, {"billed_charge": 648.0, "npi": [1215325600, 1033180898, 1124387394, 1548885353, 1609355858, 1841789013, 1104015577, 1891851135]}]}]}, {"tin": {"type": "ein", "value": "471692221"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 213.81, "providers": [{"billed_charge": 1995.22, "npi": [1407846181]}]}]}, {"tin": {"type": "ein", "value": "471854250"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.97, "providers": [{"billed_charge": 750.0, "npi": [1902982796]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1296.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2593.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1179.46, "npi": [1790174860]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1179.46, "npi": [1790174860]}]}, {"allowed_amount": 589.73, "providers": [{"billed_charge": 1179.46, "npi": [1790174860]}]}, {"allowed_amount": 913.72, "providers": [{"billed_charge": 1179.46, "npi": [1790174860]}]}, {"allowed_amount": 1391.73, "providers": [{"billed_charge": 1179.46, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1296.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2593.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "472616215"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 800.0, "providers": [{"billed_charge": 4000.0, "npi": [1922468156]}]}, {"allowed_amount": 825.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1922468156]}]}, {"allowed_amount": 3000.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1922468156]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 142.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 608.0, "npi": [1871822999]}, {"billed_charge": 672.0, "npi": [1104842137]}]}, {"allowed_amount": 242.62, "providers": [{"billed_charge": 608.0, "npi": [1699413914]}]}, {"allowed_amount": 246.15, "providers": [{"billed_charge": 632.0, "npi": [1528449626, 1386455699, 1639598204]}, {"billed_charge": 684.0, "npi": [1750751558]}]}, {"allowed_amount": 285.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 608.0, "npi": [1023376738, 1740628742, 1194456335, 1639524242, 1336566579, 1033820790]}, {"billed_charge": 672.0, "npi": [1730462771, 1336888908, 1922280213]}]}, {"allowed_amount": 289.59, "providers": [{"billed_charge": 632.0, "npi": [1528001237]}, {"billed_charge": 684.0, "npi": [1245559178]}]}]}, {"tin": {"type": "ein", "value": "473344271"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1221.99, "providers": [{"billed_charge": 3054.98, "npi": [1003280629]}]}]}, {"tin": {"type": "ein", "value": "473918725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1205212313]}]}, {"allowed_amount": 836.37, "providers": [{"billed_charge": 3500.0, "npi": [1205212313]}]}, {"allowed_amount": 1458.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1205212313]}]}]}, {"tin": {"type": "ein", "value": "475013720"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.27, "providers": [{"billed_charge": 3885.6, "npi": [1396773578, 1912942699]}]}, {"allowed_amount": 124.4, "providers": [{"billed_charge": 3885.6, "npi": [1538574066]}]}, {"allowed_amount": 140.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1588638720, 1285721613, 1780841742]}]}, {"allowed_amount": 235.63, "providers": [{"billed_charge": 3885.6, "npi": [1861519274]}]}]}, {"tin": {"type": "ein", "value": "475046615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 285.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 683.0, "npi": [1134509144, 1407240914, 1184020786, 1093178899]}]}]}, {"tin": {"type": "ein", "value": "475103702"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 140.32, "providers": [{"billed_charge": 850.0, "npi": [1700176773]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2045.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "540696355"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 898.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1369.0, "npi": [1417005760]}]}]}, {"tin": {"type": "ein", "value": "542092552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.55, "providers": [{"billed_charge": 2394.52, "npi": [1134187842]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 359.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 398.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "562143518"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 459.64, "providers": [{"billed_charge": 2592.38, "npi": [1881688976]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.57, "providers": [{"billed_charge": 1705.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "582322328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.57, "providers": [{"billed_charge": 2099.9, "npi": [1528027240]}]}]}, {"tin": {"type": "ein", "value": "590872594"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 840.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1814.0, "npi": [1982688230]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 840.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1320.0, "npi": [1225033020]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 567.27, "providers": [{"billed_charge": 3192.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "591764486"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1710.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4499.0, "npi": [1568409647]}]}]}, {"tin": {"type": "ein", "value": "591833934"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 607.55, "providers": [{"billed_charge": 2071.0, "npi": [1215974134]}]}]}, {"tin": {"type": "ein", "value": "592142859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 585.24, "providers": [{"billed_charge": 1994.42, "npi": [1821186313]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 196.98, "providers": [{"billed_charge": 679.0, "npi": [1841673191]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 527.36, "providers": [{"billed_charge": 1750.0, "npi": [1326021197]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 543.0, "providers": [{"billed_charge": 2160.52, "npi": [1265539498]}]}]}, {"tin": {"type": "ein", "value": "610445850"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 563.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1111.84, "npi": [1467492421]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1504.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "621113737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 375.64, "providers": [{"billed_charge": 2162.32, "npi": [1720032345]}]}]}, {"tin": {"type": "ein", "value": "621130266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 254.88, "providers": [{"billed_charge": 686.0, "npi": [1043251606]}]}]}, {"tin": {"type": "ein", "value": "621266047"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 218.81, "providers": [{"billed_charge": 748.0, "npi": [1669009007]}]}, {"allowed_amount": 254.88, "providers": [{"billed_charge": 603.0, "npi": [1457461105]}]}]}, {"tin": {"type": "ein", "value": "621754940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 825.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1877.0, "npi": [1851343909]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1723.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "621762526"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 613.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1694.0, "npi": [1790722346]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1568.0, "npi": [1700805678]}, {"billed_charge": 1724.8, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "640682111"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.42, "providers": [{"billed_charge": 1119.0, "npi": [1194789818]}]}]}, {"tin": {"type": "ein", "value": "650260078"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 840.93, "providers": [{"billed_charge": 5859.0, "npi": [1710931522]}]}]}, {"tin": {"type": "ein", "value": "650578395"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.3, "providers": [{"billed_charge": 696.0, "npi": [1952622706]}]}, {"allowed_amount": 82.75, "providers": [{"billed_charge": 696.0, "npi": [1891053245]}]}]}, {"tin": {"type": "ein", "value": "720549907"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 363.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 363.0, "npi": [1093793408]}]}]}, {"tin": {"type": "ein", "value": "730568956"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.06, "providers": [{"billed_charge": 193.77, "npi": [1780110221]}]}]}, {"tin": {"type": "ein", "value": "730745473"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 448.56, "npi": [1144268723]}]}]}, {"tin": {"type": "ein", "value": "731605613"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 197.88, "providers": [{"billed_charge": 2174.0, "npi": [1306865357]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "providers": [{"billed_charge": 1004.0, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.8, "providers": [{"billed_charge": 1465.0, "npi": [1700882578]}]}]}, {"tin": {"type": "ein", "value": "741100555"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 401.02, "providers": [{"billed_charge": 2032.0, "npi": [1194507947]}]}, {"allowed_amount": 438.75, "providers": [{"billed_charge": 2032.0, "npi": [1477643690]}]}, {"allowed_amount": 712.97, "providers": [{"billed_charge": 2032.0, "npi": [1194507947]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 401.02, "providers": [{"billed_charge": 1450.0, "npi": [1619115383, 1578780870, 1093810327]}]}, {"allowed_amount": 675.0, "providers": [{"billed_charge": 675.0, "npi": [1447355771]}]}, {"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 675.0, "npi": [1447355771]}, {"billed_charge": 1450.0, "npi": [1164526786, 1750499273, 1619115383, 1093810327, 1124137054]}, {"billed_charge": 2031.75, "npi": [1750499273, 1124137054, 1619115383]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 258.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2509.0, "npi": [1194787218, 1780867390]}]}, {"allowed_amount": 401.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2509.0, "npi": [1447883301]}]}, {"allowed_amount": 470.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1891.0, "npi": [1821004151]}, {"billed_charge": 2509.0, "npi": [1194787218, 1780867390]}]}, {"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2509.0, "npi": [1447883301]}]}, {"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1891.0, "npi": [1821004151]}, {"billed_charge": 2509.0, "npi": [1194787218, 1780867390]}]}, {"allowed_amount": 857.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1891.0, "npi": [1821004151]}]}, {"allowed_amount": 1103.96, "providers": [{"billed_charge": 2509.0, "npi": [1194787218]}]}, {"allowed_amount": 1192.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2509.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741109836"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 825.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1953.0, "npi": [1689641680]}]}, {"allowed_amount": 884.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1953.0, "npi": [1447228747]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2749.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "741161944"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1477.92, "npi": [1891882833]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2242.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741282653"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.95, "providers": [{"billed_charge": 189.95, "npi": [1922195510]}]}]}, {"tin": {"type": "ein", "value": "741282653"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.4, "providers": [{"billed_charge": 81.4, "npi": [1003318569, 1285742999]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 784.0, "npi": [1720088123]}]}]}, {"tin": {"type": "ein", "value": "741461220"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1003.15, "providers": [{"billed_charge": 1265.0, "npi": [1447574819]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "providers": [{"billed_charge": 531.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.77, "providers": [{"billed_charge": 168.0, "npi": [1588008825]}]}, {"allowed_amount": 18.45, "providers": [{"billed_charge": 168.0, "npi": [1811485865, 1649216987]}]}, {"allowed_amount": 22.22, "providers": [{"billed_charge": 168.0, "npi": [1104212786]}]}, {"allowed_amount": 31.72, "providers": [{"billed_charge": 168.0, "npi": [1639241805]}]}, {"allowed_amount": 81.34, "providers": [{"billed_charge": 168.0, "npi": [1023283637]}]}, {"allowed_amount": 88.05, "providers": [{"billed_charge": 168.0, "npi": [1669859245]}]}, {"allowed_amount": 88.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 168.0, "npi": [1568081602, 1679004519, 1811517162, 1609212331, 1518596618, 1376179242, 1902811474, 1619237906, 1235405333, 1588008825, 1508201146, 1457937435]}]}, {"allowed_amount": 92.27, "providers": [{"billed_charge": 168.0, "npi": [1548586787, 1467081349, 1467030502, 1164400487, 1497198824, 1194137323, 1871869933, 1265440440, 1871701631, 1396249744, 1457745432, 1508803289, 1023768058, 1649216987, 1881073500, 1093380701, 1649634783]}]}, {"allowed_amount": 92.96, "providers": [{"billed_charge": 168.0, "npi": [1912218900]}]}, {"allowed_amount": 106.32, "providers": [{"billed_charge": 168.0, "npi": [1104537505, 1255055364, 1134828775, 1508976200, 1558137653, 1851700314]}]}, {"allowed_amount": 136.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 168.0, "npi": [1043538168, 1528520483, 1205398815]}]}, {"allowed_amount": 158.61, "providers": [{"billed_charge": 168.0, "npi": [1043077233, 1396462586, 1326754797, 1891446258]}]}]}, {"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 872.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1676.95, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "741603120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1105.93, "providers": [{"billed_charge": 1342.96, "npi": [1740288505]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.8, "providers": [{"billed_charge": 170.0, "npi": [1861607145, 1639577919]}]}, {"allowed_amount": 83.02, "providers": [{"billed_charge": 170.0, "npi": [1801575352, 1467923771, 1255749974]}]}, {"allowed_amount": 92.25, "providers": [{"billed_charge": 170.0, "npi": [1275813362]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1097.25, "providers": [{"billed_charge": 3135.0, "npi": [1770536120]}]}, {"allowed_amount": 1605.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4587.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.43, "providers": [{"billed_charge": 527.48, "npi": [1265082358]}]}, {"allowed_amount": 92.27, "providers": [{"billed_charge": 527.48, "npi": [1639734064, 1184205601, 1578723284]}]}, {"allowed_amount": 102.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 527.48, "npi": [1871869537, 1154902757, 1295399533, 1366962193, 1275513426, 1629719281, 1376660118, 1801390679, 1952982142, 1225118623]}]}, {"allowed_amount": 108.53, "providers": [{"billed_charge": 527.48, "npi": [1629719281, 1063593002]}]}, {"allowed_amount": 186.6, "providers": [{"billed_charge": 527.48, "npi": [1245559210]}]}]}, {"tin": {"type": "ein", "value": "742557820"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1500.0, "npi": [1790782704]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 52.39, "providers": [{"billed_charge": 2562.66, "npi": [1124074273]}]}, {"allowed_amount": 185.0, "providers": [{"billed_charge": 2562.66, "npi": [1124074273]}]}, {"allowed_amount": 896.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2562.66, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 899.03, "providers": [{"billed_charge": 2568.67, "npi": [1124074273]}]}, {"allowed_amount": 918.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2623.53, "npi": [1124074273, 1376071530, 1659525236, 1376256354]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 527.48, "npi": [1366805376, 1235452038, 1013075977, 1124068234, 1114973450, 1295114122, 1205332749, 1790348944, 1760772503, 1508228503, 1871854745, 1104205343, 1609868322, 1912223660, 1366933806, 1609302330, 1922019900, 1427136829, 1477082303, 1285731521, 1417916487, 1417921479, 1245345610, 1154356178, 1326667999, 1366653669, 1609363951, 1700049392, 1376749820, 1841392255]}]}, {"allowed_amount": 106.32, "providers": [{"billed_charge": 527.48, "npi": [1124659537, 1356762405, 1518339902]}]}, {"allowed_amount": 124.4, "providers": [{"billed_charge": 527.48, "npi": [1548898059, 1508286451, 1053538736, 1194766311]}]}, {"allowed_amount": 158.61, "providers": [{"billed_charge": 527.48, "npi": [1609853720, 1841902319, 1245525567]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.6, "providers": [{"billed_charge": 203.0, "npi": [1306307939, 1700263043, 1972180750]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.75, "providers": [{"billed_charge": 2268.8, "npi": [1316936990]}, {"billed_charge": 2440.0, "npi": [1619747938]}]}, {"allowed_amount": 630.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2268.8, "npi": [1316936990]}, {"billed_charge": 2440.0, "npi": [1619747938, 1316936990]}, {"billed_charge": 2652.35, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746000949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "providers": [{"billed_charge": 2747.0, "npi": [1548226988]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 874.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1944.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746025069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 473.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 508.0, "npi": [1679678767]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1635.0, "npi": [1720480627, 1194743013]}]}, {"allowed_amount": 593.5, "providers": [{"billed_charge": 1635.0, "npi": [1194743013]}]}, {"allowed_amount": 598.28, "providers": [{"billed_charge": 1635.0, "npi": [1194743013]}]}, {"allowed_amount": 965.95, "providers": [{"billed_charge": 1635.0, "npi": [1720480627]}]}]}, {"tin": {"type": "ein", "value": "750818167"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2461.0, "npi": [1679578439]}]}]}, {"tin": {"type": "ein", "value": "750827446"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 634.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2041.58, "npi": [1528064649]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1042.5, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "750974351"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 3172.0, "npi": [1124092036]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3172.0, "npi": [1124092036]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1283.4, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751037591"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1283.4, "npi": [1851108765]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 1042.5, "npi": [1396779948]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1042.5, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.72, "providers": [{"billed_charge": 1042.5, "npi": [1104845015]}]}, {"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1042.5, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751584559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 630.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1367.0, "npi": [1255325817]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1042.5, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.72, "providers": [{"billed_charge": 1283.4, "npi": [1073511762]}]}, {"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1283.4, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 1283.4, "npi": [1447250253]}]}, {"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1283.4, "npi": [1447250253]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1283.4, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1283.4, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "751912147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 634.37, "providers": [{"billed_charge": 821.0, "npi": [1023013448]}]}]}, {"tin": {"type": "ein", "value": "752051646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "providers": [{"billed_charge": 2025.42, "npi": [1891765178]}]}]}, {"tin": {"type": "ein", "value": "752159087"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 213.78, "providers": [{"billed_charge": 640.0, "npi": [1609831239]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.02, "providers": [{"billed_charge": 154.0, "npi": [1205474582]}]}, {"allowed_amount": 71.78, "providers": [{"billed_charge": 154.0, "npi": [1831456193, 1881867331]}]}, {"allowed_amount": 82.06, "providers": [{"billed_charge": 154.0, "npi": [1720321383]}]}, {"allowed_amount": 154.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 154.0, "npi": [1881867331, 1922786789, 1285894824, 1669715850, 1659699346, 1639445943, 1063829695]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 181.74, "providers": [{"billed_charge": 454.44, "npi": [1972019909]}]}]}, {"tin": {"type": "ein", "value": "752562784"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 242.62, "providers": [{"billed_charge": 585.0, "npi": [1548485048, 1013958487]}]}, {"allowed_amount": 285.43, "providers": [{"billed_charge": 585.0, "npi": [1215513205]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1283.4, "npi": [1992700983]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1283.4, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 215.0, "npi": [1023586211]}]}, {"allowed_amount": 136.7, "providers": [{"billed_charge": 154.0, "npi": [1699096685]}]}, {"allowed_amount": 215.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 215.0, "npi": [1215593496, 1043467798]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1042.5, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752737522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 123.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 683.0, "npi": [1023415932]}]}, {"allowed_amount": 142.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 683.0, "npi": [1184158636]}]}, {"allowed_amount": 144.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 683.0, "npi": [1881823672, 1750875209]}]}, {"allowed_amount": 242.62, "providers": [{"billed_charge": 683.0, "npi": [1578057709]}]}, {"allowed_amount": 246.15, "providers": [{"billed_charge": 683.0, "npi": [1023415932, 1306301668]}]}, {"allowed_amount": 285.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 683.0, "npi": [1720436751, 1881129419, 1538189980, 1043891583]}]}, {"allowed_amount": 289.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 663.0, "npi": [1396165502]}, {"billed_charge": 683.0, "npi": [1497042048, 1508027020, 1932527645, 1801242151, 1538692520, 1326367657, 1881823672, 1346477767, 1467494344, 1750875209, 1871099978, 1114119880, 1821397068, 1093248205, 1518311380, 1255919189, 1215970132, 1821435744, 1396036067, 1962842732, 1689254518]}]}, {"allowed_amount": 291.21, "providers": [{"billed_charge": 683.0, "npi": [1235178823, 1952720617, 1164465514, 1073551917, 1568959286, 1730193178]}]}]}, {"tin": {"type": "ein", "value": "752760686"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 171.39, "providers": [{"billed_charge": 583.0, "npi": [1831883354]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "providers": [{"billed_charge": 1042.5, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752771437"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1042.5, "npi": [1457382798]}]}]}, {"tin": {"type": "ein", "value": "752796815"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 458.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2461.0, "npi": [1295736734]}]}]}, {"tin": {"type": "ein", "value": "752829613"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1817.0, "npi": [1386647717]}]}]}, {"tin": {"type": "ein", "value": "752865177"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1138.49, "npi": [1922002674]}]}]}, {"tin": {"type": "ein", "value": "752890358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1042.5, "npi": [1548291883]}]}]}, {"tin": {"type": "ein", "value": "752905434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 572.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1466.0, "npi": [1205882503]}]}]}, {"tin": {"type": "ein", "value": "752919774"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2168.33, "providers": [{"billed_charge": 3594.0, "npi": [1477584993]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 1541.0, "npi": [1285798918]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1541.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.97, "providers": [{"billed_charge": 1260.0, "npi": [1992753222]}]}, {"allowed_amount": 333.16, "providers": [{"billed_charge": 1260.0, "npi": [1992753222]}]}, {"allowed_amount": 592.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1260.0, "npi": [1992753222]}]}, {"allowed_amount": 1260.0, "providers": [{"billed_charge": 1260.0, "npi": [1992753222]}]}, {"allowed_amount": 5675.23, "providers": [{"billed_charge": 1260.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1042.5, "npi": [1336172105]}]}, {"allowed_amount": 436.85, "providers": [{"billed_charge": 1042.5, "npi": [1336172105]}]}, {"allowed_amount": 592.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1042.5, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 304.0, "npi": [1447250733]}]}, {"allowed_amount": 79.14, "providers": [{"billed_charge": 304.0, "npi": [1538879051]}]}, {"allowed_amount": 82.07, "providers": [{"billed_charge": 304.0, "npi": [1295289734, 1164156535, 1447250733, 1912176595, 1114579059, 1811495062, 1639472822, 1467091611, 1558863068]}]}, {"allowed_amount": 106.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 304.0, "npi": [1730684564]}]}, {"allowed_amount": 145.51, "providers": [{"billed_charge": 304.0, "npi": [1407352792]}]}, {"allowed_amount": 181.74, "providers": [{"billed_charge": 304.0, "npi": [1528415767, 1093372070, 1013397447, 1124343272, 1871030411, 1407375223, 1710352182, 1063408599, 1700238334, 1912630781, 1174833982, 1447523071]}]}, {"allowed_amount": 213.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 304.0, "npi": [1780947200, 1366861056, 1235492224, 1518160258, 1679953285, 1699238162, 1366939795, 1639667991, 1023188760, 1063974426, 1316576796, 1821520925, 1598159519, 1255392544, 1922489509, 1699977389, 1548794670, 1982024881, 1033405618, 1487273785, 1447236286, 1942763842, 1417418823, 1598957003, 1275153868, 1720247505, 1477671634, 1871948117, 1306295381, 1407352792, 1194466268, 1598159071, 1497715940, 1922063726, 1538459896, 1104025337, 1639188220]}]}, {"allowed_amount": 219.6, "providers": [{"billed_charge": 304.0, "npi": [1356357982]}]}, {"allowed_amount": 304.0, "providers": [{"billed_charge": 304.0, "npi": [1598293284, 1699737742]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 1475.0, "npi": [1932123247]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1475.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.14, "providers": [{"billed_charge": 645.0, "npi": [1386420032, 1255748158, 1932449279]}]}, {"allowed_amount": 82.07, "providers": [{"billed_charge": 645.0, "npi": [1558103200, 1578297057, 1902588098, 1700672284, 1255182630, 1558132712, 1255178612, 1891526844, 1306383807]}]}, {"allowed_amount": 181.74, "providers": [{"billed_charge": 645.0, "npi": [1962811992, 1780934091, 1912306093]}]}]}, {"tin": {"type": "ein", "value": "760536234"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.78, "providers": [{"billed_charge": 2749.0, "npi": [1942208616]}]}, {"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2749.0, "npi": [1942208616]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2435.0, "npi": [1497871628]}]}, {"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2435.0, "npi": [1083937593, 1184179194, 1497871628, 1871619254]}]}]}, {"tin": {"type": "ein", "value": "760631448"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 528.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2818.87, "npi": [1124281456]}]}]}, {"tin": {"type": "ein", "value": "810584868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1427765221]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.34, "providers": [{"billed_charge": 667.0, "npi": [1568738730]}]}, {"allowed_amount": 82.07, "providers": [{"billed_charge": 667.0, "npi": [1770085110]}]}, {"allowed_amount": 181.74, "providers": [{"billed_charge": 667.0, "npi": [1508526674, 1255350476, 1528758182]}]}, {"allowed_amount": 186.6, "providers": [{"billed_charge": 667.0, "npi": [1740233600, 1366653669, 1538121231, 1598779316, 1407868409, 1225693948, 1841453503]}]}, {"allowed_amount": 189.35, "providers": [{"billed_charge": 667.0, "npi": [1225485204, 1033567052]}]}, {"allowed_amount": 213.78, "providers": [{"billed_charge": 667.0, "npi": [1790880672]}]}, {"allowed_amount": 213.81, "providers": [{"billed_charge": 667.0, "npi": [1811317803, 1902163181, 1164955951, 1275150385, 1891081873, 1336568179, 1487642419, 1407868409, 1417086364]}]}, {"allowed_amount": 231.02, "providers": [{"billed_charge": 667.0, "npi": [1790044683]}]}]}, {"tin": {"type": "ein", "value": "811220861"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.27, "providers": [{"billed_charge": 1813.84, "npi": [1235193608, 1013353747, 1821333469]}]}]}, {"tin": {"type": "ein", "value": "811407290"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3327.42, "npi": [1134654080]}]}]}, {"tin": {"type": "ein", "value": "811708177"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 458.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2461.0, "npi": [1033568621]}]}]}, {"tin": {"type": "ein", "value": "811988087"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3327.42, "npi": [1073058939]}]}]}, {"tin": {"type": "ein", "value": "812098192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 5040.0, "npi": [1649722463]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5040.0, "npi": [1649722463]}]}]}, {"tin": {"type": "ein", "value": "812527918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "providers": [{"billed_charge": 1585.0, "npi": [1396280756]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 401.02, "providers": [{"billed_charge": 1676.95, "npi": [1144781501, 1346729159]}]}, {"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1676.95, "npi": [1902366305, 1144781501, 1346729159]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3300.0, "npi": [1588638720, 1639798150, 1740572569, 1558629022, 1164511648, 1306011937, 1982231098, 1326204744, 1891720777, 1427583186, 1104052307, 1760724439, 1003340381, 1053791459, 1386723815, 1104046952, 1043471469, 1558771832, 1902893183]}]}, {"allowed_amount": 590.32, "providers": [{"billed_charge": 3300.0, "npi": [1043471469]}]}]}, {"tin": {"type": "ein", "value": "813334196"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1188.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2100.0, "npi": [1013499383]}]}]}, {"tin": {"type": "ein", "value": "813556450"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 500.0, "providers": [{"billed_charge": 2500.0, "npi": [1467935866]}]}, {"allowed_amount": 508.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2500.0, "npi": [1467935866]}]}, {"allowed_amount": 592.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2500.0, "npi": [1467935866]}]}, {"allowed_amount": 604.25, "providers": [{"billed_charge": 2500.0, "npi": [1467935866]}]}, {"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2500.0, "npi": [1467935866]}]}, {"allowed_amount": 1000.0, "providers": [{"billed_charge": 2500.0, "npi": [1467935866]}]}]}, {"tin": {"type": "ein", "value": "813562144"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 843.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2100.0, "npi": [1639663370]}]}, {"allowed_amount": 998.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2100.0, "npi": [1639663370]}]}]}, {"tin": {"type": "ein", "value": "813747248"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.8, "providers": [{"billed_charge": 1983.75, "npi": [1700334232]}]}]}, {"tin": {"type": "ein", "value": "814446624"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.76, "providers": [{"billed_charge": 609.0, "npi": [1003830555]}]}]}, {"tin": {"type": "ein", "value": "814974144"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "providers": [{"billed_charge": 2872.68, "npi": [1982113601]}]}]}, {"tin": {"type": "ein", "value": "815287624"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1174059208]}]}, {"allowed_amount": 1136.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1174059208]}]}, {"allowed_amount": 1313.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1174059208]}]}, {"allowed_amount": 2811.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1174059208]}]}]}, {"tin": {"type": "ein", "value": "815436418"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.27, "providers": [{"billed_charge": 850.0, "npi": [1922098573]}]}]}, {"tin": {"type": "ein", "value": "820200896"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1288.0, "npi": [1659371870]}]}]}, {"tin": {"type": "ein", "value": "820551704"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "providers": [{"billed_charge": 1283.4, "npi": [1649273434]}]}]}, {"tin": {"type": "ein", "value": "820984034"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 572.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2872.68, "npi": [1558838607]}]}]}, {"tin": {"type": "ein", "value": "821745626"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.76, "providers": [{"billed_charge": 137.0, "npi": [1558710111]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "providers": [{"billed_charge": 3500.0, "npi": [1063051159]}]}, {"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1063051159]}]}, {"allowed_amount": 1000.0, "providers": [{"billed_charge": 3500.0, "npi": [1063051159]}]}, {"allowed_amount": 1039.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1063051159]}]}, {"allowed_amount": 1146.9, "providers": [{"billed_charge": 3500.0, "npi": [1063051159]}]}, {"allowed_amount": 1196.4, "providers": [{"billed_charge": 3500.0, "npi": [1063051159]}]}, {"allowed_amount": 1336.74, "providers": [{"billed_charge": 3500.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "822541182"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 270.14, "providers": [{"billed_charge": 583.0, "npi": [1891959730]}]}]}, {"tin": {"type": "ein", "value": "822763441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 235.63, "providers": [{"billed_charge": 2538.0, "npi": [1740483122]}]}]}, {"tin": {"type": "ein", "value": "823349983"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1207.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1935.93, "npi": [1346753118]}]}]}, {"tin": {"type": "ein", "value": "823463299"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.78, "providers": [{"billed_charge": 3885.6, "npi": [1649770488]}]}, {"allowed_amount": 405.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1649770488]}]}, {"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1649770488]}]}, {"allowed_amount": 519.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1649770488]}]}, {"allowed_amount": 722.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1649770488]}]}, {"allowed_amount": 804.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1649770488]}]}, {"allowed_amount": 809.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1649770488]}]}, {"allowed_amount": 816.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1649770488]}]}, {"allowed_amount": 868.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1649770488]}]}, {"allowed_amount": 1032.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1649770488]}]}, {"allowed_amount": 1265.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1649770488]}]}, {"allowed_amount": 1820.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1649770488]}]}, {"allowed_amount": 2358.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1649770488]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 1554.0, "npi": [1083112023]}]}, {"allowed_amount": 427.78, "providers": [{"billed_charge": 1554.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 1283.4, "npi": [1801826839]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1283.4, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "824540200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 830.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1124669262]}]}]}, {"tin": {"type": "ein", "value": "825410675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1750.0, "npi": [1427085497, 1144450131, 1033539861]}]}, {"allowed_amount": 213.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1750.0, "npi": [1033539861]}]}, {"allowed_amount": 225.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1750.0, "npi": [1033539861]}]}, {"allowed_amount": 228.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1750.0, "npi": [1891737052]}]}, {"allowed_amount": 228.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1750.0, "npi": [1780022566]}]}, {"allowed_amount": 230.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1750.0, "npi": [1144450131]}]}, {"allowed_amount": 235.63, "providers": [{"billed_charge": 1750.0, "npi": [1356752984]}]}, {"allowed_amount": 288.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1750.0, "npi": [1891737052]}]}, {"allowed_amount": 296.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1750.0, "npi": [1144450131]}]}]}, {"tin": {"type": "ein", "value": "831617286"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "providers": [{"billed_charge": 5947.44, "npi": [1619567021]}]}]}, {"tin": {"type": "ein", "value": "831785901"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 228.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1750.0, "npi": [1457619595]}]}, {"allowed_amount": 235.63, "providers": [{"billed_charge": 1750.0, "npi": [1114239571, 1144450131]}]}]}, {"tin": {"type": "ein", "value": "831864010"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 189.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1750.0, "npi": [1427085497, 1255741161, 1457619595, 1376047217, 1497073209]}]}, {"allowed_amount": 190.65, "providers": [{"billed_charge": 1750.0, "npi": [1477012235, 1457765547]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.32, "providers": [{"billed_charge": 1551.97, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "831886473"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3327.42, "npi": [1376018382]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "providers": [{"billed_charge": 1042.5, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "832041336"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5040.0, "npi": [1245705417]}]}]}, {"tin": {"type": "ein", "value": "832495847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 212.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5471.2, "npi": [1215931639]}]}]}, {"tin": {"type": "ein", "value": "832804506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1174089866]}]}, {"allowed_amount": 907.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1174089866]}]}]}, {"tin": {"type": "ein", "value": "833420092"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 126.45, "providers": [{"billed_charge": 3885.6, "npi": [1104070515]}]}, {"allowed_amount": 211.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1659328714]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3864.17, "npi": [1619985942]}]}]}, {"tin": {"type": "ein", "value": "840738052"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 112.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 285.0, "npi": [1710910146, 1578858171]}]}]}, {"tin": {"type": "ein", "value": "841832545"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.34, "providers": [{"billed_charge": 1320.0, "npi": [1740412840, 1205871803, 1881074581]}]}, {"allowed_amount": 102.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1320.0, "npi": [1649400482, 1083057483, 1679553820]}]}]}, {"tin": {"type": "ein", "value": "842988873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.89, "providers": [{"billed_charge": 1246.0, "npi": [1447517594]}]}]}, {"tin": {"type": "ein", "value": "843112870"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.4, "providers": [{"billed_charge": 2500.0, "npi": [1467793034]}]}, {"allowed_amount": 200.44, "providers": [{"billed_charge": 2500.0, "npi": [1467793034]}]}, {"allowed_amount": 200.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2500.0, "npi": [1710320155]}]}]}, {"tin": {"type": "ein", "value": "843316983"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 213.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 273.04, "npi": [1780859652, 1154900819, 1497071468, 1336336205]}]}]}, {"tin": {"type": "ein", "value": "843376866"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.26, "providers": [{"billed_charge": 625.3, "npi": [1235143405]}]}]}, {"tin": {"type": "ein", "value": "843475920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1063051159]}]}, {"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1063051159]}]}, {"allowed_amount": 1301.1, "providers": [{"billed_charge": 3500.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1258.89, "npi": [1184262800]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1258.89, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "844755191"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1524.0, "npi": [1437750163]}]}]}, {"tin": {"type": "ein", "value": "850438008"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 507.02, "providers": [{"billed_charge": 1195.79, "npi": [1891075446]}]}]}, {"tin": {"type": "ein", "value": "850546635"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 218.59, "providers": [{"billed_charge": 343.0, "npi": [1467627729]}]}]}, {"tin": {"type": "ein", "value": "851762272"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 206.94, "providers": [{"billed_charge": 5471.2, "npi": [1386140226]}]}]}, {"tin": {"type": "ein", "value": "851820772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7816.0, "npi": [1285252593]}]}, {"allowed_amount": 1588.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7816.0, "npi": [1285252593]}]}]}, {"tin": {"type": "ein", "value": "851820894"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.41, "providers": [{"billed_charge": 5471.2, "npi": [1982047791]}]}, {"allowed_amount": 215.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5471.2, "npi": [1336571439]}]}]}, {"tin": {"type": "ein", "value": "851845762"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 213.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5471.2, "npi": [1801188180, 1457518839]}]}, {"allowed_amount": 400.0, "providers": [{"billed_charge": 5471.2, "npi": [1801188180]}]}, {"allowed_amount": 663.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5471.2, "npi": [1457518839]}]}]}, {"tin": {"type": "ein", "value": "851917572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 206.94, "providers": [{"billed_charge": 5471.2, "npi": [1386140226]}]}, {"allowed_amount": 213.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5471.2, "npi": [1972612935]}]}, {"allowed_amount": 663.0, "providers": [{"billed_charge": 5471.2, "npi": [1972612935]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2872.68, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "851929979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 801.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4023.03, "npi": [1851180400]}]}, {"allowed_amount": 1081.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4023.03, "npi": [1851180400]}]}, {"allowed_amount": 1347.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4023.03, "npi": [1851180400]}]}, {"allowed_amount": 1446.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4023.03, "npi": [1851180400]}]}]}, {"tin": {"type": "ein", "value": "851931245"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1033.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7816.0, "npi": [1750909974]}]}]}, {"tin": {"type": "ein", "value": "851931322"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 213.78, "providers": [{"billed_charge": 5471.2, "npi": [1780987370]}]}]}, {"tin": {"type": "ein", "value": "851943296"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.6, "providers": [{"billed_charge": 3318.87, "npi": [1144450131, 1871551598]}]}, {"allowed_amount": 218.2, "providers": [{"billed_charge": 3318.87, "npi": [1144450131]}]}, {"allowed_amount": 235.63, "providers": [{"billed_charge": 3318.87, "npi": [1861699076]}]}]}, {"tin": {"type": "ein", "value": "851961472"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1546.0, "providers": [{"billed_charge": 7816.0, "npi": [1235747304]}]}]}, {"tin": {"type": "ein", "value": "851978933"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 401.02, "providers": [{"billed_charge": 2500.0, "npi": [1265044333]}]}, {"allowed_amount": 883.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2500.0, "npi": [1265044333]}]}, {"allowed_amount": 901.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2500.0, "npi": [1265044333]}]}, {"allowed_amount": 1237.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2500.0, "npi": [1265044333]}]}]}, {"tin": {"type": "ein", "value": "852007987"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7816.0, "npi": [1144838947]}]}]}, {"tin": {"type": "ein", "value": "852099359"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 189.35, "providers": [{"billed_charge": 1750.0, "npi": [1740625946]}]}, {"allowed_amount": 190.65, "providers": [{"billed_charge": 1750.0, "npi": [1861693152, 1770876773, 1467895086]}]}]}, {"tin": {"type": "ein", "value": "852354189"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "providers": [{"billed_charge": 2025.42, "npi": [1215609896]}]}]}, {"tin": {"type": "ein", "value": "852464463"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1494.0, "npi": [1619122017, 1982877387, 1821343963, 1912355983]}]}, {"allowed_amount": 86.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1500.0, "npi": [1144473570, 1992764419]}]}, {"allowed_amount": 92.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1494.0, "npi": [1780896829, 1619397452, 1629718341, 1962639047]}]}, {"allowed_amount": 102.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1494.0, "npi": [1053844555, 1730453739, 1073545588]}]}, {"allowed_amount": 124.4, "providers": [{"billed_charge": 1494.0, "npi": [1659755122]}]}, {"allowed_amount": 137.59, "providers": [{"billed_charge": 1494.0, "npi": [1700171014]}]}, {"allowed_amount": 140.72, "providers": [{"billed_charge": 1494.0, "npi": [1689093924, 1962639047]}]}, {"allowed_amount": 200.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1494.0, "npi": [1629418025]}]}, {"allowed_amount": 350.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1494.0, "npi": [1275844532]}, {"billed_charge": 1500.0, "npi": [1922208776]}]}, {"allowed_amount": 425.0, "providers": [{"billed_charge": 1494.0, "npi": [1689093924, 1396932349]}]}, {"allowed_amount": 479.06, "providers": [{"billed_charge": 1500.0, "npi": [1073545588]}]}, {"allowed_amount": 580.52, "providers": [{"billed_charge": 1500.0, "npi": [1922595727]}]}, {"allowed_amount": 587.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1494.0, "npi": [1710181664, 1144473570, 1538421557]}, {"billed_charge": 1500.0, "npi": [1144473570, 1578022778]}]}, {"allowed_amount": 587.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1494.0, "npi": [1710181664, 1699102848, 1144473570, 1073905097, 1053844555, 1659755122]}, {"billed_charge": 1500.0, "npi": [1235459769, 1700171014]}]}, {"allowed_amount": 590.32, "providers": [{"billed_charge": 1494.0, "npi": [1962639047]}]}, {"allowed_amount": 850.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1500.0, "npi": [1922208776]}]}]}, {"tin": {"type": "ein", "value": "852671865"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4160.0, "npi": [1235711748]}]}]}, {"tin": {"type": "ein", "value": "852713042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2490.93, "npi": [1376141556]}]}, {"allowed_amount": 1174.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2490.93, "npi": [1376141556]}]}, {"allowed_amount": 1492.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2490.93, "npi": [1376141556]}]}, {"allowed_amount": 2542.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2490.93, "npi": [1376141556]}]}, {"allowed_amount": 3990.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2490.93, "npi": [1376141556]}]}]}, {"tin": {"type": "ein", "value": "853330746"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.89, "providers": [{"billed_charge": 1932.0, "npi": [1780771782]}]}]}, {"tin": {"type": "ein", "value": "853503076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3994.72, "npi": [1124623889]}]}]}, {"tin": {"type": "ein", "value": "853903021"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 126.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2500.0, "npi": [1053323261]}]}, {"allowed_amount": 211.89, "providers": [{"billed_charge": 2500.0, "npi": [1659357838]}]}]}, {"tin": {"type": "ein", "value": "854257664"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2500.0, "npi": [1336307081]}]}, {"allowed_amount": 168.45, "providers": [{"billed_charge": 2500.0, "npi": [1265728513]}]}, {"allowed_amount": 500.0, "providers": [{"billed_charge": 2500.0, "npi": [1275025371]}]}, {"allowed_amount": 650.44, "providers": [{"billed_charge": 2500.0, "npi": [1043897747]}]}]}, {"tin": {"type": "ein", "value": "863438956"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 500.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1750.8, "npi": [1063642122]}]}]}, {"tin": {"type": "ein", "value": "870692255"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2657.0, "providers": [{"billed_charge": 2657.0, "npi": [1194840421]}]}]}, {"tin": {"type": "ein", "value": "871224784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3994.72, "npi": [1003489212]}]}]}, {"tin": {"type": "ein", "value": "871781373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.41, "providers": [{"billed_charge": 2500.0, "npi": [1982167052]}]}]}, {"tin": {"type": "ein", "value": "872698268"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3298.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3054.98, "npi": [1861163826]}]}, {"allowed_amount": 3310.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3054.98, "npi": [1861163826]}]}]}, {"tin": {"type": "ein", "value": "873083628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2495.58, "providers": [{"billed_charge": 3054.98, "npi": [1013670132]}]}]}, {"tin": {"type": "ein", "value": "873102441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1750.8, "npi": [1588827455]}]}, {"allowed_amount": 388.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1750.8, "npi": [1174934301]}]}]}, {"tin": {"type": "ein", "value": "873769568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1801095880]}]}, {"allowed_amount": 102.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1629143029]}]}, {"allowed_amount": 136.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1407883788]}]}, {"allowed_amount": 137.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1801095880, 1821059841, 1407883788, 1629143029]}]}, {"allowed_amount": 138.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1629143029]}]}, {"allowed_amount": 139.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1801095880]}]}]}, {"tin": {"type": "ein", "value": "881716225"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "providers": [{"billed_charge": 2872.68, "npi": [1053175794]}]}, {"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2872.68, "npi": [1053175794]}]}, {"allowed_amount": 1081.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2872.68, "npi": [1053175794]}]}]}, {"tin": {"type": "ein", "value": "881755886"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1100.56, "npi": [1538347992, 1750344321, 1013028646, 1942527015]}]}, {"allowed_amount": 221.26, "providers": [{"billed_charge": 1100.56, "npi": [1548519168]}]}]}, {"tin": {"type": "ein", "value": "881875731"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.53, "providers": [{"billed_charge": 5947.44, "npi": [1659508232]}]}]}, {"tin": {"type": "ein", "value": "882501936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2490.93, "npi": [1750013769]}]}, {"allowed_amount": 1091.28, "providers": [{"billed_charge": 2490.93, "npi": [1750013769]}]}, {"allowed_amount": 1120.92, "providers": [{"billed_charge": 2490.93, "npi": [1750013769]}]}, {"allowed_amount": 2217.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2490.93, "npi": [1750013769]}]}, {"allowed_amount": 2465.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2490.93, "npi": [1750013769]}]}, {"allowed_amount": 2474.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2490.93, "npi": [1750013769]}]}]}, {"tin": {"type": "ein", "value": "882898646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 790.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7816.0, "npi": [1699406173]}]}]}, {"tin": {"type": "ein", "value": "882995921"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5471.2, "npi": [1316119571]}]}, {"allowed_amount": 213.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5471.2, "npi": [1235333618]}]}]}, {"tin": {"type": "ein", "value": "882995935"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 663.78, "providers": [{"billed_charge": 5471.2, "npi": [1821299108]}]}]}, {"tin": {"type": "ein", "value": "883018450"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 244.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5471.2, "npi": [1760894497]}]}]}, {"tin": {"type": "ein", "value": "883572858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.41, "providers": [{"billed_charge": 2500.0, "npi": [1083866099]}]}]}, {"tin": {"type": "ein", "value": "883576979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3994.72, "npi": [1851028146]}]}]}, {"tin": {"type": "ein", "value": "883794336"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.89, "providers": [{"billed_charge": 1813.84, "npi": [1982651840]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4583.0, "npi": [1003539073]}]}, {"allowed_amount": 715.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4583.0, "npi": [1003539073]}]}, {"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4583.0, "npi": [1003539073]}]}, {"allowed_amount": 916.6, "providers": [{"billed_charge": 4583.0, "npi": [1003539073]}]}, {"allowed_amount": 1058.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4583.0, "npi": [1003539073]}]}, {"allowed_amount": 1129.78, "providers": [{"billed_charge": 4583.0, "npi": [1003539073]}]}, {"allowed_amount": 1235.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4583.0, "npi": [1003539073]}]}, {"allowed_amount": 2074.05, "providers": [{"billed_charge": 4583.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2538.0, "npi": [1184916546, 1144807322]}]}, {"allowed_amount": 186.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2538.0, "npi": [1184916546]}]}, {"allowed_amount": 210.2, "providers": [{"billed_charge": 2538.0, "npi": [1275598393]}]}, {"allowed_amount": 235.63, "providers": [{"billed_charge": 2538.0, "npi": [1972578714, 1184916546]}]}, {"allowed_amount": 612.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2538.0, "npi": [1144807322]}]}]}, {"tin": {"type": "ein", "value": "920937062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2490.93, "npi": [1558056895]}]}]}, {"tin": {"type": "ein", "value": "921903817"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4541.95, "npi": [1083920888, 1598719973]}]}, {"allowed_amount": 962.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4541.95, "npi": [1437135423]}]}]}, {"tin": {"type": "ein", "value": "921924347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5459.7, "npi": [1639875750]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5459.7, "npi": [1639875750]}]}]}, {"tin": {"type": "ein", "value": "922631837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1210.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4023.03, "npi": [1457047664]}]}]}, {"tin": {"type": "ein", "value": "922719659"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5040.0, "npi": [1386325801]}]}]}, {"tin": {"type": "ein", "value": "922858146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.32, "providers": [{"billed_charge": 5040.0, "npi": [1184305609]}]}]}, {"tin": {"type": "ein", "value": "922974728"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 630.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5040.0, "npi": [1568143089]}]}]}, {"tin": {"type": "ein", "value": "923209338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 810.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1558132365]}]}, {"allowed_amount": 1010.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1558132365]}]}, {"allowed_amount": 1245.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1558132365]}]}, {"allowed_amount": 2700.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1558132365]}]}]}, {"tin": {"type": "ein", "value": "923637942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3994.72, "npi": [1679263883]}]}]}, {"tin": {"type": "ein", "value": "923905364"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1932.0, "npi": [1104083039]}]}, {"allowed_amount": 92.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1932.0, "npi": [1255380671, 1710917687]}]}, {"allowed_amount": 102.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1932.0, "npi": [1922038223]}]}, {"allowed_amount": 126.45, "providers": [{"billed_charge": 1932.0, "npi": [1700233970]}]}, {"allowed_amount": 211.89, "providers": [{"billed_charge": 1932.0, "npi": [1780247460, 1700838414]}]}]}, {"tin": {"type": "ein", "value": "923978738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 213.81, "providers": [{"billed_charge": 2500.0, "npi": [1134151624]}]}]}, {"tin": {"type": "ein", "value": "931447847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 127.59, "providers": [{"billed_charge": 1724.0, "npi": [1881815017]}]}, {"allowed_amount": 213.81, "providers": [{"billed_charge": 1724.0, "npi": [1417995291, 1033477971, 1821434333, 1114422623]}]}]}, {"tin": {"type": "ein", "value": "931968492"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 261.78, "providers": [{"billed_charge": 631.08, "npi": [1245491489, 1114113818, 1124067228]}]}]}, {"tin": {"type": "ein", "value": "932446901"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.89, "providers": [{"billed_charge": 894.0, "npi": [1245521160, 1306835442, 1306377619]}]}]}, {"tin": {"type": "ein", "value": "932457529"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1932.0, "npi": [1750519286]}]}]}, {"tin": {"type": "ein", "value": "932470063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.4, "providers": [{"billed_charge": 894.0, "npi": [1629538418]}]}]}, {"tin": {"type": "ein", "value": "932501917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 96.45, "providers": [{"billed_charge": 351.0, "npi": [1003215062]}, {"billed_charge": 361.0, "npi": [1689491649]}]}]}, {"tin": {"type": "ein", "value": "933040761"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 570.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3846.15, "npi": [1407637531]}]}]}, {"tin": {"type": "ein", "value": "933488698"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2490.93, "npi": [1740042175]}]}, {"allowed_amount": 1120.92, "providers": [{"billed_charge": 2490.93, "npi": [1740042175]}]}, {"allowed_amount": 1168.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2490.93, "npi": [1740042175]}]}, {"allowed_amount": 1197.28, "providers": [{"billed_charge": 2490.93, "npi": [1740042175]}]}, {"allowed_amount": 2606.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2490.93, "npi": [1740042175]}]}, {"allowed_amount": 2957.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2490.93, "npi": [1740042175]}]}, {"allowed_amount": 3808.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2490.93, "npi": [1740042175]}]}]}, {"tin": {"type": "ein", "value": "933910567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.99, "providers": [{"billed_charge": 678.0, "npi": [1174596670]}]}, {"allowed_amount": 92.27, "providers": [{"billed_charge": 894.0, "npi": [1619397452, 1962639047]}]}]}, {"tin": {"type": "ein", "value": "933918299"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.27, "providers": [{"billed_charge": 894.0, "npi": [1518464395]}]}]}, {"tin": {"type": "ein", "value": "933977029"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 479.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3518.87, "npi": [1205976826]}]}]}, {"tin": {"type": "ein", "value": "934242663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 401.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4023.03, "npi": [1740054436]}]}]}, {"tin": {"type": "ein", "value": "934256759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.6, "providers": [{"billed_charge": 3318.87, "npi": [1376707349]}]}]}, {"tin": {"type": "ein", "value": "934370183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "providers": [{"billed_charge": 3500.0, "npi": [1538934864]}]}, {"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1538934864]}]}, {"allowed_amount": 1166.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1538934864]}]}]}, {"tin": {"type": "ein", "value": "934445461"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 127.59, "providers": [{"billed_charge": 820.0, "npi": [1245495753, 1457349474]}]}, {"allowed_amount": 213.81, "providers": [{"billed_charge": 820.0, "npi": [1023704608, 1023188760, 1255371522, 1033814967]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2323.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2323.0, "npi": [1518012301]}]}]}, {"tin": {"type": "ein", "value": "941437713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3163.0, "providers": [{"billed_charge": 3163.0, "npi": [1205845567]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.14, "providers": [{"billed_charge": 509.0, "npi": [1548898505]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 585.97, "providers": [{"billed_charge": 1659.54, "npi": [1851530984]}]}]}, {"tin": {"type": "ein", "value": "953101325"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 252.0, "npi": [1508202144]}]}]}, {"tin": {"type": "ein", "value": "990517950"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.27, "providers": [{"billed_charge": 2500.0, "npi": [1720469968, 1124656210, 1992969117]}]}, {"allowed_amount": 200.4, "providers": [{"billed_charge": 2500.0, "npi": [1770963282]}]}, {"allowed_amount": 200.44, "providers": [{"billed_charge": 2500.0, "npi": [1427403385, 1992969117]}]}]}, {"tin": {"type": "ein", "value": "990675124"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.69, "providers": [{"billed_charge": 403.0, "npi": [1912137753]}]}, {"allowed_amount": 86.82, "providers": [{"billed_charge": 403.0, "npi": [1871804609, 1588853402, 1083908644]}]}]}, {"tin": {"type": "ein", "value": "992141118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 409.54, "providers": [{"billed_charge": 1834.0, "npi": [1760220198]}]}]}, {"tin": {"type": "ein", "value": "992199214"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "providers": [{"billed_charge": 5861.44, "npi": [1013735786]}]}, {"allowed_amount": 836.37, "providers": [{"billed_charge": 5861.44, "npi": [1013735786]}]}]}, {"tin": {"type": "ein", "value": "992496750"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 874.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1811727514]}]}]}, {"tin": {"type": "ein", "value": "992762070"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 724.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1124865126]}]}, {"allowed_amount": 1087.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1124865126]}]}, {"allowed_amount": 1235.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1124865126]}]}]}, {"tin": {"type": "ein", "value": "993064915"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.53, "providers": [{"billed_charge": 611.0, "npi": [1902488943]}]}]}, {"tin": {"type": "ein", "value": "993360712"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 683.43, "providers": [{"billed_charge": 3417.14, "npi": [1922831999]}]}]}, {"tin": {"type": "ein", "value": "993703293"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 213.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2132.65, "npi": [1023345923]}]}]}, {"tin": {"type": "ein", "value": "993726953"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 213.81, "providers": [{"billed_charge": 2132.65, "npi": [1023345923]}]}]}, {"tin": {"type": "ein", "value": "993991262"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 136.37, "providers": [{"billed_charge": 1750.8, "npi": [1508942947]}]}, {"allowed_amount": 400.0, "providers": [{"billed_charge": 1750.8, "npi": [1316992779]}]}, {"allowed_amount": 586.37, "providers": [{"billed_charge": 1750.8, "npi": [1295077832]}]}]}, {"tin": {"type": "ein", "value": "994020487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 149.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3885.6, "npi": [1821059841]}]}]}, {"tin": {"type": "ein", "value": "994033449"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1374.74, "providers": [{"billed_charge": 3054.98, "npi": [1902644263]}]}]}, {"tin": {"type": "ein", "value": "994785298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "providers": [{"billed_charge": 1653.46, "npi": [1639992514]}]}]}, {"tin": {"type": "ein", "value": "995104341"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1212.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1609697242]}]}]}, {"tin": {"type": "ein", "value": "995114582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.27, "providers": [{"billed_charge": 2500.0, "npi": [1730506007]}]}]}]}, {"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": "010212435"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 870.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1629.0, "npi": [1154321545]}]}]}, {"tin": {"type": "ein", "value": "131624096"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2520.0, "npi": [1245248939]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 542.36, "providers": [{"billed_charge": 695.0, "npi": [1841416575]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 194.41, "providers": [{"billed_charge": 344.0, "npi": [1285023390]}]}]}, {"tin": {"type": "ein", "value": "160393490"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 451.52, "providers": [{"billed_charge": 874.25, "npi": [1205221025]}]}]}, {"tin": {"type": "ein", "value": "200470861"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 966.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3195.0, "npi": [1720037799]}]}]}, {"tin": {"type": "ein", "value": "201304953"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 192.68, "providers": [{"billed_charge": 1693.0, "npi": [1669415485]}]}]}, {"tin": {"type": "ein", "value": "201355256"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 146.59, "providers": [{"billed_charge": 450.0, "npi": [1487000196]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3669.03, "npi": [1871911016]}, {"billed_charge": 3727.92, "npi": [1124074273]}, {"billed_charge": 4392.47, "npi": [1134172406]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.28, "providers": [{"billed_charge": 1026.0, "npi": [1992097406]}]}]}, {"tin": {"type": "ein", "value": "201987098"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 477.88, "providers": [{"billed_charge": 1232.0, "npi": [1558392043]}]}]}, {"tin": {"type": "ein", "value": "202848116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1629138029]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1629138029]}]}]}, {"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2793.93, "npi": [1144566316]}]}, {"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2793.93, "npi": [1144566316, 1265568638]}, {"billed_charge": 3858.5, "npi": [1265568638]}]}]}, {"tin": {"type": "ein", "value": "203904667"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3547.64, "npi": [1376662296]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 147.43, "providers": [{"billed_charge": 962.0, "npi": [1245312289]}]}]}, {"tin": {"type": "ein", "value": "204736578"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.18, "providers": [{"billed_charge": 326.0, "npi": [1962449736]}]}]}, {"tin": {"type": "ein", "value": "205432782"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 305.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1113.0, "npi": [1710097936]}]}]}, {"tin": {"type": "ein", "value": "205908627"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "providers": [{"billed_charge": 3073.0, "npi": [1851390967]}]}]}, {"tin": {"type": "ein", "value": "208737126"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2078.63, "npi": [1104086941]}]}, {"allowed_amount": 1089.82, "providers": [{"billed_charge": 2078.63, "npi": [1104086941]}]}]}, {"tin": {"type": "ein", "value": "210634532"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1418.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3931.0, "npi": [1528064409]}]}]}, {"tin": {"type": "ein", "value": "232865604"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 573.0, "npi": [1467424432]}]}]}, {"tin": {"type": "ein", "value": "233044530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1369.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4473.0, "npi": [1770579591]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1205018439]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "260684968"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1902047376]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 125.6, "providers": [{"billed_charge": 303.0, "npi": [1790596559]}]}, {"allowed_amount": 184.89, "providers": [{"billed_charge": 303.0, "npi": [1194805531, 1558757005]}]}]}, {"tin": {"type": "ein", "value": "261378489"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 217.08, "providers": [{"billed_charge": 430.0, "npi": [1851503833]}]}, {"allowed_amount": 317.61, "providers": [{"billed_charge": 430.0, "npi": [1083673016]}]}, {"allowed_amount": 319.94, "providers": [{"billed_charge": 430.0, "npi": [1447206669]}]}, {"allowed_amount": 363.75, "providers": [{"billed_charge": 430.0, "npi": [1659328060]}]}, {"allowed_amount": 393.23, "providers": [{"billed_charge": 430.0, "npi": [1629398771]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3920.0, "npi": [1659559573]}]}, {"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3920.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "262037695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 945.12, "providers": [{"billed_charge": 4253.0, "npi": [1992799050]}]}]}, {"tin": {"type": "ein", "value": "262978009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2166.53, "npi": [1407010622]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2166.53, "npi": [1407010622]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2166.53, "npi": [1407010622]}]}, {"allowed_amount": 905.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2166.53, "npi": [1043641749]}]}]}, {"tin": {"type": "ein", "value": "263075429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 630.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3457.0, "npi": [1558659714]}]}, {"allowed_amount": 964.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3457.0, "npi": [1558659714]}]}]}, {"tin": {"type": "ein", "value": "263711283"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 135.24, "providers": [{"billed_charge": 962.0, "npi": [1437991080]}]}]}, {"tin": {"type": "ein", "value": "263734606"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3920.0, "npi": [1710314141]}]}]}, {"tin": {"type": "ein", "value": "263933920"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 445.58, "providers": [{"billed_charge": 1033.0, "npi": [1144684168]}]}]}, {"tin": {"type": "ein", "value": "263975185"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 657.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1217.0, "npi": [1609001312]}]}]}, {"tin": {"type": "ein", "value": "263975185"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 287.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 650.0, "npi": [1609895366]}]}]}, {"tin": {"type": "ein", "value": "270492434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1091.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1491.28, "npi": [1427048453]}]}]}, {"tin": {"type": "ein", "value": "271112877"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "providers": [{"billed_charge": 1280.0, "npi": [1841795283]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 98.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1689205056, 1639808397, 1790396646]}]}, {"allowed_amount": 104.94, "providers": [{"billed_charge": 962.0, "npi": [1902426851]}]}, {"allowed_amount": 114.9, "providers": [{"billed_charge": 962.0, "npi": [1437336617]}]}, {"allowed_amount": 128.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1841922218, 1659840957, 1750755799]}]}, {"allowed_amount": 445.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1427138114, 1770017667, 1497287171, 1811348709, 1619401122, 1891189833, 1699777391, 1801893821, 1649563602, 1336764851, 1700270741, 1407200470, 1477538296, 1700310554, 1851854939, 1316470909, 1528569951]}]}, {"allowed_amount": 600.0, "providers": [{"billed_charge": 962.0, "npi": [1225561384]}]}, {"allowed_amount": 850.0, "providers": [{"billed_charge": 962.0, "npi": [1265869911, 1659840957, 1528569951, 1699777391]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2200.0, "npi": [1861690364]}]}, {"allowed_amount": 2142.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2200.0, "npi": [1861690364]}]}, {"allowed_amount": 2665.66, "providers": [{"billed_charge": 2200.0, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "272016421"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.7, "providers": [{"billed_charge": 326.0, "npi": [1952442808]}]}]}, {"tin": {"type": "ein", "value": "272025690"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 656.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1755.63, "npi": [1013957836]}]}]}, {"tin": {"type": "ein", "value": "272814378"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3426.5, "npi": [1841562709]}]}]}, {"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.24, "providers": [{"billed_charge": 326.0, "npi": [1255307120, 1487741492]}]}, {"allowed_amount": 136.12, "providers": [{"billed_charge": 326.0, "npi": [1083806210, 1538142971, 1891146148]}]}, {"allowed_amount": 137.29, "providers": [{"billed_charge": 326.0, "npi": [1063040202, 1194799171, 1972829331]}]}, {"allowed_amount": 139.61, "providers": [{"billed_charge": 326.0, "npi": [1164429890]}]}, {"allowed_amount": 232.68, "providers": [{"billed_charge": 326.0, "npi": [1225263429, 1609874098, 1083612758, 1952442808, 1124082623]}]}]}, {"tin": {"type": "ein", "value": "274434451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "providers": [{"billed_charge": 2669.48, "npi": [1265772362]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 184.89, "providers": [{"billed_charge": 339.0, "npi": [1205363488, 1205239332]}]}]}, {"tin": {"type": "ein", "value": "310867547"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.24, "providers": [{"billed_charge": 582.0, "npi": [1649733759]}]}]}, {"tin": {"type": "ein", "value": "320612926"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 406.38, "providers": [{"billed_charge": 3435.0, "npi": [1336253590]}]}]}, {"tin": {"type": "ein", "value": "330516944"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "providers": [{"billed_charge": 777.0, "npi": [1043779069]}]}]}, {"tin": {"type": "ein", "value": "331358034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 2400.0, "npi": [1689967267]}]}]}, {"tin": {"type": "ein", "value": "332012020"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 291.72, "providers": [{"billed_charge": 946.08, "npi": [1629969134]}]}]}, {"tin": {"type": "ein", "value": "333465465"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4957.82, "npi": [1831995950]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4957.82, "npi": [1831995950]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4957.82, "npi": [1831995950]}]}]}, {"tin": {"type": "ein", "value": "333672238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 217.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1114933983]}]}, {"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1629068366]}]}]}, {"tin": {"type": "ein", "value": "333807317"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1083586747]}]}, {"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1083586747]}]}, {"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1083586747]}]}, {"allowed_amount": 23843.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1083586747]}]}]}, {"tin": {"type": "ein", "value": "334228114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1196.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1093506396]}]}, {"allowed_amount": 1885.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1093506396]}]}]}, {"tin": {"type": "ein", "value": "334253489"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1518752302]}]}, {"allowed_amount": 1178.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1518752302]}]}, {"allowed_amount": 1250.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1518752302]}]}, {"allowed_amount": 1443.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1518752302]}]}, {"allowed_amount": 1609.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1518752302]}]}, {"allowed_amount": 1992.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1518752302]}]}, {"allowed_amount": 2326.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1518752302]}]}]}, {"tin": {"type": "ein", "value": "334253563"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 975.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1225825946]}]}, {"allowed_amount": 1133.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1225825946]}]}, {"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1225825946]}]}]}, {"tin": {"type": "ein", "value": "334308192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1458.0, "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1486.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1539.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1556.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1593.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1610.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1612.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1638.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1640.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1656.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1658.49, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1728.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1786.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1801.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1810.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1890.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1903.0, "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 1910.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 2065.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 2068.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}, {"allowed_amount": 2169.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1932094976]}]}]}, {"tin": {"type": "ein", "value": "334308303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1174310841]}]}, {"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1174310841]}]}, {"allowed_amount": 1486.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1174310841]}]}, {"allowed_amount": 1601.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1174310841]}]}, {"allowed_amount": 1674.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1174310841]}]}, {"allowed_amount": 1766.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1174310841]}]}, {"allowed_amount": 1773.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1174310841]}]}, {"allowed_amount": 1790.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1174310841]}]}, {"allowed_amount": 1856.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1174310841]}]}, {"allowed_amount": 2102.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1174310841]}]}, {"allowed_amount": 2151.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1174310841]}]}, {"allowed_amount": 2230.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1174310841]}]}, {"allowed_amount": 2641.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1174310841]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1801681606]}]}, {"allowed_amount": 1792.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1801681606]}]}, {"allowed_amount": 2111.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "334335561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1385.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1952295164]}]}, {"allowed_amount": 1486.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1952295164]}]}, {"allowed_amount": 1640.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1952295164]}]}, {"allowed_amount": 1654.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1952295164]}]}, {"allowed_amount": 1695.36, "providers": [{"billed_charge": 4238.4, "npi": [1952295164]}]}]}, {"tin": {"type": "ein", "value": "340714461"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 945.0, "npi": [1225128432]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 239.74, "providers": [{"billed_charge": 1206.0, "npi": [1356062087]}]}]}, {"tin": {"type": "ein", "value": "340714684"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 542.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2938.0, "npi": [1194763045]}]}]}, {"tin": {"type": "ein", "value": "341893439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 852.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2938.0, "npi": [1366433195]}]}]}, {"tin": {"type": "ein", "value": "350868157"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 935.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1368.0, "npi": [1841245594]}]}]}, {"tin": {"type": "ein", "value": "351865344"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 612.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2963.0, "npi": [1902878994]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 134.65, "providers": [{"billed_charge": 234.68, "npi": [1538671912, 1255728457, 1053860148, 1285186965, 1417785502, 1104506047]}, {"billed_charge": 239.04, "npi": [1053860148, 1417785502]}]}, {"allowed_amount": 139.63, "providers": [{"billed_charge": 234.68, "npi": [1952967952, 1376912758, 1891096582]}]}, {"allowed_amount": 144.33, "providers": [{"billed_charge": 234.68, "npi": [1942257209, 1215980644, 1821523366, 1093278319]}]}, {"allowed_amount": 181.52, "providers": [{"billed_charge": 234.68, "npi": [1720515570, 1467947531]}]}, {"allowed_amount": 213.56, "providers": [{"billed_charge": 234.68, "npi": [1770856155]}, {"billed_charge": 239.04, "npi": [1770856155]}]}, {"allowed_amount": 234.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 234.68, "npi": [1568023810, 1902351109, 1619353703, 1780106922, 1568968972, 1073869558]}]}, {"allowed_amount": 239.04, "providers": [{"billed_charge": 239.04, "npi": [1780106922, 1073869558]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2166.53, "npi": [1679903967]}]}, {"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2166.53, "npi": [1598196206, 1831629526]}]}, {"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2166.53, "npi": [1831629526, 1679903967]}]}]}, {"tin": {"type": "ein", "value": "381357020"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 532.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1731.0, "npi": [1134144801]}]}]}, {"tin": {"type": "ein", "value": "381357020"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 213.74, "providers": [{"billed_charge": 401.0, "npi": [1114476652]}]}]}, {"tin": {"type": "ein", "value": "383176445"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3335.8, "providers": [{"billed_charge": 1436.0, "npi": [1639111057]}]}]}, {"tin": {"type": "ein", "value": "383345124"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 236.88, "providers": [{"billed_charge": 969.0, "npi": [1801232434]}]}]}, {"tin": {"type": "ein", "value": "390816857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 881.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3334.0, "npi": [1427007384]}]}]}, {"tin": {"type": "ein", "value": "391412904"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.42, "providers": [{"billed_charge": 720.0, "npi": [1336102540]}]}]}, {"tin": {"type": "ein", "value": "392717734"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4680.5, "npi": [1093604662]}]}, {"allowed_amount": 2679.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4680.5, "npi": [1093604662]}]}]}, {"tin": {"type": "ein", "value": "393441981"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2350.8, "npi": [1629418025]}]}, {"allowed_amount": 500.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2350.8, "npi": [1154333771]}]}, {"allowed_amount": 795.0, "providers": [{"billed_charge": 2350.8, "npi": [1245279603]}]}, {"allowed_amount": 795.82, "providers": [{"billed_charge": 2350.8, "npi": [1154333771]}]}, {"allowed_amount": 795.85, "providers": [{"billed_charge": 2350.8, "npi": [1154333771]}]}]}, {"tin": {"type": "ein", "value": "412101361"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "providers": [{"billed_charge": 2122.8, "npi": [1962504340]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1962504340]}]}]}, {"tin": {"type": "ein", "value": "412806612"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 322.03, "providers": [{"billed_charge": 2300.0, "npi": [1235226721, 1326223686, 1376985358, 1568677045, 1730525338]}]}]}, {"tin": {"type": "ein", "value": "420680452"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 491.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2559.11, "npi": [1356433049]}]}]}, {"tin": {"type": "ein", "value": "420680452"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 195.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 276.0, "npi": [1407203037]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 568.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1498.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "421550440"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 269.97, "providers": [{"billed_charge": 1280.0, "npi": [1740415256]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 926.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1381.0, "npi": [1407897309]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 178.93, "providers": [{"billed_charge": 459.0, "npi": [1770146953, 1093247645, 1013657774]}]}]}, {"tin": {"type": "ein", "value": "430653611"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.91, "providers": [{"billed_charge": 650.0, "npi": [1578131819]}]}]}, {"tin": {"type": "ein", "value": "431527130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 580.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3765.0, "npi": [1831107895]}]}]}, {"tin": {"type": "ein", "value": "431767432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 622.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1966.0, "npi": [1447284898]}]}]}, {"tin": {"type": "ein", "value": "431832147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.17, "providers": [{"billed_charge": 776.0, "npi": [1407099120]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "providers": [{"billed_charge": 1521.25, "npi": [1003883158]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "440552490"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1119.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2828.0, "npi": [1235102690]}]}]}, {"tin": {"type": "ein", "value": "440577118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1044.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2199.76, "npi": [1093740128]}]}]}, {"tin": {"type": "ein", "value": "440577118"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.62, "providers": [{"billed_charge": 448.26, "npi": [1760011654]}]}]}, {"tin": {"type": "ein", "value": "450226909"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.31, "providers": [{"billed_charge": 375.0, "npi": [1093001042]}]}]}, {"tin": {"type": "ein", "value": "450310462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 967.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1312.0, "npi": [1154346161]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.72, "providers": [{"billed_charge": 1521.25, "npi": [1215296884]}]}, {"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 922.0, "npi": [1093334401, 1932780426, 1437738382, 1487073680, 1447510805, 1740869270, 1669634838, 1609370394, 1023540135, 1306164520, 1184074932, 1235525312, 1528697026, 1821739202, 1568082501, 1841518024, 1437735883, 1457970766, 1508826066, 1477057123, 1205122660, 1548840051, 1801472253]}]}]}, {"tin": {"type": "ein", "value": "452528414"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 355.24, "providers": [{"billed_charge": 2407.29, "npi": [1972585347]}]}]}, {"tin": {"type": "ein", "value": "452662980"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5863.0, "npi": [1154618742]}]}, {"allowed_amount": 1249.1, "providers": [{"billed_charge": 5863.0, "npi": [1154618742]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2804.94, "npi": [1033120423]}]}, {"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2804.94, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "452716222"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.68, "providers": [{"billed_charge": 261.0, "npi": [1013580273]}]}]}, {"tin": {"type": "ein", "value": "453023491"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 96.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1693.0, "npi": [1689731242]}]}, {"allowed_amount": 192.68, "providers": [{"billed_charge": 1693.0, "npi": [1093976961, 1710626627]}]}]}, {"tin": {"type": "ein", "value": "454435955"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3681.81, "npi": [1467897447]}]}]}, {"tin": {"type": "ein", "value": "455637445"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "providers": [{"billed_charge": 1280.0, "npi": [1851655252, 1912528373]}]}, {"allowed_amount": 211.74, "providers": [{"billed_charge": 1280.0, "npi": [1215994397]}]}]}, {"tin": {"type": "ein", "value": "460796114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.14, "providers": [{"billed_charge": 4541.0, "npi": [1144397134]}]}]}, {"tin": {"type": "ein", "value": "461120780"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.8, "providers": [{"billed_charge": 1362.0, "npi": [1255384400]}]}]}, {"tin": {"type": "ein", "value": "461415202"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 245.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1152.0, "npi": [1235428673]}]}, {"allowed_amount": 408.81, "providers": [{"billed_charge": 1152.0, "npi": [1043859242, 1255969564]}]}, {"allowed_amount": 414.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1152.0, "npi": [1912391012, 1588716393, 1871084269, 1225151160, 1326312026, 1023415932]}]}, {"allowed_amount": 417.21, "billing_code_modifier": ["25", "SA"], "providers": [{"billed_charge": 1152.0, "npi": [1568211969, 1437926946, 1821408451, 1912391012, 1245728294, 1376143529, 1871084269, 1548573967, 1750784948, 1336630136, 1538805049, 1114650843, 1538473343]}]}, {"allowed_amount": 480.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1152.0, "npi": [1700467875, 1366976458, 1003376906, 1316472947, 1023694684]}]}, {"allowed_amount": 488.03, "providers": [{"billed_charge": 1152.0, "npi": [1144635905, 1912952227, 1801171624, 1922367531, 1730523895, 1366025934, 1740453778, 1770994295, 1497198360]}]}, {"allowed_amount": 490.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1152.0, "npi": [1598965378, 1760566277, 1447218821, 1740718600, 1003376906, 1972184208, 1447440276, 1588293526, 1215433495, 1043578263, 1811008410, 1639676315, 1861781536, 1922413475, 1174813349, 1588075303, 1295356467, 1174878391, 1104115898, 1346604352, 1235428673, 1821408451, 1831577667, 1679515720, 1407866056, 1346746443, 1790042844, 1245572700, 1568882785, 1134416357, 1639379431, 1326095720, 1831533033, 1265443949, 1154595056, 1225196017, 1548233968, 1336569078, 1700916988, 1922560382]}]}]}, {"tin": {"type": "ein", "value": "461568739"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "providers": [{"billed_charge": 1475.0, "npi": [1417169962]}]}, {"allowed_amount": 211.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1475.0, "npi": [1760419576, 1750655411]}]}, {"allowed_amount": 349.43, "providers": [{"billed_charge": 1475.0, "npi": [1760419576, 1417169962, 1750655411, 1508883430]}]}]}, {"tin": {"type": "ein", "value": "461602672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 360.65, "providers": [{"billed_charge": 1395.0, "npi": [1255371522, 1487731766]}]}]}, {"tin": {"type": "ein", "value": "461707288"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 259.45, "providers": [{"billed_charge": 1186.31, "npi": [1245792829]}]}]}, {"tin": {"type": "ein", "value": "462714379"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "providers": [{"billed_charge": 339.0, "npi": [1730686684, 1972997500, 1922491547, 1720087703]}]}, {"allowed_amount": 211.74, "providers": [{"billed_charge": 339.0, "npi": [1104005586]}]}, {"allowed_amount": 226.9, "providers": [{"billed_charge": 339.0, "npi": [1972997500]}]}, {"allowed_amount": 269.97, "providers": [{"billed_charge": 339.0, "npi": [1568821064]}]}]}, {"tin": {"type": "ein", "value": "463017479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10535.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4680.5, "npi": [1538508635]}]}]}, {"tin": {"type": "ein", "value": "463521234"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.24, "providers": [{"billed_charge": 1475.0, "npi": [1184820953]}]}, {"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1475.0, "npi": [1902108004]}]}, {"allowed_amount": 406.38, "providers": [{"billed_charge": 1475.0, "npi": [1902108004]}]}]}, {"tin": {"type": "ein", "value": "463696501"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 253.0, "npi": [1215146485]}]}, {"allowed_amount": 139.61, "providers": [{"billed_charge": 241.0, "npi": [1942610068]}]}]}, {"tin": {"type": "ein", "value": "463902289"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.18, "providers": [{"billed_charge": 678.0, "npi": [1275997298]}]}, {"allowed_amount": 174.51, "providers": [{"billed_charge": 921.0, "npi": [1083850176, 1952721250, 1265499909, 1801039078, 1790075943, 1619989415, 1487888939, 1255386256, 1710333521, 1750658704, 1700107166, 1326660309, 1548670326, 1962723288, 1083907166, 1326465246]}]}, {"allowed_amount": 184.89, "providers": [{"billed_charge": 921.0, "npi": [1962723288, 1063447415]}]}, {"allowed_amount": 215.23, "providers": [{"billed_charge": 921.0, "npi": [1144326570, 1548222193, 1588847826, 1225152341]}]}, {"allowed_amount": 317.61, "providers": [{"billed_charge": 921.0, "npi": [1134113699]}]}, {"allowed_amount": 322.03, "providers": [{"billed_charge": 921.0, "npi": [1003041484]}]}, {"allowed_amount": 360.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 921.0, "npi": [1811379456, 1235367368, 1295981033, 1679872204, 1134265168, 1447297239, 1215137245, 1790735934]}]}]}, {"tin": {"type": "ein", "value": "464007700"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1167.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2669.48, "npi": [1396138970]}]}]}, {"tin": {"type": "ein", "value": "464084062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3814.65, "npi": [1669872610]}]}]}, {"tin": {"type": "ein", "value": "464125750"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2609.0, "npi": [1457748238]}]}]}, {"tin": {"type": "ein", "value": "464198668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 133.5, "providers": [{"billed_charge": 2061.81, "npi": [1831619014]}]}, {"allowed_amount": 174.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2061.81, "npi": [1851370027, 1174985741, 1245385079]}]}]}, {"tin": {"type": "ein", "value": "464389870"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3902.0, "npi": [1952723967]}]}]}, {"tin": {"type": "ein", "value": "464767731"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "providers": [{"billed_charge": 1475.0, "npi": [1063522829, 1205332749, 1457316598]}]}, {"allowed_amount": 303.9, "providers": [{"billed_charge": 1475.0, "npi": [1457316598]}]}, {"allowed_amount": 349.43, "providers": [{"billed_charge": 1475.0, "npi": [1205332749, 1457316598, 1477597623]}]}, {"allowed_amount": 406.38, "providers": [{"billed_charge": 1475.0, "npi": [1689378291]}]}, {"allowed_amount": 468.82, "providers": [{"billed_charge": 1475.0, "npi": [1346467388]}]}]}, {"tin": {"type": "ein", "value": "464852005"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.33, "providers": [{"billed_charge": 1186.31, "npi": [1467563098]}]}]}, {"tin": {"type": "ein", "value": "465034266"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 181.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1324.0, "npi": [1497071468]}]}, {"allowed_amount": 363.75, "providers": [{"billed_charge": 1324.0, "npi": [1780247460, 1013978436, 1821354598, 1578908679, 1780859652, 1215138086, 1497860746, 1497071468, 1164407854, 1245216878, 1548550031, 1972062834, 1194745885, 1487880308, 1164607446, 1962933655, 1295314557]}]}]}, {"tin": {"type": "ein", "value": "465400615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 146.59, "providers": [{"billed_charge": 1123.0, "npi": [1922204973]}]}, {"allowed_amount": 157.06, "providers": [{"billed_charge": 1123.0, "npi": [1568428670]}]}, {"allowed_amount": 174.51, "providers": [{"billed_charge": 1123.0, "npi": [1205846573]}]}, {"allowed_amount": 360.65, "providers": [{"billed_charge": 1123.0, "npi": [1356537344]}]}, {"allowed_amount": 445.58, "providers": [{"billed_charge": 1123.0, "npi": [1588640155]}]}, {"allowed_amount": 500.0, "providers": [{"billed_charge": 1123.0, "npi": [1952740060]}]}, {"allowed_amount": 813.2, "providers": [{"billed_charge": 1123.0, "npi": [1235210204]}]}]}, {"tin": {"type": "ein", "value": "469117782"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.45, "providers": [{"billed_charge": 495.0, "npi": [1326359456]}]}]}, {"tin": {"type": "ein", "value": "470785575"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 283.31, "providers": [{"billed_charge": 325.0, "npi": [1396008199]}]}]}, {"tin": {"type": "ein", "value": "471022656"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 373.73, "providers": [{"billed_charge": 1077.0, "npi": [1548023153, 1508268442]}, {"billed_charge": 1330.0, "npi": [1245673573]}]}]}, {"tin": {"type": "ein", "value": "471322854"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 383.01, "providers": [{"billed_charge": 1475.0, "npi": [1760801591]}]}]}, {"tin": {"type": "ein", "value": "471345819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.85, "providers": [{"billed_charge": 368.0, "npi": [1205576105]}]}]}, {"tin": {"type": "ein", "value": "471382605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 240.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1210.0, "npi": [1114979572]}]}, {"allowed_amount": 408.81, "providers": [{"billed_charge": 1117.0, "npi": [1326831397, 1154752004, 1659036317]}, {"billed_charge": 1210.0, "npi": [1841870722, 1154752004, 1811507718, 1679076780, 1437390614, 1588436182, 1659036317]}]}, {"allowed_amount": 480.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1117.0, "npi": [1033180898, 1407979255, 1215137559, 1316575566, 1902424112, 1699160051, 1144501875, 1841789013, 1164788311, 1568107290, 1205858271]}, {"billed_charge": 1210.0, "npi": [1396163713, 1922060425, 1417932948, 1487141396, 1568107290, 1750341020, 1841813151, 1215325600, 1245550367, 1801152939, 1902424112, 1356717490, 1558321331, 1336764851, 1518491067, 1609519677, 1174878656, 1205221579, 1861142606, 1609355858, 1841789013, 1104015577, 1649267295, 1033180898, 1548885353, 1477562221, 1275597171, 1114979572, 1699160051, 1407979255, 1497806202, 1891851135]}]}]}, {"tin": {"type": "ein", "value": "471692221"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 217.08, "providers": [{"billed_charge": 2707.82, "npi": [1831165653]}]}, {"allowed_amount": 363.75, "providers": [{"billed_charge": 2707.82, "npi": [1215979265, 1407846181]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1620.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3240.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1835.0, "npi": [1790174860]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1835.0, "npi": [1790174860]}]}, {"allowed_amount": 1560.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1835.0, "npi": [1790174860]}]}, {"allowed_amount": 2573.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1835.0, "npi": [1790174860]}]}, {"allowed_amount": 3822.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1835.0, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1620.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3240.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "472616215"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 825.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8250.0, "npi": [1922468156]}]}, {"allowed_amount": 5289.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8250.0, "npi": [1922468156]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 408.81, "providers": [{"billed_charge": 981.0, "npi": [1316311913]}]}, {"allowed_amount": 414.65, "providers": [{"billed_charge": 1088.0, "npi": [1740970912, 1598036931, 1588227656, 1508538794, 1992485676, 1578952396, 1639648397, 1417434879, 1528449626, 1225727837, 1912708926, 1770263519]}]}, {"allowed_amount": 454.86, "providers": [{"billed_charge": 1088.0, "npi": [1669112280]}]}, {"allowed_amount": 480.95, "providers": [{"billed_charge": 956.0, "npi": [1639119795]}, {"billed_charge": 981.0, "npi": [1619948742, 1194456335, 1649538513, 1639524242, 1811213267, 1033820790, 1578719480]}, {"billed_charge": 1202.0, "npi": [1679831721, 1124425129, 1558652651, 1336888908, 1255759023, 1922280213, 1942635925, 1346568029]}]}, {"allowed_amount": 487.83, "providers": [{"billed_charge": 981.0, "npi": [1316130487]}, {"billed_charge": 1088.0, "npi": [1851668032, 1801423553, 1003557729, 1023460706, 1407016900, 1376830380, 1477509677, 1497405997, 1063919439, 1134320435, 1669094579, 1013963156, 1265694038, 1992264055, 1912931163, 1235390204]}, {"billed_charge": 1165.0, "npi": [1437355542]}]}]}, {"tin": {"type": "ein", "value": "472971495"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1234.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9656.0, "npi": [1659744662]}]}]}, {"tin": {"type": "ein", "value": "473239141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "providers": [{"billed_charge": 1475.0, "npi": [1417995200]}]}, {"allowed_amount": 349.43, "providers": [{"billed_charge": 1475.0, "npi": [1346801057, 1497729958, 1386723815, 1205840840, 1205074929, 1952717050]}]}]}, {"tin": {"type": "ein", "value": "473592319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 360.65, "providers": [{"billed_charge": 1207.0, "npi": [1568431104]}, {"billed_charge": 1575.0, "npi": [1568431104]}]}, {"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1207.0, "npi": [1306815592]}, {"billed_charge": 1575.0, "npi": [1265796528]}]}]}, {"tin": {"type": "ein", "value": "473918725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "providers": [{"billed_charge": 4000.0, "npi": [1205212313]}]}, {"allowed_amount": 1278.44, "providers": [{"billed_charge": 4000.0, "npi": [1205212313]}]}, {"allowed_amount": 3548.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1205212313]}]}]}, {"tin": {"type": "ein", "value": "474649080"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 360.65, "providers": [{"billed_charge": 1483.74, "npi": [1659528594]}]}]}, {"tin": {"type": "ein", "value": "474717998"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 967.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1268.0, "npi": [1104295864]}]}]}, {"tin": {"type": "ein", "value": "475013720"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 349.43, "providers": [{"billed_charge": 5801.28, "npi": [1285721613]}]}]}, {"tin": {"type": "ein", "value": "475046615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 480.95, "providers": [{"billed_charge": 1152.0, "npi": [1699235622, 1184020786, 1386683829, 1629501333]}]}]}, {"tin": {"type": "ein", "value": "475103702"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "providers": [{"billed_charge": 1475.0, "npi": [1407812852, 1700176773, 1588078158, 1609022847]}]}, {"allowed_amount": 303.9, "providers": [{"billed_charge": 1475.0, "npi": [1700176773]}]}, {"allowed_amount": 346.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1475.0, "npi": [1609022847]}]}, {"allowed_amount": 349.43, "providers": [{"billed_charge": 1475.0, "npi": [1700176773, 1588078158, 1346283025, 1407812852, 1609022847]}]}, {"allowed_amount": 349.45, "providers": [{"billed_charge": 1475.0, "npi": [1407812852]}]}, {"allowed_amount": 349.49, "providers": [{"billed_charge": 1475.0, "npi": [1588078158]}]}, {"allowed_amount": 358.01, "providers": [{"billed_charge": 1475.0, "npi": [1609022847]}]}, {"allowed_amount": 424.2, "providers": [{"billed_charge": 1475.0, "npi": [1588078158]}]}, {"allowed_amount": 446.77, "providers": [{"billed_charge": 1475.0, "npi": [1588078158]}]}, {"allowed_amount": 468.82, "providers": [{"billed_charge": 1475.0, "npi": [1700176773, 1609022847]}]}, {"allowed_amount": 529.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1475.0, "npi": [1346283025]}]}]}, {"tin": {"type": "ein", "value": "475138026"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 393.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6759.2, "npi": [1689627846]}]}]}, {"tin": {"type": "ein", "value": "475273455"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.74, "providers": [{"billed_charge": 852.0, "npi": [1700345840]}]}]}, {"tin": {"type": "ein", "value": "475454741"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 424.2, "providers": [{"billed_charge": 1475.0, "npi": [1093748659, 1437107612, 1700872421]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1780.0, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3273.0, "npi": [1255579389]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3273.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "520962668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 198.63, "providers": [{"billed_charge": 1186.31, "npi": [1225521529, 1720859630]}]}, {"allowed_amount": 233.68, "providers": [{"billed_charge": 1186.31, "npi": [1548403835]}]}]}, {"tin": {"type": "ein", "value": "550387249"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 848.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1897.0, "npi": [1619921947]}]}]}, {"tin": {"type": "ein", "value": "560554230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1240.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2455.0, "npi": [1881647204]}]}]}, {"tin": {"type": "ein", "value": "562143518"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 817.18, "providers": [{"billed_charge": 3311.63, "npi": [1881688976]}]}, {"allowed_amount": 2060.43, "providers": [{"billed_charge": 3311.63, "npi": [1881688976]}]}]}, {"tin": {"type": "ein", "value": "562488077"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1044.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2798.0, "npi": [1053353490]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.85, "providers": [{"billed_charge": 368.0, "npi": [1467080762]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 945.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2018.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "581943417"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 293.06, "providers": [{"billed_charge": 981.0, "npi": [1588197339, 1710993324]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.57, "providers": [{"billed_charge": 2631.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 293.06, "providers": [{"billed_charge": 540.0, "npi": [1811239130]}]}]}, {"tin": {"type": "ein", "value": "590774199"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 871.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4888.0, "npi": [1881632818]}]}]}, {"tin": {"type": "ein", "value": "590878982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 219.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3837.0, "npi": [1245226190]}]}]}, {"tin": {"type": "ein", "value": "591281714"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 505.9, "providers": [{"billed_charge": 1188.0, "npi": [1982068060]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 867.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5314.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 806.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2291.0, "npi": [1134102080]}]}]}, {"tin": {"type": "ein", "value": "611851498"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7053.0, "npi": [1669984498]}]}, {"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7053.0, "npi": [1669984498]}]}]}, {"tin": {"type": "ein", "value": "619404169"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.15, "providers": [{"billed_charge": 473.0, "npi": [1912589193]}]}]}, {"tin": {"type": "ein", "value": "621266047"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 434.17, "providers": [{"billed_charge": 1169.0, "npi": [1225667249]}]}]}, {"tin": {"type": "ein", "value": "621692446"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2979.98, "npi": [1497708929]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2774.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "621762559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "providers": [{"billed_charge": 3107.0, "npi": [1487607792]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2981.44, "npi": [1700805678]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2710.4, "npi": [1700805678]}, {"billed_charge": 2981.44, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "630475297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.0, "providers": [{"billed_charge": 160.0, "npi": [1306171236]}]}]}, {"tin": {"type": "ein", "value": "650578395"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.48, "providers": [{"billed_charge": 1187.0, "npi": [1811572563]}]}]}, {"tin": {"type": "ein", "value": "650622859"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 524.1, "providers": [{"billed_charge": 1361.0, "npi": [1891894838]}, {"billed_charge": 1518.0, "npi": [1740528231]}]}]}, {"tin": {"type": "ein", "value": "650622862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 505.9, "providers": [{"billed_charge": 1441.0, "npi": [1023334018]}]}]}, {"tin": {"type": "ein", "value": "650691102"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 373.85, "providers": [{"billed_charge": 1178.0, "npi": [1053843623]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 734.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2864.0, "npi": [1265065445]}]}]}, {"tin": {"type": "ein", "value": "731008550"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 575.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1581.0, "npi": [1851396394]}]}]}, {"tin": {"type": "ein", "value": "731553050"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 144.81, "providers": [{"billed_charge": 1338.0, "npi": [1104266659]}]}]}, {"tin": {"type": "ein", "value": "731605613"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.76, "providers": [{"billed_charge": 3473.0, "npi": [1306865357]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "providers": [{"billed_charge": 1521.25, "npi": [1659352987]}]}, {"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1659352987]}]}, {"allowed_amount": 5684.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 537.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2250.0, "npi": [1700882578]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 144.81, "providers": [{"billed_charge": 312.0, "npi": [1376163758]}]}]}, {"tin": {"type": "ein", "value": "741100555"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3824.0, "npi": [1477643690]}]}]}, {"tin": {"type": "ein", "value": "741109636"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2160.0, "npi": [1093708679]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 401.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3006.0, "npi": [1619115383]}]}, {"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3006.0, "npi": [1164526786, 1578780870, 1619115383, 1093810327, 1124137054]}, {"billed_charge": 3250.0, "npi": [1124137054]}]}, {"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3006.0, "npi": [1164526786, 1578780870, 1750499273, 1093810327, 1124137054, 1619115383]}, {"billed_charge": 3250.0, "npi": [1093810327]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4078.0, "npi": [1194787218]}]}, {"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4078.0, "npi": [1447883301]}]}, {"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3072.0, "npi": [1821004151]}, {"billed_charge": 4078.0, "npi": [1194787218, 1780867390]}]}, {"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4078.0, "npi": [1447883301]}]}, {"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3072.0, "npi": [1821004151]}, {"billed_charge": 4078.0, "npi": [1194787218, 1780867390]}]}, {"allowed_amount": 7275.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4078.0, "npi": [1194787218]}]}, {"allowed_amount": 8013.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4078.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741109836"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1261.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3226.0, "npi": [1689641680]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3920.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "741166904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2669.48, "npi": [1477516466]}]}, {"allowed_amount": 1089.82, "providers": [{"billed_charge": 2669.48, "npi": [1477516466]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.78, "providers": [{"billed_charge": 3816.0, "npi": [1548387418]}]}, {"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3816.0, "npi": [1548387418]}]}, {"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3816.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741282653"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 292.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 292.11, "npi": [1922195510]}]}]}, {"tin": {"type": "ein", "value": "741282653"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 125.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 125.19, "npi": [1134532161, 1801390158, 1215248463, 1245825108, 1326783671]}]}]}, {"tin": {"type": "ein", "value": "741287015"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3902.0, "npi": [1891789772]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1240.0, "npi": [1205900370]}]}, {"allowed_amount": 4203.87, "providers": [{"billed_charge": 1240.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.41, "providers": [{"billed_charge": 287.0, "npi": [1841635042, 1992796635, 1518520071]}]}, {"allowed_amount": 36.19, "providers": [{"billed_charge": 287.0, "npi": [1841916004]}]}, {"allowed_amount": 37.81, "providers": [{"billed_charge": 287.0, "npi": [1295714780]}]}, {"allowed_amount": 39.27, "providers": [{"billed_charge": 287.0, "npi": [1548293905, 1194137323]}]}, {"allowed_amount": 78.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 287.0, "npi": [1548586787, 1912527060]}]}, {"allowed_amount": 116.34, "providers": [{"billed_charge": 287.0, "npi": [1831137173]}]}, {"allowed_amount": 119.83, "providers": [{"billed_charge": 287.0, "npi": [1801126735]}]}, {"allowed_amount": 125.8, "providers": [{"billed_charge": 287.0, "npi": [1609658368]}]}, {"allowed_amount": 129.14, "providers": [{"billed_charge": 287.0, "npi": [1578141420]}]}, {"allowed_amount": 151.24, "providers": [{"billed_charge": 287.0, "npi": [1568081602, 1144337130, 1114552940, 1386223410, 1235405333, 1508201146]}]}, {"allowed_amount": 157.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 287.0, "npi": [1245658624, 1144615808, 1639532419, 1235457540, 1467081349, 1518520071, 1659322634, 1780205070, 1396249744, 1598183188, 1457745432, 1629687199, 1548586787, 1710397732, 1811485865, 1669859245, 1295231413, 1891372470, 1265440440, 1598253114, 1235622465, 1962142018, 1215997507, 1437441219, 1528632528, 1750541264, 1912527060, 1962745687, 1508803289, 1649216987, 1881073500, 1093380701, 1992796635, 1871866335, 1649634783, 1841635042, 1073614434, 1104404581, 1467030502, 1164400487, 1497198824, 1194137323, 1215426556, 1871869933, 1801358320, 1659396596, 1841828852, 1467773556, 1578722039, 1548368376, 1790945657, 1023768058, 1144648700, 1770548349, 1871701631]}]}, {"allowed_amount": 180.97, "providers": [{"billed_charge": 287.0, "npi": [1609658368, 1669154720, 1841916004, 1134828775, 1821445289, 1437693801, 1558137653, 1851700314]}]}, {"allowed_amount": 211.74, "providers": [{"billed_charge": 287.0, "npi": [1942792197]}]}, {"allowed_amount": 232.68, "providers": [{"billed_charge": 287.0, "npi": [1528520483, 1689297764, 1194229419, 1205463726, 1841491313, 1053874834, 1295266716]}]}, {"allowed_amount": 269.97, "providers": [{"billed_charge": 287.0, "npi": [1356164487, 1023209483, 1952803660, 1639241805, 1063738540, 1952705071, 1366151276, 1043077233, 1265805238, 1265787766, 1396462586, 1780791772]}]}]}, {"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1452.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2793.93, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "741603120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1777.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2158.43, "npi": [1740288505]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 184.89, "providers": [{"billed_charge": 339.0, "npi": [1548751977, 1326213588, 1881941623]}]}]}, {"tin": {"type": "ein", "value": "742019736"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1867.6, "npi": [1871599829]}]}, {"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1867.6, "npi": [1871599829]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.74, "providers": [{"billed_charge": 473.0, "npi": [1912589193]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2516.85, "providers": [{"billed_charge": 7191.0, "npi": [1770536120]}]}, {"allowed_amount": 2517.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7192.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 999.56, "npi": [1477502417]}]}, {"allowed_amount": 118.67, "providers": [{"billed_charge": 999.56, "npi": [1760736664, 1659357069]}]}, {"allowed_amount": 125.73, "providers": [{"billed_charge": 999.56, "npi": [1437637386, 1336884014]}]}, {"allowed_amount": 133.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 999.56, "npi": [1912558917, 1205067048, 1750825741, 1558526350, 1497331516, 1508331422]}]}, {"allowed_amount": 141.44, "providers": [{"billed_charge": 999.56, "npi": [1013309889, 1013406503, 1205067048, 1427685932, 1518499672, 1588236475]}]}, {"allowed_amount": 157.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 999.56, "npi": [1578959532, 1639734064, 1578723284, 1649790965, 1487220604]}]}, {"allowed_amount": 174.39, "providers": [{"billed_charge": 999.56, "npi": [1770772832, 1366962193, 1275513426, 1710090329]}]}, {"allowed_amount": 174.51, "providers": [{"billed_charge": 999.56, "npi": [1871869537, 1134700578, 1780181511, 1710950696, 1124412267, 1316680333, 1952839086, 1821060369, 1063677490, 1801871538, 1720020373, 1730324054, 1609980317]}]}, {"allowed_amount": 180.97, "providers": [{"billed_charge": 999.56, "npi": [1649935024, 1710950076, 1659048270, 1932674231]}]}, {"allowed_amount": 184.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 999.56, "npi": [1669904389, 1316680333, 1952807729, 1366962193, 1548609365, 1427685726]}]}, {"allowed_amount": 211.74, "providers": [{"billed_charge": 999.56, "npi": [1811315369, 1720657281]}]}]}, {"tin": {"type": "ein", "value": "742519752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2669.48, "npi": [1154315307]}]}]}, {"tin": {"type": "ein", "value": "742557820"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2000.0, "npi": [1790782704]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1274.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3641.43, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 1277.48, "providers": [{"billed_charge": 3649.94, "npi": [1124074273]}]}, {"allowed_amount": 1304.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3727.92, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.11, "providers": [{"billed_charge": 999.56, "npi": [1841435963]}]}, {"allowed_amount": 78.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 999.56, "npi": [1609868322, 1205185667, 1467424069, 1013075977, 1245345610, 1912223660, 1790348944, 1508228503, 1922019900, 1841392255]}]}, {"allowed_amount": 83.44, "providers": [{"billed_charge": 999.56, "npi": [1609853720]}]}, {"allowed_amount": 90.49, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 999.56, "npi": [1124659537, 1619712130, 1609236694]}]}, {"allowed_amount": 109.18, "providers": [{"billed_charge": 999.56, "npi": [1871854745]}]}, {"allowed_amount": 157.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 999.56, "npi": [1366805376, 1821076738, 1205185667, 1568752772, 1235452038, 1750345351, 1013075977, 1114973450, 1235221771, 1124068234, 1205332749, 1093159949, 1588011662, 1790348944, 1295114122, 1982840211, 1760772503, 1508228503, 1710023577, 1871854745, 1003844382, 1104205343, 1013043744, 1609868322, 1194073767, 1144278698, 1912223660, 1063487023, 1972007599, 1053538736, 1225029424, 1790880565, 1740293174, 1609302330, 1619387834, 1922019900, 1427136829, 1841435963, 1477082303, 1841597887, 1285731521, 1467424069, 1417916487, 1417921479, 1245345610, 1154356178, 1821211988, 1578741211, 1326667999, 1851357024, 1659352417, 1366653669, 1316910821, 1740714732, 1154717932, 1700049392, 1114117363, 1053817973, 1518083062, 1003264375, 1568812022, 1376749820, 1841392255]}]}, {"allowed_amount": 180.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 999.56, "npi": [1619712130, 1356762405, 1124659537, 1578253266, 1518339902]}]}, {"allowed_amount": 211.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 999.56, "npi": [1194766311, 1548898059, 1053538736, 1558896274, 1508286451]}]}, {"allowed_amount": 269.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 999.56, "npi": [1952803660, 1841902319, 1609853720, 1932578077, 1245525567]}]}, {"allowed_amount": 322.03, "providers": [{"billed_charge": 999.56, "npi": [1043630635]}]}, {"allowed_amount": 457.93, "providers": [{"billed_charge": 999.56, "npi": [1053817973]}]}, {"allowed_amount": 457.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 999.56, "npi": [1366805376, 1619712130, 1235452038, 1013075977, 1124068234, 1114973450, 1548898059, 1205332749, 1588011662, 1790348944, 1558896274, 1982840211, 1871854745, 1356762405, 1366933806, 1972007599, 1053538736, 1740293174, 1427136829, 1245525567, 1477082303, 1285731521, 1417921479, 1962794826, 1245345610, 1124659537, 1326667999, 1700049392, 1568817393, 1316252018, 1508286451, 1053817973, 1003264375, 1841392255]}]}, {"allowed_amount": 864.41, "providers": [{"billed_charge": 999.56, "npi": [1811335458]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 317.61, "providers": [{"billed_charge": 387.0, "npi": [1588659429]}]}]}, {"tin": {"type": "ein", "value": "742959748"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 98.89, "providers": [{"billed_charge": 427.0, "npi": [1316290448]}]}]}, {"tin": {"type": "ein", "value": "742996090"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 77.18, "providers": [{"billed_charge": 1693.0, "npi": [1548266216]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 630.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2674.34, "npi": [1316936990]}, {"billed_charge": 2910.0, "npi": [1316936990]}, {"billed_charge": 3163.18, "npi": [1316936990]}]}, {"allowed_amount": 964.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2674.34, "npi": [1316936990]}, {"billed_charge": 2910.0, "npi": [1316936990]}, {"billed_charge": 3163.18, "npi": [1619747938, 1316936990]}]}, {"allowed_amount": 6043.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2910.0, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746000949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5375.0, "npi": [1548226988]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1845.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4101.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "providers": [{"billed_charge": 2618.0, "npi": [1194743013]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2618.0, "npi": [1194743013]}]}, {"allowed_amount": 1961.58, "providers": [{"billed_charge": 2618.0, "npi": [1720480627]}]}, {"allowed_amount": 4098.78, "providers": [{"billed_charge": 2618.0, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "750827446"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 969.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4064.08, "npi": [1528064649]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1174533343]}]}, {"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "750974351"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5547.0, "npi": [1124092036]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1669472387]}]}, {"allowed_amount": 905.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1669472387]}]}, {"allowed_amount": 5675.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751037591"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1124305065]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1124305065, 1851108765]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1396779948]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751188675"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1088.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1088.0, "npi": [1396748471]}]}]}, {"tin": {"type": "ein", "value": "751188675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 155.9, "providers": [{"billed_charge": 234.0, "npi": [1588230072]}]}]}, {"tin": {"type": "ein", "value": "751277293"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1598750721]}]}]}, {"tin": {"type": "ein", "value": "751301362"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 964.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2813.0, "npi": [1821087164]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1104845015]}]}, {"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751584559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 964.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2128.0, "npi": [1255325817]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1073511762]}]}, {"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1073511762]}]}, {"allowed_amount": 5684.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 2122.8, "npi": [1447250253]}]}, {"allowed_amount": 240.61, "providers": [{"billed_charge": 2122.8, "npi": [1447250253]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1447250253]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1447250253]}]}, {"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1265430177]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1265430177]}]}, {"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "751912147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 634.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1410.0, "npi": [1023013448]}]}, {"allowed_amount": 969.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1410.0, "npi": [1023013448]}]}]}, {"tin": {"type": "ein", "value": "752051646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "providers": [{"billed_charge": 3619.26, "npi": [1891765178]}]}, {"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3619.26, "npi": [1891765178]}]}]}, {"tin": {"type": "ein", "value": "752159087"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1091.0, "npi": [1821046855, 1134147911, 1235592585, 1023691953, 1083679799, 1184738361]}]}, {"allowed_amount": 383.01, "providers": [{"billed_charge": 1091.0, "npi": [1508821216, 1821354382]}]}]}, {"tin": {"type": "ein", "value": "752301801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 693.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 693.0, "npi": [1831170273]}]}]}, {"tin": {"type": "ein", "value": "752302928"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 630.71, "providers": [{"billed_charge": 1503.0, "npi": [1740273994]}]}, {"allowed_amount": 964.07, "providers": [{"billed_charge": 1503.0, "npi": [1740273994]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.02, "providers": [{"billed_charge": 286.0, "npi": [1407059561]}]}, {"allowed_amount": 138.44, "providers": [{"billed_charge": 286.0, "npi": [1205474582]}]}, {"allowed_amount": 215.23, "providers": [{"billed_charge": 286.0, "npi": [1316309164]}]}, {"allowed_amount": 286.0, "providers": [{"billed_charge": 286.0, "npi": [1376655936, 1568741379, 1851778468, 1043460132, 1023456431, 1881472595, 1588866164, 1417299413, 1285980730, 1760593883, 1740360189, 1467774943]}]}]}, {"tin": {"type": "ein", "value": "752522262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3970.0, "npi": [1952326977]}]}]}, {"tin": {"type": "ein", "value": "752559845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1369.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2468.0, "npi": [1992707228]}]}]}, {"tin": {"type": "ein", "value": "752562784"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 408.81, "providers": [{"billed_charge": 1052.0, "npi": [1932978160, 1326632506]}]}, {"allowed_amount": 480.95, "providers": [{"billed_charge": 943.0, "npi": [1215425145, 1619197043]}, {"billed_charge": 1004.0, "npi": [1326068370, 1861434771]}, {"billed_charge": 1052.0, "npi": [1326037284]}, {"billed_charge": 1206.0, "npi": [1255399309]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 2122.8, "npi": [1992700983]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1992700983]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752600873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 151.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 232.0, "npi": [1093762890, 1336637859, 1871575951]}]}, {"allowed_amount": 157.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 232.0, "npi": [1871904987, 1184691214]}]}]}, {"tin": {"type": "ein", "value": "752603847"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "providers": [{"billed_charge": 3386.0, "npi": [1275592131]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 147.85, "providers": [{"billed_charge": 388.0, "npi": [1609964394]}]}, {"allowed_amount": 158.41, "providers": [{"billed_charge": 388.0, "npi": [1518454354]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 146.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 292.0, "npi": [1629005400]}, {"billed_charge": 302.0, "npi": [1104184993]}]}, {"allowed_amount": 196.58, "providers": [{"billed_charge": 302.0, "npi": [1649854530]}]}, {"allowed_amount": 302.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 302.0, "npi": [1912023169, 1649854530, 1144251042, 1275766693, 1225058985, 1689664682, 1669978235, 1790340784, 1205164050, 1477972115, 1649563602, 1043467798, 1215593496, 1841429594, 1649466459]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 593.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1417980202]}]}, {"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752737522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.44, "providers": [{"billed_charge": 1152.0, "npi": [1457797029]}]}, {"allowed_amount": 244.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1152.0, "npi": [1538692520, 1144583774]}]}, {"allowed_amount": 408.81, "providers": [{"billed_charge": 1152.0, "npi": [1255702692, 1629090857, 1730192428, 1275648271, 1578155479]}]}, {"allowed_amount": 414.83, "providers": [{"billed_charge": 1152.0, "npi": [1023415932, 1306301668, 1346614039]}]}, {"allowed_amount": 480.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1118.0, "npi": [1801839360]}, {"billed_charge": 1152.0, "npi": [1114030848, 1780880641, 1093129090, 1417535105, 1336526599, 1720436751, 1538102033, 1154301588, 1568789147, 1538189980, 1386853539, 1730743972, 1053617571, 1740627371, 1184158636, 1306304688, 1063072304, 1104802867, 1235369398, 1205891009, 1881129419, 1851683148, 1114280401, 1568506707, 1417972308, 1811937493, 1558598490, 1700447323, 1730640095, 1508031204, 1780094565, 1033273834, 1710484589, 1427619055, 1124302708, 1619082872, 1639118201]}]}, {"allowed_amount": 488.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1118.0, "npi": [1336436070, 1629063409, 1750657938, 1124302708, 1679712533, 1417972308]}, {"billed_charge": 1152.0, "npi": [1497042048, 1831533827, 1093908998, 1528594942, 1528358025, 1487910154, 1033196043, 1366880015, 1801072145, 1396062097, 1740453778, 1568639508, 1316923030, 1376172312, 1326677147, 1477916443, 1457797029, 1902067622, 1326367657, 1881058733, 1043391022, 1376733618, 1497794101, 1962750646, 1164622007, 1881823672, 1033159736, 1568882108, 1982651840, 1346744257, 1154369601, 1235525312, 1144616004, 1013234244, 1346477767, 1467494344, 1750875209, 1982805321, 1871099978, 1821397068, 1093248205, 1114119880, 1649451725, 1922462928, 1659662674, 1518311380, 1215970132, 1275912537, 1144753757, 1144583774, 1720344161, 1760062434, 1649512419, 1245737188, 1578069605, 1861513830, 1265488233, 1932142445, 1578042735, 1700079985, 1477969905, 1407803125, 1689254518, 1386264182, 1558011130, 1922560382, 1740332287]}]}, {"allowed_amount": 490.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1152.0, "npi": [1568404739, 1689028516, 1972717510, 1528227782, 1467494344, 1861565160, 1164465514, 1235178823, 1992064620, 1215991021, 1497017958, 1073551917, 1568959286, 1568996023, 1043253495, 1235330556, 1932586591]}]}]}, {"tin": {"type": "ein", "value": "752760686"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.44, "providers": [{"billed_charge": 1106.0, "npi": [1174959118]}]}, {"allowed_amount": 291.72, "providers": [{"billed_charge": 1106.0, "npi": [1245833193]}]}, {"allowed_amount": 306.56, "providers": [{"billed_charge": 1106.0, "npi": [1417568346]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1770514077]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752771437"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1457382798]}]}]}, {"tin": {"type": "ein", "value": "752796815"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 700.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3485.0, "npi": [1295736734]}]}]}, {"tin": {"type": "ein", "value": "752829613"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3590.0, "npi": [1386647717]}]}]}, {"tin": {"type": "ein", "value": "752865177"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1395.3, "npi": [1922002674]}]}]}, {"tin": {"type": "ein", "value": "752890358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1548291883]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2443.0, "npi": [1285798918]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2443.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2460.0, "npi": [1992753222]}]}, {"allowed_amount": 905.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2460.0, "npi": [1992753222]}]}, {"allowed_amount": 5675.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2460.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1336172105]}]}, {"allowed_amount": 905.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1336172105]}, {"billed_charge": 7370.75, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.47, "providers": [{"billed_charge": 446.0, "npi": [1548794670]}]}, {"allowed_amount": 108.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 446.0, "npi": [1821471160]}]}, {"allowed_amount": 117.34, "providers": [{"billed_charge": 446.0, "npi": [1891314993]}]}, {"allowed_amount": 139.63, "providers": [{"billed_charge": 446.0, "npi": [1235535139, 1679735427, 1447250733, 1255539821, 1114579059, 1912176595, 1811495062, 1639042583, 1639472822, 1467091611, 1558863068, 1346957727]}]}, {"allowed_amount": 144.33, "providers": [{"billed_charge": 446.0, "npi": [1235339789]}]}, {"allowed_amount": 147.85, "providers": [{"billed_charge": 446.0, "npi": [1306498761, 1568665164]}]}, {"allowed_amount": 179.53, "providers": [{"billed_charge": 446.0, "npi": [1952329393]}]}, {"allowed_amount": 217.08, "providers": [{"billed_charge": 446.0, "npi": [1891037560, 1457617474, 1891180550]}]}, {"allowed_amount": 309.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 446.0, "npi": [1871030411, 1003350927, 1407580566, 1528415767, 1598355240, 1073533360, 1710352182, 1598123960, 1447768635, 1700337854, 1174833982, 1063408599, 1215291869, 1124343272, 1114945896, 1043620586, 1194433904, 1205344371, 1831663350, 1407375223, 1639828346, 1912630781, 1447523071]}]}, {"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 446.0, "npi": [1619322369, 1659492866, 1538145297, 1851462162, 1316576796, 1821520925, 1134549546, 1417418823, 1770015307, 1740441682, 1255354965, 1306295381, 1578069613, 1285261446, 1386689677, 1366939795, 1730684564, 1356795546, 1598159519, 1487851168, 1922489509, 1699977389, 1982024881, 1568774834, 1033405618, 1386964666, 1447991997, 1184687808, 1326468810, 1720247505, 1811952864, 1831551712, 1417310947, 1093248742, 1093916397, 1740691187, 1538459896, 1063440121, 1639188220, 1750919932, 1700273406, 1780947200, 1366861056, 1699238162, 1346568979, 1639667991, 1003040031, 1497104673, 1871122218, 1891314993, 1679716658, 1487273785, 1588158778, 1477726529, 1942763842, 1255759684, 1154853711, 1477762896, 1518281054, 1770535262, 1356357982, 1326095720, 1922063726, 1487159166, 1235492224, 1518160258, 1679953285, 1629214119, 1629482922, 1558618546, 1275153868, 1336407501, 1407352792, 1194466268, 1043664873, 1720041452, 1295122927, 1780264945, 1326021619, 1902368764, 1417061375]}, {"billed_charge": 478.0, "npi": [1508495284]}]}, {"allowed_amount": 446.0, "providers": [{"billed_charge": 446.0, "npi": [1891186789, 1912526633, 1235339789, 1558823153, 1427264084, 1295399574, 1285898940, 1215074687]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.15, "providers": [{"billed_charge": 2308.0, "npi": [1932123247]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2308.0, "npi": [1932123247]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2308.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 134.65, "providers": [{"billed_charge": 965.0, "npi": [1346073392]}]}, {"allowed_amount": 139.63, "providers": [{"billed_charge": 965.0, "npi": [1518023050, 1427058627, 1225194764]}]}, {"allowed_amount": 309.19, "providers": [{"billed_charge": 965.0, "npi": [1639647332]}]}]}, {"tin": {"type": "ein", "value": "760536234"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3920.0, "npi": [1942208616]}]}, {"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3920.0, "npi": [1942208616]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3902.0, "npi": [1083937593]}]}, {"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3902.0, "npi": [1083937593, 1497871628]}]}, {"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3902.0, "npi": [1083937593, 1184179194, 1497871628, 1871619254]}]}]}, {"tin": {"type": "ein", "value": "760631448"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 348.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5049.58, "npi": [1114932845]}]}, {"allowed_amount": 420.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5049.58, "npi": [1114932845]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 567.27, "providers": [{"billed_charge": 5314.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "810584939"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 123.46, "providers": [{"billed_charge": 1379.0, "npi": [1700182581]}]}, {"allowed_amount": 430.02, "providers": [{"billed_charge": 936.0, "npi": [1205861192]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 996.0, "npi": [1427727494]}]}, {"allowed_amount": 100.23, "providers": [{"billed_charge": 996.0, "npi": [1760064760, 1609144781]}]}, {"allowed_amount": 138.44, "providers": [{"billed_charge": 996.0, "npi": [1306126032, 1275846842, 1619869922]}]}, {"allowed_amount": 139.63, "providers": [{"billed_charge": 996.0, "npi": [1588716393, 1427727494, 1457693228, 1770085110]}]}, {"allowed_amount": 157.24, "providers": [{"billed_charge": 996.0, "npi": [1548898059]}]}, {"allowed_amount": 159.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 996.0, "npi": [1477711208]}]}, {"allowed_amount": 180.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 996.0, "npi": [1164624490]}]}, {"allowed_amount": 181.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 996.0, "npi": [1265096259, 1902163181]}]}, {"allowed_amount": 266.01, "providers": [{"billed_charge": 996.0, "npi": [1528758182]}]}, {"allowed_amount": 294.23, "providers": [{"billed_charge": 996.0, "npi": [1548546336, 1639742257, 1326342965]}]}, {"allowed_amount": 306.56, "providers": [{"billed_charge": 996.0, "npi": [1407576077, 1083346480, 1073114930, 1720329907, 1639830391, 1356717789]}]}, {"allowed_amount": 309.19, "providers": [{"billed_charge": 996.0, "npi": [1710657952, 1013504000, 1578712832, 1942373030, 1063742567, 1255350476, 1609144781, 1235272014, 1083346480, 1508526674, 1104340694, 1144658295, 1760064760, 1922035930, 1326387739, 1619594140, 1881087294, 1881102143]}]}, {"allowed_amount": 317.61, "providers": [{"billed_charge": 996.0, "npi": [1023078722, 1629020136, 1619504271, 1538121231, 1295189587, 1952537268, 1598779316, 1073969978, 1225693948]}]}, {"allowed_amount": 322.03, "providers": [{"billed_charge": 996.0, "npi": [1306307939, 1912940867, 1275273138, 1124407606, 1962909887]}]}, {"allowed_amount": 360.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 996.0, "npi": [1811379456, 1467013763, 1164833927, 1174264071, 1609908490, 1417040015, 1821383316, 1053671578, 1972183325, 1225133085, 1740589597, 1013361195, 1447570098, 1225599673, 1548793532, 1356862148, 1154477016, 1174533855, 1740840032, 1144640996, 1891283180, 1740495472, 1184069361, 1962602995]}]}, {"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 996.0, "npi": [1346650496, 1023364866, 1295230597, 1164985735, 1528358025, 1053538314, 1821529868, 1528700812, 1194345744, 1649891987, 1720494230, 1285964312, 1710326681, 1336340892, 1881343135, 1790880672, 1811152416, 1548671266, 1235699745, 1306283429, 1588078885, 1992094247, 1760922025, 1972894889, 1588012587, 1811317803, 1053990317, 1164955951, 1275150385, 1669035697, 1639383730, 1124407606, 1225599673, 1699272005, 1295936508, 1457856460, 1477088078, 1821354317, 1205967569, 1689935314, 1184882003, 1689316051, 1245736917, 1407266646, 1558472530, 1245859032, 1285166553, 1710474713, 1114312667, 1457676892, 1215137245, 1013359322, 1912656216, 1285255521, 1528170081, 1992333157, 1780146662, 1861856999, 1598108136, 1124316393, 1932669546, 1386908010, 1215131115, 1902163181, 1396373486, 1316206329, 1114367612, 1184088189]}]}]}, {"tin": {"type": "ein", "value": "811220861"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2461.65, "npi": [1467896282]}]}, {"allowed_amount": 157.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2461.65, "npi": [1235193608, 1821333469]}]}, {"allowed_amount": 424.2, "providers": [{"billed_charge": 2461.65, "npi": [1982840211]}]}, {"allowed_amount": 425.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2461.65, "npi": [1750522272]}]}, {"allowed_amount": 600.0, "providers": [{"billed_charge": 2461.65, "npi": [1750522272]}]}, {"allowed_amount": 799.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2461.65, "npi": [1851344212]}]}, {"allowed_amount": 863.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2461.65, "npi": [1750522272]}]}, {"allowed_amount": 874.0, "providers": [{"billed_charge": 2461.65, "npi": [1750522272]}]}, {"allowed_amount": 886.96, "providers": [{"billed_charge": 2461.65, "npi": [1821333469]}]}]}, {"tin": {"type": "ein", "value": "811390397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4238.4, "npi": [1821540295]}]}]}, {"tin": {"type": "ein", "value": "811407290"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5439.63, "npi": [1134654080]}]}]}, {"tin": {"type": "ein", "value": "812527918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.72, "providers": [{"billed_charge": 2609.0, "npi": [1396280756]}]}, {"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2609.0, "npi": [1396280756]}]}]}, {"tin": {"type": "ein", "value": "812880063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.2, "providers": [{"billed_charge": 1475.0, "npi": [1184821050]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2793.93, "npi": [1144781501, 1346729159]}]}, {"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2793.93, "npi": [1144781501]}, {"billed_charge": 3672.52, "npi": [1346729159]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3900.0, "npi": [1588638720, 1306011937, 1053791459, 1326204744, 1104046952, 1053007914, 1891720777, 1578267761, 1427583186, 1104052307, 1760724439, 1003564568, 1740572569, 1982231098, 1003340381, 1558629022, 1902893183]}]}]}, {"tin": {"type": "ein", "value": "813334196"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 827.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4320.0, "npi": [1013499383]}]}, {"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4320.0, "npi": [1013499383]}]}, {"allowed_amount": 1495.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4320.0, "npi": [1013499383]}]}, {"allowed_amount": 2975.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4320.0, "npi": [1013499383]}]}]}, {"tin": {"type": "ein", "value": "813556450"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5000.0, "npi": [1467935866]}]}, {"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5000.0, "npi": [1467935866]}]}]}, {"tin": {"type": "ein", "value": "813562144"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4320.0, "npi": [1639663370]}]}, {"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4320.0, "npi": [1639663370]}]}, {"allowed_amount": 1136.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4320.0, "npi": [1639663370]}]}, {"allowed_amount": 1211.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4320.0, "npi": [1639663370]}]}, {"allowed_amount": 1248.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4320.0, "npi": [1639663370]}]}, {"allowed_amount": 1309.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4320.0, "npi": [1639663370]}]}, {"allowed_amount": 1361.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4320.0, "npi": [1639663370]}]}, {"allowed_amount": 1412.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4320.0, "npi": [1639663370]}]}, {"allowed_amount": 1573.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4320.0, "npi": [1639663370]}]}, {"allowed_amount": 2425.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4320.0, "npi": [1639663370]}]}, {"allowed_amount": 2942.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4320.0, "npi": [1639663370]}]}]}, {"tin": {"type": "ein", "value": "814070316"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.74, "providers": [{"billed_charge": 1475.0, "npi": [1104004985]}]}]}, {"tin": {"type": "ein", "value": "814446624"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 160.15, "providers": [{"billed_charge": 909.0, "npi": [1801578893]}]}]}, {"tin": {"type": "ein", "value": "815287624"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2190.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5801.28, "npi": [1174059208]}]}]}, {"tin": {"type": "ein", "value": "815436418"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "providers": [{"billed_charge": 1475.0, "npi": [1447266184, 1316910821, 1225254014]}]}, {"allowed_amount": 303.9, "providers": [{"billed_charge": 1475.0, "npi": [1619084605]}]}, {"allowed_amount": 349.43, "providers": [{"billed_charge": 1475.0, "npi": [1003564568, 1447266184]}]}]}, {"tin": {"type": "ein", "value": "820161600"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 955.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1851.0, "npi": [1770586794]}]}]}, {"tin": {"type": "ein", "value": "820551704"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "providers": [{"billed_charge": 2122.8, "npi": [1649273434]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1649273434]}]}]}, {"tin": {"type": "ein", "value": "820641535"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6900.0, "npi": [1134783913]}]}]}, {"tin": {"type": "ein", "value": "820756286"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2956.0, "npi": [1821501875]}]}]}, {"tin": {"type": "ein", "value": "820956118"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "providers": [{"billed_charge": 2588.0, "npi": [1275563058, 1245347749]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1063051159]}]}, {"allowed_amount": 1062.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1063051159]}]}, {"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1063051159]}]}, {"allowed_amount": 1524.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1063051159]}]}, {"allowed_amount": 1618.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1063051159]}]}, {"allowed_amount": 1755.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1063051159]}]}, {"allowed_amount": 2449.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1063051159]}]}, {"allowed_amount": 2603.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1063051159]}]}, {"allowed_amount": 2863.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "822541182"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 176.25, "providers": [{"billed_charge": 983.0, "npi": [1437886975]}]}]}, {"tin": {"type": "ein", "value": "822763441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 158.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3435.0, "npi": [1568485621]}]}, {"allowed_amount": 317.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3435.0, "npi": [1740483122]}]}]}, {"tin": {"type": "ein", "value": "823349983"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2661.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3114.91, "npi": [1346753118]}]}]}, {"tin": {"type": "ein", "value": "823463299"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1699.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5801.28, "npi": [1649770488]}]}, {"allowed_amount": 2056.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5801.28, "npi": [1649770488]}]}, {"allowed_amount": 2075.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5801.28, "npi": [1649770488]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 2117.0, "npi": [1083112023]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2117.0, "npi": [1083112023]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2117.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2122.8, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "824540200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 830.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8250.0, "npi": [1124669262]}]}, {"allowed_amount": 1268.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8250.0, "npi": [1124669262]}]}]}, {"tin": {"type": "ein", "value": "825410675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 361.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1427085497]}]}, {"allowed_amount": 385.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1568717767]}]}, {"allowed_amount": 398.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1497073209, 1649212747]}]}]}, {"tin": {"type": "ein", "value": "831002191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.33, "providers": [{"billed_charge": 375.0, "npi": [1841929882]}]}]}, {"tin": {"type": "ein", "value": "831132382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 293.06, "providers": [{"billed_charge": 1581.0, "npi": [1245465384, 1508509860]}]}]}, {"tin": {"type": "ein", "value": "831785901"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 317.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1427345305]}]}, {"allowed_amount": 391.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1982966099]}]}, {"allowed_amount": 406.38, "providers": [{"billed_charge": 2750.0, "npi": [1114239571]}]}]}, {"tin": {"type": "ein", "value": "831864010"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 322.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1649212747]}]}, {"allowed_amount": 363.2, "providers": [{"billed_charge": 2750.0, "npi": [1427085497]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 905.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2804.94, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1104381292]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1104381292]}]}, {"allowed_amount": 4098.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1521.25, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "832040998"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5400.0, "npi": [1083189245]}]}]}, {"tin": {"type": "ein", "value": "832329088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3832.38, "npi": [1457820995]}]}]}, {"tin": {"type": "ein", "value": "832791442"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 2350.8, "npi": [1447297783]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 933.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5842.0, "npi": [1477531580]}]}, {"allowed_amount": 5849.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5842.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4739.07, "providers": [{"billed_charge": 13540.21, "npi": [1659327013]}]}]}, {"tin": {"type": "ein", "value": "841337350"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 593.0, "npi": [1003986076]}]}]}, {"tin": {"type": "ein", "value": "841343242"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.13, "providers": [{"billed_charge": 323.36, "npi": [1992287908]}]}]}, {"tin": {"type": "ein", "value": "841832545"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 118.67, "providers": [{"billed_charge": 2121.0, "npi": [1083949812]}]}, {"allowed_amount": 133.5, "providers": [{"billed_charge": 2121.0, "npi": [1902014772, 1962995431]}]}, {"allowed_amount": 138.44, "providers": [{"billed_charge": 2121.0, "npi": [1740412840, 1073905097, 1467632372, 1881074581, 1205871803, 1396784286]}]}, {"allowed_amount": 159.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2121.0, "npi": [1346582814]}]}, {"allowed_amount": 174.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2121.0, "npi": [1740474337, 1710627898, 1114248614, 1518129063, 1932484839, 1053844555, 1871583500, 1740506476, 1497174767, 1497756175, 1679715379, 1164983219, 1720020373, 1649429556, 1326660309, 1346400538, 1700464351]}]}, {"allowed_amount": 184.89, "providers": [{"billed_charge": 2121.0, "npi": [1043881915, 1740506476, 1144487109, 1437171287]}]}, {"allowed_amount": 215.23, "providers": [{"billed_charge": 2121.0, "npi": [1831108661, 1154596765]}]}, {"allowed_amount": 360.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2121.0, "npi": [1255894150, 1306284211, 1982345112, 1215192828, 1154596765]}]}]}, {"tin": {"type": "ein", "value": "842589283"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3486.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5953.11, "npi": [1902453970]}]}, {"allowed_amount": 4953.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5953.11, "npi": [1902453970]}]}]}, {"tin": {"type": "ein", "value": "842988873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 360.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2003.0, "npi": [1598402208, 1821299108, 1932789732, 1689627846, 1447517594, 1184104218, 1063438174]}]}]}, {"tin": {"type": "ein", "value": "843316983"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 217.08, "providers": [{"billed_charge": 465.6, "npi": [1932300779]}]}, {"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 465.6, "npi": [1780859652, 1801872551, 1497071468, 1336336205, 1154900819, 1164607446]}]}]}, {"tin": {"type": "ein", "value": "843475920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1063051159]}]}, {"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1063051159]}]}, {"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1063051159]}]}, {"allowed_amount": 3145.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "843654542"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "providers": [{"billed_charge": 2474.81, "npi": [1245878990]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2081.63, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 192.11, "providers": [{"billed_charge": 610.0, "npi": [1356735294]}]}, {"allowed_amount": 193.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 610.0, "npi": [1861750283, 1942525332, 1265895486]}]}]}, {"tin": {"type": "ein", "value": "850106941"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 989.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1309.0, "npi": [1578587150]}]}]}, {"tin": {"type": "ein", "value": "850327237"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2857.0, "npi": [1649373887]}]}]}, {"tin": {"type": "ein", "value": "851762272"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 813.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6759.2, "npi": [1710070685]}]}]}, {"tin": {"type": "ein", "value": "851778208"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5400.0, "npi": [1366056194]}]}]}, {"tin": {"type": "ein", "value": "851820772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1666.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9656.0, "npi": [1285252593]}]}, {"allowed_amount": 2233.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9656.0, "npi": [1285252593]}]}, {"allowed_amount": 2464.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9656.0, "npi": [1285252593]}]}]}, {"tin": {"type": "ein", "value": "851917572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.75, "providers": [{"billed_charge": 6759.2, "npi": [1972612935]}]}, {"allowed_amount": 528.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6759.2, "npi": [1972612935]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3518.13, "npi": [1316617707]}]}, {"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3518.13, "npi": [1316617707]}]}, {"allowed_amount": 2006.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3518.13, "npi": [1316617707]}]}, {"allowed_amount": 28394.95, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3518.13, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "851929979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6045.92, "npi": [1851180400]}]}, {"allowed_amount": 1190.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6045.92, "npi": [1851180400]}]}, {"allowed_amount": 4344.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6045.92, "npi": [1851180400]}]}]}, {"tin": {"type": "ein", "value": "851931245"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9656.0, "npi": [1750909974]}]}, {"allowed_amount": 592.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9656.0, "npi": [1750909974]}]}, {"allowed_amount": 3322.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9656.0, "npi": [1750909974]}]}, {"allowed_amount": 3459.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9656.0, "npi": [1750909974]}]}]}, {"tin": {"type": "ein", "value": "851931322"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6759.2, "npi": [1629068366]}]}]}, {"tin": {"type": "ein", "value": "851943296"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 317.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4549.85, "npi": [1871551598]}]}, {"allowed_amount": 333.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4549.85, "npi": [1861699076]}]}, {"allowed_amount": 393.8, "providers": [{"billed_charge": 4549.85, "npi": [1457765547]}]}]}, {"tin": {"type": "ein", "value": "851978933"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 401.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5000.0, "npi": [1265044333]}]}, {"allowed_amount": 712.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5000.0, "npi": [1265044333]}]}, {"allowed_amount": 1272.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5000.0, "npi": [1265044333]}]}, {"allowed_amount": 1507.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5000.0, "npi": [1265044333]}]}, {"allowed_amount": 1605.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5000.0, "npi": [1265044333]}]}]}, {"tin": {"type": "ein", "value": "851984103"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1347.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9656.0, "npi": [1376151365]}]}]}, {"tin": {"type": "ein", "value": "852007987"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2515.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9656.0, "npi": [1144838947]}]}]}, {"tin": {"type": "ein", "value": "852099359"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 352.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1235334871]}]}, {"allowed_amount": 353.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1215220660]}]}, {"allowed_amount": 363.2, "providers": [{"billed_charge": 2750.0, "npi": [1295013282, 1215220660, 1467895086]}]}, {"allowed_amount": 872.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1235334871]}]}]}, {"tin": {"type": "ein", "value": "852354189"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3619.26, "npi": [1215609896]}]}]}, {"tin": {"type": "ein", "value": "852382362"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7904.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1538854872]}]}]}, {"tin": {"type": "ein", "value": "852464463"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2167.2, "npi": [1124281456, 1982877387]}]}, {"allowed_amount": 146.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2167.2, "npi": [1922595727]}]}, {"allowed_amount": 157.06, "providers": [{"billed_charge": 2167.2, "npi": [1568816692]}]}, {"allowed_amount": 174.51, "providers": [{"billed_charge": 2167.2, "npi": [1073545588]}]}, {"allowed_amount": 600.0, "providers": [{"billed_charge": 2167.2, "npi": [1578022778, 1396932349]}]}, {"allowed_amount": 795.82, "providers": [{"billed_charge": 2167.2, "npi": [1396840740]}]}, {"allowed_amount": 800.0, "providers": [{"billed_charge": 2167.2, "npi": [1982877387]}]}, {"allowed_amount": 1394.67, "providers": [{"billed_charge": 2167.2, "npi": [1922208776]}]}]}, {"tin": {"type": "ein", "value": "852713042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1376141556]}]}, {"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1376141556]}]}, {"allowed_amount": 2343.23, "providers": [{"billed_charge": 4334.4, "npi": [1376141556]}]}, {"allowed_amount": 2528.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1376141556]}]}, {"allowed_amount": 4739.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1376141556]}]}, {"allowed_amount": 4844.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1376141556]}]}, {"allowed_amount": 4860.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1376141556]}]}, {"allowed_amount": 10621.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1376141556]}]}]}, {"tin": {"type": "ein", "value": "853330746"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 360.65, "providers": [{"billed_charge": 2300.0, "npi": [1356336127]}]}, {"allowed_amount": 363.75, "providers": [{"billed_charge": 2300.0, "npi": [1003157561]}]}]}, {"tin": {"type": "ein", "value": "853503076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4957.82, "npi": [1124623889]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4957.82, "npi": [1124623889]}]}]}, {"tin": {"type": "ein", "value": "853861695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.85, "providers": [{"billed_charge": 631.0, "npi": [1144253857]}]}]}, {"tin": {"type": "ein", "value": "853903021"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1912352162]}]}, {"allowed_amount": 215.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1053323261]}]}, {"allowed_amount": 360.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1184104218, 1659357838, 1235119991]}]}, {"allowed_amount": 374.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1982658597]}]}, {"allowed_amount": 401.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1053323261]}]}, {"allowed_amount": 435.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1912352162]}]}]}, {"tin": {"type": "ein", "value": "853947817"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.24, "providers": [{"billed_charge": 1026.0, "npi": [1699193771]}]}]}, {"tin": {"type": "ein", "value": "854225196"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 500.0, "providers": [{"billed_charge": 3750.0, "npi": [1316007347]}]}]}, {"tin": {"type": "ein", "value": "854239627"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3750.0, "npi": [1053639039]}]}]}, {"tin": {"type": "ein", "value": "854257664"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 465.75, "providers": [{"billed_charge": 3750.0, "npi": [1467793034]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 734.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2790.0, "npi": [1073576740]}]}]}, {"tin": {"type": "ein", "value": "861187397"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 360.65, "providers": [{"billed_charge": 832.0, "npi": [1447249503]}]}]}, {"tin": {"type": "ein", "value": "862559925"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 274.07, "providers": [{"billed_charge": 2750.0, "npi": [1639220213]}]}]}, {"tin": {"type": "ein", "value": "870629690"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 159.92, "providers": [{"billed_charge": 876.0, "npi": [1508216698]}]}]}, {"tin": {"type": "ein", "value": "871224784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4957.82, "npi": [1003489212]}]}, {"allowed_amount": 906.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4957.82, "npi": [1003489212]}]}]}, {"tin": {"type": "ein", "value": "871558323"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5400.0, "npi": [1063084820]}]}]}, {"tin": {"type": "ein", "value": "871781373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1992986368, 1659667129, 1255658027]}]}, {"allowed_amount": 383.01, "providers": [{"billed_charge": 3500.0, "npi": [1659667129]}]}]}, {"tin": {"type": "ein", "value": "872457837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 173.06, "providers": [{"billed_charge": 943.0, "npi": [1639929243]}]}]}, {"tin": {"type": "ein", "value": "872698268"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4680.5, "npi": [1861163826]}]}]}, {"tin": {"type": "ein", "value": "873434444"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3923.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6750.75, "npi": [1679225288]}]}]}, {"tin": {"type": "ein", "value": "873507760"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 874.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5049.58, "npi": [1396043444]}]}]}, {"tin": {"type": "ein", "value": "873769568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 340.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5801.28, "npi": [1407883788]}]}, {"allowed_amount": 345.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5801.28, "npi": [1407883788]}]}, {"allowed_amount": 357.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5801.28, "npi": [1801095880]}]}]}, {"tin": {"type": "ein", "value": "880900432"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "providers": [{"billed_charge": 678.0, "npi": [1972091718]}]}]}, {"tin": {"type": "ein", "value": "880967886"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5400.0, "npi": [1023754793]}]}]}, {"tin": {"type": "ein", "value": "881716225"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3518.13, "npi": [1053175794]}]}, {"allowed_amount": 938.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3518.13, "npi": [1053175794]}]}, {"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3518.13, "npi": [1053175794]}]}]}, {"tin": {"type": "ein", "value": "881755886"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "providers": [{"billed_charge": 1493.64, "npi": [1548519168, 1750344321, 1417205675, 1013028646]}]}]}, {"tin": {"type": "ein", "value": "882501936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1750013769]}]}, {"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1750013769]}]}, {"allowed_amount": 4334.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1750013769]}]}, {"allowed_amount": 4336.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1750013769]}]}, {"allowed_amount": 4475.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1750013769]}]}, {"allowed_amount": 6076.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1750013769]}]}, {"allowed_amount": 7557.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1750013769]}]}, {"allowed_amount": 12580.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1750013769]}]}, {"allowed_amount": 18776.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1750013769]}]}]}, {"tin": {"type": "ein", "value": "882923822"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1424.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9656.0, "npi": [1770214256]}]}]}, {"tin": {"type": "ein", "value": "882931023"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9656.0, "npi": [1740911213]}]}, {"allowed_amount": 3866.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9656.0, "npi": [1740911213]}]}]}, {"tin": {"type": "ein", "value": "882995921"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 400.49, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6759.2, "npi": [1316119571]}]}]}, {"tin": {"type": "ein", "value": "882995935"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6759.2, "npi": [1568477339, 1215192828]}]}]}, {"tin": {"type": "ein", "value": "883018450"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6759.2, "npi": [1760894497]}]}]}, {"tin": {"type": "ein", "value": "883048479"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 184.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5049.58, "npi": [1750330932]}]}]}, {"tin": {"type": "ein", "value": "883572858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1164748810]}]}]}, {"tin": {"type": "ein", "value": "883576979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 905.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4957.82, "npi": [1851028146]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.41, "providers": [{"billed_charge": 413.0, "npi": [1710622485]}]}]}, {"tin": {"type": "ein", "value": "900154768"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 187.95, "providers": [{"billed_charge": 1123.0, "npi": [1659351062]}]}]}, {"tin": {"type": "ein", "value": "900811360"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 567.27, "providers": [{"billed_charge": 9760.2, "npi": [1912246786]}]}]}, {"tin": {"type": "ein", "value": "910885450"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.02, "providers": [{"billed_charge": 815.0, "npi": [1811525660]}]}]}, {"tin": {"type": "ein", "value": "916000986"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3250.0, "npi": [1649209230]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 401.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7053.0, "npi": [1003539073]}]}, {"allowed_amount": 776.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7053.0, "npi": [1003539073]}]}, {"allowed_amount": 836.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7053.0, "npi": [1003539073]}]}, {"allowed_amount": 1542.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7053.0, "npi": [1003539073]}]}, {"allowed_amount": 1555.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7053.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3435.0, "npi": [1972578714]}]}, {"allowed_amount": 278.49, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3435.0, "npi": [1972578714]}]}, {"allowed_amount": 390.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3435.0, "npi": [1184916546]}]}, {"allowed_amount": 393.8, "providers": [{"billed_charge": 3435.0, "npi": [1275598393]}]}, {"allowed_amount": 406.38, "providers": [{"billed_charge": 3435.0, "npi": [1275598393, 1184916546]}]}]}, {"tin": {"type": "ein", "value": "920750962"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 174.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 749.78, "npi": [1902249576]}, {"billed_charge": 1696.88, "npi": [1902249576, 1891729315, 1083814552]}]}]}, {"tin": {"type": "ein", "value": "920937062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1558056895]}]}]}, {"tin": {"type": "ein", "value": "921903817"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 360.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6101.95, "npi": [1083920888]}]}, {"allowed_amount": 810.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6101.95, "npi": [1083920888]}]}]}, {"tin": {"type": "ein", "value": "921924347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7253.7, "npi": [1639875750]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7253.7, "npi": [1639875750]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.87, "providers": [{"billed_charge": 678.0, "npi": [1356329924]}]}, {"allowed_amount": 192.04, "providers": [{"billed_charge": 678.0, "npi": [1700599149]}]}, {"allowed_amount": 335.81, "providers": [{"billed_charge": 678.0, "npi": [1760893531, 1841771375]}]}, {"allowed_amount": 350.39, "providers": [{"billed_charge": 678.0, "npi": [1306412671]}]}, {"allowed_amount": 362.97, "providers": [{"billed_charge": 678.0, "npi": [1083906028]}]}]}, {"tin": {"type": "ein", "value": "922110411"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 273.6, "providers": [{"billed_charge": 678.0, "npi": [1912278383]}]}]}, {"tin": {"type": "ein", "value": "922122433"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 307.63, "providers": [{"billed_charge": 678.0, "npi": [1821258567]}]}]}, {"tin": {"type": "ein", "value": "922631837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1765.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6045.92, "npi": [1457047664]}]}]}, {"tin": {"type": "ein", "value": "922858146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5400.0, "npi": [1184305609]}]}]}, {"tin": {"type": "ein", "value": "923209338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1180.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8250.0, "npi": [1558132365]}]}, {"allowed_amount": 1261.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8250.0, "npi": [1558132365]}]}, {"allowed_amount": 1642.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8250.0, "npi": [1558132365]}]}]}, {"tin": {"type": "ein", "value": "923364122"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 397.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4549.85, "npi": [1720473291]}]}, {"allowed_amount": 406.38, "providers": [{"billed_charge": 4549.85, "npi": [1720473291]}]}]}, {"tin": {"type": "ein", "value": "923637942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4957.82, "npi": [1679263883]}]}]}, {"tin": {"type": "ein", "value": "923905364"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.44, "providers": [{"billed_charge": 2300.0, "npi": [1104083039]}]}, {"allowed_amount": 174.51, "providers": [{"billed_charge": 2300.0, "npi": [1952387458]}]}, {"allowed_amount": 184.89, "providers": [{"billed_charge": 2300.0, "npi": [1811248545]}]}, {"allowed_amount": 215.23, "providers": [{"billed_charge": 2300.0, "npi": [1700233970]}]}]}, {"tin": {"type": "ein", "value": "923978738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1134151624, 1609899475, 1467416727]}]}]}, {"tin": {"type": "ein", "value": "931447847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 217.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1164.0, "npi": [1881815017]}, {"billed_charge": 2934.0, "npi": [1881815017, 1568967909]}]}, {"allowed_amount": 346.18, "providers": [{"billed_charge": 2934.0, "npi": [1881815017]}]}, {"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1164.0, "npi": [1417995291, 1033477971, 1568967909, 1114422623]}, {"billed_charge": 2934.0, "npi": [1366880015, 1124386321, 1033477971, 1417995291, 1821434333, 1114422623]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 406.32, "providers": [{"billed_charge": 883.0, "npi": [1396773628]}]}]}, {"tin": {"type": "ein", "value": "931968492"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 445.58, "providers": [{"billed_charge": 1063.35, "npi": [1245491489, 1831370758, 1821088824, 1619977261, 1275574196, 1255320214, 1386823672, 1114113818, 1124067228]}]}]}, {"tin": {"type": "ein", "value": "932299964"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2498.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4500.0, "npi": [1578300174]}]}]}, {"tin": {"type": "ein", "value": "932446901"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 215.23, "providers": [{"billed_charge": 1693.0, "npi": [1598807216]}]}, {"allowed_amount": 360.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1693.0, "npi": [1861613184, 1376939918, 1063418127, 1306377619, 1932147196, 1831519453, 1891256095]}]}]}, {"tin": {"type": "ein", "value": "932457529"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.24, "providers": [{"billed_charge": 2300.0, "npi": [1700198660]}]}, {"allowed_amount": 232.68, "providers": [{"billed_charge": 2300.0, "npi": [1396719415]}]}, {"allowed_amount": 363.75, "providers": [{"billed_charge": 2300.0, "npi": [1164748810, 1154363067, 1255651279]}]}, {"allowed_amount": 445.58, "providers": [{"billed_charge": 2300.0, "npi": [1124023718]}]}]}, {"tin": {"type": "ein", "value": "932470063"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 306.56, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 1693.0, "npi": [1356315345]}]}, {"allowed_amount": 360.65, "providers": [{"billed_charge": 1693.0, "npi": [1811998453]}]}]}, {"tin": {"type": "ein", "value": "932501917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 164.33, "providers": [{"billed_charge": 598.0, "npi": [1932747987, 1538619267, 1134616063]}]}, {"allowed_amount": 176.25, "providers": [{"billed_charge": 607.0, "npi": [1851329767]}]}]}, {"tin": {"type": "ein", "value": "932653421"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "providers": [{"billed_charge": 1693.0, "npi": [1669727665, 1376560979, 1407299779]}]}]}, {"tin": {"type": "ein", "value": "932871205"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 560.03, "providers": [{"billed_charge": 2760.0, "npi": [1073567988]}]}]}, {"tin": {"type": "ein", "value": "933488698"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 438.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1740042175]}]}, {"allowed_amount": 670.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1740042175]}]}, {"allowed_amount": 3827.49, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1740042175]}]}, {"allowed_amount": 13121.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1740042175]}]}, {"allowed_amount": 13333.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1740042175]}]}, {"allowed_amount": 19002.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4334.4, "npi": [1740042175]}]}]}, {"tin": {"type": "ein", "value": "933829214"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 167.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1280.0, "npi": [1891087433]}]}]}, {"tin": {"type": "ein", "value": "933854910"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 126.95, "providers": [{"billed_charge": 1280.0, "npi": [1093191751]}]}]}, {"tin": {"type": "ein", "value": "933910567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.0, "providers": [{"billed_charge": 678.0, "npi": [1144850751]}]}, {"allowed_amount": 78.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1693.0, "npi": [1609308634, 1497784110, 1780325258]}]}, {"allowed_amount": 133.5, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 1693.0, "npi": [1639312408, 1013366145, 1780325258, 1184916546]}]}, {"allowed_amount": 138.44, "providers": [{"billed_charge": 1693.0, "npi": [1962113159]}]}, {"allowed_amount": 157.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1693.0, "npi": [1013366145, 1194714113, 1780325258, 1619354776, 1134863517, 1689093924, 1477591337, 1093906604, 1497784110, 1528084019, 1912921016, 1780896829, 1427136829, 1104911551, 1184916546, 1629718341, 1962639047, 1619397452, 1437172566, 1609308634, 1306010723, 1508980327, 1316252018, 1679799423]}]}, {"allowed_amount": 211.74, "providers": [{"billed_charge": 1693.0, "npi": [1427098011, 1598761207]}]}]}, {"tin": {"type": "ein", "value": "933918299"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1693.0, "npi": [1952937187, 1982024873, 1164172458, 1518464395, 1417205675, 1891172938, 1609308634, 1992382386, 1760068530, 1427583186, 1497725204, 1225482169, 1467896282]}]}, {"allowed_amount": 211.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1693.0, "npi": [1972751360, 1740573260]}]}, {"allowed_amount": 317.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1693.0, "npi": [1013327782, 1376047217, 1730685496, 1144670076, 1679223903]}]}]}, {"tin": {"type": "ein", "value": "934242663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 826.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6045.92, "npi": [1740054436]}]}, {"allowed_amount": 1089.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6045.92, "npi": [1740054436]}]}]}, {"tin": {"type": "ein", "value": "934256759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 317.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4549.85, "npi": [1740625946]}]}, {"allowed_amount": 406.38, "providers": [{"billed_charge": 4549.85, "npi": [1740625946]}]}]}, {"tin": {"type": "ein", "value": "934370183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4000.0, "npi": [1538934864]}]}]}, {"tin": {"type": "ein", "value": "934445461"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.75, "providers": [{"billed_charge": 1395.0, "npi": [1023704608, 1255371522, 1891498788, 1982658597, 1588892590, 1659069599]}]}]}, {"tin": {"type": "ein", "value": "934935234"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 369.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1598720658]}]}]}, {"tin": {"type": "ein", "value": "941156621"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2393.75, "providers": [{"billed_charge": 4634.0, "npi": [1811946734]}]}, {"allowed_amount": 6505.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4634.0, "npi": [1811946734]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "providers": [{"billed_charge": 962.0, "npi": [1215519822]}]}, {"allowed_amount": 100.0, "providers": [{"billed_charge": 962.0, "npi": [1710445036]}]}, {"allowed_amount": 159.47, "providers": [{"billed_charge": 962.0, "npi": [1356951057]}]}, {"allowed_amount": 195.71, "providers": [{"billed_charge": 962.0, "npi": [1073541991]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 895.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3678.43, "npi": [1043220650]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.15, "providers": [{"billed_charge": 291.0, "npi": [1356364129]}]}]}, {"tin": {"type": "ein", "value": "943278555"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 205.37, "providers": [{"billed_charge": 834.0, "npi": [1760473482]}]}]}, {"tin": {"type": "ein", "value": "951644600"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "providers": [{"billed_charge": 506.0, "npi": [1912526369]}]}]}, {"tin": {"type": "ein", "value": "951750445"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "providers": [{"billed_charge": 725.0, "npi": [1730529249]}]}, {"allowed_amount": 68.35, "providers": [{"billed_charge": 725.0, "npi": [1447327317]}]}]}, {"tin": {"type": "ein", "value": "952226406"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3151.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3151.0, "npi": [1689608150]}]}]}, {"tin": {"type": "ein", "value": "952321136"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3244.66, "providers": [{"billed_charge": 9270.45, "npi": [1306890389]}]}]}, {"tin": {"type": "ein", "value": "953101325"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 477.0, "npi": [1730342064]}]}]}, {"tin": {"type": "ein", "value": "954615787"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "providers": [{"billed_charge": 709.0, "npi": [1124588058]}]}]}, {"tin": {"type": "ein", "value": "990517950"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3750.0, "npi": [1124656210, 1710320155]}]}, {"allowed_amount": 454.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3750.0, "npi": [1770963282]}]}, {"allowed_amount": 472.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3750.0, "npi": [1558673236]}]}]}, {"tin": {"type": "ein", "value": "990675124"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 136.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1861475402, 1528488186]}]}, {"allowed_amount": 137.29, "providers": [{"billed_charge": 678.0, "npi": [1831134667]}]}, {"allowed_amount": 147.91, "providers": [{"billed_charge": 678.0, "npi": [1902042237]}]}]}, {"tin": {"type": "ein", "value": "990946816"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 142.47, "providers": [{"billed_charge": 2400.0, "npi": [1477902898]}]}]}, {"tin": {"type": "ein", "value": "991725632"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4957.82, "npi": [1780442517]}]}, {"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4957.82, "npi": [1780442517]}]}, {"allowed_amount": 2237.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4957.82, "npi": [1780442517]}]}]}, {"tin": {"type": "ein", "value": "991770453"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1023221413]}]}, {"allowed_amount": 374.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1609048479]}]}, {"allowed_amount": 558.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1922075464]}]}]}, {"tin": {"type": "ein", "value": "991799354"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 293.06, "providers": [{"billed_charge": 1581.0, "npi": [1750900866]}]}]}, {"tin": {"type": "ein", "value": "992078911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1049.8, "providers": [{"billed_charge": 4600.0, "npi": [1770333403]}]}]}, {"tin": {"type": "ein", "value": "992145793"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 180.03, "providers": [{"billed_charge": 267.0, "npi": [1942662960]}]}]}, {"tin": {"type": "ein", "value": "992199214"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8344.37, "npi": [1013735786]}]}]}, {"tin": {"type": "ein", "value": "992248967"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.44, "providers": [{"billed_charge": 2588.0, "npi": [1124281456]}]}]}, {"tin": {"type": "ein", "value": "992633799"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 357.0, "npi": [1760726418]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 204.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 443.0, "npi": [1780241927]}]}]}, {"tin": {"type": "ein", "value": "992876513"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "providers": [{"billed_charge": 8344.37, "npi": [1346260890]}]}, {"allowed_amount": 211.74, "providers": [{"billed_charge": 8344.37, "npi": [1013955533, 1851530455]}]}]}, {"tin": {"type": "ein", "value": "993064915"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 125.73, "providers": [{"billed_charge": 1123.0, "npi": [1578320339]}]}, {"allowed_amount": 141.44, "providers": [{"billed_charge": 1123.0, "npi": [1881289908]}]}, {"allowed_amount": 184.89, "providers": [{"billed_charge": 1123.0, "npi": [1811525371]}]}]}, {"tin": {"type": "ein", "value": "993340227"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5302.5, "npi": [1205669355]}]}, {"allowed_amount": 427.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5302.5, "npi": [1205669355]}]}]}, {"tin": {"type": "ein", "value": "993360712"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5302.5, "npi": [1922831999]}]}, {"allowed_amount": 851.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5302.5, "npi": [1922831999]}]}, {"allowed_amount": 933.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5302.5, "npi": [1922831999]}]}, {"allowed_amount": 1222.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5302.5, "npi": [1922831999]}]}]}, {"tin": {"type": "ein", "value": "993694300"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3581.26, "npi": [1548217193, 1336109818]}]}]}, {"tin": {"type": "ein", "value": "993703293"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 363.75, "providers": [{"billed_charge": 3581.26, "npi": [1962491035, 1255651279]}]}]}, {"tin": {"type": "ein", "value": "993719983"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1278.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5400.0, "npi": [1275339459]}]}]}, {"tin": {"type": "ein", "value": "993726953"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 217.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3581.26, "npi": [1063738474]}]}, {"allowed_amount": 363.75, "providers": [{"billed_charge": 3581.26, "npi": [1265812960, 1619284189]}]}, {"allowed_amount": 373.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3581.26, "npi": [1962491035]}]}, {"allowed_amount": 388.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3581.26, "npi": [1073743019]}]}, {"allowed_amount": 399.57, "providers": [{"billed_charge": 3581.26, "npi": [1336109818, 1619284189]}]}]}, {"tin": {"type": "ein", "value": "993991262"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.44, "providers": [{"billed_charge": 2350.8, "npi": [1851321582]}]}]}, {"tin": {"type": "ein", "value": "994033449"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2158.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4680.5, "npi": [1902644263]}]}, {"allowed_amount": 5147.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4680.5, "npi": [1902644263]}]}]}, {"tin": {"type": "ein", "value": "995020733"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 806.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5545.92, "npi": [1184440828]}]}]}, {"tin": {"type": "ein", "value": "995104341"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1261.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8250.0, "npi": [1609697242]}]}, {"allowed_amount": 1508.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8250.0, "npi": [1609697242]}]}]}, {"tin": {"type": "ein", "value": "995114582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 157.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3750.0, "npi": [1760772792, 1124448097, 1033444245]}]}]}]}, {"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": "043369653"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 345.69, "providers": [{"billed_charge": 771.0, "npi": [1669423380]}]}]}, {"tin": {"type": "ein", "value": "043369653"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.11, "providers": [{"billed_charge": 105.0, "npi": [1841174505]}]}]}, {"tin": {"type": "ein", "value": "070194040"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.36, "providers": [{"billed_charge": 537.75, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 1865.74, "npi": [1134172406]}]}]}, {"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 401.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 936.15, "npi": [1265568638]}]}]}, {"tin": {"type": "ein", "value": "233001904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "providers": [{"billed_charge": 1647.0, "npi": [1396731105]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 782.31, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.78, "providers": [{"billed_charge": 1444.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "262978009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 915.0, "npi": [1407010622]}]}]}, {"tin": {"type": "ein", "value": "263075429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.75, "providers": [{"billed_charge": 1052.0, "npi": [1558659714]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.86, "providers": [{"billed_charge": 405.0, "npi": [1548885353]}]}]}, {"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.09, "providers": [{"billed_charge": 115.0, "npi": [1902895485]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 244.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1104.0, "npi": [1255377149]}]}]}, {"tin": {"type": "ein", "value": "334335561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "providers": [{"billed_charge": 1027.2, "npi": [1952295164]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 915.0, "npi": [1831629526]}]}]}, {"tin": {"type": "ein", "value": "364774713"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.17, "providers": [{"billed_charge": 150.0, "npi": [1801820121]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 430.0, "npi": [1588612832]}]}]}, {"tin": {"type": "ein", "value": "366006541"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 114.0, "npi": [1790041101]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 537.75, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 537.75, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "461415202"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.29, "providers": [{"billed_charge": 398.0, "npi": [1366976458]}]}, {"allowed_amount": 169.75, "providers": [{"billed_charge": 398.0, "npi": [1235428673, 1568882785, 1437389681, 1598965378]}]}]}, {"tin": {"type": "ein", "value": "470379754"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 478.0, "providers": [{"billed_charge": 478.0, "npi": [1346297843]}]}]}, {"tin": {"type": "ein", "value": "471022656"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 129.13, "providers": [{"billed_charge": 412.0, "npi": [1760873020]}]}]}, {"tin": {"type": "ein", "value": "471382605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.29, "providers": [{"billed_charge": 405.0, "npi": [1841789013]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 690.0, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.49, "providers": [{"billed_charge": 388.0, "npi": [1679230619]}]}]}, {"tin": {"type": "ein", "value": "473239141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.38, "providers": [{"billed_charge": 575.0, "npi": [1174722383]}]}]}, {"tin": {"type": "ein", "value": "473592319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 123.29, "providers": [{"billed_charge": 440.3, "npi": [1336243088]}]}, {"allowed_amount": 124.43, "providers": [{"billed_charge": 575.0, "npi": [1194745885]}]}]}, {"tin": {"type": "ein", "value": "591713947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 473.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 652.0, "npi": [1225033020]}, {"billed_charge": 978.0, "npi": [1225033020]}]}]}, {"tin": {"type": "ein", "value": "611257509"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.08, "providers": [{"billed_charge": 4411.9, "npi": [1689621450]}]}]}, {"tin": {"type": "ein", "value": "611851498"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 960.09, "providers": [{"billed_charge": 2375.0, "npi": [1669984498]}]}]}, {"tin": {"type": "ein", "value": "660768469"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 377.38, "providers": [{"billed_charge": 754.76, "npi": [1194159525]}]}]}, {"tin": {"type": "ein", "value": "660768469"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.23, "providers": [{"billed_charge": 122.58, "npi": [1184076135]}]}]}, {"tin": {"type": "ein", "value": "730568956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 212.59, "providers": [{"billed_charge": 500.0, "npi": [1093763781]}]}]}, {"tin": {"type": "ein", "value": "730745473"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.69, "providers": [{"billed_charge": 97.87, "npi": [1457346199]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.72, "providers": [{"billed_charge": 517.75, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 401.02, "providers": [{"billed_charge": 1250.0, "npi": [1619115383, 1093810327]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.36, "providers": [{"billed_charge": 884.0, "npi": [1821004151]}]}, {"allowed_amount": 470.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 884.0, "npi": [1821004151]}, {"billed_charge": 1311.0, "npi": [1194787218, 1780867390]}]}]}, {"tin": {"type": "ein", "value": "741109836"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 464.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1059.0, "npi": [1689641680]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1195.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 593.0, "npi": [1720088123]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "providers": [{"billed_charge": 100.0, "npi": [1891372470]}]}, {"allowed_amount": 18.46, "providers": [{"billed_charge": 100.0, "npi": [1396462586]}]}, {"allowed_amount": 44.14, "providers": [{"billed_charge": 100.0, "npi": [1184762577]}]}, {"allowed_amount": 51.7, "providers": [{"billed_charge": 100.0, "npi": [1508201146, 1619237906, 1902811474]}]}, {"allowed_amount": 53.69, "providers": [{"billed_charge": 100.0, "npi": [1245658624, 1881073500, 1649634783]}]}, {"allowed_amount": 92.29, "providers": [{"billed_charge": 100.0, "npi": [1043077233, 1780791772, 1639241805]}]}]}, {"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 486.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 936.15, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.85, "providers": [{"billed_charge": 99.0, "npi": [1760025985, 1831474972]}]}, {"allowed_amount": 53.56, "providers": [{"billed_charge": 99.0, "npi": [1114014883]}]}]}, {"tin": {"type": "ein", "value": "742019736"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "providers": [{"billed_charge": 645.79, "npi": [1871599829]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1142.75, "providers": [{"billed_charge": 3265.0, "npi": [1770536120]}]}, {"allowed_amount": 1143.1, "providers": [{"billed_charge": 3266.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742557820"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "providers": [{"billed_charge": 800.0, "npi": [1790782704]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 377.35, "providers": [{"billed_charge": 1078.14, "npi": [1124074273]}]}, {"allowed_amount": 413.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1181.01, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.69, "providers": [{"billed_charge": 352.87, "npi": [1700049392, 1477082303, 1114973450, 1417916487]}]}, {"allowed_amount": 61.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 352.87, "npi": [1124659537]}]}, {"allowed_amount": 92.29, "providers": [{"billed_charge": 352.87, "npi": [1609853720]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1294.92, "npi": [1316936990]}, {"billed_charge": 1327.0, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 390.15, "providers": [{"billed_charge": 867.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746240037"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 280.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 280.0, "npi": [1992767511]}]}]}, {"tin": {"type": "ein", "value": "746240037"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 125.0, "npi": [1225154842]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 911.0, "npi": [1720480627, 1194743013]}]}, {"allowed_amount": 349.33, "providers": [{"billed_charge": 911.0, "npi": [1194743013]}]}, {"allowed_amount": 684.54, "providers": [{"billed_charge": 911.0, "npi": [1720480627]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.92, "providers": [{"billed_charge": 537.75, "npi": [1174533343]}]}, {"allowed_amount": 333.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 537.75, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 782.31, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751037591"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 782.31, "npi": [1851108765]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 537.75, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 537.75, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.72, "providers": [{"billed_charge": 537.75, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 782.31, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 782.31, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 782.31, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "751912147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 356.83, "providers": [{"billed_charge": 447.0, "npi": [1023013448]}]}]}, {"tin": {"type": "ein", "value": "752051646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.72, "providers": [{"billed_charge": 1152.97, "npi": [1891765178]}]}, {"allowed_amount": 592.08, "providers": [{"billed_charge": 1152.97, "npi": [1891765178]}]}, {"allowed_amount": 727.12, "providers": [{"billed_charge": 1152.97, "npi": [1891765178]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 782.31, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.0, "providers": [{"billed_charge": 152.0, "npi": [1912023169, 1205164050, 1043467798]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 537.75, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752737522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 169.75, "providers": [{"billed_charge": 398.0, "npi": [1730193178, 1235330556]}]}]}, {"tin": {"type": "ein", "value": "752771437"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 537.75, "npi": [1457382798]}]}]}, {"tin": {"type": "ein", "value": "752829613"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 852.0, "npi": [1386647717]}]}]}, {"tin": {"type": "ein", "value": "752890358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 537.75, "npi": [1548291883]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 940.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 678.0, "npi": [1992753222]}]}, {"allowed_amount": 5675.23, "providers": [{"billed_charge": 678.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 537.75, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.78, "providers": [{"billed_charge": 156.0, "npi": [1447250733, 1457816175, 1114579059, 1639472822, 1467091611, 1396106399]}]}, {"allowed_amount": 63.14, "providers": [{"billed_charge": 156.0, "npi": [1629703830]}]}, {"allowed_amount": 124.47, "providers": [{"billed_charge": 156.0, "npi": [1104025337, 1720041452]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 673.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.07, "providers": [{"billed_charge": 431.0, "npi": [1255748158]}]}, {"allowed_amount": 47.78, "providers": [{"billed_charge": 431.0, "npi": [1508258716, 1578968434, 1164762324]}]}, {"allowed_amount": 105.8, "providers": [{"billed_charge": 431.0, "npi": [1962811992]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1457.0, "npi": [1083937593, 1497871628]}]}]}, {"tin": {"type": "ein", "value": "760631448"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.52, "providers": [{"billed_charge": 1750.29, "npi": [1801189949]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.69, "providers": [{"billed_charge": 1700.0, "npi": [1588638720, 1306011937, 1740572569]}]}]}, {"tin": {"type": "ein", "value": "820200896"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.47, "providers": [{"billed_charge": 652.0, "npi": [1659371870]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "providers": [{"billed_charge": 2000.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 782.31, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.16, "providers": [{"billed_charge": 868.32, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "832041336"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2400.0, "npi": [1245705417]}]}]}, {"tin": {"type": "ein", "value": "840738052"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 343.38, "providers": [{"billed_charge": 168.0, "npi": [1508807694]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 343.38, "providers": [{"billed_charge": 1213.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "841832545"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.66, "providers": [{"billed_charge": 776.0, "npi": [1649400482, 1053844555]}]}]}, {"tin": {"type": "ein", "value": "842589283"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1886.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2555.16, "npi": [1902453970]}]}]}, {"tin": {"type": "ein", "value": "842988873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 123.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 732.0, "npi": [1821299108, 1689627846]}]}]}, {"tin": {"type": "ein", "value": "843475920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "providers": [{"billed_charge": 2000.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 882.8, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "850138775"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.02, "providers": [{"billed_charge": 135.0, "npi": [1609329838]}]}]}, {"tin": {"type": "ein", "value": "850327237"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.06, "providers": [{"billed_charge": 390.0, "npi": [1649373887]}]}]}, {"tin": {"type": "ein", "value": "852354189"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "providers": [{"billed_charge": 1152.97, "npi": [1215609896]}]}]}, {"tin": {"type": "ein", "value": "882923822"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2059.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6330.0, "npi": [1770214256]}]}]}, {"tin": {"type": "ein", "value": "883018450"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.47, "providers": [{"billed_charge": 4431.0, "npi": [1629058169]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.0, "providers": [{"billed_charge": 2375.0, "npi": [1003539073]}]}, {"allowed_amount": 1079.1, "providers": [{"billed_charge": 2375.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "921903817"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 123.29, "providers": [{"billed_charge": 2868.0, "npi": [1437135423]}]}]}, {"tin": {"type": "ein", "value": "921924347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3937.1, "npi": [1639875750]}]}]}, {"tin": {"type": "ein", "value": "922858146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.16, "providers": [{"billed_charge": 2400.0, "npi": [1184305609]}]}]}, {"tin": {"type": "ein", "value": "923209338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 562.5, "providers": [{"billed_charge": 1250.0, "npi": [1558132365]}]}]}, {"tin": {"type": "ein", "value": "932457529"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.43, "providers": [{"billed_charge": 1656.0, "npi": [1154363067]}]}]}, {"tin": {"type": "ein", "value": "933910567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.69, "providers": [{"billed_charge": 598.0, "npi": [1912921016, 1780325258]}]}]}, {"tin": {"type": "ein", "value": "934370183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 470.43, "providers": [{"billed_charge": 2000.0, "npi": [1538934864]}]}]}, {"tin": {"type": "ein", "value": "990675124"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.72, "providers": [{"billed_charge": 237.0, "npi": [1629325014]}]}]}, {"tin": {"type": "ein", "value": "992646504"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 995.71, "providers": [{"billed_charge": 1614.0, "npi": [1366281750]}]}]}]}, {"name": "Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code": "43239", "billing_code_type_version": "2022", "description": "EGD TRANSORAL BIOPSY SINGLE/MULTIPLE", "allowed_amounts": [{"tin": {"type": "ein", "value": "420680452"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1063.74, "providers": [{"billed_charge": 4179.83, "npi": [1598905762]}]}]}, {"tin": {"type": "ein", "value": "421420077"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 207.04, "providers": [{"billed_charge": 1047.0, "npi": [1528001724]}]}]}, {"tin": {"type": "ein", "value": "598329603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 305.31, "providers": [{"billed_charge": 1156.0, "npi": [1528591740]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.96, "providers": [{"billed_charge": 388.0, "npi": [1720498363]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 758.86, "providers": [{"billed_charge": 2168.16, "npi": [1124074273]}]}, {"allowed_amount": 1442.34, "providers": [{"billed_charge": 4120.98, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742978480"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 137.32, "providers": [{"billed_charge": 592.0, "npi": [1104489681]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 763.88, "providers": [{"billed_charge": 1697.5, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1971.26, "providers": [{"billed_charge": 4431.5, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "752005254"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.5, "providers": [{"billed_charge": 680.0, "npi": [1811007883]}]}, {"allowed_amount": 135.15, "providers": [{"billed_charge": 680.0, "npi": [1659357515]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 82.77, "providers": [{"billed_charge": 1307.67, "npi": [1679922256]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.77, "providers": [{"billed_charge": 1088.0, "npi": [1780876466, 1659509271]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 63.44, "providers": [{"billed_charge": 352.0, "npi": [1619237534]}]}, {"allowed_amount": 126.87, "providers": [{"billed_charge": 352.0, "npi": [1619237534]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1968.02, "providers": [{"billed_charge": 4431.5, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 84.16, "providers": [{"billed_charge": 1704.0, "npi": [1043713845]}]}, {"allowed_amount": 113.65, "providers": [{"billed_charge": 1704.0, "npi": [1609132620]}]}, {"allowed_amount": 168.32, "providers": [{"billed_charge": 1704.0, "npi": [1427290139]}]}, {"allowed_amount": 227.29, "providers": [{"billed_charge": 1704.0, "npi": [1578793634]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1421.35, "providers": [{"billed_charge": 3838.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "756064033"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.3, "providers": [{"billed_charge": 265.0, "npi": [1477516128]}]}, {"allowed_amount": 165.52, "providers": [{"billed_charge": 265.0, "npi": [1215498324]}]}]}, {"tin": {"type": "ein", "value": "760403880"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 75.77, "providers": [{"billed_charge": 425.0, "npi": [1962701326]}]}]}, {"tin": {"type": "ein", "value": "813419791"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.91, "providers": [{"billed_charge": 1156.0, "npi": [1528591740]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 198.21, "providers": [{"billed_charge": 522.0, "npi": [1780996439]}]}]}, {"tin": {"type": "ein", "value": "900419033"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 241.66, "providers": [{"billed_charge": 260.0, "npi": [1386200475]}]}]}, {"tin": {"type": "ein", "value": "900657525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 219.91, "providers": [{"billed_charge": 750.0, "npi": [1366446023]}]}]}]}, {"name": "Estradiol; total", "billing_code_type": "CPT", "billing_code": "82670", "billing_code_type_version": "2022", "description": "ASSAY OF TOTAL ESTRADIOL", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 19.56, "providers": [{"billed_charge": 125.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 39.12, "providers": [{"billed_charge": 69.85, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 19.56, "providers": [{"billed_charge": 111.76, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 22.91, "providers": [{"billed_charge": 117.12, "npi": [1235186800]}]}, {"allowed_amount": 58.39, "providers": [{"billed_charge": 117.0, "npi": [1235186800]}, {"billed_charge": 117.12, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 22.91, "providers": [{"billed_charge": 35.0, "npi": [1487429874]}]}, {"allowed_amount": 35.0, "providers": [{"billed_charge": 35.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 21.51, "providers": [{"billed_charge": 55.88, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 22.91, "providers": [{"billed_charge": 27.94, "npi": [1821749896]}]}]}]}, {"name": "Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody", "billing_code_type": "CPT", "billing_code": "86235", "billing_code_type_version": "2022", "description": "EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD", "allowed_amounts": [{"tin": {"type": "ein", "value": "200434866"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 29.05, "providers": [{"billed_charge": 95.93, "npi": [1245494517]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 25.1, "providers": [{"billed_charge": 44.83, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 319.21, "providers": [{"billed_charge": 912.04, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 37.47, "providers": [{"billed_charge": 75.18, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.81, "providers": [{"billed_charge": 35.86, "npi": [1336758952]}]}]}]}, {"name": "Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (with or without the patient present), face-to-face with guardian(s)/caregiver(s), each 15 minutes", "billing_code_type": "CPT", "billing_code": "97156", "billing_code_type_version": "2022", "description": "FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "932335094"}, "billing_class": "professional", "service_codes": ["10", "12"], "payments": [{"allowed_amount": 12.5, "providers": [{"billed_charge": 450.0, "npi": [1932609682]}]}, {"allowed_amount": 125.0, "providers": [{"billed_charge": 450.0, "npi": [1932609682, 1205581915]}]}]}]}, {"name": "Ferritin", "billing_code_type": "CPT", "billing_code": "82728", "billing_code_type_version": "2022", "description": "ASSAY OF FERRITIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.54, "providers": [{"billed_charge": 85.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 19.08, "providers": [{"billed_charge": 34.08, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.54, "providers": [{"billed_charge": 54.52, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 313.18, "providers": [{"billed_charge": 338.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.81, "providers": [{"billed_charge": 306.05, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 259.7, "providers": [{"billed_charge": 742.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 264.53, "providers": [{"billed_charge": 755.79, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.95, "providers": [{"billed_charge": 111.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 14.99, "providers": [{"billed_charge": 81.79, "npi": [1467642611]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 38.0, "providers": [{"billed_charge": 38.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.5, "providers": [{"billed_charge": 35.0, "npi": [1194769497]}]}, {"allowed_amount": 11.18, "providers": [{"billed_charge": 35.0, "npi": [1104839380]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.18, "providers": [{"billed_charge": 57.09, "npi": [1235186800]}]}, {"allowed_amount": 28.49, "providers": [{"billed_charge": 57.0, "npi": [1235186800]}, {"billed_charge": 57.09, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.18, "providers": [{"billed_charge": 34.08, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "821606706"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.18, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 20.45, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.18, "providers": [{"billed_charge": 18.0, "npi": [1487429874]}]}, {"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.5, "providers": [{"billed_charge": 27.26, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 22.08, "providers": [{"billed_charge": 164.0, "npi": [1982606992]}]}]}]}, {"name": "Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21", "billing_code_type": "CPT", "billing_code": "81420", "billing_code_type_version": "2022", "description": "FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS", "allowed_amounts": [{"tin": {"type": "ein", "value": "010894487"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 584.47, "providers": [{"billed_charge": 3400.0, "npi": [1235528225]}]}, {"allowed_amount": 637.6, "providers": [{"billed_charge": 3400.0, "npi": [1558672279]}]}, {"allowed_amount": 1229.66, "providers": [{"billed_charge": 3400.0, "npi": [1558672279]}]}]}, {"tin": {"type": "ein", "value": "743238060"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 1229.66, "providers": [{"billed_charge": 2000.0, "npi": [1346479169]}]}]}, {"tin": {"type": "ein", "value": "811082020"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 1229.66, "providers": [{"billed_charge": 3036.2, "npi": [1598314437]}]}]}]}, {"name": "Fetal non-stress test", "billing_code_type": "CPT", "billing_code": "59025", "billing_code_type_version": "2022", "description": "FETAL NONSTRESS TEST", "allowed_amounts": [{"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.45, "providers": [{"billed_charge": 90.0, "npi": [1306642541, 1457757734]}]}]}, {"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.91, "providers": [{"billed_charge": 87.0, "npi": [1851501845]}]}]}, {"tin": {"type": "ein", "value": "463696501"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.91, "providers": [{"billed_charge": 103.0, "npi": [1215146485]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 619.42, "providers": [{"billed_charge": 1775.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 37.15, "providers": [{"billed_charge": 82.0, "npi": [1083648661]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 637.93, "providers": [{"billed_charge": 1822.65, "npi": [1124074273]}]}, {"allowed_amount": 656.16, "providers": [{"billed_charge": 1874.73, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 313.65, "providers": [{"billed_charge": 697.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 329.01, "providers": [{"billed_charge": 929.75, "npi": [1669472387]}]}, {"allowed_amount": 438.67, "providers": [{"billed_charge": 929.75, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "752559845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 663.41, "providers": [{"billed_charge": 573.0, "npi": [1992707228]}]}]}, {"tin": {"type": "ein", "value": "752600873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.58, "providers": [{"billed_charge": 150.0, "npi": [1093762890, 1336637859, 1871575951]}]}]}, {"tin": {"type": "ein", "value": "990675124"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 16.72, "providers": [{"billed_charge": 165.0, "npi": [1861475402]}]}, {"allowed_amount": 33.44, "providers": [{"billed_charge": 165.0, "npi": [1922016013]}]}, {"allowed_amount": 34.66, "providers": [{"billed_charge": 165.0, "npi": [1649249053]}]}]}]}, {"name": "Fibrin degradation products, D-dimer; quantitative", "billing_code_type": "CPT", "billing_code": "85379", "billing_code_type_version": "2022", "description": "FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE", "allowed_amounts": [{"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 14.25, "providers": [{"billed_charge": 25.45, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "270492434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.83, "providers": [{"billed_charge": 175.99, "npi": [1427048453]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.95, "providers": [{"billed_charge": 278.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 339.13, "providers": [{"billed_charge": 678.25, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 346.15, "providers": [{"billed_charge": 989.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 456.56, "providers": [{"billed_charge": 1304.47, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.7, "providers": [{"billed_charge": 206.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.0, "providers": [{"billed_charge": 29.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 21.28, "providers": [{"billed_charge": 42.66, "npi": [1235186800]}]}]}]}, {"name": "Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)", "billing_code_type": "CPT", "billing_code": "88185", "billing_code_type_version": "2022", "description": "FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA", "allowed_amounts": [{"tin": {"type": "ein", "value": "200434866"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 44.65, "providers": [{"billed_charge": 151.35, "npi": [1245494517]}]}]}, {"tin": {"type": "ein", "value": "264450440"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 30.62, "providers": [{"billed_charge": 62.0, "npi": [1467569459]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 18.77, "providers": [{"billed_charge": 70.0, "npi": [1003245317]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 137.99, "providers": [{"billed_charge": 394.25, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "911789357"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.21, "providers": [{"billed_charge": 84.0, "npi": [1841375094]}]}]}]}, {"name": "Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker", "billing_code_type": "CPT", "billing_code": "88184", "billing_code_type_version": "2022", "description": "FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST", "allowed_amounts": [{"tin": {"type": "ein", "value": "200434866"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 156.56, "providers": [{"billed_charge": 471.23, "npi": [1245494517]}]}]}, {"tin": {"type": "ein", "value": "264450440"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 107.79, "providers": [{"billed_charge": 192.0, "npi": [1467569459]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 66.3, "providers": [{"billed_charge": 196.0, "npi": [1003245317]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 388.37, "providers": [{"billed_charge": 1109.64, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "911789357"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 141.75, "providers": [{"billed_charge": 306.25, "npi": [1841375094]}]}]}]}, {"name": "Flow cytometry, interpretation; 2 to 8 markers", "billing_code_type": "CPT", "billing_code": "88187", "billing_code_type_version": "2022", "description": "FLOW CYTOMETRY INTERPJ 2-8 MARKERS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200434866"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 60.43, "providers": [{"billed_charge": 214.0, "npi": [1245494517]}]}]}, {"tin": {"type": "ein", "value": "742922218"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 46.52, "providers": [{"billed_charge": 325.0, "npi": [1841587771]}]}]}]}, {"name": "Folic acid; serum", "billing_code_type": "CPT", "billing_code": "82746", "billing_code_type_version": "2022", "description": "ASSAY OF FOLIC ACID SERUM", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.29, "providers": [{"billed_charge": 105.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 20.58, "providers": [{"billed_charge": 36.75, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.29, "providers": [{"billed_charge": 58.8, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.05, "providers": [{"billed_charge": 330.37, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 235.28, "providers": [{"billed_charge": 672.22, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 87.3, "providers": [{"billed_charge": 194.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 16.17, "providers": [{"billed_charge": 88.2, "npi": [1467642611]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.0, "providers": [{"billed_charge": 41.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.05, "providers": [{"billed_charge": 40.0, "npi": [1104839380]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.05, "providers": [{"billed_charge": 61.62, "npi": [1235186800]}]}, {"allowed_amount": 30.72, "providers": [{"billed_charge": 61.62, "npi": [1235186800]}, {"billed_charge": 62.0, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.05, "providers": [{"billed_charge": 36.75, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.05, "providers": [{"billed_charge": 19.0, "npi": [1487429874]}]}, {"allowed_amount": 19.0, "providers": [{"billed_charge": 19.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "823021953"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.05, "providers": [{"billed_charge": 44.1, "npi": [1447760814]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.32, "providers": [{"billed_charge": 29.4, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.05, "providers": [{"billed_charge": 14.7, "npi": [1821749896]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 23.81, "providers": [{"billed_charge": 177.0, "npi": [1982606992]}]}]}]}, {"name": "Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation);", "billing_code_type": "CPT", "billing_code": "82803", "billing_code_type_version": "2022", "description": "BLOOD GASES ANY COMBINATION PH PCO2 PO2 CO2 HCO3", "allowed_amounts": [{"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 487.0, "providers": [{"billed_charge": 974.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 162.4, "providers": [{"billed_charge": 464.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 680.39, "providers": [{"billed_charge": 1943.98, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 696.93, "providers": [{"billed_charge": 1991.23, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 810.11, "providers": [{"billed_charge": 2314.6, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.2, "providers": [{"billed_charge": 256.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.67, "providers": [{"billed_charge": 637.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "883577015"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 478.0, "providers": [{"billed_charge": 2863.0, "npi": [1437865953]}]}]}]}, {"name": "General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)", "billing_code_type": "CPT", "billing_code": "80050", "billing_code_type_version": "2022", "description": "GENERAL HEALTH PANEL", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 130.17, "providers": [{"billed_charge": 290.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 115.14, "providers": [{"billed_charge": 140.52, "npi": [1225110497]}]}, {"allowed_amount": 124.53, "providers": [{"billed_charge": 140.52, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 223.82, "providers": [{"billed_charge": 248.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 423.0, "providers": [{"billed_charge": 423.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "720549907"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.0, "providers": [{"billed_charge": 132.0, "npi": [1093793408]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 176.75, "providers": [{"billed_charge": 211.05, "npi": [1467642611]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 81.0, "providers": [{"billed_charge": 81.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 65.0, "providers": [{"billed_charge": 65.0, "npi": [1104839380]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 107.07, "providers": [{"billed_charge": 107.07, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 134.69, "providers": [{"billed_charge": 150.0, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "821606706"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 52.7, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 52.7, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 849.06, "providers": [{"billed_charge": 775.49, "npi": [1932112125]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 105.6, "providers": [{"billed_charge": 105.6, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 52.7, "providers": [{"billed_charge": 52.7, "npi": [1457977209]}]}, {"allowed_amount": 112.8, "providers": [{"billed_charge": 112.8, "npi": [1457977209]}]}]}]}, {"name": "Global fee urgent care centers", "billing_code_type": "CPT", "billing_code": "S9083", "billing_code_type_version": "2022", "description": "Global fee urgent care centers", "allowed_amounts": [{"tin": {"type": "ein", "value": "270851352"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 372.54, "providers": [{"billed_charge": 500.0, "npi": [1134452865]}]}]}, {"tin": {"type": "ein", "value": "853252700"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 272.57, "providers": [{"billed_charge": 300.0, "npi": [1467104893]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 266.36, "providers": [{"billed_charge": 500.0, "npi": [1417487323]}]}, {"allowed_amount": 274.35, "providers": [{"billed_charge": 500.0, "npi": [1558970129, 1033492434, 1417487323, 1710972534]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 212.51, "providers": [{"billed_charge": 430.0, "npi": [1114798071]}]}]}]}, {"name": "Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use", "billing_code_type": "CPT", "billing_code": "82962", "billing_code_type_version": "2022", "description": "GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE", "allowed_amounts": [{"tin": {"type": "ein", "value": "742484538"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 4.1, "providers": [{"billed_charge": 15.0, "npi": [1952741555]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.4, "providers": [{"billed_charge": 52.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 9.0, "providers": [{"billed_charge": 9.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "820200895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 5.31, "providers": [{"billed_charge": 11.0, "npi": [1093529406]}]}]}, {"tin": {"type": "ein", "value": "822312224"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 6.07, "providers": [{"billed_charge": 6.56, "npi": [1780892729]}]}]}, {"tin": {"type": "ein", "value": "851144017"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.82, "providers": [{"billed_charge": 10.0, "npi": [1588126296]}]}]}, {"tin": {"type": "ein", "value": "862551554"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 4.59, "providers": [{"billed_charge": 4.92, "npi": [1649859224, 1982278800]}]}]}, {"tin": {"type": "ein", "value": "900442055"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 6.07, "providers": [{"billed_charge": 50.0, "npi": [1275738874]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.0, "providers": [{"billed_charge": 74.0, "npi": [1518012301]}]}]}]}, {"name": "Glucose; quantitative, blood (except reagent strip)", "billing_code_type": "CPT", "billing_code": "82947", "billing_code_type_version": "2022", "description": "GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP", "allowed_amounts": [{"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.22, "providers": [{"billed_charge": 88.62, "npi": [1144566316]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 99.79, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "262978009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 281.93, "npi": [1407010622]}]}, {"allowed_amount": 8.49, "providers": [{"billed_charge": 79.64, "npi": [1689002651]}, {"billed_charge": 281.93, "npi": [1689002651, 1043641749]}]}]}, {"tin": {"type": "ein", "value": "263075429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.04, "providers": [{"billed_charge": 27.0, "npi": [1558659714]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 100.0, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "334253489"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.99, "providers": [{"billed_charge": 69.6, "npi": [1518752302]}]}]}, {"tin": {"type": "ein", "value": "334308303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.99, "providers": [{"billed_charge": 69.6, "npi": [1174310841]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.99, "providers": [{"billed_charge": 69.6, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "334335561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.99, "providers": [{"billed_charge": 69.6, "npi": [1952295164]}]}]}, {"tin": {"type": "ein", "value": "341893439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.49, "providers": [{"billed_charge": 27.0, "npi": [1366433195]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.49, "providers": [{"billed_charge": 281.93, "npi": [1598196206, 1831629526, 1679903967]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 72.5, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.49, "providers": [{"billed_charge": 70.38, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "464084062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 366.5, "npi": [1669872610]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 86.62, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.37, "providers": [{"billed_charge": 27.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.76, "providers": [{"billed_charge": 105.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.76, "providers": [{"billed_charge": 95.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.77, "providers": [{"billed_charge": 123.57, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "590973502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.94, "providers": [{"billed_charge": 91.22, "npi": [1063426823]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.56, "providers": [{"billed_charge": 88.16, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.99, "providers": [{"billed_charge": 72.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741109836"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.83, "providers": [{"billed_charge": 218.0, "npi": [1689641680]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.29, "providers": [{"billed_charge": 51.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "742557820"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.99, "providers": [{"billed_charge": 88.0, "npi": [1790782704]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.04, "providers": [{"billed_charge": 23.84, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.1, "providers": [{"billed_charge": 98.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.7, "providers": [{"billed_charge": 49.25, "npi": [1174533343]}]}, {"allowed_amount": 8.49, "providers": [{"billed_charge": 49.25, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 140.0, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.49, "providers": [{"billed_charge": 99.79, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 99.79, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752051646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.3, "providers": [{"billed_charge": 79.95, "npi": [1891765178]}]}, {"allowed_amount": 7.07, "providers": [{"billed_charge": 58.5, "npi": [1891765178]}]}, {"allowed_amount": 8.49, "providers": [{"billed_charge": 58.5, "npi": [1891765178]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 99.79, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.49, "providers": [{"billed_charge": 53.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.49, "providers": [{"billed_charge": 140.0, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.22, "providers": [{"billed_charge": 16.44, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "811407290"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.99, "providers": [{"billed_charge": 218.66, "npi": [1134654080]}]}]}, {"tin": {"type": "ein", "value": "812098192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 276.0, "npi": [1649722463]}]}]}, {"tin": {"type": "ein", "value": "815287624"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.99, "providers": [{"billed_charge": 539.73, "npi": [1174059208]}]}]}, {"tin": {"type": "ein", "value": "820551704"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 99.79, "npi": [1649273434]}]}]}, {"tin": {"type": "ein", "value": "820756286"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.29, "providers": [{"billed_charge": 144.23, "npi": [1821501875]}]}]}, {"tin": {"type": "ein", "value": "823463299"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.29, "providers": [{"billed_charge": 539.73, "npi": [1649770488]}]}]}, {"tin": {"type": "ein", "value": "824372339"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.25, "providers": [{"billed_charge": 81.93, "npi": [1740772268]}]}, {"allowed_amount": 8.26, "providers": [{"billed_charge": 81.93, "npi": [1740772268]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.49, "providers": [{"billed_charge": 70.38, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "832040784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.29, "providers": [{"billed_charge": 276.0, "npi": [1366917528]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.99, "providers": [{"billed_charge": 166.59, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "852354189"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 62.47, "npi": [1215609896]}]}]}, {"tin": {"type": "ein", "value": "852713042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.29, "providers": [{"billed_charge": 468.52, "npi": [1376141556]}]}]}, {"tin": {"type": "ein", "value": "881716225"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.99, "providers": [{"billed_charge": 217.29, "npi": [1053175794]}]}]}, {"tin": {"type": "ein", "value": "882501936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.29, "providers": [{"billed_charge": 468.52, "npi": [1750013769]}]}]}, {"tin": {"type": "ein", "value": "920937062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.29, "providers": [{"billed_charge": 468.52, "npi": [1558056895]}]}]}, {"tin": {"type": "ein", "value": "922631837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.22, "providers": [{"billed_charge": 198.0, "npi": [1457047664]}]}]}, {"tin": {"type": "ein", "value": "922858146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.49, "providers": [{"billed_charge": 276.0, "npi": [1184305609]}]}]}, {"tin": {"type": "ein", "value": "923637942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 372.05, "npi": [1679263883]}]}]}, {"tin": {"type": "ein", "value": "933488698"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.29, "providers": [{"billed_charge": 468.52, "npi": [1740042175]}]}]}, {"tin": {"type": "ein", "value": "934242663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.22, "providers": [{"billed_charge": 198.0, "npi": [1740054436]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.15, "providers": [{"billed_charge": 51.0, "npi": [1376698043]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.37, "providers": [{"billed_charge": 48.0, "npi": [1982606992]}]}]}, {"tin": {"type": "ein", "value": "992199214"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.99, "providers": [{"billed_charge": 160.4, "npi": [1013735786]}]}]}, {"tin": {"type": "ein", "value": "995104341"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.83, "providers": [{"billed_charge": 225.0, "npi": [1609697242]}]}, {"allowed_amount": 1777.05, "providers": [{"billed_charge": 225.0, "npi": [1609697242]}]}]}]}, {"name": "Glutamyltransferase, gamma (GGT)", "billing_code_type": "CPT", "billing_code": "82977", "billing_code_type_version": "2022", "description": "ASSAY OF GLUTAMYLTRASE GAMMA", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.04, "providers": [{"billed_charge": 45.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.04, "providers": [{"billed_charge": 28.8, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.35, "providers": [{"billed_charge": 161.73, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.73, "providers": [{"billed_charge": 350.65, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.8, "providers": [{"billed_charge": 84.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.9, "providers": [{"billed_charge": 30.18, "npi": [1235186800]}]}, {"allowed_amount": 15.05, "providers": [{"billed_charge": 30.18, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.9, "providers": [{"billed_charge": 9.0, "npi": [1487429874]}]}, {"allowed_amount": 9.0, "providers": [{"billed_charge": 9.0, "npi": [1841798667]}]}]}]}, {"name": "Gonadotropin, chorionic (hCG); qualitative", "billing_code_type": "CPT", "billing_code": "84703", "billing_code_type_version": "2022", "description": "GONADOTROPIN CHORIONIC QUALITATIVE", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.26, "providers": [{"billed_charge": 30.08, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 459.55, "providers": [{"billed_charge": 1313.0, "npi": [1770536120]}]}, {"allowed_amount": 543.9, "providers": [{"billed_charge": 1554.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 270.25, "providers": [{"billed_charge": 772.15, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.2, "providers": [{"billed_charge": 56.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 21.0, "providers": [{"billed_charge": 21.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.0, "providers": [{"billed_charge": 78.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.17, "providers": [{"billed_charge": 31.47, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 251.65, "providers": [{"billed_charge": 719.0, "npi": [1659327013]}]}]}]}, {"name": "Gonadotropin, chorionic (hCG); quantitative", "billing_code_type": "CPT", "billing_code": "84702", "billing_code_type_version": "2022", "description": "GONADOTROPIN CHORIONIC QUANTITATIVE", "allowed_amounts": [{"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 701.05, "providers": [{"billed_charge": 2003.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 428.58, "providers": [{"billed_charge": 1224.51, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.35, "providers": [{"billed_charge": 123.0, "npi": [1821011248]}]}, {"allowed_amount": 332.5, "providers": [{"billed_charge": 123.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.0, "providers": [{"billed_charge": 42.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 16.56, "providers": [{"billed_charge": 50.19, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.34, "providers": [{"billed_charge": 50.19, "npi": [1235186800]}]}]}]}, {"name": "Gonadotropin; follicle stimulating hormone (FSH)", "billing_code_type": "CPT", "billing_code": "83001", "billing_code_type_version": "2022", "description": "GONADOTROPIN FOLLICLE STIMULATING HORMONE", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.01, "providers": [{"billed_charge": 105.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.01, "providers": [{"billed_charge": 74.32, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 20.44, "providers": [{"billed_charge": 62.0, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.24, "providers": [{"billed_charge": 77.91, "npi": [1235186800]}]}, {"allowed_amount": 38.83, "providers": [{"billed_charge": 77.91, "npi": [1235186800]}, {"billed_charge": 78.0, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.24, "providers": [{"billed_charge": 46.45, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.24, "providers": [{"billed_charge": 24.0, "npi": [1487429874]}]}, {"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 14.31, "providers": [{"billed_charge": 37.16, "npi": [1336758952]}]}]}]}, {"name": "Gonadotropin; luteinizing hormone (LH)", "billing_code_type": "CPT", "billing_code": "83002", "billing_code_type_version": "2022", "description": "GONADOTROPIN LUTEINIZING HORMONE", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.96, "providers": [{"billed_charge": 105.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.96, "providers": [{"billed_charge": 74.08, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 20.37, "providers": [{"billed_charge": 62.0, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.19, "providers": [{"billed_charge": 77.64, "npi": [1235186800]}]}, {"allowed_amount": 38.71, "providers": [{"billed_charge": 77.64, "npi": [1235186800]}, {"billed_charge": 78.0, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.19, "providers": [{"billed_charge": 24.0, "npi": [1487429874]}]}, {"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 14.26, "providers": [{"billed_charge": 37.04, "npi": [1336758952]}]}]}]}, {"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": "043171173"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 25.21, "providers": [{"billed_charge": 25.21, "npi": [1366492910]}]}]}, {"tin": {"type": "ein", "value": "161025659"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.61, "providers": [{"billed_charge": 44.1, "npi": [1831285410]}]}]}, {"tin": {"type": "ein", "value": "161263979"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.94, "providers": [{"billed_charge": 40.0, "npi": [1114989357]}]}]}, {"tin": {"type": "ein", "value": "200197342"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1548823263]}]}]}, {"tin": {"type": "ein", "value": "201186634"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 8.0, "providers": [{"billed_charge": 8.0, "npi": [1528163243]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.59, "providers": [{"billed_charge": 27.0, "npi": [1699207522]}]}]}, {"tin": {"type": "ein", "value": "201919780"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 29.8, "providers": [{"billed_charge": 30.4, "npi": [1952995888]}]}]}, {"tin": {"type": "ein", "value": "202950769"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.61, "providers": [{"billed_charge": 33.6, "npi": [1700801693]}]}, {"allowed_amount": 30.62, "providers": [{"billed_charge": 33.6, "npi": [1700801693]}]}]}, {"tin": {"type": "ein", "value": "203948307"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.25, "providers": [{"billed_charge": 24.25, "npi": [1376644609]}]}]}, {"tin": {"type": "ein", "value": "205479358"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1508260332]}]}]}, {"tin": {"type": "ein", "value": "208424689"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1952588329]}]}, {"allowed_amount": 30.32, "providers": [{"billed_charge": 85.0, "npi": [1952588329]}]}, {"allowed_amount": 30.61, "providers": [{"billed_charge": 85.0, "npi": [1952588329]}]}, {"allowed_amount": 30.62, "providers": [{"billed_charge": 85.0, "npi": [1952588329]}]}, {"allowed_amount": 39.09, "providers": [{"billed_charge": 85.0, "npi": [1952588329]}]}]}, {"tin": {"type": "ein", "value": "236000540"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 93.49, "providers": [{"billed_charge": 22.0, "npi": [1568026680]}]}]}, {"tin": {"type": "ein", "value": "236003047"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1255468435]}]}]}, {"tin": {"type": "ein", "value": "237112065"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1235150889]}]}]}, {"tin": {"type": "ein", "value": "237153831"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1417977356]}]}]}, {"tin": {"type": "ein", "value": "251213447"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 69.41, "providers": [{"billed_charge": 20.4, "npi": [1689653933]}]}]}, {"tin": {"type": "ein", "value": "264304912"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.68, "providers": [{"billed_charge": 35.0, "npi": [1871724864]}]}, {"allowed_amount": 30.32, "providers": [{"billed_charge": 35.0, "npi": [1871724864]}]}, {"allowed_amount": 30.61, "providers": [{"billed_charge": 35.0, "npi": [1871724864]}]}, {"allowed_amount": 30.62, "providers": [{"billed_charge": 35.0, "npi": [1871724864]}]}]}, {"tin": {"type": "ein", "value": "270096232"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 20.7, "npi": [1003307489]}]}]}, {"tin": {"type": "ein", "value": "272498157"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1033437405]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1033437405]}]}]}, {"tin": {"type": "ein", "value": "272953899"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 22.0, "providers": [{"billed_charge": 22.0, "npi": [1356649826]}]}]}, {"tin": {"type": "ein", "value": "273923442"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 16.02, "providers": [{"billed_charge": 16.02, "npi": [1376845008]}]}]}, {"tin": {"type": "ein", "value": "300688582"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.58, "providers": [{"billed_charge": 46.1, "npi": [1750676870]}]}, {"allowed_amount": 17.19, "providers": [{"billed_charge": 46.1, "npi": [1750676870]}]}, {"allowed_amount": 30.32, "providers": [{"billed_charge": 46.1, "npi": [1750676870]}]}, {"allowed_amount": 30.61, "providers": [{"billed_charge": 46.1, "npi": [1750676870]}]}, {"allowed_amount": 30.62, "providers": [{"billed_charge": 46.1, "npi": [1750676870]}]}, {"allowed_amount": 46.1, "providers": [{"billed_charge": 46.1, "npi": [1750676870]}]}]}, {"tin": {"type": "ein", "value": "320356516"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 28.0, "providers": [{"billed_charge": 28.0, "npi": [1386908499]}]}]}, {"tin": {"type": "ein", "value": "330285453"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 62.65, "providers": [{"billed_charge": 25.1, "npi": [1639131436]}]}]}, {"tin": {"type": "ein", "value": "341255249"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1922295823]}]}]}, {"tin": {"type": "ein", "value": "356000179"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 16.0, "providers": [{"billed_charge": 16.0, "npi": [1417955873]}]}]}, {"tin": {"type": "ein", "value": "364670894"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1578379582]}]}]}, {"tin": {"type": "ein", "value": "382285796"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1689621047]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.61, "providers": [{"billed_charge": 52.0, "npi": [1407897309]}]}]}, {"tin": {"type": "ein", "value": "431065833"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1396790218]}]}]}, {"tin": {"type": "ein", "value": "451837687"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.32, "providers": [{"billed_charge": 30.32, "npi": [1316229677]}]}]}, {"tin": {"type": "ein", "value": "452538975"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1083912554]}]}]}, {"tin": {"type": "ein", "value": "454662986"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.2, "providers": [{"billed_charge": 14.2, "npi": [1205183605]}]}]}, {"tin": {"type": "ein", "value": "455508689"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 8.0, "providers": [{"billed_charge": 8.0, "npi": [1992144885]}]}]}, {"tin": {"type": "ein", "value": "462546402"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.73, "providers": [{"billed_charge": 13.73, "npi": [1376182741]}]}]}, {"tin": {"type": "ein", "value": "465332224"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.94, "providers": [{"billed_charge": 24.94, "npi": [1932652815]}]}]}, {"tin": {"type": "ein", "value": "486000798"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1215075411]}]}]}, {"tin": {"type": "ein", "value": "526000769"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1679609366]}]}]}, {"tin": {"type": "ein", "value": "566000229"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.9, "providers": [{"billed_charge": 11.9, "npi": [1851390553]}]}, {"allowed_amount": 13.69, "providers": [{"billed_charge": 13.69, "npi": [1851390553]}]}]}, {"tin": {"type": "ein", "value": "576000379"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1154314409]}]}]}, {"tin": {"type": "ein", "value": "596000344"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1356341531]}]}]}, {"tin": {"type": "ein", "value": "596000375"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1821109612]}]}]}, {"tin": {"type": "ein", "value": "596000695"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.0, "providers": [{"billed_charge": 11.0, "npi": [1811476930]}]}]}, {"tin": {"type": "ein", "value": "596000885"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.0, "providers": [{"billed_charge": 14.0, "npi": [1487933248]}]}]}, {"tin": {"type": "ein", "value": "616001804"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1477551372]}]}]}, {"tin": {"type": "ein", "value": "710907561"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 25.95, "providers": [{"billed_charge": 25.95, "npi": [1568563278]}]}]}, {"tin": {"type": "ein", "value": "720701964"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.61, "providers": [{"billed_charge": 31.17, "npi": [1316943566]}]}]}, {"tin": {"type": "ein", "value": "721404705"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.62, "providers": [{"billed_charge": 86.0, "npi": [1306289996]}]}, {"allowed_amount": 493.86, "providers": [{"billed_charge": 86.0, "npi": [1306289996]}]}]}, {"tin": {"type": "ein", "value": "731038915"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.05, "providers": [{"billed_charge": 18.05, "npi": [1457378150]}]}]}, {"tin": {"type": "ein", "value": "731327939"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1093736746]}]}]}, {"tin": {"type": "ein", "value": "741282696"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1083744940]}]}]}, {"tin": {"type": "ein", "value": "741463668"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1891870168]}]}]}, {"tin": {"type": "ein", "value": "741469344"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1043213606]}]}]}, {"tin": {"type": "ein", "value": "741497712"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1063410850]}]}]}, {"tin": {"type": "ein", "value": "741499194"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1851597538]}]}]}, {"tin": {"type": "ein", "value": "741685167"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1447316377]}]}]}, {"tin": {"type": "ein", "value": "741772120"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.66, "providers": [{"billed_charge": 18.66, "npi": [1437218062]}]}, {"allowed_amount": 63.63, "providers": [{"billed_charge": 21.93, "npi": [1437218062]}]}]}, {"tin": {"type": "ein", "value": "741818451"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1053317347]}]}]}, {"tin": {"type": "ein", "value": "742043456"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1790769743]}]}]}, {"tin": {"type": "ein", "value": "742060965"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.43, "providers": [{"billed_charge": 24.0, "npi": [1477577245]}]}]}, {"tin": {"type": "ein", "value": "742151203"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 21.0, "providers": [{"billed_charge": 21.0, "npi": [1417007188]}]}]}, {"tin": {"type": "ein", "value": "742276859"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1134279425]}]}]}, {"tin": {"type": "ein", "value": "742570068"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.62, "providers": [{"billed_charge": 38.0, "npi": [1326037607]}]}]}, {"tin": {"type": "ein", "value": "742644883"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1942665286]}]}]}, {"tin": {"type": "ein", "value": "742653285"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 16.0, "npi": [1609296805]}]}]}, {"tin": {"type": "ein", "value": "742855426"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1942367677]}]}]}, {"tin": {"type": "ein", "value": "743010903"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1023323417]}]}]}, {"tin": {"type": "ein", "value": "743253181"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1588809255]}]}]}, {"tin": {"type": "ein", "value": "746000085"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.5, "providers": [{"billed_charge": 15.0, "npi": [1295704732]}]}]}, {"tin": {"type": "ein", "value": "746000278"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 21.0, "providers": [{"billed_charge": 21.0, "npi": [1982695268]}]}]}, {"tin": {"type": "ein", "value": "746000374"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1679594568]}]}]}, {"tin": {"type": "ein", "value": "746000408"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 21.0, "providers": [{"billed_charge": 21.0, "npi": [1811075807]}]}]}, {"tin": {"type": "ein", "value": "746000574"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.82, "providers": [{"billed_charge": 15.82, "npi": [1972609337]}]}]}, {"tin": {"type": "ein", "value": "746000749"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 19.0, "providers": [{"billed_charge": 19.0, "npi": [1306909395]}]}, {"allowed_amount": 236.61, "providers": [{"billed_charge": 28.5, "npi": [1306909395]}]}]}, {"tin": {"type": "ein", "value": "746000974"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1265808430]}]}]}, {"tin": {"type": "ein", "value": "746000978"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 20.56, "providers": [{"billed_charge": 20.58, "npi": [1114995586]}]}]}, {"tin": {"type": "ein", "value": "746001164"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 16.2, "providers": [{"billed_charge": 16.52, "npi": [1447375282]}]}, {"allowed_amount": 16.52, "providers": [{"billed_charge": 16.52, "npi": [1447375282]}]}]}, {"tin": {"type": "ein", "value": "746001420"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 26.62, "providers": [{"billed_charge": 26.75, "npi": [1710064100]}]}]}, {"tin": {"type": "ein", "value": "746001432"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 23.0, "providers": [{"billed_charge": 25.0, "npi": [1710977061]}]}]}, {"tin": {"type": "ein", "value": "746001490"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 29.7, "providers": [{"billed_charge": 34.65, "npi": [1730186636]}]}, {"allowed_amount": 30.62, "providers": [{"billed_charge": 34.65, "npi": [1730186636]}]}]}, {"tin": {"type": "ein", "value": "746001774"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1033139977]}]}]}, {"tin": {"type": "ein", "value": "746001969"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.61, "providers": [{"billed_charge": 35.84, "npi": [1457322885]}]}, {"allowed_amount": 35.0, "providers": [{"billed_charge": 35.84, "npi": [1457322885]}]}]}, {"tin": {"type": "ein", "value": "746002069"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 16.5, "providers": [{"billed_charge": 16.5, "npi": [1932100427]}]}]}, {"tin": {"type": "ein", "value": "746002070"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1053377713]}]}]}, {"tin": {"type": "ein", "value": "746002330"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1174521249]}]}]}, {"tin": {"type": "ein", "value": "746002441"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1336169192]}]}]}, {"tin": {"type": "ein", "value": "746027491"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 27.25, "providers": [{"billed_charge": 27.79, "npi": [1447674825]}, {"billed_charge": 29.52, "npi": [1447674825]}]}, {"allowed_amount": 29.52, "providers": [{"billed_charge": 29.52, "npi": [1447674825]}]}, {"allowed_amount": 32.7, "providers": [{"billed_charge": 35.42, "npi": [1447674825]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.62, "providers": [{"billed_charge": 151.0, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "751102555"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1063550168]}]}]}, {"tin": {"type": "ein", "value": "751235137"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1669177903]}]}]}, {"tin": {"type": "ein", "value": "751279194"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1386665750]}]}]}, {"tin": {"type": "ein", "value": "751333555"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1467473165]}]}]}, {"tin": {"type": "ein", "value": "751360556"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1235285289]}]}]}, {"tin": {"type": "ein", "value": "751570670"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1699811034]}]}]}, {"tin": {"type": "ein", "value": "751657155"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.61, "providers": [{"billed_charge": 40.0, "npi": [1275509259]}]}, {"allowed_amount": 30.62, "providers": [{"billed_charge": 40.0, "npi": [1275509259]}]}]}, {"tin": {"type": "ein", "value": "751680420"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1265163414]}]}]}, {"tin": {"type": "ein", "value": "751962356"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1861477762]}]}, {"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1861477762]}]}]}, {"tin": {"type": "ein", "value": "752039960"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1992778492]}]}]}, {"tin": {"type": "ein", "value": "752213204"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1831229384]}]}]}, {"tin": {"type": "ein", "value": "752234266"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 27.0, "providers": [{"billed_charge": 27.0, "npi": [1710981774]}]}]}, {"tin": {"type": "ein", "value": "752474011"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 19.62, "providers": [{"billed_charge": 22.03, "npi": [1881628014]}]}, {"allowed_amount": 22.03, "providers": [{"billed_charge": 22.03, "npi": [1881628014]}]}, {"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1194750802]}]}]}, {"tin": {"type": "ein", "value": "752707125"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1942201272]}]}]}, {"tin": {"type": "ein", "value": "752747708"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1457444150]}]}]}, {"tin": {"type": "ein", "value": "756000478"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1033240718]}]}]}, {"tin": {"type": "ein", "value": "756000508"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1861530990]}]}]}, {"tin": {"type": "ein", "value": "756000514"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1275548182]}]}]}, {"tin": {"type": "ein", "value": "756000528"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 27.0, "providers": [{"billed_charge": 27.0, "npi": [1629871512]}]}]}, {"tin": {"type": "ein", "value": "756000531"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1538207642]}]}]}, {"tin": {"type": "ein", "value": "756000534"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1750323556]}]}, {"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1750323556]}]}]}, {"tin": {"type": "ein", "value": "756000543"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1194728402]}]}]}, {"tin": {"type": "ein", "value": "756000546"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.36, "providers": [{"billed_charge": 24.0, "npi": [1790790947]}]}]}, {"tin": {"type": "ein", "value": "756000566"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1962432930]}]}]}, {"tin": {"type": "ein", "value": "756000580"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1518085646]}]}]}, {"tin": {"type": "ein", "value": "756000583"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1871623470]}]}]}, {"tin": {"type": "ein", "value": "756000594"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1598781742]}]}]}, {"tin": {"type": "ein", "value": "756000599"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1558460329]}]}]}, {"tin": {"type": "ein", "value": "756000606"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1770621492]}]}]}, {"tin": {"type": "ein", "value": "756000609"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1225058084]}]}]}, {"tin": {"type": "ein", "value": "756000640"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 22.5, "providers": [{"billed_charge": 22.5, "npi": [1982742698]}]}]}, {"tin": {"type": "ein", "value": "756000642"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1922147206]}]}]}, {"tin": {"type": "ein", "value": "756001203"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1891700753]}]}]}, {"tin": {"type": "ein", "value": "756001812"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 30.0, "npi": [1578565917]}]}]}, {"tin": {"type": "ein", "value": "756003955"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1003820705]}]}]}, {"tin": {"type": "ein", "value": "756004020"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1376681353]}]}]}, {"tin": {"type": "ein", "value": "756004414"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1396952321]}]}]}, {"tin": {"type": "ein", "value": "756004591"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1306851829]}]}]}, {"tin": {"type": "ein", "value": "756004644"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1891716452]}]}]}, {"tin": {"type": "ein", "value": "756004695"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1790709814]}]}]}, {"tin": {"type": "ein", "value": "756005182"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1316961824]}]}]}, {"tin": {"type": "ein", "value": "756005194"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1265570295]}]}, {"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1265570295]}]}]}, {"tin": {"type": "ein", "value": "756005431"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 23.0, "providers": [{"billed_charge": 23.0, "npi": [1366509556]}]}]}, {"tin": {"type": "ein", "value": "760133493"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 17.06, "providers": [{"billed_charge": 17.06, "npi": [1760033526]}]}]}, {"tin": {"type": "ein", "value": "760487923"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.11, "providers": [{"billed_charge": 15.16, "npi": [1235248089]}]}, {"allowed_amount": 15.16, "providers": [{"billed_charge": 15.16, "npi": [1235248089]}]}]}, {"tin": {"type": "ein", "value": "760521530"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 21.0, "providers": [{"billed_charge": 21.0, "npi": [1801864368]}]}]}, {"tin": {"type": "ein", "value": "770324739"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.62, "providers": [{"billed_charge": 83.89, "npi": [1134147150]}]}]}, {"tin": {"type": "ein", "value": "810438237"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.62, "providers": [{"billed_charge": 35.0, "npi": [1124570403]}]}]}, {"tin": {"type": "ein", "value": "811424190"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.5, "providers": [{"billed_charge": 24.5, "npi": [1104286087]}]}]}, {"tin": {"type": "ein", "value": "834593298"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1790343937]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 26.38, "providers": [{"billed_charge": 26.38, "npi": [1851441075]}]}]}, {"tin": {"type": "ein", "value": "880421120"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.61, "providers": [{"billed_charge": 37.12, "npi": [1003006180]}]}, {"allowed_amount": 30.62, "providers": [{"billed_charge": 37.12, "npi": [1003006180]}, {"billed_charge": 38.35, "npi": [1003006180]}]}]}, {"tin": {"type": "ein", "value": "880426848"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1437210978]}]}]}, {"tin": {"type": "ein", "value": "946000417"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.62, "providers": [{"billed_charge": 49.0, "npi": [1376600965]}]}]}, {"tin": {"type": "ein", "value": "946000509"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.94, "providers": [{"billed_charge": 77.4, "npi": [1316339609]}]}]}, {"tin": {"type": "ein", "value": "951488421"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1679660674]}]}]}, {"tin": {"type": "ein", "value": "952223085"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.61, "providers": [{"billed_charge": 39.58, "npi": [1518075449]}]}]}, {"tin": {"type": "ein", "value": "956000666"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 295.6, "providers": [{"billed_charge": 23.56, "npi": [1720129430]}]}]}, {"tin": {"type": "ein", "value": "990338416"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.62, "providers": [{"billed_charge": 37.27, "npi": [1730183252]}]}]}, {"tin": {"type": "ein", "value": "991971421"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.0, "providers": [{"billed_charge": 24.0, "npi": [1174331052]}]}]}]}, {"name": "Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)", "billing_code_type": "CPT", "billing_code": "83013", "billing_code_type_version": "2022", "description": "HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE", "allowed_amounts": [{"tin": {"type": "ein", "value": "760364263"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 91.61, "providers": [{"billed_charge": 202.0, "npi": [1740203397]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 55.24, "providers": [{"billed_charge": 282.33, "npi": [1235186800]}]}, {"allowed_amount": 140.78, "providers": [{"billed_charge": 282.33, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 51.87, "providers": [{"billed_charge": 134.72, "npi": [1336758952]}]}]}]}, {"name": "Helicobacter pylori; drug administration", "billing_code_type": "CPT", "billing_code": "83014", "billing_code_type_version": "2022", "description": "HPYLORI DRUG ADMINISTRATION", "allowed_amounts": [{"tin": {"type": "ein", "value": "760364263"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 10.69, "providers": [{"billed_charge": 26.0, "npi": [1740203397]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 16.43, "providers": [{"billed_charge": 32.94, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.05, "providers": [{"billed_charge": 15.72, "npi": [1336758952]}]}]}]}, {"name": "Hemoglobin; glycosylated (A1C)", "billing_code_type": "CPT", "billing_code": "83036", "billing_code_type_version": "2022", "description": "HEMOGLOBIN GLYCOSYLATED A1C", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.8, "providers": [{"billed_charge": 85.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 13.59, "providers": [{"billed_charge": 24.28, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.8, "providers": [{"billed_charge": 38.84, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.61, "providers": [{"billed_charge": 259.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.26, "providers": [{"billed_charge": 218.05, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.2, "providers": [{"billed_charge": 612.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.51, "providers": [{"billed_charge": 481.45, "npi": [1124074273]}]}, {"allowed_amount": 177.42, "providers": [{"billed_charge": 506.9, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.6, "providers": [{"billed_charge": 108.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 10.49, "providers": [{"billed_charge": 58.26, "npi": [1467642611]}]}, {"allowed_amount": 10.68, "providers": [{"billed_charge": 58.26, "npi": [1467642611]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 27.0, "providers": [{"billed_charge": 27.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.0, "providers": [{"billed_charge": 63.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.48, "providers": [{"billed_charge": 15.0, "npi": [1194769497]}]}, {"allowed_amount": 7.96, "providers": [{"billed_charge": 15.0, "npi": [1104839380]}]}]}, {"tin": {"type": "ein", "value": "760549240"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 7.4, "providers": [{"billed_charge": 7.4, "npi": [1821040429]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 10.68, "providers": [{"billed_charge": 32.0, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.96, "providers": [{"billed_charge": 40.68, "npi": [1235186800]}]}, {"allowed_amount": 20.29, "providers": [{"billed_charge": 40.68, "npi": [1235186800]}, {"billed_charge": 41.0, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.96, "providers": [{"billed_charge": 24.28, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "821606706"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.96, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 14.57, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "822312224"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 17.96, "providers": [{"billed_charge": 26.64, "npi": [1780892729]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.96, "providers": [{"billed_charge": 13.0, "npi": [1487429874]}]}, {"allowed_amount": 13.0, "providers": [{"billed_charge": 13.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "823021953"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.96, "providers": [{"billed_charge": 29.13, "npi": [1447760814]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.48, "providers": [{"billed_charge": 25.0, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "844939989"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 14.86, "providers": [{"billed_charge": 29.13, "npi": [1699209916]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.96, "providers": [{"billed_charge": 14.57, "npi": [1457977209]}, {"billed_charge": 24.28, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "854234950"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1801399019]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.96, "providers": [{"billed_charge": 9.71, "npi": [1821749896]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.73, "providers": [{"billed_charge": 117.0, "npi": [1982606992]}]}]}]}, {"name": "Hepatitis C antibody;", "billing_code_type": "CPT", "billing_code": "86803", "billing_code_type_version": "2022", "description": "HEPATITIS C ANTIBODY", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.99, "providers": [{"billed_charge": 150.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 320.64, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 409.5, "providers": [{"billed_charge": 1170.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 298.87, "providers": [{"billed_charge": 853.9, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.85, "providers": [{"billed_charge": 133.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.0, "providers": [{"billed_charge": 40.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.7, "providers": [{"billed_charge": 59.82, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 23.12, "providers": [{"billed_charge": 172.0, "npi": [1982606992]}]}]}]}, {"name": "Homocysteine", "billing_code_type": "CPT", "billing_code": "83090", "billing_code_type_version": "2022", "description": "ASSAY OF HOMOCYSTEINE", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.54, "providers": [{"billed_charge": 250.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 25.09, "providers": [{"billed_charge": 44.8, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "273012584"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1104255215]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 47.0, "providers": [{"billed_charge": 47.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 14.69, "providers": [{"billed_charge": 70.71, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 14.69, "providers": [{"billed_charge": 23.0, "npi": [1487429874]}]}]}]}, {"name": "Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 85 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99236", "billing_code_type_version": "2022", "description": "HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "260829510"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 373.62, "providers": [{"billed_charge": 472.0, "npi": [1841563186]}]}]}, {"tin": {"type": "ein", "value": "300520570"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 214.83, "providers": [{"billed_charge": 479.0, "npi": [1437538675]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 253.23, "providers": [{"billed_charge": 377.96, "npi": [1174512651]}]}]}, {"tin": {"type": "ein", "value": "393414517"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 235.38, "providers": [{"billed_charge": 1518.0, "npi": [1609458736]}]}, {"allowed_amount": 373.62, "providers": [{"billed_charge": 1518.0, "npi": [1689297723]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 373.62, "providers": [{"billed_charge": 490.0, "npi": [1033158365]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 349.96, "providers": [{"billed_charge": 553.01, "npi": [1114902111]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 253.23, "providers": [{"billed_charge": 720.0, "npi": [1376741751]}]}]}, {"tin": {"type": "ein", "value": "843112870"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 529.26, "providers": [{"billed_charge": 2250.0, "npi": [1467793034]}]}]}, {"tin": {"type": "ein", "value": "851820894"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 253.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9500.0, "npi": [1982047791]}]}]}, {"tin": {"type": "ein", "value": "851917572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 750.0, "providers": [{"billed_charge": 9500.0, "npi": [1972612935]}]}]}, {"tin": {"type": "ein", "value": "851943296"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 959.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2200.0, "npi": [1235429077]}]}]}, {"tin": {"type": "ein", "value": "852099359"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 520.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4500.0, "npi": [1215220660]}]}]}, {"tin": {"type": "ein", "value": "873769568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 280.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1426.72, "npi": [1407883788]}]}]}, {"tin": {"type": "ein", "value": "882995921"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 585.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9500.0, "npi": [1255651279]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 252.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3420.0, "npi": [1275598393, 1144807322]}]}, {"allowed_amount": 509.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3420.0, "npi": [1275598393]}]}]}, {"tin": {"type": "ein", "value": "992876513"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 252.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2581.26, "npi": [1346260890, 1265462618]}]}]}]}, {"name": "Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter", "billing_code_type": "CPT", "billing_code": "99238", "billing_code_type_version": "2022", "description": "HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN/<", "allowed_amounts": [{"tin": {"type": "ein", "value": "200445029"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.72, "providers": [{"billed_charge": 125.9, "npi": [1992843163]}]}]}, {"tin": {"type": "ein", "value": "204871619"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.53, "providers": [{"billed_charge": 141.0, "npi": [1972569895]}]}]}, {"tin": {"type": "ein", "value": "251838458"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.18, "providers": [{"billed_charge": 227.0, "npi": [1053384628]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.31, "providers": [{"billed_charge": 188.0, "npi": [1457650640]}]}]}, {"tin": {"type": "ein", "value": "262477205"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.73, "providers": [{"billed_charge": 171.0, "npi": [1164954665]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.36, "providers": [{"billed_charge": 223.0, "npi": [1487850046]}]}, {"allowed_amount": 110.46, "providers": [{"billed_charge": 223.0, "npi": [1073756888]}]}]}, {"tin": {"type": "ein", "value": "271283341"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.53, "providers": [{"billed_charge": 396.0, "npi": [1700878295]}]}]}, {"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 85.84, "providers": [{"billed_charge": 202.0, "npi": [1184831232]}]}, {"allowed_amount": 117.05, "providers": [{"billed_charge": 202.0, "npi": [1619909009]}]}]}, {"tin": {"type": "ein", "value": "300038860"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.31, "providers": [{"billed_charge": 149.0, "npi": [1477767226]}]}]}, {"tin": {"type": "ein", "value": "311756818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.9, "providers": [{"billed_charge": 195.6, "npi": [1306465018]}]}]}, {"tin": {"type": "ein", "value": "320438010"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.47, "providers": [{"billed_charge": 165.0, "npi": [1720016371]}]}]}, {"tin": {"type": "ein", "value": "320612926"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 200.3, "providers": [{"billed_charge": 1026.0, "npi": [1174579593, 1346277324, 1336253590]}]}]}, {"tin": {"type": "ein", "value": "332167145"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.0, "providers": [{"billed_charge": 115.0, "npi": [1184009573]}]}]}, {"tin": {"type": "ein", "value": "332672530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.31, "providers": [{"billed_charge": 406.0, "npi": [1205509056, 1114089547, 1982458451]}]}, {"allowed_amount": 135.73, "providers": [{"billed_charge": 406.0, "npi": [1366698243, 1144652686]}]}, {"allowed_amount": 137.75, "providers": [{"billed_charge": 406.0, "npi": [1194080051]}]}]}, {"tin": {"type": "ein", "value": "334600878"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.45, "providers": [{"billed_charge": 149.24, "npi": [1669856670]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 85.44, "providers": [{"billed_charge": 148.92, "npi": [1689460206]}]}, {"allowed_amount": 93.82, "providers": [{"billed_charge": 160.72, "npi": [1619235876]}]}, {"allowed_amount": 99.78, "providers": [{"billed_charge": 148.92, "npi": [1164800744, 1609809185, 1609307115, 1982639860]}]}, {"allowed_amount": 137.75, "providers": [{"billed_charge": 148.92, "npi": [1932660297]}]}]}, {"tin": {"type": "ein", "value": "352571461"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1831708031]}]}]}, {"tin": {"type": "ein", "value": "392523661"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 112.0, "providers": [{"billed_charge": 112.0, "npi": [1043005788]}]}]}, {"tin": {"type": "ein", "value": "393414517"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.37, "providers": [{"billed_charge": 508.0, "npi": [1912236019, 1720284052]}]}, {"allowed_amount": 78.58, "providers": [{"billed_charge": 508.0, "npi": [1992382717]}]}, {"allowed_amount": 92.45, "providers": [{"billed_charge": 508.0, "npi": [1588227680, 1669856670, 1588003792, 1043481401, 1659396539, 1912468158]}]}]}, {"tin": {"type": "ein", "value": "462714379"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.42, "providers": [{"billed_charge": 211.0, "npi": [1407241052]}]}]}, {"tin": {"type": "ein", "value": "474366118"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.9, "providers": [{"billed_charge": 175.0, "npi": [1306965579]}]}]}, {"tin": {"type": "ein", "value": "475300786"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1063648277]}]}]}, {"tin": {"type": "ein", "value": "475510475"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 80.71, "providers": [{"billed_charge": 216.0, "npi": [1053997874]}]}]}, {"tin": {"type": "ein", "value": "650578395"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 62.36, "providers": [{"billed_charge": 696.0, "npi": [1487944252]}]}, {"allowed_amount": 84.38, "providers": [{"billed_charge": 696.0, "npi": [1689871014, 1306945415]}]}, {"allowed_amount": 88.04, "providers": [{"billed_charge": 696.0, "npi": [1033436274, 1568624138, 1184674095]}]}, {"allowed_amount": 89.35, "providers": [{"billed_charge": 696.0, "npi": [1891292694]}]}, {"allowed_amount": 91.9, "providers": [{"billed_charge": 696.0, "npi": [1396935490]}]}, {"allowed_amount": 99.78, "providers": [{"billed_charge": 696.0, "npi": [1184967960, 1982047726, 1407043383]}]}, {"allowed_amount": 137.75, "providers": [{"billed_charge": 696.0, "npi": [1063839116]}]}, {"allowed_amount": 186.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 696.0, "npi": [1366804866, 1770847337, 1083145197, 1568460756, 1144227257]}]}, {"allowed_amount": 778.43, "providers": [{"billed_charge": 696.0, "npi": [1770548190]}]}]}, {"tin": {"type": "ein", "value": "720839724"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 117.08, "providers": [{"billed_charge": 144.0, "npi": [1467891358]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.37, "providers": [{"billed_charge": 192.0, "npi": [1740480128]}]}, {"allowed_amount": 95.38, "providers": [{"billed_charge": 192.0, "npi": [1215905096]}]}, {"allowed_amount": 114.13, "providers": [{"billed_charge": 192.0, "npi": [1033636790]}]}, {"allowed_amount": 133.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 192.0, "npi": [1285073122, 1942792197, 1306341094, 1235154154, 1467972208, 1356875090, 1134440530, 1407484082]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 122.91, "providers": [{"billed_charge": 315.0, "npi": [1255862363]}]}]}, {"tin": {"type": "ein", "value": "742800601"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.41, "providers": [{"billed_charge": 223.0, "npi": [1134514805]}]}]}, {"tin": {"type": "ein", "value": "742844785"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 99.78, "providers": [{"billed_charge": 174.0, "npi": [1083145494]}]}, {"allowed_amount": 170.26, "providers": [{"billed_charge": 174.0, "npi": [1346833068]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.27, "providers": [{"billed_charge": 265.55, "npi": [1750181541]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.12, "providers": [{"billed_charge": 140.0, "npi": [1689902983]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.36, "providers": [{"billed_charge": 118.0, "npi": [1134502438]}]}, {"allowed_amount": 92.45, "providers": [{"billed_charge": 118.0, "npi": [1013539667]}]}]}, {"tin": {"type": "ein", "value": "751791138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.05, "providers": [{"billed_charge": 200.0, "npi": [1609910579]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.73, "providers": [{"billed_charge": 165.0, "npi": [1790161156]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.05, "providers": [{"billed_charge": 187.87, "npi": [1710373246]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 99.78, "providers": [{"billed_charge": 239.0, "npi": [1043243488, 1447280458, 1891741179, 1932197621]}]}, {"allowed_amount": 186.71, "providers": [{"billed_charge": 239.0, "npi": [1760927040]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 85.84, "providers": [{"billed_charge": 181.0, "npi": [1659353605]}]}, {"allowed_amount": 128.4, "providers": [{"billed_charge": 181.0, "npi": [1023513868]}]}, {"allowed_amount": 133.53, "providers": [{"billed_charge": 181.0, "npi": [1851965859]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 62.36, "providers": [{"billed_charge": 181.0, "npi": [1801421631]}]}, {"allowed_amount": 92.45, "providers": [{"billed_charge": 181.0, "npi": [1073075073, 1518118561, 1922502277, 1356385355, 1447481395, 1386922771, 1215257365, 1861010803, 1053849463, 1083093660]}]}, {"allowed_amount": 114.13, "providers": [{"billed_charge": 181.0, "npi": [1053854307]}]}, {"allowed_amount": 146.74, "providers": [{"billed_charge": 181.0, "npi": [1962065730]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.95, "providers": [{"billed_charge": 696.0, "npi": [1326072117, 1992190334]}]}, {"allowed_amount": 87.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 696.0, "npi": [1992096358, 1598727851, 1508811340, 1386089522, 1114346327, 1477603322, 1992190334]}]}, {"allowed_amount": 99.05, "providers": [{"billed_charge": 696.0, "npi": [1326072117]}]}, {"allowed_amount": 99.78, "providers": [{"billed_charge": 696.0, "npi": [1194916072, 1942263926]}]}, {"allowed_amount": 102.72, "providers": [{"billed_charge": 696.0, "npi": [1245551449]}]}, {"allowed_amount": 104.47, "providers": [{"billed_charge": 696.0, "npi": [1376570317]}]}, {"allowed_amount": 104.92, "providers": [{"billed_charge": 696.0, "npi": [1215951744]}]}, {"allowed_amount": 128.4, "providers": [{"billed_charge": 696.0, "npi": [1336143080]}]}, {"allowed_amount": 132.41, "providers": [{"billed_charge": 696.0, "npi": [1073142410, 1275751893, 1427079391]}]}, {"allowed_amount": 133.53, "providers": [{"billed_charge": 696.0, "npi": [1770045122, 1750620357]}]}, {"allowed_amount": 135.73, "providers": [{"billed_charge": 696.0, "npi": [1518351600, 1700347929, 1487873386, 1083918163]}]}, {"allowed_amount": 556.82, "providers": [{"billed_charge": 696.0, "npi": [1386089522]}]}, {"allowed_amount": 724.14, "providers": [{"billed_charge": 696.0, "npi": [1487873386]}]}, {"allowed_amount": 746.42, "providers": [{"billed_charge": 696.0, "npi": [1972794162]}]}, {"allowed_amount": 765.88, "providers": [{"billed_charge": 696.0, "npi": [1326072117]}]}, {"allowed_amount": 767.75, "providers": [{"billed_charge": 696.0, "npi": [1821169004]}]}, {"allowed_amount": 778.65, "providers": [{"billed_charge": 696.0, "npi": [1992096358]}]}, {"allowed_amount": 920.3, "providers": [{"billed_charge": 696.0, "npi": [1326072117]}]}, {"allowed_amount": 1255.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 696.0, "npi": [1265691810]}]}, {"allowed_amount": 2866.95, "providers": [{"billed_charge": 696.0, "npi": [1942263926]}]}]}, {"tin": {"type": "ein", "value": "752772742"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 88.8, "providers": [{"billed_charge": 322.0, "npi": [1750144523, 1639701014]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 85.81, "providers": [{"billed_charge": 269.0, "npi": [1861810392]}]}, {"allowed_amount": 87.31, "providers": [{"billed_charge": 269.0, "npi": [1598081051]}]}, {"allowed_amount": 100.74, "providers": [{"billed_charge": 269.0, "npi": [1447215256, 1326128695]}]}, {"allowed_amount": 102.72, "providers": [{"billed_charge": 269.0, "npi": [1912583451]}]}, {"allowed_amount": 104.47, "providers": [{"billed_charge": 269.0, "npi": [1104928753, 1407475429]}]}, {"allowed_amount": 138.05, "providers": [{"billed_charge": 269.0, "npi": [1093005993, 1033321260, 1073758967]}]}]}, {"tin": {"type": "ein", "value": "820956118"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 99.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 650.0, "npi": [1477748002, 1437361573, 1245347749, 1851595656, 1902089709, 1275563058, 1124191606]}]}]}, {"tin": {"type": "ein", "value": "822767201"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 206.55, "providers": [{"billed_charge": 1026.0, "npi": [1801139423]}]}]}, {"tin": {"type": "ein", "value": "823362725"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.53, "providers": [{"billed_charge": 617.8, "npi": [1467913673]}]}]}, {"tin": {"type": "ein", "value": "832724456"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 203.31, "providers": [{"billed_charge": 203.31, "npi": [1023069853]}]}]}, {"tin": {"type": "ein", "value": "834460864"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.45, "providers": [{"billed_charge": 130.0, "npi": [1669655817]}]}]}, {"tin": {"type": "ein", "value": "843316983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.05, "providers": [{"billed_charge": 314.08, "npi": [1235148370, 1639278799]}]}]}, {"tin": {"type": "ein", "value": "851917572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 99.78, "providers": [{"billed_charge": 3000.0, "npi": [1386140226]}]}]}, {"tin": {"type": "ein", "value": "852464463"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1846.57, "npi": [1922595727]}]}]}, {"tin": {"type": "ein", "value": "862764995"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.71, "providers": [{"billed_charge": 170.0, "npi": [1508179052]}]}]}, {"tin": {"type": "ein", "value": "864001978"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.78, "providers": [{"billed_charge": 214.38, "npi": [1386264679]}]}]}, {"tin": {"type": "ein", "value": "873419136"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.13, "providers": [{"billed_charge": 218.0, "npi": [1780200311]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 99.05, "providers": [{"billed_charge": 1026.0, "npi": [1184916546, 1770798563, 1275598393, 1972578714, 1144807322]}]}, {"allowed_amount": 200.3, "providers": [{"billed_charge": 1026.0, "npi": [1275598393, 1184916546, 1972578714, 1144807322]}]}]}, {"tin": {"type": "ein", "value": "922495800"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.71, "providers": [{"billed_charge": 170.0, "npi": [1801385679]}]}]}, {"tin": {"type": "ein", "value": "932501917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.76, "providers": [{"billed_charge": 392.0, "npi": [1164217923]}]}]}, {"tin": {"type": "ein", "value": "934473770"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.53, "providers": [{"billed_charge": 160.0, "npi": [1740665553]}]}]}, {"tin": {"type": "ein", "value": "990675124"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.35, "providers": [{"billed_charge": 406.0, "npi": [1619059201, 1912961582]}]}]}, {"tin": {"type": "ein", "value": "994367638"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.13, "providers": [{"billed_charge": 141.0, "npi": [1023856184]}]}]}]}, {"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": "200474854"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 237.13, "providers": [{"billed_charge": 250.0, "npi": [1033748298, 1164481875]}]}]}, {"tin": {"type": "ein", "value": "201790156"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.63, "providers": [{"billed_charge": 229.0, "npi": [1386636025, 1326069139]}]}]}, {"tin": {"type": "ein", "value": "204700877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.3, "providers": [{"billed_charge": 445.0, "npi": [1063619195]}]}]}, {"tin": {"type": "ein", "value": "204871619"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.24, "providers": [{"billed_charge": 209.0, "npi": [1720053739, 1972569895]}]}]}, {"tin": {"type": "ein", "value": "208768035"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 118.57, "providers": [{"billed_charge": 293.61, "npi": [1235100462]}]}]}, {"tin": {"type": "ein", "value": "232691968"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.93, "providers": [{"billed_charge": 215.0, "npi": [1558001602, 1619256492]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.16, "providers": [{"billed_charge": 592.0, "npi": [1356495493]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 156.8, "providers": [{"billed_charge": 187.0, "npi": [1689963910]}]}]}, {"tin": {"type": "ein", "value": "270794018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1932300779]}]}]}, {"tin": {"type": "ein", "value": "271321606"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.44, "providers": [{"billed_charge": 317.0, "npi": [1679676795]}]}]}, {"tin": {"type": "ein", "value": "271368002"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.38, "providers": [{"billed_charge": 500.0, "npi": [1306048277]}]}]}, {"tin": {"type": "ein", "value": "271463889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.52, "providers": [{"billed_charge": 336.0, "npi": [1912096694]}]}]}, {"tin": {"type": "ein", "value": "300520570"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.21, "providers": [{"billed_charge": 233.0, "npi": [1164801569]}]}, {"allowed_amount": 124.39, "providers": [{"billed_charge": 233.0, "npi": [1619265337]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 109.76, "providers": [{"billed_charge": 300.0, "npi": [1184873234]}]}, {"allowed_amount": 124.39, "providers": [{"billed_charge": 300.0, "npi": [1710218144, 1699234567]}]}, {"allowed_amount": 129.63, "providers": [{"billed_charge": 300.0, "npi": [1689136673, 1134547078, 1063767598]}]}]}, {"tin": {"type": "ein", "value": "332241086"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 120.21, "providers": [{"billed_charge": 233.0, "npi": [1619136611, 1881259299, 1710394093, 1932595311, 1245619568, 1851788020]}]}, {"allowed_amount": 129.63, "providers": [{"billed_charge": 233.0, "npi": [1710240098, 1457585739, 1982967923]}]}]}, {"tin": {"type": "ein", "value": "332672530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.34, "providers": [{"billed_charge": 592.0, "npi": [1033435011]}]}]}, {"tin": {"type": "ein", "value": "334355393"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.38, "providers": [{"billed_charge": 199.0, "npi": [1073756375]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 72.15, "providers": [{"billed_charge": 212.18, "npi": [1447211644]}]}, {"allowed_amount": 121.74, "providers": [{"billed_charge": 212.18, "npi": [1417785502]}]}, {"allowed_amount": 130.49, "providers": [{"billed_charge": 212.18, "npi": [1467896415]}]}, {"allowed_amount": 142.16, "providers": [{"billed_charge": 212.18, "npi": [1346878477, 1891299004, 1598911349]}]}, {"allowed_amount": 212.18, "providers": [{"billed_charge": 212.18, "npi": [1306450697]}]}]}, {"tin": {"type": "ein", "value": "386005601"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.85, "providers": [{"billed_charge": 198.0, "npi": [1619087343]}]}]}, {"tin": {"type": "ein", "value": "392531485"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.98, "providers": [{"billed_charge": 195.0, "npi": [1396329231]}]}]}, {"tin": {"type": "ein", "value": "393414517"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.53, "providers": [{"billed_charge": 748.0, "npi": [1871880823, 1225440399]}]}, {"allowed_amount": 111.95, "providers": [{"billed_charge": 748.0, "npi": [1992382717]}]}, {"allowed_amount": 131.71, "providers": [{"billed_charge": 748.0, "npi": [1619592904, 1376757609, 1679950448, 1588003792, 1609458736, 1710390067, 1467890772, 1043481401, 1427574813]}]}]}, {"tin": {"type": "ein", "value": "421411630"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 179.48, "providers": [{"billed_charge": 262.0, "npi": [1245502640]}]}]}, {"tin": {"type": "ein", "value": "450675246"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.63, "providers": [{"billed_charge": 300.0, "npi": [1346402781, 1396970950]}]}]}, {"tin": {"type": "ein", "value": "452654166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.71, "providers": [{"billed_charge": 284.0, "npi": [1629654470]}]}]}, {"tin": {"type": "ein", "value": "460792526"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 180.0, "providers": [{"billed_charge": 180.0, "npi": [1225103872]}]}]}, {"tin": {"type": "ein", "value": "460796181"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.39, "providers": [{"billed_charge": 326.79, "npi": [1174028039]}, {"billed_charge": 341.46, "npi": [1174028039]}]}]}, {"tin": {"type": "ein", "value": "460796934"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.38, "providers": [{"billed_charge": 208.0, "npi": [1972921583]}]}]}, {"tin": {"type": "ein", "value": "462354804"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.61, "providers": [{"billed_charge": 346.0, "npi": [1598962490]}]}]}, {"tin": {"type": "ein", "value": "472773550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.63, "providers": [{"billed_charge": 227.0, "npi": [1265662662]}]}]}, {"tin": {"type": "ein", "value": "474622925"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.38, "providers": [{"billed_charge": 315.0, "npi": [1366499220]}]}]}, {"tin": {"type": "ein", "value": "475013720"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.24, "providers": [{"billed_charge": 1668.47, "npi": [1538574066]}]}]}, {"tin": {"type": "ein", "value": "475300786"}, "billing_class": "professional", "service_codes": ["21", "61"], "payments": [{"allowed_amount": 142.16, "providers": [{"billed_charge": 150.0, "npi": [1669435871]}]}, {"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1710281027, 1992167779, 1912961509, 1841457223, 1356509004, 1255472205, 1609973650, 1063648277, 1417444795, 1558417147, 1831885565]}]}]}, {"tin": {"type": "ein", "value": "475510475"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 193.38, "providers": [{"billed_charge": 317.0, "npi": [1700407301]}]}]}, {"tin": {"type": "ein", "value": "475594693"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.16, "providers": [{"billed_charge": 157.0, "npi": [1346772209]}]}]}, {"tin": {"type": "ein", "value": "510484748"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.38, "providers": [{"billed_charge": 363.0, "npi": [1366476699]}]}, {"allowed_amount": 196.69, "providers": [{"billed_charge": 363.0, "npi": [1326292517]}]}]}, {"tin": {"type": "ein", "value": "521467441"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.34, "providers": [{"billed_charge": 302.0, "npi": [1750592952]}]}]}, {"tin": {"type": "ein", "value": "571220779"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.56, "providers": [{"billed_charge": 737.0, "npi": [1659193407]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.37, "providers": [{"billed_charge": 445.0, "npi": [1316574593]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.27, "providers": [{"billed_charge": 346.0, "npi": [1821202524]}]}]}, {"tin": {"type": "ein", "value": "593647972"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.54, "providers": [{"billed_charge": 270.0, "npi": [1356752331]}]}]}, {"tin": {"type": "ein", "value": "650578395"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.27, "providers": [{"billed_charge": 1020.0, "npi": [1306812151]}]}]}, {"tin": {"type": "ein", "value": "720423889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 170.97, "providers": [{"billed_charge": 237.0, "npi": [1306586334]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 142.16, "providers": [{"billed_charge": 377.0, "npi": [1447510011]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.91, "providers": [{"billed_charge": 271.0, "npi": [1861509861]}]}, {"allowed_amount": 38.05, "providers": [{"billed_charge": 271.0, "npi": [1265182877]}]}, {"allowed_amount": 142.16, "providers": [{"billed_charge": 271.0, "npi": [1861509861]}]}, {"allowed_amount": 190.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 271.0, "npi": [1093126534, 1225527815, 1285263244, 1467072017, 1245417237, 1265829147, 1265182877, 1609027101, 1881951911, 1275640245, 1346738374, 1477849800, 1730422486, 1487097689, 1093446874, 1568751329, 1043653348, 1093201261, 1265182448, 1831696889, 1346760956]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.63, "providers": [{"billed_charge": 300.0, "npi": [1265483531]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 175.15, "providers": [{"billed_charge": 447.0, "npi": [1679993166]}]}]}, {"tin": {"type": "ein", "value": "742576197"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.98, "providers": [{"billed_charge": 295.0, "npi": [1861495467]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.39, "providers": [{"billed_charge": 351.05, "npi": [1972166551]}]}, {"allowed_amount": 142.16, "providers": [{"billed_charge": 351.05, "npi": [1952697385, 1003474644, 1740433069, 1588074157]}]}, {"allowed_amount": 190.24, "providers": [{"billed_charge": 351.05, "npi": [1881213882, 1003236548, 1548532229, 1881077097, 1124555792, 1386802833, 1184365009, 1497738298, 1801537246]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.61, "providers": [{"billed_charge": 207.0, "npi": [1780681718]}]}, {"allowed_amount": 157.37, "providers": [{"billed_charge": 207.0, "npi": [1235335068, 1578859757]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 88.85, "providers": [{"billed_charge": 168.0, "npi": [1871187260, 1467077420]}]}, {"allowed_amount": 104.53, "providers": [{"billed_charge": 168.0, "npi": [1598329435]}]}, {"allowed_amount": 131.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 168.0, "npi": [1154616423, 1285661231, 1235794546, 1669767893, 1588607071]}]}, {"allowed_amount": 135.89, "providers": [{"billed_charge": 168.0, "npi": [1245437425]}]}, {"allowed_amount": 168.0, "providers": [{"billed_charge": 168.0, "npi": [1639465057]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 126.25, "providers": [{"billed_charge": 239.0, "npi": [1306036686]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 114.58, "providers": [{"billed_charge": 275.1, "npi": [1508166596]}]}, {"allowed_amount": 114.98, "providers": [{"billed_charge": 275.1, "npi": [1487859823]}]}, {"allowed_amount": 126.52, "providers": [{"billed_charge": 275.1, "npi": [1598324741]}]}, {"allowed_amount": 142.16, "providers": [{"billed_charge": 275.1, "npi": [1265960801, 1093714628, 1245284165, 1265810089, 1497251532, 1568758670, 1073900304, 1790917623]}]}, {"allowed_amount": 148.85, "providers": [{"billed_charge": 275.1, "npi": [1578853594, 1023274826, 1700213931, 1518320746]}]}, {"allowed_amount": 162.67, "providers": [{"billed_charge": 275.1, "npi": [1447250253]}]}, {"allowed_amount": 193.38, "providers": [{"billed_charge": 275.1, "npi": [1750543690, 1093162638, 1336672245, 1649402165, 1831333814, 1447493531, 1114158367]}]}, {"allowed_amount": 196.69, "providers": [{"billed_charge": 275.1, "npi": [1770554628, 1205399557, 1659796365, 1871936658, 1063943447, 1700263191, 1881890465, 1265176994, 1942524707, 1962039586, 1518216357, 1013349414, 1215298997, 1659714491, 1972893501, 1609372739, 1043231046, 1134758733, 1417392846, 1346425550, 1124368345, 1609365980, 1033531884, 1437455086, 1194953851, 1033306238, 1588285951]}]}, {"allowed_amount": 275.1, "providers": [{"billed_charge": 275.1, "npi": [1841063237, 1053791079]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 82.97, "providers": [{"billed_charge": 353.0, "npi": [1548469299]}]}, {"allowed_amount": 142.16, "providers": [{"billed_charge": 353.0, "npi": [1124232384, 1598977761, 1588243778, 1447507330, 1649500612, 1508494022, 1831764711, 1104389832, 1841712106, 1528262128, 1063893618, 1457362162, 1316155252, 1932197621, 1811018294, 1689121014, 1316280274]}]}, {"allowed_amount": 146.34, "providers": [{"billed_charge": 353.0, "npi": [1780970947]}]}, {"allowed_amount": 193.38, "providers": [{"billed_charge": 353.0, "npi": [1811287972, 1679988869, 1669637195, 1427204270, 1992001903, 1417026675, 1629655923, 1083293591, 1164681144, 1235442393, 1427021435]}]}, {"allowed_amount": 196.27, "providers": [{"billed_charge": 353.0, "npi": [1073923629]}]}, {"allowed_amount": 266.02, "providers": [{"billed_charge": 353.0, "npi": [1033637483]}]}, {"allowed_amount": 279.55, "providers": [{"billed_charge": 353.0, "npi": [1265881767]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 88.85, "providers": [{"billed_charge": 265.0, "npi": [1548691447]}]}, {"allowed_amount": 131.71, "providers": [{"billed_charge": 265.0, "npi": [1760897185, 1841933157, 1497334981, 1235543760, 1386922771, 1023756095]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 124.39, "providers": [{"billed_charge": 1020.0, "npi": [1477603322, 1679521371, 1396008371, 1598727851]}]}, {"allowed_amount": 141.12, "providers": [{"billed_charge": 1020.0, "npi": [1851633341]}]}, {"allowed_amount": 188.63, "providers": [{"billed_charge": 1020.0, "npi": [1194788752]}]}, {"allowed_amount": 190.24, "providers": [{"billed_charge": 1020.0, "npi": [1275740888]}]}, {"allowed_amount": 193.38, "providers": [{"billed_charge": 1020.0, "npi": [1225778483]}]}, {"allowed_amount": 196.69, "providers": [{"billed_charge": 1020.0, "npi": [1417914433]}]}, {"allowed_amount": 492.26, "providers": [{"billed_charge": 1020.0, "npi": [1851633341]}]}, {"allowed_amount": 735.3, "providers": [{"billed_charge": 1020.0, "npi": [1790985984]}]}, {"allowed_amount": 1246.72, "providers": [{"billed_charge": 1020.0, "npi": [1679521371]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 120.14, "providers": [{"billed_charge": 390.0, "npi": [1417451030]}]}, {"allowed_amount": 143.53, "providers": [{"billed_charge": 390.0, "npi": [1356631683]}]}, {"allowed_amount": 148.85, "providers": [{"billed_charge": 390.0, "npi": [1649773441, 1609262054, 1043577927, 1780262378, 1639432651, 1912536046, 1053814830, 1952763443, 1154852564, 1992332670]}]}, {"allowed_amount": 196.69, "providers": [{"billed_charge": 390.0, "npi": [1528283553, 1245761089, 1851498687, 1669867461, 1508361544, 1093005993, 1871621326, 1063875342, 1821418674, 1104389394, 1417451030, 1417418716, 1629231998, 1538448287]}]}, {"allowed_amount": 280.15, "providers": [{"billed_charge": 390.0, "npi": [1790582336]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 126.14, "providers": [{"billed_charge": 382.0, "npi": [1184001893, 1740716679]}]}]}, {"tin": {"type": "ein", "value": "810584868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.38, "providers": [{"billed_charge": 206.67, "npi": [1548767312]}]}]}, {"tin": {"type": "ein", "value": "810609941"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.69, "providers": [{"billed_charge": 363.0, "npi": [1568470649]}]}]}, {"tin": {"type": "ein", "value": "810610078"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.38, "providers": [{"billed_charge": 363.0, "npi": [1669480828]}]}]}, {"tin": {"type": "ein", "value": "814666580"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.63, "providers": [{"billed_charge": 220.0, "npi": [1316352735]}]}]}, {"tin": {"type": "ein", "value": "823274313"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.38, "providers": [{"billed_charge": 300.0, "npi": [1184887176]}]}]}, {"tin": {"type": "ein", "value": "830594617"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.63, "providers": [{"billed_charge": 331.08, "npi": [1013262492]}]}]}, {"tin": {"type": "ein", "value": "830854228"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 141.4, "providers": [{"billed_charge": 315.0, "npi": [1134616253]}]}]}, {"tin": {"type": "ein", "value": "832023962"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.06, "providers": [{"billed_charge": 489.0, "npi": [1831215581]}]}]}, {"tin": {"type": "ein", "value": "832124073"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.98, "providers": [{"billed_charge": 397.0, "npi": [1376835439]}]}]}, {"tin": {"type": "ein", "value": "834460864"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.71, "providers": [{"billed_charge": 190.0, "npi": [1669655817]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 175.15, "providers": [{"billed_charge": 278.0, "npi": [1205248937]}]}]}, {"tin": {"type": "ein", "value": "843372323"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.38, "providers": [{"billed_charge": 333.0, "npi": [1588911390]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 170.39, "providers": [{"billed_charge": 223.0, "npi": [1124606876]}]}]}, {"tin": {"type": "ein", "value": "851467529"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 118.57, "providers": [{"billed_charge": 300.0, "npi": [1659686947]}]}]}, {"tin": {"type": "ein", "value": "852136296"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.38, "providers": [{"billed_charge": 330.0, "npi": [1164717401]}]}]}, {"tin": {"type": "ein", "value": "852464463"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2619.26, "npi": [1912355983]}]}, {"allowed_amount": 129.63, "providers": [{"billed_charge": 2619.26, "npi": [1922595727]}]}, {"allowed_amount": 141.12, "providers": [{"billed_charge": 2619.26, "npi": [1629718341, 1134863517]}]}]}, {"tin": {"type": "ein", "value": "853213051"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.24, "providers": [{"billed_charge": 210.85, "npi": [1528223344]}]}]}, {"tin": {"type": "ein", "value": "853804440"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1558762666, 1154602514, 1689162570, 1538266606]}]}]}, {"tin": {"type": "ein", "value": "861045280"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.6, "providers": [{"billed_charge": 135.0, "npi": [1659536704]}]}]}, {"tin": {"type": "ein", "value": "862299338"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.24, "providers": [{"billed_charge": 3500.0, "npi": [1134274368, 1558417147]}]}]}, {"tin": {"type": "ein", "value": "862972584"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 190.24, "providers": [{"billed_charge": 224.0, "npi": [1740577212]}]}]}, {"tin": {"type": "ein", "value": "864001978"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.16, "providers": [{"billed_charge": 315.63, "npi": [1881914349, 1417150509]}]}, {"allowed_amount": 279.55, "providers": [{"billed_charge": 315.63, "npi": [1982124186]}]}]}, {"tin": {"type": "ein", "value": "871692562"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.91, "providers": [{"billed_charge": 278.0, "npi": [1700883196]}]}]}, {"tin": {"type": "ein", "value": "872778400"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.24, "providers": [{"billed_charge": 210.85, "npi": [1659574911]}]}]}, {"tin": {"type": "ein", "value": "873385999"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1811534902]}]}]}, {"tin": {"type": "ein", "value": "873769568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 124.39, "providers": [{"billed_charge": 1668.47, "npi": [1801095880]}]}]}, {"tin": {"type": "ein", "value": "880900432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.51, "providers": [{"billed_charge": 592.0, "npi": [1902036155]}]}]}, {"tin": {"type": "ein", "value": "922495800"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.98, "providers": [{"billed_charge": 195.0, "npi": [1801385679]}]}]}, {"tin": {"type": "ein", "value": "923067207"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.24, "providers": [{"billed_charge": 294.75, "npi": [1679953376]}]}]}, {"tin": {"type": "ein", "value": "930602940"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 169.84, "providers": [{"billed_charge": 437.0, "npi": [1760878243]}]}]}, {"tin": {"type": "ein", "value": "931769486"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.85, "providers": [{"billed_charge": 363.0, "npi": [1205285053]}]}, {"allowed_amount": 196.69, "providers": [{"billed_charge": 363.0, "npi": [1457799355]}]}]}, {"tin": {"type": "ein", "value": "933095141"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 20.91, "providers": [{"billed_charge": 748.0, "npi": [1033419551]}]}, {"allowed_amount": 190.24, "providers": [{"billed_charge": 748.0, "npi": [1700084191, 1093756439, 1558622522, 1376822395, 1154852861, 1932367646, 1659574911]}]}]}, {"tin": {"type": "ein", "value": "933165177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.38, "providers": [{"billed_charge": 748.0, "npi": [1538396858]}]}]}, {"tin": {"type": "ein", "value": "933228782"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 190.24, "providers": [{"billed_charge": 748.0, "npi": [1164721809, 1790362218]}]}]}, {"tin": {"type": "ein", "value": "934885408"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.69, "providers": [{"billed_charge": 500.0, "npi": [1760680946, 1982951711, 1780947135]}]}]}, {"tin": {"type": "ein", "value": "934915781"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 129.63, "providers": [{"billed_charge": 200.0, "npi": [1932339371]}]}]}, {"tin": {"type": "ein", "value": "991775941"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.85, "providers": [{"billed_charge": 213.7, "npi": [1720237498]}]}]}, {"tin": {"type": "ein", "value": "993991604"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1534.79, "npi": [1538540208]}]}]}, {"tin": {"type": "ein", "value": "994367638"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 162.6, "providers": [{"billed_charge": 209.0, "npi": [1023856184, 1538318969]}]}, {"allowed_amount": 190.24, "providers": [{"billed_charge": 209.0, "npi": [1457705832]}]}]}]}, {"name": "Hospital observation service, per hour", "billing_code_type": "CPT", "billing_code": "G0378", "billing_code_type_version": "2022", "description": "Hospital observation service, per hour", "allowed_amounts": [{"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.55, "providers": [{"billed_charge": 53.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.0, "providers": [{"billed_charge": 89.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.58, "providers": [{"billed_charge": 87.37, "npi": [1770536120]}]}, {"allowed_amount": 35.4, "providers": [{"billed_charge": 101.15, "npi": [1770536120]}]}, {"allowed_amount": 41.79, "providers": [{"billed_charge": 119.4, "npi": [1770536120]}]}, {"allowed_amount": 49.59, "providers": [{"billed_charge": 141.68, "npi": [1770536120]}]}, {"allowed_amount": 51.17, "providers": [{"billed_charge": 146.2, "npi": [1770536120]}]}, {"allowed_amount": 53.2, "providers": [{"billed_charge": 152.0, "npi": [1770536120]}]}, {"allowed_amount": 56.99, "providers": [{"billed_charge": 162.82, "npi": [1770536120]}]}, {"allowed_amount": 58.38, "providers": [{"billed_charge": 166.8, "npi": [1770536120]}]}, {"allowed_amount": 90.74, "providers": [{"billed_charge": 259.25, "npi": [1770536120]}]}, {"allowed_amount": 107.6, "providers": [{"billed_charge": 307.43, "npi": [1770536120]}]}, {"allowed_amount": 112.24, "providers": [{"billed_charge": 320.68, "npi": [1770536120]}]}, {"allowed_amount": 136.5, "providers": [{"billed_charge": 390.0, "npi": [1770536120]}]}, {"allowed_amount": 164.85, "providers": [{"billed_charge": 471.0, "npi": [1770536120]}]}, {"allowed_amount": 243.82, "providers": [{"billed_charge": 696.62, "npi": [1770536120]}]}, {"allowed_amount": 293.07, "providers": [{"billed_charge": 837.33, "npi": [1770536120]}]}, {"allowed_amount": 656.77, "providers": [{"billed_charge": 1876.5, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.82, "providers": [{"billed_charge": 76.63, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 27.08, "providers": [{"billed_charge": 77.36, "npi": [1124074273]}]}, {"allowed_amount": 29.93, "providers": [{"billed_charge": 85.53, "npi": [1124074273]}]}, {"allowed_amount": 31.44, "providers": [{"billed_charge": 89.84, "npi": [1124074273]}]}, {"allowed_amount": 31.96, "providers": [{"billed_charge": 91.31, "npi": [1124074273]}]}, {"allowed_amount": 32.51, "providers": [{"billed_charge": 92.88, "npi": [1124074273]}]}, {"allowed_amount": 33.52, "providers": [{"billed_charge": 95.78, "npi": [1124074273]}]}, {"allowed_amount": 34.27, "providers": [{"billed_charge": 97.91, "npi": [1124074273]}]}, {"allowed_amount": 34.81, "providers": [{"billed_charge": 99.46, "npi": [1124074273]}]}, {"allowed_amount": 35.76, "providers": [{"billed_charge": 102.17, "npi": [1124074273]}]}, {"allowed_amount": 36.1, "providers": [{"billed_charge": 103.15, "npi": [1124074273]}]}, {"allowed_amount": 36.9, "providers": [{"billed_charge": 105.42, "npi": [1124074273]}]}, {"allowed_amount": 40.25, "providers": [{"billed_charge": 115.0, "npi": [1124074273]}]}, {"allowed_amount": 40.61, "providers": [{"billed_charge": 116.04, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 40.63, "providers": [{"billed_charge": 116.07, "npi": [1124074273]}]}, {"allowed_amount": 41.48, "providers": [{"billed_charge": 118.51, "npi": [1124074273]}]}, {"allowed_amount": 42.38, "providers": [{"billed_charge": 121.09, "npi": [1124074273]}]}, {"allowed_amount": 42.91, "providers": [{"billed_charge": 122.6, "npi": [1124074273]}]}, {"allowed_amount": 43.21, "providers": [{"billed_charge": 123.47, "npi": [1124074273]}]}, {"allowed_amount": 43.79, "providers": [{"billed_charge": 125.1, "npi": [1659525236]}]}, {"allowed_amount": 43.81, "providers": [{"billed_charge": 125.17, "npi": [1124074273]}]}, {"allowed_amount": 44.7, "providers": [{"billed_charge": 127.71, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 45.15, "providers": [{"billed_charge": 129.0, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 45.69, "providers": [{"billed_charge": 130.54, "npi": [1124074273]}]}, {"allowed_amount": 46.31, "providers": [{"billed_charge": 132.3, "npi": [1124074273]}]}, {"allowed_amount": 46.64, "providers": [{"billed_charge": 133.26, "npi": [1124074273]}]}, {"allowed_amount": 46.66, "providers": [{"billed_charge": 133.32, "npi": [1124074273]}]}, {"allowed_amount": 47.68, "providers": [{"billed_charge": 136.22, "npi": [1124074273]}]}, {"allowed_amount": 48.64, "providers": [{"billed_charge": 138.96, "npi": [1124074273]}]}, {"allowed_amount": 49.44, "providers": [{"billed_charge": 141.27, "npi": [1124074273]}]}, {"allowed_amount": 49.9, "providers": [{"billed_charge": 142.56, "npi": [1124074273]}]}, {"allowed_amount": 50.77, "providers": [{"billed_charge": 145.05, "npi": [1124074273]}]}, {"allowed_amount": 51.3, "providers": [{"billed_charge": 146.58, "npi": [1124074273]}]}, {"allowed_amount": 51.54, "providers": [{"billed_charge": 147.26, "npi": [1124074273]}]}, {"allowed_amount": 51.66, "providers": [{"billed_charge": 147.59, "npi": [1124074273]}]}, {"allowed_amount": 52.37, "providers": [{"billed_charge": 149.62, "npi": [1124074273]}]}, {"allowed_amount": 53.64, "providers": [{"billed_charge": 153.25, "npi": [1124074273]}]}, {"allowed_amount": 53.82, "providers": [{"billed_charge": 153.77, "npi": [1659525236]}]}, {"allowed_amount": 54.85, "providers": [{"billed_charge": 156.72, "npi": [1124074273]}]}, {"allowed_amount": 55.0, "providers": [{"billed_charge": 157.14, "npi": [1124074273]}]}, {"allowed_amount": 56.46, "providers": [{"billed_charge": 161.32, "npi": [1124074273]}]}, {"allowed_amount": 57.34, "providers": [{"billed_charge": 163.82, "npi": [1124074273]}]}, {"allowed_amount": 57.47, "providers": [{"billed_charge": 164.21, "npi": [1124074273]}]}, {"allowed_amount": 57.99, "providers": [{"billed_charge": 165.68, "npi": [1124074273]}]}, {"allowed_amount": 58.1, "providers": [{"billed_charge": 166.01, "npi": [1124074273]}]}, {"allowed_amount": 58.9, "providers": [{"billed_charge": 168.29, "npi": [1124074273]}]}, {"allowed_amount": 60.22, "providers": [{"billed_charge": 172.06, "npi": [1124074273]}]}, {"allowed_amount": 60.92, "providers": [{"billed_charge": 174.06, "npi": [1124074273]}]}, {"allowed_amount": 61.5, "providers": [{"billed_charge": 175.7, "npi": [1124074273]}]}, {"allowed_amount": 62.08, "providers": [{"billed_charge": 177.36, "npi": [1124074273]}]}, {"allowed_amount": 64.51, "providers": [{"billed_charge": 184.3, "npi": [1124074273]}]}, {"allowed_amount": 64.6, "providers": [{"billed_charge": 184.56, "npi": [1124074273]}]}, {"allowed_amount": 64.98, "providers": [{"billed_charge": 185.67, "npi": [1124074273]}]}, {"allowed_amount": 65.28, "providers": [{"billed_charge": 186.5, "npi": [1659525236]}]}, {"allowed_amount": 67.05, "providers": [{"billed_charge": 191.56, "npi": [1124074273]}]}, {"allowed_amount": 68.39, "providers": [{"billed_charge": 195.39, "npi": [1659525236]}]}, {"allowed_amount": 69.63, "providers": [{"billed_charge": 198.93, "npi": [1124074273]}]}, {"allowed_amount": 71.09, "providers": [{"billed_charge": 203.1, "npi": [1124074273]}]}, {"allowed_amount": 71.52, "providers": [{"billed_charge": 204.33, "npi": [1124074273]}]}, {"allowed_amount": 71.77, "providers": [{"billed_charge": 205.05, "npi": [1659525236]}]}, {"allowed_amount": 72.53, "providers": [{"billed_charge": 207.22, "npi": [1124074273]}]}, {"allowed_amount": 74.63, "providers": [{"billed_charge": 213.21, "npi": [1124074273]}]}, {"allowed_amount": 75.42, "providers": [{"billed_charge": 215.5, "npi": [1124074273]}]}, {"allowed_amount": 77.37, "providers": [{"billed_charge": 221.07, "npi": [1124074273]}]}, {"allowed_amount": 79.29, "providers": [{"billed_charge": 226.54, "npi": [1124074273]}]}, {"allowed_amount": 81.23, "providers": [{"billed_charge": 232.08, "npi": [1124074273]}]}, {"allowed_amount": 81.85, "providers": [{"billed_charge": 233.86, "npi": [1124074273]}]}, {"allowed_amount": 82.46, "providers": [{"billed_charge": 235.6, "npi": [1124074273]}]}, {"allowed_amount": 84.47, "providers": [{"billed_charge": 241.34, "npi": [1124074273]}]}, {"allowed_amount": 85.45, "providers": [{"billed_charge": 244.15, "npi": [1659525236]}]}, {"allowed_amount": 85.9, "providers": [{"billed_charge": 245.42, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 87.49, "providers": [{"billed_charge": 249.98, "npi": [1659525236]}]}, {"allowed_amount": 87.61, "providers": [{"billed_charge": 250.31, "npi": [1124074273]}]}, {"allowed_amount": 89.63, "providers": [{"billed_charge": 256.09, "npi": [1124074273]}]}, {"allowed_amount": 89.77, "providers": [{"billed_charge": 256.5, "npi": [1124074273]}]}, {"allowed_amount": 92.03, "providers": [{"billed_charge": 262.95, "npi": [1124074273]}]}, {"allowed_amount": 92.48, "providers": [{"billed_charge": 264.24, "npi": [1124074273]}]}, {"allowed_amount": 92.88, "providers": [{"billed_charge": 265.38, "npi": [1124074273]}]}, {"allowed_amount": 93.25, "providers": [{"billed_charge": 266.43, "npi": [1124074273]}]}, {"allowed_amount": 93.7, "providers": [{"billed_charge": 267.73, "npi": [1124074273]}]}, {"allowed_amount": 97.52, "providers": [{"billed_charge": 278.64, "npi": [1124074273]}]}, {"allowed_amount": 100.56, "providers": [{"billed_charge": 287.32, "npi": [1124074273]}]}, {"allowed_amount": 101.21, "providers": [{"billed_charge": 289.17, "npi": [1124074273]}]}, {"allowed_amount": 101.54, "providers": [{"billed_charge": 290.1, "npi": [1124074273]}]}, {"allowed_amount": 102.3, "providers": [{"billed_charge": 292.27, "npi": [1124074273]}]}, {"allowed_amount": 103.08, "providers": [{"billed_charge": 294.5, "npi": [1124074273]}]}, {"allowed_amount": 105.18, "providers": [{"billed_charge": 300.51, "npi": [1124074273]}]}, {"allowed_amount": 105.39, "providers": [{"billed_charge": 301.11, "npi": [1659525236]}]}, {"allowed_amount": 107.67, "providers": [{"billed_charge": 307.63, "npi": [1124074273]}]}, {"allowed_amount": 112.45, "providers": [{"billed_charge": 321.3, "npi": [1124074273]}]}, {"allowed_amount": 114.19, "providers": [{"billed_charge": 326.25, "npi": [1659525236]}]}, {"allowed_amount": 114.7, "providers": [{"billed_charge": 327.73, "npi": [1124074273]}]}, {"allowed_amount": 115.67, "providers": [{"billed_charge": 330.48, "npi": [1659525236]}]}, {"allowed_amount": 118.08, "providers": [{"billed_charge": 337.37, "npi": [1659525236]}]}, {"allowed_amount": 121.26, "providers": [{"billed_charge": 346.47, "npi": [1124074273]}]}, {"allowed_amount": 121.84, "providers": [{"billed_charge": 348.12, "npi": [1124074273]}]}, {"allowed_amount": 122.19, "providers": [{"billed_charge": 349.1, "npi": [1124074273]}]}, {"allowed_amount": 123.52, "providers": [{"billed_charge": 352.92, "npi": [1124074273]}]}, {"allowed_amount": 128.84, "providers": [{"billed_charge": 368.13, "npi": [1124074273]}]}, {"allowed_amount": 137.28, "providers": [{"billed_charge": 392.22, "npi": [1124074273]}]}, {"allowed_amount": 142.15, "providers": [{"billed_charge": 406.14, "npi": [1124074273]}]}, {"allowed_amount": 152.87, "providers": [{"billed_charge": 436.77, "npi": [1659525236]}]}, {"allowed_amount": 159.47, "providers": [{"billed_charge": 455.64, "npi": [1124074273]}]}, {"allowed_amount": 180.03, "providers": [{"billed_charge": 514.38, "npi": [1124074273]}]}, {"allowed_amount": 202.42, "providers": [{"billed_charge": 578.34, "npi": [1124074273]}]}, {"allowed_amount": 242.59, "providers": [{"billed_charge": 693.12, "npi": [1124074273]}]}, {"allowed_amount": 298.65, "providers": [{"billed_charge": 853.28, "npi": [1124074273]}]}, {"allowed_amount": 303.63, "providers": [{"billed_charge": 867.51, "npi": [1124074273]}]}, {"allowed_amount": 1072.75, "providers": [{"billed_charge": 3065.0, "npi": [1124074273]}]}, {"allowed_amount": 2061.5, "providers": [{"billed_charge": 5890.0, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.75, "providers": [{"billed_charge": 135.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.0, "providers": [{"billed_charge": 107.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "823463299"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 566.25, "providers": [{"billed_charge": 2268.0, "npi": [1649770488]}]}]}, {"tin": {"type": "ein", "value": "933488698"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2269.17, "providers": [{"billed_charge": 2268.0, "npi": [1740042175]}]}]}]}, {"name": "Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)", "billing_code_type": "CPT", "billing_code": "90471", "billing_code_type_version": "2022", "description": "IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE", "allowed_amounts": [{"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.88, "providers": [{"billed_charge": 48.28, "npi": [1407887979]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 27.55, "providers": [{"billed_charge": 60.0, "npi": [1649619578]}]}]}, {"tin": {"type": "ein", "value": "300491632"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 26.16, "providers": [{"billed_charge": 44.0, "npi": [1932665734]}]}]}, {"tin": {"type": "ein", "value": "465374323"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 25.22, "providers": [{"billed_charge": 100.0, "npi": [1558146100]}]}, {"allowed_amount": 54.74, "providers": [{"billed_charge": 100.0, "npi": [1821572694]}]}]}, {"tin": {"type": "ein", "value": "590872594"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 221.81, "providers": [{"billed_charge": 171.0, "npi": [1982688230]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.37, "providers": [{"billed_charge": 76.0, "npi": [1184666935]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 135.8, "providers": [{"billed_charge": 388.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 148.52, "providers": [{"billed_charge": 424.34, "npi": [1124074273, 1376256354, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742938437"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1437655164]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.0, "providers": [{"billed_charge": 46.67, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752098992"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 40.66, "providers": [{"billed_charge": 59.0, "npi": [1952410037]}]}]}, {"tin": {"type": "ein", "value": "752876610"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 40.66, "providers": [{"billed_charge": 52.5, "npi": [1730127705]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 40.66, "providers": [{"billed_charge": 132.0, "npi": [1073597464]}]}]}]}, {"name": "Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method", "billing_code_type": "CPT", "billing_code": "83516", "billing_code_type_version": "2022", "description": "IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP", "allowed_amounts": [{"tin": {"type": "ein", "value": "200434866"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 18.68, "providers": [{"billed_charge": 61.69, "npi": [1245494517]}, {"billed_charge": 159.43, "npi": [1245494517]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 16.14, "providers": [{"billed_charge": 28.83, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "521022572"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 18.68, "providers": [{"billed_charge": 94.0, "npi": [1164420568]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 193.31, "providers": [{"billed_charge": 552.31, "npi": [1124074273]}]}, {"allowed_amount": 234.0, "providers": [{"billed_charge": 668.59, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.3, "providers": [{"billed_charge": 94.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.0, "providers": [{"billed_charge": 33.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.1, "providers": [{"billed_charge": 196.0, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.88, "providers": [{"billed_charge": 45.0, "npi": [1336758952]}]}]}]}, {"name": "Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified", "billing_code_type": "CPT", "billing_code": "83520", "billing_code_type_version": "2022", "description": "IMMUNOASSAY ANALYTE QUANTITATIVE NOS", "allowed_amounts": [{"tin": {"type": "ein", "value": "043740411"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 43.18, "providers": [{"billed_charge": 43.18, "npi": [1376699199]}]}]}, {"tin": {"type": "ein", "value": "200434866"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.98, "providers": [{"billed_charge": 92.39, "npi": [1245494517]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 24.18, "providers": [{"billed_charge": 43.18, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "263844242"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 14.16, "providers": [{"billed_charge": 43.0, "npi": [1346472859]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.2, "providers": [{"billed_charge": 56.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.0, "providers": [{"billed_charge": 44.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 19.0, "providers": [{"billed_charge": 130.0, "npi": [1265493688]}]}]}]}, {"name": "Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "88341", "billing_code_type_version": "2022", "description": "IMHISTOCHEM/CYTCHM EA ADDL ANTIBODY SLIDE", "allowed_amounts": [{"tin": {"type": "ein", "value": "371925902"}, "billing_class": "professional", "service_codes": ["21", "24", "22", "11"], "payments": [{"allowed_amount": 28.91, "providers": [{"billed_charge": 260.0, "npi": [1538149406, 1295994655]}]}, {"allowed_amount": 29.4, "providers": [{"billed_charge": 260.0, "npi": [1104203553, 1144367426, 1154608552, 1578718094, 1538149406]}]}, {"allowed_amount": 29.41, "providers": [{"billed_charge": 260.0, "npi": [1144367426]}]}, {"allowed_amount": 29.49, "providers": [{"billed_charge": 260.0, "npi": [1649767211, 1497963862, 1306293543]}]}]}, {"tin": {"type": "ein", "value": "393155066"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 55.1, "providers": [{"billed_charge": 305.0, "npi": [1114807153]}, {"billed_charge": 430.0, "npi": [1114807153]}]}]}, {"tin": {"type": "ein", "value": "474903308"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 114.16, "providers": [{"billed_charge": 200.0, "npi": [1740733708]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 135.0, "providers": [{"billed_charge": 135.0, "npi": [1407293970]}]}]}, {"tin": {"type": "ein", "value": "710847813"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 41.2, "providers": [{"billed_charge": 50.57, "npi": [1346462561]}]}]}, {"tin": {"type": "ein", "value": "741209207"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 35.74, "providers": [{"billed_charge": 210.0, "npi": [1275767626]}]}, {"allowed_amount": 36.64, "providers": [{"billed_charge": 210.0, "npi": [1245238708]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.48, "providers": [{"billed_charge": 41.0, "npi": [1184079741]}]}]}, {"tin": {"type": "ein", "value": "741619182"}, "billing_class": "professional", "service_codes": ["21", "81", "22", "11"], "payments": [{"allowed_amount": 35.48, "providers": [{"billed_charge": 133.6, "npi": [1952564288, 1578881413, 1730398181, 1386716967, 1104020775, 1790984359, 1215193701]}]}, {"allowed_amount": 58.16, "providers": [{"billed_charge": 133.6, "npi": [1134180672, 1417223389, 1962463158]}]}, {"allowed_amount": 58.17, "providers": [{"billed_charge": 133.6, "npi": [1215193701, 1184987158, 1104020775]}]}]}, {"tin": {"type": "ein", "value": "741720245"}, "billing_class": "professional", "service_codes": ["21", "24", "22"], "payments": [{"allowed_amount": 28.02, "providers": [{"billed_charge": 176.0, "npi": [1962590562]}]}, {"allowed_amount": 35.74, "providers": [{"billed_charge": 176.0, "npi": [1598103996]}]}, {"allowed_amount": 36.34, "providers": [{"billed_charge": 176.0, "npi": [1780882381]}]}, {"allowed_amount": 36.64, "providers": [{"billed_charge": 176.0, "npi": [1164862306, 1992709356, 1245474758, 1770016495]}]}]}, {"tin": {"type": "ein", "value": "742406834"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 35.48, "providers": [{"billed_charge": 195.0, "npi": [1346210523, 1912495086]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.83, "providers": [{"billed_charge": 659.5, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742922218"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 35.48, "providers": [{"billed_charge": 150.0, "npi": [1679796544, 1194707950, 1326669342, 1730422783]}]}]}, {"tin": {"type": "ein", "value": "743126687"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 75.28, "providers": [{"billed_charge": 470.95, "npi": [1013973866]}]}]}, {"tin": {"type": "ein", "value": "751625363"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.4, "providers": [{"billed_charge": 300.0, "npi": [1639589831]}]}]}, {"tin": {"type": "ein", "value": "751784456"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 14.75, "providers": [{"billed_charge": 200.0, "npi": [1750313904]}]}, {"allowed_amount": 29.49, "providers": [{"billed_charge": 200.0, "npi": [1750313904]}]}]}, {"tin": {"type": "ein", "value": "751788181"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 29.41, "providers": [{"billed_charge": 133.0, "npi": [1023376696]}]}, {"allowed_amount": 29.49, "providers": [{"billed_charge": 133.0, "npi": [1023237872, 1760732986, 1255461349]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 36.79, "providers": [{"billed_charge": 74.0, "npi": [1689631301]}]}, {"allowed_amount": 66.04, "providers": [{"billed_charge": 74.0, "npi": [1518352640]}]}, {"allowed_amount": 74.0, "providers": [{"billed_charge": 74.0, "npi": [1518352640]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.49, "providers": [{"billed_charge": 94.0, "npi": [1215194386]}]}]}, {"tin": {"type": "ein", "value": "760182525"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 36.64, "providers": [{"billed_charge": 175.0, "npi": [1659464857]}]}]}, {"tin": {"type": "ein", "value": "760508645"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 127.74, "providers": [{"billed_charge": 275.0, "npi": [1245454149]}]}]}, {"tin": {"type": "ein", "value": "760543568"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 127.74, "providers": [{"billed_charge": 275.0, "npi": [1215490917, 1245454149]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 29.49, "providers": [{"billed_charge": 206.0, "npi": [1124162482]}]}]}, {"tin": {"type": "ein", "value": "820540404"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 134.06, "providers": [{"billed_charge": 197.14, "npi": [1841797446]}]}]}, {"tin": {"type": "ein", "value": "871005967"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 91.12, "providers": [{"billed_charge": 125.08, "npi": [1043539687]}]}]}]}, {"name": "Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure", "billing_code_type": "CPT", "billing_code": "88342", "billing_code_type_version": "2022", "description": "IMHISTOCHEM/CYTCHM 1ST ANTIBODY STAIN PROCEDURE", "allowed_amounts": [{"tin": {"type": "ein", "value": "113272376"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 64.65, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 184.0, "npi": [1215921549]}]}]}, {"tin": {"type": "ein", "value": "264450440"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 102.93, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 188.0, "npi": [1467569459]}]}]}, {"tin": {"type": "ein", "value": "371925902"}, "billing_class": "professional", "service_codes": ["21", "24", "22", "11"], "payments": [{"allowed_amount": 35.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1912529280, 1629605399, 1952324956, 1538149406, 1295994655]}]}, {"allowed_amount": 36.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1104203553, 1144367426, 1154608552, 1578718094, 1538149406]}]}, {"allowed_amount": 36.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1649767211, 1497963862, 1306293543]}]}]}, {"tin": {"type": "ein", "value": "393155066"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 63.24, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 336.0, "npi": [1114807153]}]}, {"allowed_amount": 63.25, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 336.0, "npi": [1114807153]}, {"billed_charge": 489.0, "npi": [1114807153]}]}]}, {"tin": {"type": "ein", "value": "460543096"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 35.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 163.0, "npi": [1831294883]}]}]}, {"tin": {"type": "ein", "value": "474903308"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 134.02, "providers": [{"billed_charge": 200.0, "npi": [1740733708]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 63.21, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 222.0, "npi": [1003245317]}]}, {"allowed_amount": 148.23, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 222.0, "npi": [1447437355]}]}]}, {"tin": {"type": "ein", "value": "621637129"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 90.19, "providers": [{"billed_charge": 307.0, "npi": [1467433292]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 158.12, "providers": [{"billed_charge": 208.54, "npi": [1407293970]}]}]}, {"tin": {"type": "ein", "value": "640899072"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 80.87, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 85.0, "npi": [1225142920]}]}]}, {"tin": {"type": "ein", "value": "710847813"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 50.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.57, "npi": [1346462561]}]}]}, {"tin": {"type": "ein", "value": "741209207"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 43.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 255.0, "npi": [1811309586, 1609287739, 1275767626]}]}, {"allowed_amount": 43.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 255.0, "npi": [1053978577, 1275767626, 1124295092]}]}, {"allowed_amount": 44.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 255.0, "npi": [1245238708]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1184079741]}]}]}, {"tin": {"type": "ein", "value": "741619182"}, "billing_class": "professional", "service_codes": ["21", "81", "22", "11"], "payments": [{"allowed_amount": 43.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.6, "npi": [1952564288, 1730398181, 1215193701, 1578881413, 1104020775, 1790984359, 1386716967, 1134346067, 1639350036]}]}, {"allowed_amount": 71.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.6, "npi": [1134180672, 1215193701, 1104020775, 1457607566, 1134346067, 1184987158, 1962463158, 1407207897, 1417223389]}]}]}, {"tin": {"type": "ein", "value": "741720245"}, "billing_class": "professional", "service_codes": ["21", "24", "22"], "payments": [{"allowed_amount": 25.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1962590562]}]}, {"allowed_amount": 43.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1598103996]}]}, {"allowed_amount": 44.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1780882381]}]}, {"allowed_amount": 44.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.0, "npi": [1164862306, 1497766117, 1245474758, 1770016495, 1093262776]}]}]}, {"tin": {"type": "ein", "value": "742406834"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 210.0, "npi": [1346210523, 1912495086]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.82, "providers": [{"billed_charge": 659.5, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 230.83, "providers": [{"billed_charge": 659.5, "npi": [1124074273]}]}, {"allowed_amount": 252.45, "providers": [{"billed_charge": 721.28, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742922218"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 43.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 325.0, "npi": [1326669342, 1841587771, 1194707950, 1730422783]}]}]}, {"tin": {"type": "ein", "value": "743126687"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 88.09, "providers": [{"billed_charge": 551.1, "npi": [1013973866]}]}]}, {"tin": {"type": "ein", "value": "751625363"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1639589831]}]}]}, {"tin": {"type": "ein", "value": "751784456"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 36.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1750313904]}]}]}, {"tin": {"type": "ein", "value": "751788181"}, "billing_class": "professional", "service_codes": ["21", "24", "22"], "payments": [{"allowed_amount": 35.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1255461349]}]}, {"allowed_amount": 36.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1023376696]}]}, {"allowed_amount": 36.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1023376696, 1760732986, 1023237872, 1255461349]}]}, {"allowed_amount": 43.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1720010077]}]}, {"allowed_amount": 45.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1720010077]}]}, {"allowed_amount": 120.04, "providers": [{"billed_charge": 277.0, "npi": [1457383705]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1326228941]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 45.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1689631301]}]}, {"allowed_amount": 91.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1518352640]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1215194386, 1851617237]}]}]}, {"tin": {"type": "ein", "value": "760182525"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 44.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1659464857]}]}]}, {"tin": {"type": "ein", "value": "760364263"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 149.67, "providers": [{"billed_charge": 360.0, "npi": [1992917272]}]}]}, {"tin": {"type": "ein", "value": "760421006"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 149.67, "providers": [{"billed_charge": 437.0, "npi": [1760487169]}]}]}, {"tin": {"type": "ein", "value": "760508645"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 149.67, "providers": [{"billed_charge": 340.0, "npi": [1245454149]}]}]}, {"tin": {"type": "ein", "value": "760543568"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 149.67, "providers": [{"billed_charge": 340.0, "npi": [1215490917, 1245454149, 1003876285]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 36.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1124162482, 1932401965]}]}]}, {"tin": {"type": "ein", "value": "820540404"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 156.71, "providers": [{"billed_charge": 230.46, "npi": [1841797446]}]}]}, {"tin": {"type": "ein", "value": "871005967"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 104.83, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 142.12, "npi": [1043539687]}]}]}, {"tin": {"type": "ein", "value": "880103554"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 52.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 193.54, "npi": [1194245100]}]}]}, {"tin": {"type": "ein", "value": "991071500"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 36.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 800.0, "npi": [1225423502]}]}, {"allowed_amount": 36.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 800.0, "npi": [1225423502]}]}]}, {"tin": {"type": "ein", "value": "993493711"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 120.0, "providers": [{"billed_charge": 120.0, "npi": [1902857238]}]}]}]}, {"name": "Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple", "billing_code_type": "CPT", "billing_code": "10061", "billing_code_type_version": "2022", "description": "INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE", "allowed_amounts": [{"tin": {"type": "ein", "value": "203904667"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1061.76, "providers": [{"billed_charge": 2791.14, "npi": [1376662296]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 138.66, "providers": [{"billed_charge": 533.0, "npi": [1730373580]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 579.34, "billing_code_modifier": ["54"], "providers": [{"billed_charge": 1533.0, "npi": [1316470909]}]}]}, {"tin": {"type": "ein", "value": "271418649"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 291.95, "providers": [{"billed_charge": 596.0, "npi": [1740297464]}]}]}, {"tin": {"type": "ein", "value": "333515916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 336.14, "providers": [{"billed_charge": 805.28, "npi": [1760809123]}]}]}, {"tin": {"type": "ein", "value": "453023491"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 275.37, "providers": [{"billed_charge": 2609.0, "npi": [1689731242]}]}]}, {"tin": {"type": "ein", "value": "461415202"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 754.7, "providers": [{"billed_charge": 1771.0, "npi": [1235428673]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 648.66, "providers": [{"billed_charge": 1368.0, "npi": [1154186187]}]}]}, {"tin": {"type": "ein", "value": "611851498"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4106.8, "providers": [{"billed_charge": 14630.0, "npi": [1669984498]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1245.53, "providers": [{"billed_charge": 2428.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741161944"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 637.06, "providers": [{"billed_charge": 1052.4, "npi": [1891882833]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 653.39, "providers": [{"billed_charge": 3917.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 45.38, "providers": [{"billed_charge": 523.0, "npi": [1104404581]}]}, {"allowed_amount": 168.07, "providers": [{"billed_charge": 523.0, "npi": [1841710829, 1992765655]}]}, {"allowed_amount": 226.89, "providers": [{"billed_charge": 523.0, "npi": [1548586787]}]}, {"allowed_amount": 336.14, "providers": [{"billed_charge": 523.0, "npi": [1396852380]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 181.11, "providers": [{"billed_charge": 1545.1, "npi": [1477502417]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4243.88, "providers": [{"billed_charge": 12125.37, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.45, "providers": [{"billed_charge": 1545.1, "npi": [1578741211]}]}, {"allowed_amount": 130.72, "providers": [{"billed_charge": 1545.1, "npi": [1619712130]}]}, {"allowed_amount": 226.89, "providers": [{"billed_charge": 1545.1, "npi": [1609868322, 1205185667, 1326667999, 1013075977, 1245345610, 1790348944, 1740293174, 1508228503, 1922019900, 1841392255]}]}, {"allowed_amount": 261.43, "providers": [{"billed_charge": 1545.1, "npi": [1619712130, 1609236694]}]}, {"allowed_amount": 367.46, "providers": [{"billed_charge": 1545.1, "npi": [1124659537]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 883.53, "providers": [{"billed_charge": 1408.25, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.04, "providers": [{"billed_charge": 572.0, "npi": [1295222495]}]}]}, {"tin": {"type": "ein", "value": "752737522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 725.8, "providers": [{"billed_charge": 1771.0, "npi": [1184158636]}]}, {"allowed_amount": 745.91, "providers": [{"billed_charge": 1771.0, "npi": [1538692520, 1801242151]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 882.08, "providers": [{"billed_charge": 1408.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 637.06, "providers": [{"billed_charge": 888.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 462.19, "providers": [{"billed_charge": 525.0, "npi": [1477711208]}]}, {"allowed_amount": 521.02, "providers": [{"billed_charge": 525.0, "npi": [1164624490]}]}, {"allowed_amount": 525.0, "providers": [{"billed_charge": 525.0, "npi": [1902163181]}]}]}, {"tin": {"type": "ein", "value": "811220861"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 226.89, "providers": [{"billed_charge": 2510.43, "npi": [1467896282]}]}]}, {"tin": {"type": "ein", "value": "821469504"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 210.09, "providers": [{"billed_charge": 626.0, "npi": [1639351216]}]}]}, {"tin": {"type": "ein", "value": "822763441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 498.68, "providers": [{"billed_charge": 6443.0, "npi": [1568485621]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1245.53, "providers": [{"billed_charge": 1229.37, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "873102441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.3, "providers": [{"billed_charge": 2597.68, "npi": [1174934301]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1245.53, "providers": [{"billed_charge": 14630.0, "npi": [1003539073]}]}, {"allowed_amount": 8816.67, "providers": [{"billed_charge": 14630.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 226.89, "providers": [{"billed_charge": 6443.0, "npi": [1144807322, 1184916546]}]}]}, {"tin": {"type": "ein", "value": "933910567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 226.89, "providers": [{"billed_charge": 2609.0, "npi": [1609308634, 1689093924, 1497784110, 1780325258]}]}]}]}, {"name": "Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single", "billing_code_type": "CPT", "billing_code": "10060", "billing_code_type_version": "2022", "description": "INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE", "allowed_amounts": [{"tin": {"type": "ein", "value": "202313462"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 192.66, "providers": [{"billed_charge": 246.0, "npi": [1306173067, 1033972765]}]}]}, {"tin": {"type": "ein", "value": "202848116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 314.42, "providers": [{"billed_charge": 811.0, "npi": [1629138029]}]}]}, {"tin": {"type": "ein", "value": "203904667"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 524.03, "providers": [{"billed_charge": 1395.57, "npi": [1376662296]}]}]}, {"tin": {"type": "ein", "value": "261972800"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 194.48, "providers": [{"billed_charge": 256.0, "npi": [1487633384]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.48, "providers": [{"billed_charge": 622.0, "npi": [1801201884]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 154.29, "providers": [{"billed_charge": 399.0, "npi": [1659385052]}]}]}, {"tin": {"type": "ein", "value": "461322238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 146.4, "providers": [{"billed_charge": 294.0, "npi": [1699652644]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 614.73, "providers": [{"billed_charge": 1642.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.64, "providers": [{"billed_charge": 303.0, "npi": [1144648700]}]}]}, {"tin": {"type": "ein", "value": "742557820"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 614.73, "providers": [{"billed_charge": 180.0, "npi": [1790782704]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 718.4, "providers": [{"billed_charge": 2052.57, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.64, "providers": [{"billed_charge": 836.99, "npi": [1114973450, 1477082303]}]}, {"allowed_amount": 75.63, "providers": [{"billed_charge": 836.99, "npi": [1124659537]}]}, {"allowed_amount": 112.83, "providers": [{"billed_charge": 836.99, "npi": [1609853720]}]}, {"allowed_amount": 131.27, "providers": [{"billed_charge": 836.99, "npi": [1790348944]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.2, "providers": [{"billed_charge": 536.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 436.06, "providers": [{"billed_charge": 811.0, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 436.06, "providers": [{"billed_charge": 811.0, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 314.42, "providers": [{"billed_charge": 994.45, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752737522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 365.24, "providers": [{"billed_charge": 1022.0, "npi": [1023415932]}]}, {"allowed_amount": 429.7, "providers": [{"billed_charge": 1022.0, "npi": [1881823672]}]}]}, {"tin": {"type": "ein", "value": "752890358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 314.42, "providers": [{"billed_charge": 811.0, "npi": [1548291883]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 314.42, "providers": [{"billed_charge": 888.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.5, "providers": [{"billed_charge": 263.0, "npi": [1275150385]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.27, "providers": [{"billed_charge": 1417.75, "npi": [1104052307]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 435.35, "providers": [{"billed_charge": 11947.06, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "832041336"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 322.48, "providers": [{"billed_charge": 1478.25, "npi": [1245705417]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 307.37, "providers": [{"billed_charge": 7296.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "923905364"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.72, "providers": [{"billed_charge": 1250.0, "npi": [1104083039]}]}]}, {"tin": {"type": "ein", "value": "933910567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.64, "providers": [{"billed_charge": 1409.0, "npi": [1629718341]}]}]}]}, {"name": "Infectious & Parasitic Diseases, Systemic or Unspecified Sites", "billing_code_type": "MS-DRG", "billing_code": "871", "billing_code_type_version": "39.1", "description": "SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC", "allowed_amounts": [{"tin": {"type": "ein", "value": "230596940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7054.18, "providers": [{"billed_charge": 19668.37, "npi": [1114095791]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3680.5, "providers": [{"billed_charge": 28199.18, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4416.59, "providers": [{"billed_charge": 28101.91, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19027.47, "providers": [{"billed_charge": 29158.64, "npi": [1619115383]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5898.35, "providers": [{"billed_charge": 45877.52, "npi": [1194787218]}]}, {"allowed_amount": 7928.11, "providers": [{"billed_charge": 26602.82, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27966.47, "providers": [{"billed_charge": 79904.21, "npi": [1770536120]}]}, {"allowed_amount": 61633.04, "providers": [{"billed_charge": 176094.41, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5306.78, "providers": [{"billed_charge": 15162.23, "npi": [1124074273]}]}, {"allowed_amount": 7174.42, "providers": [{"billed_charge": 20498.33, "npi": [1124074273]}]}, {"allowed_amount": 7702.16, "providers": [{"billed_charge": 22006.16, "npi": [1124074273]}]}, {"allowed_amount": 8060.96, "providers": [{"billed_charge": 23031.34, "npi": [1124074273]}]}, {"allowed_amount": 11413.83, "providers": [{"billed_charge": 32611.0, "npi": [1124074273]}]}, {"allowed_amount": 13083.14, "providers": [{"billed_charge": 37380.41, "npi": [1124074273]}]}, {"allowed_amount": 14878.06, "providers": [{"billed_charge": 42508.81, "npi": [1124074273]}]}, {"allowed_amount": 15545.27, "providers": [{"billed_charge": 44415.08, "npi": [1124074273]}]}, {"allowed_amount": 18881.12, "providers": [{"billed_charge": 53946.05, "npi": [1124074273]}]}, {"allowed_amount": 19820.56, "providers": [{"billed_charge": 56630.17, "npi": [1124074273]}]}, {"allowed_amount": 20211.56, "providers": [{"billed_charge": 57747.33, "npi": [1124074273]}]}, {"allowed_amount": 28858.09, "providers": [{"billed_charge": 82451.68, "npi": [1124074273]}]}, {"allowed_amount": 38497.0, "providers": [{"billed_charge": 109991.4, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7038.69, "providers": [{"billed_charge": 39159.65, "npi": [1316936990]}]}, {"allowed_amount": 10362.03, "providers": [{"billed_charge": 25708.92, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9525.46, "providers": [{"billed_charge": 21167.7, "npi": [1821011248]}]}, {"allowed_amount": 9880.15, "providers": [{"billed_charge": 21955.89, "npi": [1821011248]}]}, {"allowed_amount": 10063.24, "providers": [{"billed_charge": 22362.75, "npi": [1821011248]}]}, {"allowed_amount": 12799.88, "providers": [{"billed_charge": 28444.18, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3428.59, "providers": [{"billed_charge": 19079.31, "npi": [1447250253]}]}, {"allowed_amount": 3852.56, "providers": [{"billed_charge": 8382.72, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11041.49, "providers": [{"billed_charge": 23640.45, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8796.15, "providers": [{"billed_charge": 42675.81, "npi": [1871619254]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11110.93, "providers": [{"billed_charge": 26759.49, "npi": [1356960132]}]}]}]}, {"name": "Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result", "billing_code_type": "CPT", "billing_code": "87389", "billing_code_type_version": "2022", "description": "IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE", "allowed_amounts": [{"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 39.01, "providers": [{"billed_charge": 89.0, "npi": [1912903717]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 392.83, "providers": [{"billed_charge": 1122.36, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.65, "providers": [{"billed_charge": 137.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "756000905"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1427012152]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 19.75, "providers": [{"billed_charge": 42.65, "npi": [1235186800]}, {"billed_charge": 65.54, "npi": [1235186800]}]}, {"allowed_amount": 50.33, "providers": [{"billed_charge": 65.54, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 19.75, "providers": [{"billed_charge": 31.0, "npi": [1487429874]}]}]}]}, {"name": "Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Streptococcus, group A", "billing_code_type": "CPT", "billing_code": "87430", "billing_code_type_version": "2022", "description": "IAAD IA STREPTOCOCCUS GROUP A", "allowed_amounts": [{"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 253.05, "providers": [{"billed_charge": 723.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.3, "providers": [{"billed_charge": 54.0, "npi": [1821011248]}]}]}]}, {"name": "Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)", "billing_code_type": "CPT", "billing_code": "87340", "billing_code_type_version": "2022", "description": "IAAD IA HEPATITIS B SURFACE ANTIGEN", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.23, "providers": [{"billed_charge": 85.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.98, "providers": [{"billed_charge": 232.01, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 643.65, "providers": [{"billed_charge": 1839.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 223.83, "providers": [{"billed_charge": 639.5, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.65, "providers": [{"billed_charge": 97.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.0, "providers": [{"billed_charge": 29.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.47, "providers": [{"billed_charge": 18.3, "npi": [1235186800]}, {"billed_charge": 36.66, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 16.73, "providers": [{"billed_charge": 124.0, "npi": [1982606992]}]}]}]}, {"name": "Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])", "billing_code_type": "CPT", "billing_code": "87426", "billing_code_type_version": "2022", "description": "IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200175530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.76, "providers": [{"billed_charge": 285.18, "npi": [1548232044]}]}]}, {"tin": {"type": "ein", "value": "205431785"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 53.0, "providers": [{"billed_charge": 85.0, "npi": [1225368319]}]}]}, {"tin": {"type": "ein", "value": "208737126"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.86, "providers": [{"billed_charge": 78.0, "npi": [1104086941]}]}]}, {"tin": {"type": "ein", "value": "233044530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.76, "providers": [{"billed_charge": 239.0, "npi": [1770579591]}]}]}, {"tin": {"type": "ein", "value": "270492434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.78, "providers": [{"billed_charge": 67.98, "npi": [1427048453]}]}]}, {"tin": {"type": "ein", "value": "333465465"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.11, "providers": [{"billed_charge": 988.56, "npi": [1831995950]}]}]}, {"tin": {"type": "ein", "value": "352276788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 64.3, "providers": [{"billed_charge": 200.0, "npi": [1942270400]}]}]}, {"tin": {"type": "ein", "value": "430817642"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.0, "providers": [{"billed_charge": 45.0, "npi": [1487793089]}]}]}, {"tin": {"type": "ein", "value": "452662980"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.28, "providers": [{"billed_charge": 300.0, "npi": [1154618742]}]}]}, {"tin": {"type": "ein", "value": "463017479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.53, "providers": [{"billed_charge": 450.82, "npi": [1538508635]}]}]}, {"tin": {"type": "ein", "value": "473918725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.76, "providers": [{"billed_charge": 440.0, "npi": [1205212313]}]}]}, {"tin": {"type": "ein", "value": "621762420"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.11, "providers": [{"billed_charge": 173.65, "npi": [1528026267]}]}]}, {"tin": {"type": "ein", "value": "726014963"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.9, "providers": [{"billed_charge": 50.0, "npi": [1285601088]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.76, "providers": [{"billed_charge": 212.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741461220"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 205.6, "providers": [{"billed_charge": 259.25, "npi": [1447574819]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.15, "providers": [{"billed_charge": 29.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "751277293"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.11, "providers": [{"billed_charge": 300.0, "npi": [1598750721]}]}]}, {"tin": {"type": "ein", "value": "815287624"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.76, "providers": [{"billed_charge": 816.53, "npi": [1174059208]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.76, "providers": [{"billed_charge": 440.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "843475920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.76, "providers": [{"billed_charge": 440.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "853503076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.11, "providers": [{"billed_charge": 988.56, "npi": [1124623889]}]}]}, {"tin": {"type": "ein", "value": "862551554"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 49.46, "providers": [{"billed_charge": 53.0, "npi": [1649859224]}]}]}, {"tin": {"type": "ein", "value": "871224784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.31, "providers": [{"billed_charge": 988.56, "npi": [1003489212]}]}]}, {"tin": {"type": "ein", "value": "934295804"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.53, "providers": [{"billed_charge": 988.56, "npi": [1851165013]}]}]}, {"tin": {"type": "ein", "value": "934370183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.76, "providers": [{"billed_charge": 440.0, "npi": [1538934864]}]}]}, {"tin": {"type": "ein", "value": "992762070"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.53, "providers": [{"billed_charge": 816.53, "npi": [1124865126]}]}]}, {"tin": {"type": "ein", "value": "994785298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.53, "providers": [{"billed_charge": 77.47, "npi": [1639992514]}]}]}]}, {"name": "Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19]) and influenza virus types A and B", "billing_code_type": "CPT", "billing_code": "87428", "billing_code_type_version": "2022", "description": "IAAD IA SARSCOV & INFLUENZA VIRUS TYPES A&B", "allowed_amounts": [{"tin": {"type": "ein", "value": "202313462"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 83.65, "providers": [{"billed_charge": 340.0, "npi": [1649658246]}]}, {"allowed_amount": 94.89, "providers": [{"billed_charge": 340.0, "npi": [1114944048]}]}, {"allowed_amount": 98.41, "providers": [{"billed_charge": 340.0, "npi": [1508998667]}]}, {"allowed_amount": 128.63, "providers": [{"billed_charge": 340.0, "npi": [1528688215, 1366131831, 1902581945, 1609407642, 1033972765]}]}, {"allowed_amount": 130.04, "providers": [{"billed_charge": 340.0, "npi": [1841588928]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.46, "providers": [{"billed_charge": 246.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "262978009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.65, "providers": [{"billed_charge": 137.78, "npi": [1407010622]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.65, "providers": [{"billed_charge": 351.45, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "334228114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.83, "providers": [{"billed_charge": 257.43, "npi": [1093506396]}]}]}, {"tin": {"type": "ein", "value": "334228227"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.83, "providers": [{"billed_charge": 257.43, "npi": [1538950837]}]}]}, {"tin": {"type": "ein", "value": "334253489"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.38, "providers": [{"billed_charge": 257.43, "npi": [1518752302]}]}]}, {"tin": {"type": "ein", "value": "334253563"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.38, "providers": [{"billed_charge": 257.43, "npi": [1225825946]}]}]}, {"tin": {"type": "ein", "value": "334308192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.38, "providers": [{"billed_charge": 257.43, "npi": [1932094976]}]}]}, {"tin": {"type": "ein", "value": "334308303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.38, "providers": [{"billed_charge": 257.43, "npi": [1174310841]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.38, "providers": [{"billed_charge": 257.43, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "334335561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.38, "providers": [{"billed_charge": 257.43, "npi": [1952295164]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.83, "providers": [{"billed_charge": 137.78, "npi": [1831629526, 1598196206, 1679903967]}]}]}, {"tin": {"type": "ein", "value": "384081838"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 107.54, "providers": [{"billed_charge": 204.0, "npi": [1417435827]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.65, "providers": [{"billed_charge": 298.73, "npi": [1790174860]}]}, {"allowed_amount": 2605.55, "providers": [{"billed_charge": 298.73, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.65, "providers": [{"billed_charge": 295.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "621762526"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 149.01, "providers": [{"billed_charge": 176.0, "npi": [1790722346]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.83, "providers": [{"billed_charge": 70.5, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.75, "providers": [{"billed_charge": 483.0, "npi": [1447883301]}]}, {"allowed_amount": 214.38, "providers": [{"billed_charge": 217.0, "npi": [1780867390]}, {"billed_charge": 241.0, "npi": [1821004151]}]}]}, {"tin": {"type": "ein", "value": "741109836"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.57, "providers": [{"billed_charge": 374.0, "npi": [1689641680]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.46, "providers": [{"billed_charge": 246.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "741603120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.81, "providers": [{"billed_charge": 100.55, "npi": [1740288505]}]}]}, {"tin": {"type": "ein", "value": "742019736"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.38, "providers": [{"billed_charge": 355.0, "npi": [1871599829]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.6, "providers": [{"billed_charge": 36.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.67, "providers": [{"billed_charge": 183.75, "npi": [1619747938, 1316936990]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.65, "providers": [{"billed_charge": 324.0, "npi": [1194743013]}]}, {"allowed_amount": 142.49, "providers": [{"billed_charge": 324.0, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "750818167"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 98.41, "providers": [{"billed_charge": 313.0, "npi": [1659548402]}]}]}, {"tin": {"type": "ein", "value": "750827446"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.83, "providers": [{"billed_charge": 304.74, "npi": [1528064649]}]}]}, {"tin": {"type": "ein", "value": "752796815"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.65, "providers": [{"billed_charge": 369.0, "npi": [1295736734]}]}]}, {"tin": {"type": "ein", "value": "752896138"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 98.41, "providers": [{"billed_charge": 171.0, "npi": [1639742257, 1326312026]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.65, "providers": [{"billed_charge": 327.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "811390397"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 149.01, "providers": [{"billed_charge": 257.43, "npi": [1821540295]}]}]}, {"tin": {"type": "ein", "value": "812813433"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 107.54, "providers": [{"billed_charge": 204.0, "npi": [1083154207]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.65, "providers": [{"billed_charge": 281.16, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "832804506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.65, "providers": [{"billed_charge": 1584.52, "npi": [1174089866]}]}, {"allowed_amount": 504.55, "providers": [{"billed_charge": 1584.52, "npi": [1174089866]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.65, "providers": [{"billed_charge": 628.0, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "992199214"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.38, "providers": [{"billed_charge": 670.0, "npi": [1013735786]}]}]}, {"tin": {"type": "ein", "value": "993340227"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.65, "providers": [{"billed_charge": 702.9, "npi": [1205669355]}]}]}, {"tin": {"type": "ein", "value": "993360712"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.65, "providers": [{"billed_charge": 702.9, "npi": [1922831999]}]}]}]}, {"name": "Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza", "billing_code_type": "CPT", "billing_code": "87804", "billing_code_type_version": "2022", "description": "IAADIADOO INFLUENZA", "allowed_amounts": [{"tin": {"type": "ein", "value": "201728808"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.46, "providers": [{"billed_charge": 68.0, "npi": [1952398406]}]}]}, {"tin": {"type": "ein", "value": "205431785"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 24.83, "providers": [{"billed_charge": 70.0, "npi": [1225368319]}]}]}, {"tin": {"type": "ein", "value": "261296625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.46, "providers": [{"billed_charge": 40.94, "npi": [1770947004]}]}]}, {"tin": {"type": "ein", "value": "270492434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.19, "providers": [{"billed_charge": 72.65, "npi": [1427048453]}]}]}, {"tin": {"type": "ein", "value": "461555497"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 33.1, "providers": [{"billed_charge": 60.0, "npi": [1760031157]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.86, "providers": [{"billed_charge": 23.02, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "471625673"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.46, "providers": [{"billed_charge": 42.0, "npi": [1457513186]}]}]}, {"tin": {"type": "ein", "value": "741461220"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.32, "providers": [{"billed_charge": 98.75, "npi": [1447574819]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.45, "providers": [{"billed_charge": 407.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.73, "providers": [{"billed_charge": 350.65, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "821977126"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 50.0, "npi": [1083349989]}]}, {"allowed_amount": 22.34, "providers": [{"billed_charge": 50.0, "npi": [1811934821]}]}]}, {"tin": {"type": "ein", "value": "831466906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.62, "providers": [{"billed_charge": 50.0, "npi": [1144529801, 1881873982, 1164568655]}]}]}, {"tin": {"type": "ein", "value": "851144017"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.12, "providers": [{"billed_charge": 35.0, "npi": [1124895214]}]}]}, {"tin": {"type": "ein", "value": "862551554"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 23.17, "providers": [{"billed_charge": 60.0, "npi": [1649859224]}]}]}]}, {"name": "Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A", "billing_code_type": "CPT", "billing_code": "87880", "billing_code_type_version": "2022", "description": "IAADIADOO STREPTOCOCCUS GROUP A", "allowed_amounts": [{"tin": {"type": "ein", "value": "202313462"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.67, "providers": [{"billed_charge": 60.0, "npi": [1649658246]}]}, {"allowed_amount": 22.32, "providers": [{"billed_charge": 60.0, "npi": [1114944048]}]}, {"allowed_amount": 30.08, "providers": [{"billed_charge": 60.0, "npi": [1992797385, 1033150131]}]}, {"allowed_amount": 30.25, "providers": [{"billed_charge": 60.0, "npi": [1831691971, 1568739852, 1033972765]}]}]}, {"tin": {"type": "ein", "value": "203286679"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.84, "providers": [{"billed_charge": 58.0, "npi": [1053667360]}]}]}, {"tin": {"type": "ein", "value": "205431785"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 24.8, "providers": [{"billed_charge": 30.0, "npi": [1225368319]}]}]}, {"tin": {"type": "ein", "value": "300491632"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 22.32, "providers": [{"billed_charge": 42.0, "npi": [1023731734]}]}]}, {"tin": {"type": "ein", "value": "384081838"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 25.29, "providers": [{"billed_charge": 50.0, "npi": [1417435827]}]}]}, {"tin": {"type": "ein", "value": "455054082"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 14.28, "providers": [{"billed_charge": 85.0, "npi": [1457698987]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.84, "providers": [{"billed_charge": 23.02, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "465374323"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 48.76, "providers": [{"billed_charge": 69.0, "npi": [1821572694]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.0, "providers": [{"billed_charge": 364.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472334194"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 51.24, "providers": [{"billed_charge": 69.0, "npi": [1922813104]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.0, "providers": [{"billed_charge": 364.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "472495342"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 51.24, "providers": [{"billed_charge": 88.0, "npi": [1265199194]}]}]}, {"tin": {"type": "ein", "value": "474066242"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 51.24, "providers": [{"billed_charge": 207.0, "npi": [1265796528]}]}]}, {"tin": {"type": "ein", "value": "741461220"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.55, "providers": [{"billed_charge": 65.0, "npi": [1447574819]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 251.65, "providers": [{"billed_charge": 719.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 248.63, "providers": [{"billed_charge": 710.37, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.95, "providers": [{"billed_charge": 171.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "750818167"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.14, "providers": [{"billed_charge": 90.0, "npi": [1659548402]}]}]}, {"tin": {"type": "ein", "value": "752896138"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1639742257, 1326312026]}]}]}, {"tin": {"type": "ein", "value": "812813433"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 25.29, "providers": [{"billed_charge": 50.0, "npi": [1083154207]}]}]}, {"tin": {"type": "ein", "value": "821977126"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.53, "providers": [{"billed_charge": 50.0, "npi": [1083349989]}]}]}, {"tin": {"type": "ein", "value": "831466906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.58, "providers": [{"billed_charge": 50.0, "npi": [1164568655]}]}]}, {"tin": {"type": "ein", "value": "851144017"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.08, "providers": [{"billed_charge": 41.0, "npi": [1124895214]}]}]}, {"tin": {"type": "ein", "value": "862551554"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 23.14, "providers": [{"billed_charge": 70.0, "npi": [1649859224]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique", "billing_code_type": "CPT", "billing_code": "87801", "billing_code_type_version": "2022", "description": "IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "453194060"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 81.43, "providers": [{"billed_charge": 100.0, "npi": [1508594136]}]}]}, {"tin": {"type": "ein", "value": "464688456"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 54.05, "providers": [{"billed_charge": 77.22, "npi": [1851016935]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 269.35, "providers": [{"billed_charge": 769.58, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 77.22, "providers": [{"billed_charge": 210.6, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "800235664"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 54.05, "providers": [{"billed_charge": 630.0, "npi": [1386817435]}]}]}, {"tin": {"type": "ein", "value": "813130887"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 57.56, "providers": [{"billed_charge": 140.0, "npi": [1083134209]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 57.56, "providers": [{"billed_charge": 105.0, "npi": [1619488418]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism", "billing_code_type": "CPT", "billing_code": "87798", "billing_code_type_version": "2022", "description": "IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.56, "providers": [{"billed_charge": 100.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.56, "providers": [{"billed_charge": 105.27, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "262920121"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 84.87, "npi": [1295072882]}]}]}, {"tin": {"type": "ein", "value": "334777680"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1558150078]}]}]}, {"tin": {"type": "ein", "value": "334908203"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 35.09, "npi": [1710872106]}]}]}, {"tin": {"type": "ein", "value": "392758262"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 0.01, "npi": [1750272399]}]}, {"allowed_amount": 21.86, "providers": [{"billed_charge": 60.0, "npi": [1750272399]}]}, {"allowed_amount": 56.85, "providers": [{"billed_charge": 60.0, "npi": [1750272399]}]}]}, {"tin": {"type": "ein", "value": "431580575"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 26.67, "providers": [{"billed_charge": 52.64, "npi": [1396175196]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 55.0, "npi": [1992390959]}]}]}, {"tin": {"type": "ein", "value": "453194060"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 92.31, "npi": [1508594136]}]}]}, {"tin": {"type": "ein", "value": "473588569"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 59.65, "npi": [1982091617]}]}]}, {"tin": {"type": "ein", "value": "474795263"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 42.11, "npi": [1518325562]}]}]}, {"tin": {"type": "ein", "value": "611803788"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 70.0, "npi": [1053841023]}]}]}, {"tin": {"type": "ein", "value": "621571333"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 105.27, "npi": [1619974573]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 54.39, "providers": [{"billed_charge": 98.78, "npi": [1639260797, 1093753303]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1104839380, 1265017743]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 38.6, "providers": [{"billed_charge": 150.0, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "800936483"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 47.37, "providers": [{"billed_charge": 50.0, "npi": [1326484569]}, {"billed_charge": 62.5, "npi": [1326484569]}]}]}, {"tin": {"type": "ein", "value": "811680891"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 38.6, "npi": [1225488455]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1619488418]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 44.0, "npi": [1487429874, 1134559685]}]}]}, {"tin": {"type": "ein", "value": "842525329"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 35.09, "npi": [1265017743]}, {"billed_charge": 53.0, "npi": [1265017743]}]}]}, {"tin": {"type": "ein", "value": "843260526"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 44.0, "providers": [{"billed_charge": 44.0, "npi": [1659900348]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 52.64, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "851486076"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1972117349]}]}]}, {"tin": {"type": "ein", "value": "851912474"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 50.0, "npi": [1467066860]}]}]}, {"tin": {"type": "ein", "value": "854205837"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1164017422]}]}]}, {"tin": {"type": "ein", "value": "872058338"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 38.6, "npi": [1013678333]}]}]}, {"tin": {"type": "ein", "value": "872266063"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 52.65, "providers": [{"billed_charge": 52.65, "npi": [1164508883]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 70.18, "npi": [1972117349]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 55.0, "npi": [1245921329]}]}]}, {"tin": {"type": "ein", "value": "992891989"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 43.86, "npi": [1790524577]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87481", "billing_code_type_version": "2022", "description": "IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.56, "providers": [{"billed_charge": 100.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.57, "providers": [{"billed_charge": 105.27, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "334777680"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1558150078]}]}]}, {"tin": {"type": "ein", "value": "334908203"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 35.09, "npi": [1710872106]}]}]}, {"tin": {"type": "ein", "value": "392758262"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.84, "providers": [{"billed_charge": 60.0, "npi": [1750272399]}]}, {"allowed_amount": 56.85, "providers": [{"billed_charge": 60.0, "npi": [1750272399]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 60.0, "npi": [1992390959]}]}]}, {"tin": {"type": "ein", "value": "453194060"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 50.0, "npi": [1508594136]}]}]}, {"tin": {"type": "ein", "value": "473588569"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 25.44, "providers": [{"billed_charge": 59.65, "npi": [1982091617]}]}]}, {"tin": {"type": "ein", "value": "474795263"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 42.11, "npi": [1518325562]}]}]}, {"tin": {"type": "ein", "value": "621433252"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1689639544]}]}, {"allowed_amount": 56.85, "providers": [{"billed_charge": 70.18, "npi": [1104631415]}]}]}, {"tin": {"type": "ein", "value": "621571333"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 105.27, "npi": [1619974573]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 54.39, "providers": [{"billed_charge": 98.78, "npi": [1942526447, 1639260797, 1093753303]}]}]}, {"tin": {"type": "ein", "value": "741761309"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 47.72, "providers": [{"billed_charge": 53.0, "npi": [1992709356]}]}]}, {"tin": {"type": "ein", "value": "742258912"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1629039623]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.3, "providers": [{"billed_charge": 114.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1104839380, 1265017743]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 38.6, "providers": [{"billed_charge": 150.0, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "800936483"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 47.37, "providers": [{"billed_charge": 50.0, "npi": [1326484569]}, {"billed_charge": 62.5, "npi": [1326484569]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1619488418]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 23.98, "providers": [{"billed_charge": 44.0, "npi": [1487429874]}]}, {"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 44.0, "npi": [1487429874, 1134559685]}]}]}, {"tin": {"type": "ein", "value": "842525329"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1265017743]}]}]}, {"tin": {"type": "ein", "value": "843260526"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 44.0, "providers": [{"billed_charge": 44.0, "npi": [1659900348]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 52.63, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "851486076"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1972117349]}]}]}, {"tin": {"type": "ein", "value": "854205837"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1164017422]}]}]}, {"tin": {"type": "ein", "value": "872058338"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 38.6, "npi": [1013678333]}]}]}, {"tin": {"type": "ein", "value": "872266063"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 52.65, "providers": [{"billed_charge": 52.65, "npi": [1164508883]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 55.0, "npi": [1245921329]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87486", "billing_code_type_version": "2022", "description": "IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.56, "providers": [{"billed_charge": 105.27, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "262920121"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 72.84, "npi": [1295072882]}]}]}, {"tin": {"type": "ein", "value": "611803788"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 70.0, "npi": [1053841023]}]}]}, {"tin": {"type": "ein", "value": "621433252"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 70.18, "npi": [1104631415]}]}]}, {"tin": {"type": "ein", "value": "811680891"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 38.6, "npi": [1225488455]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1619488418]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 52.64, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "851912474"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.0, "npi": [1467066860]}]}]}, {"tin": {"type": "ein", "value": "854205837"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1164017422]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 70.18, "npi": [1972117349]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 55.0, "npi": [1245921329]}]}]}, {"tin": {"type": "ein", "value": "992891989"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 43.86, "npi": [1790524577]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87491", "billing_code_type_version": "2022", "description": "IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "431580575"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 26.67, "providers": [{"billed_charge": 52.64, "npi": [1396175196]}]}]}, {"tin": {"type": "ein", "value": "473588569"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 59.65, "npi": [1982091617]}]}]}, {"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 120.0, "npi": [1912903717]}]}]}, {"tin": {"type": "ein", "value": "621433252"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1689639544]}]}, {"allowed_amount": 56.85, "providers": [{"billed_charge": 70.18, "npi": [1104631415]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 54.39, "providers": [{"billed_charge": 98.78, "npi": [1487897187, 1942526447, 1639260797, 1093753303]}]}]}, {"tin": {"type": "ein", "value": "741761309"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 47.72, "providers": [{"billed_charge": 150.0, "npi": [1992709356]}]}]}, {"tin": {"type": "ein", "value": "742258912"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1629039623]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 292.25, "providers": [{"billed_charge": 835.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 232.73, "providers": [{"billed_charge": 664.95, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 67.05, "providers": [{"billed_charge": 149.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 98.0, "providers": [{"billed_charge": 98.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "756000905"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1427012152]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 38.6, "providers": [{"billed_charge": 150.0, "npi": [1699744144, 1124162482]}]}]}, {"tin": {"type": "ein", "value": "800936483"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 47.37, "providers": [{"billed_charge": 53.0, "npi": [1326484569]}, {"billed_charge": 62.5, "npi": [1326484569]}]}]}, {"tin": {"type": "ein", "value": "811680891"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 38.6, "npi": [1225488455]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1619488418]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 44.0, "npi": [1487429874, 1134559685]}]}, {"allowed_amount": 44.0, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 44.0, "npi": [1659900348]}]}]}, {"tin": {"type": "ein", "value": "843260526"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 44.0, "providers": [{"billed_charge": 44.0, "npi": [1659900348]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 70.18, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "844939989"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 105.27, "npi": [1639791007]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 52.64, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 55.0, "npi": [1245921329]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87511", "billing_code_type_version": "2022", "description": "IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "431580575"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 26.67, "providers": [{"billed_charge": 52.64, "npi": [1396175196]}]}]}, {"tin": {"type": "ein", "value": "453194060"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 50.0, "npi": [1508594136]}]}]}, {"tin": {"type": "ein", "value": "473588569"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 59.65, "npi": [1982091617]}]}]}, {"tin": {"type": "ein", "value": "621433252"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1689639544]}]}, {"allowed_amount": 56.85, "providers": [{"billed_charge": 70.18, "npi": [1104631415]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 54.39, "providers": [{"billed_charge": 98.78, "npi": [1639260797, 1093753303]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 38.6, "providers": [{"billed_charge": 150.0, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "800936483"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 47.37, "providers": [{"billed_charge": 50.0, "npi": [1326484569]}]}]}, {"tin": {"type": "ein", "value": "811680891"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 38.6, "npi": [1225488455]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1619488418]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 44.0, "npi": [1487429874]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 55.0, "npi": [1245921329]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87529", "billing_code_type_version": "2022", "description": "IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "334777680"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1558150078]}]}]}, {"tin": {"type": "ein", "value": "334908203"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 35.09, "npi": [1710872106]}]}]}, {"tin": {"type": "ein", "value": "431580575"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 26.67, "providers": [{"billed_charge": 52.64, "npi": [1396175196]}]}]}, {"tin": {"type": "ein", "value": "473588569"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 59.65, "npi": [1982091617]}]}]}, {"tin": {"type": "ein", "value": "621433252"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1689639544]}]}, {"allowed_amount": 56.85, "providers": [{"billed_charge": 70.18, "npi": [1104631415]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 54.39, "providers": [{"billed_charge": 98.78, "npi": [1093753303, 1942526447]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 252.45, "providers": [{"billed_charge": 721.28, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.7, "providers": [{"billed_charge": 286.0, "npi": [1821011248]}]}, {"allowed_amount": 183.4, "providers": [{"billed_charge": 286.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "756000905"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 27.0, "providers": [{"billed_charge": 27.0, "npi": [1427012152]}]}]}, {"tin": {"type": "ein", "value": "800936483"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 47.37, "providers": [{"billed_charge": 53.0, "npi": [1326484569]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1619488418]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 44.0, "npi": [1487429874]}]}]}, {"tin": {"type": "ein", "value": "872058338"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 38.6, "npi": [1013678333]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 55.0, "npi": [1245921329]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result", "billing_code_type": "CPT", "billing_code": "87624", "billing_code_type_version": "2022", "description": "IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES", "allowed_amounts": [{"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 170.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 54.39, "providers": [{"billed_charge": 110.0, "npi": [1487897187, 1942526447, 1093753303, 1104973080, 1639260797]}]}]}, {"tin": {"type": "ein", "value": "741619182"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 75.09, "providers": [{"billed_charge": 110.0, "npi": [1710965421]}]}]}, {"tin": {"type": "ein", "value": "741761309"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 47.72, "providers": [{"billed_charge": 191.04, "npi": [1992709356]}]}]}, {"tin": {"type": "ein", "value": "742258912"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1629039623]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 38.6, "providers": [{"billed_charge": 145.0, "npi": [1699744144, 1124162482]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1619488418]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87541", "billing_code_type_version": "2022", "description": "IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.56, "providers": [{"billed_charge": 105.27, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "611803788"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 70.0, "npi": [1053841023]}]}]}, {"tin": {"type": "ein", "value": "811680891"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 38.6, "npi": [1225488455]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1619488418]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 52.64, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "854205837"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1164017422]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 70.18, "npi": [1972117349]}]}]}, {"tin": {"type": "ein", "value": "992891989"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 43.86, "npi": [1790524577]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87563", "billing_code_type_version": "2022", "description": "IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH", "allowed_amounts": [{"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "334777680"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1558150078]}]}]}, {"tin": {"type": "ein", "value": "431580575"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 26.67, "providers": [{"billed_charge": 35.09, "npi": [1396175196]}]}]}, {"tin": {"type": "ein", "value": "473588569"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 59.65, "npi": [1982091617]}]}]}, {"tin": {"type": "ein", "value": "621433252"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1689639544]}]}, {"allowed_amount": 56.85, "providers": [{"billed_charge": 70.18, "npi": [1104631415]}]}]}, {"tin": {"type": "ein", "value": "741761309"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 47.72, "providers": [{"billed_charge": 150.0, "npi": [1992709356]}]}]}, {"tin": {"type": "ein", "value": "800235664"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 175.0, "npi": [1386817435]}]}]}, {"tin": {"type": "ein", "value": "800936483"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 47.37, "providers": [{"billed_charge": 53.0, "npi": [1326484569]}, {"billed_charge": 62.5, "npi": [1326484569]}]}]}, {"tin": {"type": "ein", "value": "811680891"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 38.6, "npi": [1225488455]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1619488418]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 44.0, "npi": [1487429874]}]}, {"allowed_amount": 44.0, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 44.0, "npi": [1659900348]}]}]}, {"tin": {"type": "ein", "value": "843260526"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 44.0, "providers": [{"billed_charge": 44.0, "npi": [1659900348]}]}]}, {"tin": {"type": "ein", "value": "874799943"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 43.75, "npi": [1932843836]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 55.0, "npi": [1245921329]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87581", "billing_code_type_version": "2022", "description": "IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.56, "providers": [{"billed_charge": 105.27, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "262920121"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 72.84, "npi": [1295072882]}]}]}, {"tin": {"type": "ein", "value": "611803788"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 70.0, "npi": [1053841023]}]}]}, {"tin": {"type": "ein", "value": "621433252"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 70.18, "npi": [1104631415]}]}]}, {"tin": {"type": "ein", "value": "811680891"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 38.6, "npi": [1225488455]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1619488418]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 52.64, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "854205837"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1164017422]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 70.18, "npi": [1972117349]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 55.0, "npi": [1245921329]}]}]}, {"tin": {"type": "ein", "value": "992891989"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 43.86, "npi": [1790524577]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87591", "billing_code_type_version": "2022", "description": "IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "334777680"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1558150078]}]}]}, {"tin": {"type": "ein", "value": "431580575"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 26.67, "providers": [{"billed_charge": 52.64, "npi": [1396175196]}]}]}, {"tin": {"type": "ein", "value": "473588569"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 59.65, "npi": [1982091617]}]}]}, {"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 120.0, "npi": [1912903717]}]}]}, {"tin": {"type": "ein", "value": "621433252"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1689639544]}]}, {"allowed_amount": 56.85, "providers": [{"billed_charge": 70.18, "npi": [1104631415]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 54.39, "providers": [{"billed_charge": 98.78, "npi": [1093753303, 1487897187, 1639260797, 1942526447]}]}]}, {"tin": {"type": "ein", "value": "741761309"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 47.72, "providers": [{"billed_charge": 150.0, "npi": [1992709356]}]}]}, {"tin": {"type": "ein", "value": "742258912"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1629039623]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 282.45, "providers": [{"billed_charge": 807.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 232.73, "providers": [{"billed_charge": 664.95, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.1, "providers": [{"billed_charge": 158.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 98.0, "providers": [{"billed_charge": 98.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 38.6, "providers": [{"billed_charge": 150.0, "npi": [1699744144, 1124162482]}]}]}, {"tin": {"type": "ein", "value": "800936483"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 47.37, "providers": [{"billed_charge": 53.0, "npi": [1326484569]}, {"billed_charge": 62.5, "npi": [1326484569]}]}]}, {"tin": {"type": "ein", "value": "811680891"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 38.6, "npi": [1225488455]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1619488418]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 44.0, "npi": [1487429874, 1134559685]}]}, {"allowed_amount": 44.0, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 44.0, "npi": [1659900348]}]}]}, {"tin": {"type": "ein", "value": "843260526"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 44.0, "providers": [{"billed_charge": 44.0, "npi": [1659900348]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 70.18, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "844939989"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 105.27, "npi": [1639791007]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 55.0, "npi": [1245921329]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87640", "billing_code_type_version": "2022", "description": "IADNA S AUREUS AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.56, "providers": [{"billed_charge": 100.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.56, "providers": [{"billed_charge": 105.27, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "334777680"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1558150078]}]}]}, {"tin": {"type": "ein", "value": "392758262"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 60.0, "npi": [1750272399]}]}]}, {"tin": {"type": "ein", "value": "431580575"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 26.67, "providers": [{"billed_charge": 52.64, "npi": [1396175196]}]}]}, {"tin": {"type": "ein", "value": "453194060"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 50.0, "npi": [1508594136]}]}]}, {"tin": {"type": "ein", "value": "473588569"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 59.65, "npi": [1982091617]}]}]}, {"tin": {"type": "ein", "value": "621433252"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 70.18, "npi": [1104631415]}]}]}, {"tin": {"type": "ein", "value": "800936483"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 47.37, "providers": [{"billed_charge": 53.0, "npi": [1326484569]}, {"billed_charge": 62.5, "npi": [1326484569]}, {"billed_charge": 89.0, "npi": [1326484569]}]}]}, {"tin": {"type": "ein", "value": "811680891"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 38.6, "npi": [1225488455]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1619488418]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 44.0, "npi": [1487429874]}]}]}, {"tin": {"type": "ein", "value": "842525329"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1265017743]}]}]}, {"tin": {"type": "ein", "value": "843260526"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 44.0, "providers": [{"billed_charge": 44.0, "npi": [1659900348]}]}]}, {"tin": {"type": "ein", "value": "851486076"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1972117349]}]}]}, {"tin": {"type": "ein", "value": "851912474"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 50.0, "npi": [1467066860]}]}]}, {"tin": {"type": "ein", "value": "854205837"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1164017422]}]}]}, {"tin": {"type": "ein", "value": "872266063"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 52.65, "providers": [{"billed_charge": 52.65, "npi": [1164508883]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 55.0, "npi": [1245921329]}]}]}, {"tin": {"type": "ein", "value": "992891989"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 43.86, "npi": [1790524577]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87641", "billing_code_type_version": "2022", "description": "IADNA S AUREUS METHICILLIN RESIST AMP PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "334777680"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1558150078]}]}]}, {"tin": {"type": "ein", "value": "334908203"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 35.09, "npi": [1710872106]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 105.0, "npi": [1992390959]}]}]}, {"tin": {"type": "ein", "value": "611803788"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 70.0, "npi": [1053841023]}]}]}, {"tin": {"type": "ein", "value": "621571333"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 105.27, "npi": [1619974573]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1104839380, 1265017743]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 44.0, "npi": [1487429874]}]}]}, {"tin": {"type": "ein", "value": "842525329"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1265017743]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 52.64, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "872058338"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 38.6, "npi": [1013678333]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 55.0, "npi": [1245921329]}]}]}, {"tin": {"type": "ein", "value": "992891989"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 43.86, "npi": [1790524577]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87651", "billing_code_type_version": "2022", "description": "IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "334777680"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1558150078]}]}]}, {"tin": {"type": "ein", "value": "334908203"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 35.09, "npi": [1710872106]}]}]}, {"tin": {"type": "ein", "value": "392758262"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 60.0, "npi": [1750272399]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 60.0, "npi": [1992390959]}]}]}, {"tin": {"type": "ein", "value": "473588569"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 105.27, "npi": [1982091617]}]}]}, {"tin": {"type": "ein", "value": "741603120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.13, "providers": [{"billed_charge": 92.43, "npi": [1740288505]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.52, "providers": [{"billed_charge": 107.19, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "752301801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.0, "providers": [{"billed_charge": 128.0, "npi": [1831170273]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 98.0, "providers": [{"billed_charge": 98.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1104839380, 1265017743]}]}]}, {"tin": {"type": "ein", "value": "811680891"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 38.6, "npi": [1225488455]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1619488418]}]}]}, {"tin": {"type": "ein", "value": "821977126"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 106.0, "npi": [1083349989]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 44.0, "npi": [1487429874]}]}]}, {"tin": {"type": "ein", "value": "842525329"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1265017743]}]}]}, {"tin": {"type": "ein", "value": "843260526"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 44.0, "providers": [{"billed_charge": 44.0, "npi": [1659900348]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 52.64, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "851912474"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 50.0, "npi": [1467066860]}]}]}, {"tin": {"type": "ein", "value": "854205837"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1164017422]}]}]}, {"tin": {"type": "ein", "value": "872058338"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 38.6, "npi": [1013678333]}]}]}, {"tin": {"type": "ein", "value": "872266063"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 52.65, "providers": [{"billed_charge": 52.65, "npi": [1164508883]}]}]}, {"tin": {"type": "ein", "value": "910655392"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 158.73, "providers": [{"billed_charge": 109.0, "npi": [1467910265]}]}]}, {"tin": {"type": "ein", "value": "922752452"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 79.0, "npi": [1730200486]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 55.0, "npi": [1245921329]}]}]}, {"tin": {"type": "ein", "value": "992891989"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 43.86, "npi": [1790524577]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87653", "billing_code_type_version": "2022", "description": "IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.56, "providers": [{"billed_charge": 100.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.56, "providers": [{"billed_charge": 105.27, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "334777680"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1558150078]}]}]}, {"tin": {"type": "ein", "value": "334908203"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 35.09, "npi": [1710872106]}]}]}, {"tin": {"type": "ein", "value": "392758262"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 60.0, "npi": [1750272399]}]}]}, {"tin": {"type": "ein", "value": "431580575"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 26.67, "providers": [{"billed_charge": 52.64, "npi": [1396175196]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 105.0, "npi": [1992390959]}]}]}, {"tin": {"type": "ein", "value": "453194060"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 50.0, "npi": [1508594136]}]}]}, {"tin": {"type": "ein", "value": "473588569"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 59.65, "npi": [1982091617]}]}]}, {"tin": {"type": "ein", "value": "611803788"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 70.0, "npi": [1053841023]}]}]}, {"tin": {"type": "ein", "value": "621433252"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.85, "providers": [{"billed_charge": 70.18, "npi": [1104631415]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 54.39, "providers": [{"billed_charge": 98.78, "npi": [1093753303]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1104839380, 1265017743]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 38.6, "providers": [{"billed_charge": 150.0, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "800936483"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 47.37, "providers": [{"billed_charge": 53.0, "npi": [1326484569]}, {"billed_charge": 62.5, "npi": [1326484569]}]}]}, {"tin": {"type": "ein", "value": "811680891"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 38.6, "npi": [1225488455]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1619488418]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 44.0, "npi": [1487429874]}]}]}, {"tin": {"type": "ein", "value": "842525329"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1265017743]}]}]}, {"tin": {"type": "ein", "value": "843260526"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 44.0, "providers": [{"billed_charge": 44.0, "npi": [1659900348]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 52.64, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "851486076"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1972117349]}]}]}, {"tin": {"type": "ein", "value": "854205837"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1164017422]}]}]}, {"tin": {"type": "ein", "value": "872058338"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 38.6, "npi": [1013678333]}]}]}, {"tin": {"type": "ein", "value": "872266063"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 52.65, "providers": [{"billed_charge": 52.65, "npi": [1164508883]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 55.0, "npi": [1245921329]}]}]}, {"tin": {"type": "ein", "value": "992891989"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 43.86, "npi": [1790524577]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique", "billing_code_type": "CPT", "billing_code": "87661", "billing_code_type_version": "2022", "description": "IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH", "allowed_amounts": [{"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "431580575"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 26.67, "providers": [{"billed_charge": 52.64, "npi": [1396175196]}]}]}, {"tin": {"type": "ein", "value": "473588569"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 59.65, "npi": [1982091617]}]}]}, {"tin": {"type": "ein", "value": "621433252"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1689639544]}]}, {"allowed_amount": 56.85, "providers": [{"billed_charge": 70.18, "npi": [1104631415]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 27.2, "providers": [{"billed_charge": 119.68, "npi": [1942526447]}]}, {"allowed_amount": 54.39, "providers": [{"billed_charge": 119.68, "npi": [1942526447, 1639260797, 1093753303]}]}]}, {"tin": {"type": "ein", "value": "741761309"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 47.72, "providers": [{"billed_charge": 145.0, "npi": [1992709356]}]}]}, {"tin": {"type": "ein", "value": "742258912"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1629039623]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.65, "providers": [{"billed_charge": 97.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "756000905"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1427012152]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 38.6, "providers": [{"billed_charge": 150.0, "npi": [1699744144, 1124162482]}]}]}, {"tin": {"type": "ein", "value": "800936483"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 47.37, "providers": [{"billed_charge": 53.0, "npi": [1326484569]}, {"billed_charge": 62.5, "npi": [1326484569]}]}]}, {"tin": {"type": "ein", "value": "811680891"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 38.6, "npi": [1225488455]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1619488418]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 44.0, "npi": [1487429874, 1134559685]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 70.18, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 55.0, "npi": [1245921329]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed", "billing_code_type": "CPT", "billing_code": "87522", "billing_code_type_version": "2022", "description": "IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION", "allowed_amounts": [{"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 66.4, "providers": [{"billed_charge": 179.55, "npi": [1942526447]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 895.96, "providers": [{"billed_charge": 2559.89, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 357.3, "providers": [{"billed_charge": 794.0, "npi": [1821011248]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types", "billing_code_type": "CPT", "billing_code": "87502", "billing_code_type_version": "2022", "description": "INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES", "allowed_amounts": [{"tin": {"type": "ein", "value": "430817642"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 125.5, "providers": [{"billed_charge": 141.17, "npi": [1487793089]}]}]}, {"tin": {"type": "ein", "value": "460782127"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 143.7, "providers": [{"billed_charge": 143.7, "npi": [1124713383]}]}]}, {"tin": {"type": "ein", "value": "611630276"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 107.0, "providers": [{"billed_charge": 107.0, "npi": [1003707514]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 185.0, "providers": [{"billed_charge": 1048.3, "npi": [1124074273]}]}, {"allowed_amount": 260.0, "providers": [{"billed_charge": 1048.3, "npi": [1124074273]}]}, {"allowed_amount": 308.09, "providers": [{"billed_charge": 1048.3, "npi": [1124074273]}]}, {"allowed_amount": 366.9, "providers": [{"billed_charge": 1048.3, "npi": [1124074273]}]}, {"allowed_amount": 366.91, "providers": [{"billed_charge": 1048.3, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 240.0, "providers": [{"billed_charge": 240.0, "npi": [1538140439]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets", "billing_code_type": "CPT", "billing_code": "87633", "billing_code_type_version": "2022", "description": "IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET", "allowed_amounts": [{"tin": {"type": "ein", "value": "262920121"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 341.76, "providers": [{"billed_charge": 771.8, "npi": [1295072882]}]}]}, {"tin": {"type": "ein", "value": "465735510"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1035.74, "providers": [{"billed_charge": 2000.0, "npi": [1164827093]}]}]}, {"tin": {"type": "ein", "value": "611803788"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 320.92, "providers": [{"billed_charge": 830.0, "npi": [1053841023]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 723.15, "providers": [{"billed_charge": 1607.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 341.76, "providers": [{"billed_charge": 625.0, "npi": [1619488418]}]}]}, {"tin": {"type": "ein", "value": "851912474"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 341.76, "providers": [{"billed_charge": 450.0, "npi": [1467066860]}, {"billed_charge": 600.0, "npi": [1467066860]}]}]}, {"tin": {"type": "ein", "value": "882931023"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7032.68, "providers": [{"billed_charge": 2050.0, "npi": [1740911213]}]}]}, {"tin": {"type": "ein", "value": "883965242"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 483.46, "providers": [{"billed_charge": 834.0, "npi": [1194448407]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 483.46, "providers": [{"billed_charge": 625.0, "npi": [1245921329]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets", "billing_code_type": "CPT", "billing_code": "87631", "billing_code_type_version": "2022", "description": "IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 99.84, "providers": [{"billed_charge": 427.89, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "394856209"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 116.96, "providers": [{"billed_charge": 250.0, "npi": [1386504058]}]}]}, {"tin": {"type": "ein", "value": "621433252"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 231.06, "providers": [{"billed_charge": 285.26, "npi": [1104631415]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.85, "providers": [{"billed_charge": 559.58, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 357.0, "providers": [{"billed_charge": 357.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "811680891"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 109.83, "providers": [{"billed_charge": 156.89, "npi": [1225488455]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 116.96, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 179.0, "npi": [1457977209, 1134559685]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 116.96, "providers": [{"billed_charge": 213.95, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "854205837"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 116.96, "providers": [{"billed_charge": 285.26, "npi": [1164017422]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 116.96, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 142.63, "npi": [1972117349]}]}]}, {"tin": {"type": "ein", "value": "992891989"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 116.96, "providers": [{"billed_charge": 178.29, "npi": [1790524577]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique", "billing_code_type": "CPT", "billing_code": "87636", "billing_code_type_version": "2022", "description": "IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "131624096"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 223.93, "providers": [{"billed_charge": 400.0, "npi": [1245248939]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 102.41, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "301205721"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 370.84, "providers": [{"billed_charge": 600.0, "npi": [1588215461]}]}]}, {"tin": {"type": "ein", "value": "394049449"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 116.96, "providers": [{"billed_charge": 234.0, "npi": [1386504058]}]}]}, {"tin": {"type": "ein", "value": "394276224"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 231.06, "providers": [{"billed_charge": 250.0, "npi": [1114898996]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.08, "providers": [{"billed_charge": 1044.1, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "473465832"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 185.42, "providers": [{"billed_charge": 190.0, "npi": [1275171423]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 445.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "610445850"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 427.89, "npi": [1467492421]}]}]}, {"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.25, "providers": [{"billed_charge": 102.41, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "742967210"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 114.4, "providers": [{"billed_charge": 75.0, "npi": [1639129265]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.08, "providers": [{"billed_charge": 102.41, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.08, "providers": [{"billed_charge": 102.41, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 102.41, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 102.41, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "751912147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.08, "providers": [{"billed_charge": 950.0, "npi": [1023013448]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 102.41, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 102.41, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 295.99, "providers": [{"billed_charge": 333.0, "npi": [1144571969]}]}, {"allowed_amount": 319.78, "providers": [{"billed_charge": 333.0, "npi": [1699259002]}]}]}, {"tin": {"type": "ein", "value": "873860935"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 112.68, "providers": [{"billed_charge": 234.0, "npi": [1033847876]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 370.84, "providers": [{"billed_charge": 600.0, "npi": [1003539073]}]}, {"allowed_amount": 435.02, "providers": [{"billed_charge": 600.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "922752452"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 231.06, "providers": [{"billed_charge": 300.0, "npi": [1730200486]}]}]}, {"tin": {"type": "ein", "value": "933040761"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 285.26, "providers": [{"billed_charge": 1000.0, "npi": [1407637531]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique", "billing_code_type": "CPT", "billing_code": "87635", "billing_code_type_version": "2022", "description": "IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "260684968"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.04, "providers": [{"billed_charge": 242.75, "npi": [1902047376]}]}]}, {"tin": {"type": "ein", "value": "394049449"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.07, "providers": [{"billed_charge": 150.0, "npi": [1386504058]}]}]}, {"tin": {"type": "ein", "value": "394276224"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 83.12, "providers": [{"billed_charge": 150.0, "npi": [1114898996]}]}]}, {"tin": {"type": "ein", "value": "394856209"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.07, "providers": [{"billed_charge": 150.0, "npi": [1386504058]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.04, "providers": [{"billed_charge": 225.25, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 110.83, "providers": [{"billed_charge": 225.25, "npi": [1215296884]}, {"billed_charge": 242.75, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "460782127"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 83.12, "providers": [{"billed_charge": 150.0, "npi": [1124713383]}]}]}, {"tin": {"type": "ein", "value": "591833934"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.11, "providers": [{"billed_charge": 70.0, "npi": [1215974134]}]}]}, {"tin": {"type": "ein", "value": "611630276"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 70.0, "providers": [{"billed_charge": 70.0, "npi": [1003707514]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 79.53, "providers": [{"billed_charge": 153.93, "npi": [1942526447]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.04, "providers": [{"billed_charge": 189.0, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "640362400"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.87, "providers": [{"billed_charge": 113.0, "npi": [1649226952]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.41, "providers": [{"billed_charge": 254.0, "npi": [1619115383]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.78, "providers": [{"billed_charge": 73.67, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 25.79, "providers": [{"billed_charge": 73.67, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.25, "providers": [{"billed_charge": 165.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.04, "providers": [{"billed_charge": 225.25, "npi": [1396779948]}, {"billed_charge": 242.75, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 110.83, "providers": [{"billed_charge": 225.25, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.04, "providers": [{"billed_charge": 242.75, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752865177"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.04, "providers": [{"billed_charge": 351.58, "npi": [1922002674]}]}]}, {"tin": {"type": "ein", "value": "820200896"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.78, "providers": [{"billed_charge": 185.0, "npi": [1659371870]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.07, "providers": [{"billed_charge": 77.0, "npi": [1619488418]}]}]}, {"tin": {"type": "ein", "value": "843654542"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.1, "providers": [{"billed_charge": 255.0, "npi": [1245878990]}]}]}, {"tin": {"type": "ein", "value": "873860905"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.53, "providers": [{"billed_charge": 80.0, "npi": [1033847876]}]}]}, {"tin": {"type": "ein", "value": "873860935"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.53, "providers": [{"billed_charge": 80.0, "npi": [1033847876]}]}]}, {"tin": {"type": "ein", "value": "881716225"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.5, "providers": [{"billed_charge": 748.5, "npi": [1053175794]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 59.52, "providers": [{"billed_charge": 80.0, "npi": [1245921329]}]}]}, {"tin": {"type": "ein", "value": "933096441"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 83.12, "providers": [{"billed_charge": 150.0, "npi": [1215718168]}]}]}, {"tin": {"type": "ein", "value": "992762070"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.1, "providers": [{"billed_charge": 708.0, "npi": [1124865126]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique", "billing_code_type": "CPT", "billing_code": "87637", "billing_code_type_version": "2022", "description": "IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ", "allowed_amounts": [{"tin": {"type": "ein", "value": "136326908"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.08, "providers": [{"billed_charge": 494.0, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 435.02, "providers": [{"billed_charge": 466.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "202848116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 494.0, "npi": [1629138029]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 174.88, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "394049449"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 116.96, "providers": [{"billed_charge": 300.0, "npi": [1386504058]}]}]}, {"tin": {"type": "ein", "value": "394276224"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 231.06, "providers": [{"billed_charge": 300.0, "npi": [1114898996]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 494.0, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "465557331"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 1650.0, "npi": [1194125146]}]}]}, {"tin": {"type": "ein", "value": "540261840"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 453.56, "providers": [{"billed_charge": 300.0, "npi": [1346248663]}]}]}, {"tin": {"type": "ein", "value": "540696355"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 453.56, "providers": [{"billed_charge": 459.0, "npi": [1417005760]}]}]}, {"tin": {"type": "ein", "value": "621433252"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 231.06, "providers": [{"billed_charge": 285.26, "npi": [1104631415]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 221.08, "providers": [{"billed_charge": 427.89, "npi": [1942526447]}]}]}, {"tin": {"type": "ein", "value": "730745473"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.12, "providers": [{"billed_charge": 142.63, "npi": [1144268723]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.12, "providers": [{"billed_charge": 390.0, "npi": [1700882578]}]}]}, {"tin": {"type": "ein", "value": "741100555"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.21, "providers": [{"billed_charge": 481.0, "npi": [1477643690]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 370.84, "providers": [{"billed_charge": 422.75, "npi": [1164526786, 1124137054, 1093810327]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 435.02, "providers": [{"billed_charge": 619.0, "npi": [1780867390]}, {"billed_charge": 723.0, "npi": [1194787218, 1821004151]}]}, {"allowed_amount": 1056.92, "providers": [{"billed_charge": 723.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 435.02, "providers": [{"billed_charge": 402.0, "npi": [1720088123]}]}]}, {"tin": {"type": "ein", "value": "746000949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.21, "providers": [{"billed_charge": 571.0, "npi": [1548226988]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 209.7, "providers": [{"billed_charge": 466.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 272.0, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.08, "providers": [{"billed_charge": 494.0, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.08, "providers": [{"billed_charge": 174.88, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.08, "providers": [{"billed_charge": 494.0, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.08, "providers": [{"billed_charge": 174.88, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 174.88, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 174.88, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752051646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.08, "providers": [{"billed_charge": 525.52, "npi": [1891765178]}]}]}, {"tin": {"type": "ein", "value": "752301801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 614.0, "providers": [{"billed_charge": 614.0, "npi": [1831170273]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 174.88, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.08, "providers": [{"billed_charge": 494.0, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 494.0, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 520.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.08, "providers": [{"billed_charge": 766.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.08, "providers": [{"billed_charge": 494.0, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 571.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.21, "providers": [{"billed_charge": 458.0, "npi": [1184179194]}]}]}, {"tin": {"type": "ein", "value": "811680891"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 109.83, "providers": [{"billed_charge": 156.9, "npi": [1225488455]}]}]}, {"tin": {"type": "ein", "value": "820200895"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.38, "providers": [{"billed_charge": 431.0, "npi": [1992736649]}]}]}, {"tin": {"type": "ein", "value": "820551704"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.5, "providers": [{"billed_charge": 174.88, "npi": [1649273434]}]}]}, {"tin": {"type": "ein", "value": "851912474"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 116.96, "providers": [{"billed_charge": 285.0, "npi": [1467066860]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 435.02, "providers": [{"billed_charge": 750.0, "npi": [1316617707]}]}, {"allowed_amount": 748.75, "providers": [{"billed_charge": 750.0, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "852713042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.21, "providers": [{"billed_charge": 780.52, "npi": [1376141556]}, {"billed_charge": 3500.0, "npi": [1376141556]}]}, {"allowed_amount": 3581.88, "providers": [{"billed_charge": 3500.0, "npi": [1376141556]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 235.34, "providers": [{"billed_charge": 750.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "882501936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.21, "providers": [{"billed_charge": 3500.0, "npi": [1750013769]}]}, {"allowed_amount": 2217.82, "providers": [{"billed_charge": 3500.0, "npi": [1750013769]}]}, {"allowed_amount": 3500.0, "providers": [{"billed_charge": 3500.0, "npi": [1750013769]}]}]}, {"tin": {"type": "ein", "value": "933488698"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.21, "providers": [{"billed_charge": 3500.0, "npi": [1740042175]}]}]}]}, {"name": "Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique", "billing_code_type": "CPT", "billing_code": "87500", "billing_code_type_version": "2022", "description": "INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE", "allowed_amounts": [{"tin": {"type": "ein", "value": "334777680"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 42.11, "providers": [{"billed_charge": 42.11, "npi": [1558150078]}]}]}, {"tin": {"type": "ein", "value": "334908203"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 35.09, "npi": [1710872106]}]}]}, {"tin": {"type": "ein", "value": "431580575"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 26.67, "providers": [{"billed_charge": 52.64, "npi": [1396175196]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 105.0, "npi": [1992390959]}]}]}, {"tin": {"type": "ein", "value": "453194060"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 50.0, "npi": [1508594136]}]}]}, {"tin": {"type": "ein", "value": "464688456"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 38.6, "npi": [1851016935]}]}]}, {"tin": {"type": "ein", "value": "473588569"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 50.0, "npi": [1982091617]}]}]}, {"tin": {"type": "ein", "value": "611803788"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 70.0, "npi": [1053841023]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1104839380, 1265017743]}]}]}, {"tin": {"type": "ein", "value": "800235664"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 27.02, "providers": [{"billed_charge": 175.0, "npi": [1386817435]}]}]}, {"tin": {"type": "ein", "value": "800936483"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 47.37, "providers": [{"billed_charge": 53.0, "npi": [1326484569]}, {"billed_charge": 62.5, "npi": [1326484569]}]}]}, {"tin": {"type": "ein", "value": "813130887"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.0, "npi": [1083134209]}]}]}, {"tin": {"type": "ein", "value": "821936336"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 53.0, "npi": [1619488418]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 44.0, "npi": [1457977209, 1487429874, 1134559685]}]}, {"allowed_amount": 44.0, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 44.0, "npi": [1659900348]}]}]}, {"tin": {"type": "ein", "value": "842525329"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 35.09, "npi": [1265017743]}, {"billed_charge": 53.0, "npi": [1265017743]}]}]}, {"tin": {"type": "ein", "value": "843260526"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 44.0, "providers": [{"billed_charge": 44.0, "npi": [1659900348]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 52.64, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "851486076"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1972117349]}]}]}, {"tin": {"type": "ein", "value": "851912474"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 40.0, "npi": [1467066860]}, {"billed_charge": 50.0, "npi": [1467066860]}]}]}, {"tin": {"type": "ein", "value": "854205837"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 70.18, "npi": [1164017422]}]}]}, {"tin": {"type": "ein", "value": "872058338"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 38.6, "npi": [1013678333]}]}]}, {"tin": {"type": "ein", "value": "872266063"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 52.65, "providers": [{"billed_charge": 52.65, "npi": [1164508883]}]}]}, {"tin": {"type": "ein", "value": "874799943"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 43.75, "npi": [1932843836]}]}]}, {"tin": {"type": "ein", "value": "883965242"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 70.0, "npi": [1194448407]}]}]}, {"tin": {"type": "ein", "value": "923521003"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 40.7, "providers": [{"billed_charge": 55.0, "npi": [1245921329]}]}]}]}, {"name": "Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected", "billing_code_type": "CPT", "billing_code": "0202U", "billing_code_type_version": "2022", "description": "NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2", "allowed_amounts": [{"tin": {"type": "ein", "value": "274434451"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 666.85, "providers": [{"billed_charge": 334.58, "npi": [1265772362]}]}]}, {"tin": {"type": "ein", "value": "420680452"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 508.47, "providers": [{"billed_charge": 500.14, "npi": [1356433049]}]}]}, {"tin": {"type": "ein", "value": "474717998"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 883.57, "providers": [{"billed_charge": 1313.0, "npi": [1104295864]}]}]}, {"tin": {"type": "ein", "value": "590973502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 841.9, "providers": [{"billed_charge": 2008.57, "npi": [1063426823]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1271.18, "providers": [{"billed_charge": 3076.0, "npi": [1821004151]}]}]}, {"tin": {"type": "ein", "value": "741287015"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 666.85, "providers": [{"billed_charge": 3044.0, "npi": [1891789772]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1271.18, "providers": [{"billed_charge": 780.0, "npi": [1720088123]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 539.32, "providers": [{"billed_charge": 1540.91, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 650.18, "providers": [{"billed_charge": 796.0, "npi": [1720480627, 1194743013]}]}, {"allowed_amount": 912.18, "providers": [{"billed_charge": 796.0, "npi": [1720480627]}]}]}, {"tin": {"type": "ein", "value": "752559845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1271.18, "providers": [{"billed_charge": 968.0, "npi": [1992707228]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 650.18, "providers": [{"billed_charge": 1250.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "800764192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 829.39, "providers": [{"billed_charge": 1815.0, "npi": [1033475959]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 900.24, "providers": [{"billed_charge": 1947.63, "npi": [1356960132]}]}]}]}, {"name": "Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacteria-2 (BVAB-2), utilizing vaginal-fluid specimens, algorithm reported as positive or negative for high likelihood of bacterial vaginosis, includes separate detection of Trichomonas vaginalis and Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, when reported", "billing_code_type": "CPT", "billing_code": "81515", "billing_code_type_version": "2022", "description": "NFCT DS BV&VAGINITIS RTPCR AMP DNA MARKERS", "allowed_amounts": [{"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 568.06, "providers": [{"billed_charge": 1314.95, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 802.12, "providers": [{"billed_charge": 428.0, "npi": [1780867390]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 157.22, "providers": [{"billed_charge": 449.19, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 568.06, "providers": [{"billed_charge": 293.75, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 568.06, "providers": [{"billed_charge": 293.75, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752796815"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 410.26, "providers": [{"billed_charge": 1568.0, "npi": [1295736734]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 568.06, "providers": [{"billed_charge": 1314.95, "npi": [1356960132]}]}]}]}, {"name": "Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens, algorithm reported as a positive or negative result for bacterial vaginosis", "billing_code_type": "CPT", "billing_code": "81513", "billing_code_type_version": "2022", "description": "NFCT DS BACTERAL VAGINOSIS RNA VAGINAL-FLUID ALG", "allowed_amounts": [{"tin": {"type": "ein", "value": "392758262"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 231.06, "providers": [{"billed_charge": 356.58, "npi": [1750272399]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 221.08, "providers": [{"billed_charge": 356.58, "npi": [1942526447, 1093753303]}]}]}, {"tin": {"type": "ein", "value": "741761309"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 193.98, "providers": [{"billed_charge": 214.0, "npi": [1992709356]}]}]}, {"tin": {"type": "ein", "value": "742258912"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1629039623]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 209.7, "providers": [{"billed_charge": 466.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 156.89, "providers": [{"billed_charge": 710.0, "npi": [1699744144]}]}]}]}, {"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": "274016027"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 1.47, "providers": [{"billed_charge": 9.55, "npi": [1043503915]}, {"billed_charge": 25.32, "npi": [1043503915]}]}]}, {"tin": {"type": "ein", "value": "340714461"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.7, "providers": [{"billed_charge": 12.75, "npi": [1225128432]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 67.5, "providers": [{"billed_charge": 135.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 67.5, "providers": [{"billed_charge": 135.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "550883859"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 379.27, "providers": [{"billed_charge": 105.0, "npi": [1790778488]}]}, {"allowed_amount": 379.72, "providers": [{"billed_charge": 105.0, "npi": [1790778488]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.04, "providers": [{"billed_charge": 31.54, "npi": [1124074273, 1376071530, 1659525236]}]}, {"allowed_amount": 51.17, "providers": [{"billed_charge": 146.2, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 592.85, "providers": [{"billed_charge": 133.5, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.4, "providers": [{"billed_charge": 35.4, "npi": [1518012301]}]}]}, {"tin": {"type": "ein", "value": "952321136"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.14, "providers": [{"billed_charge": 408.96, "npi": [1306890389]}]}]}]}, {"name": "Infusion, normal saline solution, 250 cc", "billing_code_type": "CPT", "billing_code": "J7050", "billing_code_type_version": "2022", "description": "Infusion, normal saline solution, 250 cc", "allowed_amounts": [{"tin": {"type": "ein", "value": "274016027"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 0.49, "providers": [{"billed_charge": 0.71, "npi": [1043503915]}, {"billed_charge": 10.0, "npi": [1043503915]}, {"billed_charge": 12.5, "npi": [1043503915]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.36, "providers": [{"billed_charge": 26.75, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "742151203"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2.16, "providers": [{"billed_charge": 19.73, "npi": [1417007188]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.3, "providers": [{"billed_charge": 78.0, "npi": [1770536120]}]}, {"allowed_amount": 75.6, "providers": [{"billed_charge": 216.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.24, "providers": [{"billed_charge": 14.98, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 5.29, "providers": [{"billed_charge": 15.1, "npi": [1124074273]}]}, {"allowed_amount": 8.82, "providers": [{"billed_charge": 25.2, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.0, "providers": [{"billed_charge": 60.0, "npi": [1821011248]}]}, {"allowed_amount": 35.1, "providers": [{"billed_charge": 78.0, "npi": [1821011248]}]}]}]}, {"name": "Infusion, normal saline solution, sterile (500 ml = 1 unit)", "billing_code_type": "CPT", "billing_code": "J7040", "billing_code_type_version": "2022", "description": "Infusion, normal saline solution, sterile (500 ml = 1 unit)", "allowed_amounts": [{"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.6, "providers": [{"billed_charge": 216.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.46, "providers": [{"billed_charge": 27.02, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.88, "providers": [{"billed_charge": 37.5, "npi": [1821011248]}]}, {"allowed_amount": 27.0, "providers": [{"billed_charge": 60.0, "npi": [1821011248]}]}, {"allowed_amount": 27.56, "providers": [{"billed_charge": 61.25, "npi": [1821011248]}]}]}]}, {"name": "Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years", "billing_code_type": "CPT", "billing_code": "99386", "billing_code_type_version": "2022", "description": "INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS", "allowed_amounts": [{"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 183.74, "providers": [{"billed_charge": 352.0, "npi": [1649619578]}]}]}, {"tin": {"type": "ein", "value": "300491632"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 173.64, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 383.0, "npi": [1932665734]}]}]}, {"tin": {"type": "ein", "value": "460796181"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 84.1, "providers": [{"billed_charge": 486.6, "npi": [1174028039]}]}]}, {"tin": {"type": "ein", "value": "473850768"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 84.1, "providers": [{"billed_charge": 260.0, "npi": [1295979136]}]}]}, {"tin": {"type": "ein", "value": "742766753"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 200.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1508978214]}]}]}, {"tin": {"type": "ein", "value": "742872207"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 120.14, "providers": [{"billed_charge": 280.0, "npi": [1154325603]}]}]}, {"tin": {"type": "ein", "value": "742938437"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 117.5, "providers": [{"billed_charge": 235.0, "npi": [1437655164]}]}, {"allowed_amount": 235.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 235.0, "npi": [1437655164]}]}]}, {"tin": {"type": "ein", "value": "752813621"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 165.37, "providers": [{"billed_charge": 285.0, "npi": [1881614964]}]}]}, {"tin": {"type": "ein", "value": "843619402"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 168.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1588279533]}]}]}, {"tin": {"type": "ein", "value": "872200070"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 298.88, "providers": [{"billed_charge": 298.88, "npi": [1790499689]}]}]}, {"tin": {"type": "ein", "value": "900442055"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 269.95, "providers": [{"billed_charge": 450.0, "npi": [1275738874]}]}]}, {"tin": {"type": "ein", "value": "994908444"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 170.37, "providers": [{"billed_charge": 473.0, "npi": [1528534435]}]}]}]}, {"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": "020752585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.28, "providers": [{"billed_charge": 400.0, "npi": [1134507114]}]}, {"allowed_amount": 280.06, "providers": [{"billed_charge": 400.0, "npi": [1508177403]}]}]}, {"tin": {"type": "ein", "value": "134214778"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 525.0, "npi": [1548602212]}]}]}, {"tin": {"type": "ein", "value": "201134816"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.27, "providers": [{"billed_charge": 496.0, "npi": [1982863056]}]}]}, {"tin": {"type": "ein", "value": "201492393"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.7, "providers": [{"billed_charge": 387.84, "npi": [1558330498]}]}]}, {"tin": {"type": "ein", "value": "201790156"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 348.0, "npi": [1386636025, 1326069139]}]}]}, {"tin": {"type": "ein", "value": "202798379"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.7, "providers": [{"billed_charge": 481.68, "npi": [1831519511]}]}]}, {"tin": {"type": "ein", "value": "203852104"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.43, "providers": [{"billed_charge": 287.0, "npi": [1508800251]}]}]}, {"tin": {"type": "ein", "value": "203988983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.27, "providers": [{"billed_charge": 504.0, "npi": [1063413482]}]}]}, {"tin": {"type": "ein", "value": "204021093"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 306.0, "providers": [{"billed_charge": 306.0, "npi": [1356303960]}]}]}, {"tin": {"type": "ein", "value": "204379250"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 288.45, "providers": [{"billed_charge": 376.0, "npi": [1063472991]}]}]}, {"tin": {"type": "ein", "value": "204871619"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 280.06, "providers": [{"billed_charge": 396.0, "npi": [1720053739, 1972569895]}]}]}, {"tin": {"type": "ein", "value": "205146786"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.12, "providers": [{"billed_charge": 481.68, "npi": [1750450342]}]}, {"allowed_amount": 184.66, "providers": [{"billed_charge": 481.68, "npi": [1790936144]}]}, {"allowed_amount": 191.07, "providers": [{"billed_charge": 481.68, "npi": [1619464153]}]}, {"allowed_amount": 361.26, "providers": [{"billed_charge": 481.68, "npi": [1619405149]}]}]}, {"tin": {"type": "ein", "value": "208768035"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 172.95, "providers": [{"billed_charge": 477.0, "npi": [1235100462]}]}]}, {"tin": {"type": "ein", "value": "232691968"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 360.0, "npi": [1477809994, 1881565323]}]}]}, {"tin": {"type": "ein", "value": "237313346"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 279.48, "providers": [{"billed_charge": 480.0, "npi": [1740644830]}]}]}, {"tin": {"type": "ein", "value": "260480661"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.12, "providers": [{"billed_charge": 330.52, "npi": [1043291388]}, {"billed_charge": 504.33, "npi": [1386714871]}]}]}, {"tin": {"type": "ein", "value": "260609849"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 307.76, "providers": [{"billed_charge": 320.0, "npi": [1740487149]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.77, "providers": [{"billed_charge": 521.0, "npi": [1821705039]}]}]}, {"tin": {"type": "ein", "value": "261422419"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.68, "providers": [{"billed_charge": 448.0, "npi": [1154684645]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 153.88, "providers": [{"billed_charge": 443.0, "npi": [1750735437]}]}, {"allowed_amount": 229.28, "providers": [{"billed_charge": 443.0, "npi": [1346698875, 1073967725]}]}, {"allowed_amount": 280.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 443.0, "npi": [1659626216, 1912393901, 1609072693, 1154305365, 1164646394]}]}, {"allowed_amount": 300.07, "providers": [{"billed_charge": 443.0, "npi": [1700014313, 1457435331]}]}, {"allowed_amount": 307.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 443.0, "npi": [1295085892, 1760979975, 1184624363, 1740711696, 1447288022, 1487858072, 1235436924, 1922461789]}, {"billed_charge": 1107.0, "npi": [1023164977, 1801201884, 1821188293, 1518942085]}]}]}, {"tin": {"type": "ein", "value": "262477205"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 284.68, "providers": [{"billed_charge": 366.0, "npi": [1164954665]}]}]}, {"tin": {"type": "ein", "value": "262519593"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.54, "providers": [{"billed_charge": 339.32, "npi": [1265659106]}]}]}, {"tin": {"type": "ein", "value": "262792898"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 307.76, "providers": [{"billed_charge": 323.34, "npi": [1487616918]}]}]}, {"tin": {"type": "ein", "value": "263214045"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.78, "providers": [{"billed_charge": 312.0, "npi": [1871890616]}]}, {"allowed_amount": 288.45, "providers": [{"billed_charge": 312.0, "npi": [1295993434]}]}]}, {"tin": {"type": "ein", "value": "263990588"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.85, "providers": [{"billed_charge": 246.0, "npi": [1275915282]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 172.95, "providers": [{"billed_charge": 616.0, "npi": [1275850497]}]}, {"allowed_amount": 204.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 616.0, "npi": [1831519172, 1326028390]}]}, {"allowed_amount": 229.56, "providers": [{"billed_charge": 616.0, "npi": [1144676529]}]}, {"allowed_amount": 243.23, "providers": [{"billed_charge": 616.0, "npi": [1801017272]}]}, {"allowed_amount": 253.9, "providers": [{"billed_charge": 603.0, "npi": [1730373580]}]}, {"allowed_amount": 351.85, "providers": [{"billed_charge": 603.0, "npi": [1548838683]}]}]}, {"tin": {"type": "ein", "value": "270839735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 185.54, "providers": [{"billed_charge": 409.0, "npi": [1730766809, 1609485267]}]}]}, {"tin": {"type": "ein", "value": "271112439"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 255.71, "providers": [{"billed_charge": 616.26, "npi": [1548223324]}]}]}, {"tin": {"type": "ein", "value": "271283341"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 207.74, "providers": [{"billed_charge": 1091.0, "npi": [1891734141]}]}]}, {"tin": {"type": "ein", "value": "271321606"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.66, "providers": [{"billed_charge": 599.0, "npi": [1447614664]}]}]}, {"tin": {"type": "ein", "value": "271463889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 185.54, "providers": [{"billed_charge": 510.0, "npi": [1912096694]}]}]}, {"tin": {"type": "ein", "value": "272634334"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 175.99, "providers": [{"billed_charge": 402.0, "npi": [1770933434, 1003134131, 1548210263]}]}, {"allowed_amount": 191.56, "providers": [{"billed_charge": 402.0, "npi": [1275768657]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 280.06, "providers": [{"billed_charge": 443.0, "npi": [1174834170, 1518306463]}]}, {"allowed_amount": 307.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 443.0, "npi": [1548377088, 1235174020, 1912430216, 1982920971, 1306953104, 1336533397, 1548211477, 1871744151, 1750764437, 1063875102, 1609837988, 1962443812, 1023089703, 1457558439, 1134303035, 1700317120, 1639526338, 1326071622, 1891140935, 1528325339, 1124027743, 1205181674, 1225037930, 1164421871, 1700857471]}]}]}, {"tin": {"type": "ein", "value": "272936559"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 196.23, "providers": [{"billed_charge": 335.0, "npi": [1396934113]}]}]}, {"tin": {"type": "ein", "value": "273475719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 450.0, "npi": [1225291172]}]}]}, {"tin": {"type": "ein", "value": "273705652"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.88, "providers": [{"billed_charge": 330.0, "npi": [1548641566]}]}, {"allowed_amount": 238.05, "providers": [{"billed_charge": 308.0, "npi": [1215366562]}, {"billed_charge": 330.0, "npi": [1215366562]}]}, {"allowed_amount": 239.36, "providers": [{"billed_charge": 308.0, "npi": [1194452417]}, {"billed_charge": 330.0, "npi": [1194452417]}]}, {"allowed_amount": 307.76, "providers": [{"billed_charge": 308.0, "npi": [1003801119]}]}]}, {"tin": {"type": "ein", "value": "273719917"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 172.95, "providers": [{"billed_charge": 400.0, "npi": [1881735850]}]}]}, {"tin": {"type": "ein", "value": "273852113"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 400.0, "npi": [1053366351]}]}]}, {"tin": {"type": "ein", "value": "274081147"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.96, "providers": [{"billed_charge": 310.0, "npi": [1700078706]}]}]}, {"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 186.89, "providers": [{"billed_charge": 566.0, "npi": [1689667735]}]}]}, {"tin": {"type": "ein", "value": "274376413"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 307.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 526.0, "npi": [1427053669]}]}]}, {"tin": {"type": "ein", "value": "274428766"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.28, "providers": [{"billed_charge": 436.0, "npi": [1407936024]}]}]}, {"tin": {"type": "ein", "value": "274749421"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 234.76, "providers": [{"billed_charge": 512.0, "npi": [1972533685]}]}]}, {"tin": {"type": "ein", "value": "300422715"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.28, "providers": [{"billed_charge": 496.0, "npi": [1932137882]}]}]}, {"tin": {"type": "ein", "value": "300520570"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.96, "providers": [{"billed_charge": 441.0, "npi": [1164801569]}]}]}, {"tin": {"type": "ein", "value": "300647539"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 212.26, "providers": [{"billed_charge": 400.0, "npi": [1811954423]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 176.96, "providers": [{"billed_charge": 442.0, "npi": [1558653576]}]}, {"allowed_amount": 183.12, "providers": [{"billed_charge": 442.0, "npi": [1710218144, 1831342641]}]}, {"allowed_amount": 191.07, "providers": [{"billed_charge": 442.0, "npi": [1154760155, 1376123620, 1063767598]}]}]}, {"tin": {"type": "ein", "value": "311531307"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.27, "providers": [{"billed_charge": 275.0, "npi": [1255414157]}]}]}, {"tin": {"type": "ein", "value": "320612926"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 420.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9850.0, "npi": [1346277324, 1336253590]}]}, {"allowed_amount": 870.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9850.0, "npi": [1174579593]}]}]}, {"tin": {"type": "ein", "value": "332167145"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 239.36, "providers": [{"billed_charge": 247.0, "npi": [1003389008]}]}]}, {"tin": {"type": "ein", "value": "332241086"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 176.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 441.0, "npi": [1912314147, 1346772746, 1437538675]}]}, {"allowed_amount": 183.12, "providers": [{"billed_charge": 441.0, "npi": [1336402254, 1194087791]}]}, {"allowed_amount": 346.23, "providers": [{"billed_charge": 588.0, "npi": [1639808108]}]}]}, {"tin": {"type": "ein", "value": "334355393"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 284.68, "providers": [{"billed_charge": 302.0, "npi": [1073756375]}]}]}, {"tin": {"type": "ein", "value": "334634610"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 280.06, "providers": [{"billed_charge": 436.0, "npi": [1730573536]}]}]}, {"tin": {"type": "ein", "value": "334852964"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.5, "providers": [{"billed_charge": 379.0, "npi": [1295890531]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 178.71, "providers": [{"billed_charge": 311.48, "npi": [1427620491, 1417785502, 1689460206]}, {"billed_charge": 342.88, "npi": [1093698433]}]}, {"allowed_amount": 191.56, "providers": [{"billed_charge": 311.48, "npi": [1942257209, 1215980644]}]}, {"allowed_amount": 196.23, "providers": [{"billed_charge": 311.48, "npi": [1588018535, 1023472107, 1124448972, 1356545040, 1548540792]}, {"billed_charge": 342.88, "npi": [1023472107]}]}, {"allowed_amount": 208.69, "providers": [{"billed_charge": 311.48, "npi": [1174512651, 1609307115]}, {"billed_charge": 342.88, "npi": [1982639860]}]}, {"allowed_amount": 218.04, "providers": [{"billed_charge": 342.88, "npi": [1376576132]}]}, {"allowed_amount": 342.88, "providers": [{"billed_charge": 342.88, "npi": [1902351109, 1346082807]}]}]}, {"tin": {"type": "ein", "value": "363966745"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 283.07, "providers": [{"billed_charge": 480.0, "npi": [1902211956]}]}]}, {"tin": {"type": "ein", "value": "371714382"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.66, "providers": [{"billed_charge": 494.13, "npi": [1639120827]}]}, {"allowed_amount": 192.67, "providers": [{"billed_charge": 494.13, "npi": [1245200393]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 218.27, "providers": [{"billed_charge": 606.0, "npi": [1851917009, 1740670330, 1760681860, 1306109921]}]}]}, {"tin": {"type": "ein", "value": "392672150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 431.64, "npi": [1598025496]}]}]}, {"tin": {"type": "ein", "value": "393414517"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.88, "providers": [{"billed_charge": 1415.0, "npi": [1396008272, 1912236019, 1720284052]}]}, {"allowed_amount": 164.81, "providers": [{"billed_charge": 1415.0, "npi": [1992382717]}]}, {"allowed_amount": 193.89, "providers": [{"billed_charge": 1415.0, "npi": [1588227680, 1134779465, 1376757609, 1720727597, 1679950448, 1609458736, 1588003792, 1093911091, 1629362132, 1689297723, 1912468158]}]}, {"allowed_amount": 307.76, "providers": [{"billed_charge": 1415.0, "npi": [1689297723]}]}]}, {"tin": {"type": "ein", "value": "393441981"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 230.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3311.89, "npi": [1427059195]}]}]}, {"tin": {"type": "ein", "value": "421411630"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 263.65, "providers": [{"billed_charge": 453.0, "npi": [1760833107]}]}]}, {"tin": {"type": "ein", "value": "421670843"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 359.51, "providers": [{"billed_charge": 616.0, "npi": [1710102876]}]}]}, {"tin": {"type": "ein", "value": "450675246"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 500.0, "npi": [1669423067]}]}]}, {"tin": {"type": "ein", "value": "452654166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.89, "providers": [{"billed_charge": 513.0, "npi": [1811189269]}]}]}, {"tin": {"type": "ein", "value": "453109010"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 307.76, "providers": [{"billed_charge": 1739.0, "npi": [1053384404]}]}]}, {"tin": {"type": "ein", "value": "454341486"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.64, "providers": [{"billed_charge": 450.0, "npi": [1407292352]}]}]}, {"tin": {"type": "ein", "value": "454656734"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 443.0, "npi": [1538274824, 1487929584]}]}]}, {"tin": {"type": "ein", "value": "460792526"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 280.06, "providers": [{"billed_charge": 320.0, "npi": [1225103872]}]}]}, {"tin": {"type": "ein", "value": "460796181"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.12, "providers": [{"billed_charge": 481.68, "npi": [1174028039]}, {"billed_charge": 517.98, "npi": [1174028039]}]}]}, {"tin": {"type": "ein", "value": "460796934"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 284.68, "providers": [{"billed_charge": 329.0, "npi": [1972921583]}]}]}, {"tin": {"type": "ein", "value": "461015457"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 284.68, "providers": [{"billed_charge": 620.0, "npi": [1669439279]}]}]}, {"tin": {"type": "ein", "value": "461796402"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 177.41, "providers": [{"billed_charge": 337.28, "npi": [1568803567]}]}]}, {"tin": {"type": "ein", "value": "461908917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 288.45, "providers": [{"billed_charge": 313.4, "npi": [1841319498]}]}]}, {"tin": {"type": "ein", "value": "462236637"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 158.5, "providers": [{"billed_charge": 436.0, "npi": [1356521074]}]}]}, {"tin": {"type": "ein", "value": "462354804"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 526.0, "npi": [1689202517]}]}]}, {"tin": {"type": "ein", "value": "462604452"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 350.0, "npi": [1316188519]}]}]}, {"tin": {"type": "ein", "value": "463175783"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 239.36, "providers": [{"billed_charge": 650.3, "npi": [1205553815, 1952784597, 1174094486, 1770332439]}]}]}, {"tin": {"type": "ein", "value": "463189636"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 239.36, "providers": [{"billed_charge": 336.0, "npi": [1639452931]}]}, {"allowed_amount": 307.76, "providers": [{"billed_charge": 336.0, "npi": [1831308725]}]}]}, {"tin": {"type": "ein", "value": "463457611"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 183.12, "providers": [{"billed_charge": 281.0, "npi": [1578049565]}]}]}, {"tin": {"type": "ein", "value": "463625047"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 157.23, "providers": [{"billed_charge": 393.08, "npi": [1497132401]}]}]}, {"tin": {"type": "ein", "value": "463696501"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 185.54, "providers": [{"billed_charge": 373.0, "npi": [1174352371]}]}]}, {"tin": {"type": "ein", "value": "463932661"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 390.52, "providers": [{"billed_charge": 412.0, "npi": [1780198622]}]}]}, {"tin": {"type": "ein", "value": "464409373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 184.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 336.0, "npi": [1336320506]}]}]}, {"tin": {"type": "ein", "value": "465293109"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.66, "providers": [{"billed_charge": 275.0, "npi": [1447555040]}]}]}, {"tin": {"type": "ein", "value": "471071256"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 280.06, "providers": [{"billed_charge": 314.0, "npi": [1962496620]}]}]}, {"tin": {"type": "ein", "value": "471905925"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.88, "providers": [{"billed_charge": 500.0, "npi": [1699968560]}]}]}, {"tin": {"type": "ein", "value": "472110560"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.12, "providers": [{"billed_charge": 515.0, "npi": [1417916594]}]}]}, {"tin": {"type": "ein", "value": "472401409"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 348.0, "npi": [1407879489]}]}]}, {"tin": {"type": "ein", "value": "472459031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.57, "providers": [{"billed_charge": 345.0, "npi": [1700035961]}]}]}, {"tin": {"type": "ein", "value": "472815347"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 355.0, "providers": [{"billed_charge": 355.0, "npi": [1699784819]}]}]}, {"tin": {"type": "ein", "value": "473312833"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.78, "providers": [{"billed_charge": 619.35, "npi": [1356755144]}]}, {"allowed_amount": 288.45, "providers": [{"billed_charge": 619.35, "npi": [1124445259]}]}]}, {"tin": {"type": "ein", "value": "473592319"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 477.03, "providers": [{"billed_charge": 765.0, "npi": [1336243088]}]}]}, {"tin": {"type": "ein", "value": "473891182"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 168.59, "providers": [{"billed_charge": 574.98, "npi": [1265643563]}]}]}, {"tin": {"type": "ein", "value": "474038606"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 243.23, "providers": [{"billed_charge": 303.0, "npi": [1174574842]}]}]}, {"tin": {"type": "ein", "value": "474387061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 300.0, "npi": [1508022484]}]}]}, {"tin": {"type": "ein", "value": "474622925"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 284.68, "providers": [{"billed_charge": 500.0, "npi": [1780635599]}]}]}, {"tin": {"type": "ein", "value": "475013720"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 280.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5961.4, "npi": [1538574066]}]}]}, {"tin": {"type": "ein", "value": "475300786"}, "billing_class": "professional", "service_codes": ["21", "61"], "payments": [{"allowed_amount": 209.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 290.0, "npi": [1205131976, 1669435871]}]}, {"allowed_amount": 280.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 290.0, "npi": [1710281027, 1841457223, 1255472205, 1609973650, 1063648277, 1457510869, 1932206679, 1417444795, 1558417147]}]}]}, {"tin": {"type": "ein", "value": "475510475"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 169.27, "providers": [{"billed_charge": 600.0, "npi": [1699271049, 1407435639, 1457627366, 1821086471]}]}, {"allowed_amount": 284.68, "providers": [{"billed_charge": 600.0, "npi": [1700407301]}]}]}, {"tin": {"type": "ein", "value": "482020298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.22, "providers": [{"billed_charge": 521.0, "npi": [1609162353]}]}]}, {"tin": {"type": "ein", "value": "510484748"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 284.68, "providers": [{"billed_charge": 685.0, "npi": [1366476699]}]}, {"allowed_amount": 288.45, "providers": [{"billed_charge": 685.0, "npi": [1275655441]}]}]}, {"tin": {"type": "ein", "value": "521467441"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 273.84, "providers": [{"billed_charge": 491.0, "npi": [1104494616]}]}]}, {"tin": {"type": "ein", "value": "541595397"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 312.24, "providers": [{"billed_charge": 362.0, "npi": [1417375031]}]}]}, {"tin": {"type": "ein", "value": "542097675"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 158.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 496.0, "npi": [1831196559]}]}]}, {"tin": {"type": "ein", "value": "571220779"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 263.65, "providers": [{"billed_charge": 1389.0, "npi": [1295848604]}]}]}, {"tin": {"type": "ein", "value": "593114490"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.75, "providers": [{"billed_charge": 355.0, "npi": [1154992311]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 226.77, "providers": [{"billed_charge": 610.0, "npi": [1073054482]}]}]}, {"tin": {"type": "ein", "value": "647225410"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 207.95, "providers": [{"billed_charge": 524.0, "npi": [1154070779]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 177.15, "providers": [{"billed_charge": 560.0, "npi": [1093095739]}]}]}, {"tin": {"type": "ein", "value": "720423889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 252.41, "providers": [{"billed_charge": 351.0, "npi": [1124525258, 1699206730]}]}]}, {"tin": {"type": "ein", "value": "720839724"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 247.0, "providers": [{"billed_charge": 404.0, "npi": [1467891358]}]}]}, {"tin": {"type": "ein", "value": "721470434"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 252.41, "providers": [{"billed_charge": 280.0, "npi": [1871552133]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22", "61"], "payments": [{"allowed_amount": 153.88, "providers": [{"billed_charge": 410.0, "npi": [1740480128, 1982653259, 1831109636, 1992765655]}]}, {"allowed_amount": 169.27, "providers": [{"billed_charge": 410.0, "npi": [1154732667]}]}, {"allowed_amount": 207.74, "providers": [{"billed_charge": 410.0, "npi": [1528632528, 1215426556, 1669859245]}]}, {"allowed_amount": 209.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 410.0, "npi": [1154882827, 1861509861]}]}, {"allowed_amount": 229.28, "providers": [{"billed_charge": 410.0, "npi": [1548615404]}]}, {"allowed_amount": 280.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 410.0, "npi": [1255997441, 1942792197, 1548537350, 1548796295, 1225527815, 1255645578, 1033406731, 1285263244, 1245417237, 1467089433, 1184288425, 1235516329, 1467019067, 1568014652, 1346738374, 1558655431, 1477849800, 1487281606, 1093446874, 1184700254, 1750910303, 1235154154, 1861402604, 1427791987, 1275152886, 1346760956]}]}, {"allowed_amount": 307.76, "providers": [{"billed_charge": 410.0, "npi": [1194229419, 1538513692, 1134656903]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 442.0, "npi": [1710419825, 1235454109, 1427443407]}]}]}, {"tin": {"type": "ein", "value": "741850643"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 307.76, "providers": [{"billed_charge": 331.0, "npi": [1033596648]}]}]}, {"tin": {"type": "ein", "value": "741941710"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.67, "providers": [{"billed_charge": 517.98, "npi": [1154561876, 1194222356]}]}]}, {"tin": {"type": "ein", "value": "742109824"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 369.0, "npi": [1154336212]}]}, {"allowed_amount": 192.35, "providers": [{"billed_charge": 369.0, "npi": [1730407578]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 255.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 802.0, "npi": [1922191378, 1861751588, 1285195198, 1538484514]}]}]}, {"tin": {"type": "ein", "value": "742576197"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.27, "providers": [{"billed_charge": 402.0, "npi": [1861495467]}]}]}, {"tin": {"type": "ein", "value": "742642200"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 235.0, "providers": [{"billed_charge": 235.0, "npi": [1528171451]}]}]}, {"tin": {"type": "ein", "value": "742800601"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 275.15, "providers": [{"billed_charge": 616.0, "npi": [1174985840, 1689890261]}]}]}, {"tin": {"type": "ein", "value": "742840162"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.89, "providers": [{"billed_charge": 340.0, "npi": [1073591459]}]}]}, {"tin": {"type": "ein", "value": "742872207"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.8, "providers": [{"billed_charge": 325.0, "npi": [1154325603]}]}]}, {"tin": {"type": "ein", "value": "742895369"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.89, "providers": [{"billed_charge": 343.0, "npi": [1942464151]}]}]}, {"tin": {"type": "ein", "value": "742915297"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.43, "providers": [{"billed_charge": 461.64, "npi": [1316109648]}]}]}, {"tin": {"type": "ein", "value": "742916879"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 210.0, "providers": [{"billed_charge": 210.0, "npi": [1861491284]}]}]}, {"tin": {"type": "ein", "value": "742931655"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.27, "providers": [{"billed_charge": 375.0, "npi": [1790860757]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 209.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 584.56, "npi": [1609434729, 1740433069]}]}, {"allowed_amount": 280.06, "providers": [{"billed_charge": 584.56, "npi": [1215677760, 1558981670, 1386218311, 1194257352, 1790134633, 1891323531, 1033797196, 1972636884]}]}]}, {"tin": {"type": "ein", "value": "742944052"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.88, "providers": [{"billed_charge": 410.4, "npi": [1013907963]}]}, {"allowed_amount": 239.36, "providers": [{"billed_charge": 328.32, "npi": [1366896888]}]}, {"allowed_amount": 328.32, "providers": [{"billed_charge": 328.32, "npi": [1104208883]}]}, {"allowed_amount": 357.08, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 410.4, "npi": [1104208883]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 179.31, "providers": [{"billed_charge": 392.0, "npi": [1154704690, 1679831077]}]}, {"allowed_amount": 220.05, "providers": [{"billed_charge": 392.0, "npi": [1558653576]}]}, {"allowed_amount": 224.66, "providers": [{"billed_charge": 392.0, "npi": [1053699132, 1871931790, 1689902983]}]}, {"allowed_amount": 224.84, "providers": [{"billed_charge": 392.0, "npi": [1134431042]}]}, {"allowed_amount": 229.56, "providers": [{"billed_charge": 392.0, "npi": [1164775011]}]}]}, {"tin": {"type": "ein", "value": "742970341"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.22, "providers": [{"billed_charge": 400.0, "npi": [1679699714]}]}]}, {"tin": {"type": "ein", "value": "742981597"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 158.5, "providers": [{"billed_charge": 250.0, "npi": [1710901954]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 130.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 254.0, "npi": [1639875305, 1386483170, 1164919593]}]}, {"allowed_amount": 193.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 254.0, "npi": [1245437425, 1013539667, 1033438387, 1669767893, 1932495256, 1376753210, 1588607071]}]}, {"allowed_amount": 200.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 254.0, "npi": [1417391467]}]}]}, {"tin": {"type": "ein", "value": "746001399"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 245.66, "providers": [{"billed_charge": 298.0, "npi": [1538511241]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.77, "providers": [{"billed_charge": 1352.0, "npi": [1154978047]}]}]}, {"tin": {"type": "ein", "value": "751604753"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 208.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 343.0, "npi": [1194250696]}]}, {"allowed_amount": 218.04, "providers": [{"billed_charge": 343.0, "npi": [1417943713]}]}]}, {"tin": {"type": "ein", "value": "751667190"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 179.31, "providers": [{"billed_charge": 300.0, "npi": [1881787323]}]}]}, {"tin": {"type": "ein", "value": "752453780"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 255.41, "providers": [{"billed_charge": 372.0, "npi": [1588721211]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 194.68, "providers": [{"billed_charge": 488.0, "npi": [1790813137]}]}, {"allowed_amount": 284.68, "providers": [{"billed_charge": 488.0, "npi": [1538367651]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 183.12, "providers": [{"billed_charge": 517.48, "npi": [1609418532]}]}, {"allowed_amount": 185.54, "providers": [{"billed_charge": 517.48, "npi": [1316364599]}]}, {"allowed_amount": 202.46, "providers": [{"billed_charge": 517.48, "npi": [1962600650]}]}, {"allowed_amount": 207.74, "providers": [{"billed_charge": 517.48, "npi": [1114314978]}]}, {"allowed_amount": 208.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 517.48, "npi": [1376960997, 1780263020, 1679009294, 1194716720, 1962841809, 1528245016, 1609076637, 1306017983]}]}, {"allowed_amount": 210.49, "providers": [{"billed_charge": 517.48, "npi": [1619142528, 1811351612]}]}, {"allowed_amount": 218.29, "providers": [{"billed_charge": 517.48, "npi": [1700213931]}]}, {"allowed_amount": 284.68, "providers": [{"billed_charge": 517.48, "npi": [1306006473, 1962865931, 1093162638, 1477782134, 1073199865]}]}, {"allowed_amount": 288.45, "providers": [{"billed_charge": 517.48, "npi": [1073141891, 1225491467, 1659796365, 1063943447, 1700263191, 1932846748, 1417367970, 1326200874, 1700372273, 1215298997, 1346709565, 1609372739, 1871882308, 1043231046, 1346425550, 1700319183, 1043874134, 1710322011, 1063687259, 1114902111, 1437455086, 1932633583, 1477118719]}]}, {"allowed_amount": 410.85, "providers": [{"billed_charge": 517.48, "npi": [1013682459, 1215645403, 1114646247]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 138.16, "providers": [{"billed_charge": 670.0, "npi": [1164009866]}]}, {"allowed_amount": 176.96, "providers": [{"billed_charge": 670.0, "npi": [1962812461]}]}, {"allowed_amount": 179.31, "providers": [{"billed_charge": 670.0, "npi": [1578767802, 1942402466]}]}, {"allowed_amount": 196.23, "providers": [{"billed_charge": 670.0, "npi": [1184940363, 1659410660, 1427039445]}]}, {"allowed_amount": 208.69, "providers": [{"billed_charge": 670.0, "npi": [1104243104, 1457581985, 1447507330, 1033747076, 1831146406, 1568623866, 1306959341, 1902335854, 1922236660, 1972552826]}]}, {"allowed_amount": 210.49, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 670.0, "npi": [1336148550]}]}, {"allowed_amount": 255.41, "providers": [{"billed_charge": 670.0, "npi": [1144456674]}]}, {"allowed_amount": 284.68, "providers": [{"billed_charge": 670.0, "npi": [1467039552, 1992001903, 1629655923, 1083293591, 1164681144, 1235442393]}]}, {"allowed_amount": 288.45, "providers": [{"billed_charge": 670.0, "npi": [1255369815]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 229.28, "providers": [{"billed_charge": 441.0, "npi": [1437686755]}]}, {"allowed_amount": 252.36, "providers": [{"billed_charge": 441.0, "npi": [1295266534]}]}, {"allowed_amount": 280.06, "providers": [{"billed_charge": 441.0, "npi": [1811554108]}]}, {"allowed_amount": 307.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 441.0, "npi": [1679571376]}]}]}, {"tin": {"type": "ein", "value": "752668016"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.89, "providers": [{"billed_charge": 420.0, "npi": [1902153661]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 158.5, "providers": [{"billed_charge": 500.0, "npi": [1467566042]}]}, {"allowed_amount": 193.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1760897185, 1922502277, 1841933157, 1972731271, 1508025511, 1356385355, 1861848749, 1447481395, 1699703124, 1518313782]}]}, {"allowed_amount": 307.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1639132558]}]}, {"allowed_amount": 500.0, "providers": [{"billed_charge": 500.0, "npi": [1528488731]}]}]}, {"tin": {"type": "ein", "value": "752712328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.78, "providers": [{"billed_charge": 487.5, "npi": [1336568773]}]}, {"allowed_amount": 208.69, "providers": [{"billed_charge": 433.58, "npi": [1063657740]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 207.74, "providers": [{"billed_charge": 1921.0, "npi": [1851633341]}]}, {"allowed_amount": 280.06, "providers": [{"billed_charge": 1921.0, "npi": [1639811755]}]}, {"allowed_amount": 730.06, "providers": [{"billed_charge": 1921.0, "npi": [1639811755]}]}]}, {"tin": {"type": "ein", "value": "752772742"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 218.29, "providers": [{"billed_charge": 687.0, "npi": [1639668569]}]}]}, {"tin": {"type": "ein", "value": "752848392"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 213.61, "providers": [{"billed_charge": 694.0, "npi": [1326303470]}]}]}, {"tin": {"type": "ein", "value": "752853673"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1316901424]}]}]}, {"tin": {"type": "ein", "value": "752867667"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 34.18, "providers": [{"billed_charge": 496.3, "npi": [1427270172]}]}, {"allowed_amount": 288.45, "providers": [{"billed_charge": 496.3, "npi": [1356320378, 1427270172]}]}]}, {"tin": {"type": "ein", "value": "752903739"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 284.68, "providers": [{"billed_charge": 685.0, "npi": [1710900527]}]}]}, {"tin": {"type": "ein", "value": "752905110"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.19, "providers": [{"billed_charge": 360.0, "npi": [1093135089]}]}, {"allowed_amount": 191.78, "providers": [{"billed_charge": 360.0, "npi": [1003375296, 1093135089]}]}, {"allowed_amount": 288.45, "providers": [{"billed_charge": 360.0, "npi": [1598933558]}]}]}, {"tin": {"type": "ein", "value": "753129210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 235.44, "providers": [{"billed_charge": 350.0, "npi": [1235363862]}]}, {"allowed_amount": 280.06, "providers": [{"billed_charge": 350.0, "npi": [1093816183]}]}, {"allowed_amount": 284.68, "providers": [{"billed_charge": 350.0, "npi": [1184041436]}]}, {"allowed_amount": 288.45, "providers": [{"billed_charge": 350.0, "npi": [1184041436]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 171.51, "providers": [{"billed_charge": 682.0, "npi": [1730566944]}]}, {"allowed_amount": 191.78, "providers": [{"billed_charge": 682.0, "npi": [1215940010, 1023304292, 1538346317]}]}, {"allowed_amount": 202.7, "providers": [{"billed_charge": 682.0, "npi": [1083078976]}]}, {"allowed_amount": 210.49, "providers": [{"billed_charge": 682.0, "npi": [1891052288, 1932396843, 1720162613, 1992239222]}]}, {"allowed_amount": 215.43, "providers": [{"billed_charge": 682.0, "npi": [1538800313]}]}, {"allowed_amount": 218.29, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 682.0, "npi": [1861933152, 1407475429, 1609262054, 1881840007, 1043453095, 1356927115, 1962146860, 1730760687, 1013651983, 1104928753, 1770169138, 1114503091, 1346622420, 1760126809, 1215686779, 1376003517]}]}, {"allowed_amount": 288.45, "providers": [{"billed_charge": 682.0, "npi": [1194050880, 1528283553, 1669867461, 1861808743, 1770740839, 1043773740, 1609132620, 1063875342, 1063858033, 1346622420, 1043487317, 1639602964, 1003311291, 1689847774]}]}]}, {"tin": {"type": "ein", "value": "760151142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.64, "providers": [{"billed_charge": 378.0, "npi": [1013398940]}]}, {"allowed_amount": 191.07, "providers": [{"billed_charge": 378.0, "npi": [1245506625]}]}, {"allowed_amount": 192.67, "providers": [{"billed_charge": 378.0, "npi": [1700229234]}]}]}, {"tin": {"type": "ein", "value": "760187419"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.7, "providers": [{"billed_charge": 300.0, "npi": [1366440265]}]}]}, {"tin": {"type": "ein", "value": "760259707"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.67, "providers": [{"billed_charge": 225.0, "npi": [1245239177]}]}]}, {"tin": {"type": "ein", "value": "760403880"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 300.0, "npi": [1962701326]}]}]}, {"tin": {"type": "ein", "value": "760456103"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.96, "providers": [{"billed_charge": 250.0, "npi": [1164470878]}]}]}, {"tin": {"type": "ein", "value": "760478691"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.57, "providers": [{"billed_charge": 321.0, "npi": [1811285646]}]}]}, {"tin": {"type": "ein", "value": "760499311"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.43, "providers": [{"billed_charge": 485.0, "npi": [1558423103]}]}]}, {"tin": {"type": "ein", "value": "760522391"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 355.0, "npi": [1053450304]}]}]}, {"tin": {"type": "ein", "value": "760567380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.12, "providers": [{"billed_charge": 515.0, "npi": [1922452648]}]}]}, {"tin": {"type": "ein", "value": "760608057"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.12, "providers": [{"billed_charge": 350.0, "npi": [1720070121]}]}, {"allowed_amount": 191.07, "providers": [{"billed_charge": 350.0, "npi": [1720070121]}]}]}, {"tin": {"type": "ein", "value": "760631448"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 184.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3566.45, "npi": [1114932845]}]}]}, {"tin": {"type": "ein", "value": "760674030"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.56, "providers": [{"billed_charge": 320.0, "npi": [1184240855]}]}]}, {"tin": {"type": "ein", "value": "760681269"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.12, "providers": [{"billed_charge": 525.0, "npi": [1154680320, 1861871204]}]}]}, {"tin": {"type": "ein", "value": "760700653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 278.04, "npi": [1912957879]}]}]}, {"tin": {"type": "ein", "value": "810584868"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 284.68, "providers": [{"billed_charge": 380.0, "npi": [1316106750]}]}]}, {"tin": {"type": "ein", "value": "810609941"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 288.45, "providers": [{"billed_charge": 685.0, "npi": [1568470649]}]}]}, {"tin": {"type": "ein", "value": "811220861"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 207.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2318.34, "npi": [1639734064, 1235193608, 1750522272]}]}, {"allowed_amount": 657.74, "providers": [{"billed_charge": 2318.34, "npi": [1467896282]}]}]}, {"tin": {"type": "ein", "value": "811267489"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.38, "providers": [{"billed_charge": 360.0, "npi": [1356508501]}]}]}, {"tin": {"type": "ein", "value": "811380760"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 625.0, "npi": [1124226899]}]}]}, {"tin": {"type": "ein", "value": "811453555"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 284.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 396.0, "npi": [1730509472]}]}, {"allowed_amount": 288.45, "providers": [{"billed_charge": 396.0, "npi": [1730509472]}]}]}, {"tin": {"type": "ein", "value": "811906014"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 288.45, "providers": [{"billed_charge": 602.0, "npi": [1316248503]}]}]}, {"tin": {"type": "ein", "value": "812073506"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 412.0, "npi": [1932162252]}]}]}, {"tin": {"type": "ein", "value": "812574683"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 263.0, "providers": [{"billed_charge": 263.0, "npi": [1033206602]}]}]}, {"tin": {"type": "ein", "value": "812792506"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 284.68, "providers": [{"billed_charge": 331.0, "npi": [1427251107]}]}]}, {"tin": {"type": "ein", "value": "813010210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.27, "providers": [{"billed_charge": 400.0, "npi": [1285841585]}]}]}, {"tin": {"type": "ein", "value": "813081687"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 288.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 410.4, "npi": [1720424542]}]}]}, {"tin": {"type": "ein", "value": "813226324"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 208.69, "providers": [{"billed_charge": 325.0, "npi": [1003134479]}]}]}, {"tin": {"type": "ein", "value": "813419791"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 250.74, "providers": [{"billed_charge": 524.0, "npi": [1154070779]}]}]}, {"tin": {"type": "ein", "value": "814329341"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 183.12, "providers": [{"billed_charge": 500.0, "npi": [1083980403]}]}]}, {"tin": {"type": "ein", "value": "814555387"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.88, "providers": [{"billed_charge": 391.27, "npi": [1770723587]}]}]}, {"tin": {"type": "ein", "value": "814666580"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 400.0, "npi": [1316352735]}]}]}, {"tin": {"type": "ein", "value": "820669611"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.78, "providers": [{"billed_charge": 619.35, "npi": [1912024100]}]}, {"allowed_amount": 208.69, "providers": [{"billed_charge": 619.35, "npi": [1780951970]}]}, {"allowed_amount": 288.45, "providers": [{"billed_charge": 619.35, "npi": [1780951970]}]}]}, {"tin": {"type": "ein", "value": "820896223"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.27, "providers": [{"billed_charge": 375.0, "npi": [1700955176]}]}]}, {"tin": {"type": "ein", "value": "820956118"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 207.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 765.0, "npi": [1245347749, 1437361573, 1851595656, 1902089709, 1275563058, 1124191606]}]}]}, {"tin": {"type": "ein", "value": "822767201"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 879.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9850.0, "npi": [1801139423]}]}]}, {"tin": {"type": "ein", "value": "823231794"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.28, "providers": [{"billed_charge": 328.32, "npi": [1659674760, 1639165749]}, {"billed_charge": 384.7, "npi": [1659674760]}]}]}, {"tin": {"type": "ein", "value": "823240262"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 239.36, "providers": [{"billed_charge": 435.0, "npi": [1851993265, 1790497402, 1205137007]}, {"billed_charge": 650.0, "npi": [1851993265, 1790497402, 1205137007]}]}, {"allowed_amount": 435.0, "providers": [{"billed_charge": 435.0, "npi": [1205137007]}]}]}, {"tin": {"type": "ein", "value": "823362725"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 280.06, "providers": [{"billed_charge": 1725.75, "npi": [1467913673]}]}]}, {"tin": {"type": "ein", "value": "824063224"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 307.76, "providers": [{"billed_charge": 1652.6, "npi": [1427102821]}]}]}, {"tin": {"type": "ein", "value": "830854228"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 279.48, "providers": [{"billed_charge": 598.0, "npi": [1902541188]}]}]}, {"tin": {"type": "ein", "value": "831553837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 176.96, "providers": [{"billed_charge": 402.0, "npi": [1326449018]}]}]}, {"tin": {"type": "ein", "value": "831623572"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 280.06, "providers": [{"billed_charge": 600.0, "npi": [1548527815]}]}]}, {"tin": {"type": "ein", "value": "832680722"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 208.69, "providers": [{"billed_charge": 619.35, "npi": [1053502435]}]}]}, {"tin": {"type": "ein", "value": "832802070"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 208.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 313.4, "npi": [1740512649]}]}]}, {"tin": {"type": "ein", "value": "832996987"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 248.42, "providers": [{"billed_charge": 462.0, "npi": [1093178766]}]}]}, {"tin": {"type": "ein", "value": "833838272"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.12, "providers": [{"billed_charge": 490.0, "npi": [1790133049]}]}]}, {"tin": {"type": "ein", "value": "834341309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 508.0, "npi": [1205193687]}]}]}, {"tin": {"type": "ein", "value": "834460864"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.89, "providers": [{"billed_charge": 260.0, "npi": [1669655817]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 217.0, "providers": [{"billed_charge": 714.0, "npi": [1356077861]}]}, {"allowed_amount": 255.3, "providers": [{"billed_charge": 521.0, "npi": [1609162353]}]}]}, {"tin": {"type": "ein", "value": "841923882"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 192.67, "providers": [{"billed_charge": 315.0, "npi": [1730481516]}]}]}, {"tin": {"type": "ein", "value": "841969156"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 482.79, "providers": [{"billed_charge": 991.0, "npi": [1528697026]}]}]}, {"tin": {"type": "ein", "value": "842246986"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 370.72, "npi": [1891094561]}]}]}, {"tin": {"type": "ein", "value": "842528165"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 168.2, "providers": [{"billed_charge": 588.0, "npi": [1932116902]}]}]}, {"tin": {"type": "ein", "value": "843372323"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 168.59, "providers": [{"billed_charge": 630.0, "npi": [1588911390]}]}]}, {"tin": {"type": "ein", "value": "843432779"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 291.0, "npi": [1245437425]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 270.78, "providers": [{"billed_charge": 425.0, "npi": [1366565350, 1982252383]}]}]}, {"tin": {"type": "ein", "value": "850510497"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 206.25, "providers": [{"billed_charge": 206.25, "npi": [1205130853]}]}]}, {"tin": {"type": "ein", "value": "850552933"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 170.81, "providers": [{"billed_charge": 399.0, "npi": [1376819268]}]}]}, {"tin": {"type": "ein", "value": "851182792"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 158.5, "providers": [{"billed_charge": 436.0, "npi": [1841633153]}]}]}, {"tin": {"type": "ein", "value": "851295435"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.04, "providers": [{"billed_charge": 298.0, "npi": [1326427790]}]}, {"allowed_amount": 207.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 298.0, "npi": [1093942435]}]}]}, {"tin": {"type": "ein", "value": "851467529"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 172.95, "providers": [{"billed_charge": 400.0, "npi": [1659686947]}]}]}, {"tin": {"type": "ein", "value": "851917572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 208.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5000.0, "npi": [1386140226]}]}]}, {"tin": {"type": "ein", "value": "852035977"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.55, "providers": [{"billed_charge": 292.0, "npi": [1932728490]}]}]}, {"tin": {"type": "ein", "value": "852136296"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 284.68, "providers": [{"billed_charge": 500.0, "npi": [1164717401]}]}]}, {"tin": {"type": "ein", "value": "852464463"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3974.27, "npi": [1144473570, 1912355983, 1659755122, 1235459769, 1932395514]}]}, {"allowed_amount": 191.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3974.27, "npi": [1144473570, 1922595727]}]}, {"allowed_amount": 230.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3974.27, "npi": [1528358124]}]}, {"allowed_amount": 240.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3974.27, "npi": [1073545588]}]}, {"allowed_amount": 413.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3974.27, "npi": [1144473570]}]}, {"allowed_amount": 415.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3974.27, "npi": [1922208776]}]}]}, {"tin": {"type": "ein", "value": "853319668"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 307.76, "providers": [{"billed_charge": 960.0, "npi": [1073969903]}, {"billed_charge": 964.0, "npi": [1205027497, 1831746502]}]}]}, {"tin": {"type": "ein", "value": "853804440"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 225.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 225.0, "npi": [1164865762, 1205605797, 1689162570, 1508677675, 1023096237, 1194974063, 1356577076]}]}]}, {"tin": {"type": "ein", "value": "861045280"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 177.15, "providers": [{"billed_charge": 205.0, "npi": [1487677886]}]}]}, {"tin": {"type": "ein", "value": "862299338"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 280.06, "providers": [{"billed_charge": 3500.0, "npi": [1134274368, 1558417147]}]}]}, {"tin": {"type": "ein", "value": "862932341"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.77, "providers": [{"billed_charge": 723.8, "npi": [1891515201]}]}, {"allowed_amount": 184.66, "providers": [{"billed_charge": 723.8, "npi": [1306307947, 1184945115]}]}, {"allowed_amount": 192.67, "providers": [{"billed_charge": 723.8, "npi": [1083023519]}]}]}, {"tin": {"type": "ein", "value": "864001978"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 208.69, "providers": [{"billed_charge": 598.41, "npi": [1467570895]}]}, {"allowed_amount": 410.37, "providers": [{"billed_charge": 598.41, "npi": [1346818861, 1063270429]}]}]}, {"tin": {"type": "ein", "value": "871139300"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 210.49, "providers": [{"billed_charge": 4110.0, "npi": [1407818479]}, {"billed_charge": 6165.0, "npi": [1588612634]}]}]}, {"tin": {"type": "ein", "value": "871692562"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 202.58, "providers": [{"billed_charge": 420.0, "npi": [1700883196]}]}]}, {"tin": {"type": "ein", "value": "873769568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5961.41, "npi": [1801095880]}]}, {"allowed_amount": 230.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5961.41, "npi": [1629143029]}]}]}, {"tin": {"type": "ein", "value": "880847644"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.27, "providers": [{"billed_charge": 618.0, "npi": [1326629429, 1861888109]}]}]}, {"tin": {"type": "ein", "value": "880900432"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 307.76, "providers": [{"billed_charge": 1107.0, "npi": [1275944399, 1518935055]}]}]}, {"tin": {"type": "ein", "value": "881328888"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 158.5, "providers": [{"billed_charge": 200.0, "npi": [1295113702]}]}]}, {"tin": {"type": "ein", "value": "882064487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.12, "providers": [{"billed_charge": 510.0, "npi": [1437531126]}]}]}, {"tin": {"type": "ein", "value": "882982605"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.43, "providers": [{"billed_charge": 456.0, "npi": [1912147927]}]}]}, {"tin": {"type": "ein", "value": "883703657"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 400.0, "npi": [1194179010]}]}]}, {"tin": {"type": "ein", "value": "900120192"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 307.76, "providers": [{"billed_charge": 461.64, "npi": [1740329739]}]}]}, {"tin": {"type": "ein", "value": "900624186"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 173.88, "providers": [{"billed_charge": 450.0, "npi": [1497741037]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 207.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9850.0, "npi": [1144807322, 1184916546, 1972578714]}]}, {"allowed_amount": 224.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9850.0, "npi": [1275598393]}]}, {"allowed_amount": 420.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9850.0, "npi": [1275598393, 1144807322, 1184916546]}]}, {"allowed_amount": 657.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9850.0, "npi": [1275598393, 1144807322, 1770798563]}]}, {"allowed_amount": 683.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9850.0, "npi": [1184916546]}]}, {"allowed_amount": 870.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9850.0, "npi": [1184916546, 1144807322, 1972578714]}]}]}, {"tin": {"type": "ein", "value": "921613687"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.43, "providers": [{"billed_charge": 307.76, "npi": [1619139672]}]}]}, {"tin": {"type": "ein", "value": "921934387"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 208.69, "providers": [{"billed_charge": 413.0, "npi": [1952741795]}]}]}, {"tin": {"type": "ein", "value": "922342411"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.8, "providers": [{"billed_charge": 338.8, "npi": [1902419294]}]}]}, {"tin": {"type": "ein", "value": "922495800"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.27, "providers": [{"billed_charge": 345.0, "npi": [1801385679]}]}]}, {"tin": {"type": "ein", "value": "923067207"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 207.74, "providers": [{"billed_charge": 554.84, "npi": [1477083798]}]}, {"allowed_amount": 280.06, "providers": [{"billed_charge": 554.84, "npi": [1679953376, 1720405038]}]}]}, {"tin": {"type": "ein", "value": "930602940"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 248.54, "providers": [{"billed_charge": 832.0, "npi": [1003201476, 1265994958]}]}]}, {"tin": {"type": "ein", "value": "931399901"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 214.4, "providers": [{"billed_charge": 406.46, "npi": [1760182943]}]}]}, {"tin": {"type": "ein", "value": "931769486"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 218.29, "providers": [{"billed_charge": 685.0, "npi": [1205285053]}]}, {"allowed_amount": 288.45, "providers": [{"billed_charge": 685.0, "npi": [1538513866]}]}]}, {"tin": {"type": "ein", "value": "932501917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 252.23, "providers": [{"billed_charge": 842.0, "npi": [1447632088]}]}]}, {"tin": {"type": "ein", "value": "933095141"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 26.16, "providers": [{"billed_charge": 1415.0, "npi": [1932775525]}]}, {"allowed_amount": 239.36, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 1415.0, "npi": [1194439794, 1932775525, 1457821290]}]}, {"allowed_amount": 280.06, "providers": [{"billed_charge": 1415.0, "npi": [1700084191, 1093756439, 1376822395, 1154852861, 1932367646, 1033419551]}]}]}, {"tin": {"type": "ein", "value": "933165177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 284.68, "providers": [{"billed_charge": 1415.0, "npi": [1861072944]}]}]}, {"tin": {"type": "ein", "value": "933228782"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 238.05, "providers": [{"billed_charge": 1415.0, "npi": [1326794553]}]}, {"allowed_amount": 280.06, "providers": [{"billed_charge": 1415.0, "npi": [1700374733]}]}]}, {"tin": {"type": "ein", "value": "933479511"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 233.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2488.0, "npi": [1629260187]}]}]}, {"tin": {"type": "ein", "value": "934473770"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 280.06, "providers": [{"billed_charge": 399.0, "npi": [1831326743]}]}]}, {"tin": {"type": "ein", "value": "934885408"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 288.45, "providers": [{"billed_charge": 600.0, "npi": [1760680946, 1598928863]}]}]}, {"tin": {"type": "ein", "value": "934915781"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 320.0, "npi": [1932339371]}]}]}, {"tin": {"type": "ein", "value": "990512892"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 353.0, "npi": [1104142736, 1336555390]}]}]}, {"tin": {"type": "ein", "value": "990869376"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.67, "providers": [{"billed_charge": 240.0, "npi": [1255852422]}]}]}, {"tin": {"type": "ein", "value": "991189460"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 207.74, "providers": [{"billed_charge": 397.0, "npi": [1053572263]}]}]}, {"tin": {"type": "ein", "value": "992248967"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 200.07, "providers": [{"billed_charge": 711.0, "npi": [1467895656]}]}]}, {"tin": {"type": "ein", "value": "993891552"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.07, "providers": [{"billed_charge": 350.0, "npi": [1053774844]}]}]}, {"tin": {"type": "ein", "value": "993954355"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.89, "providers": [{"billed_charge": 328.0, "npi": [1063410777]}]}]}, {"tin": {"type": "ein", "value": "993991604"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 240.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1538540208]}]}]}, {"tin": {"type": "ein", "value": "994367638"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 280.06, "providers": [{"billed_charge": 396.0, "npi": [1104490192]}]}]}, {"tin": {"type": "ein", "value": "994830411"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 288.45, "providers": [{"billed_charge": 369.0, "npi": [1477087856]}]}]}]}, {"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": "010839544"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 228.0, "providers": [{"billed_charge": 228.0, "npi": [1356339550, 1700857927]}]}, {"allowed_amount": 230.04, "providers": [{"billed_charge": 250.0, "npi": [1497995484]}, {"billed_charge": 500.0, "npi": [1700857927]}]}]}, {"tin": {"type": "ein", "value": "030562624"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.02, "providers": [{"billed_charge": 175.0, "npi": [1528168051]}]}]}, {"tin": {"type": "ein", "value": "030571183"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1609419811]}]}]}, {"tin": {"type": "ein", "value": "200445029"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.03, "providers": [{"billed_charge": 210.37, "npi": [1992843163]}]}]}, {"tin": {"type": "ein", "value": "200468737"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1225225782]}]}]}, {"tin": {"type": "ein", "value": "202396203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1861474595]}]}]}, {"tin": {"type": "ein", "value": "204473802"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.78, "providers": [{"billed_charge": 241.0, "npi": [1881157212]}]}]}, {"tin": {"type": "ein", "value": "204700877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 211.94, "providers": [{"billed_charge": 506.0, "npi": [1144774712]}]}]}, {"tin": {"type": "ein", "value": "204864532"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 166.59, "providers": [{"billed_charge": 554.0, "npi": [1336704683]}]}]}, {"tin": {"type": "ein", "value": "204871619"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.34, "providers": [{"billed_charge": 268.0, "npi": [1972569895]}]}]}, {"tin": {"type": "ein", "value": "205083220"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.38, "providers": [{"billed_charge": 400.0, "npi": [1114487485]}]}]}, {"tin": {"type": "ein", "value": "205146786"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.19, "providers": [{"billed_charge": 360.99, "npi": [1104846922]}]}]}, {"tin": {"type": "ein", "value": "237313346"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.47, "providers": [{"billed_charge": 360.0, "npi": [1144882184]}]}]}, {"tin": {"type": "ein", "value": "260565845"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.78, "providers": [{"billed_charge": 250.0, "npi": [1700942919]}]}]}, {"tin": {"type": "ein", "value": "261104730"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.35, "providers": [{"billed_charge": 300.0, "npi": [1578594024]}]}]}, {"tin": {"type": "ein", "value": "261775172"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 116.38, "providers": [{"billed_charge": 689.72, "npi": [1851399463]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 115.02, "providers": [{"billed_charge": 303.0, "npi": [1336602556]}]}, {"allowed_amount": 149.53, "providers": [{"billed_charge": 303.0, "npi": [1124131818]}]}, {"allowed_amount": 171.38, "providers": [{"billed_charge": 303.0, "npi": [1336672914, 1346698875]}]}, {"allowed_amount": 178.91, "providers": [{"billed_charge": 303.0, "npi": [1225728066]}]}, {"allowed_amount": 209.34, "providers": [{"billed_charge": 303.0, "npi": [1164646394]}]}, {"allowed_amount": 224.29, "providers": [{"billed_charge": 303.0, "npi": [1457435331, 1538239439]}]}, {"allowed_amount": 230.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 303.0, "npi": [1346607637, 1194462994, 1750709341]}, {"billed_charge": 757.0, "npi": [1790742997]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 132.78, "providers": [{"billed_charge": 415.0, "npi": [1972666949]}]}, {"allowed_amount": 143.78, "providers": [{"billed_charge": 406.0, "npi": [1184858797]}]}, {"allowed_amount": 171.55, "providers": [{"billed_charge": 415.0, "npi": [1821313610]}]}, {"allowed_amount": 181.77, "providers": [{"billed_charge": 415.0, "npi": [1568941490]}]}, {"allowed_amount": 262.99, "providers": [{"billed_charge": 406.0, "npi": [1902180227]}]}]}, {"tin": {"type": "ein", "value": "269983488"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.3, "providers": [{"billed_charge": 234.18, "npi": [1770556995]}]}]}, {"tin": {"type": "ein", "value": "270535750"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 159.44, "providers": [{"billed_charge": 5100.0, "npi": [1083753677]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 171.0, "providers": [{"billed_charge": 171.0, "npi": [1689963910]}]}]}, {"tin": {"type": "ein", "value": "270794018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1932300779]}]}]}, {"tin": {"type": "ein", "value": "271097459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.19, "providers": [{"billed_charge": 250.0, "npi": [1780888370]}]}]}, {"tin": {"type": "ein", "value": "271368002"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 212.79, "providers": [{"billed_charge": 550.0, "npi": [1306048277]}]}]}, {"tin": {"type": "ein", "value": "272634334"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 131.51, "providers": [{"billed_charge": 299.0, "npi": [1275768657]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 230.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 303.0, "npi": [1548377088, 1215383815, 1700318599, 1982920971, 1225139736, 1285997338, 1467489443, 1407217318, 1093911976, 1396774063, 1649484080, 1528206901, 1134303035, 1821183559, 1700885324, 1053506774, 1205013463, 1689933673, 1972890994]}]}]}, {"tin": {"type": "ein", "value": "273705652"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.91, "providers": [{"billed_charge": 232.0, "npi": [1194452417, 1023870078]}]}]}, {"tin": {"type": "ein", "value": "274104074"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.99, "providers": [{"billed_charge": 381.0, "npi": [1568814416]}]}]}, {"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.05, "providers": [{"billed_charge": 385.0, "npi": [1306352455]}]}, {"allowed_amount": 230.04, "providers": [{"billed_charge": 385.0, "npi": [1225263429]}]}]}, {"tin": {"type": "ein", "value": "300038860"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.87, "providers": [{"billed_charge": 278.0, "npi": [1477767226]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 132.27, "providers": [{"billed_charge": 331.0, "npi": [1386075083]}]}]}, {"tin": {"type": "ein", "value": "331068598"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 138.08, "providers": [{"billed_charge": 200.0, "npi": [1992415129]}]}]}, {"tin": {"type": "ein", "value": "332241086"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.41, "providers": [{"billed_charge": 401.0, "npi": [1871841973]}]}]}, {"tin": {"type": "ein", "value": "333515916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 230.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 540.76, "npi": [1760809123]}]}]}, {"tin": {"type": "ein", "value": "334571199"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.31, "providers": [{"billed_charge": 300.0, "npi": [1861927188]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.45, "providers": [{"billed_charge": 300.0, "npi": [1013221282]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 116.38, "providers": [{"billed_charge": 232.76, "npi": [1003850991]}]}, {"allowed_amount": 125.69, "providers": [{"billed_charge": 232.76, "npi": [1114918356]}]}, {"allowed_amount": 130.35, "providers": [{"billed_charge": 232.76, "npi": [1740433226]}]}, {"allowed_amount": 143.15, "providers": [{"billed_charge": 232.76, "npi": [1285683466]}]}, {"allowed_amount": 146.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 232.76, "npi": [1467942672, 1356368948, 1134418312]}]}, {"allowed_amount": 155.95, "providers": [{"billed_charge": 232.76, "npi": [1164800744, 1275798019, 1891299004, 1578144895]}, {"billed_charge": 258.58, "npi": [1609809185, 1578144895]}]}, {"allowed_amount": 232.76, "providers": [{"billed_charge": 232.76, "npi": [1336854058, 1659633311]}]}]}, {"tin": {"type": "ein", "value": "371714382"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.4, "providers": [{"billed_charge": 335.23, "npi": [1245200393]}]}]}, {"tin": {"type": "ein", "value": "371737462"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.02, "providers": [{"billed_charge": 290.0, "npi": [1538233200]}]}]}, {"tin": {"type": "ein", "value": "392531485"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.52, "providers": [{"billed_charge": 260.0, "npi": [1396329231]}]}]}, {"tin": {"type": "ein", "value": "393553093"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 230.04, "providers": [{"billed_charge": 370.0, "npi": [1841615986]}]}]}, {"tin": {"type": "ein", "value": "421420077"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 198.67, "providers": [{"billed_charge": 356.0, "npi": [1225561327]}]}]}, {"tin": {"type": "ein", "value": "454656734"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.93, "providers": [{"billed_charge": 303.0, "npi": [1952589970]}]}]}, {"tin": {"type": "ein", "value": "455388396"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 122.74, "providers": [{"billed_charge": 262.84, "npi": [1275540700]}]}]}, {"tin": {"type": "ein", "value": "461237055"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 230.04, "providers": [{"billed_charge": 249.94, "npi": [1538153150]}]}]}, {"tin": {"type": "ein", "value": "462260327"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.47, "providers": [{"billed_charge": 250.0, "npi": [1578505772]}]}]}, {"tin": {"type": "ein", "value": "462718719"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.95, "providers": [{"billed_charge": 1509.48, "npi": [1427049030]}]}]}, {"tin": {"type": "ein", "value": "463175783"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.91, "providers": [{"billed_charge": 487.89, "npi": [1114233152, 1205553815, 1043720915, 1174094486, 1770332439]}]}]}, {"tin": {"type": "ein", "value": "463417207"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 155.95, "providers": [{"billed_charge": 405.0, "npi": [1841219912, 1043472756]}]}]}, {"tin": {"type": "ein", "value": "463696501"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 157.28, "providers": [{"billed_charge": 274.0, "npi": [1073562484]}]}]}, {"tin": {"type": "ein", "value": "472461588"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 85.33, "providers": [{"billed_charge": 325.0, "npi": [1487722641]}]}]}, {"tin": {"type": "ein", "value": "473312833"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.1, "providers": [{"billed_charge": 418.11, "npi": [1881666139, 1922070374]}]}]}, {"tin": {"type": "ein", "value": "473653239"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 155.28, "providers": [{"billed_charge": 341.0, "npi": [1326275744]}]}]}, {"tin": {"type": "ein", "value": "474038606"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 181.77, "providers": [{"billed_charge": 201.0, "npi": [1174574842]}]}]}, {"tin": {"type": "ein", "value": "474994681"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 171.38, "providers": [{"billed_charge": 400.0, "npi": [1710217120]}]}]}, {"tin": {"type": "ein", "value": "475300786"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1356509004, 1063648277]}]}]}, {"tin": {"type": "ein", "value": "475401520"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 141.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 342.0, "npi": [1225259435]}]}, {"allowed_amount": 212.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 342.0, "npi": [1225259435]}]}]}, {"tin": {"type": "ein", "value": "475510475"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 126.52, "providers": [{"billed_charge": 408.0, "npi": [1053997874]}]}]}, {"tin": {"type": "ein", "value": "510484748"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.53, "providers": [{"billed_charge": 465.0, "npi": [1326292517]}]}]}, {"tin": {"type": "ein", "value": "510602325"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 205.0, "providers": [{"billed_charge": 205.0, "npi": [1720068174]}]}]}, {"tin": {"type": "ein", "value": "542094413"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.34, "providers": [{"billed_charge": 300.0, "npi": [1720196975]}]}]}, {"tin": {"type": "ein", "value": "550832571"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.47, "providers": [{"billed_charge": 170.0, "npi": [1689658833]}]}]}, {"tin": {"type": "ein", "value": "562466775"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.93, "providers": [{"billed_charge": 193.0, "npi": [1962484378]}]}]}, {"tin": {"type": "ein", "value": "571213937"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.02, "providers": [{"billed_charge": 357.5, "npi": [1902835895]}]}, {"allowed_amount": 209.34, "providers": [{"billed_charge": 357.5, "npi": [1033173810]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.61, "providers": [{"billed_charge": 506.0, "npi": [1619293354]}]}]}, {"tin": {"type": "ein", "value": "582078064"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 186.7, "providers": [{"billed_charge": 309.0, "npi": [1073629754]}]}]}, {"tin": {"type": "ein", "value": "582603948"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 211.94, "providers": [{"billed_charge": 250.0, "npi": [1013065580]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 218.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 415.0, "npi": [1992868228]}]}]}, {"tin": {"type": "ein", "value": "593647972"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.79, "providers": [{"billed_charge": 300.0, "npi": [1215499389]}]}]}, {"tin": {"type": "ein", "value": "598329603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 141.25, "providers": [{"billed_charge": 394.0, "npi": [1528591740]}]}]}, {"tin": {"type": "ein", "value": "650578395"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.82, "providers": [{"billed_charge": 1302.0, "npi": [1811572563]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 156.43, "providers": [{"billed_charge": 482.0, "npi": [1447510011]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 23.0, "providers": [{"billed_charge": 308.0, "npi": [1790163780, 1619473741]}]}, {"allowed_amount": 115.02, "providers": [{"billed_charge": 308.0, "npi": [1740480128, 1982653259, 1316566540, 1649295858, 1174977078]}]}, {"allowed_amount": 127.67, "providers": [{"billed_charge": 308.0, "npi": [1750907499]}]}, {"allowed_amount": 138.02, "providers": [{"billed_charge": 308.0, "npi": [1720434814]}]}, {"allowed_amount": 141.47, "providers": [{"billed_charge": 308.0, "npi": [1306372818]}]}, {"allowed_amount": 143.78, "providers": [{"billed_charge": 308.0, "npi": [1154504157]}]}, {"allowed_amount": 149.53, "providers": [{"billed_charge": 308.0, "npi": [1508201146, 1407255102]}]}, {"allowed_amount": 156.43, "providers": [{"billed_charge": 308.0, "npi": [1912218900, 1619473741]}]}, {"allowed_amount": 161.03, "providers": [{"billed_charge": 308.0, "npi": [1801116462, 1932382934]}]}, {"allowed_amount": 171.38, "providers": [{"billed_charge": 308.0, "npi": [1437640299]}]}, {"allowed_amount": 209.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 308.0, "npi": [1710440607, 1255997441, 1285073122, 1215299813, 1942792197, 1730575721, 1033406731, 1861402604, 1457857708, 1629210638, 1467972208, 1487760401, 1063808244, 1750910303]}]}, {"allowed_amount": 224.29, "providers": [{"billed_charge": 308.0, "npi": [1346279452]}]}, {"allowed_amount": 230.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 308.0, "npi": [1528520483, 1831517572, 1689297764, 1134332422, 1548623622, 1841710829, 1265054126, 1205463726, 1356523344, 1053874834, 1871577239, 1043538168]}]}, {"allowed_amount": 266.9, "providers": [{"billed_charge": 308.0, "npi": [1558522326]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.19, "providers": [{"billed_charge": 331.0, "npi": [1629497953]}]}]}, {"tin": {"type": "ein", "value": "741850643"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 230.04, "providers": [{"billed_charge": 249.0, "npi": [1033596648]}]}]}, {"tin": {"type": "ein", "value": "741941710"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.4, "providers": [{"billed_charge": 389.1, "npi": [1346377710]}]}]}, {"tin": {"type": "ein", "value": "742072186"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.34, "providers": [{"billed_charge": 406.0, "npi": [1750564068]}]}]}, {"tin": {"type": "ein", "value": "742520049"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.02, "providers": [{"billed_charge": 210.0, "npi": [1790784692]}]}]}, {"tin": {"type": "ein", "value": "742608688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.78, "providers": [{"billed_charge": 335.0, "npi": [1063437838]}]}]}, {"tin": {"type": "ein", "value": "742800601"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.77, "providers": [{"billed_charge": 415.0, "npi": [1215588975]}]}]}, {"tin": {"type": "ein", "value": "742931655"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.52, "providers": [{"billed_charge": 250.0, "npi": [1730471251, 1922282847]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 156.43, "providers": [{"billed_charge": 462.46, "npi": [1609434729]}]}, {"allowed_amount": 209.34, "providers": [{"billed_charge": 462.46, "npi": [1073254371, 1033797196, 1073006375]}]}]}, {"tin": {"type": "ein", "value": "742932998"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.52, "providers": [{"billed_charge": 210.0, "npi": [1700992732]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 167.93, "providers": [{"billed_charge": 267.0, "npi": [1720210727]}]}, {"allowed_amount": 171.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 267.0, "npi": [1033231220]}]}, {"allowed_amount": 177.94, "providers": [{"billed_charge": 267.0, "npi": [1437739695]}]}]}, {"tin": {"type": "ein", "value": "742978480"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.25, "providers": [{"billed_charge": 310.0, "npi": [1104489681, 1649831389]}]}, {"allowed_amount": 171.55, "providers": [{"billed_charge": 310.0, "npi": [1740777630]}]}, {"allowed_amount": 179.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 310.0, "npi": [1679528889]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 97.77, "providers": [{"billed_charge": 190.0, "npi": [1871357426]}]}, {"allowed_amount": 144.93, "providers": [{"billed_charge": 190.0, "npi": [1376753210]}]}]}, {"tin": {"type": "ein", "value": "751667190"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.98, "providers": [{"billed_charge": 350.0, "npi": [1033678867]}]}]}, {"tin": {"type": "ein", "value": "752005254"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.15, "providers": [{"billed_charge": 278.0, "npi": [1154525723, 1386805018, 1659357515, 1720390263]}]}, {"allowed_amount": 132.27, "providers": [{"billed_charge": 278.0, "npi": [1093854010]}]}, {"allowed_amount": 157.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1104323922, 1811007883]}]}, {"allowed_amount": 159.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1053378448]}]}, {"allowed_amount": 215.53, "providers": [{"billed_charge": 278.0, "npi": [1386805018]}]}]}, {"tin": {"type": "ein", "value": "752402478"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.97, "providers": [{"billed_charge": 250.0, "npi": [1528694767]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.05, "providers": [{"billed_charge": 303.0, "npi": [1720320070]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.98, "providers": [{"billed_charge": 352.24, "npi": [1245689769]}]}, {"allowed_amount": 143.3, "providers": [{"billed_charge": 352.24, "npi": [1912218686]}]}, {"allowed_amount": 156.11, "providers": [{"billed_charge": 352.24, "npi": [1114020922]}]}, {"allowed_amount": 157.28, "providers": [{"billed_charge": 352.24, "npi": [1508200353, 1467689604, 1346604949, 1912215609]}]}, {"allowed_amount": 191.06, "providers": [{"billed_charge": 352.24, "npi": [1700309168]}]}, {"allowed_amount": 212.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 352.24, "npi": [1750543690]}]}, {"allowed_amount": 215.53, "providers": [{"billed_charge": 352.24, "npi": [1346709565]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 87.45, "providers": [{"billed_charge": 232.76, "npi": [1538870977]}]}, {"allowed_amount": 128.02, "providers": [{"billed_charge": 455.0, "npi": [1477723344, 1689689077]}]}, {"allowed_amount": 132.27, "providers": [{"billed_charge": 455.0, "npi": [1881787323]}]}, {"allowed_amount": 132.56, "providers": [{"billed_charge": 455.0, "npi": [1679040653]}]}, {"allowed_amount": 155.28, "providers": [{"billed_charge": 455.0, "npi": [1609072065]}]}, {"allowed_amount": 155.95, "providers": [{"billed_charge": 455.0, "npi": [1932420486, 1841219912, 1801392014, 1316978265, 1558442962, 1316155252, 1467081463, 1972761112, 1164669305]}]}, {"allowed_amount": 157.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 455.0, "npi": [1336582436]}]}, {"allowed_amount": 157.28, "providers": [{"billed_charge": 455.0, "npi": [1689835985, 1629288246]}]}, {"allowed_amount": 157.58, "providers": [{"billed_charge": 455.0, "npi": [1659509271]}]}, {"allowed_amount": 190.86, "providers": [{"billed_charge": 455.0, "npi": [1487944500]}]}, {"allowed_amount": 212.79, "providers": [{"billed_charge": 455.0, "npi": [1942680376, 1982641247]}]}, {"allowed_amount": 291.82, "providers": [{"billed_charge": 455.0, "npi": [1760927040]}]}, {"allowed_amount": 306.66, "providers": [{"billed_charge": 455.0, "npi": [1679710404]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 134.57, "providers": [{"billed_charge": 300.0, "npi": [1659353605]}]}, {"allowed_amount": 230.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1154825016, 1700142742, 1376728279]}]}, {"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1275053910]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 115.02, "providers": [{"billed_charge": 339.0, "npi": [1558943241, 1114938404]}]}, {"allowed_amount": 120.77, "providers": [{"billed_charge": 339.0, "npi": [1619237534]}]}, {"allowed_amount": 144.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 339.0, "npi": [1518118561, 1922502277, 1841933157, 1861848749, 1417304429, 1295318285, 1235543760, 1386922771, 1447481395, 1275108409, 1083093660, 1023321437, 1992367676, 1023756095]}]}, {"allowed_amount": 230.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 339.0, "npi": [1104861731, 1023033834, 1699096685, 1639132558, 1124483292, 1801105309]}]}]}, {"tin": {"type": "ein", "value": "752712328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.35, "providers": [{"billed_charge": 297.27, "npi": [1770783243]}]}, {"allowed_amount": 143.3, "providers": [{"billed_charge": 297.27, "npi": [1336568773]}, {"billed_charge": 425.0, "npi": [1063575199]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.87, "providers": [{"billed_charge": 1302.0, "npi": [1396008371]}]}, {"allowed_amount": 178.91, "providers": [{"billed_charge": 1302.0, "npi": [1235023516, 1619666260]}]}, {"allowed_amount": 205.63, "providers": [{"billed_charge": 1302.0, "npi": [1194788752]}]}, {"allowed_amount": 209.34, "providers": [{"billed_charge": 1302.0, "npi": [1366062077]}]}, {"allowed_amount": 215.53, "providers": [{"billed_charge": 1302.0, "npi": [1922261833]}]}, {"allowed_amount": 230.04, "providers": [{"billed_charge": 1302.0, "npi": [1013025188]}]}, {"allowed_amount": 300.0, "providers": [{"billed_charge": 1302.0, "npi": [1225043946]}]}]}, {"tin": {"type": "ein", "value": "752772742"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 157.28, "providers": [{"billed_charge": 518.0, "npi": [1194107599]}]}]}, {"tin": {"type": "ein", "value": "752905110"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.53, "providers": [{"billed_charge": 265.0, "npi": [1598933558]}]}]}, {"tin": {"type": "ein", "value": "752920450"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 141.47, "providers": [{"billed_charge": 190.0, "npi": [1558303917]}]}]}, {"tin": {"type": "ein", "value": "753129210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.87, "providers": [{"billed_charge": 300.0, "npi": [1316279326]}]}, {"allowed_amount": 143.19, "providers": [{"billed_charge": 300.0, "npi": [1316279326]}]}, {"allowed_amount": 155.95, "providers": [{"billed_charge": 300.0, "npi": [1184041436]}]}, {"allowed_amount": 167.93, "providers": [{"billed_charge": 300.0, "npi": [1255919148]}]}, {"allowed_amount": 175.98, "providers": [{"billed_charge": 300.0, "npi": [1235363862]}]}, {"allowed_amount": 209.34, "providers": [{"billed_charge": 300.0, "npi": [1093816183]}]}, {"allowed_amount": 212.79, "providers": [{"billed_charge": 300.0, "npi": [1184041436]}]}, {"allowed_amount": 215.53, "providers": [{"billed_charge": 300.0, "npi": [1184041436]}]}, {"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1215925185]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 107.54, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 539.0, "npi": [1407197692]}]}, {"allowed_amount": 126.52, "providers": [{"billed_charge": 539.0, "npi": [1962848408]}]}, {"allowed_amount": 128.15, "providers": [{"billed_charge": 539.0, "npi": [1871754135, 1154583383]}]}, {"allowed_amount": 129.18, "providers": [{"billed_charge": 539.0, "npi": [1487239265, 1104454164]}]}, {"allowed_amount": 133.98, "providers": [{"billed_charge": 539.0, "npi": [1568889608]}]}, {"allowed_amount": 136.31, "providers": [{"billed_charge": 539.0, "npi": [1659714442]}]}, {"allowed_amount": 143.3, "providers": [{"billed_charge": 539.0, "npi": [1649690504, 1548842297, 1386768968, 1154587004]}]}, {"allowed_amount": 145.63, "providers": [{"billed_charge": 539.0, "npi": [1659765170, 1447216916]}]}, {"allowed_amount": 155.28, "providers": [{"billed_charge": 539.0, "npi": [1982090536]}]}, {"allowed_amount": 157.28, "providers": [{"billed_charge": 539.0, "npi": [1447215256, 1255575122, 1790084283, 1194081646]}]}, {"allowed_amount": 159.61, "providers": [{"billed_charge": 539.0, "npi": [1104866458, 1427290139, 1306805437, 1043713845]}]}, {"allowed_amount": 163.1, "providers": [{"billed_charge": 539.0, "npi": [1972965713, 1184373706, 1407475429]}]}, {"allowed_amount": 191.06, "providers": [{"billed_charge": 539.0, "npi": [1508360561, 1497804892]}]}, {"allowed_amount": 212.79, "providers": [{"billed_charge": 539.0, "npi": [1972000529]}]}, {"allowed_amount": 215.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 539.0, "npi": [1578793634, 1063875342, 1528422037, 1336344027, 1497040703]}]}, {"allowed_amount": 306.98, "providers": [{"billed_charge": 539.0, "npi": [1093700858]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 138.64, "providers": [{"billed_charge": 662.0, "npi": [1902279748]}]}, {"allowed_amount": 306.98, "providers": [{"billed_charge": 662.0, "npi": [1558750075]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 138.18, "providers": [{"billed_charge": 503.0, "npi": [1407290091]}]}, {"allowed_amount": 139.34, "providers": [{"billed_charge": 503.0, "npi": [1114276599]}]}, {"allowed_amount": 142.83, "providers": [{"billed_charge": 503.0, "npi": [1104484310]}]}]}, {"tin": {"type": "ein", "value": "760298237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.4, "providers": [{"billed_charge": 170.0, "npi": [1720078181]}]}]}, {"tin": {"type": "ein", "value": "760432182"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.19, "providers": [{"billed_charge": 200.0, "npi": [1205218054]}]}]}, {"tin": {"type": "ein", "value": "760443692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.4, "providers": [{"billed_charge": 370.0, "npi": [1285898403]}]}]}, {"tin": {"type": "ein", "value": "760496547"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.33, "providers": [{"billed_charge": 400.0, "npi": [1467470245]}]}]}, {"tin": {"type": "ein", "value": "760565432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.02, "providers": [{"billed_charge": 500.0, "npi": [1275896649]}]}]}, {"tin": {"type": "ein", "value": "760630767"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.4, "providers": [{"billed_charge": 430.0, "npi": [1073772950]}]}]}, {"tin": {"type": "ein", "value": "800240816"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.02, "providers": [{"billed_charge": 350.0, "npi": [1053570184]}]}]}, {"tin": {"type": "ein", "value": "811220861"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 155.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1564.34, "npi": [1619294592, 1750522272, 1184088015]}]}]}, {"tin": {"type": "ein", "value": "811896357"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.0, "providers": [{"billed_charge": 276.0, "npi": [1053794149]}]}]}, {"tin": {"type": "ein", "value": "813317125"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 212.79, "providers": [{"billed_charge": 253.45, "npi": [1265753677]}]}]}, {"tin": {"type": "ein", "value": "813419791"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 187.34, "providers": [{"billed_charge": 394.0, "npi": [1528591740]}]}]}, {"tin": {"type": "ein", "value": "814555387"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.02, "providers": [{"billed_charge": 264.15, "npi": [1770723587]}]}]}, {"tin": {"type": "ein", "value": "814767312"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.66, "providers": [{"billed_charge": 250.0, "npi": [1366947004]}]}]}, {"tin": {"type": "ein", "value": "823224794"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.19, "providers": [{"billed_charge": 554.0, "npi": [1043251044]}]}]}, {"tin": {"type": "ein", "value": "823240262"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 178.91, "providers": [{"billed_charge": 335.0, "npi": [1114429982, 1205137007]}, {"billed_charge": 500.0, "npi": [1114429982, 1205137007]}]}, {"allowed_amount": 266.9, "providers": [{"billed_charge": 335.0, "npi": [1720315237]}, {"billed_charge": 500.0, "npi": [1720315237]}]}]}, {"tin": {"type": "ein", "value": "832023962"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 230.04, "providers": [{"billed_charge": 520.0, "npi": [1831215581, 1598713489, 1215165162, 1760832117]}]}]}, {"tin": {"type": "ein", "value": "832235275"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 155.28, "providers": [{"billed_charge": 275.0, "npi": [1881008613, 1154309573, 1558399816, 1760485098, 1922088947]}]}, {"allowed_amount": 161.03, "providers": [{"billed_charge": 275.0, "npi": [1972896777]}]}]}, {"tin": {"type": "ein", "value": "834460864"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.93, "providers": [{"billed_charge": 240.0, "npi": [1669655817]}]}]}, {"tin": {"type": "ein", "value": "844007624"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 230.04, "providers": [{"billed_charge": 394.02, "npi": [1346447091]}]}]}, {"tin": {"type": "ein", "value": "844058518"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.19, "providers": [{"billed_charge": 323.0, "npi": [1932470689]}]}]}, {"tin": {"type": "ein", "value": "852464463"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 136.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2974.73, "npi": [1922208776, 1629418025, 1952984668, 1922595727]}]}, {"allowed_amount": 155.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2974.73, "npi": [1780896829, 1134863517]}]}, {"allowed_amount": 300.0, "providers": [{"billed_charge": 2974.73, "npi": [1982877387]}]}, {"allowed_amount": 354.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2974.73, "npi": [1710181664]}]}]}, {"tin": {"type": "ein", "value": "853213051"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.34, "providers": [{"billed_charge": 270.95, "npi": [1528223344]}]}]}, {"tin": {"type": "ein", "value": "853319668"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 230.04, "providers": [{"billed_charge": 653.0, "npi": [1386910354, 1053846196, 1538626262]}, {"billed_charge": 798.0, "npi": [1073969903]}]}]}, {"tin": {"type": "ein", "value": "862764995"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.52, "providers": [{"billed_charge": 260.0, "npi": [1508179052]}]}]}, {"tin": {"type": "ein", "value": "862972584"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 178.91, "providers": [{"billed_charge": 254.0, "npi": [1295245603]}]}]}, {"tin": {"type": "ein", "value": "864001978"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 306.66, "providers": [{"billed_charge": 404.1, "npi": [1063270429]}]}]}, {"tin": {"type": "ein", "value": "870837459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 209.0, "npi": [1043444789]}]}]}, {"tin": {"type": "ein", "value": "871139300"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 157.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2780.0, "npi": [1588612634]}, {"billed_charge": 5560.0, "npi": [1588612634]}]}]}, {"tin": {"type": "ein", "value": "872778400"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 209.34, "providers": [{"billed_charge": 270.95, "npi": [1659574911]}]}]}, {"tin": {"type": "ein", "value": "873018884"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.3, "providers": [{"billed_charge": 270.0, "npi": [1366437865, 1922093426]}]}]}, {"tin": {"type": "ein", "value": "873975085"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 230.04, "providers": [{"billed_charge": 300.0, "npi": [1689860389]}]}]}, {"tin": {"type": "ein", "value": "874170895"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 157.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 205.0, "npi": [1790934321]}]}]}, {"tin": {"type": "ein", "value": "880900432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.99, "providers": [{"billed_charge": 757.0, "npi": [1285961961]}]}, {"allowed_amount": 230.04, "providers": [{"billed_charge": 757.0, "npi": [1497209548]}]}]}, {"tin": {"type": "ein", "value": "900120192"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 230.04, "providers": [{"billed_charge": 345.06, "npi": [1033616818]}]}]}, {"tin": {"type": "ein", "value": "900657525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 178.91, "providers": [{"billed_charge": 270.0, "npi": [1275366031]}]}, {"allowed_amount": 209.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 270.0, "npi": [1366446023]}]}]}, {"tin": {"type": "ein", "value": "920178965"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.23, "providers": [{"billed_charge": 277.0, "npi": [1881670172]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 155.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1558.0, "npi": [1184916546]}]}]}, {"tin": {"type": "ein", "value": "931441045"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.53, "providers": [{"billed_charge": 250.0, "npi": [1902057383]}]}]}, {"tin": {"type": "ein", "value": "933766830"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 155.28, "providers": [{"billed_charge": 1494.8, "npi": [1467747485]}]}]}, {"tin": {"type": "ein", "value": "934885408"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.53, "providers": [{"billed_charge": 450.0, "npi": [1598928863, 1982951711, 1780947135]}]}]}, {"tin": {"type": "ein", "value": "990675124"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 757.0, "npi": [1255496568, 1376534875, 1649249053]}]}]}, {"tin": {"type": "ein", "value": "992248967"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 456.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 451.0, "npi": [1417180324]}]}]}]}, {"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 straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99221", "billing_code_type_version": "2022", "description": "1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "202612295"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.41, "providers": [{"billed_charge": 200.0, "npi": [1497260699]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 78.75, "providers": [{"billed_charge": 261.0, "npi": [1417760539]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.34, "providers": [{"billed_charge": 226.0, "npi": [1164511200, 1073965042, 1285997338, 1184019416]}]}]}, {"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 85.61, "providers": [{"billed_charge": 284.0, "npi": [1003312919]}]}]}, {"tin": {"type": "ein", "value": "300520570"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 87.07, "providers": [{"billed_charge": 222.0, "npi": [1194087791]}]}]}, {"tin": {"type": "ein", "value": "332672530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.07, "providers": [{"billed_charge": 564.0, "npi": [1205509056]}]}]}, {"tin": {"type": "ein", "value": "352571461"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 175.0, "providers": [{"billed_charge": 175.0, "npi": [1831708031]}]}]}, {"tin": {"type": "ein", "value": "454323821"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.84, "providers": [{"billed_charge": 120.84, "npi": [1053931253]}]}]}, {"tin": {"type": "ein", "value": "460516876"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 297.0, "providers": [{"billed_charge": 297.0, "npi": [1174747414]}]}]}, {"tin": {"type": "ein", "value": "550832571"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.37, "providers": [{"billed_charge": 135.0, "npi": [1689658833]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.45, "providers": [{"billed_charge": 323.0, "npi": [1811407141]}]}]}, {"tin": {"type": "ein", "value": "621766956"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.88, "providers": [{"billed_charge": 277.0, "npi": [1407485808]}]}]}, {"tin": {"type": "ein", "value": "650578395"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.19, "providers": [{"billed_charge": 968.0, "npi": [1942312137]}]}, {"allowed_amount": 92.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 968.0, "npi": [1396935490]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 29.27, "providers": [{"billed_charge": 195.0, "npi": [1134656903]}]}, {"allowed_amount": 81.22, "providers": [{"billed_charge": 195.0, "npi": [1437956380]}]}, {"allowed_amount": 95.12, "providers": [{"billed_charge": 195.0, "npi": [1457937435]}]}, {"allowed_amount": 133.17, "providers": [{"billed_charge": 195.0, "npi": [1730575721]}]}, {"allowed_amount": 142.68, "providers": [{"billed_charge": 195.0, "npi": [1669629242]}]}, {"allowed_amount": 146.34, "providers": [{"billed_charge": 195.0, "npi": [1962722371, 1689297764]}]}, {"allowed_amount": 169.79, "providers": [{"billed_charge": 195.0, "npi": [1558522326]}]}]}, {"tin": {"type": "ein", "value": "742787171"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.33, "providers": [{"billed_charge": 240.0, "npi": [1205395472]}]}]}, {"tin": {"type": "ein", "value": "742844785"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 169.79, "providers": [{"billed_charge": 244.0, "npi": [1346833068]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 291.56, "npi": [1013200286]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.46, "providers": [{"billed_charge": 197.0, "npi": [1316231475]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 92.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 121.0, "npi": [1932495256]}]}]}, {"tin": {"type": "ein", "value": "752005254"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.07, "providers": [{"billed_charge": 206.0, "npi": [1942687066]}]}, {"allowed_amount": 99.85, "providers": [{"billed_charge": 206.0, "npi": [1932606126]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 88.08, "providers": [{"billed_charge": 260.47, "npi": [1093336752]}]}, {"allowed_amount": 92.45, "providers": [{"billed_charge": 260.47, "npi": [1801993514]}]}, {"allowed_amount": 98.05, "providers": [{"billed_charge": 260.47, "npi": [1265846349]}]}, {"allowed_amount": 99.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 260.47, "npi": [1659307718]}]}, {"allowed_amount": 121.39, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 260.47, "npi": [1184666737]}]}, {"allowed_amount": 136.94, "providers": [{"billed_charge": 260.47, "npi": [1871882308]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 99.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 335.0, "npi": [1437618584, 1316978265]}]}, {"allowed_amount": 134.61, "providers": [{"billed_charge": 335.0, "npi": [1013681840]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 146.34, "providers": [{"billed_charge": 222.0, "npi": [1700142742]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 92.19, "providers": [{"billed_charge": 250.0, "npi": [1083093660, 1497334981]}]}, {"allowed_amount": 146.34, "providers": [{"billed_charge": 250.0, "npi": [1063706877, 1104861731, 1801105309, 1447813167]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 72.53, "providers": [{"billed_charge": 968.0, "npi": [1992190334]}]}, {"allowed_amount": 81.42, "providers": [{"billed_charge": 968.0, "npi": [1407218035]}]}, {"allowed_amount": 86.6, "providers": [{"billed_charge": 968.0, "npi": [1598727851]}]}, {"allowed_amount": 87.07, "providers": [{"billed_charge": 968.0, "npi": [1265691810, 1386089522]}]}, {"allowed_amount": 103.63, "providers": [{"billed_charge": 968.0, "npi": [1205886322]}]}]}, {"tin": {"type": "ein", "value": "753129210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.36, "providers": [{"billed_charge": 275.0, "npi": [1184041436]}]}, {"allowed_amount": 136.94, "providers": [{"billed_charge": 275.0, "npi": [1184041436]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 14.8, "providers": [{"billed_charge": 364.0, "npi": [1366823536]}]}, {"allowed_amount": 99.93, "providers": [{"billed_charge": 364.0, "npi": [1053725093]}]}, {"allowed_amount": 229.46, "providers": [{"billed_charge": 364.0, "npi": [1770015307]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 282.39, "providers": [{"billed_charge": 317.0, "npi": [1194992388]}]}]}, {"tin": {"type": "ein", "value": "760432182"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.88, "providers": [{"billed_charge": 200.0, "npi": [1205218054]}]}]}, {"tin": {"type": "ein", "value": "832409085"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 105.14, "providers": [{"billed_charge": 156.0, "npi": [1992311435]}]}]}, {"tin": {"type": "ein", "value": "844007624"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.34, "providers": [{"billed_charge": 291.18, "npi": [1346447091]}]}]}, {"tin": {"type": "ein", "value": "853319668"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.34, "providers": [{"billed_charge": 484.0, "npi": [1538626262]}]}]}, {"tin": {"type": "ein", "value": "880900432"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 146.34, "providers": [{"billed_charge": 564.0, "npi": [1497209548]}]}]}, {"tin": {"type": "ein", "value": "900657525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.17, "providers": [{"billed_charge": 205.0, "npi": [1366446023]}]}]}, {"tin": {"type": "ein", "value": "920858532"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.34, "providers": [{"billed_charge": 226.0, "npi": [1013950567]}]}]}]}, {"name": "Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant", "billing_code_type": "CPT", "billing_code": "99460", "billing_code_type_version": "2022", "description": "1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB", "allowed_amounts": [{"tin": {"type": "ein", "value": "320438010"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.11, "providers": [{"billed_charge": 196.0, "npi": [1720016371]}]}]}, {"tin": {"type": "ein", "value": "332672530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.95, "providers": [{"billed_charge": 529.0, "npi": [1205509056, 1144662032]}]}, {"allowed_amount": 147.61, "providers": [{"billed_charge": 529.0, "npi": [1326437849, 1811191349, 1134688757]}]}]}, {"tin": {"type": "ein", "value": "462714379"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.51, "providers": [{"billed_charge": 275.0, "npi": [1669931275]}]}]}, {"tin": {"type": "ein", "value": "472773550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.48, "providers": [{"billed_charge": 182.0, "npi": [1265662662]}]}]}, {"tin": {"type": "ein", "value": "474366118"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.31, "providers": [{"billed_charge": 242.0, "npi": [1306965579]}]}]}, {"tin": {"type": "ein", "value": "650578395"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.44, "providers": [{"billed_charge": 760.0, "npi": [1245404805]}]}, {"allowed_amount": 91.76, "providers": [{"billed_charge": 760.0, "npi": [1306945415]}]}, {"allowed_amount": 94.95, "providers": [{"billed_charge": 760.0, "npi": [1811551013]}]}, {"allowed_amount": 95.17, "providers": [{"billed_charge": 760.0, "npi": [1770548190]}]}, {"allowed_amount": 95.75, "providers": [{"billed_charge": 760.0, "npi": [1033436274, 1568624138]}]}, {"allowed_amount": 108.15, "providers": [{"billed_charge": 760.0, "npi": [1184967960]}]}, {"allowed_amount": 108.51, "providers": [{"billed_charge": 760.0, "npi": [1982047726]}]}, {"allowed_amount": 201.78, "providers": [{"billed_charge": 760.0, "npi": [1366804866, 1770847337, 1083145197, 1568460756, 1144227257]}]}, {"allowed_amount": 785.56, "providers": [{"billed_charge": 760.0, "npi": [1033436274]}]}]}, {"tin": {"type": "ein", "value": "751791138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.46, "providers": [{"billed_charge": 275.0, "npi": [1609910579]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.74, "providers": [{"billed_charge": 760.0, "npi": [1386089522, 1508811340]}]}, {"allowed_amount": 91.57, "providers": [{"billed_charge": 760.0, "npi": [1750620357, 1992190334, 1114346327]}]}, {"allowed_amount": 94.95, "providers": [{"billed_charge": 760.0, "npi": [1265691810, 1427001890, 1124520291, 1992096358, 1386089522, 1114346327, 1992190334]}]}, {"allowed_amount": 107.72, "providers": [{"billed_charge": 760.0, "npi": [1326072117]}]}, {"allowed_amount": 108.51, "providers": [{"billed_charge": 760.0, "npi": [1942263926, 1750339503]}]}, {"allowed_amount": 113.11, "providers": [{"billed_charge": 760.0, "npi": [1376570317]}]}, {"allowed_amount": 114.1, "providers": [{"billed_charge": 760.0, "npi": [1669645727]}]}, {"allowed_amount": 116.17, "providers": [{"billed_charge": 760.0, "npi": [1003247974]}]}, {"allowed_amount": 120.84, "providers": [{"billed_charge": 760.0, "npi": [1821169004]}]}, {"allowed_amount": 142.17, "providers": [{"billed_charge": 760.0, "npi": [1659367712, 1972794162, 1548284045]}]}, {"allowed_amount": 145.22, "providers": [{"billed_charge": 760.0, "npi": [1770045122, 1750620357]}]}, {"allowed_amount": 147.61, "providers": [{"billed_charge": 760.0, "npi": [1518351600, 1083918163, 1952637597, 1689870511]}]}, {"allowed_amount": 149.46, "providers": [{"billed_charge": 760.0, "npi": [1700347929, 1487873386]}]}, {"allowed_amount": 160.52, "providers": [{"billed_charge": 760.0, "npi": [1386089522, 1134490915]}]}, {"allowed_amount": 497.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 760.0, "npi": [1386089522]}]}, {"allowed_amount": 755.65, "providers": [{"billed_charge": 760.0, "npi": [1578587531]}]}, {"allowed_amount": 774.55, "providers": [{"billed_charge": 760.0, "npi": [1326072117]}]}, {"allowed_amount": 786.29, "providers": [{"billed_charge": 760.0, "npi": [1508811340, 1992190334]}]}, {"allowed_amount": 873.6, "providers": [{"billed_charge": 760.0, "npi": [1548284045]}]}, {"allowed_amount": 878.06, "providers": [{"billed_charge": 760.0, "npi": [1750620357]}]}, {"allowed_amount": 1011.59, "providers": [{"billed_charge": 760.0, "npi": [1750620357]}]}, {"allowed_amount": 1147.9, "providers": [{"billed_charge": 760.0, "npi": [1992190334]}]}]}, {"tin": {"type": "ein", "value": "873419136"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.48, "providers": [{"billed_charge": 288.0, "npi": [1780200311]}]}]}]}, {"name": "Initial nursing facility 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": "99306", "billing_code_type_version": "2022", "description": "INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "204025746"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 244.0, "providers": [{"billed_charge": 244.0, "npi": [1427054055]}]}]}, {"tin": {"type": "ein", "value": "274844323"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 197.55, "providers": [{"billed_charge": 320.0, "npi": [1134328214]}]}]}, {"tin": {"type": "ein", "value": "334828438"}, "billing_class": "professional", "service_codes": ["32"], "payments": [{"allowed_amount": 456.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 456.0, "npi": [1881360345]}]}]}, {"tin": {"type": "ein", "value": "393776100"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 249.83, "providers": [{"billed_charge": 254.0, "npi": [1396106811, 1972256667, 1750079497]}]}]}, {"tin": {"type": "ein", "value": "510602325"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1720068174]}]}]}, {"tin": {"type": "ein", "value": "833973422"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 249.83, "providers": [{"billed_charge": 284.0, "npi": [1356833032]}]}]}, {"tin": {"type": "ein", "value": "843432779"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 208.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1245437425]}]}]}, {"tin": {"type": "ein", "value": "850838487"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 249.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 270.0, "npi": [1295216554]}]}]}, {"tin": {"type": "ein", "value": "873189230"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 301.81, "providers": [{"billed_charge": 366.0, "npi": [1477571883]}]}]}, {"tin": {"type": "ein", "value": "921195375"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 176.67, "providers": [{"billed_charge": 267.0, "npi": [1497375216]}]}]}, {"tin": {"type": "ein", "value": "931562308"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 202.37, "providers": [{"billed_charge": 270.0, "npi": [1730450859]}]}]}, {"tin": {"type": "ein", "value": "932147687"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 194.14, "providers": [{"billed_charge": 546.9, "npi": [1265962500]}]}]}, {"tin": {"type": "ein", "value": "932258943"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 274.7, "providers": [{"billed_charge": 274.7, "npi": [1740789924]}]}]}]}, {"name": "Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed", "billing_code_type": "CPT", "billing_code": "64447", "billing_code_type_version": "2022", "description": "INJECTION AA&/STRD FEMORAL NERVE W/IMG GDN", "allowed_amounts": [{"tin": {"type": "ein", "value": "461743879"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 460.86, "providers": [{"billed_charge": 960.0, "npi": [1609019892]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 474.76, "providers": [{"billed_charge": 1571.47, "npi": [1689106171]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 221.93, "providers": [{"billed_charge": 368.64, "npi": [1548672074]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 460.86, "providers": [{"billed_charge": 812.66, "npi": [1518426782]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "24", "22"], "payments": [{"allowed_amount": 54.66, "providers": [{"billed_charge": 1666.0, "npi": [1134717283]}]}, {"allowed_amount": 214.17, "providers": [{"billed_charge": 1666.0, "npi": [1508842782]}]}, {"allowed_amount": 221.93, "providers": [{"billed_charge": 1666.0, "npi": [1528388097, 1437441607, 1619951696, 1861404501, 1063415925]}]}, {"allowed_amount": 228.8, "providers": [{"billed_charge": 1666.0, "npi": [1619063336, 1548273154, 1548593197, 1093275703]}]}, {"allowed_amount": 230.43, "providers": [{"billed_charge": 1666.0, "npi": [1235457839]}]}, {"allowed_amount": 239.6, "providers": [{"billed_charge": 1666.0, "npi": [1982624243, 1134118045]}]}, {"allowed_amount": 428.34, "providers": [{"billed_charge": 1666.0, "npi": [1043505704]}]}, {"allowed_amount": 434.22, "providers": [{"billed_charge": 1666.0, "npi": [1952805236]}]}, {"allowed_amount": 443.87, "providers": [{"billed_charge": 1666.0, "npi": [1437177508, 1366707861, 1598851750]}]}]}, {"tin": {"type": "ein", "value": "800751621"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 230.43, "providers": [{"billed_charge": 2807.0, "npi": [1437619806]}]}]}, {"tin": {"type": "ein", "value": "850709838"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 230.43, "providers": [{"billed_charge": 2194.0, "npi": [1760846562]}]}]}, {"tin": {"type": "ein", "value": "850869895"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.87, "providers": [{"billed_charge": 300.0, "npi": [1235288341]}]}, {"allowed_amount": 155.92, "providers": [{"billed_charge": 300.0, "npi": [1205856838]}]}]}, {"tin": {"type": "ein", "value": "854230695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.66, "providers": [{"billed_charge": 595.0, "npi": [1073318820]}]}]}]}, {"name": "Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg", "billing_code_type": "CPT", "billing_code": "J0134", "billing_code_type_version": "2022", "description": "Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.37, "providers": [{"billed_charge": 0.82, "npi": [1821011248]}]}]}]}, {"name": "Injection, cefazolin sodium, 500 mg", "billing_code_type": "CPT", "billing_code": "J0690", "billing_code_type_version": "2022", "description": "Injection, cefazolin sodium, 500 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.88, "providers": [{"billed_charge": 102.5, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.85, "providers": [{"billed_charge": 5.29, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.07, "providers": [{"billed_charge": 4.61, "npi": [1821011248]}]}, {"allowed_amount": 2.19, "providers": [{"billed_charge": 4.86, "npi": [1821011248]}]}, {"allowed_amount": 3.27, "providers": [{"billed_charge": 7.28, "npi": [1821011248]}]}, {"allowed_amount": 3.28, "providers": [{"billed_charge": 7.29, "npi": [1821011248]}]}, {"allowed_amount": 3.61, "providers": [{"billed_charge": 8.03, "npi": [1821011248]}]}]}]}, {"name": "Injection, ceftriaxone sodium, per 250 mg", "billing_code_type": "CPT", "billing_code": "J0696", "billing_code_type_version": "2022", "description": "Injection, ceftriaxone sodium, per 250 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "208421073"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 0.85, "providers": [{"billed_charge": 5.0, "npi": [1932311958]}]}]}, {"tin": {"type": "ein", "value": "352276788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.84, "providers": [{"billed_charge": 100.0, "npi": [1942270400]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.5, "providers": [{"billed_charge": 25.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "473850768"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 0.55, "providers": [{"billed_charge": 10.0, "npi": [1295979136]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 640.35, "providers": [{"billed_charge": 9.88, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.78, "providers": [{"billed_charge": 139.38, "npi": [1770536120]}]}, {"allowed_amount": 54.08, "providers": [{"billed_charge": 154.5, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.94, "providers": [{"billed_charge": 14.13, "npi": [1124074273, 1376071530, 1659525236]}]}, {"allowed_amount": 8.31, "providers": [{"billed_charge": 23.76, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 8.32, "providers": [{"billed_charge": 23.76, "npi": [1124074273, 1376071530, 1659525236]}]}, {"allowed_amount": 16.64, "providers": [{"billed_charge": 47.52, "npi": [1124074273]}]}, {"allowed_amount": 71.02, "providers": [{"billed_charge": 202.92, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.15, "providers": [{"billed_charge": 2.54, "npi": [1821011248]}]}, {"allowed_amount": 1.98, "providers": [{"billed_charge": 4.4, "npi": [1821011248]}]}, {"allowed_amount": 26.18, "providers": [{"billed_charge": 58.19, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "813564692"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.85, "providers": [{"billed_charge": 20.0, "npi": [1255499943]}]}]}]}, {"name": "Injection, dexamethasone sodium phosphate, 1 mg", "billing_code_type": "CPT", "billing_code": "J1100", "billing_code_type_version": "2022", "description": "Injection, dexamethasone sodium phosphate, 1 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "205431785"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 5.0, "npi": [1225368319]}]}]}, {"tin": {"type": "ein", "value": "264104591"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.17, "providers": [{"billed_charge": 2.5, "npi": [1437680113]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 0.15, "providers": [{"billed_charge": 1.0, "npi": [1407969140]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.19, "providers": [{"billed_charge": 1.0, "npi": [1619506532]}]}]}, {"tin": {"type": "ein", "value": "384081838"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 1.0, "npi": [1417435827]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.0, "providers": [{"billed_charge": 66.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "473850768"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 0.13, "providers": [{"billed_charge": 10.0, "npi": [1295979136]}]}]}, {"tin": {"type": "ein", "value": "474066242"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.33, "providers": [{"billed_charge": 32.0, "npi": [1265796528]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.03, "providers": [{"billed_charge": 5.8, "npi": [1770536120]}]}, {"allowed_amount": 5.42, "providers": [{"billed_charge": 15.5, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.12, "providers": [{"billed_charge": 0.34, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 0.49, "providers": [{"billed_charge": 1.42, "npi": [1124074273]}]}, {"allowed_amount": 0.51, "providers": [{"billed_charge": 1.45, "npi": [1124074273]}]}, {"allowed_amount": 1.54, "providers": [{"billed_charge": 4.41, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742766753"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 0.19, "providers": [{"billed_charge": 0.5, "npi": [1508978214]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.52, "providers": [{"billed_charge": 1.16, "npi": [1821011248]}]}, {"allowed_amount": 0.82, "providers": [{"billed_charge": 1.82, "npi": [1821011248]}, {"billed_charge": 1.83, "npi": [1821011248]}]}, {"allowed_amount": 0.88, "providers": [{"billed_charge": 1.95, "npi": [1821011248]}]}, {"allowed_amount": 1.33, "providers": [{"billed_charge": 2.95, "npi": [1821011248]}]}, {"allowed_amount": 2.17, "providers": [{"billed_charge": 4.83, "npi": [1821011248]}]}, {"allowed_amount": 2.62, "providers": [{"billed_charge": 5.83, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752896138"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.15, "providers": [{"billed_charge": 5.0, "npi": [1326312026]}]}]}, {"tin": {"type": "ein", "value": "813564692"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.19, "providers": [{"billed_charge": 5.0, "npi": [1255499943]}]}]}]}, {"name": "Injection, diphenhydramine hcl, up to 50 mg", "billing_code_type": "CPT", "billing_code": "J1200", "billing_code_type_version": "2022", "description": "Injection, diphenhydramine hcl, up to 50 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "340714461"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.7, "providers": [{"billed_charge": 3.23, "npi": [1225128432]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.1, "providers": [{"billed_charge": 46.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.5, "providers": [{"billed_charge": 18.58, "npi": [1124074273]}]}, {"allowed_amount": 6.75, "providers": [{"billed_charge": 19.29, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.93, "providers": [{"billed_charge": 6.5, "npi": [1821011248]}]}, {"allowed_amount": 2.95, "providers": [{"billed_charge": 6.55, "npi": [1821011248]}]}, {"allowed_amount": 3.4, "providers": [{"billed_charge": 7.55, "npi": [1821011248]}]}, {"allowed_amount": 4.5, "providers": [{"billed_charge": 10.0, "npi": [1821011248]}]}, {"allowed_amount": 5.42, "providers": [{"billed_charge": 12.05, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.0, "providers": [{"billed_charge": 43.0, "npi": [1992753222]}]}]}]}, {"name": "Injection, droperidol, up to 5 mg", "billing_code_type": "CPT", "billing_code": "J1790", "billing_code_type_version": "2022", "description": "Injection, droperidol, up to 5 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "270492434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.82, "providers": [{"billed_charge": 51.65, "npi": [1427048453]}]}]}, {"tin": {"type": "ein", "value": "300688582"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 23.34, "providers": [{"billed_charge": 152.0, "npi": [1750676870]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.4, "providers": [{"billed_charge": 64.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.07, "providers": [{"billed_charge": 97.33, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.95, "providers": [{"billed_charge": 11.0, "npi": [1821011248]}]}, {"allowed_amount": 8.53, "providers": [{"billed_charge": 18.95, "npi": [1821011248]}]}, {"allowed_amount": 15.71, "providers": [{"billed_charge": 34.9, "npi": [1821011248]}]}, {"allowed_amount": 30.06, "providers": [{"billed_charge": 66.8, "npi": [1821011248]}]}]}]}, {"name": "Injection, enoxaparin sodium, 10 mg", "billing_code_type": "CPT", "billing_code": "J1650", "billing_code_type_version": "2022", "description": "Injection, enoxaparin sodium, 10 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.5, "providers": [{"billed_charge": 45.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.36, "providers": [{"billed_charge": 86.75, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.44, "providers": [{"billed_charge": 4.12, "npi": [1124074273, 1659525236]}, {"billed_charge": 4.13, "npi": [1659525236]}]}, {"allowed_amount": 1.57, "providers": [{"billed_charge": 4.49, "npi": [1124074273]}]}, {"allowed_amount": 3.37, "providers": [{"billed_charge": 9.61, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 9.01, "providers": [{"billed_charge": 25.75, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.5, "providers": [{"billed_charge": 10.0, "npi": [1821011248]}]}, {"allowed_amount": 6.48, "providers": [{"billed_charge": 14.4, "npi": [1821011248]}]}, {"allowed_amount": 6.62, "providers": [{"billed_charge": 14.71, "npi": [1821011248]}]}, {"allowed_amount": 6.73, "providers": [{"billed_charge": 14.97, "npi": [1821011248]}]}, {"allowed_amount": 6.74, "providers": [{"billed_charge": 14.97, "npi": [1821011248]}]}]}]}, {"name": "Injection, famotidine, 0.25 mg", "billing_code_type": "CPT", "billing_code": "J1308", "billing_code_type_version": "2022", "description": "Injection, famotidine, 0.25 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.2, "providers": [{"billed_charge": 0.56, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.02, "providers": [{"billed_charge": 0.07, "npi": [1124074273]}]}, {"allowed_amount": 0.03, "providers": [{"billed_charge": 0.07, "npi": [1124074273]}]}]}]}, {"name": "Injection, fentanyl citrate, 0.1 mg", "billing_code_type": "CPT", "billing_code": "J3010", "billing_code_type_version": "2022", "description": "Injection, fentanyl citrate, 0.1 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "300688582"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 3.86, "providers": [{"billed_charge": 105.0, "npi": [1750676870]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.35, "providers": [{"billed_charge": 21.0, "npi": [1770536120]}]}, {"allowed_amount": 35.7, "providers": [{"billed_charge": 102.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.54, "providers": [{"billed_charge": 4.4, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 3.15, "providers": [{"billed_charge": 8.99, "npi": [1124074273, 1376071530, 1659525236]}]}, {"allowed_amount": 4.96, "providers": [{"billed_charge": 14.16, "npi": [1124074273, 1376071530, 1659525236]}]}, {"allowed_amount": 7.69, "providers": [{"billed_charge": 21.96, "npi": [1124074273]}]}, {"allowed_amount": 9.91, "providers": [{"billed_charge": 28.32, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.09, "providers": [{"billed_charge": 11.3, "npi": [1821011248]}]}, {"allowed_amount": 6.05, "providers": [{"billed_charge": 13.45, "npi": [1821011248]}]}, {"allowed_amount": 7.9, "providers": [{"billed_charge": 17.55, "npi": [1821011248]}]}, {"allowed_amount": 9.04, "providers": [{"billed_charge": 20.08, "npi": [1821011248]}]}, {"allowed_amount": 9.6, "providers": [{"billed_charge": 21.32, "npi": [1821011248]}]}, {"allowed_amount": 9.83, "providers": [{"billed_charge": 21.85, "npi": [1821011248]}]}, {"allowed_amount": 12.42, "providers": [{"billed_charge": 27.6, "npi": [1821011248]}]}, {"allowed_amount": 13.55, "providers": [{"billed_charge": 30.1, "npi": [1821011248]}]}]}]}, {"name": "Injection, furosemide, 1 mg", "billing_code_type": "CPT", "billing_code": "J1938", "billing_code_type_version": "2022", "description": "Injection, furosemide, 1 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.88, "providers": [{"billed_charge": 7.5, "npi": [1205164928]}]}, {"allowed_amount": 11.76, "providers": [{"billed_charge": 15.0, "npi": [1205164928]}]}, {"allowed_amount": 12.86, "providers": [{"billed_charge": 16.4, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.25, "providers": [{"billed_charge": 0.48, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.27, "providers": [{"billed_charge": 0.78, "npi": [1770536120]}]}, {"allowed_amount": 0.84, "providers": [{"billed_charge": 2.4, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.11, "providers": [{"billed_charge": 0.32, "npi": [1124074273]}]}, {"allowed_amount": 0.18, "providers": [{"billed_charge": 0.5, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.11, "providers": [{"billed_charge": 0.24, "npi": [1821011248]}]}, {"allowed_amount": 0.13, "providers": [{"billed_charge": 0.28, "npi": [1821011248]}]}, {"allowed_amount": 0.16, "providers": [{"billed_charge": 0.35, "npi": [1821011248]}]}]}]}, {"name": "Injection, heparin sodium, per 1000 units", "billing_code_type": "CPT", "billing_code": "J1644", "billing_code_type_version": "2022", "description": "Injection, heparin sodium, per 1000 units", "allowed_amounts": [{"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 1.51, "npi": [1124074273]}]}, {"allowed_amount": 1.87, "providers": [{"billed_charge": 5.33, "npi": [1124074273]}]}, {"allowed_amount": 38.66, "providers": [{"billed_charge": 110.45, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.98, "providers": [{"billed_charge": 4.4, "npi": [1821011248]}]}]}]}, {"name": "Injection, hydralazine hcl, up to 20 mg", "billing_code_type": "CPT", "billing_code": "J0360", "billing_code_type_version": "2022", "description": "Injection, hydralazine hcl, up to 20 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 269.15, "providers": [{"billed_charge": 769.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.64, "providers": [{"billed_charge": 96.11, "npi": [1124074273, 1659525236]}]}]}]}, {"name": "Injection, hydromorphone, 0.1 mg", "billing_code_type": "CPT", "billing_code": "J1171", "billing_code_type_version": "2022", "description": "Injection, hydromorphone, 0.1 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.5, "providers": [{"billed_charge": 7.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.31, "providers": [{"billed_charge": 6.6, "npi": [1770536120]}]}, {"allowed_amount": 3.29, "providers": [{"billed_charge": 9.4, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.44, "providers": [{"billed_charge": 1.27, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 0.45, "providers": [{"billed_charge": 1.27, "npi": [1124074273]}]}, {"allowed_amount": 0.89, "providers": [{"billed_charge": 2.54, "npi": [1124074273]}]}, {"allowed_amount": 1.43, "providers": [{"billed_charge": 4.07, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 5.76, "providers": [{"billed_charge": 16.45, "npi": [1124074273]}, {"billed_charge": 16.48, "npi": [1124074273]}]}, {"allowed_amount": 5.77, "providers": [{"billed_charge": 16.47, "npi": [1124074273]}, {"billed_charge": 16.48, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.93, "providers": [{"billed_charge": 2.06, "npi": [1821011248]}]}, {"allowed_amount": 1.08, "providers": [{"billed_charge": 2.4, "npi": [1821011248]}]}, {"allowed_amount": 1.27, "providers": [{"billed_charge": 2.81, "npi": [1821011248]}]}, {"allowed_amount": 1.35, "providers": [{"billed_charge": 2.99, "npi": [1821011248]}]}, {"allowed_amount": 1.44, "providers": [{"billed_charge": 3.21, "npi": [1821011248]}]}, {"allowed_amount": 1.5, "providers": [{"billed_charge": 3.32, "npi": [1821011248]}]}, {"allowed_amount": 1.69, "providers": [{"billed_charge": 3.75, "npi": [1821011248]}]}, {"allowed_amount": 1.88, "providers": [{"billed_charge": 4.17, "npi": [1821011248]}]}, {"allowed_amount": 3.12, "providers": [{"billed_charge": 6.93, "npi": [1821011248]}]}, {"allowed_amount": 3.19, "providers": [{"billed_charge": 7.1, "npi": [1821011248]}]}, {"allowed_amount": 3.25, "providers": [{"billed_charge": 7.22, "npi": [1821011248]}]}, {"allowed_amount": 3.35, "providers": [{"billed_charge": 7.43, "npi": [1821011248]}]}, {"allowed_amount": 3.42, "providers": [{"billed_charge": 7.6, "npi": [1821011248]}]}, {"allowed_amount": 3.53, "providers": [{"billed_charge": 7.85, "npi": [1821011248]}]}, {"allowed_amount": 4.09, "providers": [{"billed_charge": 9.1, "npi": [1821011248]}]}, {"allowed_amount": 4.61, "providers": [{"billed_charge": 10.25, "npi": [1821011248]}]}, {"allowed_amount": 4.93, "providers": [{"billed_charge": 10.96, "npi": [1821011248]}]}, {"allowed_amount": 5.17, "providers": [{"billed_charge": 11.5, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "952321136"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.35, "providers": [{"billed_charge": 41.0, "npi": [1306890389]}]}]}]}, {"name": "Injection, insulin, per 5 units", "billing_code_type": "CPT", "billing_code": "J1815", "billing_code_type_version": "2022", "description": "Injection, insulin, per 5 units", "allowed_amounts": [{"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.57, "providers": [{"billed_charge": 4.5, "npi": [1770536120]}]}, {"allowed_amount": 1.58, "providers": [{"billed_charge": 4.5, "npi": [1770536120]}]}, {"allowed_amount": 1.84, "providers": [{"billed_charge": 5.25, "npi": [1770536120]}]}, {"allowed_amount": 3.24, "providers": [{"billed_charge": 9.25, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.24, "providers": [{"billed_charge": 3.54, "npi": [1124074273]}]}, {"allowed_amount": 1.34, "providers": [{"billed_charge": 3.84, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 1.67, "providers": [{"billed_charge": 4.76, "npi": [1124074273]}]}, {"allowed_amount": 1.79, "providers": [{"billed_charge": 5.13, "npi": [1124074273]}]}, {"allowed_amount": 1.8, "providers": [{"billed_charge": 5.13, "npi": [1124074273]}]}, {"allowed_amount": 2.78, "providers": [{"billed_charge": 7.95, "npi": [1124074273]}]}, {"allowed_amount": 2.79, "providers": [{"billed_charge": 7.95, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.21, "providers": [{"billed_charge": 2.69, "npi": [1821011248]}]}, {"allowed_amount": 1.32, "providers": [{"billed_charge": 2.92, "npi": [1821011248]}]}, {"allowed_amount": 1.33, "providers": [{"billed_charge": 2.95, "npi": [1821011248]}]}, {"allowed_amount": 1.43, "providers": [{"billed_charge": 3.18, "npi": [1821011248]}]}, {"allowed_amount": 1.66, "providers": [{"billed_charge": 3.67, "npi": [1821011248]}]}, {"allowed_amount": 2.25, "providers": [{"billed_charge": 5.0, "npi": [1821011248]}]}, {"allowed_amount": 2.34, "providers": [{"billed_charge": 5.2, "npi": [1821011248]}]}, {"allowed_amount": 5.29, "providers": [{"billed_charge": 11.75, "npi": [1821011248]}]}]}]}, {"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": "132655001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 3.06, "npi": [1043224355]}]}]}, {"tin": {"type": "ein", "value": "150532221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 4.63, "npi": [1629087580]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 9.1, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "202848116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.51, "providers": [{"billed_charge": 17.1, "npi": [1629138029]}]}, {"allowed_amount": 0.52, "providers": [{"billed_charge": 2.5, "npi": [1629138029]}]}]}, {"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.78, "providers": [{"billed_charge": 2.1, "npi": [1265568638]}, {"billed_charge": 2.76, "npi": [1265568638]}]}, {"allowed_amount": 0.8, "providers": [{"billed_charge": 2.1, "npi": [1144566316]}]}, {"allowed_amount": 0.86, "providers": [{"billed_charge": 2.76, "npi": [1265568638]}, {"billed_charge": 5.25, "npi": [1144566316]}]}]}, {"tin": {"type": "ein", "value": "205432782"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.65, "providers": [{"billed_charge": 5.7, "npi": [1710097936]}]}, {"allowed_amount": 0.7, "providers": [{"billed_charge": 10.0, "npi": [1710097936]}]}]}, {"tin": {"type": "ein", "value": "205908627"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 36.5, "npi": [1851390967]}]}]}, {"tin": {"type": "ein", "value": "208737126"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 78.8, "npi": [1104086941]}]}, {"allowed_amount": 0.87, "providers": [{"billed_charge": 78.8, "npi": [1104086941]}]}]}, {"tin": {"type": "ein", "value": "210634532"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.52, "providers": [{"billed_charge": 13.1, "npi": [1528064409]}]}]}, {"tin": {"type": "ein", "value": "233044530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.02, "providers": [{"billed_charge": 140.0, "npi": [1770579591]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 1.47, "npi": [1205018439]}, {"billed_charge": 2.1, "npi": [1205018439]}, {"billed_charge": 2.73, "npi": [1205018439]}]}, {"allowed_amount": 0.51, "providers": [{"billed_charge": 4.74, "npi": [1205018439]}, {"billed_charge": 5.46, "npi": [1205018439]}, {"billed_charge": 22.5, "npi": [1205018439]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 2.1, "npi": [1205018439]}, {"billed_charge": 2.76, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "260684968"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 10.0, "npi": [1902047376]}]}, {"allowed_amount": 0.51, "providers": [{"billed_charge": 10.0, "npi": [1902047376]}, {"billed_charge": 11.38, "npi": [1902047376]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 56.0, "npi": [1659559573]}]}, {"allowed_amount": 0.54, "providers": [{"billed_charge": 30.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "263075429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.77, "providers": [{"billed_charge": 9.28, "npi": [1558659714]}, {"billed_charge": 10.8, "npi": [1558659714]}]}]}, {"tin": {"type": "ein", "value": "270492434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.82, "providers": [{"billed_charge": 38.0, "npi": [1427048453]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.51, "providers": [{"billed_charge": 12.12, "npi": [1861690364]}]}, {"allowed_amount": 0.52, "providers": [{"billed_charge": 10.5, "npi": [1861690364]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 10.5, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "300427437"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 56.75, "npi": [1184868879]}]}]}, {"tin": {"type": "ein", "value": "332476324"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 9.27, "npi": [1114731064]}]}]}, {"tin": {"type": "ein", "value": "333465465"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 53.67, "npi": [1831995950]}]}]}, {"tin": {"type": "ein", "value": "333807317"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.02, "providers": [{"billed_charge": 59.53, "npi": [1083586747]}]}]}, {"tin": {"type": "ein", "value": "334253489"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.93, "providers": [{"billed_charge": 7.2, "npi": [1518752302]}]}, {"allowed_amount": 1.02, "providers": [{"billed_charge": 7.2, "npi": [1518752302]}]}]}, {"tin": {"type": "ein", "value": "334253563"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 7.2, "npi": [1225825946]}]}]}, {"tin": {"type": "ein", "value": "334308192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.93, "providers": [{"billed_charge": 7.2, "npi": [1932094976]}]}, {"allowed_amount": 1.01, "providers": [{"billed_charge": 7.2, "npi": [1932094976]}]}, {"allowed_amount": 1.02, "providers": [{"billed_charge": 7.2, "npi": [1932094976]}]}]}, {"tin": {"type": "ein", "value": "334308303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.92, "providers": [{"billed_charge": 7.2, "npi": [1174310841]}]}, {"allowed_amount": 1.01, "providers": [{"billed_charge": 7.2, "npi": [1174310841]}]}, {"allowed_amount": 1.02, "providers": [{"billed_charge": 7.2, "npi": [1174310841]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.93, "providers": [{"billed_charge": 7.2, "npi": [1801681606]}]}, {"allowed_amount": 1.01, "providers": [{"billed_charge": 7.2, "npi": [1801681606]}]}, {"allowed_amount": 1.02, "providers": [{"billed_charge": 7.2, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "334335561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.93, "providers": [{"billed_charge": 7.2, "npi": [1952295164]}]}, {"allowed_amount": 1.01, "providers": [{"billed_charge": 7.2, "npi": [1952295164]}]}]}, {"tin": {"type": "ein", "value": "340714461"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.7, "providers": [{"billed_charge": 3.23, "npi": [1225128432]}]}]}, {"tin": {"type": "ein", "value": "340714684"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 9.5, "npi": [1194763045]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 4.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "430653493"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 11.0, "npi": [1427098169]}]}]}, {"tin": {"type": "ein", "value": "431527130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.42, "providers": [{"billed_charge": 1.2, "npi": [1831107895]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.51, "providers": [{"billed_charge": 17.1, "npi": [1003883158]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 10.0, "npi": [1003883158]}, {"billed_charge": 14.89, "npi": [1003883158]}, {"billed_charge": 17.1, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.75, "providers": [{"billed_charge": 14.45, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 10.0, "npi": [1215296884]}, {"billed_charge": 17.1, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "452528414"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.85, "providers": [{"billed_charge": 37.28, "npi": [1972585347]}]}]}, {"tin": {"type": "ein", "value": "452662980"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.98, "providers": [{"billed_charge": 53.0, "npi": [1154618742]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 8.82, "npi": [1033120423]}, {"billed_charge": 23.19, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "461523194"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.2, "providers": [{"billed_charge": 130.5, "npi": [1457690471]}]}]}, {"tin": {"type": "ein", "value": "463017479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 3.32, "npi": [1538508635]}]}]}, {"tin": {"type": "ein", "value": "464007700"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.86, "providers": [{"billed_charge": 2.1, "npi": [1396138970]}]}]}, {"tin": {"type": "ein", "value": "464084062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 89.46, "npi": [1669872610]}]}]}, {"tin": {"type": "ein", "value": "464125750"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 32.0, "npi": [1457748238]}]}]}, {"tin": {"type": "ein", "value": "464389870"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 26.0, "npi": [1952723967]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 34.2, "npi": [1790174860]}]}, {"allowed_amount": 0.51, "providers": [{"billed_charge": 34.2, "npi": [1790174860]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 10.5, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "472616215"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 50.0, "npi": [1922468156]}]}]}, {"tin": {"type": "ein", "value": "473637912"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.86, "providers": [{"billed_charge": 94.0, "npi": [1215449954]}]}]}, {"tin": {"type": "ein", "value": "473918725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 35.0, "npi": [1205212313]}]}]}, {"tin": {"type": "ein", "value": "474717998"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 33.0, "npi": [1104295864]}]}]}, {"tin": {"type": "ein", "value": "540696355"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.05, "providers": [{"billed_charge": 30.0, "npi": [1417005760]}]}]}, {"tin": {"type": "ein", "value": "541547408"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.05, "providers": [{"billed_charge": 7.44, "npi": [1629038336]}]}]}, {"tin": {"type": "ein", "value": "571098556"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 12.0, "npi": [1841914298]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.67, "providers": [{"billed_charge": 32.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.74, "providers": [{"billed_charge": 3.17, "npi": [1225034333]}, {"billed_charge": 18.92, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "590724459"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.6, "providers": [{"billed_charge": 24.0, "npi": [1306938071]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.51, "providers": [{"billed_charge": 57.98, "npi": [1144274226]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 57.98, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "621762526"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 54.82, "npi": [1790722346]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 42.23, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "731605613"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.4, "providers": [{"billed_charge": 11.23, "npi": [1306865357]}, {"billed_charge": 161.23, "npi": [1306865357]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 11.4, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "741100555"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 15.96, "npi": [1477643690]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.86, "providers": [{"billed_charge": 43.25, "npi": [1093810327, 1164526786, 1578780870, 1619115383]}]}, {"allowed_amount": 0.87, "providers": [{"billed_charge": 33.75, "npi": [1750499273, 1164526786]}, {"billed_charge": 36.92, "npi": [1164526786]}, {"billed_charge": 43.25, "npi": [1164526786]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.78, "providers": [{"billed_charge": 84.99, "npi": [1447883301]}]}, {"allowed_amount": 0.86, "providers": [{"billed_charge": 84.99, "npi": [1447883301]}, {"billed_charge": 97.29, "npi": [1447883301]}]}, {"allowed_amount": 0.87, "providers": [{"billed_charge": 59.37, "npi": [1447883301]}]}, {"allowed_amount": 0.92, "providers": [{"billed_charge": 26.48, "npi": [1194787218]}, {"billed_charge": 27.45, "npi": [1194787218]}, {"billed_charge": 44.06, "npi": [1194787218]}]}, {"allowed_amount": 0.93, "providers": [{"billed_charge": 13.24, "npi": [1194787218]}, {"billed_charge": 25.61, "npi": [1194787218]}, {"billed_charge": 26.48, "npi": [1194787218]}]}, {"allowed_amount": 1.01, "providers": [{"billed_charge": 25.39, "npi": [1194787218]}, {"billed_charge": 26.48, "npi": [1194787218]}, {"billed_charge": 27.45, "npi": [1194787218, 1780867390, 1821004151]}, {"billed_charge": 44.06, "npi": [1194787218]}]}, {"allowed_amount": 1.02, "providers": [{"billed_charge": 13.24, "npi": [1194787218, 1780867390]}, {"billed_charge": 20.86, "npi": [1780867390]}, {"billed_charge": 25.39, "npi": [1194787218]}, {"billed_charge": 25.61, "npi": [1194787218]}, {"billed_charge": 31.68, "npi": [1780867390]}]}]}, {"tin": {"type": "ein", "value": "741166904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.86, "providers": [{"billed_charge": 6.06, "npi": [1477516466]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.49, "providers": [{"billed_charge": 13.0, "npi": [1548387418]}, {"billed_charge": 27.25, "npi": [1548387418]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 26.0, "npi": [1548387418]}]}, {"allowed_amount": 0.54, "providers": [{"billed_charge": 13.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.92, "providers": [{"billed_charge": 12.0, "npi": [1720088123]}]}, {"allowed_amount": 1.02, "providers": [{"billed_charge": 2.5, "npi": [1720088123]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.48, "providers": [{"billed_charge": 9.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.73, "providers": [{"billed_charge": 5.25, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.41, "providers": [{"billed_charge": 9.75, "npi": [1770536120]}]}, {"allowed_amount": 6.83, "providers": [{"billed_charge": 19.5, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.72, "providers": [{"billed_charge": 4.9, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 6.55, "providers": [{"billed_charge": 18.73, "npi": [1124074273, 1376071530]}]}, {"allowed_amount": 6.56, "providers": [{"billed_charge": 18.73, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 6.71, "providers": [{"billed_charge": 19.19, "npi": [1124074273]}]}, {"allowed_amount": 6.72, "providers": [{"billed_charge": 19.19, "npi": [1124074273]}]}, {"allowed_amount": 7.11, "providers": [{"billed_charge": 20.31, "npi": [1124074273, 1659525236]}, {"billed_charge": 20.32, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742766753"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 0.6, "providers": [{"billed_charge": 1.5, "npi": [1508978214]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 14.05, "npi": [1619747938, 1316936990]}, {"billed_charge": 15.6, "npi": [1619747938]}]}, {"allowed_amount": 0.77, "providers": [{"billed_charge": 9.0, "npi": [1316936990]}, {"billed_charge": 14.05, "npi": [1316936990]}]}, {"allowed_amount": 0.78, "providers": [{"billed_charge": 14.05, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.75, "providers": [{"billed_charge": 3.9, "npi": [1821011248]}]}, {"allowed_amount": 3.04, "providers": [{"billed_charge": 6.75, "npi": [1821011248]}]}, {"allowed_amount": 3.71, "providers": [{"billed_charge": 8.25, "npi": [1821011248]}]}, {"allowed_amount": 4.09, "providers": [{"billed_charge": 9.1, "npi": [1821011248]}]}, {"allowed_amount": 4.1, "providers": [{"billed_charge": 9.1, "npi": [1821011248]}]}, {"allowed_amount": 8.37, "providers": [{"billed_charge": 18.6, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.51, "providers": [{"billed_charge": 75.0, "npi": [1194743013]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 37.5, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 10.0, "npi": [1174533343]}, {"billed_charge": 11.38, "npi": [1174533343]}, {"billed_charge": 17.1, "npi": [1174533343]}]}, {"allowed_amount": 0.72, "providers": [{"billed_charge": 5.0, "npi": [1174533343]}]}, {"allowed_amount": 0.73, "providers": [{"billed_charge": 10.0, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.65, "providers": [{"billed_charge": 3.64, "npi": [1669472387]}]}, {"allowed_amount": 0.71, "providers": [{"billed_charge": 3.64, "npi": [1669472387]}, {"billed_charge": 6.06, "npi": [1669472387]}, {"billed_charge": 7.68, "npi": [1669472387]}]}, {"allowed_amount": 0.72, "providers": [{"billed_charge": 6.06, "npi": [1669472387]}, {"billed_charge": 17.1, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 10.0, "npi": [1396779948]}]}, {"allowed_amount": 0.51, "providers": [{"billed_charge": 10.0, "npi": [1396779948]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 5.0, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751188675"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.5, "providers": [{"billed_charge": 2.5, "npi": [1396748471]}]}]}, {"tin": {"type": "ein", "value": "751277293"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.51, "providers": [{"billed_charge": 12.25, "npi": [1598750721]}]}]}, {"tin": {"type": "ein", "value": "751301362"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 7.7, "npi": [1821087164]}]}, {"allowed_amount": 0.77, "providers": [{"billed_charge": 7.7, "npi": [1821087164]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 17.1, "npi": [1104845015]}]}, {"allowed_amount": 0.72, "providers": [{"billed_charge": 5.0, "npi": [1104845015]}, {"billed_charge": 13.0, "npi": [1104845015]}]}, {"allowed_amount": 0.73, "providers": [{"billed_charge": 5.0, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.66, "providers": [{"billed_charge": 5.0, "npi": [1508899204]}]}, {"allowed_amount": 0.71, "providers": [{"billed_charge": 10.0, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.66, "providers": [{"billed_charge": 2.1, "npi": [1073511762]}]}, {"allowed_amount": 0.71, "providers": [{"billed_charge": 2.1, "npi": [1073511762]}, {"billed_charge": 2.76, "npi": [1073511762]}, {"billed_charge": 3.19, "npi": [1073511762]}, {"billed_charge": 5.25, "npi": [1073511762]}, {"billed_charge": 5.93, "npi": [1073511762]}]}, {"allowed_amount": 0.72, "providers": [{"billed_charge": 5.25, "npi": [1073511762]}, {"billed_charge": 19.59, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 3.64, "npi": [1447250253]}, {"billed_charge": 5.46, "npi": [1447250253]}, {"billed_charge": 15.0, "npi": [1447250253]}, {"billed_charge": 22.5, "npi": [1447250253]}]}, {"allowed_amount": 0.51, "providers": [{"billed_charge": 3.64, "npi": [1447250253]}, {"billed_charge": 4.2, "npi": [1447250253]}, {"billed_charge": 5.46, "npi": [1447250253]}, {"billed_charge": 15.0, "npi": [1447250253]}, {"billed_charge": 22.5, "npi": [1447250253]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 3.64, "npi": [1447250253]}, {"billed_charge": 5.25, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 4.74, "npi": [1265430177]}]}, {"allowed_amount": 0.51, "providers": [{"billed_charge": 3.64, "npi": [1265430177]}, {"billed_charge": 4.74, "npi": [1265430177]}, {"billed_charge": 15.0, "npi": [1265430177]}, {"billed_charge": 22.5, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752522262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.56, "providers": [{"billed_charge": 23.0, "npi": [1952326977]}]}]}, {"tin": {"type": "ein", "value": "752559845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 13.0, "npi": [1992707228]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 2.76, "npi": [1992700983]}, {"billed_charge": 11.97, "npi": [1992700983]}, {"billed_charge": 17.1, "npi": [1992700983]}, {"billed_charge": 22.23, "npi": [1992700983]}]}, {"allowed_amount": 0.51, "providers": [{"billed_charge": 2.76, "npi": [1992700983]}, {"billed_charge": 3.19, "npi": [1992700983]}, {"billed_charge": 4.56, "npi": [1992700983]}, {"billed_charge": 4.69, "npi": [1992700983]}, {"billed_charge": 5.93, "npi": [1992700983]}, {"billed_charge": 11.97, "npi": [1992700983]}, {"billed_charge": 17.1, "npi": [1992700983]}, {"billed_charge": 22.23, "npi": [1992700983]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 2.76, "npi": [1992700983]}, {"billed_charge": 4.56, "npi": [1992700983]}, {"billed_charge": 4.68, "npi": [1992700983]}, {"billed_charge": 5.25, "npi": [1992700983]}, {"billed_charge": 17.1, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.65, "providers": [{"billed_charge": 10.0, "npi": [1417980202]}]}, {"allowed_amount": 0.71, "providers": [{"billed_charge": 10.0, "npi": [1417980202]}, {"billed_charge": 13.0, "npi": [1417980202]}, {"billed_charge": 14.89, "npi": [1417980202]}]}, {"allowed_amount": 0.72, "providers": [{"billed_charge": 5.0, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 10.0, "npi": [1770514077]}]}, {"allowed_amount": 0.51, "providers": [{"billed_charge": 10.0, "npi": [1770514077]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 5.0, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752771437"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 10.0, "npi": [1457382798]}]}, {"allowed_amount": 0.51, "providers": [{"billed_charge": 10.0, "npi": [1457382798]}]}]}, {"tin": {"type": "ein", "value": "752865177"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.51, "providers": [{"billed_charge": 7.75, "npi": [1922002674]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 7.75, "npi": [1922002674]}]}]}, {"tin": {"type": "ein", "value": "752932830"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.07, "providers": [{"billed_charge": 23.0, "npi": [1952333205]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 10.0, "npi": [1285798918]}]}, {"allowed_amount": 0.51, "providers": [{"billed_charge": 10.0, "npi": [1285798918]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 5.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.65, "providers": [{"billed_charge": 43.0, "npi": [1992753222]}]}, {"allowed_amount": 0.66, "providers": [{"billed_charge": 21.5, "npi": [1992753222]}, {"billed_charge": 43.0, "npi": [1992753222]}]}, {"allowed_amount": 0.71, "providers": [{"billed_charge": 43.0, "npi": [1992753222]}]}, {"allowed_amount": 0.72, "providers": [{"billed_charge": 14.33, "npi": [1992753222]}, {"billed_charge": 21.5, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 17.1, "npi": [1336172105]}]}, {"allowed_amount": 0.72, "providers": [{"billed_charge": 17.1, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 22.46, "npi": [1932123247]}]}, {"allowed_amount": 0.51, "providers": [{"billed_charge": 17.07, "npi": [1932123247]}, {"billed_charge": 22.46, "npi": [1932123247]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 17.07, "npi": [1932123247]}, {"billed_charge": 22.46, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760536234"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 56.25, "npi": [1942208616]}, {"billed_charge": 57.5, "npi": [1942208616]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.48, "providers": [{"billed_charge": 13.0, "npi": [1184179194, 1497871628]}]}, {"allowed_amount": 0.49, "providers": [{"billed_charge": 13.0, "npi": [1497871628]}, {"billed_charge": 27.25, "npi": [1083937593]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 13.0, "npi": [1497871628]}]}, {"allowed_amount": 0.54, "providers": [{"billed_charge": 13.0, "npi": [1184179194, 1497871628]}, {"billed_charge": 27.25, "npi": [1083937593, 1871619254]}, {"billed_charge": 88.25, "npi": [1083937593]}]}]}, {"tin": {"type": "ein", "value": "811407290"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 89.3, "npi": [1134654080]}]}]}, {"tin": {"type": "ein", "value": "811708177"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 78.39, "npi": [1033568621]}]}]}, {"tin": {"type": "ein", "value": "812527918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 32.0, "npi": [1396280756]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.78, "providers": [{"billed_charge": 2.1, "npi": [1346729159]}]}, {"allowed_amount": 0.8, "providers": [{"billed_charge": 2.1, "npi": [1144781501]}]}, {"allowed_amount": 0.86, "providers": [{"billed_charge": 2.76, "npi": [1346729159]}, {"billed_charge": 4.69, "npi": [1144781501]}]}, {"allowed_amount": 0.87, "providers": [{"billed_charge": 2.1, "npi": [1144781501]}, {"billed_charge": 2.76, "npi": [1144781501]}]}]}, {"tin": {"type": "ein", "value": "813564692"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.61, "providers": [{"billed_charge": 15.0, "npi": [1255499943]}]}]}, {"tin": {"type": "ein", "value": "815287624"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.92, "providers": [{"billed_charge": 85.73, "npi": [1174059208]}]}]}, {"tin": {"type": "ein", "value": "820161600"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 21.05, "npi": [1770586794]}]}]}, {"tin": {"type": "ein", "value": "820551704"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 1.47, "npi": [1649273434]}, {"billed_charge": 2.73, "npi": [1649273434]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 2.76, "npi": [1649273434]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.92, "providers": [{"billed_charge": 35.0, "npi": [1063051159]}]}, {"allowed_amount": 0.93, "providers": [{"billed_charge": 35.0, "npi": [1063051159]}]}, {"allowed_amount": 1.02, "providers": [{"billed_charge": 35.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "822913146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.76, "providers": [{"billed_charge": 135.0, "npi": [1972517365]}]}]}, {"tin": {"type": "ein", "value": "823349983"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 49.98, "npi": [1346753118]}]}]}, {"tin": {"type": "ein", "value": "823463299"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.48, "providers": [{"billed_charge": 85.73, "npi": [1649770488]}]}, {"allowed_amount": 0.49, "providers": [{"billed_charge": 85.73, "npi": [1649770488]}]}, {"allowed_amount": 0.54, "providers": [{"billed_charge": 85.73, "npi": [1649770488]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 128.17, "npi": [1083112023]}]}, {"allowed_amount": 0.51, "providers": [{"billed_charge": 128.17, "npi": [1083112023]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 128.17, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.51, "providers": [{"billed_charge": 2.1, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 21.65, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "831886473"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.52, "providers": [{"billed_charge": 89.3, "npi": [1376018382]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.51, "providers": [{"billed_charge": 10.0, "npi": [1104381292]}, {"billed_charge": 17.1, "npi": [1104381292]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 5.0, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "832041336"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.49, "providers": [{"billed_charge": 114.0, "npi": [1245705417]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 45.0, "npi": [1619985942]}]}]}, {"tin": {"type": "ein", "value": "840738052"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.64, "providers": [{"billed_charge": 20.0, "npi": [1508807694]}]}]}, {"tin": {"type": "ein", "value": "842589283"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.49, "providers": [{"billed_charge": 68.0, "npi": [1902453970]}]}, {"allowed_amount": 0.55, "providers": [{"billed_charge": 68.0, "npi": [1902453970]}]}]}, {"tin": {"type": "ein", "value": "843475920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.92, "providers": [{"billed_charge": 35.0, "npi": [1063051159]}]}, {"allowed_amount": 1.01, "providers": [{"billed_charge": 35.0, "npi": [1063051159]}]}, {"allowed_amount": 1.02, "providers": [{"billed_charge": 35.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "843654542"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 10.13, "npi": [1245878990]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 36.6, "npi": [1184262800]}]}, {"allowed_amount": 0.51, "providers": [{"billed_charge": 36.6, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "851820772"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 45.0, "npi": [1285252593]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 32.53, "npi": [1316617707]}]}, {"allowed_amount": 1.02, "providers": [{"billed_charge": 32.53, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "851931245"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 45.0, "npi": [1750909974]}]}]}, {"tin": {"type": "ein", "value": "851941193"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 15.02, "npi": [1184233785]}]}]}, {"tin": {"type": "ein", "value": "851961472"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 45.0, "npi": [1235747304]}]}]}, {"tin": {"type": "ein", "value": "851984103"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.66, "providers": [{"billed_charge": 45.0, "npi": [1376151365]}]}]}, {"tin": {"type": "ein", "value": "852007987"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 45.0, "npi": [1144838947]}]}]}, {"tin": {"type": "ein", "value": "852713042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.49, "providers": [{"billed_charge": 59.53, "npi": [1376141556]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 59.53, "npi": [1376141556]}]}, {"allowed_amount": 0.54, "providers": [{"billed_charge": 59.53, "npi": [1376141556]}]}]}, {"tin": {"type": "ein", "value": "853503076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 53.67, "npi": [1124623889]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 37.6, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "861464604"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.87, "providers": [{"billed_charge": 114.0, "npi": [1003493784]}]}]}, {"tin": {"type": "ein", "value": "871224784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 53.67, "npi": [1003489212]}]}]}, {"tin": {"type": "ein", "value": "872698268"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 49.61, "npi": [1861163826]}]}]}, {"tin": {"type": "ein", "value": "882501936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.49, "providers": [{"billed_charge": 59.53, "npi": [1750013769]}]}, {"allowed_amount": 0.54, "providers": [{"billed_charge": 59.53, "npi": [1750013769]}]}]}, {"tin": {"type": "ein", "value": "883576979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.66, "providers": [{"billed_charge": 53.67, "npi": [1851028146]}]}]}, {"tin": {"type": "ein", "value": "900993578"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.4, "providers": [{"billed_charge": 10.0, "npi": [1124919683]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.86, "providers": [{"billed_charge": 94.0, "npi": [1003539073]}]}, {"allowed_amount": 0.87, "providers": [{"billed_charge": 94.0, "npi": [1003539073]}]}, {"allowed_amount": 1.01, "providers": [{"billed_charge": 94.0, "npi": [1003539073]}]}, {"allowed_amount": 1.02, "providers": [{"billed_charge": 94.0, "npi": [1003539073]}]}, {"allowed_amount": 1.04, "providers": [{"billed_charge": 94.0, "npi": [1003539073]}]}, {"allowed_amount": 354.38, "providers": [{"billed_charge": 94.0, "npi": [1003539073]}]}, {"allowed_amount": 14772.41, "providers": [{"billed_charge": 94.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "922858146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 114.0, "npi": [1184305609]}]}]}, {"tin": {"type": "ein", "value": "923637942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 53.67, "npi": [1679263883]}]}]}, {"tin": {"type": "ein", "value": "930602940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.71, "providers": [{"billed_charge": 44.81, "npi": [1982621447]}]}]}, {"tin": {"type": "ein", "value": "932299964"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 95.0, "npi": [1578300174]}]}]}, {"tin": {"type": "ein", "value": "933488698"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.48, "providers": [{"billed_charge": 59.53, "npi": [1740042175]}]}, {"allowed_amount": 0.49, "providers": [{"billed_charge": 59.53, "npi": [1740042175]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 59.53, "npi": [1740042175]}]}, {"allowed_amount": 0.54, "providers": [{"billed_charge": 59.53, "npi": [1740042175]}]}]}, {"tin": {"type": "ein", "value": "934370183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 35.0, "npi": [1538934864]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.62, "providers": [{"billed_charge": 16.65, "npi": [1376698043]}]}]}, {"tin": {"type": "ein", "value": "991725632"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 53.67, "npi": [1780442517]}]}]}, {"tin": {"type": "ein", "value": "992078911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.54, "providers": [{"billed_charge": 84.0, "npi": [1770333403]}]}]}, {"tin": {"type": "ein", "value": "992141118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 53.7, "npi": [1760220198]}]}]}, {"tin": {"type": "ein", "value": "992762070"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 85.73, "npi": [1124865126]}]}]}, {"tin": {"type": "ein", "value": "993319912"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 97.02, "npi": [1306679378]}]}]}, {"tin": {"type": "ein", "value": "993360712"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.51, "providers": [{"billed_charge": 97.02, "npi": [1922831999]}]}, {"allowed_amount": 0.52, "providers": [{"billed_charge": 97.02, "npi": [1922831999]}]}]}, {"tin": {"type": "ein", "value": "994033449"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.48, "providers": [{"billed_charge": 3.32, "npi": [1902644263]}]}, {"allowed_amount": 0.53, "providers": [{"billed_charge": 3.32, "npi": [1902644263]}]}]}, {"tin": {"type": "ein", "value": "994033554"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.53, "providers": [{"billed_charge": 3.32, "npi": [1912745274]}]}]}, {"tin": {"type": "ein", "value": "995020733"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.62, "providers": [{"billed_charge": 5.25, "npi": [1184440828]}]}]}, {"tin": {"type": "ein", "value": "995104341"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.99, "providers": [{"billed_charge": 50.0, "npi": [1609697242]}]}]}]}, {"name": "Injection, lidocaine hydrochloride, 1 mg", "billing_code_type": "CPT", "billing_code": "J2003", "billing_code_type_version": "2022", "description": "Injection, lidocaine hydrochloride, 1 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.02, "providers": [{"billed_charge": 0.07, "npi": [1124074273]}]}, {"allowed_amount": 0.05, "providers": [{"billed_charge": 0.14, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.02, "providers": [{"billed_charge": 0.05, "npi": [1821011248]}]}, {"allowed_amount": 0.03, "providers": [{"billed_charge": 0.08, "npi": [1821011248]}]}, {"allowed_amount": 0.04, "providers": [{"billed_charge": 0.09, "npi": [1821011248]}, {"billed_charge": 0.1, "npi": [1821011248]}]}, {"allowed_amount": 0.05, "providers": [{"billed_charge": 0.11, "npi": [1821011248]}]}, {"allowed_amount": 0.06, "providers": [{"billed_charge": 0.13, "npi": [1821011248]}]}, {"allowed_amount": 0.09, "providers": [{"billed_charge": 0.19, "npi": [1821011248]}]}, {"allowed_amount": 0.21, "providers": [{"billed_charge": 0.46, "npi": [1821011248]}, {"billed_charge": 0.47, "npi": [1821011248]}, {"billed_charge": 0.48, "npi": [1821011248]}]}, {"allowed_amount": 0.22, "providers": [{"billed_charge": 0.49, "npi": [1821011248]}]}, {"allowed_amount": 0.23, "providers": [{"billed_charge": 0.5, "npi": [1821011248]}]}, {"allowed_amount": 0.25, "providers": [{"billed_charge": 0.55, "npi": [1821011248]}]}, {"allowed_amount": 0.27, "providers": [{"billed_charge": 0.59, "npi": [1821011248]}]}, {"allowed_amount": 0.28, "providers": [{"billed_charge": 0.62, "npi": [1821011248]}]}, {"allowed_amount": 0.44, "providers": [{"billed_charge": 0.99, "npi": [1821011248]}]}, {"allowed_amount": 0.57, "providers": [{"billed_charge": 1.28, "npi": [1821011248]}]}]}]}, {"name": "Injection, lorazepam, 2 mg", "billing_code_type": "CPT", "billing_code": "J2060", "billing_code_type_version": "2022", "description": "Injection, lorazepam, 2 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 126.5, "providers": [{"billed_charge": 253.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.8, "providers": [{"billed_charge": 8.0, "npi": [1770536120]}]}, {"allowed_amount": 86.1, "providers": [{"billed_charge": 246.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.68, "providers": [{"billed_charge": 10.52, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.73, "providers": [{"billed_charge": 19.4, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.0, "providers": [{"billed_charge": 43.0, "npi": [1992753222]}]}]}]}, {"name": "Injection, magnesium sulfate, per 500 mg", "billing_code_type": "CPT", "billing_code": "J3475", "billing_code_type_version": "2022", "description": "Injection, magnesium sulfate, per 500 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.16, "providers": [{"billed_charge": 54.75, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.75, "providers": [{"billed_charge": 5.0, "npi": [1124074273]}]}, {"allowed_amount": 7.14, "providers": [{"billed_charge": 20.41, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.9, "providers": [{"billed_charge": 22.0, "npi": [1821011248]}]}, {"allowed_amount": 11.47, "providers": [{"billed_charge": 25.5, "npi": [1821011248]}]}]}]}, {"name": "Injection, methylprednisolone sodium succinate, 5 mg", "billing_code_type": "CPT", "billing_code": "J2919", "billing_code_type_version": "2022", "description": "Injection, methylprednisolone sodium succinate, 5 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "208421073"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 0.49, "providers": [{"billed_charge": 5.0, "npi": [1932311958]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.45, "providers": [{"billed_charge": 1.48, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "590973502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.42, "providers": [{"billed_charge": 2.19, "npi": [1063426823]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.22, "providers": [{"billed_charge": 3.48, "npi": [1770536120]}]}, {"allowed_amount": 3.19, "providers": [{"billed_charge": 9.13, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.68, "providers": [{"billed_charge": 1.95, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 1.7, "providers": [{"billed_charge": 4.87, "npi": [1124074273]}]}, {"allowed_amount": 1.71, "providers": [{"billed_charge": 4.87, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.6, "providers": [{"billed_charge": 1.33, "npi": [1821011248]}]}, {"allowed_amount": 0.87, "providers": [{"billed_charge": 1.94, "npi": [1821011248]}]}, {"allowed_amount": 0.9, "providers": [{"billed_charge": 2.0, "npi": [1821011248]}]}, {"allowed_amount": 0.93, "providers": [{"billed_charge": 2.07, "npi": [1821011248]}]}, {"allowed_amount": 1.18, "providers": [{"billed_charge": 2.62, "npi": [1821011248]}]}, {"allowed_amount": 2.35, "providers": [{"billed_charge": 5.22, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.33, "providers": [{"billed_charge": 2.5, "npi": [1992700983]}]}]}]}, {"name": "Injection, metoclopramide hcl, up to 10 mg", "billing_code_type": "CPT", "billing_code": "J2765", "billing_code_type_version": "2022", "description": "Injection, metoclopramide hcl, up to 10 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.8, "providers": [{"billed_charge": 48.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.37, "providers": [{"billed_charge": 6.76, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 2.56, "providers": [{"billed_charge": 7.3, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.7, "providers": [{"billed_charge": 10.45, "npi": [1821011248]}]}]}]}, {"name": "Injection, morphine sulfate, up to 10 mg", "billing_code_type": "CPT", "billing_code": "J2270", "billing_code_type_version": "2022", "description": "Injection, morphine sulfate, up to 10 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.0, "providers": [{"billed_charge": 74.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.0, "providers": [{"billed_charge": 74.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "742425482"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.6, "providers": [{"billed_charge": 50.0, "npi": [1992285282]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.7, "providers": [{"billed_charge": 102.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.24, "providers": [{"billed_charge": 14.98, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 9.02, "providers": [{"billed_charge": 25.76, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 13.53, "providers": [{"billed_charge": 38.64, "npi": [1659525236]}]}, {"allowed_amount": 18.03, "providers": [{"billed_charge": 51.52, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 27.05, "providers": [{"billed_charge": 77.28, "npi": [1124074273]}]}, {"allowed_amount": 36.06, "providers": [{"billed_charge": 103.04, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.63, "providers": [{"billed_charge": 12.5, "npi": [1821011248]}]}, {"allowed_amount": 7.52, "providers": [{"billed_charge": 16.7, "npi": [1821011248]}]}, {"allowed_amount": 9.0, "providers": [{"billed_charge": 20.0, "npi": [1821011248]}]}, {"allowed_amount": 13.75, "providers": [{"billed_charge": 30.55, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "952321136"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.02, "providers": [{"billed_charge": 94.33, "npi": [1306890389]}]}]}]}, {"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": "270492434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.68, "providers": [{"billed_charge": 2.3, "npi": [1427048453]}]}]}, {"tin": {"type": "ein", "value": "300688582"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 0.3, "providers": [{"billed_charge": 105.0, "npi": [1750676870]}]}]}, {"tin": {"type": "ein", "value": "742151203"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 0.3, "providers": [{"billed_charge": 10.0, "npi": [1417007188]}]}]}, {"tin": {"type": "ein", "value": "742425482"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.36, "providers": [{"billed_charge": 30.0, "npi": [1992285282]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.57, "providers": [{"billed_charge": 4.5, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.52, "providers": [{"billed_charge": 1.48, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.33, "providers": [{"billed_charge": 0.72, "npi": [1821011248]}]}, {"allowed_amount": 0.57, "providers": [{"billed_charge": 1.27, "npi": [1821011248]}]}, {"allowed_amount": 0.74, "providers": [{"billed_charge": 1.65, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751188675"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.5, "providers": [{"billed_charge": 2.5, "npi": [1396748471]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.86, "providers": [{"billed_charge": 1.86, "npi": [1518012301]}]}]}, {"tin": {"type": "ein", "value": "952321136"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.48, "providers": [{"billed_charge": 24.23, "npi": [1306890389]}]}]}]}, {"name": "Injection, pantoprazole sodium, 40 mg", "billing_code_type": "CPT", "billing_code": "J2470", "billing_code_type_version": "2022", "description": "Injection, pantoprazole sodium, 40 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.5, "providers": [{"billed_charge": 330.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.76, "providers": [{"billed_charge": 16.46, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.26, "providers": [{"billed_charge": 11.7, "npi": [1821011248]}]}, {"allowed_amount": 5.94, "providers": [{"billed_charge": 13.2, "npi": [1821011248]}]}]}]}, {"name": "Injection, perflutren lipid microspheres, per ml", "billing_code_type": "CPT", "billing_code": "Q9957", "billing_code_type_version": "2022", "description": "Injection, perflutren lipid microspheres, per ml", "allowed_amounts": [{"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 294.21, "providers": [{"billed_charge": 840.6, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 318.72, "providers": [{"billed_charge": 910.63, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.36, "providers": [{"billed_charge": 511.9, "npi": [1821011248]}]}, {"allowed_amount": 275.92, "providers": [{"billed_charge": 613.15, "npi": [1821011248]}]}]}]}, {"name": "Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)", "billing_code_type": "CPT", "billing_code": "J2543", "billing_code_type_version": "2022", "description": "Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)", "allowed_amounts": [{"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.63, "providers": [{"billed_charge": 27.5, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.06, "providers": [{"billed_charge": 8.73, "npi": [1124074273]}]}, {"allowed_amount": 10.16, "providers": [{"billed_charge": 29.04, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.39, "providers": [{"billed_charge": 9.75, "npi": [1821011248]}]}, {"allowed_amount": 4.72, "providers": [{"billed_charge": 10.5, "npi": [1821011248]}]}, {"allowed_amount": 9.79, "providers": [{"billed_charge": 21.75, "npi": [1821011248]}]}, {"allowed_amount": 12.57, "providers": [{"billed_charge": 27.94, "npi": [1821011248]}]}]}]}, {"name": "Injection, potassium chloride, per 2 meq", "billing_code_type": "CPT", "billing_code": "J3480", "billing_code_type_version": "2022", "description": "Injection, potassium chloride, per 2 meq", "allowed_amounts": [{"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.78, "providers": [{"billed_charge": 2.22, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 1.13, "providers": [{"billed_charge": 3.21, "npi": [1124074273]}]}, {"allowed_amount": 1.38, "providers": [{"billed_charge": 3.94, "npi": [1124074273]}]}, {"allowed_amount": 2.03, "providers": [{"billed_charge": 5.79, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.34, "providers": [{"billed_charge": 9.65, "npi": [1821011248]}]}]}]}, {"name": "Injection, prochlorperazine, up to 10 mg", "billing_code_type": "CPT", "billing_code": "J0780", "billing_code_type_version": "2022", "description": "Injection, prochlorperazine, up to 10 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "340714461"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.96, "providers": [{"billed_charge": 9.45, "npi": [1225128432]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5733.42, "providers": [{"billed_charge": 70.32, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.26, "providers": [{"billed_charge": 46.47, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 16.27, "providers": [{"billed_charge": 46.47, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.66, "providers": [{"billed_charge": 34.8, "npi": [1821011248]}]}, {"allowed_amount": 20.93, "providers": [{"billed_charge": 46.5, "npi": [1821011248]}]}]}]}, {"name": "Injection, propofol, 10 mg", "billing_code_type": "CPT", "billing_code": "J2704", "billing_code_type_version": "2022", "description": "Injection, propofol, 10 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.33, "providers": [{"billed_charge": 0.95, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.48, "providers": [{"billed_charge": 1.38, "npi": [1124074273]}, {"billed_charge": 1.39, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 0.49, "providers": [{"billed_charge": 1.39, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.65, "providers": [{"billed_charge": 1.44, "npi": [1821011248]}]}, {"allowed_amount": 0.84, "providers": [{"billed_charge": 1.86, "npi": [1821011248]}, {"billed_charge": 1.88, "npi": [1821011248]}]}, {"allowed_amount": 0.86, "providers": [{"billed_charge": 1.92, "npi": [1821011248]}]}, {"allowed_amount": 0.88, "providers": [{"billed_charge": 1.95, "npi": [1821011248]}]}, {"allowed_amount": 0.9, "providers": [{"billed_charge": 2.0, "npi": [1821011248]}]}, {"allowed_amount": 0.94, "providers": [{"billed_charge": 2.08, "npi": [1821011248]}]}, {"allowed_amount": 0.97, "providers": [{"billed_charge": 2.17, "npi": [1821011248]}]}, {"allowed_amount": 1.01, "providers": [{"billed_charge": 2.25, "npi": [1821011248]}]}, {"allowed_amount": 1.07, "providers": [{"billed_charge": 2.38, "npi": [1821011248]}]}, {"allowed_amount": 1.24, "providers": [{"billed_charge": 2.75, "npi": [1821011248]}]}]}]}, {"name": "Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older", "billing_code_type": "CPT", "billing_code": "36556", "billing_code_type_version": "2022", "description": "INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/>", "allowed_amounts": [{"tin": {"type": "ein", "value": "203542589"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.77, "providers": [{"billed_charge": 599.0, "npi": [1992149702]}]}]}, {"tin": {"type": "ein", "value": "204790934"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.38, "providers": [{"billed_charge": 519.75, "npi": [1821016023]}]}]}, {"tin": {"type": "ein", "value": "271595277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.5, "providers": [{"billed_charge": 562.0, "npi": [1205009099]}]}]}, {"tin": {"type": "ein", "value": "461415202"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 336.48, "providers": [{"billed_charge": 794.0, "npi": [1770994295]}]}]}, {"tin": {"type": "ein", "value": "471382605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 331.27, "providers": [{"billed_charge": 793.0, "npi": [1902424112]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8246.86, "providers": [{"billed_charge": 6685.75, "npi": [1093810327]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.5, "providers": [{"billed_charge": 237.0, "npi": [1154882827]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 116.43, "providers": [{"billed_charge": 503.0, "npi": [1558651091, 1760778518, 1366701567]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4948.12, "providers": [{"billed_charge": 4146.65, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.99, "providers": [{"billed_charge": 858.88, "npi": [1750324166]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.2, "providers": [{"billed_charge": 215.0, "npi": [1023033834]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 309.27, "providers": [{"billed_charge": 1800.0, "npi": [1427340769]}]}, {"allowed_amount": 545.64, "providers": [{"billed_charge": 1800.0, "npi": [1548462435]}]}, {"allowed_amount": 551.09, "providers": [{"billed_charge": 1800.0, "npi": [1740430578, 1003083395, 1194145540]}]}, {"allowed_amount": 565.42, "providers": [{"billed_charge": 1800.0, "npi": [1609196088, 1871112565]}]}, {"allowed_amount": 585.52, "providers": [{"billed_charge": 1800.0, "npi": [1083934251]}]}]}, {"tin": {"type": "ein", "value": "760567380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.56, "providers": [{"billed_charge": 220.0, "npi": [1336113851]}]}, {"allowed_amount": 96.09, "providers": [{"billed_charge": 220.0, "npi": [1477577435]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 238.27, "providers": [{"billed_charge": 1377.0, "npi": [1164955951]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9674.2, "providers": [{"billed_charge": 5409.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "833838272"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.56, "providers": [{"billed_charge": 316.0, "npi": [1790133049]}]}]}, {"tin": {"type": "ein", "value": "933910567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.74, "providers": [{"billed_charge": 1778.0, "npi": [1437172566]}]}]}, {"tin": {"type": "ein", "value": "934328384"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 565.42, "providers": [{"billed_charge": 773.0, "npi": [1518371954]}]}]}]}, {"name": "Insulin; total", "billing_code_type": "CPT", "billing_code": "83525", "billing_code_type_version": "2022", "description": "ASSAY OF INSULIN TOTAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.0, "providers": [{"billed_charge": 65.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 16.0, "providers": [{"billed_charge": 28.58, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.0, "providers": [{"billed_charge": 45.72, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 32.0, "providers": [{"billed_charge": 32.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.37, "providers": [{"billed_charge": 47.94, "npi": [1235186800]}]}, {"allowed_amount": 23.89, "providers": [{"billed_charge": 47.94, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.37, "providers": [{"billed_charge": 15.0, "npi": [1487429874]}]}, {"allowed_amount": 15.0, "providers": [{"billed_charge": 15.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.37, "providers": [{"billed_charge": 17.15, "npi": [1457977209]}]}]}]}, {"name": "Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a written report to the patient's treating/requesting physician or other qualified health care professional, 5 minutes or more of medical consultative time", "billing_code_type": "CPT", "billing_code": "99451", "billing_code_type_version": "2022", "description": "NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5/> MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "208164988"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 36.7, "providers": [{"billed_charge": 50.0, "npi": [1689164949]}]}, {"allowed_amount": 40.19, "providers": [{"billed_charge": 50.0, "npi": [1417140641, 1780888370, 1689164949]}]}, {"allowed_amount": 43.27, "providers": [{"billed_charge": 50.0, "npi": [1619050952]}]}, {"allowed_amount": 44.11, "providers": [{"billed_charge": 50.0, "npi": [1780888370, 1689164949]}]}, {"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1417140641, 1619050952, 1780888370, 1083024434, 1689164949, 1093956476, 1851779326]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 69.42, "providers": [{"billed_charge": 82.0, "npi": [1306953104, 1639526338]}]}]}, {"tin": {"type": "ein", "value": "742800601"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 52.87, "providers": [{"billed_charge": 112.0, "npi": [1477915668]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.92, "providers": [{"billed_charge": 149.0, "npi": [1740629971]}]}]}]}, {"name": "Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "96367", "billing_code_type_version": "2022", "description": "IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR", "allowed_amounts": [{"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.49, "providers": [{"billed_charge": 683.75, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "621762420"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.83, "providers": [{"billed_charge": 680.8, "npi": [1528026267]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.49, "providers": [{"billed_charge": 683.75, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.61, "providers": [{"billed_charge": 809.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.8, "providers": [{"billed_charge": 248.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.55, "providers": [{"billed_charge": 419.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.49, "providers": [{"billed_charge": 683.75, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.49, "providers": [{"billed_charge": 468.18, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.24, "providers": [{"billed_charge": 189.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.83, "providers": [{"billed_charge": 434.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "851931245"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.23, "providers": [{"billed_charge": 1483.25, "npi": [1750909974]}]}]}, {"tin": {"type": "ein", "value": "852007987"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.23, "providers": [{"billed_charge": 1483.25, "npi": [1144838947]}]}]}, {"tin": {"type": "ein", "value": "853503076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.83, "providers": [{"billed_charge": 721.25, "npi": [1124623889]}]}]}, {"tin": {"type": "ein", "value": "871224784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.49, "providers": [{"billed_charge": 721.25, "npi": [1003489212]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 110.3, "providers": [{"billed_charge": 819.0, "npi": [1003539073]}]}, {"allowed_amount": 126.06, "providers": [{"billed_charge": 819.0, "npi": [1003539073]}]}, {"allowed_amount": 147.07, "providers": [{"billed_charge": 819.0, "npi": [1003539073]}]}, {"allowed_amount": 220.6, "providers": [{"billed_charge": 819.0, "npi": [1003539073]}]}, {"allowed_amount": 220.61, "providers": [{"billed_charge": 819.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "920937062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.73, "providers": [{"billed_charge": 513.12, "npi": [1558056895]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 131.34, "providers": [{"billed_charge": 131.34, "npi": [1073200309]}]}]}, {"tin": {"type": "ein", "value": "992069011"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.73, "providers": [{"billed_charge": 581.0, "npi": [1477303105]}]}]}, {"tin": {"type": "ein", "value": "992545052"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.73, "providers": [{"billed_charge": 530.0, "npi": [1619760907]}]}]}]}, {"name": "Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "96366", "billing_code_type_version": "2022", "description": "IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR", "allowed_amounts": [{"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 489.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 228.8, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "334253489"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 452.36, "npi": [1518752302]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 317.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 386.85, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.78, "providers": [{"billed_charge": 103.5, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.31, "providers": [{"billed_charge": 477.0, "npi": [1447883301]}]}, {"allowed_amount": 143.47, "providers": [{"billed_charge": 801.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 243.45, "providers": [{"billed_charge": 695.58, "npi": [1124074273]}]}, {"allowed_amount": 259.47, "providers": [{"billed_charge": 741.34, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 129.15, "providers": [{"billed_charge": 287.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 103.5, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.78, "providers": [{"billed_charge": 103.5, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.78, "providers": [{"billed_charge": 330.56, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 330.56, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 330.56, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752890358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 103.5, "npi": [1548291883]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 103.5, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 282.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 648.0, "npi": [1497871628]}]}]}, {"tin": {"type": "ein", "value": "811407290"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 1409.01, "npi": [1134654080]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 380.11, "npi": [1346729159]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 300.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 153.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.6, "providers": [{"billed_charge": 319.34, "npi": [1356960132]}]}, {"allowed_amount": 101.61, "providers": [{"billed_charge": 319.34, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 205.27, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 351.82, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "852713042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 349.39, "npi": [1376141556]}]}]}, {"tin": {"type": "ein", "value": "853503076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 942.96, "npi": [1124623889]}]}]}, {"tin": {"type": "ein", "value": "872698268"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 778.1, "npi": [1861163826]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 113.96, "providers": [{"billed_charge": 113.96, "npi": [1073200309]}]}]}, {"tin": {"type": "ein", "value": "992545052"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 440.0, "npi": [1619760907]}]}]}, {"tin": {"type": "ein", "value": "994033449"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 438.01, "npi": [1902644263]}]}]}, {"tin": {"type": "ein", "value": "994785298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 1011.51, "npi": [1639992514]}]}]}]}, {"name": "Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour", "billing_code_type": "CPT", "billing_code": "96365", "billing_code_type_version": "2022", "description": "IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR", "allowed_amounts": [{"tin": {"type": "ein", "value": "233044530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 697.96, "providers": [{"billed_charge": 1436.0, "npi": [1770579591]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 902.11, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "260684968"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 779.25, "npi": [1902047376]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1833.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "262978009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 1079.17, "npi": [1407010622]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 1451.0, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "334253489"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 1018.8, "npi": [1518752302]}]}]}, {"tin": {"type": "ein", "value": "334308303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 1018.8, "npi": [1174310841]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 1018.8, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 1079.17, "npi": [1598196206]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 779.25, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 945.65, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "455055149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.12, "providers": [{"billed_charge": 557.0, "npi": [1134123193]}]}]}, {"tin": {"type": "ein", "value": "464007700"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 594.98, "providers": [{"billed_charge": 844.57, "npi": [1396138970]}]}]}, {"tin": {"type": "ein", "value": "464084062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 2207.7, "npi": [1669872610]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.0, "providers": [{"billed_charge": 924.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 1451.0, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.0, "providers": [{"billed_charge": 924.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 777.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "590973502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 448.68, "providers": [{"billed_charge": 1381.79, "npi": [1063426823]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 410.92, "providers": [{"billed_charge": 769.65, "npi": [1174551147]}]}]}, {"tin": {"type": "ein", "value": "621762420"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 1433.25, "npi": [1528026267]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 1437.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 742.9, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 779.25, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 1384.0, "npi": [1447883301]}]}, {"allowed_amount": 651.69, "providers": [{"billed_charge": 871.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 751.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 351.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.9, "providers": [{"billed_charge": 1374.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742519752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 844.57, "npi": [1154315307]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 562.29, "providers": [{"billed_charge": 1606.54, "npi": [1659525236]}]}, {"allowed_amount": 616.24, "providers": [{"billed_charge": 1760.69, "npi": [1124074273]}]}, {"allowed_amount": 665.72, "providers": [{"billed_charge": 1902.05, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 322.65, "providers": [{"billed_charge": 717.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 768.0, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 779.25, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 902.11, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751037591"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 902.11, "npi": [1124305065]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 779.25, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 779.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 779.25, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 902.11, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 902.11, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 902.11, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "751912147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 494.29, "providers": [{"billed_charge": 374.3, "npi": [1023013448]}]}]}, {"tin": {"type": "ein", "value": "752051646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 1275.23, "npi": [1891765178]}]}]}, {"tin": {"type": "ein", "value": "752559845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 697.96, "providers": [{"billed_charge": 604.0, "npi": [1992707228]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 779.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 779.25, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752890358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 779.25, "npi": [1548291883]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 684.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 1232.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 779.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 890.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1284.0, "npi": [1083937593, 1497871628]}]}]}, {"tin": {"type": "ein", "value": "811407290"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 1872.94, "npi": [1134654080]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 983.75, "npi": [1144781501, 1346729159]}]}]}, {"tin": {"type": "ein", "value": "820200895"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 486.9, "providers": [{"billed_charge": 931.0, "npi": [1992736649]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 1000.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "823463299"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 711.0, "npi": [1649770488]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 300.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 902.11, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 945.65, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "832804506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 711.0, "npi": [1174089866]}]}]}, {"tin": {"type": "ein", "value": "843475920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 1000.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 599.82, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 557.0, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "851931245"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 4735.26, "npi": [1750909974]}]}]}, {"tin": {"type": "ein", "value": "851978933"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 1243.28, "npi": [1265044333]}]}]}, {"tin": {"type": "ein", "value": "852007987"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 4735.26, "npi": [1144838947]}]}]}, {"tin": {"type": "ein", "value": "852713042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1210.78, "npi": [1376141556]}]}]}, {"tin": {"type": "ein", "value": "853503076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 1563.01, "npi": [1124623889]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.5, "providers": [{"billed_charge": 702.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "863009016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 3314.0, "npi": [1417615006]}]}]}, {"tin": {"type": "ein", "value": "871224784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 1563.01, "npi": [1003489212]}]}]}, {"tin": {"type": "ein", "value": "872698268"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1502.96, "npi": [1861163826]}]}]}, {"tin": {"type": "ein", "value": "882501936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1210.78, "npi": [1750013769]}]}]}, {"tin": {"type": "ein", "value": "882898646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 4735.26, "npi": [1699406173]}]}]}, {"tin": {"type": "ein", "value": "882931023"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 4735.26, "npi": [1740911213]}]}]}, {"tin": {"type": "ein", "value": "883576979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 1563.01, "npi": [1851028146]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 1539.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "920937062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1210.78, "npi": [1558056895]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 563.03, "providers": [{"billed_charge": 563.03, "npi": [1073200309]}]}]}, {"tin": {"type": "ein", "value": "923209338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 643.15, "providers": [{"billed_charge": 2500.0, "npi": [1558132365]}]}]}, {"tin": {"type": "ein", "value": "923637942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 1563.01, "npi": [1679263883]}]}]}, {"tin": {"type": "ein", "value": "933488698"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1210.78, "npi": [1740042175]}]}]}, {"tin": {"type": "ein", "value": "934295804"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1563.01, "npi": [1851165013]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 920.0, "providers": [{"billed_charge": 920.0, "npi": [1518012301]}]}]}, {"tin": {"type": "ein", "value": "992069011"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1269.0, "npi": [1477303105]}]}]}, {"tin": {"type": "ein", "value": "992078911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1269.0, "npi": [1770333403]}]}]}, {"tin": {"type": "ein", "value": "992199214"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 1009.98, "npi": [1013735786]}]}]}, {"tin": {"type": "ein", "value": "992545052"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1150.0, "npi": [1619760907]}]}]}, {"tin": {"type": "ein", "value": "993319912"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 1437.6, "npi": [1306679378]}]}]}, {"tin": {"type": "ein", "value": "994033449"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1149.84, "npi": [1902644263]}]}]}, {"tin": {"type": "ein", "value": "994785298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 912.72, "npi": [1639992514]}]}]}]}, {"name": "Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "96361", "billing_code_type_version": "2022", "description": "IV INFUSION HYDRATION EACH ADDITIONAL HOUR", "allowed_amounts": [{"tin": {"type": "ein", "value": "202848116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 103.5, "npi": [1629138029]}]}]}, {"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 402.28, "npi": [1144566316, 1265568638]}]}]}, {"tin": {"type": "ein", "value": "233044530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.66, "providers": [{"billed_charge": 366.0, "npi": [1770579591]}]}]}, {"tin": {"type": "ein", "value": "233069260"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.18, "providers": [{"billed_charge": 1078.0, "npi": [1770573586]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 317.78, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "260684968"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 103.5, "npi": [1902047376]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 561.0, "npi": [1659559573]}]}, {"allowed_amount": 75.27, "providers": [{"billed_charge": 561.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "262978009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 243.75, "npi": [1619308319]}]}]}, {"tin": {"type": "ein", "value": "270492434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.28, "providers": [{"billed_charge": 75.52, "npi": [1427048453]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 472.78, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "301205721"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.31, "providers": [{"billed_charge": 766.0, "npi": [1588215461]}]}]}, {"tin": {"type": "ein", "value": "333465465"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 957.51, "npi": [1831995950]}]}]}, {"tin": {"type": "ein", "value": "333807317"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 538.8, "npi": [1083586747]}]}]}, {"tin": {"type": "ein", "value": "334228227"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 403.22, "npi": [1538950837]}]}]}, {"tin": {"type": "ein", "value": "334308192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 403.22, "npi": [1932094976]}]}]}, {"tin": {"type": "ein", "value": "334308303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 403.22, "npi": [1174310841]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 403.22, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "334335561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 403.22, "npi": [1952295164]}]}]}, {"tin": {"type": "ein", "value": "340714461"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.2, "providers": [{"billed_charge": 208.0, "npi": [1225128432]}]}]}, {"tin": {"type": "ein", "value": "341893439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.69, "providers": [{"billed_charge": 318.0, "npi": [1366433195]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 243.75, "npi": [1831629526, 1598196206, 1679903967]}]}, {"allowed_amount": 101.78, "providers": [{"billed_charge": 243.75, "npi": [1598196206, 1831629526, 1679903967]}]}]}, {"tin": {"type": "ein", "value": "381357020"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.72, "providers": [{"billed_charge": 170.0, "npi": [1134144801]}]}]}, {"tin": {"type": "ein", "value": "392717734"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.27, "providers": [{"billed_charge": 777.71, "npi": [1093604662]}]}]}, {"tin": {"type": "ein", "value": "412101361"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 317.78, "npi": [1962504340]}]}]}, {"tin": {"type": "ein", "value": "420680452"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.92, "providers": [{"billed_charge": 180.23, "npi": [1598905762]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.84, "providers": [{"billed_charge": 260.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "431527130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.19, "providers": [{"billed_charge": 172.0, "npi": [1831107895]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 103.5, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 103.5, "npi": [1215296884]}]}, {"allowed_amount": 101.78, "providers": [{"billed_charge": 103.5, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "452528414"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.32, "providers": [{"billed_charge": 236.51, "npi": [1972585347]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 285.81, "npi": [1033120423]}]}, {"allowed_amount": 101.78, "providers": [{"billed_charge": 285.81, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "455055149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.35, "providers": [{"billed_charge": 319.0, "npi": [1134123193]}]}]}, {"tin": {"type": "ein", "value": "463017479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.27, "providers": [{"billed_charge": 777.71, "npi": [1538508635]}]}]}, {"tin": {"type": "ein", "value": "464084062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 972.35, "npi": [1669872610]}]}]}, {"tin": {"type": "ein", "value": "464125750"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 134.0, "npi": [1457748238]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 297.0, "providers": [{"billed_charge": 594.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 472.78, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 297.0, "providers": [{"billed_charge": 594.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "472616215"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.59, "providers": [{"billed_charge": 800.0, "npi": [1922468156]}]}]}, {"tin": {"type": "ein", "value": "474717998"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.63, "providers": [{"billed_charge": 154.0, "npi": [1104295864]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 206.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.74, "providers": [{"billed_charge": 307.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.74, "providers": [{"billed_charge": 381.55, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "582296052"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.95, "providers": [{"billed_charge": 274.0, "npi": [1205889458]}]}]}, {"tin": {"type": "ein", "value": "590973502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.78, "providers": [{"billed_charge": 266.26, "npi": [1063426823]}]}]}, {"tin": {"type": "ein", "value": "610445850"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.74, "providers": [{"billed_charge": 185.26, "npi": [1467492421]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 311.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 314.92, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 303.0, "npi": [1164526786, 1578780870, 1124137054, 1619115383]}]}, {"allowed_amount": 122.31, "providers": [{"billed_charge": 303.0, "npi": [1164526786, 1124137054, 1619115383]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 433.0, "npi": [1447883301]}]}, {"allowed_amount": 122.31, "providers": [{"billed_charge": 433.0, "npi": [1447883301]}]}, {"allowed_amount": 143.47, "providers": [{"billed_charge": 584.0, "npi": [1821004151]}, {"billed_charge": 801.0, "npi": [1194787218, 1780867390]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 561.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "741161944"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 333.7, "npi": [1891882833]}]}]}, {"tin": {"type": "ein", "value": "741166904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 333.7, "npi": [1477516466]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 530.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 89.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 167.65, "providers": [{"billed_charge": 479.0, "npi": [1770536120]}]}, {"allowed_amount": 179.2, "providers": [{"billed_charge": 512.0, "npi": [1770536120]}]}, {"allowed_amount": 179.55, "providers": [{"billed_charge": 513.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742519752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.27, "providers": [{"billed_charge": 333.7, "npi": [1154315307]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 665.72, "providers": [{"billed_charge": 1902.05, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.19, "providers": [{"billed_charge": 70.32, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746001118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 119.0, "npi": [1174582050]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 113.85, "providers": [{"billed_charge": 253.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 351.0, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 103.5, "npi": [1174533343]}]}, {"allowed_amount": 101.78, "providers": [{"billed_charge": 103.5, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 317.78, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751037591"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 317.78, "npi": [1124305065, 1851108765]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 103.5, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751188675"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.0, "providers": [{"billed_charge": 112.0, "npi": [1396748471]}]}]}, {"tin": {"type": "ein", "value": "751277293"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 134.0, "npi": [1598750721]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 103.5, "npi": [1104845015]}]}, {"allowed_amount": 101.78, "providers": [{"billed_charge": 103.5, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.78, "providers": [{"billed_charge": 103.5, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 317.78, "npi": [1073511762]}]}, {"allowed_amount": 101.78, "providers": [{"billed_charge": 317.78, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 317.78, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 317.78, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "751912147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.82, "providers": [{"billed_charge": 78.0, "npi": [1023013448]}]}]}, {"tin": {"type": "ein", "value": "752051646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 239.51, "npi": [1891765178]}]}, {"allowed_amount": 101.78, "providers": [{"billed_charge": 239.51, "npi": [1891765178]}]}]}, {"tin": {"type": "ein", "value": "752522262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.33, "providers": [{"billed_charge": 451.0, "npi": [1952326977]}]}]}, {"tin": {"type": "ein", "value": "752559845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.66, "providers": [{"billed_charge": 156.0, "npi": [1992707228]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 317.78, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 103.5, "npi": [1417980202]}]}, {"allowed_amount": 101.78, "providers": [{"billed_charge": 103.5, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 103.5, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752771437"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 103.5, "npi": [1457382798]}]}]}, {"tin": {"type": "ein", "value": "752829613"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 293.0, "npi": [1386647717]}]}]}, {"tin": {"type": "ein", "value": "752865177"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 183.31, "npi": [1922002674]}]}]}, {"tin": {"type": "ein", "value": "752890358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 103.5, "npi": [1548291883]}]}]}, {"tin": {"type": "ein", "value": "752932830"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.93, "providers": [{"billed_charge": 262.0, "npi": [1952333205]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.6, "providers": [{"billed_charge": 103.5, "npi": [1336172105]}]}, {"allowed_amount": 101.61, "providers": [{"billed_charge": 103.5, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 231.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760536234"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 561.0, "npi": [1942208616]}]}, {"allowed_amount": 75.27, "providers": [{"billed_charge": 561.0, "npi": [1942208616]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 791.0, "npi": [1083937593, 1184179194, 1497871628]}]}]}, {"tin": {"type": "ein", "value": "812527918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.78, "providers": [{"billed_charge": 134.0, "npi": [1396280756]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 402.28, "npi": [1144781501, 1346729159]}]}, {"allowed_amount": 122.31, "providers": [{"billed_charge": 402.28, "npi": [1902366305, 1346729159]}]}]}, {"tin": {"type": "ein", "value": "813556450"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 588.32, "npi": [1467935866]}]}]}, {"tin": {"type": "ein", "value": "820161600"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.19, "providers": [{"billed_charge": 161.0, "npi": [1770586794]}]}]}, {"tin": {"type": "ein", "value": "820551704"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 317.78, "npi": [1649273434]}]}]}, {"tin": {"type": "ein", "value": "820641535"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 700.0, "npi": [1134783913]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 200.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "823463299"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 449.0, "npi": [1649770488]}]}, {"allowed_amount": 75.27, "providers": [{"billed_charge": 449.0, "npi": [1649770488]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 251.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 317.78, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 285.81, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 103.5, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "832329088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 415.26, "npi": [1457820995]}]}]}, {"tin": {"type": "ein", "value": "832804506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 449.0, "npi": [1174089866]}]}]}, {"tin": {"type": "ein", "value": "843475920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 200.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 190.28, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 353.58, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "851931245"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 963.28, "npi": [1750909974]}]}]}, {"tin": {"type": "ein", "value": "851978933"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 588.32, "npi": [1265044333]}]}]}, {"tin": {"type": "ein", "value": "851984103"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 963.28, "npi": [1376151365]}]}]}, {"tin": {"type": "ein", "value": "852007987"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 963.28, "npi": [1144838947]}]}]}, {"tin": {"type": "ein", "value": "852713042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 538.8, "npi": [1376141556]}]}, {"allowed_amount": 75.27, "providers": [{"billed_charge": 538.8, "npi": [1376141556]}]}]}, {"tin": {"type": "ein", "value": "853503076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 957.51, "npi": [1124623889]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.44, "providers": [{"billed_charge": 353.58, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "871224784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.78, "providers": [{"billed_charge": 957.51, "npi": [1003489212]}]}]}, {"tin": {"type": "ein", "value": "881716225"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 538.06, "npi": [1053175794]}]}]}, {"tin": {"type": "ein", "value": "882501936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 538.8, "npi": [1750013769]}]}, {"allowed_amount": 465.95, "providers": [{"billed_charge": 538.8, "npi": [1750013769]}]}]}, {"tin": {"type": "ein", "value": "882898646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 963.28, "npi": [1699406173]}]}]}, {"tin": {"type": "ein", "value": "882931023"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 963.28, "npi": [1740911213]}]}]}, {"tin": {"type": "ein", "value": "883576979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.6, "providers": [{"billed_charge": 957.51, "npi": [1851028146]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 766.0, "npi": [1003539073]}]}, {"allowed_amount": 143.47, "providers": [{"billed_charge": 766.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "920937062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 538.8, "npi": [1558056895]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.5, "providers": [{"billed_charge": 88.5, "npi": [1073200309]}]}]}, {"tin": {"type": "ein", "value": "922858146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 714.0, "npi": [1184305609]}]}]}, {"tin": {"type": "ein", "value": "923637942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 957.51, "npi": [1679263883]}]}]}, {"tin": {"type": "ein", "value": "930602940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.18, "providers": [{"billed_charge": 308.11, "npi": [1982621447]}]}]}, {"tin": {"type": "ein", "value": "933488698"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 538.8, "npi": [1740042175]}]}, {"allowed_amount": 75.27, "providers": [{"billed_charge": 538.8, "npi": [1740042175]}]}]}, {"tin": {"type": "ein", "value": "934295804"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 957.51, "npi": [1851165013]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 410.0, "providers": [{"billed_charge": 410.0, "npi": [1518012301]}]}]}, {"tin": {"type": "ein", "value": "991725632"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 957.51, "npi": [1780442517]}]}]}, {"tin": {"type": "ein", "value": "992069011"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 576.0, "npi": [1477303105]}]}]}, {"tin": {"type": "ein", "value": "992078911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 576.0, "npi": [1770333403]}]}]}, {"tin": {"type": "ein", "value": "992199214"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 494.33, "npi": [1013735786]}]}]}, {"tin": {"type": "ein", "value": "992892769"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.37, "providers": [{"billed_charge": 844.0, "npi": [1255171096]}]}]}, {"tin": {"type": "ein", "value": "993319912"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 594.06, "npi": [1306679378]}]}]}, {"tin": {"type": "ein", "value": "994785298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 852.89, "npi": [1639992514]}]}]}, {"tin": {"type": "ein", "value": "995104341"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.59, "providers": [{"billed_charge": 800.0, "npi": [1609697242]}]}]}]}, {"name": "Intravenous infusion, hydration; initial, 31 minutes to 1 hour", "billing_code_type": "CPT", "billing_code": "96360", "billing_code_type_version": "2022", "description": "IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR", "allowed_amounts": [{"tin": {"type": "ein", "value": "010212435"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 443.59, "providers": [{"billed_charge": 291.0, "npi": [1154321545]}]}]}, {"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 878.59, "npi": [1265568638]}]}]}, {"tin": {"type": "ein", "value": "208737126"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 538.65, "npi": [1104086941]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 814.34, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1527.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "262978009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 845.08, "npi": [1689002651]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 1607.0, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 961.2, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "334335561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 961.2, "npi": [1952295164]}]}]}, {"tin": {"type": "ein", "value": "341893439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 434.66, "providers": [{"billed_charge": 1454.0, "npi": [1366433195]}]}]}, {"tin": {"type": "ein", "value": "440552490"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 570.43, "providers": [{"billed_charge": 1288.0, "npi": [1235102690]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 862.59, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 1607.0, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 779.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "720549907"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 344.0, "providers": [{"billed_charge": 344.0, "npi": [1093793408]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 400.0, "npi": [1093810327, 1164526786, 1124137054, 1619115383]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 584.0, "npi": [1821004151]}, {"billed_charge": 801.0, "npi": [1194787218, 1780867390]}]}]}, {"tin": {"type": "ein", "value": "741161944"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 930.1, "npi": [1891882833]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 751.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 351.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 480.9, "providers": [{"billed_charge": 1374.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 665.72, "providers": [{"billed_charge": 1902.05, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 491.44, "providers": [{"billed_charge": 347.67, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746001118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 759.0, "npi": [1174582050]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 281.25, "providers": [{"billed_charge": 625.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 519.0, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 779.25, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "750974351"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 790.0, "npi": [1124092036]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 814.34, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751037591"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 814.34, "npi": [1124305065]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 779.25, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 779.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 814.34, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 814.34, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 814.34, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752051646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 795.24, "npi": [1891765178]}]}]}, {"tin": {"type": "ein", "value": "752559845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 697.96, "providers": [{"billed_charge": 448.0, "npi": [1992707228]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 814.34, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 779.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 779.25, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752890358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 779.25, "npi": [1548291883]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 779.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 799.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1526.0, "npi": [1497871628]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 1000.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "823349983"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 729.97, "npi": [1346753118]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 847.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.69, "providers": [{"billed_charge": 1322.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "843475920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 1000.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 598.04, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 380.11, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "852354189"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 795.24, "npi": [1215609896]}]}]}, {"tin": {"type": "ein", "value": "852713042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 937.9, "npi": [1376141556]}]}]}, {"tin": {"type": "ein", "value": "853503076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 1533.08, "npi": [1124623889]}]}]}, {"tin": {"type": "ein", "value": "871224784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 1533.08, "npi": [1003489212]}]}]}, {"tin": {"type": "ein", "value": "921924347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 888.9, "npi": [1639875750]}]}]}, {"tin": {"type": "ein", "value": "923237461"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 52.8, "providers": [{"billed_charge": 55.0, "npi": [1013472695]}]}]}, {"tin": {"type": "ein", "value": "934370183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 1000.0, "npi": [1538934864]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 456.58, "providers": [{"billed_charge": 734.9, "npi": [1043220650]}]}]}]}, {"name": "Intubation, endotracheal, emergency procedure", "billing_code_type": "CPT", "billing_code": "31500", "billing_code_type_version": "2022", "description": "INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE", "allowed_amounts": [{"tin": {"type": "ein", "value": "203542589"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.35, "providers": [{"billed_charge": 1006.0, "npi": [1992149702]}]}]}, {"tin": {"type": "ein", "value": "204790934"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.32, "providers": [{"billed_charge": 341.35, "npi": [1821016023]}]}]}, {"tin": {"type": "ein", "value": "251403958"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.2, "providers": [{"billed_charge": 486.0, "npi": [1659378032]}]}]}, {"tin": {"type": "ein", "value": "271595277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 177.36, "providers": [{"billed_charge": 275.0, "npi": [1205009099]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 407.59, "providers": [{"billed_charge": 874.0, "npi": [1487073680, 1508826066]}]}]}, {"tin": {"type": "ein", "value": "461415202"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 563.66, "providers": [{"billed_charge": 1330.0, "npi": [1023694684]}]}, {"allowed_amount": 566.84, "providers": [{"billed_charge": 1330.0, "npi": [1104115898]}]}]}, {"tin": {"type": "ein", "value": "471382605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 277.91, "providers": [{"billed_charge": 1032.0, "npi": [1598733552, 1336764851]}]}, {"allowed_amount": 555.81, "providers": [{"billed_charge": 1032.0, "npi": [1902424112, 1871854505]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.03, "providers": [{"billed_charge": 403.0, "npi": [1235622465]}]}, {"allowed_amount": 176.05, "providers": [{"billed_charge": 403.0, "npi": [1548368376, 1093380701]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 209.42, "providers": [{"billed_charge": 1225.98, "npi": [1336713932]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 237.35, "providers": [{"billed_charge": 484.57, "npi": [1922329408]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 812.7, "providers": [{"billed_charge": 1806.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 215.5, "providers": [{"billed_charge": 431.0, "npi": [1649466459]}]}]}, {"tin": {"type": "ein", "value": "752737522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 555.81, "providers": [{"billed_charge": 1330.0, "npi": [1780094565]}]}, {"allowed_amount": 566.84, "providers": [{"billed_charge": 1330.0, "npi": [1235330556]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 407.53, "providers": [{"billed_charge": 891.0, "npi": [1770892176]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 176.05, "providers": [{"billed_charge": 1722.0, "npi": [1306011937]}]}]}, {"tin": {"type": "ein", "value": "863284696"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.52, "providers": [{"billed_charge": 807.0, "npi": [1083902506]}]}]}, {"tin": {"type": "ein", "value": "933910567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 176.05, "providers": [{"billed_charge": 1612.0, "npi": [1437172566]}]}]}, {"tin": {"type": "ein", "value": "993954355"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.32, "providers": [{"billed_charge": 269.0, "npi": [1063410777]}]}]}]}, {"name": "Iron", "billing_code_type": "CPT", "billing_code": "83540", "billing_code_type_version": "2022", "description": "ASSAY OF IRON", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.53, "providers": [{"billed_charge": 65.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 9.06, "providers": [{"billed_charge": 16.18, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.53, "providers": [{"billed_charge": 25.88, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.51, "providers": [{"billed_charge": 145.57, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 277.9, "providers": [{"billed_charge": 794.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 164.69, "providers": [{"billed_charge": 470.55, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.4, "providers": [{"billed_charge": 52.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 7.12, "providers": [{"billed_charge": 38.81, "npi": [1467642611]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.98, "providers": [{"billed_charge": 20.0, "npi": [1194769497]}]}, {"allowed_amount": 5.31, "providers": [{"billed_charge": 20.0, "npi": [1104839380]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.31, "providers": [{"billed_charge": 27.15, "npi": [1235186800]}]}, {"allowed_amount": 13.52, "providers": [{"billed_charge": 27.0, "npi": [1235186800]}, {"billed_charge": 27.15, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.31, "providers": [{"billed_charge": 16.18, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.31, "providers": [{"billed_charge": 9.0, "npi": [1487429874]}]}, {"allowed_amount": 9.0, "providers": [{"billed_charge": 9.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.98, "providers": [{"billed_charge": 12.94, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.48, "providers": [{"billed_charge": 78.0, "npi": [1982606992]}]}]}]}, {"name": "Iron binding capacity", "billing_code_type": "CPT", "billing_code": "83550", "billing_code_type_version": "2022", "description": "IRON BINDING CAPACITY", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.12, "providers": [{"billed_charge": 34.96, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.14, "providers": [{"billed_charge": 196.4, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 325.15, "providers": [{"billed_charge": 929.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 209.21, "providers": [{"billed_charge": 597.73, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.35, "providers": [{"billed_charge": 83.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 9.61, "providers": [{"billed_charge": 52.45, "npi": [1467642611]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.17, "providers": [{"billed_charge": 36.63, "npi": [1235186800]}]}, {"allowed_amount": 18.27, "providers": [{"billed_charge": 36.63, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.17, "providers": [{"billed_charge": 11.0, "npi": [1487429874]}]}, {"allowed_amount": 11.0, "providers": [{"billed_charge": 11.0, "npi": [1841798667]}]}]}]}, {"name": "Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative", "billing_code_type": "CPT", "billing_code": "82010", "billing_code_type_version": "2022", "description": "KETONE BODYS QUANTITATIVE", "allowed_amounts": [{"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.0, "providers": [{"billed_charge": 334.29, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 204.75, "providers": [{"billed_charge": 585.0, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.3, "providers": [{"billed_charge": 114.0, "npi": [1821011248]}]}, {"allowed_amount": 56.25, "providers": [{"billed_charge": 125.0, "npi": [1821011248]}]}]}]}, {"name": "Lactate (lactic acid)", "billing_code_type": "CPT", "billing_code": "83605", "billing_code_type_version": "2022", "description": "ASSAY OF LACTATE", "allowed_amounts": [{"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 16.2, "providers": [{"billed_charge": 28.93, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 299.6, "providers": [{"billed_charge": 856.0, "npi": [1770536120]}]}, {"allowed_amount": 303.63, "providers": [{"billed_charge": 867.5, "npi": [1770536120]}]}, {"allowed_amount": 307.65, "providers": [{"billed_charge": 879.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 248.63, "providers": [{"billed_charge": 710.37, "npi": [1124074273, 1376071530, 1659525236]}]}, {"allowed_amount": 422.87, "providers": [{"billed_charge": 1208.19, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 52.65, "providers": [{"billed_charge": 117.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752301801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 236.0, "providers": [{"billed_charge": 236.0, "npi": [1831170273]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1538140439]}]}]}]}, {"name": "Lactate dehydrogenase (LD), (LDH);", "billing_code_type": "CPT", "billing_code": "83615", "billing_code_type_version": "2022", "description": "LACTATE DEHYDROGENASE LDH", "allowed_amounts": [{"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 8.46, "providers": [{"billed_charge": 15.1, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.01, "providers": [{"billed_charge": 135.53, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 169.14, "providers": [{"billed_charge": 483.27, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.9, "providers": [{"billed_charge": 62.0, "npi": [1821011248]}]}, {"allowed_amount": 31.05, "providers": [{"billed_charge": 69.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.95, "providers": [{"billed_charge": 8.0, "npi": [1487429874]}]}, {"allowed_amount": 8.0, "providers": [{"billed_charge": 8.0, "npi": [1841798667]}]}]}]}, {"name": "Laparoscopy, surgical, appendectomy", "billing_code_type": "CPT", "billing_code": "44970", "billing_code_type_version": "2022", "description": "LAPAROSCOPIC APPENDECTOMY", "allowed_amounts": [{"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.99, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1896.0, "npi": [1922867019]}]}, {"allowed_amount": 670.1, "providers": [{"billed_charge": 1896.0, "npi": [1871556480]}]}]}, {"tin": {"type": "ein", "value": "274376413"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1121.42, "providers": [{"billed_charge": 1141.0, "npi": [1427053669]}]}]}, {"tin": {"type": "ein", "value": "393553093"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1121.42, "providers": [{"billed_charge": 1726.0, "npi": [1841615986]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13139.45, "providers": [{"billed_charge": 17460.5, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "541547408"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18757.33, "providers": [{"billed_charge": 13692.0, "npi": [1629038336]}]}]}, {"tin": {"type": "ein", "value": "541595397"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1125.16, "providers": [{"billed_charge": 1200.0, "npi": [1326545591]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7059.77, "providers": [{"billed_charge": 20170.77, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "752051646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13139.45, "providers": [{"billed_charge": 11282.49, "npi": [1891765178]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 768.0, "providers": [{"billed_charge": 1972.92, "npi": [1568671436]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9474.0, "providers": [{"billed_charge": 14078.88, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 209.86, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1190.0, "npi": [1821799131]}]}, {"allowed_amount": 625.78, "providers": [{"billed_charge": 5946.0, "npi": [1407218035]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 616.78, "providers": [{"billed_charge": 2102.0, "npi": [1407197692]}]}, {"allowed_amount": 625.78, "providers": [{"billed_charge": 2102.0, "npi": [1730566944, 1871754135]}]}, {"allowed_amount": 768.0, "providers": [{"billed_charge": 2102.0, "npi": [1992239222]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9474.0, "providers": [{"billed_charge": 10762.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "900813612"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 202.11, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 622.73, "npi": [1063162550]}]}]}, {"tin": {"type": "ein", "value": "992633799"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 756.96, "providers": [{"billed_charge": 1738.0, "npi": [1760726418]}]}]}]}, {"name": "Laparoscopy, surgical; cholecystectomy", "billing_code_type": "CPT", "billing_code": "47562", "billing_code_type_version": "2022", "description": "LAPAROSCOPY SURG CHOLECYSTECTOMY", "allowed_amounts": [{"tin": {"type": "ein", "value": "201436866"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 782.07, "providers": [{"billed_charge": 7900.0, "npi": [1295150522]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 1226.02, "providers": [{"billed_charge": 2354.0, "npi": [1922461789]}, {"billed_charge": 3923.0, "npi": [1801201884, 1821188293]}]}]}, {"tin": {"type": "ein", "value": "263055908"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 800.15, "providers": [{"billed_charge": 1400.0, "npi": [1396943296]}]}]}, {"tin": {"type": "ein", "value": "333515916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1226.02, "providers": [{"billed_charge": 2611.76, "npi": [1760809123]}]}]}, {"tin": {"type": "ein", "value": "472841610"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 85.82, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 15510.0, "npi": [1730553009]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1226.02, "providers": [{"billed_charge": 1893.0, "npi": [1689297764, 1114212412]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5182.51, "providers": [{"billed_charge": 14807.17, "npi": [1124074273]}]}, {"allowed_amount": 7059.77, "providers": [{"billed_charge": 20170.77, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9110.25, "providers": [{"billed_charge": 20245.0, "npi": [1821011248]}]}, {"allowed_amount": 10021.5, "providers": [{"billed_charge": 22270.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13139.45, "providers": [{"billed_charge": 8029.0, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 229.29, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2161.86, "npi": [1114755659]}]}, {"allowed_amount": 839.08, "providers": [{"billed_charge": 2161.86, "npi": [1508200353]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9474.0, "providers": [{"billed_charge": 17220.6, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 228.97, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 2305.0, "npi": [1043537566]}]}, {"allowed_amount": 782.07, "providers": [{"billed_charge": 2305.0, "npi": [1659410660]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1226.02, "providers": [{"billed_charge": 1639.0, "npi": [1699096685]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18908.81, "providers": [{"billed_charge": 43990.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "822922665"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 95.22, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 6800.0, "npi": [1780077057]}]}]}, {"tin": {"type": "ein", "value": "832023962"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1226.02, "providers": [{"billed_charge": 2783.0, "npi": [1831215581]}]}]}, {"tin": {"type": "ein", "value": "862299338"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 199.15, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3894.0, "npi": [1215350236]}, {"billed_charge": 4400.0, "npi": [1215350236, 1720222318]}]}]}, {"tin": {"type": "ein", "value": "871139300"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 839.08, "providers": [{"billed_charge": 30000.0, "npi": [1588612634]}]}]}, {"tin": {"type": "ein", "value": "880900432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1226.02, "providers": [{"billed_charge": 3923.0, "npi": [1497209548]}]}]}, {"tin": {"type": "ein", "value": "900813612"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 108.82, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 778.35, "npi": [1144802422]}]}, {"allowed_amount": 240.04, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 778.35, "npi": [1093589418]}]}]}, {"tin": {"type": "ein", "value": "923158426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.82, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 11184.25, "npi": [1912731621]}, {"billed_charge": 14184.25, "npi": [1912731621]}]}]}, {"tin": {"type": "ein", "value": "933393075"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 102.13, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 55564.74, "npi": [1144968140]}]}, {"allowed_amount": 827.56, "providers": [{"billed_charge": 56126.0, "npi": [1053739763]}]}]}]}, {"name": "Level I - Surgical pathology, gross examination only", "billing_code_type": "CPT", "billing_code": "88300", "billing_code_type_version": "2022", "description": "LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY", "allowed_amounts": [{"tin": {"type": "ein", "value": "371925902"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 4.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 78.0, "npi": [1144367426]}]}]}, {"tin": {"type": "ein", "value": "741209207"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 22.51, "providers": [{"billed_charge": 90.0, "npi": [1467665620]}]}]}, {"tin": {"type": "ein", "value": "741619182"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 5.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.9, "npi": [1952564288, 1578881413, 1215193701, 1104020775, 1730398181, 1790984359, 1639350036, 1104817022]}]}]}, {"tin": {"type": "ein", "value": "741720245"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 6.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1164862306]}]}]}, {"tin": {"type": "ein", "value": "742922218"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 5.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1558629519]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.3, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 214.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751784456"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 4.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1750313904, 1801178371]}]}]}, {"tin": {"type": "ein", "value": "751788181"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 4.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1093784548]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 12.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1518352640, 1538140439]}]}]}, {"tin": {"type": "ein", "value": "760182525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1861478711]}]}]}]}, {"name": "Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization", "billing_code_type": "CPT", "billing_code": "88302", "billing_code_type_version": "2022", "description": "LEVEL II SURG PATHOLOGY GROSS&MICROSCOPIC EXAM", "allowed_amounts": [{"tin": {"type": "ein", "value": "371925902"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 7.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1912529280, 1952324956]}]}, {"allowed_amount": 7.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1154608552, 1144367426, 1538149406]}]}]}, {"tin": {"type": "ein", "value": "741209207"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1245238708]}]}]}, {"tin": {"type": "ein", "value": "741619182"}, "billing_class": "professional", "service_codes": ["21", "22", "11"], "payments": [{"allowed_amount": 8.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1215193701, 1730398181, 1790984359, 1386716967, 1104020775, 1457607566]}]}, {"allowed_amount": 8.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1578881413, 1457607566, 1790984359]}]}, {"allowed_amount": 14.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1346622610, 1710965421, 1255424974, 1295790855]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 311.58, "providers": [{"billed_charge": 890.24, "npi": [1659525236]}]}]}, {"tin": {"type": "ein", "value": "742922218"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 8.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1679796544]}]}]}, {"tin": {"type": "ein", "value": "751788181"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1760732986]}]}, {"allowed_amount": 7.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1255461349]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 18.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1518352640, 1275093486]}]}]}]}, {"name": "Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity", "billing_code_type": "CPT", "billing_code": "88304", "billing_code_type_version": "2022", "description": "LEVEL III SURG PATHOLOGY GROSS&MICROSCOPIC EXAM", "allowed_amounts": [{"tin": {"type": "ein", "value": "371925902"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 11.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1912529280, 1164453486, 1275895922, 1952324956, 1891836094, 1295994655]}]}, {"allowed_amount": 11.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1154608552, 1144367426, 1578718094, 1538149406]}]}]}, {"tin": {"type": "ein", "value": "393155066"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 25.06, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 153.0, "npi": [1114807153]}]}]}, {"tin": {"type": "ein", "value": "461314303"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 22.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1265696538]}]}]}, {"tin": {"type": "ein", "value": "470861099"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1740660901]}]}]}, {"tin": {"type": "ein", "value": "541114835"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 20.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1629062450]}]}]}, {"tin": {"type": "ein", "value": "741209207"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1316123987, 1972698918]}]}]}, {"tin": {"type": "ein", "value": "741619182"}, "billing_class": "professional", "service_codes": ["21", "81", "22", "11"], "payments": [{"allowed_amount": 13.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.3, "npi": [1952564288, 1730398181, 1215193701, 1386716967, 1790984359, 1104020775, 1578881413, 1457607566, 1134346067, 1639350036, 1104817022]}]}, {"allowed_amount": 21.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.3, "npi": [1912963307, 1295790855]}]}, {"allowed_amount": 22.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.3, "npi": [1952564288, 1578881413, 1710965421, 1194022160, 1184987158, 1730574971]}]}]}, {"tin": {"type": "ein", "value": "741720245"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 14.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 222.0, "npi": [1497766117]}]}, {"allowed_amount": 14.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 222.0, "npi": [1962590562, 1386172054, 1851353031]}]}]}, {"tin": {"type": "ein", "value": "742406834"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1346210523]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 392.97, "providers": [{"billed_charge": 1122.78, "npi": [1124074273]}]}, {"allowed_amount": 392.98, "providers": [{"billed_charge": 1122.78, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742922218"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 13.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1114907748, 1316157605, 1346710506, 1730537002, 1194707950, 1225018674, 1598255739]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 11.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 78.0, "npi": [1235152034, 1629386974]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.6, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 548.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751625363"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1689657546]}]}]}, {"tin": {"type": "ein", "value": "751664109"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 11.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.5, "npi": [1003072489, 1780998757]}]}]}, {"tin": {"type": "ein", "value": "751784456"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 11.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1750313904, 1962729194, 1801178371]}]}]}, {"tin": {"type": "ein", "value": "751788181"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 11.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1023376696, 1255461349]}]}, {"allowed_amount": 11.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1760732986, 1093784548]}]}, {"allowed_amount": 11.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1760732986]}]}, {"allowed_amount": 11.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1023237872, 1760732986]}]}, {"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1720010077]}]}, {"allowed_amount": 14.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1720010077]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1336190313]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1518352640]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 11.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1932178399]}]}, {"allowed_amount": 11.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1356738058, 1629311212, 1023027554]}]}]}, {"tin": {"type": "ein", "value": "760182525"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1205812674, 1861478711]}]}]}, {"tin": {"type": "ein", "value": "760508645"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 55.98, "providers": [{"billed_charge": 250.0, "npi": [1548466212, 1366421927]}]}]}, {"tin": {"type": "ein", "value": "760543568"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 55.98, "providers": [{"billed_charge": 250.0, "npi": [1518134154]}]}]}, {"tin": {"type": "ein", "value": "872266063"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 58.4, "providers": [{"billed_charge": 64.41, "npi": [1770621658]}]}]}]}, {"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": "113272376"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 29.34, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 84.0, "npi": [1215921549]}]}]}, {"tin": {"type": "ein", "value": "205455398"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.0, "providers": [{"billed_charge": 284.0, "npi": [1134438427]}]}]}, {"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 61.77, "providers": [{"billed_charge": 192.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "264450440"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 46.58, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 96.0, "npi": [1467569459]}]}]}, {"tin": {"type": "ein", "value": "331168930"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.15, "providers": [{"billed_charge": 117.0, "npi": [1184814014]}]}]}, {"tin": {"type": "ein", "value": "371520288"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 46.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 290.0, "npi": [1265870307]}]}]}, {"tin": {"type": "ein", "value": "371925902"}, "billing_class": "professional", "service_codes": ["21", "24", "22", "11"], "payments": [{"allowed_amount": 37.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1912529280, 1538149406, 1164453486, 1629605399, 1952324956, 1891836094, 1295994655]}]}, {"allowed_amount": 38.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1104203553, 1144367426, 1154608552, 1578718094, 1538149406, 1720466527]}]}, {"allowed_amount": 38.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1497963862, 1649767211, 1164453486, 1306293543]}]}]}, {"tin": {"type": "ein", "value": "392970380"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 74.56, "providers": [{"billed_charge": 400.0, "npi": [1972966265]}]}]}, {"tin": {"type": "ein", "value": "421429857"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 60.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1255863932]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 95.57, "providers": [{"billed_charge": 350.0, "npi": [1366421927, 1518134154, 1215490917, 1598129975]}]}]}, {"tin": {"type": "ein", "value": "460543096"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 37.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 218.0, "npi": [1588840706, 1831294883]}]}]}, {"tin": {"type": "ein", "value": "461314303"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 76.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1265696538]}]}]}, {"tin": {"type": "ein", "value": "462985840"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 38.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1164497632]}]}]}, {"tin": {"type": "ein", "value": "581910975"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 108.74, "providers": [{"billed_charge": 258.0, "npi": [1316112451, 1003919531, 1497915276, 1225444300, 1295085686]}]}]}, {"tin": {"type": "ein", "value": "621637129"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.15, "providers": [{"billed_charge": 204.0, "npi": [1467433292]}]}, {"allowed_amount": 57.47, "providers": [{"billed_charge": 204.0, "npi": [1467433292]}]}, {"allowed_amount": 57.48, "providers": [{"billed_charge": 204.0, "npi": [1467433292]}]}]}, {"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 39.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.9, "npi": [1891713038]}]}, {"allowed_amount": 49.23, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 144.0, "npi": [1710939939, 1891713038]}]}, {"allowed_amount": 52.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.9, "npi": [1710939939]}]}, {"allowed_amount": 101.88, "providers": [{"billed_charge": 245.9, "npi": [1548440985, 1407293970]}]}]}, {"tin": {"type": "ein", "value": "640899072"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 36.6, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 125.0, "npi": [1225142920]}]}, {"allowed_amount": 37.6, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 125.0, "npi": [1225142920]}]}]}, {"tin": {"type": "ein", "value": "650120269"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 105.86, "providers": [{"billed_charge": 174.0, "npi": [1992776314]}]}]}, {"tin": {"type": "ein", "value": "710847813"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 54.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.7, "npi": [1407241656, 1548469745, 1881652709, 1346462561]}]}]}, {"tin": {"type": "ein", "value": "741209207"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 46.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 290.0, "npi": [1275767626, 1053978577, 1811309586, 1124295092, 1700848983, 1609287739]}]}, {"allowed_amount": 46.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 290.0, "npi": [1275767626, 1700848983]}]}, {"allowed_amount": 48.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 290.0, "npi": [1245238708, 1972698918]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 11.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1144859489]}]}, {"allowed_amount": 46.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1184631434, 1235450636, 1053340117, 1467409532, 1184079741]}]}]}, {"tin": {"type": "ein", "value": "741619182"}, "billing_class": "professional", "service_codes": ["21", "81", "22", "11"], "payments": [{"allowed_amount": 46.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.1, "npi": [1952564288, 1215193701, 1730398181, 1790984359, 1104020775, 1578881413, 1386716967, 1457607566, 1134346067, 1639350036, 1104817022]}]}, {"allowed_amount": 76.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.1, "npi": [1982642211, 1730398181, 1215193701, 1104020775, 1295790855, 1790984359, 1912963307, 1962559757, 1346206638, 1457607566, 1134346067, 1841256179, 1639350036, 1184987158, 1962463158, 1407207897, 1730574971, 1104817022]}]}]}, {"tin": {"type": "ein", "value": "741720245"}, "billing_class": "professional", "service_codes": ["21", "24", "22", "23"], "payments": [{"allowed_amount": 42.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 328.0, "npi": [1629455886]}]}, {"allowed_amount": 46.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 328.0, "npi": [1598103996, 1073924213, 1699734053, 1083000814]}]}, {"allowed_amount": 46.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 328.0, "npi": [1699734053]}]}, {"allowed_amount": 47.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 328.0, "npi": [1164862306]}]}, {"allowed_amount": 47.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 328.0, "npi": [1780882381, 1497766117]}]}, {"allowed_amount": 48.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 328.0, "npi": [1497766117, 1992709356, 1730154485, 1093262776, 1538121371]}]}, {"allowed_amount": 48.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 328.0, "npi": [1962590562, 1164862306, 1245474758, 1770016495, 1679065585, 1184661332, 1386172054, 1194101337, 1538121371]}]}]}, {"tin": {"type": "ein", "value": "741761309"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 95.57, "providers": [{"billed_charge": 474.0, "npi": [1861424129, 1215357355]}]}]}, {"tin": {"type": "ein", "value": "742406834"}, "billing_class": "professional", "service_codes": ["21", "11"], "payments": [{"allowed_amount": 46.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1346210523, 1912495086]}]}, {"allowed_amount": 91.5, "providers": [{"billed_charge": 315.0, "npi": [1912495086]}]}]}, {"tin": {"type": "ein", "value": "742656670"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1740424142]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.14, "providers": [{"billed_charge": 1526.13, "npi": [1124074273]}]}, {"allowed_amount": 534.15, "providers": [{"billed_charge": 1526.13, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742922218"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 46.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 400.0, "npi": [1679796544, 1588959779, 1730537002, 1346710506, 1194707950, 1558629519, 1497199343, 1225018674, 1821384215, 1699973016, 1841587771, 1326669342, 1730422783]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 38.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.0, "npi": [1629386974, 1164536207]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 382.95, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 851.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751625363"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 38.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 375.0, "npi": [1639589831]}]}]}, {"tin": {"type": "ein", "value": "751664109"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 38.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 210.0, "npi": [1003072489]}]}, {"allowed_amount": 38.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 210.0, "npi": [1699744136]}]}]}, {"tin": {"type": "ein", "value": "751784456"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 38.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1750313904, 1962729194, 1801178371]}]}]}, {"tin": {"type": "ein", "value": "751788181"}, "billing_class": "professional", "service_codes": ["21", "24", "22"], "payments": [{"allowed_amount": 37.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 261.0, "npi": [1093784548, 1720304298, 1225211162, 1023237872, 1023376696, 1457383705, 1760732986, 1447322458]}]}, {"allowed_amount": 38.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 261.0, "npi": [1023376696, 1720304298, 1225211162]}]}, {"allowed_amount": 38.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 261.0, "npi": [1093784548, 1255461349, 1720304298, 1225211162, 1023237872, 1023376696, 1457383705, 1447322458, 1760732986]}]}, {"allowed_amount": 47.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 261.0, "npi": [1720010077]}]}, {"allowed_amount": 47.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 261.0, "npi": [1720010077]}]}, {"allowed_amount": 48.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 261.0, "npi": [1720010077]}]}, {"allowed_amount": 76.6, "providers": [{"billed_charge": 351.0, "npi": [1457383705, 1447322458]}]}, {"allowed_amount": 77.1, "providers": [{"billed_charge": 351.0, "npi": [1457383705, 1447322458]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1336190313]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 48.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1689631301]}]}, {"allowed_amount": 97.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1518352640, 1386294171, 1275093486, 1871121368]}]}]}, {"tin": {"type": "ein", "value": "752778206"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 38.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 281.0, "npi": [1740784743]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 38.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1205007432, 1881763498, 1629311212, 1518152370, 1215194386, 1851617237, 1326017815, 1629259577]}]}]}, {"tin": {"type": "ein", "value": "760182525"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 48.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 280.0, "npi": [1659464857]}]}]}, {"tin": {"type": "ein", "value": "760364263"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 48.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 272.0, "npi": [1942404553]}]}, {"allowed_amount": 48.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 272.0, "npi": [1770874349, 1740203397]}]}, {"allowed_amount": 95.56, "providers": [{"billed_charge": 408.0, "npi": [1982665402, 1942476924, 1770874349, 1740203397]}]}, {"allowed_amount": 95.57, "providers": [{"billed_charge": 408.0, "npi": [1457613176, 1740203397, 1942404553, 1770874349, 1992917272, 1194916379]}]}]}, {"tin": {"type": "ein", "value": "760421006"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 95.56, "providers": [{"billed_charge": 488.0, "npi": [1760487169]}]}, {"allowed_amount": 95.57, "providers": [{"billed_charge": 488.0, "npi": [1760487169]}]}]}, {"tin": {"type": "ein", "value": "760508645"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 47.53, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 110.0, "npi": [1598129975]}]}, {"allowed_amount": 95.56, "providers": [{"billed_charge": 350.0, "npi": [1548466212, 1245454149]}]}, {"allowed_amount": 95.57, "providers": [{"billed_charge": 350.0, "npi": [1548466212, 1245454149, 1366421927]}]}]}, {"tin": {"type": "ein", "value": "760543568"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 74.56, "providers": [{"billed_charge": 350.0, "npi": [1083694418]}]}, {"allowed_amount": 95.56, "providers": [{"billed_charge": 350.0, "npi": [1073512265, 1215490917]}]}, {"allowed_amount": 95.57, "providers": [{"billed_charge": 350.0, "npi": [1215490917, 1245454149, 1073512265, 1518134154, 1598129975, 1003876285]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 38.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 351.0, "npi": [1124162482, 1932401965]}]}, {"allowed_amount": 77.1, "providers": [{"billed_charge": 435.0, "npi": [1124162482, 1932401965]}]}]}, {"tin": {"type": "ein", "value": "813253496"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 48.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.13, "npi": [1790789154]}]}, {"allowed_amount": 50.39, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 144.13, "npi": [1790789154]}]}]}, {"tin": {"type": "ein", "value": "820540404"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 98.91, "providers": [{"billed_charge": 145.46, "npi": [1841797446]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 183.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1255343448]}]}]}, {"tin": {"type": "ein", "value": "871005967"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 95.56, "providers": [{"billed_charge": 195.0, "npi": [1043539687]}]}]}, {"tin": {"type": "ein", "value": "880103554"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 56.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.47, "npi": [1194245100]}]}]}, {"tin": {"type": "ein", "value": "911385504"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 117.76, "providers": [{"billed_charge": 195.0, "npi": [1801849369]}]}]}, {"tin": {"type": "ein", "value": "991071500"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 38.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 800.0, "npi": [1225423502]}]}]}, {"tin": {"type": "ein", "value": "993493711"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 201.0, "providers": [{"billed_charge": 201.0, "npi": [1902857238]}]}]}]}, {"name": "Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse", "billing_code_type": "CPT", "billing_code": "88307", "billing_code_type_version": "2022", "description": "LEVEL V SURG PATHOLOGY GROSS&MICROSCOPIC EXAM", "allowed_amounts": [{"tin": {"type": "ein", "value": "371925902"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 82.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 468.0, "npi": [1912529280, 1164453486, 1619596053, 1629605399, 1952324956, 1538149406]}]}, {"allowed_amount": 84.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 468.0, "npi": [1104203553, 1144367426, 1154608552, 1063492338, 1538149406, 1629205406]}]}, {"allowed_amount": 102.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 468.0, "npi": [1003444274]}]}]}, {"tin": {"type": "ein", "value": "462985840"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 84.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 370.0, "npi": [1164497632]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 561.72, "providers": [{"billed_charge": 1397.1, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "741209207"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 102.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 460.0, "npi": [1275767626, 1609287739, 1700848983]}]}, {"allowed_amount": 102.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 460.0, "npi": [1053978577]}]}, {"allowed_amount": 104.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 460.0, "npi": [1972698918]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 101.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1144859489, 1336602721, 1467409532]}]}]}, {"tin": {"type": "ein", "value": "741619182"}, "billing_class": "professional", "service_codes": ["21", "81", "22", "11"], "payments": [{"allowed_amount": 86.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 416.0, "npi": [1215193701]}]}, {"allowed_amount": 101.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 416.0, "npi": [1952564288, 1215193701, 1730398181, 1104020775, 1790984359, 1386716967, 1578881413, 1457607566, 1134346067, 1639350036, 1104817022]}]}, {"allowed_amount": 101.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 416.0, "npi": [1215193701, 1578881413, 1790984359, 1386716967, 1104020775, 1730398181]}]}, {"allowed_amount": 160.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 416.0, "npi": [1841256179, 1295790855]}]}, {"allowed_amount": 166.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 416.0, "npi": [1134180672, 1295790855, 1346206638, 1134346067, 1730574971, 1417223389]}]}]}, {"tin": {"type": "ein", "value": "741720245"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 102.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 546.0, "npi": [1598103996]}]}, {"allowed_amount": 104.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 546.0, "npi": [1497766117]}]}, {"allowed_amount": 104.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 546.0, "npi": [1962590562, 1497766117, 1205968393, 1992709356, 1770016495, 1679065585, 1184681272, 1568425916]}]}]}, {"tin": {"type": "ein", "value": "742406834"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1346210523]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 639.06, "providers": [{"billed_charge": 1825.89, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742922218"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 101.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 525.0, "npi": [1679796544, 1740237825, 1831144930]}]}, {"allowed_amount": 101.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 525.0, "npi": [1194707950]}]}]}, {"tin": {"type": "ein", "value": "742934350"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1134495401]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 459.45, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1021.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751784456"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 84.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 485.0, "npi": [1750313904, 1962729194]}]}]}, {"tin": {"type": "ein", "value": "751788181"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 61.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 395.0, "npi": [1225211162]}]}, {"allowed_amount": 82.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 395.0, "npi": [1720304298, 1255461349]}]}, {"allowed_amount": 84.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 395.0, "npi": [1255461349, 1720304298, 1023376696, 1760732986, 1447322458]}]}, {"allowed_amount": 84.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 395.0, "npi": [1093784548, 1255461349, 1225211162, 1023237872, 1760732986, 1447322458]}]}, {"allowed_amount": 103.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 395.0, "npi": [1720010077]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1326228941]}]}]}, {"tin": {"type": "ein", "value": "752656007"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 281.75, "npi": [1992755250]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 213.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 213.0, "npi": [1871121368, 1518352640]}]}]}, {"tin": {"type": "ein", "value": "752778206"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 465.0, "npi": [1356302350]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 381.0, "npi": [1295979003, 1053463141]}]}]}, {"tin": {"type": "ein", "value": "760421006"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 540.0, "npi": [1356788517]}]}]}]}, {"name": "Lipase", "billing_code_type": "CPT", "billing_code": "83690", "billing_code_type_version": "2022", "description": "ASSAY OF LIPASE", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.82, "providers": [{"billed_charge": 65.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.0, "providers": [{"billed_charge": 166.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 495.95, "providers": [{"billed_charge": 1417.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 218.75, "providers": [{"billed_charge": 625.0, "npi": [1124074273, 1376071530, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.0, "providers": [{"billed_charge": 140.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751188675"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.0, "providers": [{"billed_charge": 115.0, "npi": [1396748471]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.75, "providers": [{"billed_charge": 310.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.65, "providers": [{"billed_charge": 28.86, "npi": [1235186800]}]}, {"allowed_amount": 14.4, "providers": [{"billed_charge": 28.86, "npi": [1235186800]}, {"billed_charge": 29.0, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 67.58, "providers": [{"billed_charge": 67.58, "npi": [1073200309]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 284.0, "providers": [{"billed_charge": 284.0, "npi": [1518012301]}]}]}, {"tin": {"type": "ein", "value": "952226406"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.0, "providers": [{"billed_charge": 49.0, "npi": [1689608150]}]}]}, {"tin": {"type": "ein", "value": "952321136"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 376.09, "providers": [{"billed_charge": 1074.55, "npi": [1306890389]}]}]}]}, {"name": "Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)", "billing_code_type": "CPT", "billing_code": "80061", "billing_code_type_version": "2022", "description": "LIPID PANEL", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.37, "providers": [{"billed_charge": 75.0, "npi": [1033281126]}, {"billed_charge": 200.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 18.75, "providers": [{"billed_charge": 33.48, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.37, "providers": [{"billed_charge": 53.56, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.14, "providers": [{"billed_charge": 255.0, "npi": [1356828172]}]}]}, {"tin": {"type": "ein", "value": "394764139"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.31, "providers": [{"billed_charge": 22.0, "npi": [1164390605]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.89, "providers": [{"billed_charge": 679.25, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.89, "providers": [{"billed_charge": 494.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.86, "providers": [{"billed_charge": 384.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.53, "providers": [{"billed_charge": 301.04, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.81, "providers": [{"billed_charge": 564.75, "npi": [1164526786, 1619115383, 1578780870, 1093810327]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.42, "providers": [{"billed_charge": 221.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 469.35, "providers": [{"billed_charge": 1341.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 534.15, "providers": [{"billed_charge": 1526.13, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.8, "providers": [{"billed_charge": 174.72, "npi": [1619747938, 1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.25, "providers": [{"billed_charge": 145.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.89, "providers": [{"billed_charge": 679.25, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.92, "providers": [{"billed_charge": 679.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.92, "providers": [{"billed_charge": 328.07, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.89, "providers": [{"billed_charge": 328.07, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 14.73, "providers": [{"billed_charge": 80.47, "npi": [1467642611]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 38.0, "providers": [{"billed_charge": 38.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.92, "providers": [{"billed_charge": 679.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.89, "providers": [{"billed_charge": 679.25, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.89, "providers": [{"billed_charge": 142.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.92, "providers": [{"billed_charge": 89.0, "npi": [1992753222]}, {"billed_charge": 150.0, "npi": [1992753222]}]}, {"allowed_amount": 89.0, "providers": [{"billed_charge": 89.0, "npi": [1992753222]}]}, {"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.92, "providers": [{"billed_charge": 679.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.89, "providers": [{"billed_charge": 393.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.31, "providers": [{"billed_charge": 20.0, "npi": [1194769497]}]}, {"allowed_amount": 10.98, "providers": [{"billed_charge": 20.0, "npi": [1104839380]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.42, "providers": [{"billed_charge": 981.0, "npi": [1083937593, 1497871628]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 14.73, "providers": [{"billed_charge": 45.0, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.98, "providers": [{"billed_charge": 56.16, "npi": [1235186800]}]}, {"allowed_amount": 27.99, "providers": [{"billed_charge": 56.0, "npi": [1235186800]}, {"billed_charge": 56.16, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.81, "providers": [{"billed_charge": 309.58, "npi": [1346729159]}]}]}, {"tin": {"type": "ein", "value": "813562144"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.81, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 750.0, "npi": [1639663370]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.98, "providers": [{"billed_charge": 33.48, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "821606706"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.98, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 20.09, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.98, "providers": [{"billed_charge": 17.0, "npi": [1487429874]}]}, {"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "823021953"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.98, "providers": [{"billed_charge": 40.17, "npi": [1447760814]}]}]}, {"tin": {"type": "ein", "value": "824372339"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.12, "providers": [{"billed_charge": 783.06, "npi": [1740772268]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.89, "providers": [{"billed_charge": 263.0, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.31, "providers": [{"billed_charge": 30.0, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.98, "providers": [{"billed_charge": 20.09, "npi": [1457977209]}, {"billed_charge": 33.48, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.98, "providers": [{"billed_charge": 13.39, "npi": [1821749896]}, {"billed_charge": 26.78, "npi": [1821749896]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.39, "providers": [{"billed_charge": 84.0, "npi": [1841231461]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 21.69, "providers": [{"billed_charge": 161.0, "npi": [1982606992]}]}]}]}, {"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": "260771184"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 9.0, "npi": [1396729810]}]}]}, {"tin": {"type": "ein", "value": "262978009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.41, "providers": [{"billed_charge": 0.85, "npi": [1689002651]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.5, "providers": [{"billed_charge": 19.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 0.15, "providers": [{"billed_charge": 6.6, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.97, "providers": [{"billed_charge": 2.78, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "742425482"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 164.89, "providers": [{"billed_charge": 528.5, "npi": [1992285282]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.37, "providers": [{"billed_charge": 3.92, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 1.32, "npi": [1124074273]}]}, {"allowed_amount": 0.94, "providers": [{"billed_charge": 2.69, "npi": [1124074273, 1659525236]}, {"billed_charge": 2.7, "npi": [1124074273]}]}, {"allowed_amount": 0.95, "providers": [{"billed_charge": 2.7, "npi": [1124074273]}]}, {"allowed_amount": 4.8, "providers": [{"billed_charge": 13.71, "npi": [1124074273, 1659525236]}, {"billed_charge": 13.72, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.63, "providers": [{"billed_charge": 3.63, "npi": [1821011248]}]}, {"allowed_amount": 1.88, "providers": [{"billed_charge": 4.17, "npi": [1821011248]}]}, {"allowed_amount": 2.0, "providers": [{"billed_charge": 4.45, "npi": [1821011248]}]}, {"allowed_amount": 2.17, "providers": [{"billed_charge": 4.83, "npi": [1821011248]}]}, {"allowed_amount": 2.18, "providers": [{"billed_charge": 4.84, "npi": [1821011248]}]}, {"allowed_amount": 2.63, "providers": [{"billed_charge": 5.85, "npi": [1821011248]}]}, {"allowed_amount": 2.64, "providers": [{"billed_charge": 5.86, "npi": [1821011248]}, {"billed_charge": 5.87, "npi": [1821011248]}]}, {"allowed_amount": 2.69, "providers": [{"billed_charge": 5.98, "npi": [1821011248]}]}, {"allowed_amount": 2.75, "providers": [{"billed_charge": 6.1, "npi": [1821011248]}, {"billed_charge": 6.12, "npi": [1821011248]}]}, {"allowed_amount": 2.76, "providers": [{"billed_charge": 6.13, "npi": [1821011248]}, {"billed_charge": 6.14, "npi": [1821011248]}]}, {"allowed_amount": 2.77, "providers": [{"billed_charge": 6.16, "npi": [1821011248]}]}, {"allowed_amount": 6.17, "providers": [{"billed_charge": 3.63, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "813802267"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 9.0, "npi": [1477535680, 1710178900, 1285649863]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.04, "providers": [{"billed_charge": 5.82, "npi": [1659327013]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.23, "providers": [{"billed_charge": 2.69, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "852281859"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 9.0, "npi": [1912126616, 1689884330]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 0.16, "providers": [{"billed_charge": 9.0, "npi": [1417310939]}]}]}, {"tin": {"type": "ein", "value": "952321136"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.27, "providers": [{"billed_charge": 26.48, "npi": [1306890389]}]}]}]}, {"name": "Magnesium", "billing_code_type": "CPT", "billing_code": "83735", "billing_code_type_version": "2022", "description": "ASSAY OF MAGNESIUM", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.69, "providers": [{"billed_charge": 65.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 9.38, "providers": [{"billed_charge": 16.75, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.9, "providers": [{"billed_charge": 144.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.85, "providers": [{"billed_charge": 26.0, "npi": [1912903717]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.35, "providers": [{"billed_charge": 99.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.7, "providers": [{"billed_charge": 462.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "720549907"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.0, "providers": [{"billed_charge": 31.0, "npi": [1093793408]}]}]}, {"tin": {"type": "ein", "value": "742425482"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.31, "providers": [{"billed_charge": 340.73, "npi": [1992285282]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 192.85, "providers": [{"billed_charge": 551.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.5, "providers": [{"billed_charge": 501.43, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.4, "providers": [{"billed_charge": 212.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 19.0, "providers": [{"billed_charge": 19.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "752848392"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 9.18, "providers": [{"billed_charge": 29.0, "npi": [1326303470]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.49, "providers": [{"billed_charge": 28.08, "npi": [1235186800]}]}, {"allowed_amount": 14.0, "providers": [{"billed_charge": 28.08, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.49, "providers": [{"billed_charge": 16.75, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.49, "providers": [{"billed_charge": 9.0, "npi": [1487429874]}]}, {"allowed_amount": 9.0, "providers": [{"billed_charge": 9.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "823021953"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.49, "providers": [{"billed_charge": 20.1, "npi": [1447760814]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.16, "providers": [{"billed_charge": 20.0, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.49, "providers": [{"billed_charge": 6.7, "npi": [1821749896]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.0, "providers": [{"billed_charge": 204.0, "npi": [1518012301]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.85, "providers": [{"billed_charge": 81.0, "npi": [1982606992]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)", "billing_code_type": "CPT", "billing_code": "74181", "billing_code_type_version": "2022", "description": "MRI ABDOMEN W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 290.0, "npi": [1891938924]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 272.0, "npi": [1306994231]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 283.0, "npi": [1487857504, 1689781668, 1336324383, 1184078008, 1639388572, 1831620863]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4625.95, "providers": [{"billed_charge": 13217.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3663.43, "providers": [{"billed_charge": 10466.93, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 73.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 289.0, "npi": [1689897977, 1821256363, 1679891980]}]}, {"allowed_amount": 73.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 289.0, "npi": [1063808392, 1861951964]}]}, {"allowed_amount": 132.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 289.0, "npi": [1689624280]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material", "billing_code_type": "CPT", "billing_code": "70551", "billing_code_type_version": "2022", "description": "MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 102.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 294.0, "npi": [1932516556, 1922487446]}]}, {"allowed_amount": 121.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 294.0, "npi": [1942863048]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 397.0, "npi": [1922661859]}]}]}, {"tin": {"type": "ein", "value": "461742613"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 392.06, "providers": [{"billed_charge": 4000.0, "npi": [1518997824]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1095.0, "npi": [1780643569]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1508001603]}]}, {"allowed_amount": 102.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1760055693]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 288.0, "npi": [1043348386, 1023085891, 1851828008, 1891762217, 1457338188, 1801813266, 1831165778, 1174630230, 1760672919, 1750512281, 1326020702]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 133.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 599.0, "npi": [1558772731]}]}, {"allowed_amount": 138.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 599.0, "npi": [1376991935]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4926.25, "providers": [{"billed_charge": 14075.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3270.01, "providers": [{"billed_charge": 9342.89, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 138.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 422.0, "npi": [1295793958]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "19", "22", "23"], "payments": [{"allowed_amount": 55.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 293.0, "npi": [1013273630]}]}, {"allowed_amount": 73.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 293.0, "npi": [1730383829]}]}, {"allowed_amount": 74.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 293.0, "npi": [1447575840, 1992858757, 1740303429, 1720298219, 1467474189, 1164539631, 1043208978, 1649595091, 1053671636, 1518386325, 1992967293, 1508209495, 1396189494, 1710060348, 1629397245, 1730127903]}]}, {"allowed_amount": 74.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 293.0, "npi": [1568465920, 1558628354, 1992858757, 1336464874, 1013966043, 1699200253]}]}, {"allowed_amount": 90.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 293.0, "npi": [1073003075]}]}, {"allowed_amount": 102.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 293.0, "npi": [1699200253]}]}, {"allowed_amount": 110.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 293.0, "npi": [1871750604]}]}, {"allowed_amount": 111.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 293.0, "npi": [1871750604]}]}, {"allowed_amount": 135.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 293.0, "npi": [1629020243, 1962474726]}]}, {"allowed_amount": 135.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 293.0, "npi": [1962474726]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 186.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 186.0, "npi": [1639964273]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 4340.75, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 3205.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1841.55, "providers": [{"billed_charge": 1710.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 74.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1215141171, 1477814085, 1053601237, 1598720302]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 3405.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760677442"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 392.06, "providers": [{"billed_charge": 556.0, "npi": [1740519321]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 318.0, "npi": [1245236413]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences", "billing_code_type": "CPT", "billing_code": "70553", "billing_code_type_version": "2022", "description": "MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 158.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 456.0, "npi": [1003376088, 1932516556]}]}, {"allowed_amount": 188.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 456.0, "npi": [1942863048]}]}]}, {"tin": {"type": "ein", "value": "260771184"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 345.0, "providers": [{"billed_charge": 3500.0, "npi": [1912126616]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 158.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 618.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "520595110"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 177.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 397.0, "npi": [1437656162]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 304.36, "providers": [{"billed_charge": 1857.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "582078064"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 160.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 876.0, "npi": [1255890323]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1841.0, "npi": [1336467059]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1068.9, "providers": [{"billed_charge": 5646.0, "npi": [1780867390]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 158.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 309.0, "npi": [1215138227, 1760055693, 1043940455]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 158.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 441.0, "npi": [1023085891, 1891762217, 1801813266, 1831165778, 1760672919, 1154398808, 1417924283, 1326020702]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 206.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 947.0, "npi": [1952696692]}]}, {"allowed_amount": 214.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 947.0, "npi": [1376991935]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4459.51, "providers": [{"billed_charge": 12741.45, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "19", "22", "23"], "payments": [{"allowed_amount": 115.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 455.0, "npi": [1992858757, 1720298219, 1679891980, 1043208978, 1053671636, 1699200253, 1871823039]}]}, {"allowed_amount": 115.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 455.0, "npi": [1568465920, 1447575840, 1336464874, 1144204652, 1518386325, 1144512765]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 206.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 461.0, "npi": [1396186367]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 286.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 286.0, "npi": [1386874741]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 115.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 398.0, "npi": [1184058315, 1477814085, 1053601237, 1598720302]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 546.72, "providers": [{"billed_charge": 4861.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "930602940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2141.9, "providers": [{"billed_charge": 6250.73, "npi": [1982621447]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material", "billing_code_type": "CPT", "billing_code": "72141", "billing_code_type_version": "2022", "description": "MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL", "allowed_amounts": [{"tin": {"type": "ein", "value": "131740114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.8, "providers": [{"billed_charge": 4218.0, "npi": [1952476988]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 130.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 714.0, "npi": [1942283767]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1942863048]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1760055693]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 288.0, "npi": [1851828008, 1396721155, 1760672919]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2975.37, "providers": [{"billed_charge": 8501.05, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2527.2, "providers": [{"billed_charge": 5616.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 74.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 299.0, "npi": [1992967293, 1396189494]}]}, {"allowed_amount": 74.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 299.0, "npi": [1780902593, 1558628354, 1336464874, 1265409585, 1447233713]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 518.57, "providers": [{"billed_charge": 4150.0, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "752585153"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 207.65, "providers": [{"billed_charge": 2500.0, "npi": [1679761787]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 7013.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 373.92, "providers": [{"billed_charge": 3029.5, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 312.0, "npi": [1245236413]}]}]}]}, {"name": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material", "billing_code_type": "CPT", "billing_code": "72148", "billing_code_type_version": "2022", "description": "MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "131740114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.8, "providers": [{"billed_charge": 4218.0, "npi": [1952476988]}]}]}, {"tin": {"type": "ein", "value": "131740114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 714.0, "npi": [1942283767]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1005.0, "npi": [1174723860]}]}]}, {"tin": {"type": "ein", "value": "452662980"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 714.28, "providers": [{"billed_charge": 14908.0, "npi": [1154618742]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1083634794]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 102.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 288.0, "npi": [1750512281]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3750.72, "providers": [{"billed_charge": 10716.35, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1421.1, "providers": [{"billed_charge": 3158.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 139.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 452.0, "npi": [1508252636]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 75.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1578812905, 1134489263, 1043208978, 1396189494, 1992967293, 1912057183]}]}, {"allowed_amount": 75.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1265409585, 1780902593, 1992858757]}]}, {"allowed_amount": 134.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1962474726]}]}, {"allowed_amount": 257.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1518386325]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 134.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 345.0, "npi": [1649404849]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 517.73, "providers": [{"billed_charge": 4150.0, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1750961272]}]}]}, {"tin": {"type": "ein", "value": "822913146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 551.29, "providers": [{"billed_charge": 14530.0, "npi": [1972517365]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 208.74, "providers": [{"billed_charge": 7100.0, "npi": [1285649863]}]}]}]}, {"name": "Mental Diseases & Disorders", "billing_code_type": "MS-DRG", "billing_code": "885", "billing_code_type_version": "39.1", "description": "PSYCHOSES", "allowed_amounts": [{"tin": {"type": "ein", "value": "364881705"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 989.0, "providers": [{"billed_charge": 2443.06, "npi": [1346724879]}, {"billed_charge": 2443.24, "npi": [1346724879]}, {"billed_charge": 2450.56, "npi": [1346724879]}, {"billed_charge": 2472.97, "npi": [1346724879]}]}, {"allowed_amount": 2039.49, "providers": [{"billed_charge": 4923.27, "npi": [1346724879]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 898.58, "providers": [{"billed_charge": 2089.71, "npi": [1033120423]}, {"billed_charge": 4347.62, "npi": [1033120423]}, {"billed_charge": 6665.56, "npi": [1033120423]}]}, {"allowed_amount": 1453.0, "providers": [{"billed_charge": 2089.71, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "454953696"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 938.08, "providers": [{"billed_charge": 2025.0, "npi": [1871934877]}]}]}, {"tin": {"type": "ein", "value": "475441649"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 925.0, "providers": [{"billed_charge": 1850.0, "npi": [1326593898]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1099.9, "providers": [{"billed_charge": 3712.93, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6681.65, "providers": [{"billed_charge": 19090.41, "npi": [1659525236]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1111.55, "providers": [{"billed_charge": 2926.36, "npi": [1396779948]}, {"billed_charge": 3074.48, "npi": [1255412789]}]}, {"allowed_amount": 1453.0, "providers": [{"billed_charge": 2586.11, "npi": [1396779948]}, {"billed_charge": 2588.91, "npi": [1396779948]}, {"billed_charge": 3020.67, "npi": [1396779948]}]}, {"allowed_amount": 2564.55, "providers": [{"billed_charge": 5636.21, "npi": [1255412789]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1111.55, "providers": [{"billed_charge": 2586.86, "npi": [1306870399]}]}, {"allowed_amount": 2637.55, "providers": [{"billed_charge": 5171.94, "npi": [1306870399]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1111.55, "providers": [{"billed_charge": 3389.14, "npi": [1730245135]}]}]}, {"tin": {"type": "ein", "value": "800945173"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1380.0, "providers": [{"billed_charge": 7811.37, "npi": [1215939210]}]}]}, {"tin": {"type": "ein", "value": "882644926"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 967.5, "providers": [{"billed_charge": 2757.76, "npi": [1568162253]}]}, {"allowed_amount": 1100.0, "providers": [{"billed_charge": 2998.27, "npi": [1568162253]}, {"billed_charge": 3109.36, "npi": [1568162253]}]}, {"allowed_amount": 2067.5, "providers": [{"billed_charge": 5161.45, "npi": [1568162253]}, {"billed_charge": 5351.51, "npi": [1568162253]}]}]}, {"tin": {"type": "ein", "value": "993791535"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1383.0, "providers": [{"billed_charge": 6280.96, "npi": [1316775935]}]}, {"allowed_amount": 2672.19, "providers": [{"billed_charge": 6898.4, "npi": [1316775935]}]}]}]}, {"name": "Microsomal antibodies (eg, thyroid or liver-kidney), each", "billing_code_type": "CPT", "billing_code": "86376", "billing_code_type_version": "2022", "description": "MICROSOMAL ANTIBODIES EACH", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.19, "providers": [{"billed_charge": 75.0, "npi": [1033281126]}, {"billed_charge": 200.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "200434866"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 23.57, "providers": [{"billed_charge": 77.84, "npi": [1245494517]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 20.37, "providers": [{"billed_charge": 36.38, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.19, "providers": [{"billed_charge": 58.2, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 283.61, "providers": [{"billed_charge": 810.31, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.0, "providers": [{"billed_charge": 41.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.93, "providers": [{"billed_charge": 60.99, "npi": [1235186800]}]}, {"allowed_amount": 30.41, "providers": [{"billed_charge": 60.99, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "821606706"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.93, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 21.83, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.93, "providers": [{"billed_charge": 19.0, "npi": [1487429874]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.2, "providers": [{"billed_charge": 29.1, "npi": [1336758952]}]}]}]}, {"name": "Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older", "billing_code_type": "CPT", "billing_code": "99152", "billing_code_type_version": "2022", "description": "MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS", "allowed_amounts": [{"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.18, "providers": [{"billed_charge": 131.0, "npi": [1497997142]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.73, "providers": [{"billed_charge": 43.0, "npi": [1659626216, 1609072693]}]}, {"allowed_amount": 21.68, "providers": [{"billed_charge": 43.0, "npi": [1740711696, 1184624363, 1487858072]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.99, "providers": [{"billed_charge": 38.0, "npi": [1871669564]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 19.73, "providers": [{"billed_charge": 43.0, "npi": [1407233349]}]}, {"allowed_amount": 21.68, "providers": [{"billed_charge": 43.0, "npi": [1548377088, 1962443812, 1609837988, 1891140935, 1821183559, 1245262377, 1750764437, 1053506774, 1225139736, 1285997338]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.21, "providers": [{"billed_charge": 29.0, "npi": [1033141692]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.77, "providers": [{"billed_charge": 21.88, "npi": [1679507875]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.91, "providers": [{"billed_charge": 106.0, "npi": [1508826066]}]}]}, {"tin": {"type": "ein", "value": "461237055"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.68, "providers": [{"billed_charge": 92.34, "npi": [1538153150]}]}]}, {"tin": {"type": "ein", "value": "464526002"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.05, "providers": [{"billed_charge": 93.0, "npi": [1427065176]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 571.5, "providers": [{"billed_charge": 1143.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.11, "providers": [{"billed_charge": 112.0, "npi": [1265694038]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.59, "providers": [{"billed_charge": 34.0, "npi": [1477780344, 1811341563]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.59, "providers": [{"billed_charge": 98.0, "npi": [1558651091, 1366701567]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.01, "providers": [{"billed_charge": 100.0, "npi": [1700857679]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1605.88, "providers": [{"billed_charge": 4588.24, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.73, "providers": [{"billed_charge": 42.98, "npi": [1013200286]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.09, "providers": [{"billed_charge": 86.0, "npi": [1942684840]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.55, "providers": [{"billed_charge": 239.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 22.9, "providers": [{"billed_charge": 56.0, "npi": [1073018073, 1740667922]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 12.03, "providers": [{"billed_charge": 50.0, "npi": [1699902320, 1679891980]}]}, {"allowed_amount": 12.05, "providers": [{"billed_charge": 50.0, "npi": [1235592064, 1871911040, 1164849154, 1821256363, 1720354350, 1275737363, 1720042070]}]}, {"allowed_amount": 28.83, "providers": [{"billed_charge": 50.0, "npi": [1780335901]}]}, {"allowed_amount": 28.85, "providers": [{"billed_charge": 50.0, "npi": [1225802655]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 14.63, "providers": [{"billed_charge": 128.0, "npi": [1346604949]}]}, {"allowed_amount": 14.66, "providers": [{"billed_charge": 128.0, "npi": [1346283439]}]}, {"allowed_amount": 14.67, "providers": [{"billed_charge": 128.0, "npi": [1811950876]}]}, {"allowed_amount": 15.33, "providers": [{"billed_charge": 128.0, "npi": [1821273590]}]}]}, {"tin": {"type": "ein", "value": "752547668"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.66, "providers": [{"billed_charge": 52.0, "npi": [1104036185]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 14.77, "providers": [{"billed_charge": 131.0, "npi": [1336582436]}]}, {"allowed_amount": 14.78, "providers": [{"billed_charge": 131.0, "npi": [1336148550]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.68, "providers": [{"billed_charge": 173.0, "npi": [1376728279]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.68, "providers": [{"billed_charge": 31.0, "npi": [1750958534]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.78, "providers": [{"billed_charge": 222.0, "npi": [1457328403]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.95, "providers": [{"billed_charge": 100.0, "npi": [1720494230]}]}]}, {"tin": {"type": "ein", "value": "823328660"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.84, "providers": [{"billed_charge": 112.26, "npi": [1467686196]}]}]}, {"tin": {"type": "ein", "value": "931968492"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.52, "providers": [{"billed_charge": 108.72, "npi": [1386823672]}]}]}]}, {"name": "Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual", "billing_code_type": "CPT", "billing_code": "88360", "billing_code_type_version": "2022", "description": "M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "113272376"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 67.71, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 184.0, "npi": [1215921549]}]}]}, {"tin": {"type": "ein", "value": "271316416"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 96.78, "providers": [{"billed_charge": 250.0, "npi": [1720688054]}]}]}, {"tin": {"type": "ein", "value": "371925902"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 43.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1144367426]}]}, {"allowed_amount": 43.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1306293543]}]}]}, {"tin": {"type": "ein", "value": "393155066"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 66.25, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 401.0, "npi": [1114807153]}]}]}, {"tin": {"type": "ein", "value": "474903308"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 146.11, "providers": [{"billed_charge": 200.0, "npi": [1740733708]}]}, {"allowed_amount": 200.0, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 200.0, "npi": [1447437355, 1003863580]}]}]}, {"tin": {"type": "ein", "value": "593725585"}, "billing_class": "professional", "service_codes": ["21", "81", "22"], "payments": [{"allowed_amount": 32.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 113.0, "npi": [1396408829]}]}, {"allowed_amount": 32.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 113.0, "npi": [1396408829]}]}, {"allowed_amount": 68.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 113.0, "npi": [1447437355]}]}, {"allowed_amount": 155.26, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 223.0, "npi": [1447437355]}]}]}, {"tin": {"type": "ein", "value": "741619182"}, "billing_class": "professional", "service_codes": ["21", "81", "22"], "payments": [{"allowed_amount": 51.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1134346067, 1730398181, 1457607566, 1386716967]}]}, {"allowed_amount": 85.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1215193701, 1104020775]}]}]}, {"tin": {"type": "ein", "value": "741720245"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 53.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 288.0, "npi": [1003132663, 1992709356, 1770016495]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 252.45, "providers": [{"billed_charge": 721.28, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742922218"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 51.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1679796544, 1194707950]}]}]}, {"tin": {"type": "ein", "value": "743126687"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 96.19, "providers": [{"billed_charge": 601.2, "npi": [1013973866]}]}]}, {"tin": {"type": "ein", "value": "751784456"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 43.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1750313904]}]}]}, {"tin": {"type": "ein", "value": "751788181"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 43.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1225211162]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1215194386]}]}]}, {"tin": {"type": "ein", "value": "760182525"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 53.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 225.0, "npi": [1659464857]}]}]}]}, {"name": "Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging)", "billing_code_type": "CPT", "billing_code": "93356", "billing_code_type_version": "2022", "description": "MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH", "allowed_amounts": [{"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["21", "22", "11"], "payments": [{"allowed_amount": 17.96, "providers": [{"billed_charge": 41.0, "npi": [1326021015, 1164646394, 1154305365, 1912393901]}]}, {"allowed_amount": 19.74, "providers": [{"billed_charge": 41.0, "npi": [1215906979, 1295085892, 1053674408, 1700234705, 1447288022, 1487858072, 1750709341, 1447795646]}]}, {"allowed_amount": 70.46, "providers": [{"billed_charge": 141.0, "npi": [1447795646]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.68, "providers": [{"billed_charge": 36.0, "npi": [1306225784]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 17.96, "providers": [{"billed_charge": 41.0, "npi": [1174834170, 1407233349]}]}, {"allowed_amount": 19.74, "providers": [{"billed_charge": 41.0, "npi": [1548377088, 1235174020, 1912430216, 1336533397, 1548211477, 1134653983, 1609837988, 1225011109, 1023089703, 1093911976, 1174753198, 1396774063, 1649484080, 1134303035, 1700317120, 1326071622, 1891140935, 1205181674, 1225037930, 1013994987, 1164421871]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.74, "providers": [{"billed_charge": 33.0, "npi": [1184731176]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 468.6, "providers": [{"billed_charge": 1338.87, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 477.28, "providers": [{"billed_charge": 1363.65, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.47, "providers": [{"billed_charge": 138.6, "npi": [1912999152, 1619531605]}]}, {"allowed_amount": 18.26, "providers": [{"billed_charge": 138.6, "npi": [1811420771]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 13.47, "providers": [{"billed_charge": 103.0, "npi": [1336582436]}]}, {"allowed_amount": 18.26, "providers": [{"billed_charge": 103.0, "npi": [1679764948]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.74, "providers": [{"billed_charge": 190.0, "npi": [1679571376]}]}]}]}, {"name": "Natriuretic peptide", "billing_code_type": "CPT", "billing_code": "83880", "billing_code_type_version": "2022", "description": "NATRIURETIC PEPTIDE", "allowed_amounts": [{"tin": {"type": "ein", "value": "200553431"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.3, "npi": [1437492386]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 54.96, "providers": [{"billed_charge": 98.15, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 349.66, "providers": [{"billed_charge": 446.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 408.5, "providers": [{"billed_charge": 817.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 181.58, "providers": [{"billed_charge": 349.19, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "741603120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 237.84, "providers": [{"billed_charge": 288.8, "npi": [1740288505]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.15, "providers": [{"billed_charge": 689.0, "npi": [1770536120]}]}, {"allowed_amount": 260.75, "providers": [{"billed_charge": 745.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 264.53, "providers": [{"billed_charge": 755.79, "npi": [1124074273, 1376071530, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 99.0, "providers": [{"billed_charge": 99.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 32.19, "providers": [{"billed_charge": 142.29, "npi": [1235186800]}]}, {"allowed_amount": 82.05, "providers": [{"billed_charge": 142.29, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "923209338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1210.18, "providers": [{"billed_charge": 1500.0, "npi": [1558132365]}]}]}]}, {"name": "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor)", "billing_code_type": "CPT", "billing_code": "01967", "billing_code_type_version": "2022", "description": "NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY", "allowed_amounts": [{"tin": {"type": "ein", "value": "251838458"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 304.03, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 960.0, "npi": [1104021336]}]}]}, {"tin": {"type": "ein", "value": "392071295"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 572.32, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 8117.18, "npi": [1891753059]}]}]}, {"tin": {"type": "ein", "value": "471804903"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 739.69, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 7830.0, "npi": [1821091505]}, {"billed_charge": 51000.0, "npi": [1154743961]}]}, {"allowed_amount": 776.67, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 51850.0, "npi": [1821091505]}]}, {"allowed_amount": 2109.92, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 37400.0, "npi": [1568736114]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1495.75, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3873.72, "npi": [1902894975]}]}, {"allowed_amount": 1617.03, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6956.75, "npi": [1760862411]}]}, {"allowed_amount": 2073.08, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2650.44, "npi": [1417584269]}]}, {"allowed_amount": 2854.48, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3669.84, "npi": [1356596316]}]}, {"allowed_amount": 3189.36, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6524.16, "npi": [1356596316]}, {"billed_charge": 6931.92, "npi": [1689106171]}, {"billed_charge": 7339.68, "npi": [1154522308]}]}, {"allowed_amount": 3348.83, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 6320.28, "npi": [1417584269]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1857.6, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1857.6, "npi": [1710968516]}]}, {"allowed_amount": 3003.21, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4210.56, "npi": [1710968516]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 893.98, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 910.0, "npi": [1003878166]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.29, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 501.09, "npi": [1629122874]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 227.77, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 6171.0, "npi": [1780057976]}]}, {"allowed_amount": 268.79, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3250.0, "npi": [1811080625]}]}, {"allowed_amount": 277.58, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 13650.0, "npi": [1619612512]}]}, {"allowed_amount": 294.74, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3575.0, "npi": [1407124423]}]}, {"allowed_amount": 311.91, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 7150.0, "npi": [1144411588]}]}, {"allowed_amount": 319.72, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3900.0, "npi": [1780057976]}]}, {"allowed_amount": 390.61, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 9100.0, "npi": [1144411588]}]}, {"allowed_amount": 417.79, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 4875.0, "npi": [1881016509]}]}, {"allowed_amount": 439.26, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 11253.0, "npi": [1083853345]}]}, {"allowed_amount": 449.36, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 8125.0, "npi": [1295971653]}]}, {"allowed_amount": 506.5, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 5850.0, "npi": [1306202429]}]}, {"allowed_amount": 516.11, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 8349.0, "npi": [1871881474]}]}, {"allowed_amount": 540.42, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 6500.0, "npi": [1922627835]}]}, {"allowed_amount": 689.76, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 13794.0, "npi": [1073233326]}]}, {"allowed_amount": 726.85, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 6352.5, "npi": [1598233793]}]}, {"allowed_amount": 729.71, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 6352.5, "npi": [1598233793]}]}, {"allowed_amount": 750.34, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 8125.0, "npi": [1093942336]}]}, {"allowed_amount": 878.54, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 8349.0, "npi": [1336335777]}]}, {"allowed_amount": 941.47, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11979.0, "npi": [1598233793]}]}, {"allowed_amount": 945.96, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3900.0, "npi": [1356545933]}]}, {"allowed_amount": 967.55, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4719.0, "npi": [1669600193]}]}, {"allowed_amount": 1035.56, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11375.0, "npi": [1942860978]}]}, {"allowed_amount": 1069.77, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 11375.0, "npi": [1093942336]}]}, {"allowed_amount": 1078.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11375.0, "npi": [1780057976]}]}, {"allowed_amount": 1081.15, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2600.0, "npi": [1871518647]}]}, {"allowed_amount": 1096.89, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 11375.0, "npi": [1942932298]}]}, {"allowed_amount": 1118.89, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 11375.0, "npi": [1467810515]}]}, {"allowed_amount": 1126.04, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 11375.0, "npi": [1669536371]}]}, {"allowed_amount": 1166.49, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 6171.0, "npi": [1164051660]}]}, {"allowed_amount": 1362.96, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3250.0, "npi": [1194799080]}]}, {"allowed_amount": 1419.35, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 12705.0, "npi": [1467810515]}]}, {"allowed_amount": 1597.45, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 7150.0, "npi": [1992865166]}]}, {"allowed_amount": 1608.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7260.0, "npi": [1811957855]}]}, {"allowed_amount": 1824.45, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 8125.0, "npi": [1215956545]}]}, {"allowed_amount": 1827.13, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 13650.0, "npi": [1306202429]}]}, {"allowed_amount": 1892.02, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4225.0, "npi": [1962485953]}]}, {"allowed_amount": 1896.41, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8125.0, "npi": [1275795452]}]}, {"allowed_amount": 1938.17, "billing_code_modifier": ["QY,P3"], "providers": [{"billed_charge": 8125.0, "npi": [1144563776]}]}, {"allowed_amount": 1997.13, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4550.0, "npi": [1831778307]}]}, {"allowed_amount": 2000.47, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 9100.0, "npi": [1639101314]}]}, {"allowed_amount": 2249.62, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 11253.0, "npi": [1699925891]}]}, {"allowed_amount": 2297.45, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5200.0, "npi": [1265415400]}]}, {"allowed_amount": 2417.58, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5525.0, "npi": [1023197753]}]}, {"allowed_amount": 2447.61, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 6171.0, "npi": [1144202508]}]}, {"allowed_amount": 2481.38, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 15246.0, "npi": [1710067384]}]}, {"allowed_amount": 2600.78, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 12342.0, "npi": [1619063336]}]}, {"allowed_amount": 2763.26, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 11375.0, "npi": [1376598144]}]}, {"allowed_amount": 2800.49, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 13794.0, "npi": [1154852903]}]}, {"allowed_amount": 2833.31, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 11375.0, "npi": [1730390980]}]}, {"allowed_amount": 2973.17, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 6500.0, "npi": [1265415400]}]}, {"allowed_amount": 3288.51, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7986.0, "npi": [1013399955]}]}, {"allowed_amount": 3369.01, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 15246.0, "npi": [1093942336]}]}, {"allowed_amount": 3552.86, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11375.0, "npi": [1447305917]}]}, {"allowed_amount": 3875.07, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8125.0, "npi": [1215217625]}]}, {"allowed_amount": 4054.33, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8775.0, "npi": [1851746184]}]}, {"allowed_amount": 4074.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11375.0, "npi": [1851748313]}]}, {"allowed_amount": 4354.65, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 10527.0, "npi": [1871518647]}]}, {"allowed_amount": 4384.68, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 9750.0, "npi": [1144202508]}]}, {"allowed_amount": 4429.73, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 9750.0, "npi": [1851746184]}]}, {"allowed_amount": 4584.27, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11375.0, "npi": [1962729608]}]}, {"allowed_amount": 4609.92, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 10075.0, "npi": [1407839350]}]}, {"allowed_amount": 4639.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 10075.0, "npi": [1780662098, 1871518647]}]}, {"allowed_amount": 4790.11, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 10400.0, "npi": [1053571018]}]}, {"allowed_amount": 4868.73, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11375.0, "npi": [1487813390]}]}, {"allowed_amount": 4880.21, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 10725.0, "npi": [1669748612]}]}, {"allowed_amount": 4955.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 10725.0, "npi": [1760662191]}]}, {"allowed_amount": 5075.42, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11050.0, "npi": [1861404501]}]}, {"allowed_amount": 5150.5, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 5687.5, "npi": [1962485953]}]}, {"allowed_amount": 5300.66, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11375.0, "npi": [1740263078]}]}, {"allowed_amount": 5420.79, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11375.0, "npi": [1265415400]}]}, {"allowed_amount": 5441.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 13650.0, "npi": [1477916039]}]}, {"allowed_amount": 5631.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 12705.0, "npi": [1740263078]}, {"billed_charge": 13794.0, "npi": [1740263078]}]}, {"allowed_amount": 5687.5, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5687.5, "npi": [1265415400]}]}, {"allowed_amount": 5766.93, "billing_code_modifier": ["QY"], "providers": [{"billed_charge": 11375.0, "npi": [1215986823]}]}, {"allowed_amount": 5900.32, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 12705.0, "npi": [1982685616]}]}, {"allowed_amount": 6201.62, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11375.0, "npi": [1992872964]}]}, {"allowed_amount": 6531.97, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 15246.0, "npi": [1740263078]}]}, {"allowed_amount": 7042.52, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11375.0, "npi": [1265415400]}]}, {"allowed_amount": 7058.32, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 12705.0, "npi": [1538219050]}]}, {"allowed_amount": 9024.63, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 11375.0, "npi": [1962485953]}]}, {"allowed_amount": 9174.79, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 11375.0, "npi": [1740465640]}]}, {"allowed_amount": 9820.48, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 13650.0, "npi": [1407839350]}]}, {"allowed_amount": 10751.48, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11375.0, "npi": [1740263078]}]}, {"allowed_amount": 13650.0, "billing_code_modifier": ["AD"], "providers": [{"billed_charge": 13650.0, "npi": [1831309947]}]}]}, {"tin": {"type": "ein", "value": "823273056"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1127.02, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3820.0, "npi": [1053079558]}]}, {"allowed_amount": 1205.37, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 3820.0, "npi": [1053079558]}]}, {"allowed_amount": 3113.53, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3820.0, "npi": [1063545895]}]}]}, {"tin": {"type": "ein", "value": "850869895"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 404.2, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2962.5, "npi": [1114032232]}]}]}, {"tin": {"type": "ein", "value": "854230695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 477.1, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1625.0, "npi": [1285668368]}]}, {"allowed_amount": 739.69, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2875.0, "npi": [1831588326]}, {"billed_charge": 4750.0, "npi": [1558171116]}]}, {"allowed_amount": 3003.21, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3024.0, "npi": [1093059040]}, {"billed_charge": 3150.0, "npi": [1336134907]}, {"billed_charge": 3780.0, "npi": [1447639976]}, {"billed_charge": 4410.0, "npi": [1184618472]}, {"billed_charge": 4536.0, "npi": [1013399955]}, {"billed_charge": 7056.0, "npi": [1629503115]}, {"billed_charge": 8316.0, "npi": [1376047837]}]}]}, {"tin": {"type": "ein", "value": "880253280"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 656.75, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 9450.0, "npi": [1396377909]}]}]}]}, {"name": "Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.", "billing_code_type": "CPT", "billing_code": "97167", "billing_code_type_version": "2022", "description": "OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS", "allowed_amounts": [{"tin": {"type": "ein", "value": "450503141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 243.88, "providers": [{"billed_charge": 678.99, "npi": [1225085871]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 157.19, "providers": [{"billed_charge": 295.47, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 298.96, "providers": [{"billed_charge": 328.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 290.85, "providers": [{"billed_charge": 831.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 238.99, "providers": [{"billed_charge": 682.84, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 225.45, "providers": [{"billed_charge": 297.42, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 157.19, "providers": [{"billed_charge": 623.53, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 157.19, "providers": [{"billed_charge": 804.0, "npi": [1932123247]}]}]}]}, {"name": "Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.", "billing_code_type": "CPT", "billing_code": "97166", "billing_code_type_version": "2022", "description": "OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS", "allowed_amounts": [{"tin": {"type": "ein", "value": "412101361"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 157.19, "providers": [{"billed_charge": 586.75, "npi": [1609855139]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 254.85, "providers": [{"billed_charge": 392.75, "npi": [1619115383]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 238.99, "providers": [{"billed_charge": 682.84, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 225.45, "providers": [{"billed_charge": 317.05, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 157.19, "providers": [{"billed_charge": 609.0, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.29, "providers": [{"billed_charge": 327.5, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 157.19, "providers": [{"billed_charge": 586.75, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 157.19, "providers": [{"billed_charge": 586.75, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 216.58, "providers": [{"billed_charge": 347.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.43, "providers": [{"billed_charge": 800.0, "npi": [1083937593]}]}]}]}, {"name": "Office or other outpatient visit for the evaluation and management of a new 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, 30 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99203", "billing_code_type_version": "2022", "description": "OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "201728808"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 163.0, "providers": [{"billed_charge": 163.0, "npi": [1952398406]}]}]}, {"tin": {"type": "ein", "value": "201903227"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 139.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 328.0, "npi": [1225520455]}]}]}, {"tin": {"type": "ein", "value": "202313462"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 135.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 218.0, "npi": [1649658246]}]}, {"allowed_amount": 139.3, "providers": [{"billed_charge": 218.0, "npi": [1215226451]}]}, {"allowed_amount": 177.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 218.0, "npi": [1568871622, 1629612742, 1568739852, 1609407642, 1417426651, 1033972765]}]}, {"allowed_amount": 207.57, "providers": [{"billed_charge": 218.0, "npi": [1992797385, 1033150131]}]}, {"allowed_amount": 216.56, "providers": [{"billed_charge": 218.0, "npi": [1841588928]}]}, {"allowed_amount": 218.0, "providers": [{"billed_charge": 218.0, "npi": [1366535445]}]}]}, {"tin": {"type": "ein", "value": "203094655"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 166.34, "providers": [{"billed_charge": 228.0, "npi": [1639168479]}]}]}, {"tin": {"type": "ein", "value": "203571096"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 200.2, "providers": [{"billed_charge": 280.0, "npi": [1518587575]}]}]}, {"tin": {"type": "ein", "value": "208164988"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 83.67, "providers": [{"billed_charge": 100.0, "npi": [1417140641]}]}, {"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1417140641, 1780888370, 1093956476]}]}]}, {"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 150.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 320.82, "npi": [1407887979]}]}]}, {"tin": {"type": "ein", "value": "261775172"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 57.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 559.94, "npi": [1851399463]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 148.27, "providers": [{"billed_charge": 262.0, "npi": [1124131818]}]}]}, {"tin": {"type": "ein", "value": "263553949"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 136.86, "providers": [{"billed_charge": 192.0, "npi": [1689255200]}]}]}, {"tin": {"type": "ein", "value": "270081366"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 253.33, "providers": [{"billed_charge": 353.01, "npi": [1639766793]}]}]}, {"tin": {"type": "ein", "value": "270642524"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 168.02, "providers": [{"billed_charge": 168.02, "npi": [1740752245]}]}, {"allowed_amount": 182.99, "providers": [{"billed_charge": 315.0, "npi": [1063714236]}]}]}, {"tin": {"type": "ein", "value": "311756818"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 143.52, "providers": [{"billed_charge": 251.0, "npi": [1306465018]}]}]}, {"tin": {"type": "ein", "value": "334634610"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 207.57, "providers": [{"billed_charge": 246.0, "npi": [1730573536]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 95.26, "providers": [{"billed_charge": 601.0, "npi": [1306048715]}]}]}, {"tin": {"type": "ein", "value": "454028026"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 98.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 271.92, "npi": [1447403563]}]}]}, {"tin": {"type": "ein", "value": "460440466"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 88.75, "providers": [{"billed_charge": 260.0, "npi": [1497469142]}]}]}, {"tin": {"type": "ein", "value": "460782127"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 211.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 238.0, "npi": [1124713383]}]}]}, {"tin": {"type": "ein", "value": "461454134"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 156.16, "providers": [{"billed_charge": 386.94, "npi": [1851032668]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 57.9, "providers": [{"billed_charge": 162.65, "npi": [1487463436]}]}, {"allowed_amount": 150.19, "providers": [{"billed_charge": 162.65, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "465374323"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 266.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 266.0, "npi": [1821572694]}]}]}, {"tin": {"type": "ein", "value": "473465832"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 126.03, "providers": [{"billed_charge": 265.0, "npi": [1275171423]}]}]}, {"tin": {"type": "ein", "value": "474897030"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 138.49, "providers": [{"billed_charge": 180.0, "npi": [1124828132]}]}]}, {"tin": {"type": "ein", "value": "542093566"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 177.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 285.13, "npi": [1275091480]}]}, {"allowed_amount": 264.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 285.13, "npi": [1538894449]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 149.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 347.0, "npi": [1184666935]}]}]}, {"tin": {"type": "ein", "value": "611630276"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 152.2, "providers": [{"billed_charge": 185.0, "npi": [1003707514]}]}]}, {"tin": {"type": "ein", "value": "650816256"}, "billing_class": "professional", "service_codes": ["10"], "payments": [{"allowed_amount": 139.85, "providers": [{"billed_charge": 786.0, "npi": [1194992263]}]}]}, {"tin": {"type": "ein", "value": "741724391"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 174.5, "providers": [{"billed_charge": 220.0, "npi": [1952690463]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["19", "11"], "payments": [{"allowed_amount": 102.43, "providers": [{"billed_charge": 323.63, "npi": [1316228034]}]}, {"allowed_amount": 109.37, "providers": [{"billed_charge": 323.63, "npi": [1205576980, 1922729102, 1780271759]}]}, {"allowed_amount": 135.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 323.63, "npi": [1831204031]}]}, {"allowed_amount": 163.15, "providers": [{"billed_charge": 323.63, "npi": [1083714703]}]}, {"allowed_amount": 177.4, "providers": [{"billed_charge": 323.63, "npi": [1205543931]}]}, {"allowed_amount": 207.57, "providers": [{"billed_charge": 323.63, "npi": [1457796245]}]}]}, {"tin": {"type": "ein", "value": "742938437"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 78.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 156.0, "npi": [1437655164]}]}]}, {"tin": {"type": "ein", "value": "746000203"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 165.0, "providers": [{"billed_charge": 165.0, "npi": [1417576026]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.2, "providers": [{"billed_charge": 236.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752326314"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 153.97, "providers": [{"billed_charge": 228.1, "npi": [1073000477]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 185.27, "providers": [{"billed_charge": 207.18, "npi": [1477861730]}]}]}, {"tin": {"type": "ein", "value": "752896138"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 138.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 285.0, "npi": [1326312026]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["22", "11"], "payments": [{"allowed_amount": 78.27, "providers": [{"billed_charge": 405.0, "npi": [1245209725]}]}, {"allowed_amount": 303.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 405.0, "npi": [1811317290]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["19", "22"], "payments": [{"allowed_amount": 131.63, "providers": [{"billed_charge": 414.0, "npi": [1649481920]}]}, {"allowed_amount": 187.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 414.0, "npi": [1225305741]}]}]}, {"tin": {"type": "ein", "value": "760009637"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 143.52, "providers": [{"billed_charge": 269.8, "npi": [1700055043]}]}]}, {"tin": {"type": "ein", "value": "812813433"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 174.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 316.0, "npi": [1083154207]}]}]}, {"tin": {"type": "ein", "value": "820200895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 151.54, "providers": [{"billed_charge": 240.0, "npi": [1093529406]}]}]}, {"tin": {"type": "ein", "value": "831466906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 216.56, "providers": [{"billed_charge": 380.0, "npi": [1225770936, 1144529801, 1164568655]}]}]}, {"tin": {"type": "ein", "value": "833527998"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 156.16, "providers": [{"billed_charge": 450.0, "npi": [1447879937]}]}]}, {"tin": {"type": "ein", "value": "872200070"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 108.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 217.62, "npi": [1790499689]}]}]}, {"tin": {"type": "ein", "value": "992536327"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 84.72, "providers": [{"billed_charge": 563.65, "npi": [1558994947]}]}]}]}, {"name": "Office or other outpatient visit for the evaluation and management of a new 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, 45 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99204", "billing_code_type_version": "2022", "description": "OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "010790511"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 520.0, "providers": [{"billed_charge": 520.0, "npi": [1033195474]}]}]}, {"tin": {"type": "ein", "value": "202313462"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 210.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 324.0, "npi": [1508998667]}]}, {"allowed_amount": 313.71, "providers": [{"billed_charge": 324.0, "npi": [1033150131]}]}]}, {"tin": {"type": "ein", "value": "203010734"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1396742128]}]}]}, {"tin": {"type": "ein", "value": "205431785"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 270.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 432.0, "npi": [1225368319]}]}]}, {"tin": {"type": "ein", "value": "208164988"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1417140641]}]}]}, {"tin": {"type": "ein", "value": "208370906"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 177.54, "providers": [{"billed_charge": 1164.66, "npi": [1700029832]}]}]}, {"tin": {"type": "ein", "value": "261296625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 321.38, "providers": [{"billed_charge": 492.02, "npi": [1770947004]}]}]}, {"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 405.35, "providers": [{"billed_charge": 490.5, "npi": [1184021107, 1679591101]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 224.08, "providers": [{"billed_charge": 388.0, "npi": [1649619578, 1700066883]}]}]}, {"tin": {"type": "ein", "value": "262792898"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 313.62, "providers": [{"billed_charge": 313.62, "npi": [1487616918]}]}]}, {"tin": {"type": "ein", "value": "263055908"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 144.55, "providers": [{"billed_charge": 550.0, "npi": [1396943296]}]}]}, {"tin": {"type": "ein", "value": "264104591"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 230.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 326.56, "npi": [1437680113]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 172.37, "providers": [{"billed_charge": 484.0, "npi": [1447552609]}]}, {"allowed_amount": 246.7, "providers": [{"billed_charge": 501.0, "npi": [1164625760]}]}]}, {"tin": {"type": "ein", "value": "270610680"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 399.98, "providers": [{"billed_charge": 975.0, "npi": [1487524435]}]}]}, {"tin": {"type": "ein", "value": "271418649"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 221.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 221.0, "npi": [1740297464]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 230.0, "providers": [{"billed_charge": 307.0, "npi": [1225139736]}]}]}, {"tin": {"type": "ein", "value": "272885552"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 180.99, "providers": [{"billed_charge": 361.0, "npi": [1710125604]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 283.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 533.0, "npi": [1619506532]}]}]}, {"tin": {"type": "ein", "value": "352276788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1942270400]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["19", "22", "02"], "payments": [{"allowed_amount": 119.83, "providers": [{"billed_charge": 232.68, "npi": [1063551661]}]}, {"allowed_amount": 146.59, "providers": [{"billed_charge": 232.68, "npi": [1154825610]}]}, {"allowed_amount": 264.5, "providers": [{"billed_charge": 264.5, "npi": [1497435226]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 155.9, "providers": [{"billed_charge": 1018.0, "npi": [1881032969, 1306048715, 1801055462]}]}]}, {"tin": {"type": "ein", "value": "460741149"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 344.74, "providers": [{"billed_charge": 354.0, "npi": [1235355587]}]}]}, {"tin": {"type": "ein", "value": "460796181"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 205.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 541.47, "npi": [1174028039]}]}]}, {"tin": {"type": "ein", "value": "461350797"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 215.46, "providers": [{"billed_charge": 500.0, "npi": [1073551115]}]}]}, {"tin": {"type": "ein", "value": "461555497"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 291.07, "providers": [{"billed_charge": 315.0, "npi": [1760031157]}]}]}, {"tin": {"type": "ein", "value": "462714379"}, "billing_class": "professional", "service_codes": ["22", "11"], "payments": [{"allowed_amount": 149.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 332.0, "npi": [1346443538]}]}, {"allowed_amount": 268.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 332.0, "npi": [1801805213]}]}]}, {"tin": {"type": "ein", "value": "463175783"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 155.25, "providers": [{"billed_charge": 501.31, "npi": [1518135904]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 226.51, "providers": [{"billed_charge": 246.09, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "464936757"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 232.7, "providers": [{"billed_charge": 300.0, "npi": [1255374641]}]}]}, {"tin": {"type": "ein", "value": "465374323"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 405.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 405.0, "npi": [1073939153, 1174190094]}]}]}, {"tin": {"type": "ein", "value": "470923533"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 300.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1801103205]}]}]}, {"tin": {"type": "ein", "value": "471625673"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 321.38, "providers": [{"billed_charge": 503.0, "npi": [1457513186]}]}]}, {"tin": {"type": "ein", "value": "472334194"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 405.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 405.0, "npi": [1922813104]}]}]}, {"tin": {"type": "ein", "value": "473850768"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 205.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 420.0, "npi": [1295979136]}]}]}, {"tin": {"type": "ein", "value": "475349604"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 268.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 434.0, "npi": [1225345754]}]}]}, {"tin": {"type": "ein", "value": "480637331"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 201.86, "providers": [{"billed_charge": 498.0, "npi": [1851405401]}]}]}, {"tin": {"type": "ein", "value": "510484748"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 215.45, "providers": [{"billed_charge": 445.0, "npi": [1326292517]}]}]}, {"tin": {"type": "ein", "value": "542093566"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 399.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 430.93, "npi": [1538894449, 1568231546]}]}]}, {"tin": {"type": "ein", "value": "571213937"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 217.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 461.0, "npi": [1336146794]}]}, {"allowed_amount": 264.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 461.0, "npi": [1568475960]}]}]}, {"tin": {"type": "ein", "value": "593209688"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 311.26, "providers": [{"billed_charge": 498.0, "npi": [1477178747]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 230.0, "providers": [{"billed_charge": 316.0, "npi": [1265872055]}]}]}, {"tin": {"type": "ein", "value": "741850643"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 230.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 320.0, "npi": [1033596648]}]}]}, {"tin": {"type": "ein", "value": "741941710"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 144.55, "providers": [{"billed_charge": 400.59, "npi": [1932147303]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["19", "11", "10"], "payments": [{"allowed_amount": 178.88, "providers": [{"billed_charge": 473.52, "npi": [1720826696, 1427808856]}]}, {"allowed_amount": 209.3, "providers": [{"billed_charge": 473.52, "npi": [1760123897, 1275276743]}]}, {"allowed_amount": 268.12, "providers": [{"billed_charge": 473.52, "npi": [1922780220, 1205576980]}]}, {"allowed_amount": 313.71, "providers": [{"billed_charge": 473.52, "npi": [1497738298]}]}]}, {"tin": {"type": "ein", "value": "742938437"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 238.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 238.0, "npi": [1437655164]}]}]}, {"tin": {"type": "ein", "value": "742959748"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 146.51, "providers": [{"billed_charge": 506.0, "npi": [1912895319]}]}]}, {"tin": {"type": "ein", "value": "750818178"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 303.03, "providers": [{"billed_charge": 349.0, "npi": [1356931802]}]}]}, {"tin": {"type": "ein", "value": "752098992"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 326.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 456.6, "npi": [1952410037]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 298.2, "providers": [{"billed_charge": 408.0, "npi": [1932726809]}]}]}, {"tin": {"type": "ein", "value": "752896138"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 209.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 426.0, "npi": [1326312026]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 306.87, "providers": [{"billed_charge": 592.0, "npi": [1073645131]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 139.27, "providers": [{"billed_charge": 526.0, "npi": [1659334472]}]}]}, {"tin": {"type": "ein", "value": "812813433"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 263.73, "providers": [{"billed_charge": 483.0, "npi": [1083154207]}]}]}, {"tin": {"type": "ein", "value": "813564692"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 325.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 325.0, "npi": [1255499943]}]}]}, {"tin": {"type": "ein", "value": "821977126"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 232.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 489.0, "npi": [1811934821]}]}]}, {"tin": {"type": "ein", "value": "824128625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 205.12, "providers": [{"billed_charge": 300.0, "npi": [1417430935]}]}]}, {"tin": {"type": "ein", "value": "831466906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 326.84, "providers": [{"billed_charge": 570.0, "npi": [1144529801, 1881873982]}]}]}, {"tin": {"type": "ein", "value": "831725934"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 263.0, "providers": [{"billed_charge": 263.0, "npi": [1316674880]}]}]}, {"tin": {"type": "ein", "value": "832457920"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 313.18, "providers": [{"billed_charge": 321.0, "npi": [1740243104]}]}]}, {"tin": {"type": "ein", "value": "833527998"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 235.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 675.0, "npi": [1447879937]}]}]}, {"tin": {"type": "ein", "value": "834439721"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 560.0, "providers": [{"billed_charge": 560.0, "npi": [1336600758]}]}]}, {"tin": {"type": "ein", "value": "851144017"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 280.63, "providers": [{"billed_charge": 575.0, "npi": [1124895214]}]}, {"allowed_amount": 394.12, "providers": [{"billed_charge": 575.0, "npi": [1508513847]}]}]}, {"tin": {"type": "ein", "value": "852357914"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 242.49, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 322.0, "npi": [1407651219]}]}]}, {"tin": {"type": "ein", "value": "852937097"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 198.23, "providers": [{"billed_charge": 250.0, "npi": [1952542680]}]}]}, {"tin": {"type": "ein", "value": "853252700"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 200.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1467104893]}]}]}, {"tin": {"type": "ein", "value": "854234950"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 163.39, "providers": [{"billed_charge": 163.39, "npi": [1801399019]}]}]}, {"tin": {"type": "ein", "value": "863083267"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 246.7, "providers": [{"billed_charge": 427.0, "npi": [1083901227]}]}]}, {"tin": {"type": "ein", "value": "863991709"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 344.74, "providers": [{"billed_charge": 430.93, "npi": [1750769170]}]}]}, {"tin": {"type": "ein", "value": "900855769"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1457407041]}]}]}, {"tin": {"type": "ein", "value": "900993578"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 396.0, "npi": [1124919683]}]}]}, {"tin": {"type": "ein", "value": "921765035"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 205.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1174117683]}]}]}, {"tin": {"type": "ein", "value": "922752452"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 250.52, "providers": [{"billed_charge": 377.0, "npi": [1730200486]}]}]}, {"tin": {"type": "ein", "value": "923237461"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 291.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 318.0, "npi": [1013472695]}]}]}, {"tin": {"type": "ein", "value": "934338249"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 245.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 245.0, "npi": [1750640249]}]}]}]}, {"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 high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99215", "billing_code_type_version": "2022", "description": "OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40-54 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "208421073"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 345.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1932311958]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 74.01, "providers": [{"billed_charge": 374.0, "npi": [1548285547]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["19", "22"], "payments": [{"allowed_amount": 123.63, "providers": [{"billed_charge": 330.0, "npi": [1750735437]}]}, {"allowed_amount": 192.31, "providers": [{"billed_charge": 330.0, "npi": [1073613386]}]}, {"allowed_amount": 216.35, "providers": [{"billed_charge": 330.0, "npi": [1417131350]}]}, {"allowed_amount": 247.26, "providers": [{"billed_charge": 419.0, "npi": [1740711696]}]}]}, {"tin": {"type": "ein", "value": "271595277"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 340.38, "providers": [{"billed_charge": 350.0, "npi": [1801321856]}]}]}, {"tin": {"type": "ein", "value": "300520570"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 154.56, "providers": [{"billed_charge": 323.0, "npi": [1003041443]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 142.17, "providers": [{"billed_charge": 355.0, "npi": [1386075083]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 167.73, "providers": [{"billed_charge": 286.06, "npi": [1699738971]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 167.73, "providers": [{"billed_charge": 948.0, "npi": [1306048715]}]}]}, {"tin": {"type": "ein", "value": "463937517"}, "billing_class": "professional", "service_codes": ["10"], "payments": [{"allowed_amount": 256.23, "providers": [{"billed_charge": 451.18, "npi": [1982852166]}]}]}, {"tin": {"type": "ein", "value": "473426879"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 232.2, "providers": [{"billed_charge": 539.76, "npi": [1164560595]}]}]}, {"tin": {"type": "ein", "value": "475349604"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 289.32, "providers": [{"billed_charge": 384.0, "npi": [1366194920]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 192.31, "providers": [{"billed_charge": 340.0, "npi": [1043708944, 1295260073, 1790952877]}]}, {"allowed_amount": 225.01, "providers": [{"billed_charge": 340.0, "npi": [1467972208]}]}]}, {"tin": {"type": "ein", "value": "742484538"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 233.78, "providers": [{"billed_charge": 260.0, "npi": [1952741555]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["19", "22", "11"], "payments": [{"allowed_amount": 192.31, "providers": [{"billed_charge": 427.84, "npi": [1851841266, 1376819235]}]}, {"allowed_amount": 225.01, "providers": [{"billed_charge": 427.84, "npi": [1033732243, 1457796245]}]}, {"allowed_amount": 290.91, "providers": [{"billed_charge": 427.84, "npi": [1528829595, 1427680636]}]}, {"allowed_amount": 340.38, "providers": [{"billed_charge": 427.84, "npi": [1427678713, 1033732243]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.8, "providers": [{"billed_charge": 344.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 147.12, "providers": [{"billed_charge": 1387.0, "npi": [1386030526]}]}, {"allowed_amount": 192.31, "providers": [{"billed_charge": 1387.0, "npi": [1619666260]}]}]}, {"tin": {"type": "ein", "value": "752896138"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 227.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 460.0, "npi": [1326312026]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 171.7, "providers": [{"billed_charge": 504.0, "npi": [1093936809]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 149.14, "providers": [{"billed_charge": 593.0, "npi": [1417993114]}]}]}, {"tin": {"type": "ein", "value": "810753842"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 340.38, "providers": [{"billed_charge": 349.0, "npi": [1063693398]}]}]}, {"tin": {"type": "ein", "value": "812813433"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 286.14, "providers": [{"billed_charge": 317.0, "npi": [1083154207]}]}]}, {"tin": {"type": "ein", "value": "824681345"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 243.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 550.0, "npi": [1730164591]}]}]}, {"tin": {"type": "ein", "value": "831043311"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 252.48, "providers": [{"billed_charge": 500.0, "npi": [1912142985]}]}]}, {"tin": {"type": "ein", "value": "842360009"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 205.38, "providers": [{"billed_charge": 715.0, "npi": [1467746115]}]}]}, {"tin": {"type": "ein", "value": "844103517"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 285.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 285.0, "npi": [1770816951]}]}]}, {"tin": {"type": "ein", "value": "854234950"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 185.0, "providers": [{"billed_charge": 185.0, "npi": [1801399019]}]}]}, {"tin": {"type": "ein", "value": "870837459"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 195.0, "providers": [{"billed_charge": 195.0, "npi": [1043444789]}]}]}, {"tin": {"type": "ein", "value": "923725090"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 354.96, "providers": [{"billed_charge": 423.0, "npi": [1265783815]}]}]}, {"tin": {"type": "ein", "value": "934429276"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 235.65, "providers": [{"billed_charge": 276.0, "npi": [1376757609]}]}]}, {"tin": {"type": "ein", "value": "946000417"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 380.54, "providers": [{"billed_charge": 1161.0, "npi": [1841855764]}]}]}]}, {"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": "010790511"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 236.0, "providers": [{"billed_charge": 236.0, "npi": [1033195474]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.33, "providers": [{"billed_charge": 501.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "201903227"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 250.22, "providers": [{"billed_charge": 268.0, "npi": [1750012696]}]}]}, {"tin": {"type": "ein", "value": "202313462"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 109.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1649658246]}]}, {"allowed_amount": 113.0, "providers": [{"billed_charge": 200.0, "npi": [1508998667, 1518101971]}]}, {"allowed_amount": 124.75, "providers": [{"billed_charge": 200.0, "npi": [1114944048]}]}, {"allowed_amount": 143.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1831691971, 1306173067, 1568739852, 1366131831, 1528688215, 1902581945, 1609407642, 1033972765]}]}]}, {"tin": {"type": "ein", "value": "203286679"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 115.6, "providers": [{"billed_charge": 318.0, "npi": [1053667360]}]}]}, {"tin": {"type": "ein", "value": "204561576"}, "billing_class": "professional", "service_codes": ["10"], "payments": [{"allowed_amount": 125.68, "providers": [{"billed_charge": 162.0, "npi": [1275577942]}]}]}, {"tin": {"type": "ein", "value": "208164988"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1619050952, 1780888370, 1851779326]}]}]}, {"tin": {"type": "ein", "value": "208271258"}, "billing_class": "professional", "service_codes": ["10", "11"], "payments": [{"allowed_amount": 110.54, "providers": [{"billed_charge": 150.0, "npi": [1699156612, 1457729287]}, {"billed_charge": 156.0, "npi": [1235527391]}]}]}, {"tin": {"type": "ein", "value": "261775172"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 92.41, "providers": [{"billed_charge": 377.64, "npi": [1851399463]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["22", "11"], "payments": [{"allowed_amount": 56.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 151.0, "npi": [1336602556, 1003822750]}]}, {"allowed_amount": 120.13, "providers": [{"billed_charge": 212.0, "npi": [1649619578]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 99.73, "providers": [{"billed_charge": 223.0, "npi": [1801618319]}]}]}, {"tin": {"type": "ein", "value": "271348772"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 173.77, "providers": [{"billed_charge": 400.0, "npi": [1932694460]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 113.2, "providers": [{"billed_charge": 151.0, "npi": [1689933673]}]}]}, {"tin": {"type": "ein", "value": "300491632"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 107.22, "billing_code_modifier": ["SA,25"], "providers": [{"billed_charge": 237.0, "npi": [1578716163]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 110.89, "providers": [{"billed_charge": 265.0, "npi": [1750317954]}]}]}, {"tin": {"type": "ein", "value": "311756818"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 114.63, "providers": [{"billed_charge": 170.0, "npi": [1316138597]}]}]}, {"tin": {"type": "ein", "value": "328806559"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 400.0, "npi": [1932694460]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["19", "22", "02"], "payments": [{"allowed_amount": 58.48, "providers": [{"billed_charge": 114.6, "npi": [1891299004, 1801205687]}]}, {"allowed_amount": 76.78, "providers": [{"billed_charge": 114.6, "npi": [1932399813, 1770503971, 1487865325]}, {"billed_charge": 130.72, "npi": [1437166691]}]}, {"allowed_amount": 130.72, "providers": [{"billed_charge": 130.72, "npi": [1902910847]}]}]}, {"tin": {"type": "ein", "value": "384081838"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 120.0, "providers": [{"billed_charge": 220.0, "npi": [1417435827]}]}]}, {"tin": {"type": "ein", "value": "430817642"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 121.65, "providers": [{"billed_charge": 212.06, "npi": [1487793089]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 76.78, "providers": [{"billed_charge": 436.0, "npi": [1881032969, 1306048715, 1801055462]}]}]}, {"tin": {"type": "ein", "value": "453646424"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 214.44, "providers": [{"billed_charge": 330.0, "npi": [1679942981]}]}]}, {"tin": {"type": "ein", "value": "455054082"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 195.0, "npi": [1457698987]}]}]}, {"tin": {"type": "ein", "value": "455232596"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 60.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1386539674]}]}]}, {"tin": {"type": "ein", "value": "455490222"}, "billing_class": "professional", "service_codes": ["10", "11"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1598579112, 1376320606]}]}]}, {"tin": {"type": "ein", "value": "461619335"}, "billing_class": "professional", "service_codes": ["10"], "payments": [{"allowed_amount": 110.54, "providers": [{"billed_charge": 141.0, "npi": [1588327753]}]}]}, {"tin": {"type": "ein", "value": "462714379"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 67.35, "providers": [{"billed_charge": 162.0, "npi": [1073074936]}]}]}, {"tin": {"type": "ein", "value": "463175783"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 76.41, "providers": [{"billed_charge": 247.63, "npi": [1518135904]}]}]}, {"tin": {"type": "ein", "value": "463888502"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 243.5, "providers": [{"billed_charge": 756.48, "npi": [1760475180]}]}, {"allowed_amount": 250.22, "providers": [{"billed_charge": 756.48, "npi": [1508640525]}]}]}, {"tin": {"type": "ein", "value": "471499375"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 717.1, "providers": [{"billed_charge": 1116.36, "npi": [1902075922]}]}]}, {"tin": {"type": "ein", "value": "473850768"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 67.35, "providers": [{"billed_charge": 230.0, "npi": [1295979136]}]}]}, {"tin": {"type": "ein", "value": "542093566"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 143.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 161.72, "npi": [1417941758]}]}, {"allowed_amount": 214.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 231.03, "npi": [1538894449, 1568231546]}]}]}, {"tin": {"type": "ein", "value": "542117989"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 113.0, "providers": [{"billed_charge": 113.0, "npi": [1568420800]}]}]}, {"tin": {"type": "ein", "value": "581588823"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 175.28, "providers": [{"billed_charge": 204.0, "npi": [1174903538]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 62.26, "providers": [{"billed_charge": 156.0, "npi": [1043849714]}]}, {"allowed_amount": 73.58, "providers": [{"billed_charge": 156.0, "npi": [1609212331, 1649289455]}]}, {"allowed_amount": 88.04, "providers": [{"billed_charge": 156.0, "npi": [1780363283, 1487325254]}]}, {"allowed_amount": 113.2, "providers": [{"billed_charge": 156.0, "npi": [1891771820]}]}, {"allowed_amount": 131.34, "providers": [{"billed_charge": 156.0, "npi": [1679680664, 1548377617, 1366854564]}]}]}, {"tin": {"type": "ein", "value": "742034080"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 108.52, "providers": [{"billed_charge": 200.0, "npi": [1700085248]}]}]}, {"tin": {"type": "ein", "value": "742089103"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 138.0, "providers": [{"billed_charge": 138.0, "npi": [1609596832]}]}]}, {"tin": {"type": "ein", "value": "742427853"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 109.0, "providers": [{"billed_charge": 109.0, "npi": [1457857708]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 213.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 611.34, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742766753"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 146.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 146.0, "npi": [1508978214]}]}, {"allowed_amount": 168.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 184.0, "npi": [1508978214]}]}]}, {"tin": {"type": "ein", "value": "742797206"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 184.82, "providers": [{"billed_charge": 601.34, "npi": [1891896460]}]}]}, {"tin": {"type": "ein", "value": "742840487"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 119.0, "providers": [{"billed_charge": 119.0, "npi": [1649229733]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["19", "11", "20"], "payments": [{"allowed_amount": 70.0, "providers": [{"billed_charge": 197.9, "npi": [1649956848]}]}, {"allowed_amount": 71.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 197.9, "npi": [1639455744]}]}, {"allowed_amount": 73.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 197.9, "npi": [1811517162]}]}, {"allowed_amount": 88.04, "providers": [{"billed_charge": 197.9, "npi": [1912416496, 1528829595, 1922729102]}]}, {"allowed_amount": 100.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 197.9, "npi": [1457796245]}]}, {"allowed_amount": 103.01, "providers": [{"billed_charge": 197.9, "npi": [1871775866, 1336118876]}]}, {"allowed_amount": 109.97, "providers": [{"billed_charge": 197.9, "npi": [1255536645]}]}, {"allowed_amount": 120.13, "providers": [{"billed_charge": 197.9, "npi": [1679562862]}]}, {"allowed_amount": 143.74, "providers": [{"billed_charge": 197.9, "npi": [1801267497, 1851841266]}]}, {"allowed_amount": 168.19, "providers": [{"billed_charge": 197.9, "npi": [1871775866]}]}]}, {"tin": {"type": "ein", "value": "742938811"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 67.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 197.9, "npi": [1831204031]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 60.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 142.0, "npi": [1093779704]}]}, {"allowed_amount": 87.56, "providers": [{"billed_charge": 142.0, "npi": [1285290478]}]}]}, {"tin": {"type": "ein", "value": "742981597"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 95.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1710901954]}]}]}, {"tin": {"type": "ein", "value": "742981814"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 84.43, "providers": [{"billed_charge": 161.58, "npi": [1073849287]}]}, {"allowed_amount": 157.88, "providers": [{"billed_charge": 161.58, "npi": [1376501528]}]}]}, {"tin": {"type": "ein", "value": "742998534"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 110.0, "providers": [{"billed_charge": 110.0, "npi": [1225056328]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 158.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "750818167"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 109.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 670.0, "npi": [1659548402, 1891245908]}]}]}, {"tin": {"type": "ein", "value": "751378664"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 111.1, "providers": [{"billed_charge": 201.0, "npi": [1326024811]}]}]}, {"tin": {"type": "ein", "value": "752098992"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 175.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 213.0, "npi": [1952410037]}]}]}, {"tin": {"type": "ein", "value": "752252866"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 109.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 271.5, "npi": [1043565815]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 67.35, "providers": [{"billed_charge": 168.44, "npi": [1386277028]}]}, {"allowed_amount": 104.71, "providers": [{"billed_charge": 168.44, "npi": [1679936074]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 102.8, "providers": [{"billed_charge": 206.0, "npi": [1245468396]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 184.82, "providers": [{"billed_charge": 223.0, "npi": [1467015081]}]}]}, {"tin": {"type": "ein", "value": "752896138"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 112.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 233.0, "npi": [1326312026]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.0, "providers": [{"billed_charge": 350.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.5, "providers": [{"billed_charge": 501.0, "npi": [1679515639]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["02", "22", "50"], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 0.01, "npi": [1083259311]}]}, {"allowed_amount": 68.27, "providers": [{"billed_charge": 257.0, "npi": [1629530993, 1073940557]}]}, {"allowed_amount": 106.13, "providers": [{"billed_charge": 257.0, "npi": [1689712960]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 31.23, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 220.0, "npi": [1174595219]}]}]}, {"tin": {"type": "ein", "value": "760478691"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 101.15, "providers": [{"billed_charge": 182.0, "npi": [1023214202]}]}]}, {"tin": {"type": "ein", "value": "760653932"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 115.6, "providers": [{"billed_charge": 130.0, "npi": [1235233651]}]}]}, {"tin": {"type": "ein", "value": "811290982"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 145.29, "billing_code_modifier": ["33"], "providers": [{"billed_charge": 181.64, "npi": [1225750672]}]}]}, {"tin": {"type": "ein", "value": "812128169"}, "billing_class": "professional", "service_codes": ["10"], "payments": [{"allowed_amount": 114.63, "providers": [{"billed_charge": 474.0, "npi": [1912015975]}]}]}, {"tin": {"type": "ein", "value": "815443236"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 211.3, "providers": [{"billed_charge": 277.23, "npi": [1235672080, 1639569635]}]}]}, {"tin": {"type": "ein", "value": "825450039"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 70.0, "providers": [{"billed_charge": 70.0, "npi": [1669751954]}]}, {"allowed_amount": 144.6, "billing_code_modifier": ["33"], "providers": [{"billed_charge": 181.64, "npi": [1669751954]}]}]}, {"tin": {"type": "ein", "value": "831215760"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 147.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 147.0, "npi": [1376614487]}]}]}, {"tin": {"type": "ein", "value": "831466906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 113.0, "providers": [{"billed_charge": 260.0, "npi": [1033449921]}]}, {"allowed_amount": 175.68, "providers": [{"billed_charge": 260.0, "npi": [1568967883, 1881873982]}]}]}, {"tin": {"type": "ein", "value": "833154561"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 150.0, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 150.0, "npi": [1912231861]}]}]}, {"tin": {"type": "ein", "value": "851248990"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 109.97, "providers": [{"billed_charge": 175.0, "npi": [1124273974]}]}]}, {"tin": {"type": "ein", "value": "852204789"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 219.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 267.0, "npi": [1073612115]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 132.65, "providers": [{"billed_charge": 500.0, "npi": [1558970129, 1033492434, 1417487323, 1710972534]}]}]}, {"tin": {"type": "ein", "value": "862551554"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 113.0, "providers": [{"billed_charge": 130.17, "npi": [1649859224, 1982278800]}]}]}, {"tin": {"type": "ein", "value": "872200070"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 175.66, "providers": [{"billed_charge": 175.66, "npi": [1790499689]}]}]}, {"tin": {"type": "ein", "value": "882335743"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 46.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 159.57, "npi": [1740552645]}]}]}, {"tin": {"type": "ein", "value": "900442055"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 87.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 211.0, "npi": [1275738874]}]}, {"allowed_amount": 175.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 211.0, "npi": [1275738874]}]}]}, {"tin": {"type": "ein", "value": "910655392"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 46.13, "providers": [{"billed_charge": 85.0, "npi": [1821775206]}]}]}, {"tin": {"type": "ein", "value": "921765035"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 109.97, "providers": [{"billed_charge": 150.0, "npi": [1174117683]}]}]}, {"tin": {"type": "ein", "value": "923725090"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 175.68, "providers": [{"billed_charge": 211.0, "npi": [1265783815]}]}]}, {"tin": {"type": "ein", "value": "992453554"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 87.56, "providers": [{"billed_charge": 193.0, "npi": [1992316327]}]}]}, {"tin": {"type": "ein", "value": "992536327"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 67.35, "providers": [{"billed_charge": 457.3, "npi": [1265953137]}]}, {"allowed_amount": 70.03, "providers": [{"billed_charge": 457.3, "npi": [1265953137]}]}]}]}, {"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": "200764082"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 337.63, "providers": [{"billed_charge": 385.0, "npi": [1427878966]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 184.45, "providers": [{"billed_charge": 285.0, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "202313462"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 156.78, "providers": [{"billed_charge": 250.0, "npi": [1649658246]}]}, {"allowed_amount": 204.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1033972765, 1861035701]}]}]}, {"tin": {"type": "ein", "value": "203010734"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1396742128]}]}]}, {"tin": {"type": "ein", "value": "208164988"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1619050952, 1417140641]}]}]}, {"tin": {"type": "ein", "value": "208271258"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 157.68, "providers": [{"billed_charge": 250.0, "npi": [1265070031]}]}]}, {"tin": {"type": "ein", "value": "208421073"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 243.74, "providers": [{"billed_charge": 250.0, "npi": [1932311958]}]}]}, {"tin": {"type": "ein", "value": "237156945"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 135.25, "providers": [{"billed_charge": 220.0, "npi": [1659379592, 1215499686]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 48.07, "providers": [{"billed_charge": 279.0, "npi": [1184704447]}]}]}, {"tin": {"type": "ein", "value": "261278530"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 169.06, "providers": [{"billed_charge": 193.0, "npi": [1922283506]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["22", "11"], "payments": [{"allowed_amount": 99.07, "providers": [{"billed_charge": 221.0, "npi": [1750648804]}]}, {"allowed_amount": 129.5, "providers": [{"billed_charge": 221.0, "npi": [1225728066]}]}, {"allowed_amount": 171.28, "providers": [{"billed_charge": 298.0, "npi": [1700066883]}]}, {"allowed_amount": 204.94, "providers": [{"billed_charge": 298.0, "npi": [1821496159]}]}, {"allowed_amount": 263.5, "providers": [{"billed_charge": 298.0, "npi": [1487858072]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 158.1, "providers": [{"billed_charge": 316.0, "npi": [1669761136]}]}, {"allowed_amount": 192.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 316.0, "npi": [1407969140]}]}]}, {"tin": {"type": "ein", "value": "271418649"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 202.0, "providers": [{"billed_charge": 202.0, "npi": [1619698586]}]}]}, {"tin": {"type": "ein", "value": "271595277"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 135.7, "providers": [{"billed_charge": 259.0, "npi": [1184078412]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["22", "11"], "payments": [{"allowed_amount": 83.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 221.0, "npi": [1225139736]}]}, {"allowed_amount": 263.5, "providers": [{"billed_charge": 298.0, "npi": [1306953104, 1164558540, 1700317120]}]}]}, {"tin": {"type": "ein", "value": "274234084"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 127.32, "providers": [{"billed_charge": 127.32, "npi": [1780874578]}]}]}, {"tin": {"type": "ein", "value": "300491632"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 80.48, "billing_code_modifier": ["SA,25"], "providers": [{"billed_charge": 333.0, "npi": [1932665734]}]}, {"allowed_amount": 160.95, "billing_code_modifier": ["SA,25"], "providers": [{"billed_charge": 333.0, "npi": [1932665734]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 95.74, "providers": [{"billed_charge": 239.0, "npi": [1386075083]}]}]}, {"tin": {"type": "ein", "value": "311531307"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 152.99, "providers": [{"billed_charge": 185.0, "npi": [1255414157]}]}]}, {"tin": {"type": "ein", "value": "352276788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 205.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 205.0, "npi": [1942270400]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["19", "22", "02"], "payments": [{"allowed_amount": 96.69, "providers": [{"billed_charge": 168.52, "npi": [1477981702]}]}, {"allowed_amount": 106.17, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 192.78, "npi": [1154825610]}]}, {"allowed_amount": 112.91, "providers": [{"billed_charge": 168.52, "npi": [1104567627, 1851753198]}, {"billed_charge": 192.78, "npi": [1245585462]}]}, {"allowed_amount": 168.52, "providers": [{"billed_charge": 168.52, "npi": [1205298528, 1306202650, 1760882518, 1689167975]}]}, {"allowed_amount": 192.78, "providers": [{"billed_charge": 192.78, "npi": [1184019929]}]}]}, {"tin": {"type": "ein", "value": "383744511"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 201.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 263.5, "npi": [1184600165]}]}]}, {"tin": {"type": "ein", "value": "384081838"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 120.0, "providers": [{"billed_charge": 319.0, "npi": [1417435827]}]}, {"allowed_amount": 201.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 319.0, "npi": [1417435827]}]}]}, {"tin": {"type": "ein", "value": "450492730"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 175.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 175.0, "npi": [1619005840]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 112.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 645.0, "npi": [1881032969, 1306048715, 1285851865, 1801055462]}]}, {"allowed_amount": 128.92, "providers": [{"billed_charge": 645.0, "npi": [1023425147]}]}, {"allowed_amount": 222.03, "providers": [{"billed_charge": 645.0, "npi": [1013325133]}]}, {"allowed_amount": 261.21, "providers": [{"billed_charge": 645.0, "npi": [1043235344]}]}]}, {"tin": {"type": "ein", "value": "452820649"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 188.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1326120734]}]}]}, {"tin": {"type": "ein", "value": "453780709"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 175.0, "providers": [{"billed_charge": 175.0, "npi": [1417296799]}]}]}, {"tin": {"type": "ein", "value": "454656734"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 111.99, "providers": [{"billed_charge": 298.0, "npi": [1679124333]}]}]}, {"tin": {"type": "ein", "value": "455054082"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 95.64, "providers": [{"billed_charge": 275.0, "npi": [1457698987]}]}]}, {"tin": {"type": "ein", "value": "460741149"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 234.0, "providers": [{"billed_charge": 234.0, "npi": [1235355587]}]}]}, {"tin": {"type": "ein", "value": "460989887"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 215.16, "providers": [{"billed_charge": 700.26, "npi": [1982282646]}]}]}, {"tin": {"type": "ein", "value": "461082069"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 192.27, "providers": [{"billed_charge": 249.0, "npi": [1396102950]}]}]}, {"tin": {"type": "ein", "value": "462708284"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 95.0, "providers": [{"billed_charge": 229.0, "npi": [1982644167]}]}]}, {"tin": {"type": "ein", "value": "462714379"}, "billing_class": "professional", "service_codes": ["22", "11"], "payments": [{"allowed_amount": 171.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 239.0, "npi": [1558629709]}]}, {"allowed_amount": 185.77, "providers": [{"billed_charge": 239.0, "npi": [1922031079]}]}]}, {"tin": {"type": "ein", "value": "463888502"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 347.16, "providers": [{"billed_charge": 1080.16, "npi": [1760475180]}]}]}, {"tin": {"type": "ein", "value": "464778121"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 140.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 140.0, "npi": [1841637626]}]}]}, {"tin": {"type": "ein", "value": "464936757"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 177.86, "providers": [{"billed_charge": 225.0, "npi": [1255374641]}]}]}, {"tin": {"type": "ein", "value": "465374323"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 156.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 245.0, "npi": [1558146100]}]}, {"allowed_amount": 245.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 245.0, "npi": [1821572694]}]}]}, {"tin": {"type": "ein", "value": "470923533"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 200.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1801103205]}]}]}, {"tin": {"type": "ein", "value": "471499375"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 1022.38, "providers": [{"billed_charge": 1576.2, "npi": [1811308794]}]}]}, {"tin": {"type": "ein", "value": "472334194"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 245.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 245.0, "npi": [1346538659]}]}]}, {"tin": {"type": "ein", "value": "472722278"}, "billing_class": "professional", "service_codes": ["10"], "payments": [{"allowed_amount": 165.47, "providers": [{"billed_charge": 165.47, "npi": [1902086937]}]}]}, {"tin": {"type": "ein", "value": "474066242"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 330.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 330.0, "npi": [1265796528]}]}]}, {"tin": {"type": "ein", "value": "475351009"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 135.7, "providers": [{"billed_charge": 625.0, "npi": [1669762191]}]}]}, {"tin": {"type": "ein", "value": "475685462"}, "billing_class": "professional", "service_codes": ["10"], "payments": [{"allowed_amount": 207.04, "providers": [{"billed_charge": 268.4, "npi": [1912272196]}]}]}, {"tin": {"type": "ein", "value": "510484748"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 156.05, "providers": [{"billed_charge": 268.0, "npi": [1982632857]}]}]}, {"tin": {"type": "ein", "value": "542093566"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 305.73, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 329.38, "npi": [1568231546]}]}]}, {"tin": {"type": "ein", "value": "562356367"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 134.39, "providers": [{"billed_charge": 372.0, "npi": [1861822769]}]}]}, {"tin": {"type": "ein", "value": "571213937"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 239.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 353.0, "npi": [1033173810]}]}]}, {"tin": {"type": "ein", "value": "581728803"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 132.45, "providers": [{"billed_charge": 291.0, "npi": [1548573231]}]}]}, {"tin": {"type": "ein", "value": "611460423"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 163.52, "providers": [{"billed_charge": 264.0, "npi": [1447257993]}]}]}, {"tin": {"type": "ein", "value": "650511644"}, "billing_class": "professional", "service_codes": ["10"], "payments": [{"allowed_amount": 154.28, "providers": [{"billed_charge": 260.0, "npi": [1548221237]}]}]}, {"tin": {"type": "ein", "value": "650578395"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 129.5, "providers": [{"billed_charge": 939.0, "npi": [1174026181]}]}]}, {"tin": {"type": "ein", "value": "650932856"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 210.98, "providers": [{"billed_charge": 291.0, "npi": [1417362203]}]}]}, {"tin": {"type": "ein", "value": "680541648"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 129.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 129.0, "npi": [1093598997]}]}]}, {"tin": {"type": "ein", "value": "721567745"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 198.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 198.25, "npi": [1477524320]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 91.58, "providers": [{"billed_charge": 230.0, "npi": [1043849714]}]}, {"allowed_amount": 108.23, "providers": [{"billed_charge": 230.0, "npi": [1801241153]}]}, {"allowed_amount": 129.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 230.0, "npi": [1134466774]}]}, {"allowed_amount": 151.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 230.0, "npi": [1386743839]}]}, {"allowed_amount": 172.08, "providers": [{"billed_charge": 230.0, "npi": [1609364504]}]}]}, {"tin": {"type": "ein", "value": "741787031"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 201.58, "providers": [{"billed_charge": 250.0, "npi": [1538264429]}]}]}, {"tin": {"type": "ein", "value": "741916103"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1114377173]}]}]}, {"tin": {"type": "ein", "value": "742427853"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1992968481]}]}]}, {"tin": {"type": "ein", "value": "742495767"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 239.79, "providers": [{"billed_charge": 266.08, "npi": [1164539508]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 299.47, "providers": [{"billed_charge": 855.64, "npi": [1124074273]}]}, {"allowed_amount": 379.65, "providers": [{"billed_charge": 1084.72, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742763819"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1275254542]}]}]}, {"tin": {"type": "ein", "value": "742766753"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 239.79, "providers": [{"billed_charge": 263.0, "npi": [1508978214]}]}]}, {"tin": {"type": "ein", "value": "742872207"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 56.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1154325603]}]}, {"allowed_amount": 111.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1154325603]}]}]}, {"tin": {"type": "ein", "value": "742895369"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 131.75, "providers": [{"billed_charge": 257.0, "npi": [1942464151]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["19", "11", "20"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 277.9, "npi": [1457796245]}]}, {"allowed_amount": 43.87, "providers": [{"billed_charge": 277.9, "npi": [1306281720, 1306733415]}]}, {"allowed_amount": 125.55, "providers": [{"billed_charge": 277.9, "npi": [1245971530]}]}, {"allowed_amount": 129.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 277.9, "npi": [1720666852, 1275088965, 1023779634, 1205576980, 1124409784, 1922780220]}]}, {"allowed_amount": 151.18, "providers": [{"billed_charge": 277.9, "npi": [1447825161]}]}, {"allowed_amount": 151.52, "providers": [{"billed_charge": 277.9, "npi": [1871775866, 1023351590, 1053380279]}]}, {"allowed_amount": 184.32, "providers": [{"billed_charge": 277.9, "npi": [1184804973]}]}, {"allowed_amount": 193.18, "providers": [{"billed_charge": 277.9, "npi": [1750714184, 1497150502]}]}, {"allowed_amount": 204.94, "providers": [{"billed_charge": 277.9, "npi": [1588168181, 1912564121, 1225461429]}]}, {"allowed_amount": 239.79, "providers": [{"billed_charge": 277.9, "npi": [1033732243, 1518259902, 1114100179]}]}, {"allowed_amount": 277.9, "providers": [{"billed_charge": 277.9, "npi": [1730316803]}]}]}, {"tin": {"type": "ein", "value": "742938437"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 155.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 155.0, "npi": [1437655164]}]}]}, {"tin": {"type": "ein", "value": "742959748"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 145.58, "providers": [{"billed_charge": 368.0, "npi": [1598194136]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.12, "providers": [{"billed_charge": 244.0, "npi": [1821011248]}]}, {"allowed_amount": 109.8, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 244.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751826334"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 166.36, "providers": [{"billed_charge": 500.0, "npi": [1598759276]}]}]}, {"tin": {"type": "ein", "value": "752098992"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 250.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 313.4, "npi": [1952410037]}]}]}, {"tin": {"type": "ein", "value": "752510007"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 334.0, "providers": [{"billed_charge": 334.0, "npi": [1184073629]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["22", "11"], "payments": [{"allowed_amount": 112.39, "providers": [{"billed_charge": 238.22, "npi": [1447245659]}]}, {"allowed_amount": 156.78, "providers": [{"billed_charge": 238.22, "npi": [1619554516]}]}, {"allowed_amount": 238.22, "providers": [{"billed_charge": 238.22, "npi": [1043773674]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 166.01, "providers": [{"billed_charge": 316.0, "npi": [1225047046]}]}]}, {"tin": {"type": "ein", "value": "752896138"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.23, "providers": [{"billed_charge": 330.0, "npi": [1639742257, 1326312026]}]}]}, {"tin": {"type": "ein", "value": "756000905"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 46.73, "providers": [{"billed_charge": 46.73, "npi": [1427012152]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["22", "11"], "payments": [{"allowed_amount": 222.26, "providers": [{"billed_charge": 373.0, "npi": [1184290538]}]}, {"allowed_amount": 250.21, "providers": [{"billed_charge": 373.0, "npi": [1205128766]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["19", "22"], "payments": [{"allowed_amount": 100.38, "providers": [{"billed_charge": 372.0, "npi": [1669810016, 1972971331]}]}, {"allowed_amount": 156.05, "providers": [{"billed_charge": 372.0, "npi": [1689712960]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 161.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 309.0, "npi": [1831604552]}]}]}, {"tin": {"type": "ein", "value": "760458535"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 151.18, "providers": [{"billed_charge": 261.0, "npi": [1154832418]}]}]}, {"tin": {"type": "ein", "value": "760478691"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 144.28, "providers": [{"billed_charge": 256.0, "npi": [1023214202]}]}]}, {"tin": {"type": "ein", "value": "760487629"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 152.53, "providers": [{"billed_charge": 263.0, "npi": [1821093626]}]}]}, {"tin": {"type": "ein", "value": "760522391"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 137.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1104023993]}]}]}, {"tin": {"type": "ein", "value": "760549240"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 157.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 258.83, "npi": [1861861262]}]}, {"allowed_amount": 163.52, "providers": [{"billed_charge": 258.83, "npi": [1821040429]}]}]}, {"tin": {"type": "ein", "value": "811069153"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 140.27, "providers": [{"billed_charge": 270.65, "npi": [1093785404]}]}]}, {"tin": {"type": "ein", "value": "811710689"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 450.0, "providers": [{"billed_charge": 450.0, "npi": [1144214966]}]}]}, {"tin": {"type": "ein", "value": "812813433"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 201.58, "providers": [{"billed_charge": 320.0, "npi": [1083154207]}]}]}, {"tin": {"type": "ein", "value": "813127282"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 151.18, "providers": [{"billed_charge": 208.82, "npi": [1821422791]}]}]}, {"tin": {"type": "ein", "value": "813564692"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 250.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 320.0, "npi": [1255499943]}]}]}, {"tin": {"type": "ein", "value": "814676888"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 204.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 230.0, "npi": [1649044371]}]}]}, {"tin": {"type": "ein", "value": "821977126"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 111.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 377.0, "npi": [1083349989]}]}]}, {"tin": {"type": "ein", "value": "822312224"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 243.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 264.12, "npi": [1780892729]}]}]}, {"tin": {"type": "ein", "value": "823527149"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 192.36, "providers": [{"billed_charge": 238.7, "npi": [1457338436]}]}]}, {"tin": {"type": "ein", "value": "824681345"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 301.25, "providers": [{"billed_charge": 390.0, "npi": [1245273192]}]}]}, {"tin": {"type": "ein", "value": "831043311"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 177.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1912142985]}]}]}, {"tin": {"type": "ein", "value": "833527998"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 180.43, "providers": [{"billed_charge": 450.0, "npi": [1447879937]}]}]}, {"tin": {"type": "ein", "value": "834439721"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 320.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 320.0, "npi": [1336600758]}]}]}, {"tin": {"type": "ein", "value": "840564998"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 192.27, "providers": [{"billed_charge": 284.0, "npi": [1760245161]}]}]}, {"tin": {"type": "ein", "value": "841803866"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 156.78, "providers": [{"billed_charge": 312.75, "npi": [1205382454]}]}]}, {"tin": {"type": "ein", "value": "842528165"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 145.42, "providers": [{"billed_charge": 436.0, "npi": [1932116902]}]}]}, {"tin": {"type": "ein", "value": "844103517"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 211.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 211.0, "npi": [1770816951]}]}]}, {"tin": {"type": "ein", "value": "851144017"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 301.25, "providers": [{"billed_charge": 415.0, "npi": [1588126296]}]}]}, {"tin": {"type": "ein", "value": "851212279"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 201.58, "providers": [{"billed_charge": 263.5, "npi": [1255534863]}]}]}, {"tin": {"type": "ein", "value": "851248990"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 156.78, "providers": [{"billed_charge": 275.0, "npi": [1336149400]}]}]}, {"tin": {"type": "ein", "value": "871692562"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 201.58, "providers": [{"billed_charge": 312.0, "npi": [1174385918]}]}]}, {"tin": {"type": "ein", "value": "871756758"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 162.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1336880160]}]}]}, {"tin": {"type": "ein", "value": "872339319"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 157.68, "providers": [{"billed_charge": 549.64, "npi": [1013705979]}]}]}, {"tin": {"type": "ein", "value": "881114150"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 203.06, "providers": [{"billed_charge": 322.0, "npi": [1588789887]}]}]}, {"tin": {"type": "ein", "value": "900442055"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 250.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 313.0, "npi": [1275738874]}]}]}, {"tin": {"type": "ein", "value": "910655392"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 67.72, "providers": [{"billed_charge": 145.0, "npi": [1023004033, 1063632974]}]}]}, {"tin": {"type": "ein", "value": "921383306"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 206.01, "providers": [{"billed_charge": 253.0, "npi": [1578562278]}]}]}, {"tin": {"type": "ein", "value": "923725090"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 250.21, "providers": [{"billed_charge": 313.0, "npi": [1265783815]}]}]}, {"tin": {"type": "ein", "value": "932916120"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 150.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1104405497]}]}]}, {"tin": {"type": "ein", "value": "934338249"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 77.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 155.0, "npi": [1750640249]}]}, {"allowed_amount": 155.0, "providers": [{"billed_charge": 155.0, "npi": [1750640249]}]}]}, {"tin": {"type": "ein", "value": "934429276"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 166.01, "providers": [{"billed_charge": 196.0, "npi": [1376757609]}]}]}, {"tin": {"type": "ein", "value": "946000417"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 269.57, "providers": [{"billed_charge": 745.0, "npi": [1841855764]}]}]}, {"tin": {"type": "ein", "value": "990675124"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 98.69, "providers": [{"billed_charge": 553.0, "npi": [1720036973]}]}]}, {"tin": {"type": "ein", "value": "991682360"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 204.94, "providers": [{"billed_charge": 244.0, "npi": [1316442247]}]}]}, {"tin": {"type": "ein", "value": "991737685"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 387.0, "providers": [{"billed_charge": 387.0, "npi": [1487217022]}]}]}, {"tin": {"type": "ein", "value": "992536327"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 99.07, "providers": [{"billed_charge": 645.0, "npi": [1265953137]}]}, {"allowed_amount": 99.45, "providers": [{"billed_charge": 645.0, "npi": [1558994947]}]}, {"allowed_amount": 103.14, "providers": [{"billed_charge": 645.0, "npi": [1265953137]}]}]}]}, {"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 straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99212", "billing_code_type_version": "2022", "description": "OFFICE/OUTPATIENT ESTABLISHED SF MDM 10-19 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "010790511"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 144.0, "providers": [{"billed_charge": 144.0, "npi": [1033195474]}]}]}, {"tin": {"type": "ein", "value": "010797080"}, "billing_class": "professional", "service_codes": ["11", "02"], "payments": [{"allowed_amount": 47.09, "providers": [{"billed_charge": 80.0, "npi": [1356358121]}]}, {"allowed_amount": 80.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 80.0, "npi": [1356358121]}]}]}, {"tin": {"type": "ein", "value": "204768243"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 45.47, "providers": [{"billed_charge": 171.86, "npi": [1881244846]}]}]}, {"tin": {"type": "ein", "value": "208271258"}, "billing_class": "professional", "service_codes": ["10"], "payments": [{"allowed_amount": 69.03, "providers": [{"billed_charge": 100.0, "npi": [1457729287]}]}]}, {"tin": {"type": "ein", "value": "274662383"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1659974020]}]}, {"allowed_amount": 90.64, "providers": [{"billed_charge": 168.75, "npi": [1659974020]}]}]}, {"tin": {"type": "ein", "value": "458761750"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 59.25, "providers": [{"billed_charge": 75.0, "npi": [1801892153]}]}]}, {"tin": {"type": "ein", "value": "463175783"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 47.57, "providers": [{"billed_charge": 132.03, "npi": [1285407841]}]}]}, {"tin": {"type": "ein", "value": "473850768"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 68.45, "providers": [{"billed_charge": 160.8, "npi": [1295979136]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["22", "02"], "payments": [{"allowed_amount": 39.75, "providers": [{"billed_charge": 83.0, "npi": [1386178374]}]}, {"allowed_amount": 41.28, "providers": [{"billed_charge": 133.0, "npi": [1790762888]}]}, {"allowed_amount": 47.57, "providers": [{"billed_charge": 83.0, "npi": [1922889468]}]}, {"allowed_amount": 50.46, "providers": [{"billed_charge": 83.0, "npi": [1992423305]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 125.72, "providers": [{"billed_charge": 359.21, "npi": [1124074273]}]}, {"allowed_amount": 128.92, "providers": [{"billed_charge": 368.34, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 158.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "811290982"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 70.0, "billing_code_modifier": ["33"], "providers": [{"billed_charge": 70.0, "npi": [1225750672]}]}]}, {"tin": {"type": "ein", "value": "842761576"}, "billing_class": "professional", "service_codes": ["10"], "payments": [{"allowed_amount": 97.74, "providers": [{"billed_charge": 195.0, "npi": [1225506397]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 83.05, "providers": [{"billed_charge": 500.0, "npi": [1417487323]}]}]}, {"tin": {"type": "ein", "value": "871724144"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1053600627]}]}]}, {"tin": {"type": "ein", "value": "880987985"}, "billing_class": "professional", "service_codes": ["10"], "payments": [{"allowed_amount": 101.07, "providers": [{"billed_charge": 111.34, "npi": [1366160335]}]}]}, {"tin": {"type": "ein", "value": "933909033"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 151.57, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 165.0, "npi": [1164748810]}]}]}]}, {"name": "Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen", "billing_code_type": "CPT", "billing_code": "Q0162", "billing_code_type_version": "2022", "description": "Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen", "allowed_amounts": [{"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.4, "providers": [{"billed_charge": 3.99, "npi": [1124074273]}]}, {"allowed_amount": 1.55, "providers": [{"billed_charge": 4.44, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.4, "providers": [{"billed_charge": 23.11, "npi": [1821011248]}]}, {"allowed_amount": 13.17, "providers": [{"billed_charge": 29.27, "npi": [1821011248]}]}, {"allowed_amount": 13.18, "providers": [{"billed_charge": 29.27, "npi": [1821011248]}]}, {"allowed_amount": 13.34, "providers": [{"billed_charge": 29.65, "npi": [1821011248]}]}, {"allowed_amount": 13.68, "providers": [{"billed_charge": 30.4, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.75, "providers": [{"billed_charge": 1.75, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "831466906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.03, "providers": [{"billed_charge": 10.0, "npi": [1144529801, 1881873982]}]}]}]}, {"name": "Oral medication administration, direct observation", "billing_code_type": "CPT", "billing_code": "H0033", "billing_code_type_version": "2022", "description": "Oral medication administration, direct observation", "allowed_amounts": [{"tin": {"type": "ein", "value": "593630442"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 48.4, "providers": [{"billed_charge": 888.0, "npi": [1457793861]}]}]}]}, {"name": "Orthopantogram (eg, panoramic x-ray)", "billing_code_type": "CPT", "billing_code": "70355", "billing_code_type_version": "2022", "description": "ORTHOPANTOGRAM", "allowed_amounts": [{"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 15.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1073588513, 1629301544, 1841631280, 1346455672, 1831534973, 1649634270]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.25, "providers": [{"billed_charge": 405.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1639964273]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1295790012, 1316902133, 1316574270]}]}]}]}, {"name": "Parathormone (parathyroid hormone)", "billing_code_type": "CPT", "billing_code": "83970", "billing_code_type_version": "2022", "description": "ASSAY OF PARATHORMONE", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.9, "providers": [{"billed_charge": 120.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 28.9, "providers": [{"billed_charge": 165.12, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 47.88, "providers": [{"billed_charge": 927.41, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 33.85, "providers": [{"billed_charge": 173.01, "npi": [1235186800]}]}, {"allowed_amount": 86.28, "providers": [{"billed_charge": 173.01, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 33.85, "providers": [{"billed_charge": 123.84, "npi": [1821749896]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 66.87, "providers": [{"billed_charge": 496.0, "npi": [1982606992]}]}]}]}, {"name": "Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making. When using time for code selection, 5-20 minutes of total time is spent on the date of the consultation.", "billing_code_type": "CPT", "billing_code": "80503", "billing_code_type_version": "2022", "description": "PATHOLOGY CLINICAL CONSULTATION SF MDM 5-20 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.49, "providers": [{"billed_charge": 62.0, "npi": [1306028808]}]}, {"allowed_amount": 25.4, "providers": [{"billed_charge": 62.0, "npi": [1447432968, 1558592634, 1093378176]}]}]}, {"tin": {"type": "ein", "value": "742922218"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 24.49, "providers": [{"billed_charge": 90.0, "npi": [1669462388, 1346248911]}]}]}, {"tin": {"type": "ein", "value": "751788181"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 19.95, "providers": [{"billed_charge": 79.0, "npi": [1720304298]}]}, {"allowed_amount": 20.21, "providers": [{"billed_charge": 79.0, "npi": [1255461349]}]}, {"allowed_amount": 20.23, "providers": [{"billed_charge": 79.0, "npi": [1225211162]}]}]}]}, {"name": "Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years", "billing_code_type": "CPT", "billing_code": "99396", "billing_code_type_version": "2022", "description": "PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS", "allowed_amounts": [{"tin": {"type": "ein", "value": "203134104"}, "billing_class": "professional", "service_codes": ["10"], "payments": [{"allowed_amount": 111.25, "providers": [{"billed_charge": 280.46, "npi": [1558727255]}]}]}, {"tin": {"type": "ein", "value": "223376459"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 166.85, "providers": [{"billed_charge": 570.0, "npi": [1699000158]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 152.96, "providers": [{"billed_charge": 293.0, "npi": [1093957573]}]}]}, {"tin": {"type": "ein", "value": "300491632"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 72.31, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 318.0, "npi": [1932665734]}]}]}, {"tin": {"type": "ein", "value": "311756818"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 141.97, "providers": [{"billed_charge": 283.98, "npi": [1225829997]}]}, {"allowed_amount": 147.23, "providers": [{"billed_charge": 283.98, "npi": [1316138597]}]}]}, {"tin": {"type": "ein", "value": "453780709"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 175.0, "providers": [{"billed_charge": 175.0, "npi": [1417296799]}]}]}, {"tin": {"type": "ein", "value": "742654990"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 179.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 238.0, "npi": [1952301285]}]}]}, {"tin": {"type": "ein", "value": "742766753"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 155.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 155.0, "npi": [1508978214]}]}, {"allowed_amount": 170.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 170.0, "npi": [1508978214]}]}]}, {"tin": {"type": "ein", "value": "742872207"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 50.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1154325603]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["19", "11"], "payments": [{"allowed_amount": 137.37, "providers": [{"billed_charge": 316.19, "npi": [1124409784]}]}, {"allowed_amount": 183.02, "providers": [{"billed_charge": 316.19, "npi": [1639455744]}]}]}, {"tin": {"type": "ein", "value": "752098992"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 224.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 345.0, "npi": [1952410037]}]}]}, {"tin": {"type": "ein", "value": "752876610"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 224.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 332.23, "npi": [1730127705]}]}]}, {"tin": {"type": "ein", "value": "852204789"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 278.37, "providers": [{"billed_charge": 393.0, "npi": [1407114291]}]}]}, {"tin": {"type": "ein", "value": "862407610"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 144.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 358.0, "npi": [1154077220]}]}]}, {"tin": {"type": "ein", "value": "872200070"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 248.06, "providers": [{"billed_charge": 248.06, "npi": [1790499689]}]}]}, {"tin": {"type": "ein", "value": "872339319"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 141.97, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 550.0, "npi": [1013705979]}]}]}, {"tin": {"type": "ein", "value": "900442055"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 224.81, "providers": [{"billed_charge": 350.0, "npi": [1275738874]}]}]}]}, {"name": "Phosphorus inorganic (phosphate);", "billing_code_type": "CPT", "billing_code": "84100", "billing_code_type_version": "2022", "description": "ASSAY OF PHOSPHORUS INORGANIC", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.32, "providers": [{"billed_charge": 45.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 6.64, "providers": [{"billed_charge": 11.85, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.97, "providers": [{"billed_charge": 102.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.5, "providers": [{"billed_charge": 106.51, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 134.75, "providers": [{"billed_charge": 385.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 289.8, "providers": [{"billed_charge": 828.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.31, "providers": [{"billed_charge": 218.02, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.0, "providers": [{"billed_charge": 80.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 14.0, "providers": [{"billed_charge": 14.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.89, "providers": [{"billed_charge": 18.33, "npi": [1235186800]}]}, {"allowed_amount": 9.91, "providers": [{"billed_charge": 18.33, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.89, "providers": [{"billed_charge": 6.0, "npi": [1487429874]}]}]}, {"tin": {"type": "ein", "value": "823021953"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.89, "providers": [{"billed_charge": 14.22, "npi": [1447760814]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.0, "providers": [{"billed_charge": 154.0, "npi": [1518012301]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.68, "providers": [{"billed_charge": 57.0, "npi": [1982606992]}]}]}]}, {"name": "Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.", "billing_code_type": "CPT", "billing_code": "97163", "billing_code_type_version": "2022", "description": "PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS", "allowed_amounts": [{"tin": {"type": "ein", "value": "450503141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.5, "providers": [{"billed_charge": 792.36, "npi": [1225085871]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.22, "providers": [{"billed_charge": 343.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 224.51, "providers": [{"billed_charge": 332.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.93, "providers": [{"billed_charge": 269.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 303.45, "providers": [{"billed_charge": 867.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 238.99, "providers": [{"billed_charge": 682.84, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 169.3, "providers": [{"billed_charge": 350.0, "npi": [1316936990]}]}, {"allowed_amount": 219.6, "providers": [{"billed_charge": 350.0, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.22, "providers": [{"billed_charge": 508.79, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.83, "providers": [{"billed_charge": 215.0, "npi": [1770514077]}]}]}]}, {"name": "Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.", "billing_code_type": "CPT", "billing_code": "97161", "billing_code_type_version": "2022", "description": "PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS", "allowed_amounts": [{"tin": {"type": "ein", "value": "221487576"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 398.2, "providers": [{"billed_charge": 396.0, "npi": [1356828172]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.22, "providers": [{"billed_charge": 914.0, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 238.99, "providers": [{"billed_charge": 682.84, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.1, "providers": [{"billed_charge": 518.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.22, "providers": [{"billed_charge": 489.0, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.83, "providers": [{"billed_charge": 395.47, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.22, "providers": [{"billed_charge": 215.0, "npi": [1396779948]}]}, {"allowed_amount": 153.04, "providers": [{"billed_charge": 215.0, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 210.9, "providers": [{"billed_charge": 285.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.04, "providers": [{"billed_charge": 395.47, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.83, "providers": [{"billed_charge": 215.0, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 210.9, "providers": [{"billed_charge": 289.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.83, "providers": [{"billed_charge": 215.0, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.78, "providers": [{"billed_charge": 671.0, "npi": [1184179194, 1497871628]}]}, {"allowed_amount": 156.93, "providers": [{"billed_charge": 671.0, "npi": [1083937593]}]}]}, {"tin": {"type": "ein", "value": "921743001"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 146.08, "providers": [{"billed_charge": 270.0, "npi": [1487528386]}]}]}, {"tin": {"type": "ein", "value": "930602940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 206.87, "providers": [{"billed_charge": 431.87, "npi": [1982621447]}]}]}]}, {"name": "Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.", "billing_code_type": "CPT", "billing_code": "97162", "billing_code_type_version": "2022", "description": "PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS", "allowed_amounts": [{"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.14, "providers": [{"billed_charge": 254.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "412101361"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.22, "providers": [{"billed_charge": 475.16, "npi": [1609855139]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.39, "providers": [{"billed_charge": 334.0, "npi": [1619115383]}]}, {"allowed_amount": 198.17, "providers": [{"billed_charge": 334.0, "npi": [1164526786]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 238.99, "providers": [{"billed_charge": 682.84, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 169.3, "providers": [{"billed_charge": 350.0, "npi": [1316936990]}]}, {"allowed_amount": 219.6, "providers": [{"billed_charge": 350.0, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 210.9, "providers": [{"billed_charge": 215.0, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.22, "providers": [{"billed_charge": 215.0, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.22, "providers": [{"billed_charge": 475.16, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.22, "providers": [{"billed_charge": 475.16, "npi": [1992700983]}]}, {"allowed_amount": 153.04, "providers": [{"billed_charge": 475.16, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.83, "providers": [{"billed_charge": 347.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.04, "providers": [{"billed_charge": 523.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 120.3, "providers": [{"billed_charge": 756.0, "npi": [1083937593]}]}]}, {"tin": {"type": "ein", "value": "841894499"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 130.0, "providers": [{"billed_charge": 130.0, "npi": [1245576487]}]}]}]}, {"name": "Prednisone, immediate release or delayed release, oral, 1 mg", "billing_code_type": "CPT", "billing_code": "J7512", "billing_code_type_version": "2022", "description": "Prednisone, immediate release or delayed release, oral, 1 mg", "allowed_amounts": [{"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.0, "providers": [{"billed_charge": 2.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.14, "providers": [{"billed_charge": 0.4, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.45, "providers": [{"billed_charge": 1.28, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.02, "providers": [{"billed_charge": 0.05, "npi": [1821011248]}]}, {"allowed_amount": 0.03, "providers": [{"billed_charge": 0.07, "npi": [1821011248]}]}, {"allowed_amount": 0.04, "providers": [{"billed_charge": 0.08, "npi": [1821011248]}, {"billed_charge": 0.1, "npi": [1821011248]}]}]}]}, {"name": "Prescription drug, oral, non chemotherapeutic, nos", "billing_code_type": "CPT", "billing_code": "J8499", "billing_code_type_version": "2022", "description": "Prescription drug, oral, non chemotherapeutic, nos", "allowed_amounts": [{"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.5, "providers": [{"billed_charge": 9.0, "npi": [1245690940]}]}, {"allowed_amount": 6.0, "providers": [{"billed_charge": 12.0, "npi": [1245690940]}]}, {"allowed_amount": 7.0, "providers": [{"billed_charge": 14.0, "npi": [1245690940]}]}, {"allowed_amount": 26.5, "providers": [{"billed_charge": 53.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.0, "providers": [{"billed_charge": 68.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.48, "providers": [{"billed_charge": 1.37, "npi": [1124074273]}]}, {"allowed_amount": 2.71, "providers": [{"billed_charge": 7.74, "npi": [1124074273]}]}, {"allowed_amount": 26.2, "providers": [{"billed_charge": 74.85, "npi": [1124074273]}]}, {"allowed_amount": 30.4, "providers": [{"billed_charge": 86.85, "npi": [1659525236]}]}, {"allowed_amount": 39.94, "providers": [{"billed_charge": 114.1, "npi": [1124074273]}]}, {"allowed_amount": 283.72, "providers": [{"billed_charge": 810.63, "npi": [1124074273]}]}]}]}, {"name": "Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device", "billing_code_type": "CPT", "billing_code": "94640", "billing_code_type_version": "2022", "description": "PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT", "allowed_amounts": [{"tin": {"type": "ein", "value": "202313462"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.8, "providers": [{"billed_charge": 60.0, "npi": [1861035701]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 293.22, "providers": [{"billed_charge": 374.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "352276788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 14.98, "providers": [{"billed_charge": 135.0, "npi": [1942270400]}]}]}, {"tin": {"type": "ein", "value": "465374323"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 21.36, "providers": [{"billed_charge": 70.0, "npi": [1821572694]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 743.0, "providers": [{"billed_charge": 1486.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 743.0, "providers": [{"billed_charge": 1486.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "741603120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.78, "providers": [{"billed_charge": 521.9, "npi": [1740288505]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.55, "providers": [{"billed_charge": 613.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 375.89, "providers": [{"billed_charge": 1073.98, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 252.45, "providers": [{"billed_charge": 561.0, "npi": [1821011248]}]}]}]}, {"name": "Progesterone", "billing_code_type": "CPT", "billing_code": "84144", "billing_code_type_version": "2022", "description": "ASSAY OF PROGESTERONE", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 14.6, "providers": [{"billed_charge": 120.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 29.2, "providers": [{"billed_charge": 52.15, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 14.6, "providers": [{"billed_charge": 83.44, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.11, "providers": [{"billed_charge": 87.45, "npi": [1235186800]}]}, {"allowed_amount": 43.6, "providers": [{"billed_charge": 52.15, "npi": [1235186800]}, {"billed_charge": 87.45, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.11, "providers": [{"billed_charge": 27.0, "npi": [1487429874]}]}, {"allowed_amount": 27.0, "providers": [{"billed_charge": 27.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 16.06, "providers": [{"billed_charge": 41.72, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.11, "providers": [{"billed_charge": 20.86, "npi": [1821749896]}]}]}]}, {"name": "Prolactin", "billing_code_type": "CPT", "billing_code": "84146", "billing_code_type_version": "2022", "description": "ASSAY OF PROLACTIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.57, "providers": [{"billed_charge": 120.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 27.13, "providers": [{"billed_charge": 48.45, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.57, "providers": [{"billed_charge": 77.52, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.35, "providers": [{"billed_charge": 123.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.89, "providers": [{"billed_charge": 81.24, "npi": [1235186800]}]}, {"allowed_amount": 40.5, "providers": [{"billed_charge": 81.24, "npi": [1235186800]}]}]}]}, {"name": "Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time (List separately in addition to the code of the inpatient and observation Evaluation and Management service)", "billing_code_type": "CPT", "billing_code": "99418", "billing_code_type_version": "2022", "description": "PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "393441981"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.78, "providers": [{"billed_charge": 390.8, "npi": [1427059195]}]}]}, {"tin": {"type": "ein", "value": "475013720"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.69, "providers": [{"billed_charge": 230.1, "npi": [1538574066]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.69, "providers": [{"billed_charge": 93.0, "npi": [1477849800, 1831696889]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.0, "providers": [{"billed_charge": 60.0, "npi": [1558981670]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 48.35, "providers": [{"billed_charge": 58.0, "npi": [1417391467]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.39, "providers": [{"billed_charge": 159.0, "npi": [1235758277]}]}]}, {"tin": {"type": "ein", "value": "843112870"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.69, "providers": [{"billed_charge": 500.0, "npi": [1467793034]}]}]}, {"tin": {"type": "ein", "value": "851820894"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.91, "providers": [{"billed_charge": 500.0, "npi": [1982047791]}]}]}, {"tin": {"type": "ein", "value": "851943296"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.53, "providers": [{"billed_charge": 250.0, "npi": [1235429077]}]}]}, {"tin": {"type": "ein", "value": "852099359"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.31, "providers": [{"billed_charge": 250.0, "npi": [1215220660]}]}]}, {"tin": {"type": "ein", "value": "852464463"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.26, "providers": [{"billed_charge": 98.35, "npi": [1235459769, 1932395514, 1144473570, 1912355983]}]}, {"allowed_amount": 46.14, "providers": [{"billed_charge": 98.35, "npi": [1922208776, 1922595727]}]}, {"allowed_amount": 55.78, "providers": [{"billed_charge": 98.35, "npi": [1528358124]}]}, {"allowed_amount": 58.16, "providers": [{"billed_charge": 98.35, "npi": [1073545588]}]}]}, {"tin": {"type": "ein", "value": "873769568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.26, "providers": [{"billed_charge": 230.14, "npi": [1801095880]}]}, {"allowed_amount": 55.78, "providers": [{"billed_charge": 230.14, "npi": [1407883788, 1629143029]}]}]}, {"tin": {"type": "ein", "value": "882995921"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 117.77, "providers": [{"billed_charge": 500.0, "npi": [1255651279]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 50.21, "providers": [{"billed_charge": 500.0, "npi": [1275598393]}]}, {"allowed_amount": 101.53, "providers": [{"billed_charge": 500.0, "npi": [1275598393, 1184916546, 1144807322]}]}, {"allowed_amount": 135.75, "providers": [{"billed_charge": 500.0, "npi": [1184916546]}]}, {"allowed_amount": 138.93, "providers": [{"billed_charge": 500.0, "npi": [1275598393]}]}, {"allowed_amount": 142.1, "providers": [{"billed_charge": 500.0, "npi": [1144807322, 1184916546]}]}, {"allowed_amount": 142.48, "providers": [{"billed_charge": 500.0, "npi": [1184916546]}]}, {"allowed_amount": 157.58, "providers": [{"billed_charge": 500.0, "npi": [1184916546]}]}, {"allowed_amount": 163.93, "providers": [{"billed_charge": 500.0, "npi": [1144807322]}]}, {"allowed_amount": 164.31, "providers": [{"billed_charge": 500.0, "npi": [1144807322]}]}, {"allowed_amount": 214.03, "providers": [{"billed_charge": 500.0, "npi": [1184916546, 1144807322]}]}, {"allowed_amount": 527.02, "providers": [{"billed_charge": 500.0, "npi": [1275598393]}]}]}, {"tin": {"type": "ein", "value": "931562308"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 46.86, "providers": [{"billed_charge": 50.0, "npi": [1730450859]}]}]}, {"tin": {"type": "ein", "value": "933479511"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.03, "providers": [{"billed_charge": 99.0, "npi": [1629260187]}]}]}, {"tin": {"type": "ein", "value": "993991604"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.16, "providers": [{"billed_charge": 98.35, "npi": [1538540208]}]}]}]}, {"name": "Prostate specific antigen (PSA); total", "billing_code_type": "CPT", "billing_code": "84153", "billing_code_type_version": "2022", "description": "ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.87, "providers": [{"billed_charge": 125.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.87, "providers": [{"billed_charge": 73.56, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 52.0, "providers": [{"billed_charge": 52.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.08, "providers": [{"billed_charge": 50.0, "npi": [1104839380]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.08, "providers": [{"billed_charge": 77.1, "npi": [1235186800]}]}, {"allowed_amount": 38.44, "providers": [{"billed_charge": 77.1, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.08, "providers": [{"billed_charge": 23.0, "npi": [1487429874]}]}]}, {"tin": {"type": "ein", "value": "823021953"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.08, "providers": [{"billed_charge": 55.17, "npi": [1447760814]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 14.16, "providers": [{"billed_charge": 46.78, "npi": [1336758952]}]}]}]}, {"name": "Protein; electrophoretic fractionation and quantitation, serum", "billing_code_type": "CPT", "billing_code": "84165", "billing_code_type_version": "2022", "description": "PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM", "allowed_amounts": [{"tin": {"type": "ein", "value": "621695507"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 26.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.05, "npi": [1942526447]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 23.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1316054315]}]}]}, {"tin": {"type": "ein", "value": "741720245"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 24.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1518254309, 1003132663]}, {"billed_charge": 83.0, "npi": [1518254309, 1245474758]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.84, "providers": [{"billed_charge": 953.82, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "751788181"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 19.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1457383705]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "752778206"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1730469503]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 19.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1265493688, 1326017872]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 22.45, "providers": [{"billed_charge": 45.03, "npi": [1235186800]}]}]}]}, {"name": "Prothrombin time;", "billing_code_type": "CPT", "billing_code": "85610", "billing_code_type_version": "2022", "description": "PROTHROMBIN TIME", "allowed_amounts": [{"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 6.01, "providers": [{"billed_charge": 10.73, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.05, "providers": [{"billed_charge": 97.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 8.58, "providers": [{"billed_charge": 13.0, "npi": [1912430216]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 196.7, "providers": [{"billed_charge": 562.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.46, "providers": [{"billed_charge": 327.03, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 52.65, "providers": [{"billed_charge": 117.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 11.0, "providers": [{"billed_charge": 11.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "823021953"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.52, "providers": [{"billed_charge": 12.87, "npi": [1447760814]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.95, "providers": [{"billed_charge": 14.0, "npi": [1770545519]}]}]}]}, {"name": "Psychiatric diagnostic evaluation", "billing_code_type": "CPT", "billing_code": "90791", "billing_code_type_version": "2022", "description": "PSYCHIATRIC DIAGNOSTIC EVALUATION", "allowed_amounts": [{"tin": {"type": "ein", "value": "463134704"}, "billing_class": "professional", "service_codes": ["55"], "payments": [{"allowed_amount": 256.0, "providers": [{"billed_charge": 500.0, "npi": [1689846701]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 211.6, "providers": [{"billed_charge": 816.0, "npi": [1851115133, 1861191132, 1528312493, 1750122503]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 285.28, "providers": [{"billed_charge": 2239.0, "npi": [1871619254]}]}]}]}, {"name": "Radiologic examination, abdomen; 1 view", "billing_code_type": "CPT", "billing_code": "74018", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAM ABDOMEN 1 VIEW", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 13.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1104001122, 1407482409, 1932516556, 1366433740, 1174514509]}]}, {"allowed_amount": 15.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1942863048]}]}]}, {"tin": {"type": "ein", "value": "260717903"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1396940342]}]}, {"allowed_amount": 17.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1477045284]}]}]}, {"tin": {"type": "ein", "value": "273925303"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 19.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1841282571, 1285936518, 1982889887]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 13.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1538363114, 1215965165, 1760522353, 1851319057, 1841274651, 1972541407]}]}]}, {"tin": {"type": "ein", "value": "310745303"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1245676980]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1366646416]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 29.37, "providers": [{"billed_charge": 150.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1548396997]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 13.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1114178563, 1003541699, 1215192836, 1568412518, 1285815811, 1780707208, 1033312905, 1902056203, 1225327406, 1841631280, 1699407379, 1346455672, 1831534973, 1649634270, 1619464575]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 13.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1831326081, 1386611713, 1396721155, 1023261062, 1245207562, 1043715980, 1194792846, 1730156688, 1639691025, 1801813266, 1760778518, 1639388572, 1336324383, 1497722144, 1083691810, 1043348386, 1639374374, 1891762217, 1548640428, 1376519223, 1972589752, 1184078008, 1801003454, 1376518720, 1437126851, 1427219526, 1265753289, 1831165778, 1558651091, 1831237973, 1174630230, 1184600918, 1376510685, 1104893536, 1871797472, 1487857504, 1558749283, 1225005168, 1871926899, 1831620863]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1851381404]}]}, {"allowed_amount": 17.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1134119878]}]}]}, {"tin": {"type": "ein", "value": "742523929"}, "billing_class": "professional", "service_codes": ["32"], "payments": [{"allowed_amount": 43.59, "providers": [{"billed_charge": 55.64, "npi": [1982050431]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 396.64, "providers": [{"billed_charge": 1133.27, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 372.6, "providers": [{"billed_charge": 828.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 17.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1245233022]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 9.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1841585304, 1164947297, 1467847574, 1679849822]}]}, {"allowed_amount": 9.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1629151584, 1073631297, 1740303429, 1124066246, 1790995207, 1235196072, 1336262153, 1760686950, 1164539631, 1982724720, 1841583796, 1104169432, 1629397245, 1861951964, 1992967293, 1013273630, 1912394495]}]}, {"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1730189572, 1992018055, 1740271881, 1689623464, 1972698793, 1821256363, 1265409585, 1447233713, 1841257664, 1255759437, 1730383829, 1013966043, 1063411932, 1164405734, 1336464874, 1881697258, 1144204652, 1740283118, 1164539631, 1194169847]}]}, {"allowed_amount": 13.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1740717495, 1508209495]}]}, {"allowed_amount": 17.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1578514246]}]}, {"allowed_amount": 17.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1366652729, 1477533404, 1639121254]}]}]}, {"tin": {"type": "ein", "value": "752301801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.0, "providers": [{"billed_charge": 274.0, "npi": [1831170273]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 17.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1780735845]}]}]}, {"tin": {"type": "ein", "value": "752603847"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.1, "providers": [{"billed_charge": 607.0, "npi": [1275592131]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 23.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1225269178, 1518349851]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 9.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.0, "npi": [1982656898]}]}, {"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.0, "npi": [1427011196, 1104020296, 1073253936, 1326605585, 1952366676, 1902861628]}]}]}, {"tin": {"type": "ein", "value": "760273984"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 98.0, "npi": [1912438276]}]}]}, {"tin": {"type": "ein", "value": "760677442"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 59.72, "providers": [{"billed_charge": 83.0, "npi": [1083623656]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1295020758]}]}]}, {"tin": {"type": "ein", "value": "853903021"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.23, "npi": [1053323261]}]}]}, {"tin": {"type": "ein", "value": "953268980"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 14.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.33, "npi": [1609925338]}]}]}]}, {"name": "Radiologic examination, abdomen; 2 views", "billing_code_type": "CPT", "billing_code": "74019", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAM ABDOMEN 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1174514509]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 21.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1851400618]}]}, {"allowed_amount": 41.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1235140971]}]}]}, {"tin": {"type": "ein", "value": "273925303"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1285936518, 1982889887]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1972541407]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 35.66, "providers": [{"billed_charge": 150.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1568412518]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 16.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1689781668, 1093158024, 1265753289, 1548640428, 1225005168]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 424.96, "providers": [{"billed_charge": 1214.18, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 472.05, "providers": [{"billed_charge": 1049.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1104169432, 1689897977, 1720049273]}]}, {"allowed_amount": 11.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1255759437, 1790995207]}]}, {"allowed_amount": 21.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1063464030]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 30.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1508821430]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1689363095]}]}]}, {"tin": {"type": "ein", "value": "931447847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1881815017]}]}]}]}, {"name": "Radiologic examination, ankle; 2 views", "billing_code_type": "CPT", "billing_code": "73600", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAMINATION ANKLE 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 2.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1972513711]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 12.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1376518720, 1104893536, 1043348386, 1396721155, 1023261062, 1891762217, 1710954037]}]}]}, {"tin": {"type": "ein", "value": "741940911"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 30.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1366691529]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 467.95, "providers": [{"billed_charge": 1337.0, "npi": [1770536120]}]}, {"allowed_amount": 492.8, "providers": [{"billed_charge": 1408.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 311.64, "providers": [{"billed_charge": 890.41, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 216.0, "providers": [{"billed_charge": 480.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 8.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1720298219, 1861951964, 1629397245, 1164539631]}]}, {"allowed_amount": 8.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1801156336, 1740271881, 1275737363, 1659875573]}]}, {"allowed_amount": 15.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1568416204]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 8.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1801329537, 1093989204]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1720280530]}]}]}, {"tin": {"type": "ein", "value": "852281859"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 35.19, "providers": [{"billed_charge": 600.0, "npi": [1275869729]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1477174746]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 35.19, "providers": [{"billed_charge": 600.0, "npi": [1740634989]}]}]}]}, {"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": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1104001122, 1366433740, 1174514509, 1003376088, 1225599582]}]}]}, {"tin": {"type": "ein", "value": "202313462"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 55.13, "providers": [{"billed_charge": 72.0, "npi": [1033972765]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1902011331, 1306994231]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1366646416]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 36.61, "providers": [{"billed_charge": 150.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "721304948"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1518996842]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 2.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1033312905]}]}, {"allowed_amount": 4.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1831534973]}]}, {"allowed_amount": 9.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1346455672]}]}, {"allowed_amount": 12.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1073588513, 1568412518, 1629301544, 1033312905, 1780707208, 1225327406, 1699407379, 1154330488, 1346455672, 1831534973, 1649634270]}]}]}, {"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.8, "providers": [{"billed_charge": 593.86, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 12.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1396721155, 1023261062, 1245207562, 1730156688, 1497722144, 1083691810, 1902105893, 1891762217, 1376519223, 1548554553, 1801003454, 1437126851, 1265753289, 1831237973, 1174630230, 1407823834, 1871797472, 1104893536, 1225005168, 1366701567]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1255321907]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 719.95, "providers": [{"billed_charge": 2057.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 446.51, "providers": [{"billed_charge": 1275.73, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 264.94, "npi": [1609853720]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1376030825]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.85, "providers": [{"billed_charge": 513.0, "npi": [1821011248]}]}, {"allowed_amount": 345.6, "providers": [{"billed_charge": 768.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 17.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1689705147, 1295793958, 1982682399]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 9.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1982724720, 1730383829]}]}, {"allowed_amount": 9.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1811381536, 1235592064, 1124066246, 1124277371, 1467744573]}]}, {"allowed_amount": 9.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1164405734, 1124348073, 1336464874, 1881697258, 1740283118, 1730383829, 1194169847, 1841585304, 1013966043, 1144512765]}]}, {"allowed_amount": 11.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1073003075]}]}, {"allowed_amount": 12.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1467744573, 1164539631]}]}, {"allowed_amount": 16.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1043282361, 1912951245, 1578514246]}]}, {"allowed_amount": 16.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1639121254, 1063464030]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["11", "23"], "payments": [{"allowed_amount": 21.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1497615744, 1225269178]}]}, {"allowed_amount": 61.31, "providers": [{"billed_charge": 91.0, "npi": [1932726809]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1780815753, 1881898831, 1225093040, 1871289777, 1902486590]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 9.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1497963011]}]}]}, {"tin": {"type": "ein", "value": "812813433"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 54.22, "providers": [{"billed_charge": 91.0, "npi": [1083154207]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 455.0, "npi": [1164511648]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1497702542]}]}]}, {"tin": {"type": "ein", "value": "860719855"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1437710555]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1477174746]}]}]}, {"tin": {"type": "ein", "value": "871756758"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 44.29, "providers": [{"billed_charge": 75.0, "npi": [1336880160]}]}]}, {"tin": {"type": "ein", "value": "900454894"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 254.75, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 612.0, "npi": [1891938122]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 371.0, "npi": [1184916546]}]}]}, {"tin": {"type": "ein", "value": "931447847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 209.0, "npi": [1033477971]}]}]}, {"tin": {"type": "ein", "value": "934627934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1659931335]}]}]}]}, {"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": "200376970"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 15.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1104001122, 1407482409, 1891938924, 1366433740, 1174514509, 1225599582]}]}, {"allowed_amount": 17.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1942863048]}]}, {"allowed_amount": 37.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1104001122]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "providers": [{"billed_charge": 952.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1780707208]}]}]}, {"tin": {"type": "ein", "value": "208737126"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 429.25, "npi": [1104086941]}]}, {"allowed_amount": 188.83, "providers": [{"billed_charge": 429.25, "npi": [1104086941]}]}, {"allowed_amount": 227.29, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 429.25, "npi": [1104086941]}]}]}, {"tin": {"type": "ein", "value": "262978009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "providers": [{"billed_charge": 586.52, "npi": [1689002651]}]}]}, {"tin": {"type": "ein", "value": "270492434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 243.82, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 333.08, "npi": [1427048453]}]}]}, {"tin": {"type": "ein", "value": "273925303"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 23.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1982889887]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1205093200, 1700204427, 1972541407]}]}]}, {"tin": {"type": "ein", "value": "300502262"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.34, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 159.0, "npi": [1750308359]}]}]}, {"tin": {"type": "ein", "value": "301205721"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.29, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 800.0, "npi": [1588215461]}]}]}, {"tin": {"type": "ein", "value": "320612926"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 26.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 570.0, "npi": [1336253590]}]}]}, {"tin": {"type": "ein", "value": "334228227"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 528.0, "npi": [1538950837]}]}]}, {"tin": {"type": "ein", "value": "334253489"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "providers": [{"billed_charge": 528.0, "npi": [1518752302]}]}]}, {"tin": {"type": "ein", "value": "334308192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 528.0, "npi": [1932094976]}]}]}, {"tin": {"type": "ein", "value": "334308303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 528.0, "npi": [1174310841]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 528.0, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "334335561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "providers": [{"billed_charge": 528.0, "npi": [1952295164]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "providers": [{"billed_charge": 586.52, "npi": [1598196206, 1679903967]}]}]}, {"tin": {"type": "ein", "value": "392097914"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 48.52, "providers": [{"billed_charge": 70.0, "npi": [1811221104]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 15.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1245486729, 1770739260]}]}, {"allowed_amount": 19.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1366646416]}]}, {"allowed_amount": 37.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "392717734"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 1513.25, "npi": [1093604662]}]}]}, {"tin": {"type": "ein", "value": "420680452"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.55, "providers": [{"billed_charge": 435.96, "npi": [1356433049]}]}]}, {"tin": {"type": "ein", "value": "421516894"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1205299849]}]}]}, {"tin": {"type": "ein", "value": "453998554"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.6, "npi": [1326542341]}]}]}, {"tin": {"type": "ein", "value": "461742613"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 66.4, "providers": [{"billed_charge": 500.0, "npi": [1518997824]}]}]}, {"tin": {"type": "ein", "value": "464389870"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 1996.0, "npi": [1952723967]}]}]}, {"tin": {"type": "ein", "value": "464984167"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.38, "npi": [1154321867, 1972777589]}]}, {"allowed_amount": 17.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.38, "npi": [1447218169]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 591.5, "providers": [{"billed_charge": 1183.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 997.58, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "473918725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1276.0, "npi": [1205212313]}]}]}, {"tin": {"type": "ein", "value": "475349604"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.32, "providers": [{"billed_charge": 141.0, "npi": [1225345754]}]}]}, {"tin": {"type": "ein", "value": "560942865"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1285834622]}]}]}, {"tin": {"type": "ein", "value": "560954779"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1285052142]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 32.69, "providers": [{"billed_charge": 150.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 289.0, "providers": [{"billed_charge": 289.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "581588823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.5, "providers": [{"billed_charge": 334.0, "npi": [1477591055]}]}]}, {"tin": {"type": "ein", "value": "581966795"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.66, "providers": [{"billed_charge": 231.0, "npi": [1093716979]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1215029632, 1174020127]}]}]}, {"tin": {"type": "ein", "value": "611851498"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.29, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 800.0, "npi": [1669984498]}]}]}, {"tin": {"type": "ein", "value": "621754940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 263.13, "providers": [{"billed_charge": 1579.0, "npi": [1851343909]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 838.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 975.71, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "630313602"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1326089913]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.29, "providers": [{"billed_charge": 799.75, "npi": [1164526786, 1124137054, 1619115383]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.29, "providers": [{"billed_charge": 1290.0, "npi": [1447883301]}]}, {"allowed_amount": 266.63, "providers": [{"billed_charge": 184.0, "npi": [1821004151]}, {"billed_charge": 554.0, "npi": [1821004151]}, {"billed_charge": 1290.0, "npi": [1194787218, 1780867390]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 1635.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 1250.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 365.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 1.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1225327406]}]}, {"allowed_amount": 2.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1225327406]}]}, {"allowed_amount": 3.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1780707208]}]}, {"allowed_amount": 15.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1073588513, 1114178563, 1568412518, 1780707208, 1033312905, 1629301544, 1902056203, 1225327406, 1861943599, 1841631280, 1154330488, 1346455672, 1831534973, 1649634270]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1659532174]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 13.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1093158024]}]}, {"allowed_amount": 15.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1386611713, 1831326081, 1396721155, 1023261062, 1093158024, 1194792846, 1730156688, 1457676306, 1801813266, 1760778518, 1083691810, 1043348386, 1902105893, 1639374374, 1386039337, 1891762217, 1548640428, 1376519223, 1184078008, 1548554553, 1376518720, 1073833927, 1265753289, 1831165778, 1831237973, 1174630230, 1407823834, 1376510685, 1326020702, 1104893536, 1487857504, 1225005168, 1871926899, 1831620863]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1013143015, 1346534120, 1346243144, 1134161227, 1932454972]}]}, {"allowed_amount": 20.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1669656567]}, {"billed_charge": 86.0, "npi": [1346534120, 1902868425, 1679563050, 1134161227, 1578023818, 1376954446, 1437111952, 1598772915]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 430.5, "providers": [{"billed_charge": 1230.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742523929"}, "billing_class": "professional", "service_codes": ["32"], "payments": [{"allowed_amount": 48.52, "providers": [{"billed_charge": 62.52, "npi": [1730578006]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 439.13, "providers": [{"billed_charge": 1254.67, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742797430"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 33.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1023074127]}]}, {"allowed_amount": 37.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1023074127]}]}]}, {"tin": {"type": "ein", "value": "742896068"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1376518720]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.54, "npi": [1013075977, 1982840211]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.07, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 71.0, "npi": [1316936990]}, {"billed_charge": 81.65, "npi": [1316936990]}, {"billed_charge": 101.25, "npi": [1619747938]}, {"billed_charge": 219.41, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 428.4, "providers": [{"billed_charge": 952.0, "npi": [1821011248]}]}, {"allowed_amount": 1175.0, "providers": [{"billed_charge": 952.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 12.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1982990156]}]}, {"allowed_amount": 20.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1770561185, 1295793958, 1295713642, 1295293587, 1982682399]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 689.0, "npi": [1720480627, 1194743013]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "providers": [{"billed_charge": 792.25, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "providers": [{"billed_charge": 656.37, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 792.25, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "11", "23"], "payments": [{"allowed_amount": 2.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1285890079]}]}, {"allowed_amount": 8.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1841583796]}]}, {"allowed_amount": 9.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1043449028]}]}, {"allowed_amount": 10.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1801156336, 1710121041]}]}, {"allowed_amount": 11.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1235592064, 1215013891, 1790995207, 1851556617, 1679891980, 1013027598, 1902199185, 1790019347, 1467847574, 1386901270, 1942326699, 1821256363, 1083078836, 1467744573, 1740303429, 1841468360, 1114289741, 1104169432, 1891180634, 1821314667, 1689897977, 1912394495]}]}, {"allowed_amount": 11.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1730189572, 1992018055, 1063808392, 1740271881, 1275737363, 1639130644, 1396794004, 1295051159, 1841585304, 1285890079, 1013917731, 1689623464, 1447233713, 1871532465, 1962603191, 1760709182, 1780902593, 1831199686, 1194992842, 1730383829, 1104169432, 1013966043, 1861951964, 1689963357, 1801920350, 1164405734, 1922057959, 1881697258, 1336464874, 1144204652, 1740283118, 1164539631, 1659875573, 1194169847, 1629397245, 1811307259, 1144512765, 1912394495]}]}, {"allowed_amount": 15.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1679891980, 1164539631, 1841583796, 1740717495, 1841585304, 1689963357, 1679849822]}]}, {"allowed_amount": 19.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1700839511]}]}, {"allowed_amount": 20.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1154301554, 1629020243]}]}, {"allowed_amount": 20.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1467985986, 1154300283, 1568416204]}]}, {"allowed_amount": 37.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1164947297]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "providers": [{"billed_charge": 792.25, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 656.37, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 656.37, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752051646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 667.35, "npi": [1891765178]}]}, {"allowed_amount": 338.56, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 667.35, "npi": [1891765178]}]}]}, {"tin": {"type": "ein", "value": "752051646"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1902199185]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 19.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1649404849]}]}]}, {"tin": {"type": "ein", "value": "752585153"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 35.96, "providers": [{"billed_charge": 200.0, "npi": [1679761787]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 656.37, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 19.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1518164862]}]}, {"allowed_amount": 28.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1790014496, 1497615744, 1750465514, 1508821430, 1619838232, 1225269178]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "providers": [{"billed_charge": 792.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 667.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "providers": [{"billed_charge": 460.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "providers": [{"billed_charge": 792.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 2.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1699574350]}]}, {"allowed_amount": 10.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1780815753, 1841301405]}]}, {"allowed_amount": 11.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1801329537, 1720046212, 1275845000, 1316904717, 1043428238, 1366460180, 1689363095, 1841301405, 1205892767, 1205396991, 1497098925, 1346635695, 1871289777, 1306305206, 1316177207, 1457571531, 1699574350, 1881898831, 1003877200, 1164443727, 1831155027, 1952366676, 1720615396, 1720214901, 1750961272, 1689677049, 1205393535]}]}, {"allowed_amount": 14.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1386828341]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 679.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1841465796]}]}]}, {"tin": {"type": "ein", "value": "760536234"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 1635.0, "npi": [1942208616]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 1996.0, "npi": [1083937593, 1184179194, 1497871628]}]}]}, {"tin": {"type": "ein", "value": "760587021"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 39.51, "providers": [{"billed_charge": 99.33, "npi": [1174585871]}]}]}, {"tin": {"type": "ein", "value": "760631448"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1124281456]}]}]}, {"tin": {"type": "ein", "value": "760677442"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 66.4, "providers": [{"billed_charge": 94.0, "npi": [1083623656]}]}]}, {"tin": {"type": "ein", "value": "812098192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 3024.0, "npi": [1649722463]}]}]}, {"tin": {"type": "ein", "value": "812527918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 589.25, "npi": [1396280756]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 748.0, "npi": [1164511648, 1306011937, 1053791459, 1891720777, 1043471469, 1104052307, 1760724439, 1740572569, 1982231098, 1003340381, 1902893183]}]}]}, {"tin": {"type": "ein", "value": "815287624"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "providers": [{"billed_charge": 2700.0, "npi": [1174059208]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1276.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "822763441"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 570.0, "npi": [1740483122]}]}]}, {"tin": {"type": "ein", "value": "822913146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.07, "providers": [{"billed_charge": 1247.0, "npi": [1972517365]}]}]}, {"tin": {"type": "ein", "value": "823349983"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 906.8, "npi": [1346753118]}]}]}, {"tin": {"type": "ein", "value": "823463299"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2700.0, "npi": [1649770488]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 656.37, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "825410675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.65, "npi": [1033539861]}]}]}, {"tin": {"type": "ein", "value": "831785901"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 332.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.65, "npi": [1427345305]}]}]}, {"tin": {"type": "ein", "value": "832040784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 3024.0, "npi": [1366917528]}]}]}, {"tin": {"type": "ein", "value": "832804506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2700.0, "npi": [1174089866]}]}]}, {"tin": {"type": "ein", "value": "833420092"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1719.9, "npi": [1659328714]}]}]}, {"tin": {"type": "ein", "value": "841155936"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1407267057]}]}]}, {"tin": {"type": "ein", "value": "842589283"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1734.0, "npi": [1902453970]}]}]}, {"tin": {"type": "ein", "value": "843475920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1276.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 350.0, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "850214117"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 14.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1508950841]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "providers": [{"billed_charge": 1198.0, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1831627918, 1497702542]}]}]}, {"tin": {"type": "ein", "value": "852281859"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 35.96, "providers": [{"billed_charge": 600.0, "npi": [1073503058, 1740634989]}]}]}, {"tin": {"type": "ein", "value": "853503076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1566.18, "npi": [1124623889]}]}]}, {"tin": {"type": "ein", "value": "853903021"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.56, "npi": [1184104218, 1982658597]}]}]}, {"tin": {"type": "ein", "value": "873769568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1719.9, "npi": [1801095880]}]}, {"allowed_amount": 14.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1719.9, "npi": [1629143029]}]}]}, {"tin": {"type": "ein", "value": "882501936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 2700.0, "npi": [1750013769]}]}]}, {"tin": {"type": "ein", "value": "882931023"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2821.61, "npi": [1740911213]}]}]}, {"tin": {"type": "ein", "value": "882995921"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2269.72, "npi": [1316119571]}]}, {"allowed_amount": 31.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2269.72, "npi": [1235333618, 1255651279]}]}]}, {"tin": {"type": "ein", "value": "883576979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1566.18, "npi": [1851028146]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.65, "providers": [{"billed_charge": 341.0, "npi": [1548393127]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1376607150]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 800.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 13.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 570.0, "npi": [1184916546, 1770798563, 1972578714, 1275598393, 1144807322]}]}, {"allowed_amount": 26.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 570.0, "npi": [1275598393, 1184916546, 1972578714, 1144807322]}]}]}, {"tin": {"type": "ein", "value": "922631837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.29, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1125.24, "npi": [1457047664]}]}]}, {"tin": {"type": "ein", "value": "922858146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "providers": [{"billed_charge": 3024.0, "npi": [1184305609]}]}]}, {"tin": {"type": "ein", "value": "923209338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 263.13, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1500.0, "npi": [1558132365]}]}]}, {"tin": {"type": "ein", "value": "923364122"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1720473291]}]}]}, {"tin": {"type": "ein", "value": "923637942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1566.18, "npi": [1679263883]}]}]}, {"tin": {"type": "ein", "value": "923978738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.56, "npi": [1134151624]}]}]}, {"tin": {"type": "ein", "value": "931447847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1124386321]}, {"billed_charge": 251.0, "npi": [1124386321, 1033477971]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 35.96, "providers": [{"billed_charge": 600.0, "npi": [1508123241, 1437337458, 1497963011, 1073503058]}]}]}, {"tin": {"type": "ein", "value": "931987116"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 34.88, "providers": [{"billed_charge": 600.0, "npi": [1689884330, 1740634989]}]}]}, {"tin": {"type": "ein", "value": "932501917"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 416.29, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 60.0, "npi": [1215914429]}]}]}, {"tin": {"type": "ein", "value": "934370183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1276.0, "npi": [1538934864]}]}]}, {"tin": {"type": "ein", "value": "953268980"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 13.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.65, "npi": [1073595740]}]}, {"allowed_amount": 18.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.65, "npi": [1518946649]}]}]}, {"tin": {"type": "ein", "value": "990517950"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 322.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1124656210]}]}]}, {"tin": {"type": "ein", "value": "991725632"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1566.18, "npi": [1780442517]}]}]}, {"tin": {"type": "ein", "value": "991770453"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.56, "npi": [1609048479]}]}, {"allowed_amount": 31.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 205.56, "npi": [1023221413]}]}]}, {"tin": {"type": "ein", "value": "992078911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 902.0, "npi": [1770333403]}]}]}, {"tin": {"type": "ein", "value": "992199214"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "providers": [{"billed_charge": 2357.0, "npi": [1013735786]}]}]}, {"tin": {"type": "ein", "value": "993319912"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1182.98, "npi": [1306679378]}]}]}, {"tin": {"type": "ein", "value": "993360712"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1182.98, "npi": [1922831999]}]}]}, {"tin": {"type": "ein", "value": "993694300"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1336109818]}]}]}, {"tin": {"type": "ein", "value": "993726953"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1962491035]}]}]}, {"tin": {"type": "ein", "value": "995104341"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 263.13, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1500.0, "npi": [1609697242]}]}]}, {"tin": {"type": "ein", "value": "995114582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 322.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1760772792]}]}]}]}, {"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": "010901796"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1891743373]}]}]}, {"tin": {"type": "ein", "value": "136326908"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "providers": [{"billed_charge": 664.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "160393490"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 452.11, "npi": [1346241973]}]}]}, {"tin": {"type": "ein", "value": "200175530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "providers": [{"billed_charge": 998.35, "npi": [1548232044]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 1.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1942863048]}]}, {"allowed_amount": 2.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1003376088]}]}, {"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1104001122, 1407482409, 1891938924, 1174514509, 1366433740, 1932516556, 1922487446, 1003376088, 1225599582]}]}, {"allowed_amount": 14.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1942863048]}]}, {"allowed_amount": 17.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1407482409]}]}, {"allowed_amount": 31.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1922487446, 1225599582]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1477139079]}]}]}, {"tin": {"type": "ein", "value": "202848116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 664.25, "npi": [1629138029]}]}]}, {"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.29, "providers": [{"billed_charge": 583.02, "npi": [1144566316, 1265568638]}]}]}, {"tin": {"type": "ein", "value": "204361034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1417914169]}]}]}, {"tin": {"type": "ein", "value": "205908627"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 1134.0, "npi": [1851390967]}]}]}, {"tin": {"type": "ein", "value": "232809585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1578099693, 1760462741]}]}]}, {"tin": {"type": "ein", "value": "232825878"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 308.25, "providers": [{"billed_charge": 1153.0, "npi": [1962579029]}]}]}, {"tin": {"type": "ein", "value": "233044530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 285.57, "providers": [{"billed_charge": 988.0, "npi": [1770579591]}]}]}, {"tin": {"type": "ein", "value": "250815795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1013409531]}]}]}, {"tin": {"type": "ein", "value": "251403958"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1598776825]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 366.74, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "260684968"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 664.25, "npi": [1902047376]}]}]}, {"tin": {"type": "ein", "value": "260695491"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.25, "npi": [1124405279]}]}]}, {"tin": {"type": "ein", "value": "260717903"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1396940342]}]}, {"allowed_amount": 9.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1225003320]}]}, {"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1386694040]}]}, {"allowed_amount": 16.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1386694040]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1508049610]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1248.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "262157500"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1891084869]}, {"billed_charge": 36.0, "npi": [1588662183]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 328.5, "providers": [{"billed_charge": 419.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 78.0, "npi": [1811348709]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 719.0, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "272008627"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1770774952, 1093717001]}]}]}, {"tin": {"type": "ein", "value": "272184637"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1770842817, 1053755694]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1770842817, 1538363114, 1700204427, 1205093200, 1851319057, 1760522353, 1306994231, 1992858328, 1841274651]}]}]}, {"tin": {"type": "ein", "value": "333807317"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "providers": [{"billed_charge": 2460.0, "npi": [1083586747]}]}]}, {"tin": {"type": "ein", "value": "334308192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 846.0, "npi": [1932094976]}]}]}, {"tin": {"type": "ein", "value": "350868157"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.19, "providers": [{"billed_charge": 413.0, "npi": [1841245594]}]}]}, {"tin": {"type": "ein", "value": "352276788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 44.35, "providers": [{"billed_charge": 100.0, "npi": [1942270400]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "providers": [{"billed_charge": 327.71, "npi": [1598196206]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1578917969, 1013098037, 1134200157]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1962472464]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1770739260, 1871816694]}]}, {"allowed_amount": 16.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1366646416]}]}, {"allowed_amount": 31.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "412101361"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 366.74, "npi": [1962504340]}]}]}, {"tin": {"type": "ein", "value": "431343281"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.17, "providers": [{"billed_charge": 252.0, "npi": [1871665380]}]}]}, {"tin": {"type": "ein", "value": "431664107"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1851787303]}]}]}, {"tin": {"type": "ein", "value": "431704371"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.93, "providers": [{"billed_charge": 637.0, "npi": [1265546048]}]}]}, {"tin": {"type": "ein", "value": "431704371"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1043525959]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 664.25, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "440552490"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.38, "providers": [{"billed_charge": 402.0, "npi": [1235102690]}]}]}, {"tin": {"type": "ein", "value": "440577118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.93, "providers": [{"billed_charge": 383.69, "npi": [1093740128]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "providers": [{"billed_charge": 664.25, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "452528414"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.35, "providers": [{"billed_charge": 481.03, "npi": [1972585347]}]}]}, {"tin": {"type": "ein", "value": "452654166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1699816587]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "providers": [{"billed_charge": 571.4, "npi": [1588190904]}]}, {"allowed_amount": 189.15, "providers": [{"billed_charge": 571.4, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "453998554"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.4, "npi": [1073565792]}]}]}, {"tin": {"type": "ein", "value": "464007700"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 243.44, "providers": [{"billed_charge": 545.13, "npi": [1396138970]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 719.0, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.0, "npi": [1639598204]}]}, {"allowed_amount": 35.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.0, "npi": [1669112280]}]}]}, {"tin": {"type": "ein", "value": "474717998"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.87, "providers": [{"billed_charge": 204.0, "npi": [1104295864]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 212.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "540261840"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 270.01, "providers": [{"billed_charge": 266.0, "npi": [1346248663]}]}]}, {"tin": {"type": "ein", "value": "540696355"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 286.33, "providers": [{"billed_charge": 373.0, "npi": [1417005760]}]}]}, {"tin": {"type": "ein", "value": "541124769"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1487688065, 1356557763, 1831160142, 1134184310, 1275520470, 1033359096]}]}]}, {"tin": {"type": "ein", "value": "541300563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1750354262]}]}]}, {"tin": {"type": "ein", "value": "550387249"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 176.98, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 422.0, "npi": [1619921947]}]}]}, {"tin": {"type": "ein", "value": "560554230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 258.78, "providers": [{"billed_charge": 392.0, "npi": [1881647204]}]}]}, {"tin": {"type": "ein", "value": "560945616"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.23, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1013159680, 1255795118]}]}]}, {"tin": {"type": "ein", "value": "582078064"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1003905290]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.66, "providers": [{"billed_charge": 412.8, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "590973502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.58, "providers": [{"billed_charge": 664.76, "npi": [1063426823]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1972550416, 1548396997, 1437390390]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1851551766]}]}]}, {"tin": {"type": "ein", "value": "620842484"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1245790138]}]}]}, {"tin": {"type": "ein", "value": "620963389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1285628750]}]}]}, {"tin": {"type": "ein", "value": "621113737"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 212.9, "providers": [{"billed_charge": 736.64, "npi": [1720032345]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 306.25, "providers": [{"billed_charge": 875.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "621762420"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 825.5, "npi": [1528026267]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 670.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "621762526"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.61, "providers": [{"billed_charge": 850.0, "npi": [1790722346]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 758.1, "npi": [1700805678]}, {"billed_charge": 796.01, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 6.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1447630140]}]}]}, {"tin": {"type": "ein", "value": "721304948"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1790987071]}]}]}, {"tin": {"type": "ein", "value": "730775105"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1366868242]}]}]}, {"tin": {"type": "ein", "value": "731008550"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 120.12, "providers": [{"billed_charge": 726.0, "npi": [1851396394]}]}]}, {"tin": {"type": "ein", "value": "731553050"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 150.94, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 124.24, "npi": [1255364923]}]}]}, {"tin": {"type": "ein", "value": "731553050"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1982998225]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "providers": [{"billed_charge": 664.25, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.29, "providers": [{"billed_charge": 291.5, "npi": [1447355771]}, {"billed_charge": 747.25, "npi": [1093810327, 1578780870, 1619115383]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.29, "providers": [{"billed_charge": 1021.0, "npi": [1447883301]}]}, {"allowed_amount": 266.63, "providers": [{"billed_charge": 516.0, "npi": [1821004151]}, {"billed_charge": 1021.0, "npi": [1194787218, 1780867390]}]}, {"allowed_amount": 2438.08, "providers": [{"billed_charge": 1021.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741161944"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 545.13, "npi": [1891882833]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 920.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "providers": [{"billed_charge": 336.0, "npi": [1720088123]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1033257753, 1306853627]}]}]}, {"tin": {"type": "ein", "value": "741536936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 314.0, "npi": [1205900370]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 2.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1831534973]}]}, {"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1073588513, 1114178563, 1902008709, 1568412518, 1780707208, 1033312905, 1629301544, 1225327406, 1861943599, 1841631280, 1972513711, 1093769234, 1699407379, 1154330488, 1346455672, 1851303770, 1831534973, 1649634270]}]}]}, {"tin": {"type": "ein", "value": "741603120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 479.86, "providers": [{"billed_charge": 582.72, "npi": [1740288505]}]}]}, {"tin": {"type": "ein", "value": "741603120"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.75, "npi": [1053596924]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 17.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1003892506, 1174850333, 1487644910]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 6.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1760672919]}]}, {"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1386611713, 1831326081, 1396721155, 1871560193, 1427319813, 1023261062, 1093158024, 1245207562, 1043715980, 1194792846, 1730156688, 1639691025, 1801813266, 1457676306, 1760778518, 1760672919, 1750512281, 1881731099, 1639388572, 1336324383, 1497722144, 1043348386, 1083691810, 1689781668, 1902105893, 1639374374, 1891762217, 1366701567, 1548640428, 1710954037, 1376519223, 1184078008, 1548554553, 1972589752, 1417924283, 1265939383, 1801003454, 1205240512, 1376518720, 1437126851, 1023085891, 1073833927, 1265753289, 1831165778, 1558651091, 1831237973, 1184600918, 1174630230, 1255568598, 1407823834, 1891777371, 1902080476, 1376510685, 1326020702, 1871797472, 1487857504, 1104893536, 1558749283, 1063728103, 1225005168, 1871926899, 1447236211, 1831620863]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 9.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1700857679]}]}, {"allowed_amount": 10.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1376907576]}]}, {"allowed_amount": 16.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1881191617, 1346534120, 1538159272, 1093030157, 1831365261, 1669656567, 1952696692, 1255321907, 1932199767, 1376991935]}]}, {"allowed_amount": 17.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1124214945, 1790050052, 1518461284, 1467457796, 1346243144, 1902868425, 1215156591, 1962668947, 1932199767, 1932454972]}]}]}, {"tin": {"type": "ein", "value": "741698143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 263.13, "providers": [{"billed_charge": 331.0, "npi": [1124052162]}]}]}, {"tin": {"type": "ein", "value": "741774669"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 499.5, "npi": [1235685892]}]}]}, {"tin": {"type": "ein", "value": "741940911"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 6.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1366691529]}]}, {"allowed_amount": 31.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1386634533]}]}]}, {"tin": {"type": "ein", "value": "742019736"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "providers": [{"billed_charge": 384.0, "npi": [1871599829]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1598150187]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 407.4, "providers": [{"billed_charge": 1164.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742519752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 545.13, "npi": [1154315307]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 396.64, "providers": [{"billed_charge": 1133.27, "npi": [1124074273, 1376071530, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 78.63, "npi": [1790348944, 1578741211, 1053817973]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1376030825]}]}, {"allowed_amount": 16.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1205024775]}]}, {"allowed_amount": 31.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1619312832, 1588844609, 1245426790, 1609308360, 1386802395, 1114582640, 1205241072, 1124237979, 1568025468, 1740240829]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.07, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 71.0, "npi": [1316936990]}, {"billed_charge": 81.65, "npi": [1316936990]}, {"billed_charge": 231.57, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746000949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 347.0, "npi": [1548226988]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 302.4, "providers": [{"billed_charge": 672.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 17.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1770561185, 1740422369, 1477503365, 1295713642, 1740667922, 1295293587, 1336431352, 1073018073, 1760460059, 1508252636, 1033525597, 1245233022, 1982682399]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 685.0, "npi": [1720480627]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "providers": [{"billed_charge": 664.25, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "providers": [{"billed_charge": 366.74, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751037591"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 366.74, "npi": [1124305065, 1851108765]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 664.25, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751277293"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 187.0, "npi": [1598750721]}]}]}, {"tin": {"type": "ein", "value": "751277293"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.22, "npi": [1689719338, 1548681042]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "19", "22", "23"], "payments": [{"allowed_amount": 1.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1063808392]}]}, {"allowed_amount": 1.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1780902593]}]}, {"allowed_amount": 6.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1508209495]}]}, {"allowed_amount": 8.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1689963357]}]}, {"allowed_amount": 9.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1063808392, 1992967293, 1578564118, 1285890079, 1063613735, 1932186152, 1689623464, 1447233713, 1265409585, 1932442167, 1780902593, 1649265612, 1730383829, 1124229208, 1164405734, 1336464874, 1144204652, 1801156336, 1265640049, 1144512765]}]}, {"allowed_amount": 9.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.33, "npi": [1821382409]}, {"billed_charge": 36.0, "npi": [1235592064, 1164849154, 1215013891, 1427316355, 1033552005, 1891292934, 1790995207, 1831488519, 1336262153, 1821382409, 1851556617, 1679891980, 1013027598, 1902199185, 1598883217, 1790019347, 1992967293, 1467847574, 1386901270, 1841585304, 1285890079, 1811381536, 1407829922, 1891104550, 1003347113, 1942326699, 1821256363, 1841583796, 1083078836, 1134623796, 1710060348, 1669771325, 1962464958, 1467744573, 1073631297, 1043449028, 1124066246, 1841468360, 1255759437, 1114289741, 1932763984, 1710121041, 1992021075, 1508209495, 1104169432, 1891180634, 1952899676, 1861951964, 1679849822, 1629151584, 1760686950, 1619437670, 1578812905, 1780637546, 1720298219, 1821314667, 1164539631, 1982724720, 1144287475, 1457437048, 1689897977, 1124277371, 1629397245, 1912394495]}]}, {"allowed_amount": 9.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1235592064, 1568465920, 1558628354, 1730189572, 1063808392, 1740271881, 1790019347, 1639130644, 1598764821, 1396794004, 1275737363, 1841585304, 1790788115, 1285890079, 1811381536, 1013917731, 1891104550, 1649312935, 1689623464, 1124348073, 1972698793, 1942326699, 1821256363, 1871532465, 1447233713, 1265409585, 1083078836, 1841583796, 1962603191, 1740717495, 1669771325, 1760709182, 1841257664, 1780902593, 1073631297, 1831199686, 1194992842, 1669816658, 1730383829, 1104169432, 1013966043, 1861951964, 1689963357, 1801920350, 1164405734, 1922057959, 1164421095, 1881697258, 1336464874, 1144204652, 1740283118, 1164539631, 1801156336, 1508037102, 1659875573, 1386627958, 1194169847, 1629397245, 1811307259, 1144512765, 1912394495]}]}, {"allowed_amount": 10.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1912386970]}]}, {"allowed_amount": 11.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1508020736, 1073003075]}]}, {"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.33, "npi": [1467744573]}, {"billed_charge": 36.0, "npi": [1780902593, 1447233713, 1740717495, 1457437048, 1689963357]}]}, {"allowed_amount": 16.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1194705137, 1568416204]}]}, {"allowed_amount": 16.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1467985986, 1346211810, 1639121254, 1578514246, 1043282361, 1831179852, 1568416204, 1962452557, 1912951245, 1194705137, 1154301554, 1629020243, 1124008503, 1366652729, 1477533404, 1063464030]}]}, {"allowed_amount": 16.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1467985986, 1578514246, 1700839511, 1154300283, 1063464030]}]}, {"allowed_amount": 31.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1114419207]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "providers": [{"billed_charge": 664.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751459885"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 248.0, "npi": [1598723231]}]}, {"allowed_amount": 6.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 248.0, "npi": [1902122443]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "providers": [{"billed_charge": 664.25, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751752253"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 202.24, "providers": [{"billed_charge": 664.25, "npi": [1922031541]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "providers": [{"billed_charge": 366.74, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 366.74, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 366.74, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "751912147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 202.24, "providers": [{"billed_charge": 255.65, "npi": [1023013448]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 16.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1083959142, 1568665321, 1558697599, 1649404849, 1285195859, 1972777589, 1053748822, 1508363292, 1396186367]}]}]}, {"tin": {"type": "ein", "value": "752512260"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1720279342]}]}]}, {"tin": {"type": "ein", "value": "752559845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 285.57, "providers": [{"billed_charge": 597.0, "npi": [1992707228]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 366.74, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752600873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1619236189]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 16.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1518164862]}]}, {"allowed_amount": 23.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1750465514, 1891751699, 1508821430, 1619838232, 1225269178]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "providers": [{"billed_charge": 664.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 664.25, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752796815"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 146.06, "providers": [{"billed_charge": 950.0, "npi": [1295736734]}]}]}, {"tin": {"type": "ein", "value": "752829613"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 212.0, "npi": [1386647717]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 502.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "providers": [{"billed_charge": 384.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "providers": [{"billed_charge": 664.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 1.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1093770802, 1366460180]}]}, {"allowed_amount": 9.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1801329537, 1720046212, 1780815753, 1316904717, 1366460180, 1205892767, 1497916704, 1346635695, 1871289777, 1306305206, 1316177207, 1699574350, 1316998479, 1164443727, 1003877200, 1952366676, 1861020513, 1750588901, 1295782506, 1427011196, 1205396991]}]}, {"allowed_amount": 11.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1386828341]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 679.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1962546309]}]}]}, {"tin": {"type": "ein", "value": "760536234"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1248.0, "npi": [1942208616]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 1889.0, "npi": [1184179194, 1497871628, 1871619254]}]}]}, {"tin": {"type": "ein", "value": "760686474"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1477871275]}]}]}, {"tin": {"type": "ein", "value": "810306157"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1124080270]}]}]}, {"tin": {"type": "ein", "value": "812527918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.15, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 177.0, "npi": [1396280756]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.29, "providers": [{"billed_charge": 583.02, "npi": [1346729159]}]}]}, {"tin": {"type": "ein", "value": "813334196"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.29, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2050.0, "npi": [1013499383]}]}]}, {"tin": {"type": "ein", "value": "813556450"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.29, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1093.74, "npi": [1467935866]}]}]}, {"tin": {"type": "ein", "value": "820200895"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.22, "providers": [{"billed_charge": 259.0, "npi": [1992736649]}]}]}, {"tin": {"type": "ein", "value": "820551704"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 366.74, "npi": [1649273434]}]}]}, {"tin": {"type": "ein", "value": "822135009"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1225150014]}]}]}, {"tin": {"type": "ein", "value": "822913146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.07, "providers": [{"billed_charge": 1115.0, "npi": [1972517365]}]}, {"allowed_amount": 16270.99, "providers": [{"billed_charge": 1115.0, "npi": [1972517365]}]}]}, {"tin": {"type": "ein", "value": "823463299"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2460.0, "npi": [1649770488]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 664.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 366.74, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1912232422]}]}, {"allowed_amount": 17.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1376987362]}]}]}, {"tin": {"type": "ein", "value": "826041596"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1063801678]}]}]}, {"tin": {"type": "ein", "value": "831002191"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1053349449]}]}]}, {"tin": {"type": "ein", "value": "831785901"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 127.35, "npi": [1982966099]}]}]}, {"tin": {"type": "ein", "value": "831864010"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 127.35, "npi": [1952537268]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "providers": [{"billed_charge": 571.4, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 664.25, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "840607791"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.25, "npi": [1124405279]}]}]}, {"tin": {"type": "ein", "value": "843654542"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 369.65, "npi": [1245878990]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "providers": [{"billed_charge": 280.0, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 9.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1063860120, 1457399818, 1891226114, 1629737770]}]}]}, {"tin": {"type": "ein", "value": "853256127"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 9.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1386634202, 1104875087]}]}]}, {"tin": {"type": "ein", "value": "860719852"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1518946649]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.22, "providers": [{"billed_charge": 780.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "863284696"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1972594471]}]}, {"allowed_amount": 10.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1275584849]}]}]}, {"tin": {"type": "ein", "value": "873434444"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1225.0, "npi": [1679225288]}]}]}, {"tin": {"type": "ein", "value": "873507760"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1396043444]}]}]}, {"tin": {"type": "ein", "value": "873769568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1567.02, "npi": [1407883788]}]}]}, {"tin": {"type": "ein", "value": "874362493"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1891936795]}]}]}, {"tin": {"type": "ein", "value": "910433740"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 213.63, "providers": [{"billed_charge": 672.0, "npi": [1306992151]}]}]}, {"tin": {"type": "ein", "value": "910979582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1912168584]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 215.31, "providers": [{"billed_charge": 531.0, "npi": [1841231461]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 502.0, "npi": [1184916546]}]}]}, {"tin": {"type": "ein", "value": "921903817"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1078.4, "npi": [1083920888]}]}]}, {"tin": {"type": "ein", "value": "921924347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.38, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1251.61, "npi": [1639875750]}]}]}, {"tin": {"type": "ein", "value": "931447847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 209.0, "npi": [1881815017]}]}, {"allowed_amount": 25.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 209.0, "npi": [1124386321]}]}]}, {"tin": {"type": "ein", "value": "934242663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.29, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 937.24, "npi": [1740054436]}]}]}, {"tin": {"type": "ein", "value": "934256759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1861699076]}]}]}, {"tin": {"type": "ein", "value": "934627934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1437188604]}]}]}, {"tin": {"type": "ein", "value": "940562680"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 369.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 738.0, "npi": [1780742981]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1228.99, "providers": [{"billed_charge": 700.0, "npi": [1376698043]}]}]}, {"tin": {"type": "ein", "value": "941700729"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1639156326]}]}]}, {"tin": {"type": "ein", "value": "942965646"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1447539614]}]}]}, {"tin": {"type": "ein", "value": "951750445"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1609827047]}]}]}, {"tin": {"type": "ein", "value": "953268980"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 15.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.65, "npi": [1518946649]}]}, {"allowed_amount": 20.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.65, "npi": [1366612301]}]}]}, {"tin": {"type": "ein", "value": "990576438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1215198163]}]}]}, {"tin": {"type": "ein", "value": "992199214"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 266.63, "providers": [{"billed_charge": 890.11, "npi": [1013735786]}]}]}, {"tin": {"type": "ein", "value": "994785298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.87, "providers": [{"billed_charge": 633.75, "npi": [1639992514]}]}]}]}, {"name": "Radiologic examination, elbow; 2 views", "billing_code_type": "CPT", "billing_code": "73070", "billing_code_type_version": "2022", "description": "RADEX ELBOW 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "620809858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1003921404]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 12.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1073588513, 1902008709, 1568412518, 1780707208, 1225327406, 1699407379, 1518972884, 1831534973]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1497722144, 1386611713, 1457676306, 1396721155]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.7, "providers": [{"billed_charge": 1013.44, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 237.15, "providers": [{"billed_charge": 527.0, "npi": [1821011248]}]}, {"allowed_amount": 277.65, "providers": [{"billed_charge": 617.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 8.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1003347113, 1942326699, 1124066246]}]}, {"allowed_amount": 8.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1972698793, 1194992842, 1881697258, 1689963357]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1225093040, 1801329537, 1205396991]}]}]}, {"tin": {"type": "ein", "value": "760686474"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1477871275]}]}]}]}, {"name": "Radiologic examination, elbow; complete, minimum of 3 views", "billing_code_type": "CPT", "billing_code": "73080", "billing_code_type_version": "2022", "description": "RADEX ELBOW COMPLETE MINIMUM 3 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 12.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1407482409, 1225599582]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1316226319]}]}]}, {"tin": {"type": "ein", "value": "710900575"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 31.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1639497282]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1730156688, 1043348386, 1548640428, 1376519223]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.4, "providers": [{"billed_charge": 1744.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 476.53, "providers": [{"billed_charge": 1361.52, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1215013891, 1598883217, 1720298219]}]}, {"allowed_amount": 9.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1780902593, 1639130644, 1396794004]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 463.0, "providers": [{"billed_charge": 463.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 465.0, "npi": [1891720777, 1306011937]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1457399818]}]}]}]}, {"name": "Radiologic examination, femur; minimum 2 views", "billing_code_type": "CPT", "billing_code": "73552", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 13.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1407482409, 1174514509]}]}]}, {"tin": {"type": "ein", "value": "272008627"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1770774952]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1770842817]}]}]}, {"tin": {"type": "ein", "value": "430917818"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.68, "providers": [{"billed_charge": 47.0, "npi": [1831402569]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 13.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1073588513, 1568412518, 1033312905, 1225327406, 1518972884, 1346455672]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 13.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1497722144, 1386611713, 1396721155, 1902105893, 1093158024, 1225005168, 1376519223, 1184600918, 1174630230, 1801003454]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 427.23, "providers": [{"billed_charge": 1220.67, "npi": [1124074273]}]}, {"allowed_amount": 427.24, "providers": [{"billed_charge": 1220.67, "npi": [1659525236]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1326009093]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 318.15, "providers": [{"billed_charge": 707.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 9.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1689897977, 1821256363, 1962464958, 1891104550]}]}, {"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1841257664, 1780902593, 1164539631, 1265409585, 1730383829, 1386627958]}]}, {"allowed_amount": 11.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1073003075]}]}, {"allowed_amount": 17.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1366495483]}]}, {"allowed_amount": 50.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1033312905]}]}]}, {"tin": {"type": "ein", "value": "752438140"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 13.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1417052002]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1225269178]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1801329537, 1346635695]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1295020758]}]}]}]}, {"name": "Radiologic examination, finger(s), minimum of 2 views", "billing_code_type": "CPT", "billing_code": "73140", "billing_code_type_version": "2022", "description": "RADEX FINGR MINIMUM 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1174514509]}]}, {"allowed_amount": 8.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1942863048]}]}, {"allowed_amount": 10.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1407482409]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1356331607]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 10.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1972589752, 1245207562, 1548640428, 1689781668]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 646.45, "providers": [{"billed_charge": 1847.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 292.95, "providers": [{"billed_charge": 836.99, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.21, "npi": [1982840211]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1336431352]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1134623796]}]}, {"allowed_amount": 7.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1821256363, 1649312935]}]}, {"allowed_amount": 13.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1912951245]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1285195859]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1801329537, 1316173099, 1225093040, 1093989204, 1316574270]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 220.0, "npi": [1902893183]}]}]}, {"tin": {"type": "ein", "value": "851917572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1402.45, "npi": [1972612935]}]}]}, {"tin": {"type": "ein", "value": "853903021"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.35, "npi": [1053323261]}]}]}, {"tin": {"type": "ein", "value": "860719855"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1912968686]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 42.77, "providers": [{"billed_charge": 600.0, "npi": [1740634989]}]}]}, {"tin": {"type": "ein", "value": "943302014"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 152.28, "npi": [1285997247]}]}]}, {"tin": {"type": "ein", "value": "994020487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1903.52, "npi": [1821059841]}]}]}]}, {"name": "Radiologic examination, foot; 2 views", "billing_code_type": "CPT", "billing_code": "73620", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAMINATION FOOT 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1932516556]}]}, {"allowed_amount": 13.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1942863048]}]}]}, {"tin": {"type": "ein", "value": "481200790"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1376694901]}]}]}, {"tin": {"type": "ein", "value": "481220873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1588693949]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 28.37, "providers": [{"billed_charge": 150.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1497722144, 1386611713, 1023261062, 1891762217, 1831620863]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1376954446]}]}]}, {"tin": {"type": "ein", "value": "741895234"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1922060664]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.8, "providers": [{"billed_charge": 1408.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 364.34, "providers": [{"billed_charge": 1040.98, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.24, "npi": [1508286451]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1740667922]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 8.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1780637546, 1720298219, 1861951964, 1508209495]}]}, {"allowed_amount": 8.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1780902593, 1912394495, 1629397245, 1922057959]}]}, {"allowed_amount": 15.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1629020243]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1508821430]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 8.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1225093040, 1316173099]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1720280530]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 502.0, "npi": [1326204744, 1902893183]}]}]}, {"tin": {"type": "ein", "value": "825410675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.75, "npi": [1891737052]}]}]}]}, {"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": "200376970"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 12.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1003376088, 1932516556, 1366433740, 1225599582]}]}, {"allowed_amount": 14.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1942863048]}]}, {"allowed_amount": 30.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1003376088]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 12.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1760522353, 1306994231]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 33.65, "providers": [{"billed_charge": 150.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "591162456"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1447233713]}]}]}, {"tin": {"type": "ein", "value": "620809858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1376658781]}]}]}, {"tin": {"type": "ein", "value": "721304948"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1518996842]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 4.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1841631280]}]}, {"allowed_amount": 12.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1073588513, 1902008709, 1568412518, 1629301544, 1033312905, 1780707208, 1225327406, 1699407379, 1154330488, 1346455672, 1831534973, 1649634270]}]}]}, {"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.88, "providers": [{"billed_charge": 676.7, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 12.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1497722144, 1104893536, 1043348386, 1386611713, 1396721155, 1902105893, 1437126851, 1093158024, 1891762217, 1245207562, 1225005168, 1831165778, 1558651091, 1831237973, 1174630230, 1376519223, 1366701567]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 634.2, "providers": [{"billed_charge": 1812.0, "npi": [1770536120]}]}, {"allowed_amount": 786.1, "providers": [{"billed_charge": 2246.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 446.51, "providers": [{"billed_charge": 1275.73, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.25, "npi": [1609853720]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1376030825]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 145.35, "providers": [{"billed_charge": 323.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 16.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1760460059, 1295793958]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["22", "11", "23"], "payments": [{"allowed_amount": 8.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1427316355]}]}, {"allowed_amount": 8.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1811381536, 1073631297, 1124066246, 1679891980, 1255759437, 1669816658, 1467847574, 1386901270, 1629397245, 1962464958]}]}, {"allowed_amount": 8.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1841257664, 1164405734, 1689623464, 1124348073, 1881697258, 1942326699, 1740283118, 1447233713, 1730383829, 1386627958, 1194169847, 1841585304, 1144512765]}]}, {"allowed_amount": 12.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1841585304, 1689963357]}]}, {"allowed_amount": 15.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1366495483]}]}, {"allowed_amount": 16.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1043282361, 1467985986, 1568416204]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 15.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1285195859, 1508363292, 1396186367]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["11", "23"], "payments": [{"allowed_amount": 20.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1497615744, 1225269178, 1508821430]}]}, {"allowed_amount": 56.38, "providers": [{"billed_charge": 85.0, "npi": [1932726809]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "providers": [{"billed_charge": 1019.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 8.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1801329537, 1871121830, 1316173099, 1316904717, 1346635695, 1225093040, 1881898831, 1093989204, 1669835005]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 8.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1497963011]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1871773507, 1275595076]}]}]}, {"tin": {"type": "ein", "value": "760677442"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 68.34, "providers": [{"billed_charge": 94.0, "npi": [1083623656]}]}]}, {"tin": {"type": "ein", "value": "812813433"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.86, "providers": [{"billed_charge": 84.0, "npi": [1083154207]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 465.0, "npi": [1740572569]}]}]}, {"tin": {"type": "ein", "value": "831864010"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.25, "npi": [1427085497]}]}]}, {"tin": {"type": "ein", "value": "832495847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1215.8, "npi": [1215931639]}]}]}, {"tin": {"type": "ein", "value": "871756758"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 40.69, "providers": [{"billed_charge": 100.0, "npi": [1336880160]}]}]}, {"tin": {"type": "ein", "value": "882995921"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1215.8, "npi": [1316119571]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 10.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 437.0, "npi": [1275598393]}]}, {"allowed_amount": 21.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 437.0, "npi": [1972578714]}]}]}]}, {"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": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1407482409, 1366433740, 1174514509, 1922487446, 1003376088, 1225599582]}]}, {"allowed_amount": 15.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1942863048]}]}]}, {"tin": {"type": "ein", "value": "273925303"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1982889887]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1851319057]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "461322238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1891766648]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 317.1, "providers": [{"billed_charge": 906.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 13.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1073588513, 1902008709, 1568412518, 1780707208, 1033312905, 1629301544, 1225327406, 1972513711, 1841631280, 1699407379, 1346455672, 1851303770, 1831534973]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 13.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1871797472, 1497722144, 1043348386, 1396721155, 1104893536, 1902105893, 1023261062, 1225005168, 1710954037, 1174630230, 1376519223, 1417924283, 1902080476, 1801003454]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1770939753]}]}, {"allowed_amount": 17.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1124214945]}]}]}, {"tin": {"type": "ein", "value": "741895234"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 17.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1922060664]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 680.75, "providers": [{"billed_charge": 1945.0, "npi": [1770536120]}]}, {"allowed_amount": 695.1, "providers": [{"billed_charge": 1986.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 476.53, "providers": [{"billed_charge": 1361.52, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 1596.0, "providers": [{"billed_charge": 1361.52, "npi": [1952348021]}]}]}, {"tin": {"type": "ein", "value": "742896068"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 55.68, "providers": [{"billed_charge": 86.0, "npi": [1902105893]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 32.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1902053960]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 145.35, "providers": [{"billed_charge": 323.0, "npi": [1821011248]}]}, {"allowed_amount": 176.4, "providers": [{"billed_charge": 392.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 17.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1366947509]}]}, {"allowed_amount": 35.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1336431352]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 9.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1073631297, 1215013891, 1932442167, 1124066246, 1336262153, 1821314667, 1598883217, 1467847574, 1386901270, 1689897977]}]}, {"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1780902593, 1558628354, 1194992842, 1689963357, 1164539631, 1801156336, 1386627958, 1144512765, 1760709182, 1285890079]}]}, {"allowed_amount": 17.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1194705137, 1154300283]}]}, {"allowed_amount": 17.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1578514246]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 17.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1396186367]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1497615744]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1801329537, 1871121830, 1316173099, 1225093040, 1689363095, 1669835005]}]}]}, {"tin": {"type": "ein", "value": "760631448"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.15, "npi": [1114932845]}]}]}, {"tin": {"type": "ein", "value": "760677442"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 76.3, "providers": [{"billed_charge": 104.0, "npi": [1083623656]}]}]}, {"tin": {"type": "ein", "value": "931447847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 217.0, "npi": [1821434333]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 41.36, "providers": [{"billed_charge": 600.0, "npi": [1073503058, 1407268964]}]}]}, {"tin": {"type": "ein", "value": "990517950"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1801126735]}]}, {"allowed_amount": 11.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1124656210]}]}]}]}, {"name": "Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views", "billing_code_type": "CPT", "billing_code": "73502", "billing_code_type_version": "2022", "description": "RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1407482409, 1174514509, 1922487446, 1003376088, 1225599582]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1205093200, 1306994231]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 55.93, "providers": [{"billed_charge": 135.0, "npi": [1750317954]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1801258306]}]}]}, {"tin": {"type": "ein", "value": "710900575"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 40.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1639497282]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1629301544, 1902008709, 1225327406]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1497722144, 1386611713, 1396721155, 1073833927, 1891762217, 1265753289, 1225005168, 1457676306, 1801813266, 1174630230, 1376519223, 1184600918, 1902080476, 1639388572, 1801003454]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1538159272]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 413.06, "providers": [{"billed_charge": 1180.18, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.35, "npi": [1508286451]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.62, "npi": [1164842985]}]}, {"allowed_amount": 40.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.62, "npi": [1326009093]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.15, "providers": [{"billed_charge": 507.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 21.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1740422369, 1205036225]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 11.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1144512765]}]}, {"allowed_amount": 11.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1124066246, 1932763984, 1992021075, 1861951964, 1962464958]}]}, {"allowed_amount": 11.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1841257664, 1730189572, 1689623464, 1265409585, 1386627958, 1013966043, 1689963357, 1285890079]}]}, {"allowed_amount": 14.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1073003075]}]}, {"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1700812815]}]}, {"allowed_amount": 21.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1366495483]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1568665321]}]}]}, {"tin": {"type": "ein", "value": "752438140"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1417052002]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 10.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1225093040]}]}, {"allowed_amount": 11.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1225093040, 1316173099, 1669835005, 1881898831]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 69.0, "npi": [1295020758]}]}]}]}, {"name": "Radiologic examination, knee; 1 or 2 views", "billing_code_type": "CPT", "billing_code": "73560", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 12.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1003376088, 1407482409, 1932516556, 1174514509]}]}]}, {"tin": {"type": "ein", "value": "260771184"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 37.37, "providers": [{"billed_charge": 300.0, "npi": [1073503058]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1205093200, 1851319057]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 33.97, "providers": [{"billed_charge": 150.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1417232711]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 12.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1073588513, 1568412518, 1629301544, 1033312905, 1225327406, 1972513711, 1841631280, 1518972884, 1346455672, 1831534973]}]}]}, {"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 329.03, "providers": [{"billed_charge": 632.73, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 12.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1497722144, 1043348386, 1396721155, 1902105893, 1265753289, 1891762217, 1245207562, 1265939383, 1801813266, 1831237973, 1376519223, 1407823834, 1831620863]}]}]}, {"tin": {"type": "ein", "value": "741940911"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 30.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1366691529]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.45, "providers": [{"billed_charge": 1227.0, "npi": [1770536120]}]}, {"allowed_amount": 684.95, "providers": [{"billed_charge": 1957.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 390.97, "providers": [{"billed_charge": 1117.05, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.25, "npi": [1508286451]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1760630065]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 390.6, "providers": [{"billed_charge": 868.0, "npi": [1821011248]}]}, {"allowed_amount": 508.5, "providers": [{"billed_charge": 1130.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "11", "23"], "payments": [{"allowed_amount": 8.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1801156336, 1578879151]}]}, {"allowed_amount": 8.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1780637546, 1942326699, 1629397245, 1891104550]}]}, {"allowed_amount": 8.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1780902593, 1649312935, 1922057959, 1689623464, 1710121041, 1447233713, 1275737363, 1639130644, 1740717495, 1689963357]}]}, {"allowed_amount": 15.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1194705137]}]}]}, {"tin": {"type": "ein", "value": "752438140"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 12.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1417052002]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["11", "23"], "payments": [{"allowed_amount": 20.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1225269178, 1508012519]}]}, {"allowed_amount": 60.85, "providers": [{"billed_charge": 84.0, "npi": [1710374004]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1801329537, 1316173099, 1225093040, 1669835005, 1902486590]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1902893183]}]}]}, {"tin": {"type": "ein", "value": "852281859"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 33.97, "providers": [{"billed_charge": 600.0, "npi": [1023683307]}]}, {"allowed_amount": 37.37, "providers": [{"billed_charge": 600.0, "npi": [1740634989]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1477174746]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 37.37, "providers": [{"billed_charge": 600.0, "npi": [1497963011]}]}]}, {"tin": {"type": "ein", "value": "953268980"}, "billing_class": "professional", "service_codes": ["32", "61"], "payments": [{"allowed_amount": 14.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.05, "npi": [1518946649]}]}, {"allowed_amount": 50.32, "providers": [{"billed_charge": 78.65, "npi": [1295856870]}]}]}]}, {"name": "Radiologic examination, knee; 3 views", "billing_code_type": "CPT", "billing_code": "73562", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAMINATION KNEE 3 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1801112339]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1407482409, 1932516556, 1174514509, 1003376088, 1225599582]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1720298219]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1902011331, 1205093200, 1851319057, 1760522353, 1306994231]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1366646416]}]}]}, {"tin": {"type": "ein", "value": "710900575"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1639497282]}]}]}, {"tin": {"type": "ein", "value": "741282653"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 8.57, "npi": [1306108386]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 14.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1396721155, 1902105893, 1023261062, 1891762217, 1194792846, 1225005168, 1871926899, 1376519223, 1548554553, 1831620863]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1437442324, 1376954446]}]}, {"allowed_amount": 19.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1770939753]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 610.4, "providers": [{"billed_charge": 1744.0, "npi": [1770536120]}]}, {"allowed_amount": 667.45, "providers": [{"billed_charge": 1907.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 436.87, "providers": [{"billed_charge": 1248.21, "npi": [1124074273, 1376256354, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742938437"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 55.0, "providers": [{"billed_charge": 55.0, "npi": [1437655164]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1295293587]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["22", "11", "23"], "payments": [{"allowed_amount": 10.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1689623464, 1265409585, 1336464874, 1164405734]}]}, {"allowed_amount": 10.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1235592064, 1811381536, 1124066246, 1851556617, 1821256363, 1679891980, 1255759437, 1992021075, 1083078836]}]}, {"allowed_amount": 10.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1841257664, 1780902593, 1811381536, 1740271881, 1336464874, 1801156336, 1265409585, 1447233713, 1396794004, 1144512765, 1689963357, 1801920350]}]}, {"allowed_amount": 12.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1073003075]}]}, {"allowed_amount": 18.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1194705137, 1366495483]}]}, {"allowed_amount": 18.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1366495483]}]}, {"allowed_amount": 18.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1700839511]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 9.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1508363292]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1801329537]}]}]}, {"tin": {"type": "ein", "value": "760677442"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 84.94, "providers": [{"billed_charge": 113.0, "npi": [1083623656]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1326204744, 1558629022]}]}]}, {"tin": {"type": "ein", "value": "831864010"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 201.7, "npi": [1427085497]}]}]}, {"tin": {"type": "ein", "value": "923978738"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.26, "npi": [1609899475]}]}]}, {"tin": {"type": "ein", "value": "931447847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1821434333]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 46.08, "providers": [{"billed_charge": 600.0, "npi": [1497963011]}]}]}, {"tin": {"type": "ein", "value": "934256759"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.25, "npi": [1740625946]}]}]}, {"tin": {"type": "ein", "value": "952586432"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1851657076]}]}]}]}, {"name": "Radiologic examination, knee; complete, 4 or more views", "billing_code_type": "CPT", "billing_code": "73564", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 16.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1386611713, 1639374374, 1225005168, 1376519223, 1548554553, 1902080476]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 486.74, "providers": [{"billed_charge": 1390.68, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1336464874, 1558628354]}]}, {"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1336464874]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1871289777]}]}]}]}, {"name": "Radiologic examination, pelvis; 1 or 2 views", "billing_code_type": "CPT", "billing_code": "72170", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1174514509]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1306994231]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 12.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1346455672, 1629301544, 1780707208]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 12.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1386611713, 1902105893, 1073833927, 1225005168, 1831237973, 1184600918]}]}]}, {"tin": {"type": "ein", "value": "741940911"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 31.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1386634533]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 845.25, "providers": [{"billed_charge": 2415.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 359.81, "providers": [{"billed_charge": 1028.02, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 346.05, "providers": [{"billed_charge": 769.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1891104550, 1821314667, 1821256363, 1992967293, 1962464958]}]}, {"allowed_amount": 9.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1730383829, 1760709182, 1922057959]}]}, {"allowed_amount": 16.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1194705137]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 21.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.0, "npi": [1225269178, 1750465514, 1508821430]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 9.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1801329537, 1780815753, 1346635695, 1225093040, 1366400665, 1902486590]}]}]}, {"tin": {"type": "ein", "value": "825410675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 137.2, "npi": [1427085497]}]}]}]}, {"name": "Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views", "billing_code_type": "CPT", "billing_code": "71101", "billing_code_type_version": "2022", "description": "RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1104001122, 1225599582]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1780707208]}]}]}, {"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 321.18, "providers": [{"billed_charge": 617.64, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 19.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1386611713, 1043348386, 1437126851, 1225005168, 1801813266, 1255568598, 1376519223]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1245793397]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 556.43, "providers": [{"billed_charge": 1589.79, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 47.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1356871875]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 229.5, "providers": [{"billed_charge": 510.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1336464874, 1013966043]}]}]}, {"tin": {"type": "ein", "value": "853861695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1619136942]}]}]}]}, {"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": "042807148"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1356332944]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1174514509, 1225599582]}]}]}, {"tin": {"type": "ein", "value": "201355256"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1013970862]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 49.0, "npi": [1851319057, 1902011331]}]}]}, {"tin": {"type": "ein", "value": "333672238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 167.41, "npi": [1114933983]}]}]}, {"tin": {"type": "ein", "value": "340714585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1891109450]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.5, "providers": [{"billed_charge": 993.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 35.3, "providers": [{"billed_charge": 150.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1891105896]}]}]}, {"tin": {"type": "ein", "value": "581440934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1083684765]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 10.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1346455672]}]}, {"allowed_amount": 13.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1073588513, 1568412518, 1780707208, 1225327406, 1841631280, 1831534973]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 13.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1386611713, 1396721155, 1194792846, 1730156688, 1801813266, 1497722144, 1043348386, 1639374374, 1891762217, 1376519223, 1265939383, 1548554553, 1801003454, 1376518720, 1437126851, 1558651091, 1831237973, 1174630230, 1407823834, 1225005168, 1871926899]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.0, "npi": [1588835326]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 806.75, "providers": [{"billed_charge": 2305.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 463.5, "providers": [{"billed_charge": 1324.28, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742797430"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 33.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1023074127]}]}]}, {"tin": {"type": "ein", "value": "742872207"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 29.06, "providers": [{"billed_charge": 59.0, "npi": [1154325603]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 375.75, "providers": [{"billed_charge": 835.0, "npi": [1821011248]}]}, {"allowed_amount": 518.4, "providers": [{"billed_charge": 1152.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 18.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1740422369, 1942734629, 1740667922, 1073018073, 1982682399]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 9.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1265409585, 1922057959]}]}, {"allowed_amount": 9.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1629151584, 1215013891, 1124066246, 1891292934, 1336262153, 1780637546, 1942326699, 1821314667, 1255759437, 1720298219, 1598883217, 1386901270, 1689897977, 1891180634, 1629397245, 1912394495]}]}, {"allowed_amount": 9.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1811381536, 1780902593, 1841257664, 1164405734, 1922057959, 1689623464, 1881697258, 1689963357, 1740283118, 1013966043, 1447233713, 1639130644, 1730383829, 1962603191, 1629397245, 1811307259, 1669771325, 1285890079]}]}, {"allowed_amount": 13.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1689963357]}]}, {"allowed_amount": 16.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1508020736]}]}, {"allowed_amount": 17.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1568416204, 1124008503, 1700839511]}]}, {"allowed_amount": 18.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1154300283]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 23.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1750465514, 1225269178]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 9.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1801329537, 1780815753, 1881898831, 1225093040, 1669835005, 1902486590, 1205396991]}]}, {"allowed_amount": 12.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1386828341]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 17.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1912392283, 1962899559]}]}]}, {"tin": {"type": "ein", "value": "760677442"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 71.66, "providers": [{"billed_charge": 96.0, "npi": [1083623656]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 386.0, "npi": [1326204744, 1902893183]}]}]}, {"tin": {"type": "ein", "value": "843112870"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1710320155]}]}]}, {"tin": {"type": "ein", "value": "850214117"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1801864970]}]}]}, {"tin": {"type": "ein", "value": "851845762"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 477.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1215.8, "npi": [1457518839]}]}]}, {"tin": {"type": "ein", "value": "852099359"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.3, "npi": [1215220660]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.0, "npi": [1891226114]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 38.83, "providers": [{"billed_charge": 600.0, "npi": [1407268964]}]}]}, {"tin": {"type": "ein", "value": "953268980"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 12.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.43, "npi": [1073595740]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1770739260]}]}]}]}, {"name": "Radiologic examination, spine, cervical; 2 or 3 views", "billing_code_type": "CPT", "billing_code": "72040", "billing_code_type_version": "2022", "description": "RADEX SPINE CERVICAL 2 OR 3 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "260771184"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 43.21, "providers": [{"billed_charge": 300.0, "npi": [1740634989]}]}]}, {"tin": {"type": "ein", "value": "453569245"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 49.36, "providers": [{"billed_charge": 49.36, "npi": [1043596703]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 523.0, "providers": [{"billed_charge": 1046.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "571213937"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 10.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1902835895]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1831534973]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1386611713, 1043348386, 1437126851, 1225005168, 1831237973, 1184600918]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 781.2, "providers": [{"billed_charge": 2232.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 466.34, "providers": [{"billed_charge": 1332.4, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742797430"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 38.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1023074127]}]}]}, {"tin": {"type": "ein", "value": "742896068"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 58.22, "providers": [{"billed_charge": 102.0, "npi": [1831237973]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 450.45, "providers": [{"billed_charge": 1001.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 21.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1740422369]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "11", "23"], "payments": [{"allowed_amount": 11.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1558628354, 1386627958]}]}, {"allowed_amount": 11.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1790019347, 1821314667, 1811164452, 1679849822]}]}, {"allowed_amount": 11.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1922057959, 1063808392, 1255759437, 1164539631, 1447233713, 1013966043, 1285890079]}]}, {"allowed_amount": 20.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1578514246]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 29.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1386874741, 1649148750]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1912963208, 1780815753]}]}]}, {"tin": {"type": "ein", "value": "825410675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.4, "npi": [1427085497]}]}]}, {"tin": {"type": "ein", "value": "873769568"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1758.12, "npi": [1407883788]}]}]}, {"tin": {"type": "ein", "value": "931447847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 259.0, "npi": [1033477971]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 43.21, "providers": [{"billed_charge": 600.0, "npi": [1073503058, 1740634989, 1437337458]}]}]}]}, {"name": "Radiologic examination, spine, lumbosacral; 2 or 3 views", "billing_code_type": "CPT", "billing_code": "72100", "billing_code_type_version": "2022", "description": "RADEX SPINE LUMBOSACRAL 2/3 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1003376088, 1174514509]}]}]}, {"tin": {"type": "ein", "value": "260771184"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 43.92, "providers": [{"billed_charge": 300.0, "npi": [1740634989]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1881893444]}]}]}, {"tin": {"type": "ein", "value": "272008627"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1770774952]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 52.0, "npi": [1205093200, 1770842817, 1760522353, 1720116056]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1366429383]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 742.5, "providers": [{"billed_charge": 1485.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 38.68, "providers": [{"billed_charge": 150.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1346455672, 1629301544, 1831534973, 1225327406]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1083691810, 1902105893, 1639374374, 1194792846, 1225005168, 1801813266, 1184600918, 1376519223, 1750512281, 1417924283, 1801003454]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1568787836]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1283.45, "providers": [{"billed_charge": 3667.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 637.46, "providers": [{"billed_charge": 1821.3, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.95, "providers": [{"billed_charge": 491.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 78.0, "npi": [1821397084, 1033525597]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["22", "11", "23"], "payments": [{"allowed_amount": 11.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1144512765]}]}, {"allowed_amount": 11.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.55, "npi": [1821382409]}, {"billed_charge": 44.0, "npi": [1255759437]}]}, {"allowed_amount": 11.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1164405734, 1922057959, 1063808392, 1336464874, 1447233713, 1144512765, 1013966043, 1689963357, 1285890079]}]}, {"allowed_amount": 16.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1194992842, 1679891980, 1689963357]}]}, {"allowed_amount": 20.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1700839511]}]}, {"allowed_amount": 21.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1124008503]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 20.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1649404849]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 46.0, "npi": [1780815753]}]}]}, {"tin": {"type": "ein", "value": "760273984"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1861482085]}]}]}, {"tin": {"type": "ein", "value": "760677442"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 80.98, "providers": [{"billed_charge": 110.0, "npi": [1083623656]}]}]}, {"tin": {"type": "ein", "value": "825410675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.05, "npi": [1427085497]}]}]}, {"tin": {"type": "ein", "value": "851943296"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 107.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 194.35, "npi": [1871551598]}]}]}, {"tin": {"type": "ein", "value": "931447847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1033477971]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 43.92, "providers": [{"billed_charge": 600.0, "npi": [1073503058, 1407268964]}]}]}]}, {"name": "Radiologic examination, wrist; complete, minimum of 3 views", "billing_code_type": "CPT", "billing_code": "73110", "billing_code_type_version": "2022", "description": "RADEX WRIST COMPLETE MINIMUM 3 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1104001122, 1366433740, 1174514509, 1922487446, 1003376088, 1225599582]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1558506360]}]}]}, {"tin": {"type": "ein", "value": "262157500"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1699701011]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 466.5, "providers": [{"billed_charge": 933.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 13.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1073588513, 1902008709, 1568412518, 1780707208, 1033312905, 1972513711, 1518972884, 1346455672, 1831534973]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 13.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1396721155, 1902105893, 1023261062, 1639374374, 1093158024, 1891762217, 1225005168, 1801813266, 1871926899, 1831237973, 1174630230, 1376519223, 1902080476, 1801003454]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1770939753]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 748.3, "providers": [{"billed_charge": 2138.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 476.53, "providers": [{"billed_charge": 1361.52, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.87, "npi": [1356762405]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.4, "providers": [{"billed_charge": 712.0, "npi": [1821011248]}]}, {"allowed_amount": 468.45, "providers": [{"billed_charge": 1041.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 17.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1295713642]}]}, {"allowed_amount": 35.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1336431352]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 9.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1215013891, 1124066246, 1841468360, 1881089449, 1821314667, 1598883217, 1912394495]}]}, {"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1780902593, 1558628354, 1164405734, 1992018055, 1689623464, 1063808392, 1336464874, 1881697258, 1801156336, 1730383829, 1144512765]}]}]}, {"tin": {"type": "ein", "value": "751375446"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 9.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1003815325]}]}]}, {"tin": {"type": "ein", "value": "752326314"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 55.12, "providers": [{"billed_charge": 81.66, "npi": [1073000477]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1568665321]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1780815753]}]}, {"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1871121830, 1316173099, 1881898831, 1225093040, 1669835005]}]}]}, {"tin": {"type": "ein", "value": "850214117"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1851447445]}]}]}, {"tin": {"type": "ein", "value": "851845762"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1455.54, "npi": [1457518839]}]}]}, {"tin": {"type": "ein", "value": "851917572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1455.54, "npi": [1649369521, 1972612935]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 46.43, "providers": [{"billed_charge": 600.0, "npi": [1740634989]}]}]}, {"tin": {"type": "ein", "value": "991770453"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.12, "npi": [1922075464]}]}]}, {"tin": {"type": "ein", "value": "993726953"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 608.61, "npi": [1063738474]}]}]}]}, {"name": "Radiologic examination; forearm, 2 views", "billing_code_type": "CPT", "billing_code": "73090", "billing_code_type_version": "2022", "description": "RADEX FOREARM 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1366433740, 1174514509]}]}]}, {"tin": {"type": "ein", "value": "202313462"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.27, "providers": [{"billed_charge": 58.0, "npi": [1568739852]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1558506360, 1245498682]}]}]}, {"tin": {"type": "ein", "value": "273925303"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 24.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1285936518]}]}]}, {"tin": {"type": "ein", "value": "710900575"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 28.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1639497282]}]}]}, {"tin": {"type": "ein", "value": "741282653"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 7.31, "npi": [1306108386]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 11.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1073588513, 1902008709, 1568412518, 1780707208, 1033312905, 1699407379, 1518972884, 1346455672, 1831534973]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 11.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1396721155, 1225005168, 1457676306, 1376519223, 1265939383, 1801003454]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 628.6, "providers": [{"billed_charge": 1796.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 403.44, "providers": [{"billed_charge": 1152.68, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 229.05, "providers": [{"billed_charge": 509.0, "npi": [1821011248]}]}, {"allowed_amount": 339.75, "providers": [{"billed_charge": 755.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1891226114]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 8.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1689897977, 1720298219, 1124066246]}]}, {"allowed_amount": 8.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1780902593, 1558628354, 1992018055, 1689623464, 1336464874, 1275737363, 1962603191]}]}, {"allowed_amount": 15.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1063464030]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 55.64, "providers": [{"billed_charge": 72.0, "npi": [1467015081]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1780815753]}]}, {"allowed_amount": 8.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1801329537, 1346635695]}]}]}, {"tin": {"type": "ein", "value": "931447847"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 192.0, "npi": [1033477971, 1821434333]}]}]}]}, {"name": "Radiologic examination; humerus, minimum of 2 views", "billing_code_type": "CPT", "billing_code": "73060", "billing_code_type_version": "2022", "description": "RADEX HUMERUS MINIMUM 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1316226319]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 31.66, "providers": [{"billed_charge": 150.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "571004971"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1891105896]}]}]}, {"tin": {"type": "ein", "value": "720276883"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1790711760]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 6.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1073588513]}]}, {"allowed_amount": 12.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1568412518, 1780707208, 1225327406, 1699407379, 1831534973]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 6.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1730156688]}]}, {"allowed_amount": 12.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1043348386, 1396721155, 1548640428, 1801813266, 1376519223]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 414.2, "providers": [{"billed_charge": 1183.44, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 291.15, "providers": [{"billed_charge": 647.0, "npi": [1821011248]}]}, {"allowed_amount": 320.4, "providers": [{"billed_charge": 712.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 8.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1780637546, 1124066246]}]}, {"allowed_amount": 8.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1841257664, 1972698793, 1780902593]}]}, {"allowed_amount": 15.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1639121254]}]}, {"allowed_amount": 16.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1063464030]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1801329537, 1780815753, 1346635695, 1225093040, 1881898831, 1205396991]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 280.0, "npi": [1306011937]}]}]}]}, {"name": "Radiologic examination; tibia and fibula, 2 views", "billing_code_type": "CPT", "billing_code": "73590", "billing_code_type_version": "2022", "description": "RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 11.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1003376088, 1407482409, 1174514509]}]}]}, {"tin": {"type": "ein", "value": "202313462"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 46.73, "providers": [{"billed_charge": 62.0, "npi": [1417426651]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1851319057]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1770739260]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 11.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1073588513, 1114178563, 1568412518, 1629301544, 1033312905, 1780707208, 1225327406, 1972513711, 1699407379, 1154330488, 1346455672, 1851303770, 1831534973]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 11.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1376518720, 1386611713, 1497722144, 1396721155, 1902105893, 1023261062, 1093158024, 1225005168, 1710954037, 1174630230, 1376519223, 1831237973, 1902080476, 1801003454]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 693.35, "providers": [{"billed_charge": 1981.0, "npi": [1770536120]}]}, {"allowed_amount": 988.05, "providers": [{"billed_charge": 2823.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 389.84, "providers": [{"billed_charge": 1113.82, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 72.25, "npi": [1508286451]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1588619845]}]}, {"allowed_amount": 28.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1609308360]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 342.9, "providers": [{"billed_charge": 762.0, "npi": [1821011248]}]}, {"allowed_amount": 476.1, "providers": [{"billed_charge": 1058.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 15.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 47.0, "npi": [1740667922]}]}, {"allowed_amount": 31.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1295793958]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 8.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1235592064, 1811381536, 1073631297, 1891104550, 1720298219, 1942326699, 1841585304, 1861951964]}]}, {"allowed_amount": 8.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1841257664, 1780902593, 1336464874, 1881697258, 1447233713, 1275737363, 1730383829, 1962603191, 1144512765, 1013966043, 1689963357]}]}, {"allowed_amount": 11.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1467744573, 1164539631]}]}, {"allowed_amount": 15.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1629020243, 1366495483]}]}, {"allowed_amount": 15.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1366495483]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1568665321]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["11", "23"], "payments": [{"allowed_amount": 19.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1508821430]}]}, {"allowed_amount": 60.08, "providers": [{"billed_charge": 78.0, "npi": [1710374004]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.83, "providers": [{"billed_charge": 391.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1801329537, 1780815753, 1316173099, 1881898831, 1225093040, 1346635695, 1669835005]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 450.0, "npi": [1902893183]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1730576943]}]}]}, {"tin": {"type": "ein", "value": "852281859"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 34.1, "providers": [{"billed_charge": 600.0, "npi": [1497963011]}]}]}, {"tin": {"type": "ein", "value": "862109896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1477174746]}]}]}, {"tin": {"type": "ein", "value": "910852058"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1548266877]}]}]}]}, {"name": "Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)", "billing_code_type": "CPT", "billing_code": "80069", "billing_code_type_version": "2022", "description": "RENAL FUNCTION PANEL", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.08, "providers": [{"billed_charge": 75.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 711.55, "providers": [{"billed_charge": 2033.01, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.6, "providers": [{"billed_charge": 128.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 18.14, "providers": [{"billed_charge": 28.92, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 14.06, "providers": [{"billed_charge": 105.0, "npi": [1982606992]}]}]}]}, {"name": "Rheumatoid factor; quantitative", "billing_code_type": "CPT", "billing_code": "86431", "billing_code_type_version": "2022", "description": "RHEUMATOID FACTOR QUANTITATIVE", "allowed_amounts": [{"tin": {"type": "ein", "value": "200434866"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.19, "providers": [{"billed_charge": 32.1, "npi": [1245494517]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 7.94, "providers": [{"billed_charge": 14.18, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 209.21, "providers": [{"billed_charge": 597.73, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.65, "providers": [{"billed_charge": 23.79, "npi": [1235186800]}]}, {"allowed_amount": 11.85, "providers": [{"billed_charge": 23.79, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.37, "providers": [{"billed_charge": 11.34, "npi": [1336758952]}]}]}]}, {"name": "Rhythm ECG, 1-3 leads; tracing only without interpretation and report", "billing_code_type": "CPT", "billing_code": "93041", "billing_code_type_version": "2022", "description": "RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I&R", "allowed_amounts": [{"tin": {"type": "ein", "value": "300688582"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 23.73, "providers": [{"billed_charge": 345.0, "npi": [1750676870]}]}, {"allowed_amount": 24.67, "providers": [{"billed_charge": 345.0, "npi": [1750676870]}]}]}, {"tin": {"type": "ein", "value": "720701964"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 23.14, "providers": [{"billed_charge": 363.0, "npi": [1316943566]}]}]}, {"tin": {"type": "ein", "value": "813556450"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 292.18, "providers": [{"billed_charge": 600.0, "npi": [1467935866]}]}]}]}, {"name": "Ringers lactate infusion, up to 1000 cc", "billing_code_type": "CPT", "billing_code": "J7120", "billing_code_type_version": "2022", "description": "Ringers lactate infusion, up to 1000 cc", "allowed_amounts": [{"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.0, "providers": [{"billed_charge": 230.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.3, "providers": [{"billed_charge": 78.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.57, "providers": [{"billed_charge": 33.05, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.51, "providers": [{"billed_charge": 32.25, "npi": [1821011248]}]}, {"allowed_amount": 19.04, "providers": [{"billed_charge": 42.3, "npi": [1821011248]}]}, {"allowed_amount": 19.88, "providers": [{"billed_charge": 44.17, "npi": [1821011248]}]}, {"allowed_amount": 21.11, "providers": [{"billed_charge": 46.9, "npi": [1821011248]}]}, {"allowed_amount": 21.24, "providers": [{"billed_charge": 47.2, "npi": [1821011248]}]}, {"allowed_amount": 23.09, "providers": [{"billed_charge": 51.3, "npi": [1821011248]}]}, {"allowed_amount": 27.0, "providers": [{"billed_charge": 60.0, "npi": [1821011248]}]}, {"allowed_amount": 29.25, "providers": [{"billed_charge": 65.0, "npi": [1821011248]}]}]}]}, {"name": "Salicylate", "billing_code_type": "CPT", "billing_code": "80179", "billing_code_type_version": "2022", "description": "DRUG ASSAY SALICYLATE", "allowed_amounts": [{"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.9, "providers": [{"billed_charge": 434.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.35, "providers": [{"billed_charge": 303.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751435000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.0, "providers": [{"billed_charge": 14.0, "npi": [1679532451]}]}]}]}, {"name": "Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "77063", "billing_code_type_version": "2022", "description": "SCREENING DIGITAL BREAST TOMOSYNTHESIS BI", "allowed_amounts": [{"tin": {"type": "ein", "value": "203324726"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 75.0, "npi": [1831199546]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["15"], "payments": [{"allowed_amount": 41.72, "providers": [{"billed_charge": 90.0, "npi": [1710112909]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 140.0, "npi": [1548823289, 1083078836]}]}, {"allowed_amount": 30.44, "providers": [{"billed_charge": 140.0, "npi": [1033679816, 1548823289, 1083078836, 1699201509]}]}, {"allowed_amount": 30.5, "providers": [{"billed_charge": 140.0, "npi": [1164461760, 1033679816, 1801156336, 1295051159, 1285890079]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 104.0, "providers": [{"billed_charge": 104.0, "npi": [1083973390, 1932262615]}]}]}]}, {"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": "203324726"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 37.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1831199546]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["15"], "payments": [{"allowed_amount": 52.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 119.0, "npi": [1710112909]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 37.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1548823289, 1083078836]}]}, {"allowed_amount": 38.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1033679816, 1548823289, 1083078836, 1699201509]}]}, {"allowed_amount": 38.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1164461760, 1033679816, 1801156336, 1295051159, 1285890079]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 126.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1083973390, 1932262615]}]}]}]}, {"name": "Sedimentation rate, erythrocyte; automated", "billing_code_type": "CPT", "billing_code": "85652", "billing_code_type_version": "2022", "description": "SEDIMENTATION RATE RBC AUTOMATED", "allowed_amounts": [{"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 120.05, "providers": [{"billed_charge": 343.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.54, "providers": [{"billed_charge": 401.53, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.65, "providers": [{"billed_charge": 57.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 2.97, "providers": [{"billed_charge": 22.0, "npi": [1467642611]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.21, "providers": [{"billed_charge": 10.0, "npi": [1104839380]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.21, "providers": [{"billed_charge": 11.31, "npi": [1235186800]}]}, {"allowed_amount": 5.64, "providers": [{"billed_charge": 11.31, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.08, "providers": [{"billed_charge": 10.0, "npi": [1336758952]}]}]}]}, {"name": "Sex hormone binding globulin (SHBG)", "billing_code_type": "CPT", "billing_code": "84270", "billing_code_type_version": "2022", "description": "ASSAY OF SEX HORMONE BINDING GLOBULIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.21, "providers": [{"billed_charge": 120.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 15.21, "providers": [{"billed_charge": 86.92, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 23.9, "providers": [{"billed_charge": 72.0, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.82, "providers": [{"billed_charge": 91.08, "npi": [1235186800]}]}, {"allowed_amount": 45.42, "providers": [{"billed_charge": 54.33, "npi": [1235186800]}, {"billed_charge": 91.08, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.82, "providers": [{"billed_charge": 54.33, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.82, "providers": [{"billed_charge": 28.0, "npi": [1487429874]}]}, {"allowed_amount": 28.0, "providers": [{"billed_charge": 28.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 16.73, "providers": [{"billed_charge": 43.46, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 17.82, "providers": [{"billed_charge": 21.73, "npi": [1821749896]}]}]}]}, {"name": "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less", "billing_code_type": "CPT", "billing_code": "12011", "billing_code_type_version": "2022", "description": "SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<", "allowed_amounts": [{"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.62, "providers": [{"billed_charge": 338.0, "npi": [1730340712]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.67, "providers": [{"billed_charge": 440.0, "npi": [1497287171]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.0, "providers": [{"billed_charge": 266.0, "npi": [1811791411]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.51, "providers": [{"billed_charge": 544.0, "npi": [1730462771]}]}]}, {"tin": {"type": "ein", "value": "475046615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.51, "providers": [{"billed_charge": 520.0, "npi": [1134509144]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.84, "providers": [{"billed_charge": 159.0, "npi": [1497198824, 1598183188]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 74.29, "providers": [{"billed_charge": 417.0, "npi": [1255986360]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 718.4, "providers": [{"billed_charge": 2052.57, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 239.4, "providers": [{"billed_charge": 532.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.67, "providers": [{"billed_charge": 332.0, "npi": [1215593496]}]}]}, {"tin": {"type": "ein", "value": "752737522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 221.65, "providers": [{"billed_charge": 520.0, "npi": [1568404739]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.08, "providers": [{"billed_charge": 592.0, "npi": [1114586443]}]}, {"allowed_amount": 83.11, "providers": [{"billed_charge": 592.0, "npi": [1770892176, 1588078885, 1720494230]}]}, {"allowed_amount": 141.29, "providers": [{"billed_charge": 592.0, "npi": [1609144781]}]}, {"allowed_amount": 166.22, "providers": [{"billed_charge": 592.0, "npi": [1245859032]}]}]}, {"tin": {"type": "ein", "value": "825410675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.47, "providers": [{"billed_charge": 264.2, "npi": [1144450131]}]}]}, {"tin": {"type": "ein", "value": "851917572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.54, "providers": [{"billed_charge": 2745.51, "npi": [1649369521]}]}]}, {"tin": {"type": "ein", "value": "853903021"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.29, "providers": [{"billed_charge": 254.81, "npi": [1235119991]}]}]}, {"tin": {"type": "ein", "value": "921903817"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.29, "providers": [{"billed_charge": 3190.16, "npi": [1437135423]}]}]}, {"tin": {"type": "ein", "value": "933910567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.84, "providers": [{"billed_charge": 808.0, "npi": [1679799423]}]}]}]}, {"name": "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm", "billing_code_type": "CPT", "billing_code": "12013", "billing_code_type_version": "2022", "description": "SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM", "allowed_amounts": [{"tin": {"type": "ein", "value": "391412904"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.8, "providers": [{"billed_charge": 500.0, "npi": [1073258604]}]}]}, {"tin": {"type": "ein", "value": "461415202"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 98.79, "providers": [{"billed_charge": 547.0, "npi": [1588716393]}]}, {"allowed_amount": 99.25, "providers": [{"billed_charge": 547.0, "npi": [1437926946]}]}, {"allowed_amount": 198.5, "providers": [{"billed_charge": 547.0, "npi": [1437926946]}]}, {"allowed_amount": 233.53, "providers": [{"billed_charge": 547.0, "npi": [1023314309]}]}]}, {"tin": {"type": "ein", "value": "463902289"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.46, "providers": [{"billed_charge": 894.0, "npi": [1548222193]}]}]}, {"tin": {"type": "ein", "value": "471382605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 114.92, "providers": [{"billed_charge": 418.0, "npi": [1104015577]}, {"billed_charge": 419.0, "npi": [1902424112]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.82, "providers": [{"billed_charge": 165.0, "npi": [1265440440]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1928.15, "providers": [{"billed_charge": 5509.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.58, "providers": [{"billed_charge": 902.01, "npi": [1669904389]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 938.46, "providers": [{"billed_charge": 2681.32, "npi": [1376256354]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.82, "providers": [{"billed_charge": 902.01, "npi": [1467424069, 1841392255]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 443.7, "providers": [{"billed_charge": 986.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 84.99, "providers": [{"billed_charge": 619.0, "npi": [1699977389]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 84.99, "providers": [{"billed_charge": 695.0, "npi": [1477088078]}]}]}, {"tin": {"type": "ein", "value": "842988873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 84.56, "providers": [{"billed_charge": 695.0, "npi": [1598402208]}]}]}, {"tin": {"type": "ein", "value": "933829214"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.23, "providers": [{"billed_charge": 461.0, "npi": [1891087433]}]}]}, {"tin": {"type": "ein", "value": "933910567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.82, "providers": [{"billed_charge": 848.0, "npi": [1689093924, 1962639047]}]}]}]}, {"name": "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less", "billing_code_type": "CPT", "billing_code": "12001", "billing_code_type_version": "2022", "description": "SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<", "allowed_amounts": [{"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.26, "providers": [{"billed_charge": 356.0, "npi": [1790396646]}]}, {"allowed_amount": 82.27, "providers": [{"billed_charge": 356.0, "npi": [1316470909]}]}]}, {"tin": {"type": "ein", "value": "333254033"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.59, "providers": [{"billed_charge": 789.94, "npi": [1407268162]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.29, "providers": [{"billed_charge": 350.0, "npi": [1508826066, 1477057123]}]}]}, {"tin": {"type": "ein", "value": "461415202"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.21, "providers": [{"billed_charge": 424.0, "npi": [1023314309]}]}, {"allowed_amount": 90.41, "providers": [{"billed_charge": 424.0, "npi": [1598965378]}]}]}, {"tin": {"type": "ein", "value": "463902289"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.74, "providers": [{"billed_charge": 701.0, "npi": [1548222193]}]}]}, {"tin": {"type": "ein", "value": "471382605"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.46, "providers": [{"billed_charge": 326.0, "npi": [1568107290]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.46, "providers": [{"billed_charge": 326.0, "npi": [1023376738]}]}]}, {"tin": {"type": "ein", "value": "475046615"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.46, "providers": [{"billed_charge": 424.0, "npi": [1184020786]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.0, "providers": [{"billed_charge": 127.0, "npi": [1104404581]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1928.15, "providers": [{"billed_charge": 5509.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 718.4, "providers": [{"billed_charge": 2052.57, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.5, "providers": [{"billed_charge": 767.13, "npi": [1982840211]}]}, {"allowed_amount": 29.0, "providers": [{"billed_charge": 767.13, "npi": [1285731521]}]}, {"allowed_amount": 33.41, "providers": [{"billed_charge": 767.13, "npi": [1124659537, 1356762405]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 221.85, "providers": [{"billed_charge": 493.0, "npi": [1821011248]}]}, {"allowed_amount": 443.7, "providers": [{"billed_charge": 986.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.74, "providers": [{"billed_charge": 278.0, "npi": [1023586211]}]}]}, {"tin": {"type": "ein", "value": "752737522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.46, "providers": [{"billed_charge": 424.0, "npi": [1851683148]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.23, "providers": [{"billed_charge": 527.0, "npi": [1174833982]}]}, {"allowed_amount": 67.33, "providers": [{"billed_charge": 527.0, "npi": [1922063726]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 314.42, "providers": [{"billed_charge": 1475.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.59, "providers": [{"billed_charge": 490.0, "npi": [1225599673]}]}, {"allowed_amount": 67.33, "providers": [{"billed_charge": 490.0, "npi": [1114367612]}]}]}, {"tin": {"type": "ein", "value": "825410675"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.64, "providers": [{"billed_charge": 215.4, "npi": [1891737052]}]}]}, {"tin": {"type": "ein", "value": "831864010"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.17, "providers": [{"billed_charge": 215.4, "npi": [1497073209]}]}]}, {"tin": {"type": "ein", "value": "842988873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.59, "providers": [{"billed_charge": 490.0, "npi": [1447517594]}]}]}, {"tin": {"type": "ein", "value": "883018450"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.33, "providers": [{"billed_charge": 2363.05, "npi": [1760894497]}]}]}, {"tin": {"type": "ein", "value": "932457529"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.59, "providers": [{"billed_charge": 700.0, "npi": [1750519286]}]}]}, {"tin": {"type": "ein", "value": "933910567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.0, "providers": [{"billed_charge": 647.0, "npi": [1528084019]}]}]}]}, {"name": "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm", "billing_code_type": "CPT", "billing_code": "12002", "billing_code_type_version": "2022", "description": "SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM", "allowed_amounts": [{"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.15, "providers": [{"billed_charge": 470.0, "npi": [1225561384]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.7, "providers": [{"billed_charge": 462.0, "npi": [1508826066]}]}]}, {"tin": {"type": "ein", "value": "461415202"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.06, "providers": [{"billed_charge": 554.0, "npi": [1558757872]}]}, {"allowed_amount": 100.4, "providers": [{"billed_charge": 554.0, "npi": [1538473343]}]}, {"allowed_amount": 118.11, "providers": [{"billed_charge": 554.0, "npi": [1861781536, 1235428673]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.65, "providers": [{"billed_charge": 167.0, "npi": [1598253114]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 718.4, "providers": [{"billed_charge": 2052.57, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742931198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.83, "providers": [{"billed_charge": 849.03, "npi": [1285731521, 1114973450, 1922019900, 1588011662]}]}, {"allowed_amount": 51.0, "providers": [{"billed_charge": 849.03, "npi": [1508286451]}]}, {"allowed_amount": 65.02, "providers": [{"billed_charge": 849.03, "npi": [1609853720]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 239.4, "providers": [{"billed_charge": 532.0, "npi": [1821011248]}]}, {"allowed_amount": 386.55, "providers": [{"billed_charge": 859.0, "npi": [1821011248]}]}, {"allowed_amount": 478.8, "providers": [{"billed_charge": 1064.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746240037"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1992767511]}]}]}, {"tin": {"type": "ein", "value": "746240037"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.99, "providers": [{"billed_charge": 165.0, "npi": [1225154842]}]}]}, {"tin": {"type": "ein", "value": "752737522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.71, "providers": [{"billed_charge": 554.0, "npi": [1235369398]}]}, {"allowed_amount": 118.11, "providers": [{"billed_charge": 554.0, "npi": [1861565160]}]}]}, {"tin": {"type": "ein", "value": "760631448"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.35, "providers": [{"billed_charge": 553.05, "npi": [1114932845]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.73, "providers": [{"billed_charge": 592.0, "npi": [1689316051]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.65, "providers": [{"billed_charge": 1656.02, "npi": [1902893183]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.02, "providers": [{"billed_charge": 711.0, "npi": [1265895486]}]}]}, {"tin": {"type": "ein", "value": "851917572"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.7, "providers": [{"billed_charge": 3206.42, "npi": [1972612935]}]}]}]}, {"name": "Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types", "billing_code_type": "CPT", "billing_code": "87205", "billing_code_type_version": "2022", "description": "SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI/CELL", "allowed_amounts": [{"tin": {"type": "ein", "value": "331168930"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.37, "providers": [{"billed_charge": 6.0, "npi": [1184814014]}]}]}, {"tin": {"type": "ein", "value": "741282653"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.62, "providers": [{"billed_charge": 4.62, "npi": [1922195510]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.73, "providers": [{"billed_charge": 350.65, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 52.2, "providers": [{"billed_charge": 116.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.0, "providers": [{"billed_charge": 11.0, "npi": [1538140439]}]}]}]}, {"name": "Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)", "billing_code_type": "CPT", "billing_code": "88312", "billing_code_type_version": "2022", "description": "SPECIAL STAIN GROUP 1 MICROORGANISMS I&R", "allowed_amounts": [{"tin": {"type": "ein", "value": "113272376"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 70.64, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 201.0, "npi": [1215921549]}]}]}, {"tin": {"type": "ein", "value": "331168930"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 87.89, "providers": [{"billed_charge": 115.0, "npi": [1184814014]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 148.84, "providers": [{"billed_charge": 196.0, "npi": [1518134154, 1366421927]}]}]}, {"tin": {"type": "ein", "value": "462985840"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 27.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1164497632]}]}]}, {"tin": {"type": "ein", "value": "621637129"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 87.9, "providers": [{"billed_charge": 329.0, "npi": [1467433292]}]}, {"allowed_amount": 89.55, "providers": [{"billed_charge": 329.0, "npi": [1467433292]}]}]}, {"tin": {"type": "ein", "value": "741209207"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 33.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 330.0, "npi": [1275767626, 1700848983]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1184079741]}]}]}, {"tin": {"type": "ein", "value": "741619182"}, "billing_class": "professional", "service_codes": ["21", "81", "11"], "payments": [{"allowed_amount": 33.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.6, "npi": [1952564288, 1730398181, 1215193701, 1578881413]}]}, {"allowed_amount": 54.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.6, "npi": [1730574971]}]}]}, {"tin": {"type": "ein", "value": "741720245"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 34.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1164862306]}]}, {"allowed_amount": 34.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 140.0, "npi": [1164862306, 1538121371, 1497766117]}]}]}, {"tin": {"type": "ein", "value": "742406834"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1346210523]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.22, "providers": [{"billed_charge": 537.76, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742922218"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 33.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1588959779, 1730537002, 1558629519, 1699973016, 1730422783]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.6, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 188.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751664109"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 27.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1699744136]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1518352640, 1538140439]}]}]}, {"tin": {"type": "ein", "value": "760364263"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 34.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1942404553]}]}, {"allowed_amount": 148.84, "providers": [{"billed_charge": 178.0, "npi": [1992917272, 1740203397, 1770874349, 1457613176, 1194916379]}]}]}, {"tin": {"type": "ein", "value": "760508645"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 148.84, "providers": [{"billed_charge": 196.0, "npi": [1548466212]}]}]}, {"tin": {"type": "ein", "value": "760543568"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 115.3, "providers": [{"billed_charge": 196.0, "npi": [1083694418]}]}, {"allowed_amount": 148.84, "providers": [{"billed_charge": 196.0, "npi": [1598129975]}]}]}, {"tin": {"type": "ein", "value": "872266063"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 155.94, "providers": [{"billed_charge": 168.77, "npi": [1770621658]}]}]}, {"tin": {"type": "ein", "value": "991071500"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 27.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 650.0, "npi": [1225423502]}]}, {"allowed_amount": 27.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 650.0, "npi": [1225423502]}]}]}, {"tin": {"type": "ein", "value": "993493711"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 311.32, "providers": [{"billed_charge": 320.0, "npi": [1902857238]}]}]}]}, {"name": "Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry", "billing_code_type": "CPT", "billing_code": "88313", "billing_code_type_version": "2022", "description": "SPCL STN 2 I&R EXCPT MICROORG/ENZYME/IMCYT", "allowed_amounts": [{"tin": {"type": "ein", "value": "113272376"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 57.98, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 164.0, "npi": [1215921549]}]}]}, {"tin": {"type": "ein", "value": "264450440"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 92.29, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 195.0, "npi": [1467569459]}]}]}, {"tin": {"type": "ein", "value": "371925902"}, "billing_class": "professional", "service_codes": ["21", "22", "11"], "payments": [{"allowed_amount": 12.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1912529280]}]}, {"allowed_amount": 12.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1144367426]}]}, {"allowed_amount": 12.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1649767211, 1306293543]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1649767211, 1497963862, 1306293543]}]}]}, {"tin": {"type": "ein", "value": "452815598"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 109.67, "providers": [{"billed_charge": 136.0, "npi": [1518134154]}]}]}, {"tin": {"type": "ein", "value": "460543096"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 12.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1831294883]}]}]}, {"tin": {"type": "ein", "value": "621637129"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 66.02, "providers": [{"billed_charge": 244.0, "npi": [1467433292]}]}]}, {"tin": {"type": "ein", "value": "640899072"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 72.51, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 110.0, "npi": [1225142920]}]}]}, {"tin": {"type": "ein", "value": "710847813"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 17.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.48, "npi": [1346462561, 1548469745, 1881652709]}]}]}, {"tin": {"type": "ein", "value": "741209207"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1275767626]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 15.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1144859489, 1336602721]}]}]}, {"tin": {"type": "ein", "value": "741619182"}, "billing_class": "professional", "service_codes": ["21", "22", "11"], "payments": [{"allowed_amount": 15.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.9, "npi": [1952564288, 1215193701, 1790984359, 1104020775, 1639350036]}]}, {"allowed_amount": 24.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.9, "npi": [1134346067]}]}]}, {"tin": {"type": "ein", "value": "741720245"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 13.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1629455886]}]}, {"allowed_amount": 15.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1497766117, 1386172054]}]}]}, {"tin": {"type": "ein", "value": "742406834"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1346210523]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 270.25, "providers": [{"billed_charge": 772.15, "npi": [1124074273]}]}, {"allowed_amount": 318.79, "providers": [{"billed_charge": 910.83, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742922218"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1831144930, 1326669342, 1821384215]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.2, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 296.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751784456"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1801178371]}]}]}, {"tin": {"type": "ein", "value": "751788181"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 12.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1720304298, 1255461349]}]}, {"allowed_amount": 12.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1760732986]}]}, {"allowed_amount": 12.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.0, "npi": [1760732986]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1689631301]}]}]}, {"tin": {"type": "ein", "value": "760364263"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 15.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1942404553]}]}, {"allowed_amount": 109.67, "providers": [{"billed_charge": 140.0, "npi": [1992917272, 1740203397, 1770874349, 1457613176, 1194916379]}]}]}, {"tin": {"type": "ein", "value": "760421006"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1356788517]}]}]}, {"tin": {"type": "ein", "value": "991071500"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 12.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 800.0, "npi": [1225423502]}]}]}, {"tin": {"type": "ein", "value": "993493711"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 228.9, "providers": [{"billed_charge": 240.0, "npi": [1902857238]}]}]}]}, {"name": "Specialty care transport (sct)", "billing_code_type": "CPT", "billing_code": "A0434", "billing_code_type_version": "2022", "description": "Specialty care transport (sct)", "allowed_amounts": [{"tin": {"type": "ein", "value": "202950769"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 3087.18, "providers": [{"billed_charge": 4977.6, "npi": [1700801693]}]}]}, {"tin": {"type": "ein", "value": "272498157"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1800.0, "providers": [{"billed_charge": 1800.0, "npi": [1033437405]}]}]}, {"tin": {"type": "ein", "value": "300688582"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1448.0, "providers": [{"billed_charge": 1448.0, "npi": [1750676870]}]}, {"allowed_amount": 2900.79, "providers": [{"billed_charge": 4752.0, "npi": [1750676870]}]}, {"allowed_amount": 2956.33, "providers": [{"billed_charge": 4538.0, "npi": [1750676870]}]}]}, {"tin": {"type": "ein", "value": "451837687"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2956.33, "providers": [{"billed_charge": 2956.33, "npi": [1316229677]}]}]}, {"tin": {"type": "ein", "value": "721404705"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2985.32, "providers": [{"billed_charge": 7177.0, "npi": [1306289996]}]}]}, {"tin": {"type": "ein", "value": "751962356"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1335.0, "providers": [{"billed_charge": 1335.0, "npi": [1861477762]}]}]}, {"tin": {"type": "ein", "value": "752474011"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1870.1, "providers": [{"billed_charge": 2100.21, "npi": [1881628014]}]}]}, {"tin": {"type": "ein", "value": "760487923"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 3080.68, "providers": [{"billed_charge": 3123.25, "npi": [1235248089]}]}]}]}, {"name": "Subsequent hospital care, per day, for evaluation and management of normal newborn", "billing_code_type": "CPT", "billing_code": "99462", "billing_code_type_version": "2022", "description": "SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN", "allowed_amounts": [{"tin": {"type": "ein", "value": "320438010"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.56, "providers": [{"billed_charge": 86.0, "npi": [1720016371]}]}]}, {"tin": {"type": "ein", "value": "332672530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.59, "providers": [{"billed_charge": 236.0, "npi": [1205509056, 1982458451, 1881390516]}]}]}, {"tin": {"type": "ein", "value": "472773550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.1, "providers": [{"billed_charge": 79.0, "npi": [1265662662]}]}]}, {"tin": {"type": "ein", "value": "650578395"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.94, "providers": [{"billed_charge": 336.0, "npi": [1568624138, 1033436274]}]}, {"allowed_amount": 47.53, "providers": [{"billed_charge": 336.0, "npi": [1407043383]}]}, {"allowed_amount": 88.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 336.0, "npi": [1770847337, 1366804866, 1568460756, 1083145197]}]}, {"allowed_amount": 687.27, "providers": [{"billed_charge": 336.0, "npi": [1144227257]}]}, {"allowed_amount": 1328.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 336.0, "npi": [1184967960]}]}]}, {"tin": {"type": "ein", "value": "751791138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.49, "providers": [{"billed_charge": 195.0, "npi": [1609910579]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.42, "providers": [{"billed_charge": 336.0, "npi": [1598727851]}]}, {"allowed_amount": 41.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 336.0, "npi": [1386089522, 1427001890, 1992190334, 1114346327]}]}, {"allowed_amount": 42.38, "providers": [{"billed_charge": 336.0, "npi": [1386089522]}]}, {"allowed_amount": 44.2, "providers": [{"billed_charge": 336.0, "npi": [1013981190]}]}, {"allowed_amount": 47.18, "providers": [{"billed_charge": 336.0, "npi": [1326072117]}]}, {"allowed_amount": 47.53, "providers": [{"billed_charge": 336.0, "npi": [1942263926, 1750339503]}]}, {"allowed_amount": 49.56, "providers": [{"billed_charge": 336.0, "npi": [1376570317]}]}, {"allowed_amount": 49.98, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 336.0, "npi": [1215951744, 1558553735]}]}, {"allowed_amount": 50.91, "providers": [{"billed_charge": 336.0, "npi": [1083768576, 1104803717]}]}, {"allowed_amount": 62.3, "providers": [{"billed_charge": 336.0, "npi": [1972794162, 1073142410, 1013447788]}]}, {"allowed_amount": 63.61, "providers": [{"billed_charge": 336.0, "npi": [1770045122, 1750620357]}]}, {"allowed_amount": 64.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 336.0, "npi": [1518351600, 1700347929, 1083918163, 1225778483]}]}, {"allowed_amount": 65.49, "providers": [{"billed_charge": 336.0, "npi": [1225778483]}]}, {"allowed_amount": 157.43, "providers": [{"billed_charge": 336.0, "npi": [1386089522]}]}, {"allowed_amount": 868.43, "providers": [{"billed_charge": 336.0, "npi": [1326072117]}]}, {"allowed_amount": 905.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 336.0, "npi": [1487873386]}]}]}]}, {"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": "020752585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.13, "providers": [{"billed_charge": 205.0, "npi": [1134507114]}]}, {"allowed_amount": 191.54, "providers": [{"billed_charge": 205.0, "npi": [1508177403]}]}]}, {"tin": {"type": "ein", "value": "056627205"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.09, "providers": [{"billed_charge": 200.0, "npi": [1215962733]}]}]}, {"tin": {"type": "ein", "value": "200445029"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.65, "providers": [{"billed_charge": 139.65, "npi": [1992843163]}]}]}, {"tin": {"type": "ein", "value": "200474854"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 225.0, "providers": [{"billed_charge": 225.0, "npi": [1164481875, 1851074934]}]}]}, {"tin": {"type": "ein", "value": "201134816"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.7, "providers": [{"billed_charge": 254.0, "npi": [1811460330]}]}]}, {"tin": {"type": "ein", "value": "201195084"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 61.17, "providers": [{"billed_charge": 130.0, "npi": [1821045600]}]}]}, {"tin": {"type": "ein", "value": "201790156"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.47, "providers": [{"billed_charge": 238.0, "npi": [1386636025]}]}]}, {"tin": {"type": "ein", "value": "202396203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.47, "providers": [{"billed_charge": 300.0, "npi": [1861474595]}]}]}, {"tin": {"type": "ein", "value": "202798379"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 137.05, "providers": [{"billed_charge": 328.92, "npi": [1831519511]}]}]}, {"tin": {"type": "ein", "value": "203542589"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.09, "providers": [{"billed_charge": 718.0, "npi": [1164684908]}]}, {"allowed_amount": 147.34, "providers": [{"billed_charge": 718.0, "npi": [1841400520]}]}, {"allowed_amount": 197.34, "providers": [{"billed_charge": 718.0, "npi": [1649605379]}]}, {"allowed_amount": 450.0, "providers": [{"billed_charge": 718.0, "npi": [1356550354]}]}, {"allowed_amount": 718.0, "providers": [{"billed_charge": 718.0, "npi": [1104885714]}]}]}, {"tin": {"type": "ein", "value": "204021093"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.0, "providers": [{"billed_charge": 154.0, "npi": [1356303960]}]}]}, {"tin": {"type": "ein", "value": "204700877"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 162.99, "providers": [{"billed_charge": 463.0, "npi": [1306083258]}]}]}, {"tin": {"type": "ein", "value": "204790934"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.4, "providers": [{"billed_charge": 290.55, "npi": [1821016023]}]}]}, {"tin": {"type": "ein", "value": "204871619"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.54, "providers": [{"billed_charge": 204.0, "npi": [1720053739, 1972569895]}]}]}, {"tin": {"type": "ein", "value": "205146786"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.3, "providers": [{"billed_charge": 328.92, "npi": [1174028039]}]}, {"allowed_amount": 125.24, "providers": [{"billed_charge": 328.92, "npi": [1750450342]}, {"billed_charge": 351.87, "npi": [1083674485]}]}, {"allowed_amount": 126.29, "providers": [{"billed_charge": 328.92, "npi": [1790936144]}, {"billed_charge": 351.87, "npi": [1790936144]}]}, {"allowed_amount": 130.47, "providers": [{"billed_charge": 328.92, "npi": [1053406546, 1104846922]}]}, {"allowed_amount": 131.57, "providers": [{"billed_charge": 328.92, "npi": [1790936144]}]}]}, {"tin": {"type": "ein", "value": "208768035"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 118.32, "providers": [{"billed_charge": 240.24, "npi": [1235100462]}]}]}, {"tin": {"type": "ein", "value": "232691968"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 174.34, "providers": [{"billed_charge": 190.0, "npi": [1558001602, 1063073278]}]}]}, {"tin": {"type": "ein", "value": "237313346"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 162.41, "providers": [{"billed_charge": 331.0, "npi": [1356784185]}]}]}, {"tin": {"type": "ein", "value": "262243484"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 229.0, "providers": [{"billed_charge": 229.0, "npi": [1285324442]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.24, "providers": [{"billed_charge": 229.0, "npi": [1750735437]}]}, {"allowed_amount": 156.81, "providers": [{"billed_charge": 229.0, "npi": [1346698875, 1073967725]}]}, {"allowed_amount": 163.7, "providers": [{"billed_charge": 229.0, "npi": [1225728066]}]}, {"allowed_amount": 191.54, "providers": [{"billed_charge": 229.0, "npi": [1659626216, 1912393901, 1154305365, 1326021015, 1164646394]}]}, {"allowed_amount": 205.22, "providers": [{"billed_charge": 229.0, "npi": [1700014313, 1457435331]}]}, {"allowed_amount": 210.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 229.0, "npi": [1215906979, 1295085892, 1760979975, 1184624363, 1326005232, 1700234705, 1194462994, 1740711696, 1447288022, 1487858072, 1942267802]}]}, {"allowed_amount": 229.0, "providers": [{"billed_charge": 229.0, "npi": [1225470560]}]}]}, {"tin": {"type": "ein", "value": "263214045"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.85, "providers": [{"billed_charge": 213.0, "npi": [1871890616]}]}, {"allowed_amount": 69.24, "providers": [{"billed_charge": 213.0, "npi": [1871890616]}]}, {"allowed_amount": 131.2, "providers": [{"billed_charge": 213.0, "npi": [1871890616]}]}, {"allowed_amount": 197.34, "providers": [{"billed_charge": 213.0, "npi": [1295993434]}]}]}, {"tin": {"type": "ein", "value": "264254315"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.57, "providers": [{"billed_charge": 210.0, "npi": [1063478006]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.28, "providers": [{"billed_charge": 317.0, "npi": [1457104309]}]}, {"allowed_amount": 118.32, "providers": [{"billed_charge": 317.0, "npi": [1275850497]}]}, {"allowed_amount": 139.83, "providers": [{"billed_charge": 317.0, "npi": [1417393919]}]}, {"allowed_amount": 153.81, "providers": [{"billed_charge": 317.0, "npi": [1073933222]}]}, {"allowed_amount": 157.04, "providers": [{"billed_charge": 317.0, "npi": [1942640065]}]}, {"allowed_amount": 166.4, "providers": [{"billed_charge": 317.0, "npi": [1801017272, 1528569753, 1457834418, 1861579492]}]}, {"allowed_amount": 188.23, "providers": [{"billed_charge": 317.0, "npi": [1942461884]}]}, {"allowed_amount": 240.63, "providers": [{"billed_charge": 310.0, "npi": [1548838683]}]}, {"allowed_amount": 293.64, "providers": [{"billed_charge": 317.0, "npi": [1093205197]}]}]}, {"tin": {"type": "ein", "value": "270794018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1932300779]}]}]}, {"tin": {"type": "ein", "value": "270839735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.94, "providers": [{"billed_charge": 209.0, "npi": [1609485267]}]}]}, {"tin": {"type": "ein", "value": "271283341"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.54, "providers": [{"billed_charge": 564.0, "npi": [1700878295]}]}]}, {"tin": {"type": "ein", "value": "271463889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.94, "providers": [{"billed_charge": 351.0, "npi": [1912096694]}]}]}, {"tin": {"type": "ein", "value": "271595277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.4, "providers": [{"billed_charge": 255.0, "npi": [1184078412]}]}, {"allowed_amount": 143.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 255.0, "npi": [1790217420]}]}, {"allowed_amount": 191.54, "providers": [{"billed_charge": 255.0, "npi": [1801321856, 1700018587]}]}]}, {"tin": {"type": "ein", "value": "272634334"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 120.39, "providers": [{"billed_charge": 202.0, "npi": [1770933434]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 191.54, "providers": [{"billed_charge": 229.0, "npi": [1518306463]}]}, {"allowed_amount": 210.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 229.0, "npi": [1548377088, 1235174020, 1700318599, 1912430216, 1336533397, 1548211477, 1063875102, 1609837988, 1093911976, 1245262377, 1861528234, 1396774063, 1134303035, 1700317120, 1639526338, 1821183559, 1891140935, 1164558540, 1699747790, 1124027743, 1225037930, 1205181674, 1164421871, 1073965042, 1972890994, 1104322809]}]}]}, {"tin": {"type": "ein", "value": "273378639"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 175.0, "providers": [{"billed_charge": 175.0, "npi": [1982870416]}]}]}, {"tin": {"type": "ein", "value": "273475719"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 130.47, "providers": [{"billed_charge": 300.0, "npi": [1225291172]}]}]}, {"tin": {"type": "ein", "value": "273705652"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 162.81, "providers": [{"billed_charge": 212.0, "npi": [1215366562]}, {"billed_charge": 224.0, "npi": [1215366562]}]}, {"allowed_amount": 163.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 212.0, "npi": [1194452417, 1023870078]}, {"billed_charge": 224.0, "npi": [1194452417]}]}]}, {"tin": {"type": "ein", "value": "273719917"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 118.32, "providers": [{"billed_charge": 300.0, "npi": [1881735850]}]}]}, {"tin": {"type": "ein", "value": "274081147"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.03, "providers": [{"billed_charge": 160.0, "npi": [1700078706]}]}]}, {"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 61.17, "providers": [{"billed_charge": 288.0, "npi": [1881049120]}]}, {"allowed_amount": 210.48, "providers": [{"billed_charge": 288.0, "npi": [1952442808]}]}]}, {"tin": {"type": "ein", "value": "300422715"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.13, "providers": [{"billed_charge": 255.0, "npi": [1932137882]}]}]}, {"tin": {"type": "ein", "value": "300520570"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.03, "providers": [{"billed_charge": 226.0, "npi": [1770555682, 1740539964]}]}, {"allowed_amount": 125.24, "providers": [{"billed_charge": 226.0, "npi": [1619265337, 1891286381]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.5, "providers": [{"billed_charge": 302.0, "npi": [1184873234]}]}, {"allowed_amount": 121.03, "providers": [{"billed_charge": 302.0, "npi": [1942761044]}]}, {"allowed_amount": 125.24, "providers": [{"billed_charge": 302.0, "npi": [1710218144, 1831342641, 1699234567]}]}, {"allowed_amount": 130.47, "providers": [{"billed_charge": 302.0, "npi": [1689136673, 1356652994, 1134547078, 1063767598, 1154760155]}]}, {"allowed_amount": 131.57, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 302.0, "npi": [1710369129, 1053351957]}]}]}, {"tin": {"type": "ein", "value": "320612926"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 287.31, "providers": [{"billed_charge": 1900.0, "npi": [1174579593, 1346277324, 1336253590]}]}]}, {"tin": {"type": "ein", "value": "332167145"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 168.0, "providers": [{"billed_charge": 168.0, "npi": [1720425242, 1184009573]}]}]}, {"tin": {"type": "ein", "value": "332241086"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 121.03, "providers": [{"billed_charge": 226.0, "npi": [1881154177, 1619136611, 1710394093, 1851788020, 1952511545]}]}, {"allowed_amount": 125.81, "providers": [{"billed_charge": 302.0, "npi": [1447729389]}]}, {"allowed_amount": 126.09, "providers": [{"billed_charge": 302.0, "npi": [1164726998]}]}, {"allowed_amount": 126.29, "providers": [{"billed_charge": 240.0, "npi": [1124656707]}]}, {"allowed_amount": 130.47, "providers": [{"billed_charge": 226.0, "npi": [1710240098, 1982967923]}]}]}, {"tin": {"type": "ein", "value": "334634610"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 225.0, "npi": [1730573536]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 131.04, "providers": [{"billed_charge": 213.08, "npi": [1861952970]}]}, {"allowed_amount": 134.24, "providers": [{"billed_charge": 213.08, "npi": [1588018535]}, {"billed_charge": 234.8, "npi": [1023472107]}]}, {"allowed_amount": 142.76, "providers": [{"billed_charge": 213.08, "npi": [1548401094]}]}, {"allowed_amount": 149.16, "providers": [{"billed_charge": 213.08, "npi": [1376576132]}]}, {"allowed_amount": 213.08, "providers": [{"billed_charge": 213.08, "npi": [1902351109]}]}]}, {"tin": {"type": "ein", "value": "363966745"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 193.41, "providers": [{"billed_charge": 200.0, "npi": [1902211956]}]}]}, {"tin": {"type": "ein", "value": "386006309"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 148.88, "providers": [{"billed_charge": 352.0, "npi": [1194902874, 1114997020, 1780940999]}]}]}, {"tin": {"type": "ein", "value": "392523661"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 162.0, "providers": [{"billed_charge": 162.0, "npi": [1043005788]}]}]}, {"tin": {"type": "ein", "value": "392672150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.47, "providers": [{"billed_charge": 293.22, "npi": [1598025496]}]}]}, {"tin": {"type": "ein", "value": "393414517"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.24, "providers": [{"billed_charge": 727.0, "npi": [1225440399, 1598150161, 1720284052, 1871880823, 1326202169]}]}, {"allowed_amount": 112.71, "providers": [{"billed_charge": 727.0, "npi": [1992382717]}]}, {"allowed_amount": 132.6, "providers": [{"billed_charge": 727.0, "npi": [1588227680, 1790361665, 1619592904, 1376757609, 1679950448, 1609458736, 1588003792, 1710390067, 1043481401, 1659396539, 1427574813, 1912468158]}]}]}, {"tin": {"type": "ein", "value": "394009397"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.24, "providers": [{"billed_charge": 224.0, "npi": [1144272865]}]}]}, {"tin": {"type": "ein", "value": "421651562"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.57, "providers": [{"billed_charge": 150.0, "npi": [1477604668]}]}]}, {"tin": {"type": "ein", "value": "421733646"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.47, "providers": [{"billed_charge": 135.0, "npi": [1609845577]}]}]}, {"tin": {"type": "ein", "value": "450675246"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.47, "providers": [{"billed_charge": 375.0, "npi": [1346402781, 1396970950]}]}]}, {"tin": {"type": "ein", "value": "453791914"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.24, "providers": [{"billed_charge": 175.0, "npi": [1063177343]}]}, {"allowed_amount": 126.94, "providers": [{"billed_charge": 175.0, "npi": [1063177343]}]}]}, {"tin": {"type": "ein", "value": "454323821"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.94, "providers": [{"billed_charge": 173.42, "npi": [1730967316]}]}, {"allowed_amount": 149.16, "providers": [{"billed_charge": 173.42, "npi": [1972665289]}]}, {"allowed_amount": 173.42, "providers": [{"billed_charge": 173.42, "npi": [1609162007, 1750589727]}]}]}, {"tin": {"type": "ein", "value": "454656734"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.6, "providers": [{"billed_charge": 229.0, "npi": [1538274824, 1932109683]}]}]}, {"tin": {"type": "ein", "value": "460792526"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1225103872, 1689868267]}]}]}, {"tin": {"type": "ein", "value": "460796181"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.24, "providers": [{"billed_charge": 328.92, "npi": [1174028039]}, {"billed_charge": 351.87, "npi": [1174028039]}]}]}, {"tin": {"type": "ein", "value": "461908917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.34, "providers": [{"billed_charge": 214.4, "npi": [1841319498]}]}]}, {"tin": {"type": "ein", "value": "462236637"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.4, "providers": [{"billed_charge": 225.0, "npi": [1356521074]}]}]}, {"tin": {"type": "ein", "value": "462354804"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.89, "providers": [{"billed_charge": 361.0, "npi": [1598962490]}]}]}, {"tin": {"type": "ein", "value": "462604452"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.47, "providers": [{"billed_charge": 250.0, "npi": [1316188519]}]}]}, {"tin": {"type": "ein", "value": "463175783"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 442.88, "npi": [1114233152, 1043720915, 1952784597, 1174094486, 1205553815, 1770332439]}]}]}, {"tin": {"type": "ein", "value": "463189636"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 230.0, "npi": [1639452931]}]}]}, {"tin": {"type": "ein", "value": "463625047"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.56, "providers": [{"billed_charge": 268.9, "npi": [1497132401]}]}]}, {"tin": {"type": "ein", "value": "463932661"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.76, "providers": [{"billed_charge": 212.0, "npi": [1902009780]}]}]}, {"tin": {"type": "ein", "value": "464139530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.94, "providers": [{"billed_charge": 290.0, "npi": [1770948044, 1568071108, 1861899239]}]}]}, {"tin": {"type": "ein", "value": "465422741"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.89, "providers": [{"billed_charge": 275.0, "npi": [1043466535]}]}]}, {"tin": {"type": "ein", "value": "471905925"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.24, "providers": [{"billed_charge": 350.0, "npi": [1699968560]}]}]}, {"tin": {"type": "ein", "value": "472401409"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.47, "providers": [{"billed_charge": 238.0, "npi": [1407879489]}]}]}, {"tin": {"type": "ein", "value": "472459031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.5, "providers": [{"billed_charge": 235.0, "npi": [1235374224, 1700035961]}]}]}, {"tin": {"type": "ein", "value": "472815347"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 185.0, "providers": [{"billed_charge": 185.0, "npi": [1699784819]}]}]}, {"tin": {"type": "ein", "value": "473312833"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.2, "providers": [{"billed_charge": 328.35, "npi": [1356755144]}]}, {"allowed_amount": 197.34, "providers": [{"billed_charge": 328.35, "npi": [1124445259]}]}]}, {"tin": {"type": "ein", "value": "473891182"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.12, "providers": [{"billed_charge": 297.42, "npi": [1265643563]}]}]}, {"tin": {"type": "ein", "value": "474038606"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1174574842, 1922147941]}]}]}, {"tin": {"type": "ein", "value": "474387061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.47, "providers": [{"billed_charge": 150.0, "npi": [1275063844]}]}]}, {"tin": {"type": "ein", "value": "474622925"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.69, "providers": [{"billed_charge": 270.0, "npi": [1366499220, 1780635599]}]}]}, {"tin": {"type": "ein", "value": "475300786"}, "billing_class": "professional", "service_codes": ["21", "61"], "payments": [{"allowed_amount": 143.13, "providers": [{"billed_charge": 150.0, "npi": [1205131976, 1669435871]}]}, {"allowed_amount": 150.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 150.0, "npi": [1609973650, 1063648277, 1588204077, 1932629813, 1750381497, 1417444795, 1134274368, 1710281027, 1184729030, 1841457223, 1205380169, 1356509004, 1285146191, 1457510869, 1932206679, 1881295327, 1992167779, 1912961509, 1760160493, 1255569901, 1558417147, 1831885565]}]}]}, {"tin": {"type": "ein", "value": "475510475"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 108.4, "providers": [{"billed_charge": 309.0, "npi": [1821086471]}]}, {"allowed_amount": 115.76, "providers": [{"billed_charge": 309.0, "npi": [1407435639, 1457627366, 1821086471]}]}]}, {"tin": {"type": "ein", "value": "510484748"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.69, "providers": [{"billed_charge": 270.0, "npi": [1366476699, 1477660348]}]}, {"allowed_amount": 197.34, "providers": [{"billed_charge": 270.0, "npi": [1275655441]}]}]}, {"tin": {"type": "ein", "value": "521467441"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 187.24, "providers": [{"billed_charge": 280.0, "npi": [1144783283, 1831779677]}]}]}, {"tin": {"type": "ein", "value": "542094413"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1720196975]}]}]}, {"tin": {"type": "ein", "value": "542097675"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.4, "providers": [{"billed_charge": 255.0, "npi": [1831196559]}]}]}, {"tin": {"type": "ein", "value": "550832571"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.4, "providers": [{"billed_charge": 130.0, "npi": [1689658833]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.78, "providers": [{"billed_charge": 360.0, "npi": [1821202524]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.19, "providers": [{"billed_charge": 288.0, "npi": [1578903381]}]}, {"allowed_amount": 126.46, "providers": [{"billed_charge": 288.0, "npi": [1639516636]}]}]}, {"tin": {"type": "ein", "value": "720839724"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 168.89, "providers": [{"billed_charge": 208.0, "npi": [1467891358]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "61"], "payments": [{"allowed_amount": 21.05, "providers": [{"billed_charge": 280.0, "npi": [1861509861]}]}, {"allowed_amount": 38.31, "providers": [{"billed_charge": 280.0, "npi": [1417577784]}]}, {"allowed_amount": 105.24, "providers": [{"billed_charge": 280.0, "npi": [1740480128, 1982653259, 1831109636]}]}, {"allowed_amount": 108.4, "providers": [{"billed_charge": 280.0, "npi": [1700140332]}]}, {"allowed_amount": 115.76, "providers": [{"billed_charge": 280.0, "npi": [1154732667]}]}, {"allowed_amount": 143.13, "providers": [{"billed_charge": 280.0, "npi": [1861509861]}]}, {"allowed_amount": 147.34, "providers": [{"billed_charge": 280.0, "npi": [1538488424]}]}, {"allowed_amount": 163.7, "providers": [{"billed_charge": 280.0, "npi": [1043708944, 1427767714]}]}, {"allowed_amount": 191.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 263.0, "npi": [1386743839]}, {"billed_charge": 280.0, "npi": [1942792197, 1548537350, 1093126534, 1225527815, 1285263244, 1467072017, 1245417237, 1285378968, 1366453144, 1538369434, 1265829147, 1609027101, 1265182877, 1386743839, 1942085923, 1336637990, 1881951911, 1093169070, 1407484082, 1275640245, 1417577784, 1467019067, 1568014652, 1225052350, 1346738374, 1558655431, 1477849800, 1487281606, 1134440530, 1730422486, 1366066136, 1487097689, 1184700254, 1043653348, 1306341094, 1235154154, 1093201261, 1265182448, 1275152886, 1831696889, 1346760956]}]}, {"allowed_amount": 210.48, "providers": [{"billed_charge": 280.0, "npi": [1083620967, 1013988484, 1932110731, 1134656903]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.12, "providers": [{"billed_charge": 302.0, "npi": [1700144391]}]}, {"allowed_amount": 130.47, "providers": [{"billed_charge": 302.0, "npi": [1750709952, 1104246669, 1003101783]}]}]}, {"tin": {"type": "ein", "value": "741850643"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 210.48, "providers": [{"billed_charge": 226.0, "npi": [1033596648]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 174.72, "providers": [{"billed_charge": 412.0, "npi": [1679993166, 1437500071]}]}]}, {"tin": {"type": "ein", "value": "742642200"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.0, "providers": [{"billed_charge": 120.0, "npi": [1528171451]}]}]}, {"tin": {"type": "ein", "value": "742800601"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.23, "providers": [{"billed_charge": 317.0, "npi": [1861020927]}]}]}, {"tin": {"type": "ein", "value": "742840162"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.6, "providers": [{"billed_charge": 185.0, "npi": [1073591459]}]}]}, {"tin": {"type": "ein", "value": "742872207"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.45, "providers": [{"billed_charge": 221.0, "npi": [1154325603]}]}]}, {"tin": {"type": "ein", "value": "742895369"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.6, "providers": [{"billed_charge": 235.0, "npi": [1942464151]}]}]}, {"tin": {"type": "ein", "value": "742916879"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.0, "providers": [{"billed_charge": 110.0, "npi": [1861491284]}]}]}, {"tin": {"type": "ein", "value": "742931655"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.76, "providers": [{"billed_charge": 200.0, "npi": [1730471251, 1922282847]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 125.24, "providers": [{"billed_charge": 297.64, "npi": [1972166551]}]}, {"allowed_amount": 143.13, "providers": [{"billed_charge": 297.64, "npi": [1780119545, 1740433069, 1588074157, 1821679903]}]}, {"allowed_amount": 163.7, "providers": [{"billed_charge": 297.64, "npi": [1801367933]}]}, {"allowed_amount": 191.54, "providers": [{"billed_charge": 297.64, "npi": [1548532229, 1124555792, 1386802833, 1407319189, 1538665625, 1427314459, 1558981670, 1811179047, 1881213882, 1497738298, 1477182780, 1215677760, 1922329408, 1003236548, 1912179524, 1386218311, 1184365009, 1801537246, 1225099104, 1881077097]}]}, {"allowed_amount": 210.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 297.64, "npi": [1255538682, 1225325426]}]}]}, {"tin": {"type": "ein", "value": "742932998"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.76, "providers": [{"billed_charge": 200.0, "npi": [1700992732]}]}]}, {"tin": {"type": "ein", "value": "742944052"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 163.7, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 279.53, "npi": [1366896888]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.13, "providers": [{"billed_charge": 201.0, "npi": [1568615243, 1942707252]}]}, {"allowed_amount": 153.65, "providers": [{"billed_charge": 201.0, "npi": [1326300633]}]}, {"allowed_amount": 157.04, "providers": [{"billed_charge": 201.0, "npi": [1033231220]}]}, {"allowed_amount": 184.17, "providers": [{"billed_charge": 201.0, "npi": [1225399694]}]}]}, {"tin": {"type": "ein", "value": "742978480"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.32, "providers": [{"billed_charge": 240.0, "npi": [1629498068]}]}]}, {"tin": {"type": "ein", "value": "742981597"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.4, "providers": [{"billed_charge": 150.0, "npi": [1710901954]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.45, "providers": [{"billed_charge": 174.0, "npi": [1164919593, 1467077420, 1871187260]}]}, {"allowed_amount": 132.6, "providers": [{"billed_charge": 174.0, "npi": [1962577098, 1033329610, 1285661231, 1235794546, 1013539667, 1033438387, 1669767893, 1376753210]}]}, {"allowed_amount": 136.81, "providers": [{"billed_charge": 174.0, "npi": [1245437425]}]}, {"allowed_amount": 174.0, "providers": [{"billed_charge": 174.0, "npi": [1639465057]}]}]}, {"tin": {"type": "ein", "value": "751604753"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.76, "providers": [{"billed_charge": 235.0, "npi": [1194250696, 1659698579, 1477782548]}]}, {"allowed_amount": 197.1, "providers": [{"billed_charge": 235.0, "npi": [1023491255]}]}]}, {"tin": {"type": "ein", "value": "752005254"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.83, "providers": [{"billed_charge": 212.0, "npi": [1104323922]}]}, {"allowed_amount": 144.18, "providers": [{"billed_charge": 212.0, "npi": [1801840111]}]}, {"allowed_amount": 207.75, "providers": [{"billed_charge": 212.0, "npi": [1396031977]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.76, "providers": [{"billed_charge": 238.0, "npi": [1487855169, 1427199298, 1992122279, 1326432568, 1437438207]}]}, {"allowed_amount": 238.0, "providers": [{"billed_charge": 238.0, "npi": [1891889754, 1003081308]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21", "22", "61"], "payments": [{"allowed_amount": 120.39, "providers": [{"billed_charge": 267.68, "npi": [1265051429]}]}, {"allowed_amount": 126.94, "providers": [{"billed_charge": 267.68, "npi": [1821642760, 1598324741]}]}, {"allowed_amount": 138.5, "providers": [{"billed_charge": 267.68, "npi": [1962600650]}]}, {"allowed_amount": 142.07, "providers": [{"billed_charge": 267.68, "npi": [1326484213]}]}, {"allowed_amount": 142.76, "providers": [{"billed_charge": 267.68, "npi": [1265960801, 1992070148, 1093714628, 1205152964, 1962899591, 1386064954, 1245284165, 1497251532, 1780836429, 1992198188, 1073900304, 1821529785, 1700528122]}]}, {"allowed_amount": 144.0, "providers": [{"billed_charge": 267.68, "npi": [1932173945, 1841264850]}]}, {"allowed_amount": 149.34, "providers": [{"billed_charge": 267.68, "npi": [1093198392, 1578853594, 1447645767]}]}, {"allowed_amount": 163.21, "providers": [{"billed_charge": 267.68, "npi": [1447250253]}]}, {"allowed_amount": 174.73, "providers": [{"billed_charge": 267.68, "npi": [1477796365]}]}, {"allowed_amount": 194.69, "providers": [{"billed_charge": 267.68, "npi": [1003184128, 1760713424, 1649402165, 1336672245, 1447493531, 1326303454]}]}, {"allowed_amount": 197.34, "providers": [{"billed_charge": 267.68, "npi": [1053848960, 1073141891, 1770554628, 1205399557, 1720279813, 1326789264, 1497281042, 1871936658, 1215032594, 1700263191, 1063943447, 1306045463, 1659715993, 1932846748, 1891137949, 1417367970, 1598297509, 1013349414, 1003007022, 1215298997, 1124384698, 1134861370, 1972893501, 1346637634, 1912075458, 1194946244, 1609372739, 1134758733, 1417392846, 1700319183, 1043874134, 1124368345, 1609365980, 1255775359, 1548450786, 1194222307, 1700528106, 1679060719, 1245282813, 1033306238, 1588285951]}]}, {"allowed_amount": 267.68, "providers": [{"billed_charge": 267.68, "npi": [1023614211, 1407474851, 1841063237, 1053791079, 1295443307, 1821640814, 1922483866, 1013682459, 1700374493, 1821506973]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 117.19, "providers": [{"billed_charge": 342.0, "npi": [1477723344]}]}, {"allowed_amount": 120.39, "providers": [{"billed_charge": 342.0, "npi": [1942200464]}]}, {"allowed_amount": 122.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 342.0, "npi": [1942402466, 1962812461]}]}, {"allowed_amount": 142.76, "providers": [{"billed_charge": 342.0, "npi": [1649500612, 1104389832, 1841712106, 1437738416, 1568457968, 1063893618, 1932197621, 1851605919]}]}, {"allowed_amount": 194.69, "providers": [{"billed_charge": 342.0, "npi": [1629279682, 1932515566, 1083293591, 1184630840, 1235442393, 1386031037, 1780779421]}]}, {"allowed_amount": 197.1, "providers": [{"billed_charge": 342.0, "npi": [1578979910]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 172.59, "providers": [{"billed_charge": 263.0, "npi": [1295266534]}]}, {"allowed_amount": 191.54, "providers": [{"billed_charge": 263.0, "npi": [1629642616, 1811554108, 1144499344]}]}, {"allowed_amount": 210.48, "providers": [{"billed_charge": 263.0, "npi": [1679571376]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.6, "providers": [{"billed_charge": 257.0, "npi": [1841933157, 1972731271, 1356385355, 1417304429, 1295318285, 1285253906, 1447481395, 1215257365, 1215469341]}]}]}, {"tin": {"type": "ein", "value": "752712328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.2, "providers": [{"billed_charge": 227.18, "npi": [1336568773]}]}, {"allowed_amount": 142.76, "providers": [{"billed_charge": 227.18, "npi": [1063657740]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.54, "providers": [{"billed_charge": 984.0, "npi": [1639811755]}]}]}, {"tin": {"type": "ein", "value": "752772742"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 330.27, "providers": [{"billed_charge": 470.0, "npi": [1528298858]}]}]}, {"tin": {"type": "ein", "value": "752848392"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.14, "providers": [{"billed_charge": 357.0, "npi": [1285677138]}]}]}, {"tin": {"type": "ein", "value": "752867667"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 23.45, "providers": [{"billed_charge": 253.0, "npi": [1427270172]}]}, {"allowed_amount": 126.94, "providers": [{"billed_charge": 253.0, "npi": [1356821284]}]}, {"allowed_amount": 197.34, "providers": [{"billed_charge": 253.0, "npi": [1427270172]}]}]}, {"tin": {"type": "ein", "value": "752903739"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.69, "providers": [{"billed_charge": 270.0, "npi": [1710900527]}]}]}, {"tin": {"type": "ein", "value": "752905110"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 265.0, "npi": [1093135089]}]}, {"allowed_amount": 131.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 265.0, "npi": [1003375296]}]}, {"allowed_amount": 197.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 265.0, "npi": [1144457649, 1598933558]}]}]}, {"tin": {"type": "ein", "value": "753129210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.02, "providers": [{"billed_charge": 225.0, "npi": [1235363862]}]}, {"allowed_amount": 191.54, "providers": [{"billed_charge": 225.0, "npi": [1093816183]}]}, {"allowed_amount": 194.69, "providers": [{"billed_charge": 225.0, "npi": [1184041436]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 42.88, "providers": [{"billed_charge": 387.0, "npi": [1770719445]}]}, {"allowed_amount": 120.54, "providers": [{"billed_charge": 387.0, "npi": [1417451030]}]}, {"allowed_amount": 131.2, "providers": [{"billed_charge": 387.0, "npi": [1750525044, 1689834277]}]}, {"allowed_amount": 147.34, "providers": [{"billed_charge": 387.0, "npi": [1912583451]}]}, {"allowed_amount": 149.34, "providers": [{"billed_charge": 387.0, "npi": [1689884645, 1043577927, 1780262378, 1639432651, 1053814830, 1730760687, 1285253039, 1912536046, 1871237776, 1952763443, 1154852564, 1245334580, 1285020727, 1730569336, 1902433626, 1750777819, 1952737181, 1992332670]}]}, {"allowed_amount": 167.74, "billing_code_modifier": ["SA"], "providers": [{"billed_charge": 387.0, "npi": [1063858033]}]}, {"allowed_amount": 197.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 387.0, "npi": [1528265485, 1063875342, 1700107802, 1619152667, 1538448287, 1528283553, 1356636708, 1093005993, 1649531435, 1043773740, 1821418674, 1851498687, 1245761089, 1235758277, 1417418716, 1770740839, 1063858033, 1073758967, 1689931388, 1629231998]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.94, "providers": [{"billed_charge": 469.0, "npi": [1467623637, 1336954981]}]}, {"allowed_amount": 281.08, "providers": [{"billed_charge": 469.0, "npi": [1952062028]}]}]}, {"tin": {"type": "ein", "value": "756064033"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.83, "providers": [{"billed_charge": 228.0, "npi": [1215498324]}]}]}, {"tin": {"type": "ein", "value": "760151142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.09, "providers": [{"billed_charge": 314.16, "npi": [1013398940]}]}, {"allowed_amount": 131.57, "providers": [{"billed_charge": 314.16, "npi": [1700229234]}]}]}, {"tin": {"type": "ein", "value": "760259707"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.57, "providers": [{"billed_charge": 150.0, "npi": [1245239177]}]}]}, {"tin": {"type": "ein", "value": "760420935"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.29, "providers": [{"billed_charge": 210.0, "npi": [1629043500]}]}]}, {"tin": {"type": "ein", "value": "760567380"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.24, "providers": [{"billed_charge": 265.0, "npi": [1184076911]}]}]}, {"tin": {"type": "ein", "value": "760678866"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.29, "providers": [{"billed_charge": 250.0, "npi": [1275738858]}]}]}, {"tin": {"type": "ein", "value": "760700653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.47, "providers": [{"billed_charge": 140.66, "npi": [1912957879]}]}]}, {"tin": {"type": "ein", "value": "800245215"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.13, "providers": [{"billed_charge": 225.0, "npi": [1104856400]}]}]}, {"tin": {"type": "ein", "value": "810584868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.69, "providers": [{"billed_charge": 200.0, "npi": [1306406475, 1942944558]}]}]}, {"tin": {"type": "ein", "value": "810609941"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.34, "providers": [{"billed_charge": 270.0, "npi": [1568470649]}]}]}, {"tin": {"type": "ein", "value": "810610078"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.69, "providers": [{"billed_charge": 270.0, "npi": [1669480828]}]}]}, {"tin": {"type": "ein", "value": "811267489"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.93, "providers": [{"billed_charge": 160.0, "npi": [1356508501]}]}]}, {"tin": {"type": "ein", "value": "811380760"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.47, "providers": [{"billed_charge": 321.0, "npi": [1124226899]}]}]}, {"tin": {"type": "ein", "value": "811453555"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.69, "providers": [{"billed_charge": 204.0, "npi": [1730509472]}]}, {"allowed_amount": 197.34, "providers": [{"billed_charge": 204.0, "npi": [1730509472]}]}]}, {"tin": {"type": "ein", "value": "812073506"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.24, "providers": [{"billed_charge": 211.0, "npi": [1932162252]}]}]}, {"tin": {"type": "ein", "value": "812792506"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.69, "providers": [{"billed_charge": 227.0, "npi": [1427251107]}]}]}, {"tin": {"type": "ein", "value": "812877476"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.34, "providers": [{"billed_charge": 182.0, "npi": [1588008767]}]}]}, {"tin": {"type": "ein", "value": "813081687"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.34, "providers": [{"billed_charge": 279.53, "npi": [1720424542]}]}]}, {"tin": {"type": "ein", "value": "813226324"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.76, "providers": [{"billed_charge": 170.0, "npi": [1003134479]}]}]}, {"tin": {"type": "ein", "value": "814379788"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.45, "providers": [{"billed_charge": 190.0, "npi": [1922607563]}]}]}, {"tin": {"type": "ein", "value": "814555387"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.24, "providers": [{"billed_charge": 148.21, "npi": [1770723587]}]}]}, {"tin": {"type": "ein", "value": "814666580"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.47, "providers": [{"billed_charge": 200.0, "npi": [1316352735]}]}]}, {"tin": {"type": "ein", "value": "820669611"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 328.35, "npi": [1912024100]}]}, {"allowed_amount": 142.76, "providers": [{"billed_charge": 328.35, "npi": [1780951970]}]}, {"allowed_amount": 197.34, "providers": [{"billed_charge": 328.35, "npi": [1780951970]}]}]}, {"tin": {"type": "ein", "value": "820977099"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 106.65, "providers": [{"billed_charge": 230.0, "npi": [1346655669]}]}]}, {"tin": {"type": "ein", "value": "822767201"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 293.64, "providers": [{"billed_charge": 1900.0, "npi": [1801139423]}]}]}, {"tin": {"type": "ein", "value": "823231794"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.13, "providers": [{"billed_charge": 223.62, "npi": [1659674760, 1639165749]}]}]}, {"tin": {"type": "ein", "value": "823240262"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 163.7, "providers": [{"billed_charge": 335.0, "npi": [1851993265, 1790497402, 1114429982, 1205137007]}, {"billed_charge": 450.0, "npi": [1851993265, 1790497402, 1114429982, 1205137007]}]}, {"allowed_amount": 244.21, "providers": [{"billed_charge": 335.0, "npi": [1720315237]}, {"billed_charge": 450.0, "npi": [1720315237]}]}]}, {"tin": {"type": "ein", "value": "823274313"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.54, "providers": [{"billed_charge": 200.0, "npi": [1184887176]}]}, {"allowed_amount": 194.69, "providers": [{"billed_charge": 200.0, "npi": [1184887176]}]}]}, {"tin": {"type": "ein", "value": "830854228"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.79, "providers": [{"billed_charge": 308.0, "npi": [1134616253]}]}]}, {"tin": {"type": "ein", "value": "831325073"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.47, "providers": [{"billed_charge": 400.0, "npi": [1003257999]}]}, {"allowed_amount": 131.57, "providers": [{"billed_charge": 400.0, "npi": [1689768277]}]}]}, {"tin": {"type": "ein", "value": "831623572"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.54, "providers": [{"billed_charge": 309.0, "npi": [1548527815]}]}]}, {"tin": {"type": "ein", "value": "832802070"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 214.4, "npi": [1740512649]}]}]}, {"tin": {"type": "ein", "value": "832996987"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.47, "providers": [{"billed_charge": 237.0, "npi": [1093178766]}]}, {"allowed_amount": 170.16, "providers": [{"billed_charge": 237.0, "npi": [1093178766]}]}]}, {"tin": {"type": "ein", "value": "833838272"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.92, "providers": [{"billed_charge": 268.0, "npi": [1124285697, 1720256274]}]}, {"allowed_amount": 125.24, "providers": [{"billed_charge": 268.0, "npi": [1790133049]}]}]}, {"tin": {"type": "ein", "value": "834460864"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.6, "providers": [{"billed_charge": 190.0, "npi": [1669655817]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 174.72, "providers": [{"billed_charge": 270.0, "npi": [1205248937]}]}]}, {"tin": {"type": "ein", "value": "842528165"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.06, "providers": [{"billed_charge": 402.71, "npi": [1932116902]}]}]}, {"tin": {"type": "ein", "value": "843432779"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.81, "providers": [{"billed_charge": 185.0, "npi": [1245437425]}]}]}, {"tin": {"type": "ein", "value": "850510497"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.06, "providers": [{"billed_charge": 115.06, "npi": [1205130853]}]}]}, {"tin": {"type": "ein", "value": "851182792"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.4, "providers": [{"billed_charge": 225.0, "npi": [1841633153]}]}]}, {"tin": {"type": "ein", "value": "851295435"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.81, "providers": [{"billed_charge": 153.0, "npi": [1326427790]}]}, {"allowed_amount": 142.07, "providers": [{"billed_charge": 153.0, "npi": [1093942435]}]}]}, {"tin": {"type": "ein", "value": "851467529"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 118.32, "providers": [{"billed_charge": 300.0, "npi": [1659686947]}]}]}, {"tin": {"type": "ein", "value": "852136296"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.69, "providers": [{"billed_charge": 350.0, "npi": [1164717401]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.34, "providers": [{"billed_charge": 320.0, "npi": [1356683189]}]}]}, {"tin": {"type": "ein", "value": "853319668"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.13, "providers": [{"billed_charge": 496.0, "npi": [1730523424]}]}, {"allowed_amount": 153.65, "providers": [{"billed_charge": 496.0, "npi": [1275744526]}]}, {"allowed_amount": 163.7, "providers": [{"billed_charge": 496.0, "npi": [1871135301]}]}, {"allowed_amount": 210.48, "providers": [{"billed_charge": 496.0, "npi": [1205027497, 1205129673, 1073969903]}]}]}, {"tin": {"type": "ein", "value": "853804440"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 125.0, "npi": [1386077378, 1164865762, 1689162570, 1508677675, 1558762666, 1023096237, 1518352780, 1194974063, 1912260464, 1154602514, 1225442387, 1356577076, 1932595964]}]}]}, {"tin": {"type": "ein", "value": "862299338"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.54, "providers": [{"billed_charge": 3000.0, "npi": [1134274368, 1558417147, 1932206679]}]}]}, {"tin": {"type": "ein", "value": "862932341"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.81, "providers": [{"billed_charge": 492.8, "npi": [1407471154]}]}, {"allowed_amount": 126.29, "providers": [{"billed_charge": 492.8, "npi": [1669577326]}]}]}, {"tin": {"type": "ein", "value": "864001978"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.76, "providers": [{"billed_charge": 307.35, "npi": [1881914349, 1417150509, 1467570895]}]}, {"allowed_amount": 280.73, "providers": [{"billed_charge": 307.35, "npi": [1346818861]}]}]}, {"tin": {"type": "ein", "value": "870837459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 159.0, "npi": [1043444789]}]}]}, {"tin": {"type": "ein", "value": "871692562"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.24, "providers": [{"billed_charge": 288.0, "npi": [1700883196]}]}]}, {"tin": {"type": "ein", "value": "873385999"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1811534902]}]}]}, {"tin": {"type": "ein", "value": "880847644"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.76, "providers": [{"billed_charge": 266.0, "npi": [1861888109]}]}]}, {"tin": {"type": "ein", "value": "880900432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.18, "providers": [{"billed_charge": 572.0, "npi": [1194018812]}]}, {"allowed_amount": 142.07, "providers": [{"billed_charge": 572.0, "npi": [1457587156]}]}, {"allowed_amount": 210.48, "providers": [{"billed_charge": 572.0, "npi": [1609301670, 1518935055]}]}]}, {"tin": {"type": "ein", "value": "881328888"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.4, "providers": [{"billed_charge": 125.0, "npi": [1295113702]}]}]}, {"tin": {"type": "ein", "value": "882064487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.24, "providers": [{"billed_charge": 270.0, "npi": [1437531126]}]}]}, {"tin": {"type": "ein", "value": "882982605"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.89, "providers": [{"billed_charge": 313.0, "npi": [1912147927]}]}]}, {"tin": {"type": "ein", "value": "900624186"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.92, "providers": [{"billed_charge": 200.0, "npi": [1497741037]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 142.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1900.0, "npi": [1184916546, 1770798563, 1275598393, 1972578714, 1144807322]}]}, {"allowed_amount": 287.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1900.0, "npi": [1275598393, 1144807322, 1184916546, 1972578714]}]}]}, {"tin": {"type": "ein", "value": "922342411"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.45, "providers": [{"billed_charge": 232.44, "npi": [1902419294]}]}]}, {"tin": {"type": "ein", "value": "923067207"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.07, "providers": [{"billed_charge": 286.75, "npi": [1477083798]}]}, {"allowed_amount": 191.54, "providers": [{"billed_charge": 286.75, "npi": [1679953376, 1720405038]}]}]}, {"tin": {"type": "ein", "value": "930602940"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 170.12, "providers": [{"billed_charge": 428.0, "npi": [1760878243, 1265994958]}]}]}, {"tin": {"type": "ein", "value": "931399901"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.47, "providers": [{"billed_charge": 209.14, "npi": [1760182943]}]}]}, {"tin": {"type": "ein", "value": "931441045"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.34, "providers": [{"billed_charge": 200.0, "npi": [1902057383]}]}]}, {"tin": {"type": "ein", "value": "931769486"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.34, "providers": [{"billed_charge": 270.0, "npi": [1205285053]}]}]}, {"tin": {"type": "ein", "value": "932683132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.54, "providers": [{"billed_charge": 727.0, "npi": [1861637597]}]}]}, {"tin": {"type": "ein", "value": "933064316"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 117.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 328.35, "npi": [1952899767]}]}, {"allowed_amount": 129.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 328.35, "npi": [1952899767]}]}]}, {"tin": {"type": "ein", "value": "933095141"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.13, "providers": [{"billed_charge": 727.0, "npi": [1881957488]}]}, {"allowed_amount": 163.7, "providers": [{"billed_charge": 727.0, "npi": [1619479607]}]}, {"allowed_amount": 191.54, "providers": [{"billed_charge": 727.0, "npi": [1700084191, 1033419551, 1093756439, 1558622522, 1154852861, 1659574911]}]}]}, {"tin": {"type": "ein", "value": "933165177"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.69, "providers": [{"billed_charge": 727.0, "npi": [1538396858]}]}]}, {"tin": {"type": "ein", "value": "933228782"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 191.54, "providers": [{"billed_charge": 727.0, "npi": [1700374733]}]}]}, {"tin": {"type": "ein", "value": "933339267"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.54, "providers": [{"billed_charge": 295.0, "npi": [1740501154]}]}]}, {"tin": {"type": "ein", "value": "934473770"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 215.0, "npi": [1740665553, 1932762093]}]}]}, {"tin": {"type": "ein", "value": "934885408"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.34, "providers": [{"billed_charge": 400.0, "npi": [1780947135, 1982951711]}]}]}, {"tin": {"type": "ein", "value": "934915781"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 130.47, "providers": [{"billed_charge": 220.0, "npi": [1932339371]}]}]}, {"tin": {"type": "ein", "value": "990512892"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.47, "providers": [{"billed_charge": 242.0, "npi": [1104142736, 1336555390]}]}]}, {"tin": {"type": "ein", "value": "991775941"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.34, "providers": [{"billed_charge": 214.4, "npi": [1720237498]}]}]}, {"tin": {"type": "ein", "value": "993891552"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.47, "providers": [{"billed_charge": 300.0, "npi": [1053774844]}]}]}, {"tin": {"type": "ein", "value": "993954355"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.24, "providers": [{"billed_charge": 224.0, "npi": [1063410777]}]}, {"allowed_amount": 132.6, "providers": [{"billed_charge": 224.0, "npi": [1063410777]}]}]}]}, {"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": "010839544"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 122.0, "providers": [{"billed_charge": 122.0, "npi": [1700857927]}]}]}, {"tin": {"type": "ein", "value": "030562624"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.29, "providers": [{"billed_charge": 100.0, "npi": [1528168051]}]}, {"allowed_amount": 86.05, "providers": [{"billed_charge": 100.0, "npi": [1952621294]}]}]}, {"tin": {"type": "ein", "value": "030571183"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.01, "providers": [{"billed_charge": 180.0, "npi": [1407351760]}]}]}, {"tin": {"type": "ein", "value": "075641857"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.35, "providers": [{"billed_charge": 108.0, "npi": [1821238726]}]}]}, {"tin": {"type": "ein", "value": "200445029"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.17, "providers": [{"billed_charge": 106.92, "npi": [1992843163]}]}]}, {"tin": {"type": "ein", "value": "200474854"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 144.68, "providers": [{"billed_charge": 150.0, "npi": [1689800203, 1033748298, 1164481875]}]}]}, {"tin": {"type": "ein", "value": "201134816"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.35, "providers": [{"billed_charge": 176.0, "npi": [1982863056]}]}]}, {"tin": {"type": "ein", "value": "201195084"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.48, "providers": [{"billed_charge": 90.0, "npi": [1821045600]}]}]}, {"tin": {"type": "ein", "value": "201492393"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.39, "providers": [{"billed_charge": 128.92, "npi": [1558330498]}]}]}, {"tin": {"type": "ein", "value": "201790156"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "providers": [{"billed_charge": 160.0, "npi": [1326069139]}]}]}, {"tin": {"type": "ein", "value": "202396203"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "providers": [{"billed_charge": 250.0, "npi": [1861474595]}]}]}, {"tin": {"type": "ein", "value": "202798379"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.77, "providers": [{"billed_charge": 216.93, "npi": [1295957710]}, {"billed_charge": 236.52, "npi": [1093212821]}]}, {"allowed_amount": 90.39, "providers": [{"billed_charge": 216.93, "npi": [1831519511]}]}]}, {"tin": {"type": "ein", "value": "203542589"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.16, "providers": [{"billed_charge": 500.0, "npi": [1164684908]}]}, {"allowed_amount": 97.17, "providers": [{"billed_charge": 500.0, "npi": [1841400520]}]}]}, {"tin": {"type": "ein", "value": "203852104"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.71, "providers": [{"billed_charge": 125.0, "npi": [1508800251]}]}]}, {"tin": {"type": "ein", "value": "204871619"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.33, "providers": [{"billed_charge": 141.0, "npi": [1972569895]}]}]}, {"tin": {"type": "ein", "value": "205083220"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.16, "providers": [{"billed_charge": 180.0, "npi": [1114487485]}]}]}, {"tin": {"type": "ein", "value": "205146786"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.6, "providers": [{"billed_charge": 216.93, "npi": [1750450342]}]}, {"allowed_amount": 83.29, "providers": [{"billed_charge": 236.52, "npi": [1790936144]}]}, {"allowed_amount": 86.05, "providers": [{"billed_charge": 216.93, "npi": [1104846922, 1053406546]}]}]}, {"tin": {"type": "ein", "value": "208768035"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 77.99, "providers": [{"billed_charge": 168.99, "npi": [1235100462]}]}]}, {"tin": {"type": "ein", "value": "223376459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.8, "providers": [{"billed_charge": 250.0, "npi": [1689182867]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.8, "providers": [{"billed_charge": 187.0, "npi": [1518743871]}]}, {"allowed_amount": 126.54, "providers": [{"billed_charge": 187.0, "npi": [1467814103]}]}]}, {"tin": {"type": "ein", "value": "261104730"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.93, "providers": [{"billed_charge": 150.0, "npi": [1578594024]}]}]}, {"tin": {"type": "ein", "value": "261874435"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.41, "providers": [{"billed_charge": 193.0, "npi": [1316931140]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 69.41, "providers": [{"billed_charge": 160.0, "npi": [1861429755]}]}, {"allowed_amount": 80.24, "providers": [{"billed_charge": 160.0, "npi": [1841923240]}]}, {"allowed_amount": 90.23, "providers": [{"billed_charge": 160.0, "npi": [1124131818]}]}, {"allowed_amount": 94.4, "providers": [{"billed_charge": 398.0, "npi": [1356495493]}]}, {"allowed_amount": 103.42, "providers": [{"billed_charge": 160.0, "npi": [1336672914]}]}, {"allowed_amount": 107.97, "providers": [{"billed_charge": 160.0, "npi": [1679148241, 1316735533]}]}, {"allowed_amount": 126.33, "providers": [{"billed_charge": 160.0, "npi": [1164646394]}]}, {"allowed_amount": 135.35, "providers": [{"billed_charge": 160.0, "npi": [1457435331, 1538239439]}]}, {"allowed_amount": 138.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 160.0, "npi": [1295085892, 1760979975, 1356751986, 1134266810, 1447795646]}, {"billed_charge": 398.0, "npi": [1518942085]}]}, {"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1790598316, 1760114540, 1649527334]}]}]}, {"tin": {"type": "ein", "value": "263990588"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.38, "providers": [{"billed_charge": 89.0, "npi": [1275915282]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.33, "providers": [{"billed_charge": 221.0, "npi": [1457104309]}]}, {"allowed_amount": 77.99, "providers": [{"billed_charge": 221.0, "npi": [1275850497]}]}, {"allowed_amount": 86.76, "providers": [{"billed_charge": 216.0, "npi": [1184858797]}]}, {"allowed_amount": 92.17, "providers": [{"billed_charge": 221.0, "npi": [1134507387, 1386063030]}]}, {"allowed_amount": 94.4, "providers": [{"billed_charge": 216.0, "npi": [1619233558]}]}, {"allowed_amount": 103.51, "providers": [{"billed_charge": 221.0, "npi": [1073756888, 1073134235, 1467406967]}]}, {"allowed_amount": 109.68, "providers": [{"billed_charge": 221.0, "npi": [1861579492]}]}, {"allowed_amount": 158.71, "providers": [{"billed_charge": 216.0, "npi": [1548838683]}]}]}, {"tin": {"type": "ein", "value": "270535750"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.24, "providers": [{"billed_charge": 3100.0, "npi": [1083753677]}, {"billed_charge": 5100.0, "npi": [1083753677]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 104.12, "providers": [{"billed_charge": 122.0, "npi": [1689963910]}]}]}, {"tin": {"type": "ein", "value": "270839735"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.69, "providers": [{"billed_charge": 146.0, "npi": [1730766809, 1609485267]}]}]}, {"tin": {"type": "ein", "value": "271112439"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.34, "providers": [{"billed_charge": 219.84, "npi": [1548223324]}]}]}, {"tin": {"type": "ein", "value": "271283341"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.33, "providers": [{"billed_charge": 393.0, "npi": [1932458080]}]}]}, {"tin": {"type": "ein", "value": "271368002"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.41, "providers": [{"billed_charge": 325.0, "npi": [1306048277]}]}]}, {"tin": {"type": "ein", "value": "271463889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.69, "providers": [{"billed_charge": 245.0, "npi": [1912096694]}]}]}, {"tin": {"type": "ein", "value": "272481555"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.46, "providers": [{"billed_charge": 133.0, "npi": [1730618158]}]}]}, {"tin": {"type": "ein", "value": "272634334"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 79.38, "providers": [{"billed_charge": 150.0, "npi": [1770933434]}]}]}, {"tin": {"type": "ein", "value": "272713767"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 126.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 160.0, "npi": [1407233349]}]}, {"allowed_amount": 138.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 160.0, "npi": [1548377088, 1700318599, 1912430216, 1982920971, 1336533397, 1225139736, 1285997338, 1609837988, 1407217318, 1023089703, 1245262377, 1861528234, 1396774063, 1700317120, 1639526338, 1326071622, 1821183559, 1700885324, 1528325339, 1689933673, 1205181674, 1225037930, 1164421871, 1972890994, 1700857471]}]}]}, {"tin": {"type": "ein", "value": "272936559"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 88.52, "providers": [{"billed_charge": 155.0, "npi": [1396934113]}]}]}, {"tin": {"type": "ein", "value": "273378639"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.11, "providers": [{"billed_charge": 150.0, "npi": [1982870416]}]}]}, {"tin": {"type": "ein", "value": "273705652"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.38, "providers": [{"billed_charge": 140.0, "npi": [1215366562]}, {"billed_charge": 150.0, "npi": [1215366562]}]}, {"allowed_amount": 107.97, "providers": [{"billed_charge": 140.0, "npi": [1194452417]}]}, {"allowed_amount": 138.82, "providers": [{"billed_charge": 140.0, "npi": [1003801119]}]}]}, {"tin": {"type": "ein", "value": "274081147"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.65, "providers": [{"billed_charge": 115.0, "npi": [1598307522]}]}, {"allowed_amount": 79.82, "providers": [{"billed_charge": 115.0, "npi": [1700078706]}]}]}, {"tin": {"type": "ein", "value": "274104074"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.65, "providers": [{"billed_charge": 232.0, "npi": [1568814416]}]}]}, {"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.48, "providers": [{"billed_charge": 200.0, "npi": [1306352455, 1871561993, 1720274228, 1255569588, 1124424155, 1679679773, 1720474174]}]}, {"allowed_amount": 85.08, "providers": [{"billed_charge": 200.0, "npi": [1568951879]}]}, {"allowed_amount": 109.68, "providers": [{"billed_charge": 200.0, "npi": [1295125565]}]}, {"allowed_amount": 138.82, "providers": [{"billed_charge": 200.0, "npi": [1952442808, 1225263429, 1083612758]}]}]}, {"tin": {"type": "ein", "value": "274376413"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.0, "providers": [{"billed_charge": 136.0, "npi": [1427053669]}]}]}, {"tin": {"type": "ein", "value": "274428766"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.4, "providers": [{"billed_charge": 157.0, "npi": [1407936024]}]}]}, {"tin": {"type": "ein", "value": "300038860"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.6, "providers": [{"billed_charge": 158.0, "npi": [1477767226]}]}]}, {"tin": {"type": "ein", "value": "300422715"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.4, "providers": [{"billed_charge": 177.0, "npi": [1932137882]}]}]}, {"tin": {"type": "ein", "value": "300520570"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 79.82, "providers": [{"billed_charge": 158.0, "npi": [1295176253]}]}, {"allowed_amount": 82.6, "providers": [{"billed_charge": 158.0, "npi": [1891286381, 1912492943]}]}, {"allowed_amount": 83.29, "providers": [{"billed_charge": 158.0, "npi": [1215349436]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.88, "providers": [{"billed_charge": 199.0, "npi": [1184873234]}]}, {"allowed_amount": 82.6, "providers": [{"billed_charge": 199.0, "npi": [1023543170, 1699234567]}]}, {"allowed_amount": 82.98, "providers": [{"billed_charge": 170.0, "npi": [1255834552]}]}, {"allowed_amount": 86.05, "providers": [{"billed_charge": 199.0, "npi": [1356652994]}]}, {"allowed_amount": 86.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 199.0, "npi": [1710369129]}]}]}, {"tin": {"type": "ein", "value": "311756818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.77, "providers": [{"billed_charge": 212.0, "npi": [1306465018]}]}]}, {"tin": {"type": "ein", "value": "320612926"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 189.49, "providers": [{"billed_charge": 1520.0, "npi": [1174579593]}]}]}, {"tin": {"type": "ein", "value": "331068598"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 82.98, "providers": [{"billed_charge": 125.0, "npi": [1992415129]}]}]}, {"tin": {"type": "ein", "value": "332167145"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.0, "providers": [{"billed_charge": 113.0, "npi": [1720425242, 1184009573]}]}]}, {"tin": {"type": "ein", "value": "332241086"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.76, "providers": [{"billed_charge": 211.0, "npi": [1710532650]}]}, {"allowed_amount": 79.82, "providers": [{"billed_charge": 211.0, "npi": [1790169373]}]}, {"allowed_amount": 83.16, "providers": [{"billed_charge": 158.0, "npi": [1700078706]}]}, {"allowed_amount": 83.29, "providers": [{"billed_charge": 211.0, "npi": [1407176274, 1346583028]}]}, {"allowed_amount": 86.77, "providers": [{"billed_charge": 150.0, "npi": [1700311594]}]}]}, {"tin": {"type": "ein", "value": "334600878"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.46, "providers": [{"billed_charge": 140.66, "npi": [1669856670]}]}]}, {"tin": {"type": "ein", "value": "334634610"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.33, "providers": [{"billed_charge": 157.0, "npi": [1730573536]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.32, "providers": [{"billed_charge": 180.0, "npi": [1508253600]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 75.87, "providers": [{"billed_charge": 140.5, "npi": [1093707887]}]}, {"allowed_amount": 78.68, "providers": [{"billed_charge": 140.5, "npi": [1740433226]}]}, {"allowed_amount": 88.52, "providers": [{"billed_charge": 140.5, "npi": [1588018535]}]}, {"allowed_amount": 94.14, "providers": [{"billed_charge": 140.5, "npi": [1811428907, 1982639860, 1578144895]}, {"billed_charge": 156.08, "npi": [1609809185]}]}, {"allowed_amount": 129.96, "providers": [{"billed_charge": 140.5, "npi": [1265896146]}]}]}, {"tin": {"type": "ein", "value": "352527258"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 234.74, "providers": [{"billed_charge": 234.74, "npi": [1134745698]}]}]}, {"tin": {"type": "ein", "value": "371714382"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.77, "providers": [{"billed_charge": 175.45, "npi": [1245200393]}]}]}, {"tin": {"type": "ein", "value": "371737462"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.29, "providers": [{"billed_charge": 190.0, "npi": [1538233200]}]}]}, {"tin": {"type": "ein", "value": "392523661"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 113.0, "providers": [{"billed_charge": 113.0, "npi": [1043005788]}]}]}, {"tin": {"type": "ein", "value": "392531485"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.35, "providers": [{"billed_charge": 155.0, "npi": [1396329231]}]}]}, {"tin": {"type": "ein", "value": "393414517"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.41, "providers": [{"billed_charge": 504.0, "npi": [1326202169, 1871880823, 1225440399]}]}, {"allowed_amount": 74.34, "providers": [{"billed_charge": 504.0, "npi": [1992382717]}]}, {"allowed_amount": 87.46, "providers": [{"billed_charge": 504.0, "npi": [1588227680, 1790361665, 1245868637, 1619592904, 1376757609, 1679950448, 1588003792, 1093911091, 1427574813, 1912468158]}]}]}, {"tin": {"type": "ein", "value": "421411630"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 119.12, "providers": [{"billed_charge": 182.0, "npi": [1760833107]}]}]}, {"tin": {"type": "ein", "value": "421651562"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.77, "providers": [{"billed_charge": 100.0, "npi": [1477604668]}]}]}, {"tin": {"type": "ein", "value": "421733646"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "providers": [{"billed_charge": 90.0, "npi": [1609845577]}]}]}, {"tin": {"type": "ein", "value": "450675246"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "providers": [{"billed_charge": 300.0, "npi": [1669423067]}]}]}, {"tin": {"type": "ein", "value": "452654166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.46, "providers": [{"billed_charge": 192.0, "npi": [1629654470]}]}]}, {"tin": {"type": "ein", "value": "453791914"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.6, "providers": [{"billed_charge": 150.0, "npi": [1063177343]}]}, {"allowed_amount": 83.69, "providers": [{"billed_charge": 150.0, "npi": [1063177343]}]}]}, {"tin": {"type": "ein", "value": "454656734"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 160.0, "npi": [1538274824, 1487929584]}]}]}, {"tin": {"type": "ein", "value": "455388396"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.76, "providers": [{"billed_charge": 158.04, "npi": [1275540700]}]}]}, {"tin": {"type": "ein", "value": "460792526"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.0, "providers": [{"billed_charge": 120.0, "npi": [1225103872]}]}]}, {"tin": {"type": "ein", "value": "460796181"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.6, "providers": [{"billed_charge": 216.93, "npi": [1174028039]}]}]}, {"tin": {"type": "ein", "value": "460796934"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.41, "providers": [{"billed_charge": 143.0, "npi": [1972921583]}]}]}, {"tin": {"type": "ein", "value": "461237055"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.82, "providers": [{"billed_charge": 148.4, "npi": [1538153150]}]}]}, {"tin": {"type": "ein", "value": "461796402"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.01, "providers": [{"billed_charge": 153.54, "npi": [1568803567]}]}]}, {"tin": {"type": "ein", "value": "462260327"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.49, "providers": [{"billed_charge": 120.0, "npi": [1578505772]}]}]}, {"tin": {"type": "ein", "value": "462354804"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.0, "providers": [{"billed_charge": 240.0, "npi": [1598962490]}]}]}, {"tin": {"type": "ein", "value": "462604452"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "providers": [{"billed_charge": 150.0, "npi": [1316188519]}]}]}, {"tin": {"type": "ein", "value": "462978550"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.69, "providers": [{"billed_charge": 100.0, "npi": [1467003855]}]}]}, {"tin": {"type": "ein", "value": "463175783"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.97, "providers": [{"billed_charge": 296.81, "npi": [1114233152, 1043720915, 1952784597, 1174094486, 1205553815, 1770332439]}]}]}, {"tin": {"type": "ein", "value": "463189636"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.97, "providers": [{"billed_charge": 152.0, "npi": [1639452931]}]}, {"allowed_amount": 138.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 152.0, "npi": [1831308725]}]}]}, {"tin": {"type": "ein", "value": "463457611"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 82.6, "providers": [{"billed_charge": 113.0, "npi": [1578049565]}]}]}, {"tin": {"type": "ein", "value": "463696501"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.69, "providers": [{"billed_charge": 167.0, "npi": [1174352371]}]}, {"allowed_amount": 84.3, "providers": [{"billed_charge": 135.0, "npi": [1225037641]}]}, {"allowed_amount": 94.95, "providers": [{"billed_charge": 167.0, "npi": [1215089891]}]}]}, {"tin": {"type": "ein", "value": "464409373"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 74.92, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 74.92, "npi": [1336320506]}]}]}, {"tin": {"type": "ein", "value": "464534404"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1366864951]}]}]}, {"tin": {"type": "ein", "value": "465716033"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 77.99, "providers": [{"billed_charge": 168.99, "npi": [1841501004]}]}]}, {"tin": {"type": "ein", "value": "471071256"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.33, "providers": [{"billed_charge": 141.0, "npi": [1962496620]}]}]}, {"tin": {"type": "ein", "value": "472354281"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "providers": [{"billed_charge": 206.0, "npi": [1376779140]}]}]}, {"tin": {"type": "ein", "value": "472459031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.88, "providers": [{"billed_charge": 158.0, "npi": [1235374224]}]}]}, {"tin": {"type": "ein", "value": "472815347"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.0, "providers": [{"billed_charge": 130.0, "npi": [1699784819]}]}]}, {"tin": {"type": "ein", "value": "472932603"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.3, "providers": [{"billed_charge": 103.0, "npi": [1114998176]}]}]}, {"tin": {"type": "ein", "value": "473312833"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.69, "providers": [{"billed_charge": 220.95, "npi": [1770249609, 1861979916]}]}, {"allowed_amount": 130.11, "providers": [{"billed_charge": 220.95, "npi": [1124445259]}]}]}, {"tin": {"type": "ein", "value": "473591410"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.11, "providers": [{"billed_charge": 141.36, "npi": [1154353696]}]}]}, {"tin": {"type": "ein", "value": "473653239"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.7, "providers": [{"billed_charge": 186.0, "npi": [1326275744]}]}]}, {"tin": {"type": "ein", "value": "474038606"}, "billing_class": "professional", "service_codes": ["51", "61"], "payments": [{"allowed_amount": 105.0, "providers": [{"billed_charge": 105.0, "npi": [1548023864, 1174574842]}]}]}, {"tin": {"type": "ein", "value": "474622925"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.41, "providers": [{"billed_charge": 180.0, "npi": [1780635599]}]}]}, {"tin": {"type": "ein", "value": "475300786"}, "billing_class": "professional", "service_codes": ["21", "61"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1063648277, 1710281027, 1831885565, 1184729030]}]}]}, {"tin": {"type": "ein", "value": "475401520"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.6, "providers": [{"billed_charge": 180.0, "npi": [1649512591]}]}, {"allowed_amount": 85.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1225259435]}]}, {"allowed_amount": 128.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1225259435]}]}]}, {"tin": {"type": "ein", "value": "475510475"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 71.49, "providers": [{"billed_charge": 215.0, "npi": [1821086471]}]}, {"allowed_amount": 76.35, "providers": [{"billed_charge": 215.0, "npi": [1053997874, 1457627366, 1821086471]}]}, {"allowed_amount": 128.41, "providers": [{"billed_charge": 215.0, "npi": [1700407301]}]}]}, {"tin": {"type": "ein", "value": "510602325"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1720068174]}]}]}, {"tin": {"type": "ein", "value": "521467441"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.4, "providers": [{"billed_charge": 176.0, "npi": [1831779677]}]}]}, {"tin": {"type": "ein", "value": "525637469"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.62, "providers": [{"billed_charge": 239.0, "npi": [1033234372]}]}]}, {"tin": {"type": "ein", "value": "550832571"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.49, "providers": [{"billed_charge": 100.0, "npi": [1689658833]}]}]}, {"tin": {"type": "ein", "value": "562466775"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.46, "providers": [{"billed_charge": 102.0, "npi": [1962484378]}]}]}, {"tin": {"type": "ein", "value": "571220779"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.25, "providers": [{"billed_charge": 500.0, "npi": [1659193407]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.55, "providers": [{"billed_charge": 308.0, "npi": [1316574593]}]}]}, {"tin": {"type": "ein", "value": "582603948"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 127.54, "providers": [{"billed_charge": 150.0, "npi": [1013065580]}]}]}, {"tin": {"type": "ein", "value": "593114490"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 61.12, "providers": [{"billed_charge": 130.0, "npi": [1487229449, 1215475157, 1790401479]}]}]}, {"tin": {"type": "ein", "value": "593647972"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.31, "providers": [{"billed_charge": 180.0, "npi": [1356752331, 1851354484]}]}]}, {"tin": {"type": "ein", "value": "611519241"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 165.0, "npi": [1285277558]}]}]}, {"tin": {"type": "ein", "value": "611744250"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.48, "providers": [{"billed_charge": 200.0, "npi": [1316937022]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.9, "providers": [{"billed_charge": 200.0, "npi": [1578903381]}]}]}, {"tin": {"type": "ein", "value": "720423889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.71, "providers": [{"billed_charge": 158.0, "npi": [1114511961]}]}, {"allowed_amount": 113.77, "providers": [{"billed_charge": 158.0, "npi": [1275273682, 1306586334]}]}]}, {"tin": {"type": "ein", "value": "721304948"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.77, "providers": [{"billed_charge": 162.0, "npi": [1932120953, 1609899525]}]}]}, {"tin": {"type": "ein", "value": "721470434"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1871552133]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "61"], "payments": [{"allowed_amount": 13.88, "providers": [{"billed_charge": 187.0, "npi": [1356636559]}]}, {"allowed_amount": 69.41, "providers": [{"billed_charge": 187.0, "npi": [1740480128, 1649295858, 1538622568, 1174977078]}]}, {"allowed_amount": 71.49, "providers": [{"billed_charge": 187.0, "npi": [1841495637]}]}, {"allowed_amount": 76.35, "providers": [{"billed_charge": 187.0, "npi": [1154732667]}]}, {"allowed_amount": 77.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 187.0, "npi": [1184762577, 1750907499, 1477180743]}]}, {"allowed_amount": 79.65, "providers": [{"billed_charge": 187.0, "npi": [1154681252]}]}, {"allowed_amount": 90.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 187.0, "npi": [1215905096, 1083648661]}]}, {"allowed_amount": 94.4, "providers": [{"billed_charge": 187.0, "npi": [1740397710]}]}, {"allowed_amount": 107.97, "providers": [{"billed_charge": 187.0, "npi": [1760953509, 1043543879, 1043708944, 1033636790, 1922889468]}]}, {"allowed_amount": 126.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 174.0, "npi": [1265182448, 1386743839]}, {"billed_charge": 187.0, "npi": [1942792197, 1033406731, 1356636559, 1467072017, 1245417237, 1538369434, 1265829147, 1386743839, 1457517088, 1942085923, 1235516329, 1457857708, 1407484082, 1467019067, 1487281606, 1477849800, 1134440530, 1730422486, 1487097689, 1285073122, 1043653348, 1235154154, 1467972208, 1265182448, 1063808244, 1679035893, 1275152886, 1346760956]}]}, {"allowed_amount": 138.82, "providers": [{"billed_charge": 187.0, "npi": [1134332422, 1932110731, 1194229419, 1932550670, 1801814355, 1538513692, 1033158365]}]}, {"allowed_amount": 161.07, "providers": [{"billed_charge": 187.0, "npi": [1336518356, 1598273781]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.93, "providers": [{"billed_charge": 199.0, "npi": [1700144391]}]}, {"allowed_amount": 86.05, "providers": [{"billed_charge": 199.0, "npi": [1780027136, 1316384225, 1104246669, 1073255758, 1386846863]}]}, {"allowed_amount": 90.39, "providers": [{"billed_charge": 199.0, "npi": [1144300575]}]}, {"allowed_amount": 108.47, "providers": [{"billed_charge": 199.0, "npi": [1205127305]}]}]}, {"tin": {"type": "ein", "value": "741850643"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.82, "providers": [{"billed_charge": 150.0, "npi": [1033596648]}]}]}, {"tin": {"type": "ein", "value": "741941710"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "providers": [{"billed_charge": 236.52, "npi": [1851747174]}]}]}, {"tin": {"type": "ein", "value": "742072186"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.33, "providers": [{"billed_charge": 216.0, "npi": [1750564068]}]}]}, {"tin": {"type": "ein", "value": "742297597"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.49, "providers": [{"billed_charge": 177.0, "npi": [1780681403]}]}]}, {"tin": {"type": "ein", "value": "742520049"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.41, "providers": [{"billed_charge": 220.0, "npi": [1790784692]}]}]}, {"tin": {"type": "ein", "value": "742576197"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.35, "providers": [{"billed_charge": 219.0, "npi": [1861495467]}]}]}, {"tin": {"type": "ein", "value": "742608688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.12, "providers": [{"billed_charge": 145.0, "npi": [1063437838]}]}]}, {"tin": {"type": "ein", "value": "742642200"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.0, "providers": [{"billed_charge": 110.0, "npi": [1528171451]}]}]}, {"tin": {"type": "ein", "value": "742800601"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.08, "providers": [{"billed_charge": 221.0, "npi": [1689890261, 1467026831]}]}]}, {"tin": {"type": "ein", "value": "742844785"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.4, "providers": [{"billed_charge": 174.0, "npi": [1083145494]}]}]}, {"tin": {"type": "ein", "value": "742895369"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.46, "providers": [{"billed_charge": 156.0, "npi": [1942464151]}]}]}, {"tin": {"type": "ein", "value": "742915297"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.17, "providers": [{"billed_charge": 208.23, "npi": [1316109648]}]}]}, {"tin": {"type": "ein", "value": "742929149"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.41, "providers": [{"billed_charge": 141.0, "npi": [1083616197]}]}]}, {"tin": {"type": "ein", "value": "742931655"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.35, "providers": [{"billed_charge": 150.0, "npi": [1730471251, 1790860757, 1922282847]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.33, "providers": [{"billed_charge": 221.34, "npi": [1922329408, 1003236548, 1124555792, 1386802833, 1184365009, 1497738298, 1477182780]}]}, {"allowed_amount": 135.35, "providers": [{"billed_charge": 221.34, "npi": [1245422419]}]}, {"allowed_amount": 463.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 463.5, "npi": [1821069170, 1710968516]}]}]}, {"tin": {"type": "ein", "value": "742932998"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.35, "providers": [{"billed_charge": 175.0, "npi": [1700992732]}]}]}, {"tin": {"type": "ein", "value": "742944052"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.97, "providers": [{"billed_charge": 149.84, "npi": [1912443193]}, {"billed_charge": 187.3, "npi": [1366896888]}]}, {"allowed_amount": 149.84, "providers": [{"billed_charge": 149.84, "npi": [1104208883]}]}, {"allowed_amount": 161.07, "providers": [{"billed_charge": 187.3, "npi": [1104208883]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.34, "providers": [{"billed_charge": 139.0, "npi": [1780681718, 1689902983]}]}, {"allowed_amount": 101.39, "providers": [{"billed_charge": 139.0, "npi": [1134431042]}]}, {"allowed_amount": 103.51, "providers": [{"billed_charge": 139.0, "npi": [1033231220, 1578859757]}]}]}, {"tin": {"type": "ein", "value": "742978480"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.99, "providers": [{"billed_charge": 165.0, "npi": [1558371559]}]}]}, {"tin": {"type": "ein", "value": "742981597"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.49, "providers": [{"billed_charge": 125.0, "npi": [1710901954]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 116.0, "npi": [1164919593, 1467077420, 1639720246]}]}, {"allowed_amount": 69.41, "providers": [{"billed_charge": 116.0, "npi": [1376076893]}]}, {"allowed_amount": 87.46, "providers": [{"billed_charge": 116.0, "npi": [1033438387]}]}, {"allowed_amount": 90.23, "providers": [{"billed_charge": 116.0, "npi": [1245437425]}]}, {"allowed_amount": 97.17, "providers": [{"billed_charge": 116.0, "npi": [1609873504]}]}, {"allowed_amount": 116.0, "providers": [{"billed_charge": 116.0, "npi": [1730386087]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.76, "providers": [{"billed_charge": 375.0, "npi": [1154978047]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.21, "providers": [{"billed_charge": 282.0, "npi": [1871750604]}]}, {"allowed_amount": 185.11, "providers": [{"billed_charge": 282.0, "npi": [1225802655]}]}]}, {"tin": {"type": "ein", "value": "751604753"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.14, "providers": [{"billed_charge": 156.0, "npi": [1194250696, 1245764026, 1548375827, 1659698579]}]}, {"allowed_amount": 98.35, "providers": [{"billed_charge": 156.0, "npi": [1518951151, 1518420223]}]}, {"allowed_amount": 129.96, "providers": [{"billed_charge": 156.0, "npi": [1609133909]}]}, {"allowed_amount": 156.0, "providers": [{"billed_charge": 156.0, "npi": [1437955473, 1871361758]}]}]}, {"tin": {"type": "ein", "value": "751667190"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.88, "providers": [{"billed_charge": 175.0, "npi": [1881787323]}]}]}, {"tin": {"type": "ein", "value": "752005254"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.36, "providers": [{"billed_charge": 146.0, "npi": [1386805018, 1659357515, 1720390263]}]}, {"allowed_amount": 79.82, "providers": [{"billed_charge": 146.0, "npi": [1093854010]}]}, {"allowed_amount": 94.84, "providers": [{"billed_charge": 146.0, "npi": [1104323922]}]}, {"allowed_amount": 95.09, "providers": [{"billed_charge": 146.0, "npi": [1801840111, 1841796695]}]}, {"allowed_amount": 96.35, "providers": [{"billed_charge": 146.0, "npi": [1053378448]}]}, {"allowed_amount": 136.99, "providers": [{"billed_charge": 146.0, "npi": [1396031977]}]}, {"allowed_amount": 146.0, "providers": [{"billed_charge": 146.0, "npi": [1346688439]}]}]}, {"tin": {"type": "ein", "value": "752402478"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 132.0, "npi": [1528694767]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 175.63, "providers": [{"billed_charge": 192.0, "npi": [1669761524, 1003081308]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21", "22", "61"], "payments": [{"allowed_amount": 83.69, "providers": [{"billed_charge": 186.19, "npi": [1821642760, 1205681806]}]}, {"allowed_amount": 87.81, "providers": [{"billed_charge": 186.19, "npi": [1801993514]}]}, {"allowed_amount": 93.7, "providers": [{"billed_charge": 186.19, "npi": [1801863634, 1316204324]}]}, {"allowed_amount": 94.14, "providers": [{"billed_charge": 186.19, "npi": [1073900304, 1992070148, 1306017983]}]}, {"allowed_amount": 94.95, "providers": [{"billed_charge": 186.19, "npi": [1235629353]}]}, {"allowed_amount": 97.17, "providers": [{"billed_charge": 186.19, "npi": [1538460951]}]}, {"allowed_amount": 98.46, "providers": [{"billed_charge": 186.19, "npi": [1578853594, 1417988338, 1700213931, 1659931327]}]}, {"allowed_amount": 115.21, "providers": [{"billed_charge": 186.19, "npi": [1851559256]}]}, {"allowed_amount": 116.04, "providers": [{"billed_charge": 186.19, "npi": [1730610064]}]}, {"allowed_amount": 128.41, "providers": [{"billed_charge": 186.19, "npi": [1356755045, 1750543690, 1093162638, 1831333814, 1831271295]}]}, {"allowed_amount": 130.11, "providers": [{"billed_charge": 186.19, "npi": [1053848960, 1770554628, 1659715993, 1932846748, 1891137949, 1316233505, 1881890465, 1942524707, 1265176994, 1003007022, 1134861370, 1124384698, 1205416252, 1609372739, 1831239748, 1043231046, 1134758733, 1417392846, 1346425550, 1043874134, 1124368345, 1609365980, 1548450786, 1851514723, 1194222307, 1326305129, 1033531884, 1679060719, 1770024945, 1245282813, 1710373246, 1588285951]}]}, {"allowed_amount": 185.32, "providers": [{"billed_charge": 186.19, "npi": [1922483866, 1841063237, 1053791079]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 79.38, "providers": [{"billed_charge": 238.0, "npi": [1871530469]}]}, {"allowed_amount": 79.82, "providers": [{"billed_charge": 238.0, "npi": [1881787323]}]}, {"allowed_amount": 80.88, "providers": [{"billed_charge": 238.0, "npi": [1578767802, 1942402466, 1962812461]}]}, {"allowed_amount": 93.7, "providers": [{"billed_charge": 238.0, "npi": [1790097608]}]}, {"allowed_amount": 94.14, "providers": [{"billed_charge": 238.0, "npi": [1104243104, 1124232384, 1588243778, 1447507330, 1285150755, 1649500612, 1831146406, 1669766598, 1104389832, 1649352071, 1528262128, 1316155252, 1770828758, 1811018294, 1689121014, 1164669305, 1376741751]}]}, {"allowed_amount": 94.84, "providers": [{"billed_charge": 238.0, "npi": [1336582436]}]}, {"allowed_amount": 94.95, "providers": [{"billed_charge": 238.0, "npi": [1629288246, 1235138306, 1336148550]}]}, {"allowed_amount": 95.09, "providers": [{"billed_charge": 238.0, "npi": [1780876466]}]}, {"allowed_amount": 97.17, "providers": [{"billed_charge": 238.0, "npi": [1780970947]}]}, {"allowed_amount": 128.41, "providers": [{"billed_charge": 238.0, "npi": [1326467424, 1679988869, 1932515566, 1427204270, 1679764948, 1083293591, 1164681144, 1235442393, 1184630840, 1427021435, 1235338781, 1306132766, 1982641247]}]}, {"allowed_amount": 130.11, "providers": [{"billed_charge": 238.0, "npi": [1255369815]}]}, {"allowed_amount": 176.15, "providers": [{"billed_charge": 238.0, "npi": [1033637483]}]}, {"allowed_amount": 182.9, "providers": [{"billed_charge": 238.0, "npi": [1417509332]}]}, {"allowed_amount": 215.17, "providers": [{"billed_charge": 238.0, "npi": [1154843449]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 93.7, "providers": [{"billed_charge": 177.0, "npi": [1679523534]}]}, {"allowed_amount": 121.47, "providers": [{"billed_charge": 177.0, "npi": [1023513868]}]}, {"allowed_amount": 126.33, "providers": [{"billed_charge": 177.0, "npi": [1144499344, 1629642616, 1669601092, 1275604837]}]}, {"allowed_amount": 138.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 177.0, "npi": [1679571376, 1760486757, 1700142742, 1376728279]}]}]}, {"tin": {"type": "ein", "value": "752668016"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 182.9, "providers": [{"billed_charge": 389.0, "npi": [1669082715]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 180.0, "npi": [1548832983]}]}, {"allowed_amount": 72.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1619237534]}]}, {"allowed_amount": 87.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1922502277, 1972731271, 1295318285, 1285251983, 1063934354, 1285253906, 1215257365, 1215469341, 1619237534, 1760897185, 1508025511, 1861848749, 1992367676, 1023756095, 1558301002, 1356385355, 1235543760, 1841933157, 1417304429, 1861010803, 1053849463]}]}, {"allowed_amount": 97.17, "providers": [{"billed_charge": 180.0, "npi": [1609972801]}]}, {"allowed_amount": 138.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1023033834, 1104861731, 1851315972, 1639132558]}]}, {"allowed_amount": 180.0, "providers": [{"billed_charge": 180.0, "npi": [1528488731]}]}]}, {"tin": {"type": "ein", "value": "752712328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.68, "providers": [{"billed_charge": 250.0, "npi": [1770783243]}]}, {"allowed_amount": 86.51, "providers": [{"billed_charge": 250.0, "npi": [1063575199, 1336568773, 1497216535]}]}, {"allowed_amount": 94.14, "providers": [{"billed_charge": 250.0, "npi": [1063657740]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.08, "providers": [{"billed_charge": 689.0, "npi": [1194788752]}]}]}, {"tin": {"type": "ein", "value": "752772742"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.95, "providers": [{"billed_charge": 313.0, "npi": [1922238294, 1194107599]}]}]}, {"tin": {"type": "ein", "value": "752848392"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.35, "providers": [{"billed_charge": 247.0, "npi": [1477596344, 1285677138, 1326303470, 1568776391]}]}]}, {"tin": {"type": "ein", "value": "752867667"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 15.59, "providers": [{"billed_charge": 176.0, "npi": [1427270172]}]}, {"allowed_amount": 130.11, "providers": [{"billed_charge": 176.0, "npi": [1356320378, 1427270172]}]}]}, {"tin": {"type": "ein", "value": "752905110"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1003375296, 1093135089]}]}, {"allowed_amount": 130.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 185.0, "npi": [1144457649, 1598933558]}]}]}, {"tin": {"type": "ein", "value": "753129210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.14, "providers": [{"billed_charge": 200.0, "npi": [1184041436]}]}, {"allowed_amount": 101.34, "providers": [{"billed_charge": 200.0, "npi": [1255919148]}]}, {"allowed_amount": 106.2, "providers": [{"billed_charge": 200.0, "npi": [1235363862]}]}, {"allowed_amount": 126.33, "providers": [{"billed_charge": 200.0, "npi": [1093816183]}]}, {"allowed_amount": 128.41, "providers": [{"billed_charge": 200.0, "npi": [1184041436]}]}, {"allowed_amount": 130.11, "providers": [{"billed_charge": 200.0, "npi": [1184041436]}]}, {"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1255919148]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 22.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 270.0, "npi": [1891052288]}]}, {"allowed_amount": 77.36, "providers": [{"billed_charge": 270.0, "npi": [1902868912]}]}, {"allowed_amount": 79.47, "providers": [{"billed_charge": 270.0, "npi": [1417451030]}]}, {"allowed_amount": 80.88, "providers": [{"billed_charge": 270.0, "npi": [1861810392, 1629422258]}]}, {"allowed_amount": 82.29, "providers": [{"billed_charge": 270.0, "npi": [1255866760, 1639674120, 1598081051, 1831659820]}]}, {"allowed_amount": 86.51, "providers": [{"billed_charge": 270.0, "npi": [1215940010, 1467613836, 1417337783]}]}, {"allowed_amount": 87.91, "providers": [{"billed_charge": 270.0, "npi": [1740255801, 1447216916]}]}, {"allowed_amount": 94.24, "providers": [{"billed_charge": 270.0, "npi": [1609219310]}]}, {"allowed_amount": 94.95, "providers": [{"billed_charge": 270.0, "npi": [1720162613]}]}, {"allowed_amount": 98.46, "providers": [{"billed_charge": 270.0, "npi": [1144781121, 1649773441, 1407475429, 1043577927, 1932841293]}]}, {"allowed_amount": 107.6, "providers": [{"billed_charge": 270.0, "npi": [1215101209]}]}, {"allowed_amount": 130.11, "providers": [{"billed_charge": 270.0, "npi": [1689931388, 1619152667, 1659012102, 1508361544, 1730742313, 1417418716, 1649531435, 1811493901, 1871621326, 1063875342, 1013182732, 1417451030, 1336344027, 1437388444, 1629231998, 1851498687]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.69, "providers": [{"billed_charge": 322.0, "npi": [1578705018]}]}, {"allowed_amount": 185.32, "providers": [{"billed_charge": 322.0, "npi": [1538820832, 1851722177, 1275686677]}]}]}, {"tin": {"type": "ein", "value": "756064033"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.14, "providers": [{"billed_charge": 141.0, "npi": [1477516128]}]}, {"allowed_amount": 94.84, "providers": [{"billed_charge": 153.0, "npi": [1215498324]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 83.44, "providers": [{"billed_charge": 241.0, "npi": [1740716679]}]}, {"allowed_amount": 84.14, "providers": [{"billed_charge": 241.0, "npi": [1114276599]}]}]}, {"tin": {"type": "ein", "value": "760151142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.16, "providers": [{"billed_charge": 211.68, "npi": [1013398940]}]}, {"allowed_amount": 86.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 211.68, "npi": [1992268320, 1245506625, 1477849461]}]}, {"allowed_amount": 86.77, "providers": [{"billed_charge": 211.68, "npi": [1700229234]}]}]}, {"tin": {"type": "ein", "value": "760187419"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.39, "providers": [{"billed_charge": 175.0, "npi": [1366440265]}]}]}, {"tin": {"type": "ein", "value": "760405084"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "providers": [{"billed_charge": 140.0, "npi": [1215199435]}]}]}, {"tin": {"type": "ein", "value": "760420935"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.29, "providers": [{"billed_charge": 145.0, "npi": [1629043500]}]}]}, {"tin": {"type": "ein", "value": "760432182"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "providers": [{"billed_charge": 130.0, "npi": [1205218054]}]}]}, {"tin": {"type": "ein", "value": "760443692"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.77, "providers": [{"billed_charge": 230.0, "npi": [1285898403]}]}]}, {"tin": {"type": "ein", "value": "760456103"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.82, "providers": [{"billed_charge": 130.0, "npi": [1164470878]}]}]}, {"tin": {"type": "ein", "value": "760478280"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 100.0, "npi": [1720256274]}]}]}, {"tin": {"type": "ein", "value": "760499311"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.71, "providers": [{"billed_charge": 114.0, "npi": [1558423103]}]}]}, {"tin": {"type": "ein", "value": "760555526"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.88, "providers": [{"billed_charge": 118.26, "npi": [1609050970]}]}]}, {"tin": {"type": "ein", "value": "760608057"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.6, "providers": [{"billed_charge": 200.0, "npi": [1720070121]}]}, {"allowed_amount": 86.05, "providers": [{"billed_charge": 200.0, "npi": [1720070121]}]}]}, {"tin": {"type": "ein", "value": "760678866"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.29, "providers": [{"billed_charge": 205.0, "npi": [1275738858]}]}]}, {"tin": {"type": "ein", "value": "760681269"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.6, "providers": [{"billed_charge": 188.0, "npi": [1154680320, 1861871204]}]}, {"allowed_amount": 83.29, "providers": [{"billed_charge": 188.0, "npi": [1649591835]}]}]}, {"tin": {"type": "ein", "value": "810584868"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 128.41, "providers": [{"billed_charge": 140.0, "npi": [1487974846]}]}]}, {"tin": {"type": "ein", "value": "810608560"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1679501712]}]}]}, {"tin": {"type": "ein", "value": "810609941"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.11, "providers": [{"billed_charge": 245.0, "npi": [1568470649]}]}]}, {"tin": {"type": "ein", "value": "810610078"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.41, "providers": [{"billed_charge": 245.0, "npi": [1669480828]}]}]}, {"tin": {"type": "ein", "value": "811220861"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.7, "providers": [{"billed_charge": 826.74, "npi": [1235193608]}]}]}, {"tin": {"type": "ein", "value": "811380760"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "providers": [{"billed_charge": 223.0, "npi": [1124226899]}]}]}, {"tin": {"type": "ein", "value": "811453555"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.11, "providers": [{"billed_charge": 141.0, "npi": [1730509472, 1437253481]}]}]}, {"tin": {"type": "ein", "value": "812073506"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.6, "providers": [{"billed_charge": 147.0, "npi": [1932162252]}]}]}, {"tin": {"type": "ein", "value": "812574683"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.0, "providers": [{"billed_charge": 114.0, "npi": [1033206602]}]}]}, {"tin": {"type": "ein", "value": "812792506"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.41, "providers": [{"billed_charge": 151.0, "npi": [1427251107]}]}]}, {"tin": {"type": "ein", "value": "812877476"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.48, "providers": [{"billed_charge": 122.0, "npi": [1588008767]}]}]}, {"tin": {"type": "ein", "value": "813010210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 85.37, "providers": [{"billed_charge": 200.0, "npi": [1285841585]}]}]}, {"tin": {"type": "ein", "value": "813226324"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.14, "providers": [{"billed_charge": 115.0, "npi": [1003134479]}]}]}, {"tin": {"type": "ein", "value": "813317125"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.41, "providers": [{"billed_charge": 152.95, "npi": [1265753677]}]}]}, {"tin": {"type": "ein", "value": "813419791"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.11, "providers": [{"billed_charge": 239.0, "npi": [1033234372]}]}]}, {"tin": {"type": "ein", "value": "814555387"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.41, "providers": [{"billed_charge": 139.49, "npi": [1770723587]}]}]}, {"tin": {"type": "ein", "value": "814767312"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.3, "providers": [{"billed_charge": 130.0, "npi": [1366947004]}]}]}, {"tin": {"type": "ein", "value": "820669611"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 220.95, "npi": [1912024100]}]}, {"allowed_amount": 130.11, "providers": [{"billed_charge": 220.95, "npi": [1780951970]}]}]}, {"tin": {"type": "ein", "value": "820896223"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.35, "providers": [{"billed_charge": 200.0, "npi": [1700955176]}]}]}, {"tin": {"type": "ein", "value": "820977099"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.96, "providers": [{"billed_charge": 160.0, "npi": [1346655669]}]}]}, {"tin": {"type": "ein", "value": "823224794"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "providers": [{"billed_charge": 292.0, "npi": [1043251044]}]}]}, {"tin": {"type": "ein", "value": "823231794"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.4, "providers": [{"billed_charge": 149.84, "npi": [1659674760, 1639165749]}, {"billed_charge": 173.53, "npi": [1659674760]}]}]}, {"tin": {"type": "ein", "value": "823240262"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 161.07, "providers": [{"billed_charge": 245.0, "npi": [1720315237]}, {"billed_charge": 300.0, "npi": [1720315237]}]}]}, {"tin": {"type": "ein", "value": "823274313"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.41, "providers": [{"billed_charge": 150.0, "npi": [1184887176]}]}]}, {"tin": {"type": "ein", "value": "825043574"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 147.0, "npi": [1902419294]}]}]}, {"tin": {"type": "ein", "value": "830594617"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "providers": [{"billed_charge": 224.67, "npi": [1013262492]}]}]}, {"tin": {"type": "ein", "value": "831325073"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "providers": [{"billed_charge": 150.12, "npi": [1003257999]}]}]}, {"tin": {"type": "ein", "value": "832023962"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.82, "providers": [{"billed_charge": 315.0, "npi": [1598713489, 1215165162]}]}]}, {"tin": {"type": "ein", "value": "832124073"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.35, "providers": [{"billed_charge": 267.0, "npi": [1376835439]}]}]}, {"tin": {"type": "ein", "value": "832680722"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.14, "providers": [{"billed_charge": 220.95, "npi": [1053502435]}]}]}, {"tin": {"type": "ein", "value": "832802070"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.14, "providers": [{"billed_charge": 141.36, "npi": [1740512649]}]}]}, {"tin": {"type": "ein", "value": "834460864"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.46, "providers": [{"billed_charge": 130.0, "npi": [1669655817]}]}]}, {"tin": {"type": "ein", "value": "842103878"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 245.0, "providers": [{"billed_charge": 245.0, "npi": [1447933502]}]}]}, {"tin": {"type": "ein", "value": "842528165"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.87, "providers": [{"billed_charge": 267.68, "npi": [1932116902]}]}]}, {"tin": {"type": "ein", "value": "843316983"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.11, "providers": [{"billed_charge": 306.12, "npi": [1235148370, 1639278799]}]}, {"allowed_amount": 218.02, "providers": [{"billed_charge": 306.12, "npi": [1336336205]}]}]}, {"tin": {"type": "ein", "value": "844007624"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.82, "providers": [{"billed_charge": 208.59, "npi": [1346447091]}]}]}, {"tin": {"type": "ein", "value": "844058518"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "providers": [{"billed_charge": 195.0, "npi": [1932470689]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.68, "providers": [{"billed_charge": 156.0, "npi": [1578016713]}]}]}, {"tin": {"type": "ein", "value": "850510497"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.48, "providers": [{"billed_charge": 76.48, "npi": [1689978769]}]}]}, {"tin": {"type": "ein", "value": "851182792"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.49, "providers": [{"billed_charge": 157.0, "npi": [1841633153]}]}]}, {"tin": {"type": "ein", "value": "851295435"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.23, "providers": [{"billed_charge": 106.0, "npi": [1326427790]}]}, {"allowed_amount": 93.7, "providers": [{"billed_charge": 106.0, "npi": [1093942435]}]}]}, {"tin": {"type": "ein", "value": "853213051"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.33, "providers": [{"billed_charge": 142.64, "npi": [1528223344]}]}]}, {"tin": {"type": "ein", "value": "853319668"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.4, "providers": [{"billed_charge": 347.0, "npi": [1730523424, 1144545773]}]}, {"allowed_amount": 101.34, "providers": [{"billed_charge": 347.0, "npi": [1275744526]}]}, {"allowed_amount": 107.97, "providers": [{"billed_charge": 347.0, "npi": [1639764624, 1871135301]}]}, {"allowed_amount": 121.47, "providers": [{"billed_charge": 347.0, "npi": [1013424720]}]}, {"allowed_amount": 138.82, "providers": [{"billed_charge": 347.0, "npi": [1205027497, 1205129673, 1073969903, 1386910354, 1053846196, 1538626262]}]}]}, {"tin": {"type": "ein", "value": "853804440"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 100.0, "npi": [1528400256, 1205605797, 1508677675, 1538266606, 1194974063, 1154602514, 1356577076, 1831606334]}]}]}, {"tin": {"type": "ein", "value": "861607164"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "providers": [{"billed_charge": 163.0, "npi": [1326207648]}]}]}, {"tin": {"type": "ein", "value": "862764995"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.35, "providers": [{"billed_charge": 155.0, "npi": [1508179052]}]}]}, {"tin": {"type": "ein", "value": "862932341"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.29, "providers": [{"billed_charge": 330.4, "npi": [1306307947]}]}]}, {"tin": {"type": "ein", "value": "862972584"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 126.33, "providers": [{"billed_charge": 155.0, "npi": [1740577212]}]}]}, {"tin": {"type": "ein", "value": "870837459"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 110.0, "npi": [1043444789]}]}]}, {"tin": {"type": "ein", "value": "872778400"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.33, "providers": [{"billed_charge": 142.64, "npi": [1659574911]}]}]}, {"tin": {"type": "ein", "value": "873018884"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.96, "providers": [{"billed_charge": 157.0, "npi": [1366437865, 1922093426]}]}]}, {"tin": {"type": "ein", "value": "873975085"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.82, "providers": [{"billed_charge": 225.0, "npi": [1689860389]}]}]}, {"tin": {"type": "ein", "value": "874170895"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.84, "providers": [{"billed_charge": 125.0, "npi": [1790934321]}]}]}, {"tin": {"type": "ein", "value": "880698567"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 113.0, "providers": [{"billed_charge": 113.0, "npi": [1316015415]}]}]}, {"tin": {"type": "ein", "value": "880847644"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.35, "providers": [{"billed_charge": 185.52, "npi": [1861888109]}]}]}, {"tin": {"type": "ein", "value": "880900432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 398.0, "npi": [1275323354]}]}, {"allowed_amount": 76.7, "providers": [{"billed_charge": 398.0, "npi": [1902036155]}]}, {"allowed_amount": 93.7, "providers": [{"billed_charge": 398.0, "npi": [1366753386]}]}]}, {"tin": {"type": "ein", "value": "881328888"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.49, "providers": [{"billed_charge": 100.0, "npi": [1295113702]}]}]}, {"tin": {"type": "ein", "value": "900624186"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 125.0, "npi": [1497741037]}]}]}, {"tin": {"type": "ein", "value": "900657525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.97, "providers": [{"billed_charge": 220.0, "npi": [1275366031]}]}, {"allowed_amount": 126.33, "providers": [{"billed_charge": 220.0, "npi": [1366446023]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 93.7, "providers": [{"billed_charge": 1520.0, "npi": [1184916546]}]}]}, {"tin": {"type": "ein", "value": "921446548"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.3, "providers": [{"billed_charge": 225.0, "npi": [1063974079]}]}]}, {"tin": {"type": "ein", "value": "922342411"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 154.5, "npi": [1902419294]}]}]}, {"tin": {"type": "ein", "value": "922495800"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.35, "providers": [{"billed_charge": 120.0, "npi": [1801385679]}, {"billed_charge": 155.0, "npi": [1801385679]}]}]}, {"tin": {"type": "ein", "value": "932501917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.62, "providers": [{"billed_charge": 384.0, "npi": [1477948636]}]}]}, {"tin": {"type": "ein", "value": "933095141"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.88, "providers": [{"billed_charge": 504.0, "npi": [1154852861]}]}, {"allowed_amount": 126.33, "providers": [{"billed_charge": 504.0, "npi": [1700084191]}]}]}, {"tin": {"type": "ein", "value": "934885408"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.11, "providers": [{"billed_charge": 350.0, "npi": [1982951711, 1598928863]}]}]}, {"tin": {"type": "ein", "value": "990675124"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 398.0, "npi": [1922016013]}]}, {"allowed_amount": 82.29, "providers": [{"billed_charge": 398.0, "npi": [1194010900]}]}, {"allowed_amount": 84.3, "providers": [{"billed_charge": 398.0, "npi": [1912961582]}]}]}, {"tin": {"type": "ein", "value": "990869376"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.77, "providers": [{"billed_charge": 90.0, "npi": [1255852422]}]}]}, {"tin": {"type": "ein", "value": "991189460"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.7, "providers": [{"billed_charge": 142.0, "npi": [1053572263]}]}]}, {"tin": {"type": "ein", "value": "991775941"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.46, "providers": [{"billed_charge": 141.36, "npi": [1720237498]}]}]}, {"tin": {"type": "ein", "value": "993954355"}, "billing_class": "professional", "service_codes": ["21", "61"], "payments": [{"allowed_amount": 69.41, "providers": [{"billed_charge": 150.0, "npi": [1063410777]}]}, {"allowed_amount": 87.46, "providers": [{"billed_charge": 150.0, "npi": [1063410777]}]}]}]}, {"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 straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99231", "billing_code_type_version": "2022", "description": "SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "075641857"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.76, "providers": [{"billed_charge": 60.0, "npi": [1821238726]}]}]}, {"tin": {"type": "ein", "value": "200474854"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 119.07, "providers": [{"billed_charge": 125.0, "npi": [1912226697]}]}]}, {"tin": {"type": "ein", "value": "204379250"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.0, "providers": [{"billed_charge": 73.0, "npi": [1063472991]}]}]}, {"tin": {"type": "ein", "value": "251838458"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.38, "providers": [{"billed_charge": 137.0, "npi": [1710326707]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.42, "providers": [{"billed_charge": 87.0, "npi": [1376168377]}]}, {"allowed_amount": 64.7, "providers": [{"billed_charge": 87.0, "npi": [1346698875]}]}, {"allowed_amount": 84.67, "providers": [{"billed_charge": 87.0, "npi": [1538239439]}]}, {"allowed_amount": 87.0, "providers": [{"billed_charge": 87.0, "npi": [1790598316]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.17, "providers": [{"billed_charge": 117.0, "npi": [1801234869]}]}, {"allowed_amount": 99.28, "providers": [{"billed_charge": 117.0, "npi": [1548838683, 1912637406]}]}]}, {"tin": {"type": "ein", "value": "271097459"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 53.91, "providers": [{"billed_charge": 100.0, "npi": [1780888370]}]}]}, {"tin": {"type": "ein", "value": "273378639"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.36, "providers": [{"billed_charge": 125.0, "npi": [1982870416]}]}]}, {"tin": {"type": "ein", "value": "274081147"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.82, "providers": [{"billed_charge": 70.0, "npi": [1598307522]}]}]}, {"tin": {"type": "ein", "value": "274174150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.8, "providers": [{"billed_charge": 109.0, "npi": [1003312919]}]}, {"allowed_amount": 68.56, "providers": [{"billed_charge": 109.0, "npi": [1477961621, 1801288063]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.67, "providers": [{"billed_charge": 125.0, "npi": [1699234567]}]}, {"allowed_amount": 54.36, "providers": [{"billed_charge": 125.0, "npi": [1053351957]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.87, "providers": [{"billed_charge": 87.86, "npi": [1457340010]}]}]}, {"tin": {"type": "ein", "value": "352571461"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1831708031]}]}]}, {"tin": {"type": "ein", "value": "392531485"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.76, "providers": [{"billed_charge": 120.0, "npi": [1396329231]}]}]}, {"tin": {"type": "ein", "value": "463696501"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 52.72, "providers": [{"billed_charge": 71.0, "npi": [1922441724]}]}]}, {"tin": {"type": "ein", "value": "474038606"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 60.0, "providers": [{"billed_charge": 60.0, "npi": [1174574842]}]}]}, {"tin": {"type": "ein", "value": "650578395"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 52.72, "providers": [{"billed_charge": 376.0, "npi": [1669431094]}]}]}, {"tin": {"type": "ein", "value": "720423889"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.25, "providers": [{"billed_charge": 99.0, "npi": [1275273682]}]}, {"allowed_amount": 99.0, "providers": [{"billed_charge": 99.0, "npi": [1275715864]}]}]}, {"tin": {"type": "ein", "value": "721470434"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.25, "providers": [{"billed_charge": 75.0, "npi": [1871552133]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 343.92, "providers": [{"billed_charge": 436.04, "npi": [1073555298, 1154522308, 1013200518, 1437364262, 1750693016, 1164838686]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 48.2, "providers": [{"billed_charge": 116.0, "npi": [1477180743]}]}, {"allowed_amount": 56.45, "providers": [{"billed_charge": 116.0, "npi": [1215905096]}]}]}, {"tin": {"type": "ein", "value": "741613878"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.57, "providers": [{"billed_charge": 125.0, "npi": [1700144391]}]}, {"allowed_amount": 53.91, "providers": [{"billed_charge": 125.0, "npi": [1073255758, 1386846863]}]}]}, {"tin": {"type": "ein", "value": "741941710"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 146.31, "npi": [1194222356]}]}]}, {"tin": {"type": "ein", "value": "742297597"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.72, "providers": [{"billed_charge": 95.0, "npi": [1780681403]}]}]}, {"tin": {"type": "ein", "value": "742520049"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.42, "providers": [{"billed_charge": 135.0, "npi": [1790784692]}]}]}, {"tin": {"type": "ein", "value": "742576197"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.76, "providers": [{"billed_charge": 163.0, "npi": [1861495467]}]}]}, {"tin": {"type": "ein", "value": "742787171"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 55.4, "providers": [{"billed_charge": 143.0, "npi": [1205395472, 1003848789]}]}]}, {"tin": {"type": "ein", "value": "742931655"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.76, "providers": [{"billed_charge": 80.0, "npi": [1790860757, 1922282847]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.76, "providers": [{"billed_charge": 154.18, "npi": [1669868071]}]}, {"allowed_amount": 79.02, "providers": [{"billed_charge": 154.18, "npi": [1922329408]}]}, {"allowed_amount": 290.22, "providers": [{"billed_charge": 290.22, "npi": [1821069170]}]}]}, {"tin": {"type": "ein", "value": "742932998"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.76, "providers": [{"billed_charge": 85.0, "npi": [1700992732]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.76, "providers": [{"billed_charge": 76.0, "npi": [1992051072]}]}]}, {"tin": {"type": "ein", "value": "742978480"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 64.71, "providers": [{"billed_charge": 95.0, "npi": [1740777630]}]}]}, {"tin": {"type": "ein", "value": "742981597"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.72, "providers": [{"billed_charge": 100.0, "npi": [1710901954]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.91, "providers": [{"billed_charge": 73.0, "npi": [1871357426]}]}, {"allowed_amount": 73.0, "providers": [{"billed_charge": 73.0, "npi": [1730386087]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.76, "providers": [{"billed_charge": 154.0, "npi": [1144908096]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.0, "providers": [{"billed_charge": 93.0, "npi": [1003081308]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.93, "providers": [{"billed_charge": 100.71, "npi": [1750324166]}]}, {"allowed_amount": 59.37, "providers": [{"billed_charge": 100.71, "npi": [1467689604]}]}, {"allowed_amount": 81.36, "providers": [{"billed_charge": 100.71, "npi": [1043874134]}]}]}, {"tin": {"type": "ein", "value": "752613493"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 58.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 129.0, "npi": [1609072065]}]}, {"allowed_amount": 58.87, "providers": [{"billed_charge": 129.0, "npi": [1528262128, 1891741179, 1831764711]}]}, {"allowed_amount": 80.33, "providers": [{"billed_charge": 129.0, "npi": [1326467424]}]}]}, {"tin": {"type": "ein", "value": "752616977"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 64.7, "providers": [{"billed_charge": 109.0, "npi": [1437686755]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 36.91, "providers": [{"billed_charge": 98.0, "npi": [1548832983]}]}, {"allowed_amount": 43.42, "providers": [{"billed_charge": 98.0, "npi": [1750525028]}]}, {"allowed_amount": 54.71, "providers": [{"billed_charge": 98.0, "npi": [1063934354, 1629081948]}]}, {"allowed_amount": 66.87, "providers": [{"billed_charge": 98.0, "npi": [1376034801]}]}, {"allowed_amount": 86.84, "providers": [{"billed_charge": 98.0, "npi": [1104861731, 1851315972, 1174620462]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.67, "providers": [{"billed_charge": 376.0, "npi": [1386089522]}]}, {"allowed_amount": 59.05, "providers": [{"billed_charge": 376.0, "npi": [1194916072]}]}, {"allowed_amount": 81.36, "providers": [{"billed_charge": 376.0, "npi": [1922261833, 1417914433]}]}]}, {"tin": {"type": "ein", "value": "752772742"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 52.34, "providers": [{"billed_charge": 196.0, "npi": [1639701014]}]}, {"allowed_amount": 59.37, "providers": [{"billed_charge": 196.0, "npi": [1922238294]}]}]}, {"tin": {"type": "ein", "value": "753129210"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.36, "providers": [{"billed_charge": 125.0, "npi": [1184041436]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 17.6, "providers": [{"billed_charge": 151.0, "npi": [1932396843]}]}, {"allowed_amount": 50.58, "providers": [{"billed_charge": 151.0, "npi": [1629422258]}]}, {"allowed_amount": 59.37, "providers": [{"billed_charge": 151.0, "npi": [1255575122, 1932396843, 1396031068]}]}, {"allowed_amount": 81.36, "providers": [{"billed_charge": 151.0, "npi": [1336344027]}]}]}, {"tin": {"type": "ein", "value": "760010407"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 167.91, "providers": [{"billed_charge": 168.0, "npi": [1194992388]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 30.1, "providers": [{"billed_charge": 299.1, "npi": [1104004548]}]}, {"allowed_amount": 51.98, "providers": [{"billed_charge": 299.1, "npi": [1053023564]}]}, {"allowed_amount": 166.3, "providers": [{"billed_charge": 299.1, "npi": [1063630903]}]}, {"allowed_amount": 173.5, "providers": [{"billed_charge": 299.1, "npi": [1043692312, 1437227337]}]}]}, {"tin": {"type": "ein", "value": "821391429"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 61.16, "providers": [{"billed_charge": 500.0, "npi": [1548609589]}]}]}, {"tin": {"type": "ein", "value": "823231794"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 59.05, "providers": [{"billed_charge": 87.0, "npi": [1659674760]}]}]}, {"tin": {"type": "ein", "value": "823273056"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1942643168]}]}]}, {"tin": {"type": "ein", "value": "832235275"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.62, "providers": [{"billed_charge": 90.0, "npi": [1558399816, 1427376748]}]}, {"allowed_amount": 60.79, "providers": [{"billed_charge": 90.0, "npi": [1972896777]}]}]}, {"tin": {"type": "ein", "value": "841618661"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1083364897]}]}]}, {"tin": {"type": "ein", "value": "851295435"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.0, "providers": [{"billed_charge": 57.0, "npi": [1093942435]}]}]}, {"tin": {"type": "ein", "value": "853319668"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.84, "providers": [{"billed_charge": 188.0, "npi": [1538626262]}, {"billed_charge": 357.0, "npi": [1538626262]}]}]}, {"tin": {"type": "ein", "value": "862764995"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.76, "providers": [{"billed_charge": 120.0, "npi": [1508179052]}]}]}, {"tin": {"type": "ein", "value": "873018884"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.27, "providers": [{"billed_charge": 98.0, "npi": [1366437865, 1922093426]}]}]}, {"tin": {"type": "ein", "value": "880900432"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 36.91, "providers": [{"billed_charge": 217.0, "npi": [1275323354]}]}, {"allowed_amount": 47.98, "providers": [{"billed_charge": 217.0, "npi": [1902036155]}]}, {"allowed_amount": 58.62, "providers": [{"billed_charge": 217.0, "npi": [1366753386]}]}]}, {"tin": {"type": "ein", "value": "900657525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.54, "providers": [{"billed_charge": 140.0, "npi": [1275366031]}]}, {"allowed_amount": 79.02, "providers": [{"billed_charge": 140.0, "npi": [1366446023]}]}, {"allowed_amount": 80.33, "providers": [{"billed_charge": 140.0, "npi": [1366446023]}]}]}, {"tin": {"type": "ein", "value": "920178965"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.57, "providers": [{"billed_charge": 80.0, "npi": [1881670172]}]}]}, {"tin": {"type": "ein", "value": "920858532"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.84, "providers": [{"billed_charge": 87.0, "npi": [1013950567]}]}]}, {"tin": {"type": "ein", "value": "922495800"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.76, "providers": [{"billed_charge": 120.0, "npi": [1801385679]}]}]}, {"tin": {"type": "ein", "value": "933158271"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.21, "providers": [{"billed_charge": 145.0, "npi": [1093786931]}]}]}, {"tin": {"type": "ein", "value": "990675124"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.46, "providers": [{"billed_charge": 217.0, "npi": [1427373059, 1679533855]}]}, {"allowed_amount": 52.72, "providers": [{"billed_charge": 217.0, "npi": [1649249053]}]}]}]}, {"name": "Subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger", "billing_code_type": "CPT", "billing_code": "99469", "billing_code_type_version": "2022", "description": "SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS/<", "allowed_amounts": [{"tin": {"type": "ein", "value": "332672530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 465.33, "providers": [{"billed_charge": 2209.0, "npi": [1033435011, 1942643317, 1407409774]}]}, {"allowed_amount": 614.9, "providers": [{"billed_charge": 2209.0, "npi": [1710149760, 1356571418, 1558543868, 1346212990]}]}]}, {"tin": {"type": "ein", "value": "650578395"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 396.14, "providers": [{"billed_charge": 3806.0, "npi": [1770548190]}]}, {"allowed_amount": 418.8, "providers": [{"billed_charge": 3806.0, "npi": [1063918779]}]}, {"allowed_amount": 452.04, "providers": [{"billed_charge": 3806.0, "npi": [1982047726, 1407043383]}]}, {"allowed_amount": 1159.95, "providers": [{"billed_charge": 3806.0, "npi": [1962666842]}]}, {"allowed_amount": 2452.27, "providers": [{"billed_charge": 3806.0, "npi": [1104271535]}]}, {"allowed_amount": 5631.47, "providers": [{"billed_charge": 3806.0, "npi": [1407043383]}]}]}, {"tin": {"type": "ein", "value": "752485366"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 622.08, "providers": [{"billed_charge": 1357.0, "npi": [1629245915, 1538193644]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 395.53, "providers": [{"billed_charge": 3806.0, "npi": [1679521371, 1841615275, 1477603322]}]}, {"allowed_amount": 452.04, "providers": [{"billed_charge": 3806.0, "npi": [1225266729, 1114971538, 1942263926]}]}, {"allowed_amount": 1094.48, "providers": [{"billed_charge": 3806.0, "npi": [1225266729]}]}, {"allowed_amount": 2450.24, "providers": [{"billed_charge": 3806.0, "npi": [1750481792, 1265691810, 1427001890, 1225266729, 1841615275]}]}, {"allowed_amount": 3709.6, "providers": [{"billed_charge": 3806.0, "npi": [1841615275]}]}, {"allowed_amount": 3806.0, "providers": [{"billed_charge": 3806.0, "npi": [1225266729]}]}, {"allowed_amount": 6446.64, "providers": [{"billed_charge": 3806.0, "npi": [1114971538]}]}, {"allowed_amount": 8444.84, "providers": [{"billed_charge": 3806.0, "npi": [1225266729]}]}, {"allowed_amount": 10843.04, "providers": [{"billed_charge": 3806.0, "npi": [1114971538]}]}]}]}, {"name": "Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age", "billing_code_type": "CPT", "billing_code": "99472", "billing_code_type_version": "2022", "description": "SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO", "allowed_amounts": [{"tin": {"type": "ein", "value": "332672530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 485.09, "providers": [{"billed_charge": 2257.0, "npi": [1033435011]}]}, {"allowed_amount": 641.01, "providers": [{"billed_charge": 2257.0, "npi": [1356571418, 1558543868]}]}]}, {"tin": {"type": "ein", "value": "650578395"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 471.23, "providers": [{"billed_charge": 3873.0, "npi": [1962666842]}]}, {"allowed_amount": 533.59, "providers": [{"billed_charge": 3873.0, "npi": [1003925827, 1316134943]}]}, {"allowed_amount": 600.76, "providers": [{"billed_charge": 3873.0, "npi": [1003925827, 1871943779]}]}, {"allowed_amount": 667.93, "providers": [{"billed_charge": 3873.0, "npi": [1316134943]}]}, {"allowed_amount": 750.0, "providers": [{"billed_charge": 3873.0, "npi": [1104271535]}]}, {"allowed_amount": 800.0, "providers": [{"billed_charge": 3873.0, "npi": [1063918779]}]}, {"allowed_amount": 850.0, "providers": [{"billed_charge": 3873.0, "npi": [1104271535]}]}, {"allowed_amount": 850.76, "providers": [{"billed_charge": 3873.0, "npi": [1104271535]}]}, {"allowed_amount": 866.41, "providers": [{"billed_charge": 3873.0, "npi": [1316134943]}]}, {"allowed_amount": 2000.0, "providers": [{"billed_charge": 3873.0, "npi": [1962666842, 1063918779]}]}, {"allowed_amount": 2098.55, "providers": [{"billed_charge": 3873.0, "npi": [1003925827, 1871943779, 1104271535, 1962666842, 1063918779]}]}, {"allowed_amount": 2323.8, "providers": [{"billed_charge": 3873.0, "npi": [1003925827, 1982047726, 1104271535, 1962666842, 1316134943]}]}, {"allowed_amount": 2323.85, "providers": [{"billed_charge": 3873.0, "npi": [1003925827]}]}, {"allowed_amount": 2328.8, "providers": [{"billed_charge": 3873.0, "npi": [1871943779]}]}, {"allowed_amount": 2421.23, "providers": [{"billed_charge": 3873.0, "npi": [1962666842]}]}, {"allowed_amount": 3663.51, "providers": [{"billed_charge": 3873.0, "npi": [1003925827]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 412.32, "providers": [{"billed_charge": 3873.0, "npi": [1679521371]}]}, {"allowed_amount": 471.23, "providers": [{"billed_charge": 3873.0, "npi": [1225266729]}]}, {"allowed_amount": 2497.73, "providers": [{"billed_charge": 3873.0, "npi": [1225266729, 1679521371]}]}, {"allowed_amount": 4524.23, "providers": [{"billed_charge": 3873.0, "npi": [1225266729]}]}]}]}, {"name": "Subsequent intensive care, per day, for the evaluation and management of the recovering infant (present body weight of 2501-5000 grams)", "billing_code_type": "CPT", "billing_code": "99480", "billing_code_type_version": "2022", "description": "SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS", "allowed_amounts": [{"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.88, "providers": [{"billed_charge": 413.0, "npi": [1457650640]}]}]}, {"tin": {"type": "ein", "value": "332672530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 184.82, "providers": [{"billed_charge": 667.0, "npi": [1356571418, 1558543868]}]}, {"allowed_amount": 186.96, "providers": [{"billed_charge": 667.0, "npi": [1194080051]}]}]}, {"tin": {"type": "ein", "value": "650578395"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.16, "providers": [{"billed_charge": 1256.0, "npi": [1770548190, 1306812151]}]}, {"allowed_amount": 135.86, "providers": [{"billed_charge": 1256.0, "npi": [1407043383]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.88, "providers": [{"billed_charge": 1256.0, "npi": [1427001890, 1679521371, 1841615275, 1477603322]}]}, {"allowed_amount": 126.55, "providers": [{"billed_charge": 1256.0, "npi": [1417390675]}]}, {"allowed_amount": 135.86, "providers": [{"billed_charge": 1256.0, "npi": [1942263926]}]}, {"allowed_amount": 141.61, "providers": [{"billed_charge": 1256.0, "npi": [1376570317]}]}, {"allowed_amount": 363.55, "providers": [{"billed_charge": 1256.0, "npi": [1972947174]}]}, {"allowed_amount": 735.3, "providers": [{"billed_charge": 1256.0, "npi": [1790985984]}]}, {"allowed_amount": 748.56, "providers": [{"billed_charge": 1256.0, "npi": [1265691810]}]}, {"allowed_amount": 749.18, "providers": [{"billed_charge": 1256.0, "npi": [1023209327]}]}, {"allowed_amount": 1211.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1256.0, "npi": [1023209327]}]}, {"allowed_amount": 1378.24, "providers": [{"billed_charge": 1256.0, "npi": [1679521371]}]}]}, {"tin": {"type": "ein", "value": "760100079"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.31, "providers": [{"billed_charge": 400.0, "npi": [1871746909]}]}]}, {"tin": {"type": "ein", "value": "954537720"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.37, "providers": [{"billed_charge": 1256.0, "npi": [1316134943]}]}]}]}, {"name": "Subsequent intensive care, per day, for the evaluation and management of the recovering low birth weight infant (present body weight of 1500-2500 grams)", "billing_code_type": "CPT", "billing_code": "99479", "billing_code_type_version": "2022", "description": "SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS", "allowed_amounts": [{"tin": {"type": "ein", "value": "650578395"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.46, "providers": [{"billed_charge": 1309.0, "npi": [1689871014, 1306945415]}]}, {"allowed_amount": 130.89, "providers": [{"billed_charge": 1309.0, "npi": [1063918779]}]}, {"allowed_amount": 141.28, "providers": [{"billed_charge": 1309.0, "npi": [1982047726, 1407043383]}]}, {"allowed_amount": 159.98, "providers": [{"billed_charge": 1309.0, "npi": [1003925827, 1316134943]}]}, {"allowed_amount": 1159.95, "providers": [{"billed_charge": 1309.0, "npi": [1962666842]}]}, {"allowed_amount": 2011.4, "providers": [{"billed_charge": 1309.0, "npi": [1316134943]}]}, {"allowed_amount": 2069.58, "providers": [{"billed_charge": 1309.0, "npi": [1063918779]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 309.84, "providers": [{"billed_charge": 559.55, "npi": [1144580374]}]}]}, {"tin": {"type": "ein", "value": "752740653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.07, "providers": [{"billed_charge": 1309.0, "npi": [1598727851]}]}, {"allowed_amount": 141.28, "providers": [{"billed_charge": 1309.0, "npi": [1487116828, 1366685943]}]}, {"allowed_amount": 147.27, "providers": [{"billed_charge": 1309.0, "npi": [1376570317, 1598109605]}]}, {"allowed_amount": 735.3, "providers": [{"billed_charge": 1309.0, "npi": [1790985984]}]}, {"allowed_amount": 780.16, "providers": [{"billed_charge": 1309.0, "npi": [1598727851, 1598109605]}]}, {"allowed_amount": 785.4, "providers": [{"billed_charge": 1309.0, "npi": [1255391462]}]}]}, {"tin": {"type": "ein", "value": "752942548"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 309.84, "providers": [{"billed_charge": 559.55, "npi": [1699932210]}]}]}, {"tin": {"type": "ein", "value": "823893945"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 309.84, "providers": [{"billed_charge": 559.55, "npi": [1629395199]}]}]}]}, {"name": "Subsequent nursing facility 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, 30 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99309", "billing_code_type_version": "2022", "description": "SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "274812443"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 117.01, "providers": [{"billed_charge": 125.0, "npi": [1689698243]}]}]}, {"tin": {"type": "ein", "value": "274844323"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 118.77, "providers": [{"billed_charge": 175.0, "npi": [1134328214]}]}]}, {"tin": {"type": "ein", "value": "474212947"}, "billing_class": "professional", "service_codes": ["32"], "payments": [{"allowed_amount": 108.97, "providers": [{"billed_charge": 108.97, "npi": [1902086937]}]}]}, {"tin": {"type": "ein", "value": "475594693"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 150.2, "providers": [{"billed_charge": 179.0, "npi": [1578430898]}]}]}, {"tin": {"type": "ein", "value": "823054206"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 117.01, "providers": [{"billed_charge": 270.0, "npi": [1023014180]}]}]}, {"tin": {"type": "ein", "value": "825122127"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 150.2, "providers": [{"billed_charge": 197.64, "npi": [1366885212]}]}]}, {"tin": {"type": "ein", "value": "833973422"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 150.2, "providers": [{"billed_charge": 168.0, "npi": [1881080299]}]}]}, {"tin": {"type": "ein", "value": "853804440"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1194400473, 1689162570, 1366297251, 1164865762]}]}]}, {"tin": {"type": "ein", "value": "921195375"}, "billing_class": "professional", "service_codes": ["32", "31"], "payments": [{"allowed_amount": 106.22, "providers": [{"billed_charge": 145.0, "npi": [1497375216]}]}, {"allowed_amount": 122.96, "providers": [{"billed_charge": 145.0, "npi": [1497375216]}]}]}, {"tin": {"type": "ein", "value": "931562308"}, "billing_class": "professional", "service_codes": ["31"], "payments": [{"allowed_amount": 121.67, "providers": [{"billed_charge": 155.0, "npi": [1730450859]}]}]}]}, {"name": "Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate", "billing_code_type": "CPT", "billing_code": "87186", "billing_code_type_version": "2022", "description": "SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ", "allowed_amounts": [{"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.09, "providers": [{"billed_charge": 16.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "331168930"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.83, "providers": [{"billed_charge": 20.0, "npi": [1184814014]}]}]}, {"tin": {"type": "ein", "value": "392758262"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.34, "providers": [{"billed_charge": 13.34, "npi": [1750272399]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.49, "providers": [{"billed_charge": 345.94, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.5, "providers": [{"billed_charge": 1190.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 200.3, "providers": [{"billed_charge": 572.28, "npi": [1124074273, 1376071530, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.45, "providers": [{"billed_charge": 201.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 9.52, "providers": [{"billed_charge": 36.8, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "800936483"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1326484569]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.09, "providers": [{"billed_charge": 36.24, "npi": [1235186800]}]}, {"allowed_amount": 18.08, "providers": [{"billed_charge": 36.24, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 225.0, "providers": [{"billed_charge": 225.0, "npi": [1518012301]}]}]}]}, {"name": "Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)", "billing_code_type": "CPT", "billing_code": "86592", "billing_code_type_version": "2022", "description": "SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.99, "providers": [{"billed_charge": 55.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.1, "providers": [{"billed_charge": 143.75, "npi": [1093810327]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.02, "providers": [{"billed_charge": 166.0, "npi": [1780867390]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.02, "providers": [{"billed_charge": 96.0, "npi": [1720088123]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 259.35, "providers": [{"billed_charge": 741.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 169.14, "providers": [{"billed_charge": 483.27, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.9, "providers": [{"billed_charge": 82.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.22, "providers": [{"billed_charge": 195.5, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.66, "providers": [{"billed_charge": 106.6, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.22, "providers": [{"billed_charge": 64.0, "npi": [1992753222]}, {"billed_charge": 148.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.66, "providers": [{"billed_charge": 172.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.92, "providers": [{"billed_charge": 17.19, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "813334196"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.1, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 350.0, "npi": [1013499383]}]}]}, {"tin": {"type": "ein", "value": "813562144"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.1, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 350.0, "npi": [1639663370]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.1, "providers": [{"billed_charge": 60.0, "npi": [1003539073]}]}, {"allowed_amount": 13.02, "providers": [{"billed_charge": 60.0, "npi": [1003539073]}]}]}]}, {"name": "Testosterone; total", "billing_code_type": "CPT", "billing_code": "84403", "billing_code_type_version": "2022", "description": "ASSAY OF TESTOSTERONE TOTAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 18.07, "providers": [{"billed_charge": 55.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 36.13, "providers": [{"billed_charge": 64.53, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 18.07, "providers": [{"billed_charge": 103.24, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 28.39, "providers": [{"billed_charge": 86.0, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 21.16, "providers": [{"billed_charge": 108.24, "npi": [1235186800]}]}, {"allowed_amount": 53.94, "providers": [{"billed_charge": 108.0, "npi": [1235186800]}, {"billed_charge": 108.24, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 21.16, "providers": [{"billed_charge": 64.53, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 21.16, "providers": [{"billed_charge": 33.0, "npi": [1487429874]}]}, {"allowed_amount": 33.0, "providers": [{"billed_charge": 33.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 19.87, "providers": [{"billed_charge": 51.62, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 21.16, "providers": [{"billed_charge": 25.81, "npi": [1821749896]}]}]}]}, {"name": "Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use", "billing_code_type": "CPT", "billing_code": "90715", "billing_code_type_version": "2022", "description": "TDAP VACCINE 7 YRS/> IM", "allowed_amounts": [{"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1407887979]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 51.6, "providers": [{"billed_charge": 115.0, "npi": [1649619578]}]}]}, {"tin": {"type": "ein", "value": "465374323"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 55.57, "providers": [{"billed_charge": 150.0, "npi": [1558146100]}]}, {"allowed_amount": 117.09, "providers": [{"billed_charge": 150.0, "npi": [1821572694]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 56.76, "providers": [{"billed_charge": 119.0, "npi": [1184666935]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 576.8, "providers": [{"billed_charge": 1648.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.64, "providers": [{"billed_charge": 278.96, "npi": [1124074273, 1376256354, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 67.68, "providers": [{"billed_charge": 150.39, "npi": [1821011248]}]}, {"allowed_amount": 131.96, "providers": [{"billed_charge": 293.25, "npi": [1821011248]}]}, {"allowed_amount": 135.72, "providers": [{"billed_charge": 301.6, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752876610"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 73.43, "providers": [{"billed_charge": 90.0, "npi": [1730127705]}]}]}]}, {"name": "Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes", "billing_code_type": "CPT", "billing_code": "97530", "billing_code_type_version": "2022", "description": "THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "471126252"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 44.6, "providers": [{"billed_charge": 95.51, "npi": [1659823870, 1487105151]}]}, {"allowed_amount": 47.31, "providers": [{"billed_charge": 95.51, "npi": [1659823870]}]}]}, {"tin": {"type": "ein", "value": "741100555"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.31, "providers": [{"billed_charge": 295.0, "npi": [1477643690]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 208.6, "providers": [{"billed_charge": 596.0, "npi": [1770536120]}]}, {"allowed_amount": 258.65, "providers": [{"billed_charge": 739.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 185.82, "providers": [{"billed_charge": 530.92, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.3, "providers": [{"billed_charge": 274.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.16, "providers": [{"billed_charge": 204.6, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "760389608"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 46.2, "providers": [{"billed_charge": 107.0, "npi": [1861378663]}]}, {"allowed_amount": 53.81, "providers": [{"billed_charge": 107.0, "npi": [1861378663]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.22, "providers": [{"billed_charge": 326.0, "npi": [1184179194]}]}]}, {"tin": {"type": "ein", "value": "921743001"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 52.05, "providers": [{"billed_charge": 98.0, "npi": [1548119647]}]}]}]}, {"name": "Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility", "billing_code_type": "CPT", "billing_code": "97110", "billing_code_type_version": "2022", "description": "THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES", "allowed_amounts": [{"tin": {"type": "ein", "value": "201818870"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 43.34, "providers": [{"billed_charge": 45.0, "npi": [1629020185]}]}]}, {"tin": {"type": "ein", "value": "275018168"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 37.55, "providers": [{"billed_charge": 50.0, "npi": [1578274890]}]}]}, {"tin": {"type": "ein", "value": "471126252"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 34.58, "providers": [{"billed_charge": 102.2, "npi": [1659823870, 1487105151]}]}]}, {"tin": {"type": "ein", "value": "741100555"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.48, "providers": [{"billed_charge": 305.0, "npi": [1477643690]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 552.65, "providers": [{"billed_charge": 1579.0, "npi": [1770536120]}]}, {"allowed_amount": 640.85, "providers": [{"billed_charge": 1831.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 167.71, "providers": [{"billed_charge": 479.16, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.3, "providers": [{"billed_charge": 254.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "760389608"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 34.29, "providers": [{"billed_charge": 84.0, "npi": [1861378663]}]}]}, {"tin": {"type": "ein", "value": "883737095"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 39.15, "providers": [{"billed_charge": 90.0, "npi": [1811902125]}]}]}, {"tin": {"type": "ein", "value": "921743001"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 33.4, "providers": [{"billed_charge": 80.0, "npi": [1548119647]}]}]}]}, {"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": "202848116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 333.25, "npi": [1629138029]}]}]}, {"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 426.6, "npi": [1144566316, 1265568638]}]}]}, {"tin": {"type": "ein", "value": "205908627"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 369.0, "npi": [1851390967]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 843.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "233044530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.66, "providers": [{"billed_charge": 630.0, "npi": [1770579591]}]}]}, {"tin": {"type": "ein", "value": "233069260"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.18, "providers": [{"billed_charge": 1599.0, "npi": [1770573586]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 392.06, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "260684968"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 333.25, "npi": [1902047376]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 876.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "262978009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 346.84, "npi": [1407010622, 1619308319]}]}]}, {"tin": {"type": "ein", "value": "263734606"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.27, "providers": [{"billed_charge": 876.0, "npi": [1710314141]}]}]}, {"tin": {"type": "ein", "value": "270492434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 81.64, "providers": [{"billed_charge": 111.53, "npi": [1427048453]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 735.0, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "301205721"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 684.0, "npi": [1588215461]}]}]}, {"tin": {"type": "ein", "value": "332476324"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.23, "providers": [{"billed_charge": 324.0, "npi": [1114731064]}]}]}, {"tin": {"type": "ein", "value": "333807317"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 448.8, "npi": [1083586747]}]}]}, {"tin": {"type": "ein", "value": "334253563"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 518.71, "npi": [1225825946]}]}]}, {"tin": {"type": "ein", "value": "334308192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 518.71, "npi": [1932094976]}]}]}, {"tin": {"type": "ein", "value": "334308303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 518.71, "npi": [1174310841]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 518.71, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "340714461"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.5, "providers": [{"billed_charge": 260.0, "npi": [1225128432]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 346.84, "npi": [1598196206, 1679903967]}]}, {"allowed_amount": 101.78, "providers": [{"billed_charge": 346.84, "npi": [1831629526, 1598196206]}]}]}, {"tin": {"type": "ein", "value": "381357020"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.72, "providers": [{"billed_charge": 175.0, "npi": [1134144801]}]}]}, {"tin": {"type": "ein", "value": "412101361"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 392.06, "npi": [1962504340]}]}]}, {"tin": {"type": "ein", "value": "420680452"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.92, "providers": [{"billed_charge": 180.23, "npi": [1598905762]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.84, "providers": [{"billed_charge": 344.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "431527130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.19, "providers": [{"billed_charge": 364.0, "npi": [1831107895]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 333.25, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "440577118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.25, "providers": [{"billed_charge": 287.56, "npi": [1093740128]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 333.25, "npi": [1215296884]}]}, {"allowed_amount": 101.78, "providers": [{"billed_charge": 333.25, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 431.77, "npi": [1033120423]}]}, {"allowed_amount": 101.78, "providers": [{"billed_charge": 431.77, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "455055149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.34, "providers": [{"billed_charge": 190.0, "npi": [1134123193]}]}]}, {"tin": {"type": "ein", "value": "463017479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 489.41, "npi": [1538508635]}]}]}, {"tin": {"type": "ein", "value": "464007700"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 130.99, "providers": [{"billed_charge": 401.46, "npi": [1396138970]}]}]}, {"tin": {"type": "ein", "value": "464084062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 845.93, "npi": [1669872610]}]}]}, {"tin": {"type": "ein", "value": "464125750"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 294.0, "npi": [1457748238]}]}]}, {"tin": {"type": "ein", "value": "464389870"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 488.0, "npi": [1952723967]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 258.5, "providers": [{"billed_charge": 517.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 735.0, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 258.5, "providers": [{"billed_charge": 517.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "472616215"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 999.42, "providers": [{"billed_charge": 1500.0, "npi": [1922468156]}]}]}, {"tin": {"type": "ein", "value": "474717998"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.63, "providers": [{"billed_charge": 233.0, "npi": [1104295864]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 319.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "571098556"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.33, "providers": [{"billed_charge": 94.0, "npi": [1841914298]}]}]}, {"tin": {"type": "ein", "value": "582296052"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.96, "providers": [{"billed_charge": 319.0, "npi": [1205889458]}]}]}, {"tin": {"type": "ein", "value": "590973502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.78, "providers": [{"billed_charge": 232.65, "npi": [1063426823]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.31, "providers": [{"billed_charge": 391.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "596012065"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.47, "providers": [{"billed_charge": 307.6, "npi": [1174551147]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.47, "providers": [{"billed_charge": 417.0, "npi": [1134102080]}]}]}, {"tin": {"type": "ein", "value": "620123940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.32, "providers": [{"billed_charge": 72.0, "npi": [1578527172]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 641.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "731008550"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.63, "providers": [{"billed_charge": 213.0, "npi": [1851396394]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 333.25, "npi": [1659352987]}]}, {"allowed_amount": 101.78, "providers": [{"billed_charge": 333.25, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "736061037"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.35, "providers": [{"billed_charge": 378.87, "npi": [1720022379]}]}]}, {"tin": {"type": "ein", "value": "741109636"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 200.0, "npi": [1093708679]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 500.0, "npi": [1164526786, 1578780870, 1619115383, 1093810327, 1124137054]}]}, {"allowed_amount": 122.31, "providers": [{"billed_charge": 500.0, "npi": [1164526786, 1619115383, 1093810327]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 560.0, "npi": [1447883301]}]}, {"allowed_amount": 122.31, "providers": [{"billed_charge": 560.0, "npi": [1447883301]}]}, {"allowed_amount": 143.47, "providers": [{"billed_charge": 355.0, "npi": [1821004151]}, {"billed_charge": 489.0, "npi": [1194787218, 1780867390]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 876.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "741166904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 401.46, "npi": [1477516466]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 405.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 358.0, "npi": [1720088123]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.65, "providers": [{"billed_charge": 279.0, "npi": [1770536120]}]}, {"allowed_amount": 102.9, "providers": [{"billed_charge": 294.0, "npi": [1770536120]}]}, {"allowed_amount": 105.35, "providers": [{"billed_charge": 301.0, "npi": [1770536120]}]}, {"allowed_amount": 110.25, "providers": [{"billed_charge": 315.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742519752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 401.46, "npi": [1154315307]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.78, "providers": [{"billed_charge": 467.94, "npi": [1124074273]}]}, {"allowed_amount": 178.48, "providers": [{"billed_charge": 509.94, "npi": [1124074273]}]}, {"allowed_amount": 179.61, "providers": [{"billed_charge": 513.18, "npi": [1659525236]}]}, {"allowed_amount": 181.88, "providers": [{"billed_charge": 519.66, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 201.53, "providers": [{"billed_charge": 575.81, "npi": [1124074273]}]}, {"allowed_amount": 213.84, "providers": [{"billed_charge": 610.98, "npi": [1124074273, 1376071530, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.19, "providers": [{"billed_charge": 111.54, "npi": [1316936990]}, {"billed_charge": 129.59, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746000949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 182.0, "npi": [1548226988]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.65, "providers": [{"billed_charge": 137.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 316.0, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 333.25, "npi": [1174533343]}]}, {"allowed_amount": 101.78, "providers": [{"billed_charge": 333.25, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 392.06, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751037591"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 392.06, "npi": [1124305065, 1851108765]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 333.25, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751188675"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 162.0, "providers": [{"billed_charge": 162.0, "npi": [1396748471]}]}]}, {"tin": {"type": "ein", "value": "751277293"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 124.0, "npi": [1598750721]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 333.25, "npi": [1104845015]}]}, {"allowed_amount": 101.78, "providers": [{"billed_charge": 333.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 333.25, "npi": [1508899204]}]}, {"allowed_amount": 101.78, "providers": [{"billed_charge": 333.25, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 392.06, "npi": [1073511762]}]}, {"allowed_amount": 101.78, "providers": [{"billed_charge": 392.06, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 392.06, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 392.06, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752522262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.32, "providers": [{"billed_charge": 823.0, "npi": [1952326977]}]}]}, {"tin": {"type": "ein", "value": "752559845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.66, "providers": [{"billed_charge": 461.0, "npi": [1992707228]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 392.06, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 333.25, "npi": [1417980202]}]}, {"allowed_amount": 101.78, "providers": [{"billed_charge": 333.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 333.25, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752771437"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 333.25, "npi": [1457382798]}]}]}, {"tin": {"type": "ein", "value": "752865177"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 183.31, "npi": [1922002674]}]}]}, {"tin": {"type": "ein", "value": "752890358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 333.25, "npi": [1548291883]}]}]}, {"tin": {"type": "ein", "value": "752932830"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.93, "providers": [{"billed_charge": 739.0, "npi": [1952333205]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 323.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 633.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 333.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 251.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760536234"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 876.0, "npi": [1942208616]}]}, {"allowed_amount": 75.27, "providers": [{"billed_charge": 876.0, "npi": [1942208616]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 488.0, "npi": [1083937593, 1184179194, 1497871628]}]}, {"allowed_amount": 75.27, "providers": [{"billed_charge": 488.0, "npi": [1083937593, 1184179194, 1497871628]}]}]}, {"tin": {"type": "ein", "value": "811407290"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 1137.08, "npi": [1134654080]}]}]}, {"tin": {"type": "ein", "value": "812527918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.78, "providers": [{"billed_charge": 294.0, "npi": [1396280756]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 426.6, "npi": [1902366305, 1144781501, 1346729159]}]}, {"allowed_amount": 122.31, "providers": [{"billed_charge": 426.6, "npi": [1144781501]}]}]}, {"tin": {"type": "ein", "value": "813556450"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.31, "providers": [{"billed_charge": 523.79, "npi": [1467935866]}]}]}, {"tin": {"type": "ein", "value": "820200895"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.19, "providers": [{"billed_charge": 316.0, "npi": [1992736649]}]}]}, {"tin": {"type": "ein", "value": "820551704"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 392.06, "npi": [1649273434]}]}]}, {"tin": {"type": "ein", "value": "820641535"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 1275.0, "npi": [1134783913]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 250.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "823463299"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 374.0, "npi": [1649770488]}]}, {"allowed_amount": 75.27, "providers": [{"billed_charge": 374.0, "npi": [1649770488]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 330.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 392.06, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "824540200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.41, "providers": [{"billed_charge": 1500.0, "npi": [1124669262]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 431.77, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 333.25, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "832041336"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 1406.25, "npi": [1245705417]}]}]}, {"tin": {"type": "ein", "value": "843475920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 250.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 261.2, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "850106941"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.06, "providers": [{"billed_charge": 273.0, "npi": [1578587150]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 307.61, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "851929979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 772.99, "npi": [1851180400]}]}]}, {"tin": {"type": "ein", "value": "851931245"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 1055.79, "npi": [1750909974]}]}]}, {"tin": {"type": "ein", "value": "851978933"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 523.79, "npi": [1265044333]}]}, {"allowed_amount": 122.31, "providers": [{"billed_charge": 523.79, "npi": [1265044333]}]}]}, {"tin": {"type": "ein", "value": "851984103"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 1055.79, "npi": [1376151365]}]}]}, {"tin": {"type": "ein", "value": "852007987"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 1055.79, "npi": [1144838947]}]}]}, {"tin": {"type": "ein", "value": "852713042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 489.41, "npi": [1376141556]}]}, {"allowed_amount": 75.27, "providers": [{"billed_charge": 489.41, "npi": [1376141556]}]}]}, {"tin": {"type": "ein", "value": "853503076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 938.26, "npi": [1124623889]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.45, "providers": [{"billed_charge": 232.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.45, "providers": [{"billed_charge": 307.61, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "863009016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 578.0, "npi": [1417615006]}]}]}, {"tin": {"type": "ein", "value": "871224784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 938.26, "npi": [1003489212]}]}]}, {"tin": {"type": "ein", "value": "872698268"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 703.98, "npi": [1861163826]}]}]}, {"tin": {"type": "ein", "value": "881716225"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 468.11, "npi": [1053175794]}]}]}, {"tin": {"type": "ein", "value": "882501936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.27, "providers": [{"billed_charge": 448.8, "npi": [1750013769]}]}]}, {"tin": {"type": "ein", "value": "882931023"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 1055.79, "npi": [1740911213]}]}]}, {"tin": {"type": "ein", "value": "883576979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 938.26, "npi": [1851028146]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.31, "providers": [{"billed_charge": 684.0, "npi": [1003539073]}]}, {"allowed_amount": 143.47, "providers": [{"billed_charge": 684.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "920937062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 448.8, "npi": [1558056895]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.34, "providers": [{"billed_charge": 143.34, "npi": [1073200309]}]}]}, {"tin": {"type": "ein", "value": "921924347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 432.32, "npi": [1639875750]}]}]}, {"tin": {"type": "ein", "value": "922858146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.61, "providers": [{"billed_charge": 1406.25, "npi": [1184305609]}]}]}, {"tin": {"type": "ein", "value": "923637942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 938.26, "npi": [1679263883]}]}]}, {"tin": {"type": "ein", "value": "930602940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.17, "providers": [{"billed_charge": 396.3, "npi": [1982621447]}]}]}, {"tin": {"type": "ein", "value": "933488698"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 15.0, "npi": [1740042175]}, {"billed_charge": 489.41, "npi": [1740042175]}]}]}, {"tin": {"type": "ein", "value": "934242663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.3, "providers": [{"billed_charge": 772.99, "npi": [1740054436]}]}]}, {"tin": {"type": "ein", "value": "934295804"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 938.26, "npi": [1851165013]}]}, {"allowed_amount": 75.27, "providers": [{"billed_charge": 938.26, "npi": [1851165013]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 380.0, "providers": [{"billed_charge": 380.0, "npi": [1518012301]}]}]}, {"tin": {"type": "ein", "value": "991725632"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 938.26, "npi": [1780442517]}]}]}, {"tin": {"type": "ein", "value": "992069011"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 690.0, "npi": [1477303105]}]}]}, {"tin": {"type": "ein", "value": "992078911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 690.0, "npi": [1770333403]}]}]}, {"tin": {"type": "ein", "value": "992199214"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.47, "providers": [{"billed_charge": 977.08, "npi": [1013735786]}]}]}, {"tin": {"type": "ein", "value": "993319912"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.38, "providers": [{"billed_charge": 624.89, "npi": [1306679378]}]}]}, {"tin": {"type": "ein", "value": "994785298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.26, "providers": [{"billed_charge": 400.91, "npi": [1639992514]}]}]}, {"tin": {"type": "ein", "value": "995020733"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.47, "providers": [{"billed_charge": 282.31, "npi": [1184440828]}]}]}, {"tin": {"type": "ein", "value": "995104341"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.59, "providers": [{"billed_charge": 1500.0, "npi": [1609697242]}]}]}]}, {"name": "Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "96376", "billing_code_type_version": "2022", "description": "THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC", "allowed_amounts": [{"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 110.54, "providers": [{"billed_charge": 141.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 110.25, "providers": [{"billed_charge": 315.0, "npi": [1770536120]}]}, {"allowed_amount": 155.4, "providers": [{"billed_charge": 444.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.48, "providers": [{"billed_charge": 509.94, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 179.33, "providers": [{"billed_charge": 512.37, "npi": [1659525236]}]}, {"allowed_amount": 179.5, "providers": [{"billed_charge": 512.85, "npi": [1124074273]}]}, {"allowed_amount": 183.58, "providers": [{"billed_charge": 524.51, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 187.48, "providers": [{"billed_charge": 535.66, "npi": [1124074273]}]}, {"allowed_amount": 189.22, "providers": [{"billed_charge": 540.64, "npi": [1124074273]}]}, {"allowed_amount": 205.29, "providers": [{"billed_charge": 586.54, "npi": [1124074273]}]}, {"allowed_amount": 213.84, "providers": [{"billed_charge": 610.98, "npi": [1124074273, 1376071530, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.65, "providers": [{"billed_charge": 137.0, "npi": [1821011248]}]}]}]}, {"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": "150532221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.85, "providers": [{"billed_charge": 531.44, "npi": [1629087580]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.0, "providers": [{"billed_charge": 964.39, "npi": [1134172406]}]}]}, {"tin": {"type": "ein", "value": "202848116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 333.25, "npi": [1629138029]}]}]}, {"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 603.66, "npi": [1144566316, 1265568638]}]}]}, {"tin": {"type": "ein", "value": "203904667"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 451.29, "npi": [1376662296]}]}]}, {"tin": {"type": "ein", "value": "205908627"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 671.0, "npi": [1851390967]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 856.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "233069260"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 636.74, "providers": [{"billed_charge": 1558.0, "npi": [1770573586]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 524.33, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "260684968"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 333.25, "npi": [1902047376]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 876.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "262978009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 384.42, "npi": [1407010622, 1619308319]}]}, {"allowed_amount": 461.53, "providers": [{"billed_charge": 384.42, "npi": [1689002651]}]}]}, {"tin": {"type": "ein", "value": "263734606"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 876.0, "npi": [1710314141]}]}]}, {"tin": {"type": "ein", "value": "263975185"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 512.51, "providers": [{"billed_charge": 351.0, "npi": [1609001312]}]}]}, {"tin": {"type": "ein", "value": "270492434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 363.26, "providers": [{"billed_charge": 496.25, "npi": [1427048453]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 512.74, "providers": [{"billed_charge": 654.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 498.2, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "301205721"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 684.0, "npi": [1588215461]}]}]}, {"tin": {"type": "ein", "value": "331929227"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 454.35, "npi": [1144112129]}]}]}, {"tin": {"type": "ein", "value": "332476324"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 632.5, "providers": [{"billed_charge": 325.0, "npi": [1114731064]}]}]}, {"tin": {"type": "ein", "value": "333465465"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 1508.09, "npi": [1831995950]}]}]}, {"tin": {"type": "ein", "value": "333807317"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 921.56, "npi": [1083586747]}]}]}, {"tin": {"type": "ein", "value": "334228227"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 601.2, "npi": [1538950837]}]}]}, {"tin": {"type": "ein", "value": "334253563"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 601.2, "npi": [1225825946]}]}]}, {"tin": {"type": "ein", "value": "334308192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 601.2, "npi": [1932094976]}]}]}, {"tin": {"type": "ein", "value": "334308303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 601.2, "npi": [1174310841]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 601.2, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "334335561"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 601.2, "npi": [1952295164]}]}]}, {"tin": {"type": "ein", "value": "340714461"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.55, "providers": [{"billed_charge": 302.0, "npi": [1225128432]}]}]}, {"tin": {"type": "ein", "value": "364755936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 231.14, "providers": [{"billed_charge": 384.42, "npi": [1831629526]}]}, {"allowed_amount": 462.28, "providers": [{"billed_charge": 384.42, "npi": [1831629526, 1598196206, 1679903967]}]}]}, {"tin": {"type": "ein", "value": "381357020"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 271.28, "providers": [{"billed_charge": 300.0, "npi": [1134144801]}]}]}, {"tin": {"type": "ein", "value": "392717734"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 963.32, "npi": [1093604662]}]}]}, {"tin": {"type": "ein", "value": "412101361"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 524.33, "npi": [1962504340]}]}]}, {"tin": {"type": "ein", "value": "420680452"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 249.47, "providers": [{"billed_charge": 868.96, "npi": [1598905762]}]}, {"allowed_amount": 250.64, "providers": [{"billed_charge": 868.96, "npi": [1356433049]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 289.99, "providers": [{"billed_charge": 347.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "431527130"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 296.14, "providers": [{"billed_charge": 404.0, "npi": [1831107895]}]}]}, {"tin": {"type": "ein", "value": "431767432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 317.16, "providers": [{"billed_charge": 296.0, "npi": [1447284898]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 333.25, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "440577118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 532.63, "providers": [{"billed_charge": 346.96, "npi": [1093740128]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 333.25, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "452528414"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 492.1, "providers": [{"billed_charge": 903.08, "npi": [1972585347]}]}]}, {"tin": {"type": "ein", "value": "452662980"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 636.74, "providers": [{"billed_charge": 1867.0, "npi": [1154618742]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 385.5, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "463017479"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1002.29, "npi": [1538508635]}]}]}, {"tin": {"type": "ein", "value": "464007700"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 594.98, "providers": [{"billed_charge": 507.42, "npi": [1396138970]}]}]}, {"tin": {"type": "ein", "value": "464125750"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 435.0, "npi": [1457748238]}]}]}, {"tin": {"type": "ein", "value": "464389870"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 457.0, "npi": [1952723967]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 381.5, "providers": [{"billed_charge": 763.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 833.09, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 381.5, "providers": [{"billed_charge": 763.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "472616215"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 643.15, "providers": [{"billed_charge": 1500.0, "npi": [1922468156]}]}]}, {"tin": {"type": "ein", "value": "474717998"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 493.41, "providers": [{"billed_charge": 233.0, "npi": [1104295864]}]}]}, {"tin": {"type": "ein", "value": "481260190"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 359.0, "npi": [1982609558]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 328.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "540261840"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 659.95, "providers": [{"billed_charge": 457.0, "npi": [1346248663]}]}]}, {"tin": {"type": "ein", "value": "540696355"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 699.79, "providers": [{"billed_charge": 341.0, "npi": [1417005760]}]}]}, {"tin": {"type": "ein", "value": "550387249"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 432.56, "providers": [{"billed_charge": 1034.0, "npi": [1619921947]}]}]}, {"tin": {"type": "ein", "value": "571098556"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 419.4, "providers": [{"billed_charge": 109.0, "npi": [1841914298]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 481.79, "providers": [{"billed_charge": 620.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.77, "providers": [{"billed_charge": 597.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "582200195"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.77, "providers": [{"billed_charge": 586.5, "npi": [1225034333]}]}]}, {"tin": {"type": "ein", "value": "582296052"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 435.87, "providers": [{"billed_charge": 377.0, "npi": [1205889458]}]}]}, {"tin": {"type": "ein", "value": "590724459"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 442.02, "providers": [{"billed_charge": 429.0, "npi": [1306938071]}]}]}, {"tin": {"type": "ein", "value": "591726273"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 442.02, "providers": [{"billed_charge": 695.0, "npi": [1184709057]}]}]}, {"tin": {"type": "ein", "value": "596014973"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 410.92, "providers": [{"billed_charge": 1140.0, "npi": [1134102080]}]}]}, {"tin": {"type": "ein", "value": "610445850"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 439.43, "providers": [{"billed_charge": 846.01, "npi": [1467492421]}]}]}, {"tin": {"type": "ein", "value": "620123940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.05, "providers": [{"billed_charge": 383.0, "npi": [1578527172]}]}]}, {"tin": {"type": "ein", "value": "620479367"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.05, "providers": [{"billed_charge": 222.0, "npi": [1558365890]}]}]}, {"tin": {"type": "ein", "value": "621762428"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 617.0, "npi": [1144274226]}]}]}, {"tin": {"type": "ein", "value": "621762526"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 478.1, "providers": [{"billed_charge": 452.0, "npi": [1790722346]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 749.06, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "730745473"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.12, "providers": [{"billed_charge": 449.28, "npi": [1144268723]}]}]}, {"tin": {"type": "ein", "value": "731008550"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 293.59, "providers": [{"billed_charge": 370.0, "npi": [1851396394]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 333.25, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "736048282"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.12, "providers": [{"billed_charge": 396.0, "npi": [1700882578]}]}]}, {"tin": {"type": "ein", "value": "736061037"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 274.12, "providers": [{"billed_charge": 378.87, "npi": [1720022379]}]}]}, {"tin": {"type": "ein", "value": "741109636"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 250.0, "npi": [1093708679]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 216.0, "npi": [1447355771]}, {"billed_charge": 860.0, "npi": [1164526786, 1578780870, 1093810327, 1124137054, 1619115383]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 558.0, "npi": [1447883301]}]}, {"allowed_amount": 651.69, "providers": [{"billed_charge": 374.0, "npi": [1821004151]}, {"billed_charge": 513.0, "npi": [1194787218, 1780867390]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 876.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "741166904"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 507.42, "npi": [1477516466]}]}]}, {"tin": {"type": "ein", "value": "741180155"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 334.0, "npi": [1548387418]}]}]}, {"tin": {"type": "ein", "value": "741386053"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 373.0, "npi": [1720088123]}]}]}, {"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 313.9, "providers": [{"billed_charge": 603.66, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "741774669"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 620.0, "npi": [1235685892]}]}]}, {"tin": {"type": "ein", "value": "742019736"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 292.5, "npi": [1871599829]}]}]}, {"tin": {"type": "ein", "value": "742425482"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 152.18, "providers": [{"billed_charge": 487.73, "npi": [1992285282]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.65, "providers": [{"billed_charge": 279.0, "npi": [1770536120]}]}, {"allowed_amount": 110.25, "providers": [{"billed_charge": 315.0, "npi": [1770536120]}]}, {"allowed_amount": 115.83, "providers": [{"billed_charge": 315.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742519752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 507.42, "npi": [1154315307]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 620.39, "npi": [1952348021]}]}, {"allowed_amount": 182.58, "providers": [{"billed_charge": 521.65, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 186.06, "providers": [{"billed_charge": 531.59, "npi": [1124074273]}]}, {"allowed_amount": 210.0, "providers": [{"billed_charge": 600.0, "npi": [1124074273]}]}, {"allowed_amount": 217.14, "providers": [{"billed_charge": 620.39, "npi": [1124074273, 1376071530, 1659525236]}]}, {"allowed_amount": 241.61, "providers": [{"billed_charge": 620.39, "npi": [1124074273]}]}, {"allowed_amount": 969.0, "providers": [{"billed_charge": 620.39, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 491.44, "providers": [{"billed_charge": 217.31, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746000949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 817.0, "npi": [1548226988]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 253.35, "providers": [{"billed_charge": 563.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746025069"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 369.33, "providers": [{"billed_charge": 184.0, "npi": [1679678767]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 380.0, "npi": [1720480627, 1194743013]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 333.25, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "750974351"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 383.0, "npi": [1124092036]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 524.33, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751037591"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 524.33, "npi": [1124305065, 1851108765]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 333.25, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751188675"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 334.0, "providers": [{"billed_charge": 334.0, "npi": [1396748471]}]}]}, {"tin": {"type": "ein", "value": "751277293"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 547.0, "npi": [1598750721]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 333.25, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751584559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 491.44, "providers": [{"billed_charge": 443.0, "npi": [1255325817]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 333.25, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 524.33, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 524.33, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 524.33, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752051646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 795.24, "npi": [1891765178]}]}]}, {"tin": {"type": "ein", "value": "752522262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.05, "providers": [{"billed_charge": 823.0, "npi": [1952326977]}]}]}, {"tin": {"type": "ein", "value": "752559845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 697.96, "providers": [{"billed_charge": 635.0, "npi": [1992707228]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 524.33, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 333.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 333.25, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752771437"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 333.25, "npi": [1457382798]}]}]}, {"tin": {"type": "ein", "value": "752796815"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 356.99, "providers": [{"billed_charge": 503.0, "npi": [1295736734]}]}]}, {"tin": {"type": "ein", "value": "752829613"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 449.0, "npi": [1386647717]}]}]}, {"tin": {"type": "ein", "value": "752865177"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 893.7, "npi": [1922002674]}]}]}, {"tin": {"type": "ein", "value": "752890358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 333.25, "npi": [1548291883]}]}]}, {"tin": {"type": "ein", "value": "752932830"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 721.89, "providers": [{"billed_charge": 960.0, "npi": [1952333205]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.66, "providers": [{"billed_charge": 426.0, "npi": [1285798918]}]}, {"allowed_amount": 333.33, "providers": [{"billed_charge": 426.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 506.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 333.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 580.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760536234"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 876.0, "npi": [1942208616]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 457.0, "npi": [1083937593, 1184179194, 1497871628]}]}]}, {"tin": {"type": "ein", "value": "800810304"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 637.56, "npi": [1295213601]}]}]}, {"tin": {"type": "ein", "value": "812527918"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 462.28, "providers": [{"billed_charge": 435.0, "npi": [1396280756]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 603.66, "npi": [1902366305, 1144781501, 1346729159]}]}]}, {"tin": {"type": "ein", "value": "813556450"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 889.95, "npi": [1467935866]}]}]}, {"tin": {"type": "ein", "value": "815287624"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 357.0, "npi": [1174059208]}]}]}, {"tin": {"type": "ein", "value": "820161600"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 486.9, "providers": [{"billed_charge": 734.0, "npi": [1770586794]}]}]}, {"tin": {"type": "ein", "value": "820551704"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 524.33, "npi": [1649273434]}]}]}, {"tin": {"type": "ein", "value": "820641535"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1280.0, "npi": [1134783913]}]}]}, {"tin": {"type": "ein", "value": "820756286"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 393.38, "npi": [1821501875]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 1000.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "822913146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 491.44, "providers": [{"billed_charge": 596.0, "npi": [1972517365]}]}]}, {"tin": {"type": "ein", "value": "823463299"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 357.0, "npi": [1649770488]}]}]}, {"tin": {"type": "ein", "value": "823626083"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 360.0, "npi": [1083112023]}]}]}, {"tin": {"type": "ein", "value": "824052186"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 524.33, "npi": [1801826839]}]}]}, {"tin": {"type": "ein", "value": "824540200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 646.85, "providers": [{"billed_charge": 1500.0, "npi": [1124669262]}]}, {"allowed_amount": 12296.0, "providers": [{"billed_charge": 1500.0, "npi": [1124669262]}]}]}, {"tin": {"type": "ein", "value": "831869297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 385.5, "npi": [1356960132]}]}]}, {"tin": {"type": "ein", "value": "831954982"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 333.25, "npi": [1104381292]}]}]}, {"tin": {"type": "ein", "value": "832040784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1236.0, "npi": [1366917528]}]}]}, {"tin": {"type": "ein", "value": "832041336"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1236.0, "npi": [1245705417]}]}]}, {"tin": {"type": "ein", "value": "832329088"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1896.21, "npi": [1457820995]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 475.69, "providers": [{"billed_charge": 975.39, "npi": [1619985942]}]}]}, {"tin": {"type": "ein", "value": "843475920"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 1000.0, "npi": [1063051159]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 280.25, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "850106941"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 504.52, "providers": [{"billed_charge": 420.0, "npi": [1578587150]}]}]}, {"tin": {"type": "ein", "value": "851919095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 454.35, "npi": [1316617707]}]}]}, {"tin": {"type": "ein", "value": "851929979"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 1023.44, "npi": [1851180400]}]}]}, {"tin": {"type": "ein", "value": "851931245"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 3550.96, "npi": [1750909974]}]}]}, {"tin": {"type": "ein", "value": "851978933"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 889.95, "npi": [1265044333]}]}]}, {"tin": {"type": "ein", "value": "851984103"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 3550.96, "npi": [1376151365]}]}]}, {"tin": {"type": "ein", "value": "852713042"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 921.56, "npi": [1376141556]}]}]}, {"tin": {"type": "ein", "value": "853503076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 1508.09, "npi": [1124623889]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 374.5, "providers": [{"billed_charge": 454.35, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "881716225"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 691.41, "npi": [1053175794]}]}]}, {"tin": {"type": "ein", "value": "882501936"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 921.56, "npi": [1750013769]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 555.54, "providers": [{"billed_charge": 684.0, "npi": [1003539073]}]}, {"allowed_amount": 651.69, "providers": [{"billed_charge": 684.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "921924347"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 1016.09, "npi": [1639875750]}]}]}, {"tin": {"type": "ein", "value": "922858146"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 461.53, "providers": [{"billed_charge": 1236.0, "npi": [1184305609]}]}]}, {"tin": {"type": "ein", "value": "923209338"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 643.15, "providers": [{"billed_charge": 1500.0, "npi": [1558132365]}]}]}, {"tin": {"type": "ein", "value": "923637942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 1508.09, "npi": [1679263883]}]}]}, {"tin": {"type": "ein", "value": "930602940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 536.81, "providers": [{"billed_charge": 399.22, "npi": [1982621447]}]}]}, {"tin": {"type": "ein", "value": "933488698"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 921.56, "npi": [1740042175]}]}]}, {"tin": {"type": "ein", "value": "934242663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2239.8, "providers": [{"billed_charge": 1023.44, "npi": [1740054436]}]}]}, {"tin": {"type": "ein", "value": "934370183"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 1000.0, "npi": [1538934864]}]}]}, {"tin": {"type": "ein", "value": "991725632"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 1508.09, "npi": [1780442517]}]}]}, {"tin": {"type": "ein", "value": "992078911"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 498.0, "npi": [1770333403]}]}]}, {"tin": {"type": "ein", "value": "992199214"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 651.69, "providers": [{"billed_charge": 767.97, "npi": [1013735786]}]}]}, {"tin": {"type": "ein", "value": "992892769"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.77, "providers": [{"billed_charge": 672.0, "npi": [1255171096]}]}]}, {"tin": {"type": "ein", "value": "993319912"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 333.33, "providers": [{"billed_charge": 774.13, "npi": [1306679378]}]}]}, {"tin": {"type": "ein", "value": "994033449"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 1002.29, "npi": [1902644263]}]}]}, {"tin": {"type": "ein", "value": "994785298"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 341.87, "providers": [{"billed_charge": 438.05, "npi": [1639992514]}]}]}, {"tin": {"type": "ein", "value": "995020733"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 410.92, "providers": [{"billed_charge": 372.78, "npi": [1184440828]}]}]}, {"tin": {"type": "ein", "value": "995104341"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 643.15, "providers": [{"billed_charge": 1500.0, "npi": [1609697242]}]}]}]}, {"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": "208421073"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 27.49, "providers": [{"billed_charge": 40.0, "npi": [1932311958]}]}]}, {"tin": {"type": "ein", "value": "264104591"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.65, "providers": [{"billed_charge": 26.78, "npi": [1437680113]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 21.7, "providers": [{"billed_charge": 60.0, "npi": [1407969140]}]}]}, {"tin": {"type": "ein", "value": "273818647"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 24.53, "providers": [{"billed_charge": 90.0, "npi": [1619506532]}]}]}, {"tin": {"type": "ein", "value": "352276788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 27.05, "providers": [{"billed_charge": 50.0, "npi": [1942270400]}]}]}, {"tin": {"type": "ein", "value": "384081838"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.74, "providers": [{"billed_charge": 60.0, "npi": [1417435827]}]}]}, {"tin": {"type": "ein", "value": "464936757"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 20.06, "providers": [{"billed_charge": 25.0, "npi": [1255374641]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.0, "providers": [{"billed_charge": 422.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.0, "providers": [{"billed_charge": 422.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "473850768"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 17.68, "providers": [{"billed_charge": 40.78, "npi": [1295979136]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.25, "providers": [{"billed_charge": 175.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 171.42, "providers": [{"billed_charge": 329.64, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "742427853"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1992968481]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.9, "providers": [{"billed_charge": 274.0, "npi": [1770536120]}]}, {"allowed_amount": 97.3, "providers": [{"billed_charge": 278.0, "npi": [1770536120]}]}, {"allowed_amount": 99.4, "providers": [{"billed_charge": 284.0, "npi": [1770536120]}]}, {"allowed_amount": 103.95, "providers": [{"billed_charge": 297.0, "npi": [1770536120]}]}, {"allowed_amount": 110.6, "providers": [{"billed_charge": 316.0, "npi": [1770536120]}]}, {"allowed_amount": 122.85, "providers": [{"billed_charge": 351.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.93, "providers": [{"billed_charge": 351.24, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 122.94, "providers": [{"billed_charge": 351.24, "npi": [1124074273]}]}, {"allowed_amount": 129.72, "providers": [{"billed_charge": 370.62, "npi": [1124074273]}]}, {"allowed_amount": 139.82, "providers": [{"billed_charge": 399.5, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 139.83, "providers": [{"billed_charge": 399.5, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 141.4, "providers": [{"billed_charge": 404.0, "npi": [1124074273, 1376071530]}]}]}, {"tin": {"type": "ein", "value": "742766753"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 26.0, "providers": [{"billed_charge": 26.0, "npi": [1508978214]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 162.0, "providers": [{"billed_charge": 360.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752896138"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 18.14, "providers": [{"billed_charge": 171.0, "npi": [1326312026]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.23, "providers": [{"billed_charge": 221.0, "npi": [1992753222]}]}, {"allowed_amount": 221.0, "providers": [{"billed_charge": 221.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001170"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 38.21, "providers": [{"billed_charge": 50.0, "npi": [1336846559]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.83, "providers": [{"billed_charge": 236.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "812813433"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.74, "providers": [{"billed_charge": 74.0, "npi": [1083154207]}]}]}, {"tin": {"type": "ein", "value": "813564692"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 28.36, "providers": [{"billed_charge": 50.0, "npi": [1255499943]}]}]}, {"tin": {"type": "ein", "value": "852357914"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 21.1, "providers": [{"billed_charge": 32.0, "npi": [1407651219]}]}]}, {"tin": {"type": "ein", "value": "900993578"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 15.16, "providers": [{"billed_charge": 67.0, "npi": [1124919683]}]}]}]}, {"name": "Thromboplastin time, partial (PTT); plasma or whole blood", "billing_code_type": "CPT", "billing_code": "85730", "billing_code_type_version": "2022", "description": "THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD", "allowed_amounts": [{"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.87, "providers": [{"billed_charge": 158.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.55, "providers": [{"billed_charge": 653.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.46, "providers": [{"billed_charge": 327.03, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.9, "providers": [{"billed_charge": 202.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 17.0, "providers": [{"billed_charge": 17.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.56, "providers": [{"billed_charge": 25.14, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "880107050"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.74, "providers": [{"billed_charge": 21.0, "npi": [1770545519]}]}]}]}, {"name": "Thyroglobulin antibody", "billing_code_type": "CPT", "billing_code": "86800", "billing_code_type_version": "2022", "description": "THYROGLOBULIN ANTIBODY", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.14, "providers": [{"billed_charge": 75.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "200434866"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 25.77, "providers": [{"billed_charge": 85.12, "npi": [1245494517]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 22.27, "providers": [{"billed_charge": 39.78, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.14, "providers": [{"billed_charge": 63.64, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.05, "providers": [{"billed_charge": 66.66, "npi": [1235186800]}]}, {"allowed_amount": 33.25, "providers": [{"billed_charge": 66.66, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.05, "providers": [{"billed_charge": 20.0, "npi": [1487429874]}]}]}]}, {"name": "Thyroid stimulating hormone (TSH)", "billing_code_type": "CPT", "billing_code": "84443", "billing_code_type_version": "2022", "description": "ASSAY OF THYROID STIMULATING HORMONE TSH", "allowed_amounts": [{"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.76, "providers": [{"billed_charge": 67.2, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 19.49, "providers": [{"billed_charge": 377.43, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 551.95, "providers": [{"billed_charge": 1577.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 248.63, "providers": [{"billed_charge": 710.37, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.4, "providers": [{"billed_charge": 112.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 18.48, "providers": [{"billed_charge": 100.97, "npi": [1467642611]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 47.0, "providers": [{"billed_charge": 47.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.78, "providers": [{"billed_charge": 70.41, "npi": [1235186800]}]}, {"allowed_amount": 35.11, "providers": [{"billed_charge": 70.0, "npi": [1235186800]}, {"billed_charge": 70.41, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.78, "providers": [{"billed_charge": 21.0, "npi": [1487429874]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 611.35, "providers": [{"billed_charge": 1746.7, "npi": [1659327013]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 12.94, "providers": [{"billed_charge": 35.6, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.78, "providers": [{"billed_charge": 25.2, "npi": [1457977209]}, {"billed_charge": 42.0, "npi": [1457977209]}]}]}]}, {"name": "Thyroxine; free", "billing_code_type": "CPT", "billing_code": "84439", "billing_code_type_version": "2022", "description": "ASSAY OF FREE THYROXINE", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.31, "providers": [{"billed_charge": 50.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.31, "providers": [{"billed_charge": 36.08, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.08, "providers": [{"billed_charge": 112.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 463.05, "providers": [{"billed_charge": 1323.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 248.63, "providers": [{"billed_charge": 710.37, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.35, "providers": [{"billed_charge": 123.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 9.92, "providers": [{"billed_charge": 69.0, "npi": [1467642611]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 26.0, "providers": [{"billed_charge": 26.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.4, "providers": [{"billed_charge": 14.0, "npi": [1104839380]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.4, "providers": [{"billed_charge": 37.8, "npi": [1235186800]}]}, {"allowed_amount": 18.85, "providers": [{"billed_charge": 37.8, "npi": [1235186800]}, {"billed_charge": 38.0, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.4, "providers": [{"billed_charge": 22.55, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "821606706"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.4, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 13.53, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.4, "providers": [{"billed_charge": 12.0, "npi": [1487429874]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.95, "providers": [{"billed_charge": 18.04, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.4, "providers": [{"billed_charge": 22.55, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.4, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 9.02, "npi": [1790721538]}]}]}]}, {"name": "Thyroxine; total", "billing_code_type": "CPT", "billing_code": "84436", "billing_code_type_version": "2022", "description": "ASSAY OF THYROXINE TOTAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 9.62, "providers": [{"billed_charge": 17.18, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.97, "providers": [{"billed_charge": 154.36, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.75, "providers": [{"billed_charge": 605.01, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.63, "providers": [{"billed_charge": 28.83, "npi": [1235186800]}]}, {"allowed_amount": 14.36, "providers": [{"billed_charge": 28.83, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.29, "providers": [{"billed_charge": 13.74, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 5.63, "providers": [{"billed_charge": 6.87, "npi": [1821749896]}]}]}]}, {"name": "Transferase; alanine amino (ALT) (SGPT)", "billing_code_type": "CPT", "billing_code": "84460", "billing_code_type_version": "2022", "description": "TRANSFERASE ALANINE AMINO ALT SGPT", "allowed_amounts": [{"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.15, "providers": [{"billed_charge": 118.91, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.59, "providers": [{"billed_charge": 64.0, "npi": [1982606992]}]}]}]}, {"name": "Transferase; aspartate amino (AST) (SGOT)", "billing_code_type": "CPT", "billing_code": "84450", "billing_code_type_version": "2022", "description": "TRANSFERASE ASPARTATE AMINO AST SGOT", "allowed_amounts": [{"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.01, "providers": [{"billed_charge": 116.25, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.39, "providers": [{"billed_charge": 63.0, "npi": [1982606992]}]}]}]}, {"name": "Transferrin", "billing_code_type": "CPT", "billing_code": "84466", "billing_code_type_version": "2022", "description": "ASSAY OF L7383TRANSFERRIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.75, "providers": [{"billed_charge": 605.01, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.0, "providers": [{"billed_charge": 36.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.46, "providers": [{"billed_charge": 52.68, "npi": [1235186800]}]}, {"allowed_amount": 26.67, "providers": [{"billed_charge": 52.68, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.46, "providers": [{"billed_charge": 16.0, "npi": [1487429874]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.83, "providers": [{"billed_charge": 25.52, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 20.67, "providers": [{"billed_charge": 154.0, "npi": [1982606992]}]}]}]}, {"name": "Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)", "billing_code_type": "CPT", "billing_code": "64488", "billing_code_type_version": "2022", "description": "TAP BLOCK BILATERAL BY INJECTION(S)", "allowed_amounts": [{"tin": {"type": "ein", "value": "043276227"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.52, "providers": [{"billed_charge": 185.0, "npi": [1417376872]}]}]}, {"tin": {"type": "ein", "value": "461743879"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 215.57, "providers": [{"billed_charge": 2560.0, "npi": [1164401642]}]}]}, {"tin": {"type": "ein", "value": "471804903"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 102.55, "providers": [{"billed_charge": 734.0, "npi": [1326196015]}]}]}, {"tin": {"type": "ein", "value": "752917570"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.26, "providers": [{"billed_charge": 698.0, "npi": [1629337340]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 102.55, "providers": [{"billed_charge": 1395.0, "npi": [1831817451, 1295971653, 1073233326]}]}, {"allowed_amount": 214.63, "providers": [{"billed_charge": 1395.0, "npi": [1619063336, 1336288380]}]}, {"allowed_amount": 224.48, "providers": [{"billed_charge": 1395.0, "npi": [1689872228, 1467689687]}]}, {"allowed_amount": 401.81, "providers": [{"billed_charge": 1395.0, "npi": [1548462435, 1154539773]}]}, {"allowed_amount": 405.82, "providers": [{"billed_charge": 1395.0, "npi": [1871548404, 1609087857, 1831536739, 1821048356]}]}, {"allowed_amount": 416.38, "providers": [{"billed_charge": 1395.0, "npi": [1962485953, 1528388097, 1740465640, 1487636841, 1457914285, 1114048014, 1477536209, 1861404501, 1063415925, 1366707861, 1407419583]}]}, {"allowed_amount": 431.14, "providers": [{"billed_charge": 1395.0, "npi": [1083934251, 1215914510, 1356380687]}]}]}, {"tin": {"type": "ein", "value": "854230695"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.55, "providers": [{"billed_charge": 525.0, "npi": [1831588326]}]}, {"allowed_amount": 416.38, "providers": [{"billed_charge": 525.0, "npi": [1538740394]}]}]}, {"tin": {"type": "ein", "value": "934328384"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 208.19, "providers": [{"billed_charge": 472.0, "npi": [1518371954]}]}]}]}, {"name": "Triiodothyronine T3; free", "billing_code_type": "CPT", "billing_code": "84481", "billing_code_type_version": "2022", "description": "ASSAY OF TRIIODOTHYRONINE T3 FREE", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.86, "providers": [{"billed_charge": 50.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 23.72, "providers": [{"billed_charge": 42.35, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 11.86, "providers": [{"billed_charge": 67.76, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 48.0, "providers": [{"billed_charge": 48.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.89, "providers": [{"billed_charge": 45.0, "npi": [1104839380]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.89, "providers": [{"billed_charge": 71.01, "npi": [1235186800]}]}, {"allowed_amount": 35.4, "providers": [{"billed_charge": 71.0, "npi": [1235186800]}, {"billed_charge": 71.01, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.89, "providers": [{"billed_charge": 42.35, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "821606706"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.89, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 25.41, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.89, "providers": [{"billed_charge": 22.0, "npi": [1487429874]}]}, {"allowed_amount": 22.0, "providers": [{"billed_charge": 22.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.04, "providers": [{"billed_charge": 33.88, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.89, "providers": [{"billed_charge": 42.35, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.89, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 16.94, "npi": [1821749896, 1790721538]}]}]}]}, {"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": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 17.46, "providers": [{"billed_charge": 31.18, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "270492434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.69, "providers": [{"billed_charge": 88.39, "npi": [1427048453]}]}]}, {"tin": {"type": "ein", "value": "270565499"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 231.28, "providers": [{"billed_charge": 295.0, "npi": [1205164928]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 334.0, "providers": [{"billed_charge": 668.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 334.0, "providers": [{"billed_charge": 668.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 220.21, "providers": [{"billed_charge": 244.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 325.0, "providers": [{"billed_charge": 325.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "741595711"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 156.62, "providers": [{"billed_charge": 301.21, "npi": [1962497800]}]}]}, {"tin": {"type": "ein", "value": "741603120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 254.19, "providers": [{"billed_charge": 308.68, "npi": [1740288505]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 474.25, "providers": [{"billed_charge": 1355.0, "npi": [1770536120]}]}, {"allowed_amount": 557.2, "providers": [{"billed_charge": 1592.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.53, "providers": [{"billed_charge": 715.82, "npi": [1124074273, 1659525236]}]}, {"allowed_amount": 250.54, "providers": [{"billed_charge": 715.82, "npi": [1124074273, 1376071530, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 329.92, "providers": [{"billed_charge": 198.38, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.15, "providers": [{"billed_charge": 187.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 32.0, "providers": [{"billed_charge": 32.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.23, "providers": [{"billed_charge": 41.25, "npi": [1235186800]}]}, {"allowed_amount": 26.06, "providers": [{"billed_charge": 41.25, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 177.13, "providers": [{"billed_charge": 177.13, "npi": [1073200309]}]}]}]}, {"name": "Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation", "billing_code_type": "CPT", "billing_code": "76942", "billing_code_type_version": "2022", "description": "US GUIDANCE NEEDLE PLACEMENT IMG S&I", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 129.0, "npi": [1336578517]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1053755694]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 56.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1235516329]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1639691025, 1043715980]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 952.2, "providers": [{"billed_charge": 2116.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 29.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 132.0, "npi": [1518774777]}]}, {"allowed_amount": 34.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 132.0, "npi": [1679891980]}]}, {"allowed_amount": 34.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 132.0, "npi": [1871911040, 1669816658, 1821256363, 1669771325]}]}, {"allowed_amount": 82.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 132.0, "npi": [1124664982]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1316471782]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 229.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1067.0, "npi": [1861404501, 1063415925]}]}]}, {"tin": {"type": "ein", "value": "800751621"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 238.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 802.0, "npi": [1437619806]}]}]}]}, {"name": "Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code": "76937", "billing_code_type_version": "2022", "description": "US VASC ACCESS SITS VSL PATENCY NDL ENTRY", "allowed_amounts": [{"tin": {"type": "ein", "value": "271595277"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1205009099]}]}]}, {"tin": {"type": "ein", "value": "352429650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1033141692]}]}]}, {"tin": {"type": "ein", "value": "461743879"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 103.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 640.0, "npi": [1164401642]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1124415856]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1407823834, 1760778518, 1366701567]}, {"billed_charge": 122.0, "npi": [1558651091]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 24.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1013200286]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 27.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1003621681]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 28.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1073018073]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 14.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1679891980]}]}, {"allowed_amount": 14.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1235592064, 1720042070, 1275737363, 1720354350]}]}, {"allowed_amount": 35.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1780335901]}]}, {"allowed_amount": 35.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 57.0, "npi": [1225802655]}]}]}, {"tin": {"type": "ein", "value": "752536818"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.34, "npi": [1821273590]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 53.0, "npi": [1184687808]}]}]}, {"tin": {"type": "ein", "value": "760151142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 51.41, "npi": [1245506625]}]}]}, {"tin": {"type": "ein", "value": "760482007"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 24.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 385.0, "npi": [1134717283]}]}, {"allowed_amount": 40.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 385.0, "npi": [1073020319]}]}, {"allowed_amount": 54.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 385.0, "npi": [1427340769, 1245468073, 1437152063]}]}, {"allowed_amount": 96.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 385.0, "npi": [1942576376, 1548462435, 1558342188]}]}, {"allowed_amount": 97.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 385.0, "npi": [1154374072, 1881058162, 1740430578, 1194145540]}]}, {"allowed_amount": 99.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 385.0, "npi": [1396372728, 1609196088, 1124135280, 1871112565]}]}, {"allowed_amount": 103.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 385.0, "npi": [1083934251, 1558628735]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1831533827]}]}, {"allowed_amount": 42.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1164955951]}]}]}, {"tin": {"type": "ein", "value": "850709838"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 264.0, "npi": [1811949696]}]}]}, {"tin": {"type": "ein", "value": "933910567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1437172566]}]}]}]}, {"name": "Ultrasound, abdominal, real time with image documentation; complete", "billing_code_type": "CPT", "billing_code": "76700", "billing_code_type_version": "2022", "description": "US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION", "allowed_amounts": [{"tin": {"type": "ein", "value": "208140871"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 109.66, "providers": [{"billed_charge": 1005.0, "npi": [1629123765]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1255774881]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 152.0, "npi": [1851319057, 1306994231]}]}]}, {"tin": {"type": "ein", "value": "392097914"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 167.78, "providers": [{"billed_charge": 240.0, "npi": [1811221104]}]}]}, {"tin": {"type": "ein", "value": "463427564"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 124.31, "providers": [{"billed_charge": 1200.0, "npi": [1174516165]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 109.66, "providers": [{"billed_charge": 425.0, "npi": [1053462655]}]}, {"allowed_amount": 113.01, "providers": [{"billed_charge": 425.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 56.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1902056203, 1699407379, 1215192836, 1619464575]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 56.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1437126851, 1760825814]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 329.0, "npi": [1578811741]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1208.1, "providers": [{"billed_charge": 3451.71, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 679.74, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 793.32, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 76.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 238.0, "npi": [1992783336, 1336431352, 1942734629]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 41.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1144287475, 1043449028, 1124066246]}]}, {"allowed_amount": 41.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1871911040, 1558628354, 1063808392, 1740271881, 1881697258, 1639130644]}]}, {"allowed_amount": 74.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1477533404]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 73.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.0, "npi": [1649404849, 1396186367]}]}]}, {"tin": {"type": "ein", "value": "752585153"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 124.31, "providers": [{"billed_charge": 309.0, "npi": [1679761787]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 102.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1225269178, 1508821430]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 1361.75, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "760677442"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 229.18, "providers": [{"billed_charge": 322.0, "npi": [1740519321]}]}]}, {"tin": {"type": "ein", "value": "813802267"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 124.31, "providers": [{"billed_charge": 1200.0, "npi": [1174516165, 1538379805]}]}]}, {"tin": {"type": "ein", "value": "852281859"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 124.31, "providers": [{"billed_charge": 1200.0, "npi": [1710178900]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 124.31, "providers": [{"billed_charge": 1200.0, "npi": [1508123241, 1710178900, 1538379805]}]}]}]}, {"name": "Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)", "billing_code_type": "CPT", "billing_code": "76705", "billing_code_type_version": "2022", "description": "US ABDOMINAL REAL TIME W/IMAGE LIMITED", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 41.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1407482409, 1174514509, 1225599582]}]}, {"allowed_amount": 62.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1336578517]}]}, {"allowed_amount": 103.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1366433740]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1023261062]}, {"billed_charge": 409.0, "npi": [1578853438]}]}]}, {"tin": {"type": "ein", "value": "233069260"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 312.96, "providers": [{"billed_charge": 5405.0, "npi": [1770573586]}]}]}, {"tin": {"type": "ein", "value": "260684968"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 945.75, "npi": [1902047376]}]}]}, {"tin": {"type": "ein", "value": "260834681"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 55.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 121.0, "npi": [1255774881, 1225344054]}]}]}, {"tin": {"type": "ein", "value": "263075429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.55, "providers": [{"billed_charge": 609.0, "npi": [1558659714]}]}]}, {"tin": {"type": "ein", "value": "272008627"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.0, "npi": [1174574222]}]}]}, {"tin": {"type": "ein", "value": "273925303"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1841282571, 1982889887]}]}]}, {"tin": {"type": "ein", "value": "334308192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1279.2, "npi": [1932094976]}]}]}, {"tin": {"type": "ein", "value": "334335470"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1279.2, "npi": [1801681606]}]}]}, {"tin": {"type": "ein", "value": "440552490"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 788.98, "providers": [{"billed_charge": 1322.0, "npi": [1235102690]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 945.75, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "463427564"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 93.79, "providers": [{"billed_charge": 1200.0, "npi": [1437136306, 1174516165]}]}]}, {"tin": {"type": "ein", "value": "464125750"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1488.0, "npi": [1457748238]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 945.75, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 694.75, "npi": [1164526786]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 1398.0, "npi": [1447883301]}]}, {"allowed_amount": 320.31, "providers": [{"billed_charge": 2934.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 3055.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 36.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1073614434]}]}, {"allowed_amount": 41.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1285815811, 1114178563, 1003541699, 1568412518, 1629301544, 1033312905, 1902056203, 1225327406, 1699407379, 1346455672, 1689683005, 1649634270, 1619464575]}]}, {"allowed_amount": 49.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1275982498]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 41.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1023261062, 1043715980, 1194792846, 1639691025, 1801813266, 1760778518, 1639388572, 1336324383, 1497722144, 1043348386, 1902105893, 1639374374, 1548640428, 1376519223, 1548554553, 1376518720, 1437126851, 1265753289, 1558651091, 1174630230, 1184600918, 1407823834, 1376510685, 1104893536, 1487857504, 1225005168, 1871926899, 1366701567]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 53.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 239.0, "npi": [1134119878, 1871936591]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1622.6, "providers": [{"billed_charge": 4636.0, "npi": [1770536120]}]}, {"allowed_amount": 1638.7, "providers": [{"billed_charge": 4682.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1047.91, "providers": [{"billed_charge": 2994.03, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 129.0, "npi": [1619312832]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 173.38, "npi": [1316936990]}, {"billed_charge": 212.71, "npi": [1619747938]}, {"billed_charge": 383.3, "npi": [1316936990]}, {"billed_charge": 590.16, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 426.6, "providers": [{"billed_charge": 948.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 212.0, "npi": [1366947509, 1245233022]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1233.0, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 945.75, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 1049.03, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 945.75, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 23.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1902199185]}]}, {"allowed_amount": 29.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1780902593, 1194992842]}]}, {"allowed_amount": 30.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1235592064, 1851556617, 1336262153, 1598883217, 1992967293, 1467847574, 1295051159, 1003347113, 1821256363, 1134623796, 1740303429, 1124066246, 1255759437, 1114289741, 1508209495, 1104169432, 1760686950, 1164539631, 1982724720, 1689897977, 1629397245]}]}, {"allowed_amount": 30.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1235592064, 1558628354, 1730189572, 1992018055, 1740271881, 1639130644, 1841585304, 1811381536, 1649312935, 1972698793, 1124348073, 1821256363, 1942326699, 1720354350, 1841257664, 1194992842, 1255759437, 1114289741, 1730383829, 1881697258, 1740283118, 1164539631, 1811307259, 1144512765]}]}, {"allowed_amount": 36.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1508020736]}]}, {"allowed_amount": 41.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1841585304, 1164539631]}]}, {"allowed_amount": 53.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1063464030]}]}, {"allowed_amount": 54.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1578514246, 1568416204, 1629020243, 1124008503, 1366652729, 1366495483, 1477533404]}]}]}, {"tin": {"type": "ein", "value": "751438726"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 945.75, "npi": [1104845015]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 945.75, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1049.03, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1049.03, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "751844139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1049.03, "npi": [1265430177]}]}]}, {"tin": {"type": "ein", "value": "752051646"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 587.68, "npi": [1891765178]}, {"billed_charge": 962.5, "npi": [1891765178]}]}]}, {"tin": {"type": "ein", "value": "752301801"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 570.0, "providers": [{"billed_charge": 570.0, "npi": [1831170273]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 129.0, "npi": [1619102951]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1049.03, "npi": [1992700983]}]}, {"allowed_amount": 461.04, "providers": [{"billed_charge": 1049.03, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 53.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1225269178]}]}, {"allowed_amount": 53.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1518164862]}]}, {"allowed_amount": 74.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1750465514, 1225269178, 1639964273]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 945.75, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752771437"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 945.75, "npi": [1457382798]}]}]}, {"tin": {"type": "ein", "value": "753175630"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 871.0, "npi": [1285798918]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 532.0, "npi": [1992753222]}]}, {"allowed_amount": 638.37, "providers": [{"billed_charge": 532.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 945.75, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 29.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.0, "npi": [1982656898]}]}, {"allowed_amount": 30.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.0, "npi": [1992955587, 1104020296, 1780815753, 1447114699, 1043428238, 1629572367, 1912602673, 1871289777, 1831155027, 1407811219, 1659781276, 1063709558, 1427011196, 1841301405]}]}, {"allowed_amount": 84.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.0, "npi": [1326095720, 1720247505]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1472.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 3961.0, "npi": [1184179194]}]}]}, {"tin": {"type": "ein", "value": "812098192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 4003.0, "npi": [1649722463]}]}]}, {"tin": {"type": "ein", "value": "813802267"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 93.79, "providers": [{"billed_charge": 1200.0, "npi": [1346695426, 1174516165, 1285649863, 1710178900, 1538379805]}]}]}, {"tin": {"type": "ein", "value": "823463299"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3660.26, "npi": [1649770488]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 746.39, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "850214117"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1124380324]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1710341961, 1457399818]}]}]}, {"tin": {"type": "ein", "value": "852354189"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 587.68, "npi": [1215609896]}]}]}, {"tin": {"type": "ein", "value": "853503076"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 4173.92, "npi": [1124623889]}]}]}, {"tin": {"type": "ein", "value": "853903021"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 547.83, "npi": [1912352162]}]}]}, {"tin": {"type": "ein", "value": "860197369"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 462.0, "npi": [1629067244]}]}]}, {"tin": {"type": "ein", "value": "920323729"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2386.0, "npi": [1003539073]}]}, {"allowed_amount": 320.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2386.0, "npi": [1003539073]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1482.0, "npi": [1275598393, 1184916546]}]}, {"allowed_amount": 186.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1482.0, "npi": [1275598393]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 93.79, "providers": [{"billed_charge": 1200.0, "npi": [1538379805]}]}]}, {"tin": {"type": "ein", "value": "933488698"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 3660.26, "npi": [1740042175]}]}]}]}, {"name": "Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation", "billing_code_type": "CPT", "billing_code": "76882", "billing_code_type_version": "2022", "description": "US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG", "allowed_amounts": [{"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1750755799]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 63.93, "providers": [{"billed_charge": 425.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 6.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1225327406]}]}, {"allowed_amount": 48.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1033312905, 1831534973, 1225327406]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 48.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1831326081, 1639374374, 1043715980, 1801813266, 1376519223]}]}]}, {"tin": {"type": "ein", "value": "741940911"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 89.0, "npi": [1811283930]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 910.87, "providers": [{"billed_charge": 2602.48, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 283.5, "providers": [{"billed_charge": 630.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 34.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1912394495]}]}, {"allowed_amount": 35.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1073631297, 1699201509, 1629397245]}]}, {"allowed_amount": 35.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1194169847]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1982656898]}]}, {"allowed_amount": 35.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1073253936]}]}, {"allowed_amount": 64.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1912369448]}]}, {"allowed_amount": 66.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1922489509, 1922063726]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 99.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1275150385]}]}]}, {"tin": {"type": "ein", "value": "813802267"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 34.95, "providers": [{"billed_charge": 1200.0, "npi": [1174516165]}]}, {"allowed_amount": 69.91, "providers": [{"billed_charge": 1200.0, "npi": [1174516165]}]}]}, {"tin": {"type": "ein", "value": "990547982"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 120.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 191.0, "npi": [1770739260]}]}]}]}, {"name": "Ultrasound, pelvic (nonobstetric), real time with image documentation; complete", "billing_code_type": "CPT", "billing_code": "76856", "billing_code_type_version": "2022", "description": "US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE", "allowed_amounts": [{"tin": {"type": "ein", "value": "010901796"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 464.0, "npi": [1164483111]}]}]}, {"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 137.0, "npi": [1407482409, 1104001122]}]}]}, {"tin": {"type": "ein", "value": "202848116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1493.25, "npi": [1629138029]}]}]}, {"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 867.27, "npi": [1265568638]}]}]}, {"tin": {"type": "ein", "value": "208140871"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 100.91, "providers": [{"billed_charge": 450.0, "npi": [1629123765]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1269.06, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "260684968"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1493.25, "npi": [1902047376]}]}]}, {"tin": {"type": "ein", "value": "262978009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1022.26, "npi": [1407010622]}]}, {"allowed_amount": 226.84, "providers": [{"billed_charge": 1022.26, "npi": [1043641749]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 320.0, "providers": [{"billed_charge": 320.0, "npi": [1669732970]}]}]}, {"tin": {"type": "ein", "value": "272008627"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1770774952]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1538363114, 1841274651, 1306994231]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1366646416]}]}]}, {"tin": {"type": "ein", "value": "430917818"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1538456363]}]}]}, {"tin": {"type": "ein", "value": "432008974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1493.25, "npi": [1003883158]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1493.25, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1551.37, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "463427564"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 75.0, "providers": [{"billed_charge": 1200.0, "npi": [1174516165]}]}, {"allowed_amount": 114.47, "providers": [{"billed_charge": 1200.0, "npi": [1437136306]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 3633.53, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "510570864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 879.0, "npi": [1255579389]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 100.91, "providers": [{"billed_charge": 425.0, "npi": [1053462655]}]}, {"allowed_amount": 104.06, "providers": [{"billed_charge": 425.0, "npi": [1053462655]}]}, {"allowed_amount": 104.85, "providers": [{"billed_charge": 425.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 464.0, "npi": [1861620601]}]}]}, {"tin": {"type": "ein", "value": "621789402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 2199.49, "npi": [1700805678]}]}]}, {"tin": {"type": "ein", "value": "731008550"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 144.3, "providers": [{"billed_charge": 1310.0, "npi": [1851396394]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "providers": [{"billed_charge": 3124.0, "npi": [1194787218, 1780867390]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1003541699]}]}, {"allowed_amount": 48.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1629301544, 1033312905]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 48.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1871797472, 1386611713, 1205240512, 1043348386, 1689781668, 1902105893, 1639374374, 1427219526, 1093158024, 1831326081, 1225005168, 1174630230, 1407823834, 1639388572]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 282.0, "npi": [1588835326]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2046.1, "providers": [{"billed_charge": 5846.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1071.04, "providers": [{"billed_charge": 3060.11, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742896068"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1639388572]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 41.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.92, "npi": [1235111758]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 121.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1386821171]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 306.76, "npi": [1316936990]}, {"billed_charge": 579.28, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 328.05, "providers": [{"billed_charge": 729.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 66.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 212.0, "npi": [1740422369, 1760460059]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1457.0, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1493.25, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 35.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1336464874]}]}, {"allowed_amount": 35.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1235592064, 1164849154, 1336262153, 1942326699, 1255759437, 1700812815, 1932763984, 1710121041, 1669816658, 1396189106, 1689897977, 1124277371, 1669771325, 1013273630]}]}, {"allowed_amount": 35.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1841257664, 1780902593, 1689623464, 1740271881, 1194992842, 1164539631, 1447233713, 1962603191, 1811307259, 1689963357]}]}, {"allowed_amount": 48.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1700812815]}]}, {"allowed_amount": 64.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 136.0, "npi": [1639121254, 1578514246, 1831179852, 1629020243, 1063464030]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1493.25, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1269.06, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1269.06, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1275589475, 1508363292]}]}]}, {"tin": {"type": "ein", "value": "752559845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 343.06, "providers": [{"billed_charge": 1572.0, "npi": [1992707228]}]}]}, {"tin": {"type": "ein", "value": "752585153"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 114.47, "providers": [{"billed_charge": 294.0, "npi": [1679761787]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1269.06, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752600873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 148.0, "npi": [1013187772]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1493.25, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752932830"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 354.8, "providers": [{"billed_charge": 2652.0, "npi": [1952333205]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 820.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 1493.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.0, "npi": [1780815753, 1689363095]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1647.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 4068.0, "npi": [1497871628]}]}]}, {"tin": {"type": "ein", "value": "811814959"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 126.54, "providers": [{"billed_charge": 150.0, "npi": [1629325857]}]}]}, {"tin": {"type": "ein", "value": "813802267"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 114.47, "providers": [{"billed_charge": 1200.0, "npi": [1285649863]}]}]}, {"tin": {"type": "ein", "value": "820756286"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 1100.54, "npi": [1821501875]}]}]}, {"tin": {"type": "ein", "value": "852281859"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 114.47, "providers": [{"billed_charge": 1200.0, "npi": [1710178900]}]}]}, {"tin": {"type": "ein", "value": "882923822"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 4322.97, "npi": [1770214256]}]}]}, {"tin": {"type": "ein", "value": "883018450"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2684.81, "npi": [1760894497]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 114.47, "providers": [{"billed_charge": 1200.0, "npi": [1598183832, 1174516165, 1215104310]}]}]}, {"tin": {"type": "ein", "value": "993170252"}, "billing_class": "professional", "service_codes": ["32"], "payments": [{"allowed_amount": 48.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 64.22, "npi": [1093707457]}]}]}, {"tin": {"type": "ein", "value": "995104341"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 316.11, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3000.0, "npi": [1609697242]}]}]}, {"tin": {"type": "ein", "value": "995114582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 375.0, "npi": [1124448097]}]}]}]}, {"name": "Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)", "billing_code_type": "CPT", "billing_code": "76857", "billing_code_type_version": "2022", "description": "US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U", "allowed_amounts": [{"tin": {"type": "ein", "value": "451861648"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 47.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.6, "npi": [1043279748]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 50.61, "providers": [{"billed_charge": 425.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 30.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1811517162]}]}, {"allowed_amount": 35.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 67.0, "npi": [1699407379]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 203.85, "providers": [{"billed_charge": 453.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 26.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1760686950, 1568620789, 1720354350]}]}, {"allowed_amount": 26.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1689963357]}]}, {"allowed_amount": 47.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1639121254]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 933.75, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 46.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 82.0, "npi": [1649404849, 1396186367]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1225269178, 1508821430]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 27.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1710943295]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.28, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1407266646]}]}, {"allowed_amount": 73.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1902163181]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 725.0, "npi": [1306011937]}]}]}, {"tin": {"type": "ein", "value": "822437084"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2417.0, "npi": [1063051159]}]}]}]}, {"name": "Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation", "billing_code_type": "CPT", "billing_code": "76801", "billing_code_type_version": "2022", "description": "US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1407482409]}]}, {"allowed_amount": 83.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1942863048]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1730383829]}]}, {"allowed_amount": 68.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1386627958]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1801235395]}]}]}, {"tin": {"type": "ein", "value": "233069260"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 312.96, "providers": [{"billed_charge": 4630.0, "npi": [1770573586]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1101.64, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "260684968"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 681.25, "npi": [1902047376]}]}]}, {"tin": {"type": "ein", "value": "261947374"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2681.0, "npi": [1659559573]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 146.25, "providers": [{"billed_charge": 434.0, "npi": [1649619578]}]}]}, {"tin": {"type": "ein", "value": "271459658"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 502.73, "npi": [1861690364]}]}]}, {"tin": {"type": "ein", "value": "334228114"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1879.02, "npi": [1093506396]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.66, "npi": [1194981126]}]}]}, {"tin": {"type": "ein", "value": "392097914"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 172.13, "providers": [{"billed_charge": 240.0, "npi": [1811221104]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1184822231]}]}]}, {"tin": {"type": "ein", "value": "451502252"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 681.25, "npi": [1215296884]}]}]}, {"tin": {"type": "ein", "value": "455055149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 134.74, "providers": [{"billed_charge": 801.0, "npi": [1134123193]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1612.0, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "562488077"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 261.78, "providers": [{"billed_charge": 1470.0, "npi": [1053353490]}]}]}, {"tin": {"type": "ein", "value": "731662763"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 681.25, "npi": [1659352987]}]}]}, {"tin": {"type": "ein", "value": "741109643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 935.25, "npi": [1164526786, 1124137054]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "providers": [{"billed_charge": 2193.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1962686808]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1016.75, "providers": [{"billed_charge": 2905.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742638006"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "providers": [{"billed_charge": 3060.11, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742638006"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 72.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1881252682]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1071.04, "providers": [{"billed_charge": 3060.11, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 294.58, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 282.0, "npi": [1336431352]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 681.25, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751047527"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 681.25, "npi": [1396779948]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 50.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1730189572]}]}, {"allowed_amount": 50.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1811381536, 1073631297, 1730189572, 1124066246, 1821314667, 1932763984, 1598883217, 1790019347, 1992967293, 1467847574, 1891180634, 1669771325]}]}, {"allowed_amount": 51.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1841257664, 1558628354, 1740271881, 1336464874, 1881697258, 1124348073, 1962603191, 1255331120, 1447233713, 1598764821, 1386627958, 1194169847, 1811307259, 1689963357, 1760709182]}]}, {"allowed_amount": 72.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1962452557]}]}, {"allowed_amount": 92.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1689624280, 1629020243, 1568416204]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1144209743]}]}]}, {"tin": {"type": "ein", "value": "752537587"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 75.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1861682700]}]}]}, {"tin": {"type": "ein", "value": "752567221"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 128.24, "providers": [{"billed_charge": 300.0, "npi": [1437158581]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1101.64, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752678857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 681.25, "npi": [1417980202]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 681.25, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "752771437"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 681.25, "npi": [1457382798]}]}]}, {"tin": {"type": "ein", "value": "752890358"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 681.25, "npi": [1548291883]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 387.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 681.25, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1710943295]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 756.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "811814959"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 140.81, "providers": [{"billed_charge": 190.0, "npi": [1629325857]}]}]}, {"tin": {"type": "ein", "value": "812098192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 2865.56, "npi": [1649722463]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.79, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1364.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "843683956"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 646.62, "npi": [1184262800]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 180.0, "npi": [1245236413]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.07, "providers": [{"billed_charge": 830.0, "npi": [1073576740]}]}]}, {"tin": {"type": "ein", "value": "871224784"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 4942.32, "npi": [1003489212]}]}]}, {"tin": {"type": "ein", "value": "871781373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 648.68, "npi": [1992986368]}]}]}, {"tin": {"type": "ein", "value": "881716225"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "providers": [{"billed_charge": 1673.35, "npi": [1053175794]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 124.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1391.0, "npi": [1144807322]}]}]}, {"tin": {"type": "ein", "value": "933189938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3392.51, "npi": [1083488829]}]}]}, {"tin": {"type": "ein", "value": "933977029"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 586.15, "npi": [1205976826]}]}]}]}, {"name": "Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses", "billing_code_type": "CPT", "billing_code": "76815", "billing_code_type_version": "2022", "description": "US PREGNANT UTERUS LIMITED 1/> FETUSES", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 46.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1407482409, 1104001122, 1366433740, 1174514509]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 129.0, "npi": [1689623464]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 98.0, "npi": [1841274651, 1306994231]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 36.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.84, "npi": [1194981126]}]}]}, {"tin": {"type": "ein", "value": "462714379"}, "billing_class": "professional", "service_codes": ["22", "11"], "payments": [{"allowed_amount": 26.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1871804567]}]}, {"allowed_amount": 39.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1558629709]}]}]}, {"tin": {"type": "ein", "value": "611744250"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 119.14, "providers": [{"billed_charge": 257.43, "npi": [1316964745]}]}]}, {"tin": {"type": "ein", "value": "730727186"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 37.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1093708224]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 25.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1871797472, 1376510685]}]}, {"allowed_amount": 26.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1023261062]}]}, {"allowed_amount": 46.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1427319813, 1023261062, 1194792846, 1639691025, 1972579993, 1881731099, 1639388572, 1336324383, 1497722144, 1083691810, 1043348386, 1902105893, 1639374374, 1710954037, 1205240512, 1073833927, 1831237973, 1174630230, 1902080476, 1871797472, 1558749283, 1225005168, 1366701567]}]}, {"allowed_amount": 57.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1386611713]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1801206248, 1780918276]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 600.62, "providers": [{"billed_charge": 1940.17, "npi": [1124074273]}]}, {"allowed_amount": 679.06, "providers": [{"billed_charge": 1940.17, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742896068"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1083691810]}]}, {"allowed_amount": 55.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1437126851]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1891226114]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["22", "23"], "payments": [{"allowed_amount": 26.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 129.0, "npi": [1841583796, 1992967293]}]}, {"allowed_amount": 33.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 129.0, "npi": [1003347113]}]}, {"allowed_amount": 46.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 129.0, "npi": [1841585304]}]}, {"allowed_amount": 61.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 129.0, "npi": [1063464030]}]}]}, {"tin": {"type": "ein", "value": "751459885"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1730218413]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 600.0, "npi": [1558629022]}]}]}, {"tin": {"type": "ein", "value": "850214117"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.0, "npi": [1063493278]}]}]}, {"tin": {"type": "ein", "value": "920449489"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 912.0, "npi": [1275598393]}]}]}, {"tin": {"type": "ein", "value": "954537720"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 435.0, "npi": [1437345337]}]}]}]}, {"name": "Ultrasound, pregnant uterus, real time with image documentation, transvaginal", "billing_code_type": "CPT", "billing_code": "76817", "billing_code_type_version": "2022", "description": "US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 152.0, "npi": [1104001122]}]}, {"allowed_amount": 133.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 152.0, "npi": [1003376088]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1801235395]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 116.08, "providers": [{"billed_charge": 345.0, "npi": [1124131818]}]}]}, {"tin": {"type": "ein", "value": "382286062"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.0, "npi": [1083651103]}]}]}, {"tin": {"type": "ein", "value": "412007905"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1184822231]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 53.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1871797472, 1205240512, 1336324383, 1427319813, 1023261062, 1194792846, 1225005168, 1831237973, 1174630230, 1710954037, 1972579993, 1902080476, 1639388572, 1366701567]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 152.0, "npi": [1780918276]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 913.5, "providers": [{"billed_charge": 2610.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 974.6, "providers": [{"billed_charge": 2784.56, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742800601"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 96.59, "providers": [{"billed_charge": 302.0, "npi": [1689985046]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 225.9, "providers": [{"billed_charge": 502.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.0, "npi": [1336431352]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 152.0, "npi": [1003347113, 1821314667, 1932763984, 1598883217, 1790019347, 1669771325, 1467847574, 1891180634, 1992967293]}]}, {"allowed_amount": 38.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 152.0, "npi": [1740271881, 1336464874, 1881697258, 1689963357, 1255331120, 1447233713, 1598764821, 1962603191, 1811307259, 1144512765]}]}, {"allowed_amount": 70.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 152.0, "npi": [1689624280, 1629020243]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1144209743]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1225101090]}]}, {"allowed_amount": 41.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1710943295]}]}]}, {"tin": {"type": "ein", "value": "813257382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 340.0, "npi": [1306011937, 1558629022]}]}]}, {"tin": {"type": "ein", "value": "850214117"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1063493278]}]}]}, {"tin": {"type": "ein", "value": "852254487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.0, "npi": [1497702542]}]}]}, {"tin": {"type": "ein", "value": "871781373"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 109.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 474.0, "npi": [1992986368]}]}]}]}, {"name": "Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete", "billing_code_type": "CPT", "billing_code": "76770", "billing_code_type_version": "2022", "description": "US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1407482409]}]}]}, {"tin": {"type": "ein", "value": "263075429"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.55, "providers": [{"billed_charge": 524.0, "npi": [1558659714]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 154.0, "npi": [1770842817, 1841274651]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 105.09, "providers": [{"billed_charge": 425.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "providers": [{"billed_charge": 2545.0, "npi": [1194787218]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1699157289, 1699407379, 1215192836, 1619464575]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 143.0, "npi": [1639388572, 1710954037, 1255568598, 1366701567]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1734.95, "providers": [{"billed_charge": 4957.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1097.55, "providers": [{"billed_charge": 3135.85, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "742797430"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 128.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1023074127]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 69.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 240.0, "npi": [1336431352]}]}]}, {"tin": {"type": "ein", "value": "750800628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1098.0, "npi": [1194743013]}]}]}, {"tin": {"type": "ein", "value": "750972805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1286.5, "npi": [1174533343]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "19", "22", "23"], "payments": [{"allowed_amount": 37.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1003347113, 1164539631, 1932763984, 1649595091, 1568620789, 1992967293, 1013273630]}]}, {"allowed_amount": 37.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1558628354, 1922057959, 1063808392, 1881697258, 1144204652, 1164539631, 1659875573, 1104169432]}]}, {"allowed_amount": 51.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1164849154]}]}, {"allowed_amount": 67.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1477533404, 1962452557]}]}, {"allowed_amount": 68.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 146.0, "npi": [1467985986]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 67.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1568665321]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1518164862]}]}, {"allowed_amount": 93.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 93.0, "npi": [1639964273, 1508821430]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 579.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 37.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 143.0, "npi": [1629572367, 1326605585, 1407811219, 1063709558, 1659781276]}]}]}, {"tin": {"type": "ein", "value": "850214117"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1124380324]}]}]}, {"tin": {"type": "ein", "value": "852281859"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 115.6, "providers": [{"billed_charge": 1200.0, "npi": [1174516165]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 115.6, "providers": [{"billed_charge": 1200.0, "npi": [1710178900, 1174516165]}]}]}, {"tin": {"type": "ein", "value": "990576438"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 36.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1215198163]}]}]}]}, {"name": "Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited", "billing_code_type": "CPT", "billing_code": "76775", "billing_code_type_version": "2022", "description": "US RETROPERITONEAL REAL TIME W/IMAGE LIMITED", "allowed_amounts": [{"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 102.0, "npi": [1760522353]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 78.0, "npi": [1215192836]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 40.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1487857504, 1386611713, 1083691810, 1437126851, 1689781668, 1902105893, 1104893536, 1871797472, 1891762217, 1366701567, 1194792846, 1225005168, 1710954037, 1407823834, 1336324383]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1518164862]}]}, {"allowed_amount": 73.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1619838232]}]}]}, {"tin": {"type": "ein", "value": "824289941"}, "billing_class": "professional", "service_codes": ["15"], "payments": [{"allowed_amount": 58.6, "providers": [{"billed_charge": 150.0, "npi": [1861978751]}]}]}]}, {"name": "Ultrasound, scrotum and contents", "billing_code_type": "CPT", "billing_code": "76870", "billing_code_type_version": "2022", "description": "US SCROTUM & CONTENTS", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 127.0, "npi": [1366433740, 1174514509]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1306994231]}]}]}, {"tin": {"type": "ein", "value": "463427564"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 107.18, "providers": [{"billed_charge": 1200.0, "npi": [1174516165]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 97.44, "providers": [{"billed_charge": 425.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 44.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1629301544, 1447367420, 1831534973, 1619464575]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 44.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1871797472, 1902105893, 1891762217, 1548640428, 1043715980, 1730156688, 1639388572]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 258.0, "npi": [1770939753]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1447.95, "providers": [{"billed_charge": 4137.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 869.69, "providers": [{"billed_charge": 2484.83, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742896068"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 124.0, "npi": [1548640428]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 675.45, "providers": [{"billed_charge": 1501.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 32.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1912394495]}]}, {"allowed_amount": 32.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1073631297, 1124066246, 1578812905, 1134623796, 1467744573]}]}, {"allowed_amount": 32.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1689623464, 1164405734, 1740283118, 1922057959]}]}, {"allowed_amount": 44.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1992018055]}]}, {"allowed_amount": 59.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1154300283, 1568416204, 1962452557]}]}, {"allowed_amount": 59.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1063464030]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1780735845]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 80.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 80.0, "npi": [1508821430]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1205396991]}]}]}, {"tin": {"type": "ein", "value": "954605356"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.8, "providers": [{"billed_charge": 93.0, "npi": [1437188604]}]}]}]}, {"name": "Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation", "billing_code_type": "CPT", "billing_code": "76536", "billing_code_type_version": "2022", "description": "US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM", "allowed_amounts": [{"tin": {"type": "ein", "value": "461742613"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 217.16, "providers": [{"billed_charge": 2500.0, "npi": [1518997824]}]}]}, {"tin": {"type": "ein", "value": "463427564"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 118.03, "providers": [{"billed_charge": 1200.0, "npi": [1437136306]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["21", "23"], "payments": [{"allowed_amount": 39.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.0, "npi": [1073588513, 1699407379]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 109.0, "npi": [1639691025, 1083691810, 1548640428]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 338.85, "providers": [{"billed_charge": 753.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 53.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1740422369, 1073018073]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 28.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1902199185, 1922057959]}]}, {"allowed_amount": 28.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1932763984, 1124066246]}]}, {"allowed_amount": 29.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1841257664, 1740271881, 1881697258, 1164405734]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 51.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1649404849]}]}]}, {"tin": {"type": "ein", "value": "813802267"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 118.03, "providers": [{"billed_charge": 1200.0, "npi": [1285649863]}]}]}, {"tin": {"type": "ein", "value": "852281859"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 118.03, "providers": [{"billed_charge": 1200.0, "npi": [1437136306, 1689884330, 1710178900]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 118.03, "providers": [{"billed_charge": 1200.0, "npi": [1437136306, 1174516165]}]}]}]}, {"name": "Ultrasound, transvaginal", "billing_code_type": "CPT", "billing_code": "76830", "billing_code_type_version": "2022", "description": "US TRANSVAGINAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "200376970"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1174514509]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1194169847]}]}]}, {"tin": {"type": "ein", "value": "202848116"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1022.5, "npi": [1629138029]}]}]}, {"tin": {"type": "ein", "value": "203749695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.05, "providers": [{"billed_charge": 905.03, "npi": [1265568638]}]}]}, {"tin": {"type": "ein", "value": "208140871"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 112.62, "providers": [{"billed_charge": 450.0, "npi": [1629123765]}]}]}, {"tin": {"type": "ein", "value": "260194016"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1072.02, "npi": [1205018439]}]}]}, {"tin": {"type": "ein", "value": "262978009"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 827.9, "npi": [1407010622]}]}, {"allowed_amount": 226.84, "providers": [{"billed_charge": 827.9, "npi": [1043641749]}]}]}, {"tin": {"type": "ein", "value": "264562522"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 359.0, "providers": [{"billed_charge": 359.0, "npi": [1669732970]}]}]}, {"tin": {"type": "ein", "value": "272008627"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 148.0, "npi": [1770774952]}]}]}, {"tin": {"type": "ein", "value": "275404338"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 148.0, "npi": [1538363114, 1841274651, 1306994231]}]}]}, {"tin": {"type": "ein", "value": "334308303"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1317.6, "npi": [1174310841]}]}]}, {"tin": {"type": "ein", "value": "392307067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 187.0, "npi": [1366646416]}]}]}, {"tin": {"type": "ein", "value": "430917818"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1538456363]}]}]}, {"tin": {"type": "ein", "value": "452694620"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1344.37, "npi": [1033120423]}]}]}, {"tin": {"type": "ein", "value": "463427564"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 127.83, "providers": [{"billed_charge": 1200.0, "npi": [1437136306]}]}]}, {"tin": {"type": "ein", "value": "472177648"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1651.0, "npi": [1790174860]}]}]}, {"tin": {"type": "ein", "value": "562487696"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 112.62, "providers": [{"billed_charge": 425.0, "npi": [1053462655]}]}, {"allowed_amount": 116.21, "providers": [{"billed_charge": 425.0, "npi": [1053462655]}]}, {"allowed_amount": 117.12, "providers": [{"billed_charge": 425.0, "npi": [1053462655]}]}]}, {"tin": {"type": "ein", "value": "741109665"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 320.31, "providers": [{"billed_charge": 2350.0, "npi": [1194787218, 1780867390]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1508201146, 1568081602, 1902811474]}]}, {"allowed_amount": 48.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1629301544]}]}]}, {"tin": {"type": "ein", "value": "741671142"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 48.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1205240512, 1386611713, 1043348386, 1831326081, 1689781668, 1902105893, 1639374374, 1427219526, 1043715980, 1194792846, 1225005168, 1730156688, 1174630230, 1407823834, 1639388572]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 282.0, "npi": [1588835326]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2110.5, "providers": [{"billed_charge": 6030.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 974.6, "providers": [{"billed_charge": 2784.56, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742797430"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 121.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 175.0, "npi": [1023074127]}]}]}, {"tin": {"type": "ein", "value": "742932237"}, "billing_class": "professional", "service_codes": ["19", "11"], "payments": [{"allowed_amount": 41.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.56, "npi": [1235111758, 1679004519]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 121.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1386821171]}]}]}, {"tin": {"type": "ein", "value": "746000756"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.55, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 492.78, "npi": [1316936990]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 285.75, "providers": [{"billed_charge": 635.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "746223317"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 66.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 212.0, "npi": [1740422369, 1760460059]}]}]}, {"tin": {"type": "ein", "value": "751008430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 1072.02, "npi": [1669472387]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 35.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1336464874, 1730383829]}]}, {"allowed_amount": 35.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1235592064, 1164849154, 1558628354, 1336262153, 1780637546, 1942326699, 1720354350, 1700812815, 1932763984, 1710121041, 1669771325, 1568620789, 1689897977, 1124277371, 1629397245, 1013273630]}]}, {"allowed_amount": 35.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1841257664, 1780902593, 1730189572, 1922057959, 1689623464, 1740271881, 1962603191, 1194992842, 1164539631, 1447233713, 1194169847, 1689963357]}]}, {"allowed_amount": 64.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1639121254, 1629020243, 1568416204, 1578514246]}]}, {"allowed_amount": 64.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1467985986]}]}]}, {"tin": {"type": "ein", "value": "751584559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.55, "providers": [{"billed_charge": 1315.0, "npi": [1255325817]}]}]}, {"tin": {"type": "ein", "value": "751748586"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1022.5, "npi": [1508899204]}]}]}, {"tin": {"type": "ein", "value": "751777119"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.23, "providers": [{"billed_charge": 1072.02, "npi": [1073511762]}]}]}, {"tin": {"type": "ein", "value": "751837454"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1072.02, "npi": [1447250253]}]}]}, {"tin": {"type": "ein", "value": "752336860"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1508363292]}]}]}, {"tin": {"type": "ein", "value": "752537587"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 121.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1386900173]}]}]}, {"tin": {"type": "ein", "value": "752559845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 343.06, "providers": [{"billed_charge": 1385.0, "npi": [1992707228]}]}]}, {"tin": {"type": "ein", "value": "752585153"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 127.83, "providers": [{"billed_charge": 400.0, "npi": [1679761787]}]}]}, {"tin": {"type": "ein", "value": "752586857"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1072.02, "npi": [1992700983]}]}]}, {"tin": {"type": "ein", "value": "752600873"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1699752212]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 87.0, "npi": [1508821430]}]}]}, {"tin": {"type": "ein", "value": "752770738"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.83, "providers": [{"billed_charge": 1022.5, "npi": [1770514077]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 362.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.84, "providers": [{"billed_charge": 1022.5, "npi": [1336172105]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 37.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1710943295]}]}]}, {"tin": {"type": "ein", "value": "760545192"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 2985.0, "npi": [1497871628]}]}]}, {"tin": {"type": "ein", "value": "811814959"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 141.42, "providers": [{"billed_charge": 155.0, "npi": [1629325857]}]}]}, {"tin": {"type": "ein", "value": "813802267"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 127.83, "providers": [{"billed_charge": 1200.0, "npi": [1174516165]}]}]}, {"tin": {"type": "ein", "value": "820756286"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.03, "providers": [{"billed_charge": 947.61, "npi": [1821501875]}]}]}, {"tin": {"type": "ein", "value": "882923822"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3704.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 4267.83, "npi": [1770214256]}]}]}, {"tin": {"type": "ein", "value": "883018450"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2987.48, "npi": [1760894497]}]}]}, {"tin": {"type": "ein", "value": "931965351"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 127.83, "providers": [{"billed_charge": 1200.0, "npi": [1598183832]}]}]}, {"tin": {"type": "ein", "value": "931987116"}, "billing_class": "professional", "service_codes": ["49"], "payments": [{"allowed_amount": 154.29, "providers": [{"billed_charge": 1200.0, "npi": [1366510794]}]}]}]}, {"name": "Uric acid; blood", "billing_code_type": "CPT", "billing_code": "84550", "billing_code_type_version": "2022", "description": "ASSAY OF BLOOD/URIC ACID", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.16, "providers": [{"billed_charge": 45.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 6.33, "providers": [{"billed_charge": 11.3, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.16, "providers": [{"billed_charge": 18.08, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.48, "providers": [{"billed_charge": 227.09, "npi": [1124074273]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.75, "providers": [{"billed_charge": 55.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.71, "providers": [{"billed_charge": 18.93, "npi": [1235186800]}]}, {"allowed_amount": 9.45, "providers": [{"billed_charge": 18.93, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.71, "providers": [{"billed_charge": 11.3, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "821606706"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.71, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 6.78, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.71, "providers": [{"billed_charge": 6.0, "npi": [1487429874]}]}, {"allowed_amount": 6.0, "providers": [{"billed_charge": 6.0, "npi": [1841798667]}]}]}]}, {"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": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.22, "providers": [{"billed_charge": 12.68, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "201494502"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 591.67, "providers": [{"billed_charge": 234.0, "npi": [1275592131]}]}]}, {"tin": {"type": "ein", "value": "621596506"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.85, "providers": [{"billed_charge": 391.0, "npi": [1497792527]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.3, "providers": [{"billed_charge": 658.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742638006"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.07, "providers": [{"billed_charge": 379.5, "npi": [1295788735]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.42, "providers": [{"billed_charge": 466.92, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "742938437"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 5.77, "providers": [{"billed_charge": 9.0, "npi": [1437655164]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.85, "providers": [{"billed_charge": 53.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 9.0, "providers": [{"billed_charge": 9.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "800235664"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.44, "providers": [{"billed_charge": 10.0, "npi": [1386817435]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.6, "providers": [{"billed_charge": 13.29, "npi": [1235186800]}]}, {"allowed_amount": 6.63, "providers": [{"billed_charge": 13.29, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "821606706"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.6, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 4.76, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.6, "providers": [{"billed_charge": 5.0, "npi": [1487429874]}]}, {"allowed_amount": 5.0, "providers": [{"billed_charge": 5.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "841321373"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 394.73, "providers": [{"billed_charge": 1127.81, "npi": [1659327013]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.44, "providers": [{"billed_charge": 10.0, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.6, "providers": [{"billed_charge": 4.76, "npi": [1457977209]}, {"billed_charge": 7.93, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "921628671"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.52, "providers": [{"billed_charge": 30.52, "npi": [1073200309]}]}]}]}, {"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, without microscopy", "billing_code_type": "CPT", "billing_code": "81003", "billing_code_type_version": "2022", "description": "URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY", "allowed_amounts": [{"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.19, "providers": [{"billed_charge": 46.8, "npi": [1679591101]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 2.93, "providers": [{"billed_charge": 7.0, "npi": [1700066883]}]}]}, {"tin": {"type": "ein", "value": "300491632"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 3.15, "providers": [{"billed_charge": 20.0, "npi": [1932665734]}]}, {"allowed_amount": 6.14, "providers": [{"billed_charge": 20.0, "npi": [1578716163]}]}]}, {"tin": {"type": "ein", "value": "465374323"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.64, "providers": [{"billed_charge": 35.0, "npi": [1073939153]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.5, "providers": [{"billed_charge": 327.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.5, "providers": [{"billed_charge": 327.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.49, "providers": [{"billed_charge": 77.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "720549907"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.0, "providers": [{"billed_charge": 39.0, "npi": [1093793408]}]}]}, {"tin": {"type": "ein", "value": "721567745"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.65, "providers": [{"billed_charge": 19.25, "npi": [1477524320]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.3, "providers": [{"billed_charge": 378.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.48, "providers": [{"billed_charge": 227.09, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.75, "providers": [{"billed_charge": 35.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752098992"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 4.16, "providers": [{"billed_charge": 30.0, "npi": [1952410037]}]}]}, {"tin": {"type": "ein", "value": "752896138"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.0, "providers": [{"billed_charge": 2.0, "npi": [1326312026]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.86, "providers": [{"billed_charge": 48.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 1.85, "providers": [{"billed_charge": 9.42, "npi": [1235186800]}]}, {"allowed_amount": 4.7, "providers": [{"billed_charge": 9.42, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "820200895"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.65, "providers": [{"billed_charge": 10.0, "npi": [1093529406]}]}]}, {"tin": {"type": "ein", "value": "824128625"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.15, "providers": [{"billed_charge": 7.0, "npi": [1417430935]}]}]}, {"tin": {"type": "ein", "value": "832457920"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.65, "providers": [{"billed_charge": 50.0, "npi": [1740243104]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 1.85, "providers": [{"billed_charge": 3.38, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "851144017"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.05, "providers": [{"billed_charge": 95.0, "npi": [1588126296]}]}]}, {"tin": {"type": "ein", "value": "862407610"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 3.15, "providers": [{"billed_charge": 50.0, "npi": [1154077220]}]}]}, {"tin": {"type": "ein", "value": "862551554"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 3.15, "providers": [{"billed_charge": 50.0, "npi": [1982278800, 1649859224]}]}]}, {"tin": {"type": "ein", "value": "900442055"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 4.16, "providers": [{"billed_charge": 25.0, "npi": [1275738874]}]}]}, {"tin": {"type": "ein", "value": "923237461"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 4.0, "providers": [{"billed_charge": 4.0, "npi": [1013472695]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.0, "providers": [{"billed_charge": 115.0, "npi": [1518012301]}]}]}]}, {"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; non-automated, with microscopy", "billing_code_type": "CPT", "billing_code": "81000", "billing_code_type_version": "2022", "description": "URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 2.81, "providers": [{"billed_charge": 75.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "270492434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.98, "providers": [{"billed_charge": 39.58, "npi": [1427048453]}]}]}, {"tin": {"type": "ein", "value": "611460423"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 4.78, "providers": [{"billed_charge": 15.0, "npi": [1447257993]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 163.42, "providers": [{"billed_charge": 466.92, "npi": [1376071530]}]}]}]}, {"name": "Urine pregnancy test, by visual color comparison methods", "billing_code_type": "CPT", "billing_code": "81025", "billing_code_type_version": "2022", "description": "URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS", "allowed_amounts": [{"tin": {"type": "ein", "value": "201903227"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.05, "providers": [{"billed_charge": 26.0, "npi": [1225520455]}]}]}, {"tin": {"type": "ein", "value": "261393906"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.68, "providers": [{"billed_charge": 28.0, "npi": [1679591101]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 11.19, "providers": [{"billed_charge": 26.0, "npi": [1649619578]}]}]}, {"tin": {"type": "ein", "value": "270492434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.17, "providers": [{"billed_charge": 61.69, "npi": [1427048453]}]}]}, {"tin": {"type": "ein", "value": "383744511"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 13.17, "providers": [{"billed_charge": 17.31, "npi": [1184600165]}]}]}, {"tin": {"type": "ein", "value": "430817642"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 11.28, "providers": [{"billed_charge": 33.1, "npi": [1487793089]}]}]}, {"tin": {"type": "ein", "value": "465374323"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 25.4, "providers": [{"billed_charge": 43.0, "npi": [1073939153]}]}]}, {"tin": {"type": "ein", "value": "472078805"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 120.5, "providers": [{"billed_charge": 241.0, "npi": [1245690940]}]}]}, {"tin": {"type": "ein", "value": "472485947"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 120.5, "providers": [{"billed_charge": 241.0, "npi": [1689026114]}]}]}, {"tin": {"type": "ein", "value": "561844262"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.62, "providers": [{"billed_charge": 127.0, "npi": [1801831102]}]}]}, {"tin": {"type": "ein", "value": "742499952"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 543.9, "providers": [{"billed_charge": 1554.0, "npi": [1770536120]}]}]}, {"tin": {"type": "ein", "value": "742730328"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 270.25, "providers": [{"billed_charge": 772.15, "npi": [1124074273, 1659525236]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.4, "providers": [{"billed_charge": 32.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752098992"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 15.93, "providers": [{"billed_charge": 28.0, "npi": [1952410037]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21", "22", "23"], "payments": [{"allowed_amount": 22.0, "providers": [{"billed_charge": 22.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "760009637"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 10.33, "providers": [{"billed_charge": 27.0, "npi": [1700055043]}]}]}, {"tin": {"type": "ein", "value": "813564692"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 15.93, "providers": [{"billed_charge": 50.0, "npi": [1255499943]}]}]}, {"tin": {"type": "ein", "value": "851978933"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 736.44, "providers": [{"billed_charge": 379.31, "npi": [1265044333]}]}]}, {"tin": {"type": "ein", "value": "852204789"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 20.84, "providers": [{"billed_charge": 25.0, "npi": [1073612115, 1407114291]}]}]}]}, {"name": "Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to home or residence or office/outpatient evaluation and management service, new or established)", "billing_code_type": "CPT", "billing_code": "G2211", "billing_code_type_version": "2022", "description": "Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to home or residence or office/outpatient evaluation and management service, new or established)", "allowed_amounts": [{"tin": {"type": "ein", "value": "200764082"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 43.38, "providers": [{"billed_charge": 50.0, "npi": [1427878966]}]}]}, {"tin": {"type": "ein", "value": "203010734"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1396742128]}]}]}, {"tin": {"type": "ein", "value": "208421073"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 31.47, "providers": [{"billed_charge": 35.0, "npi": [1932311958]}]}]}, {"tin": {"type": "ein", "value": "261278530"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 21.69, "providers": [{"billed_charge": 30.0, "npi": [1922283506]}]}]}, {"tin": {"type": "ein", "value": "262400924"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 28.32, "providers": [{"billed_charge": 54.0, "npi": [1740711696]}]}]}, {"tin": {"type": "ein", "value": "272885552"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 17.86, "providers": [{"billed_charge": 35.0, "npi": [1710125604]}]}]}, {"tin": {"type": "ein", "value": "352526373"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 19.22, "providers": [{"billed_charge": 32.72, "npi": [1245585462]}]}]}, {"tin": {"type": "ein", "value": "463937517"}, "billing_class": "professional", "service_codes": ["10"], "payments": [{"allowed_amount": 22.93, "providers": [{"billed_charge": 40.5, "npi": [1982852166]}]}]}, {"tin": {"type": "ein", "value": "475351009"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 17.52, "providers": [{"billed_charge": 100.0, "npi": [1669762191]}]}]}, {"tin": {"type": "ein", "value": "741586031"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 25.77, "providers": [{"billed_charge": 46.0, "npi": [1467972208]}]}]}, {"tin": {"type": "ein", "value": "741916103"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1114377173]}]}]}, {"tin": {"type": "ein", "value": "742484538"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 21.26, "providers": [{"billed_charge": 25.0, "npi": [1952741555]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 21.43, "providers": [{"billed_charge": 39.0, "npi": [1225047046]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 19.39, "providers": [{"billed_charge": 49.0, "npi": [1205045184]}]}]}, {"tin": {"type": "ein", "value": "760478691"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 18.55, "providers": [{"billed_charge": 32.0, "npi": [1023214202]}]}]}, {"tin": {"type": "ein", "value": "811710689"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 75.0, "providers": [{"billed_charge": 75.0, "npi": [1144214966]}]}]}, {"tin": {"type": "ein", "value": "823527149"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 24.83, "providers": [{"billed_charge": 50.0, "npi": [1457338436]}]}]}, {"tin": {"type": "ein", "value": "834439721"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 32.0, "providers": [{"billed_charge": 32.0, "npi": [1336600758]}]}]}, {"tin": {"type": "ein", "value": "842528165"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 18.68, "providers": [{"billed_charge": 56.04, "npi": [1932116902]}]}]}, {"tin": {"type": "ein", "value": "900855769"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 26.03, "providers": [{"billed_charge": 50.0, "npi": [1457407041]}]}]}, {"tin": {"type": "ein", "value": "923725090"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 32.1, "providers": [{"billed_charge": 50.0, "npi": [1265783815]}]}]}]}, {"name": "Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist, including disease transmission risk assessment and mitigation, public health investigation, analysis, and testing, and complex antimicrobial therapy counseling and treatment (add-on code, list separately in addition to hospital inpatient or observation evaluation and management visit, initial, same day discharge, subsequent or discharge)", "billing_code_type": "CPT", "billing_code": "G0545", "billing_code_type_version": "2022", "description": "Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist, including disease transmission risk assessment and mitigation, public health investigation, analysis, and testing, and complex antimicrobial therapy counseling and treatment (add-on code, list separately in addition to hospital inpatient or observation evaluation and management visit, initial, same day discharge, subsequent or discharge)", "allowed_amounts": [{"tin": {"type": "ein", "value": "202798379"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.76, "providers": [{"billed_charge": 124.41, "npi": [1295957710]}]}]}, {"tin": {"type": "ein", "value": "205146786"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.31, "providers": [{"billed_charge": 124.41, "npi": [1750450342]}]}, {"allowed_amount": 47.71, "providers": [{"billed_charge": 124.41, "npi": [1790936144]}, {"billed_charge": 132.75, "npi": [1790936144]}]}, {"allowed_amount": 49.35, "providers": [{"billed_charge": 124.41, "npi": [1104846922]}]}, {"allowed_amount": 93.31, "providers": [{"billed_charge": 124.41, "npi": [1619405149]}]}]}, {"tin": {"type": "ein", "value": "273852113"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.35, "providers": [{"billed_charge": 90.0, "npi": [1053366351]}]}]}, {"tin": {"type": "ein", "value": "371714382"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.76, "providers": [{"billed_charge": 75.0, "npi": [1245200393]}]}]}, {"tin": {"type": "ein", "value": "475401520"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 48.9, "providers": [{"billed_charge": 107.8, "npi": [1225259435]}]}, {"allowed_amount": 73.56, "providers": [{"billed_charge": 107.8, "npi": [1225259435]}]}]}, {"tin": {"type": "ein", "value": "742072186"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.0, "providers": [{"billed_charge": 45.0, "npi": [1750564068]}]}]}, {"tin": {"type": "ein", "value": "742520049"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.76, "providers": [{"billed_charge": 50.0, "npi": [1790784692]}]}]}, {"tin": {"type": "ein", "value": "742608688"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.98, "providers": [{"billed_charge": 150.0, "npi": [1063437838]}]}]}, {"tin": {"type": "ein", "value": "752712328"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.59, "providers": [{"billed_charge": 86.4, "npi": [1063575199, 1336568773, 1497216535]}]}, {"allowed_amount": 53.95, "providers": [{"billed_charge": 86.4, "npi": [1063657740]}]}]}, {"tin": {"type": "ein", "value": "752905110"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.0, "providers": [{"billed_charge": 45.0, "npi": [1003375296, 1144457649, 1093135089, 1598933558]}]}]}, {"tin": {"type": "ein", "value": "756002868"}, "billing_class": "professional", "service_codes": ["21", "22"], "payments": [{"allowed_amount": 49.59, "providers": [{"billed_charge": 173.0, "npi": [1215940010, 1750525044, 1538346317, 1417337783]}]}, {"allowed_amount": 74.59, "providers": [{"billed_charge": 173.0, "npi": [1043487317]}]}]}, {"tin": {"type": "ein", "value": "760681269"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.31, "providers": [{"billed_charge": 67.0, "npi": [1154680320, 1861871204]}]}, {"allowed_amount": 47.71, "providers": [{"billed_charge": 67.0, "npi": [1649591835]}]}]}, {"tin": {"type": "ein", "value": "820669611"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.59, "providers": [{"billed_charge": 117.95, "npi": [1912024100]}]}]}, {"tin": {"type": "ein", "value": "933064316"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.53, "providers": [{"billed_charge": 105.55, "npi": [1952899767]}]}, {"allowed_amount": 48.9, "providers": [{"billed_charge": 105.55, "npi": [1952899767]}]}]}]}, {"name": "Vitamin D; 25 hydroxy, includes fraction(s), if performed", "billing_code_type": "CPT", "billing_code": "82306", "billing_code_type_version": "2022", "description": "25 HYDROXY INCLUDES FRACTIONS IF PERFORMED", "allowed_amounts": [{"tin": {"type": "ein", "value": "112981841"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 20.72, "providers": [{"billed_charge": 150.0, "npi": [1033281126]}]}]}, {"tin": {"type": "ein", "value": "201087240"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 41.44, "providers": [{"billed_charge": 74.0, "npi": [1821036559]}]}]}, {"tin": {"type": "ein", "value": "201236503"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 20.72, "providers": [{"billed_charge": 118.4, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 34.34, "providers": [{"billed_charge": 665.13, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "746002164"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.8, "providers": [{"billed_charge": 164.0, "npi": [1821011248]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 83.0, "providers": [{"billed_charge": 83.0, "npi": [1538140439]}]}]}, {"tin": {"type": "ein", "value": "760182737"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 22.79, "providers": [{"billed_charge": 80.0, "npi": [1194769497]}]}, {"allowed_amount": 24.27, "providers": [{"billed_charge": 80.0, "npi": [1104839380]}]}]}, {"tin": {"type": "ein", "value": "760611317"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 32.56, "providers": [{"billed_charge": 99.0, "npi": [1699744144]}]}]}, {"tin": {"type": "ein", "value": "810576059"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.27, "providers": [{"billed_charge": 124.08, "npi": [1235186800]}]}, {"allowed_amount": 61.86, "providers": [{"billed_charge": 124.08, "npi": [1235186800]}]}]}, {"tin": {"type": "ein", "value": "814697090"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.27, "providers": [{"billed_charge": 74.0, "npi": [1740715333]}]}]}, {"tin": {"type": "ein", "value": "822704194"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.27, "providers": [{"billed_charge": 37.0, "npi": [1487429874]}]}, {"allowed_amount": 37.0, "providers": [{"billed_charge": 37.0, "npi": [1841798667]}]}]}, {"tin": {"type": "ein", "value": "823021953"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.27, "providers": [{"billed_charge": 88.8, "npi": [1447760814]}]}]}, {"tin": {"type": "ein", "value": "843731229"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 22.79, "providers": [{"billed_charge": 59.2, "npi": [1336758952]}]}]}, {"tin": {"type": "ein", "value": "851099688"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.27, "providers": [{"billed_charge": 44.4, "npi": [1457977209]}, {"billed_charge": 74.0, "npi": [1457977209]}]}]}, {"tin": {"type": "ein", "value": "872633751"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 24.27, "providers": [{"billed_charge": 29.6, "npi": [1821749896]}]}]}, {"tin": {"type": "ein", "value": "943357013"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 47.95, "providers": [{"billed_charge": 356.0, "npi": [1982606992]}]}]}]}]}