{"reporting_entity_name": "Oscar Health", "reporting_entity_type": "Health Insurance Issuer", "plan_id": "13877AZ007", "last_updated_on": "2026-07-23", "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": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1729.17, "providers": [{"billed_charge": 2799.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 196.23, "providers": [{"billed_charge": 1094.0, "npi": [1881012912, 1700834777]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 388.54, "providers": [{"billed_charge": 1024.0, "npi": [1447831623]}]}]}, {"tin": {"type": "ein", "value": "621866604"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 297.85, "providers": [{"billed_charge": 315.0, "npi": [1639144728, 1013066810, 1629044805, 1710183470]}]}]}, {"tin": {"type": "ein", "value": "626002166"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1861.91, "providers": [{"billed_charge": 3727.0, "npi": [1275531956]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["19", "22", "21"], "payments": [{"allowed_amount": 143.15, "providers": [{"billed_charge": 305.0, "npi": [1841237294, 1154368793, 1255812491, 1093141590]}]}, {"allowed_amount": 196.23, "providers": [{"billed_charge": 305.0, "npi": [1609003581, 1104219757, 1891958351]}]}]}, {"tin": {"type": "ein", "value": "860910845"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.09, "providers": [{"billed_charge": 2271.0, "npi": [1881816346]}]}]}]}, {"name": "Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)", "billing_code_type": "CPT", "billing_code": "82077", "billing_code_type_version": "2022", "description": "ASSAY OF ALCOHOL (ETHANOL) SPEC XCP UR&BREATH IA", "allowed_amounts": [{"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 131.03, "providers": [{"billed_charge": 210.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "381405141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.03, "providers": [{"billed_charge": 45.0, "npi": [1295785285]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.0, "providers": [{"billed_charge": 71.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "446005747"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.81, "providers": [{"billed_charge": 176.0, "npi": [1629062799]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.81, "providers": [{"billed_charge": 311.0, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "580593388"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.35, "providers": [{"billed_charge": 330.0, "npi": [1275527889]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.54, "providers": [{"billed_charge": 180.22, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.0, "providers": [{"billed_charge": 71.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "742870118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.17, "providers": [{"billed_charge": 1204.16, "npi": [1447221742]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 131.03, "providers": [{"billed_charge": 182.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.52, "providers": [{"billed_charge": 457.0, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 228.64, "npi": [1689688988]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.77, "providers": [{"billed_charge": 415.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "856003005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.91, "providers": [{"billed_charge": 153.75, "npi": [1689747552]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.91, "providers": [{"billed_charge": 181.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "861248931"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.52, "providers": [{"billed_charge": 216.0, "npi": [1699340927]}]}]}, {"tin": {"type": "ein", "value": "871737544"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.91, "providers": [{"billed_charge": 500.0, "npi": [1750092110]}]}]}, {"tin": {"type": "ein", "value": "900214335"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.45, "providers": [{"billed_charge": 237.0, "npi": [1194705202]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.45, "providers": [{"billed_charge": 179.0, "npi": [1356528269]}]}]}, {"tin": {"type": "ein", "value": "946004062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.0, "providers": [{"billed_charge": 222.0, "npi": [1538265780]}]}]}]}, {"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": "300824958"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.21, "providers": [{"billed_charge": 5.21, "npi": [1851781314]}]}, {"allowed_amount": 5.33, "providers": [{"billed_charge": 5.33, "npi": [1851781314]}]}, {"allowed_amount": 6.05, "providers": [{"billed_charge": 6.05, "npi": [1851781314]}]}, {"allowed_amount": 10.46, "providers": [{"billed_charge": 10.46, "npi": [1851781314]}]}, {"allowed_amount": 10.48, "providers": [{"billed_charge": 10.48, "npi": [1851781314]}]}, {"allowed_amount": 11.48, "providers": [{"billed_charge": 11.48, "npi": [1851781314]}]}, {"allowed_amount": 13.95, "providers": [{"billed_charge": 13.95, "npi": [1851781314]}]}, {"allowed_amount": 14.19, "providers": [{"billed_charge": 14.19, "npi": [1851781314]}]}, {"allowed_amount": 14.31, "providers": [{"billed_charge": 14.31, "npi": [1851781314]}]}, {"allowed_amount": 14.45, "providers": [{"billed_charge": 14.45, "npi": [1851781314]}]}, {"allowed_amount": 14.6, "providers": [{"billed_charge": 14.6, "npi": [1851781314]}]}, {"allowed_amount": 14.92, "providers": [{"billed_charge": 14.92, "npi": [1851781314]}]}, {"allowed_amount": 15.04, "providers": [{"billed_charge": 15.04, "npi": [1851781314]}]}, {"allowed_amount": 15.18, "providers": [{"billed_charge": 15.18, "npi": [1851781314]}]}, {"allowed_amount": 15.71, "providers": [{"billed_charge": 15.71, "npi": [1851781314]}]}, {"allowed_amount": 19.55, "providers": [{"billed_charge": 21.56, "npi": [1851781314]}, {"billed_charge": 26.69, "npi": [1851781314]}, {"billed_charge": 28.99, "npi": [1851781314]}, {"billed_charge": 31.69, "npi": [1851781314]}, {"billed_charge": 34.21, "npi": [1851781314]}, {"billed_charge": 46.11, "npi": [1851781314]}, {"billed_charge": 48.77, "npi": [1851781314]}, {"billed_charge": 76.48, "npi": [1851781314]}, {"billed_charge": 97.29, "npi": [1851781314]}, {"billed_charge": 105.68, "npi": [1851781314]}, {"billed_charge": 139.52, "npi": [1851781314]}, {"billed_charge": 187.1, "npi": [1851781314]}]}, {"allowed_amount": 875.65, "providers": [{"billed_charge": 24.01, "npi": [1851781314]}]}, {"allowed_amount": 899.04, "providers": [{"billed_charge": 23.2, "npi": [1851781314]}]}, {"allowed_amount": 909.15, "providers": [{"billed_charge": 10.48, "npi": [1851781314]}]}, {"allowed_amount": 1102.28, "providers": [{"billed_charge": 67.34, "npi": [1851781314]}]}, {"allowed_amount": 1257.51, "providers": [{"billed_charge": 251.46, "npi": [1851781314]}]}]}, {"tin": {"type": "ein", "value": "371646302"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.48, "providers": [{"billed_charge": 1.48, "npi": [1467725911]}]}, {"allowed_amount": 1.98, "providers": [{"billed_charge": 1.98, "npi": [1467725911]}]}, {"allowed_amount": 5.21, "providers": [{"billed_charge": 5.21, "npi": [1912279472, 1467725911]}]}, {"allowed_amount": 10.93, "providers": [{"billed_charge": 10.93, "npi": [1467725911]}]}, {"allowed_amount": 13.16, "providers": [{"billed_charge": 13.16, "npi": [1467725911]}]}, {"allowed_amount": 13.71, "providers": [{"billed_charge": 13.71, "npi": [1912279472]}]}, {"allowed_amount": 14.05, "providers": [{"billed_charge": 14.05, "npi": [1912279472]}]}, {"allowed_amount": 14.6, "providers": [{"billed_charge": 14.6, "npi": [1912279472]}]}, {"allowed_amount": 19.23, "providers": [{"billed_charge": 19.23, "npi": [1467725911]}]}, {"allowed_amount": 19.55, "providers": [{"billed_charge": 22.46, "npi": [1467725911]}, {"billed_charge": 33.5, "npi": [1467725911]}, {"billed_charge": 38.32, "npi": [1467725911]}, {"billed_charge": 41.79, "npi": [1467725911]}, {"billed_charge": 43.76, "npi": [1467725911]}, {"billed_charge": 53.53, "npi": [1467725911]}]}, {"allowed_amount": 22.16, "providers": [{"billed_charge": 22.16, "npi": [1467725911]}]}]}, {"tin": {"type": "ein", "value": "465332224"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.04, "providers": [{"billed_charge": 1.04, "npi": [1932652815]}]}, {"allowed_amount": 6.0, "providers": [{"billed_charge": 6.0, "npi": [1932652815]}]}, {"allowed_amount": 6.05, "providers": [{"billed_charge": 6.05, "npi": [1932652815]}]}, {"allowed_amount": 7.75, "providers": [{"billed_charge": 7.75, "npi": [1932652815]}]}, {"allowed_amount": 8.05, "providers": [{"billed_charge": 8.05, "npi": [1932652815]}]}, {"allowed_amount": 10.8, "providers": [{"billed_charge": 10.8, "npi": [1932652815]}]}, {"allowed_amount": 11.27, "providers": [{"billed_charge": 11.27, "npi": [1932652815]}]}, {"allowed_amount": 11.87, "providers": [{"billed_charge": 11.87, "npi": [1932652815]}]}, {"allowed_amount": 12.05, "providers": [{"billed_charge": 12.05, "npi": [1932652815]}]}, {"allowed_amount": 13.75, "providers": [{"billed_charge": 13.75, "npi": [1932652815]}]}, {"allowed_amount": 16.8, "providers": [{"billed_charge": 16.8, "npi": [1932652815]}]}, {"allowed_amount": 16.85, "providers": [{"billed_charge": 16.85, "npi": [1932652815]}]}, {"allowed_amount": 17.27, "providers": [{"billed_charge": 17.27, "npi": [1932652815]}]}, {"allowed_amount": 17.32, "providers": [{"billed_charge": 17.32, "npi": [1932652815]}]}, {"allowed_amount": 18.31, "providers": [{"billed_charge": 18.31, "npi": [1932652815]}]}, {"allowed_amount": 19.55, "providers": [{"billed_charge": 19.67, "npi": [1932652815]}, {"billed_charge": 19.8, "npi": [1932652815]}, {"billed_charge": 20.79, "npi": [1932652815]}, {"billed_charge": 22.55, "npi": [1932652815]}, {"billed_charge": 22.85, "npi": [1932652815]}, {"billed_charge": 22.87, "npi": [1932652815]}, {"billed_charge": 24.0, "npi": [1932652815]}, {"billed_charge": 24.55, "npi": [1932652815]}, {"billed_charge": 25.5, "npi": [1932652815]}, {"billed_charge": 25.98, "npi": [1932652815]}, {"billed_charge": 28.55, "npi": [1932652815]}, {"billed_charge": 29.19, "npi": [1932652815]}, {"billed_charge": 30.05, "npi": [1932652815]}, {"billed_charge": 30.6, "npi": [1932652815]}, {"billed_charge": 30.94, "npi": [1932652815]}, {"billed_charge": 30.96, "npi": [1932652815]}, {"billed_charge": 31.39, "npi": [1932652815]}, {"billed_charge": 31.86, "npi": [1932652815]}, {"billed_charge": 32.46, "npi": [1932652815]}, {"billed_charge": 32.6, "npi": [1932652815]}, {"billed_charge": 33.91, "npi": [1932652815]}, {"billed_charge": 33.99, "npi": [1932652815]}, {"billed_charge": 34.45, "npi": [1932652815]}, {"billed_charge": 36.94, "npi": [1932652815]}, {"billed_charge": 39.99, "npi": [1932652815]}, {"billed_charge": 40.42, "npi": [1932652815]}, {"billed_charge": 40.46, "npi": [1932652815]}, {"billed_charge": 40.85, "npi": [1932652815]}, {"billed_charge": 41.14, "npi": [1932652815]}, {"billed_charge": 43.14, "npi": [1932652815]}, {"billed_charge": 46.04, "npi": [1932652815]}, {"billed_charge": 46.51, "npi": [1932652815]}, {"billed_charge": 47.03, "npi": [1932652815]}, {"billed_charge": 48.32, "npi": [1932652815]}, {"billed_charge": 50.29, "npi": [1932652815]}, {"billed_charge": 54.58, "npi": [1932652815]}, {"billed_charge": 55.05, "npi": [1932652815]}, {"billed_charge": 56.0, "npi": [1932652815]}, {"billed_charge": 60.3, "npi": [1932652815]}, {"billed_charge": 62.05, "npi": [1932652815]}, {"billed_charge": 62.42, "npi": [1932652815]}, {"billed_charge": 63.75, "npi": [1932652815]}, {"billed_charge": 67.98, "npi": [1932652815]}, {"billed_charge": 75.05, "npi": [1932652815]}, {"billed_charge": 83.7, "npi": [1932652815]}, {"billed_charge": 96.0, "npi": [1932652815]}, {"billed_charge": 96.91, "npi": [1932652815]}, {"billed_charge": 101.0, "npi": [1932652815]}, {"billed_charge": 106.0, "npi": [1932652815]}, {"billed_charge": 115.45, "npi": [1932652815]}, {"billed_charge": 123.98, "npi": [1932652815]}, {"billed_charge": 128.18, "npi": [1932652815]}, {"billed_charge": 390.1, "npi": [1932652815]}, {"billed_charge": 432.64, "npi": [1932652815]}]}]}, {"tin": {"type": "ein", "value": "843777653"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 3.41, "providers": [{"billed_charge": 3.41, "npi": [1447884507]}]}, {"allowed_amount": 5.45, "providers": [{"billed_charge": 5.45, "npi": [1447884507]}]}, {"allowed_amount": 6.12, "providers": [{"billed_charge": 6.12, "npi": [1447884507]}]}, {"allowed_amount": 10.93, "providers": [{"billed_charge": 10.93, "npi": [1447884507]}]}, {"allowed_amount": 11.92, "providers": [{"billed_charge": 11.92, "npi": [1447884507]}]}, {"allowed_amount": 14.87, "providers": [{"billed_charge": 14.87, "npi": [1447884507]}]}, {"allowed_amount": 19.55, "providers": [{"billed_charge": 20.67, "npi": [1447884507]}, {"billed_charge": 36.7, "npi": [1447884507]}, {"billed_charge": 37.28, "npi": [1447884507]}, {"billed_charge": 37.3, "npi": [1447884507]}, {"billed_charge": 39.95, "npi": [1447884507]}, {"billed_charge": 39.98, "npi": [1447884507]}, {"billed_charge": 40.57, "npi": [1447884507]}, {"billed_charge": 46.85, "npi": [1447884507]}]}, {"allowed_amount": 803.92, "providers": [{"billed_charge": 56.33, "npi": [1447884507]}]}]}, {"tin": {"type": "ein", "value": "845143812"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 0.52, "providers": [{"billed_charge": 0.52, "npi": [1336871813]}]}, {"allowed_amount": 13.75, "providers": [{"billed_charge": 13.75, "npi": [1336871813]}]}, {"allowed_amount": 21.54, "providers": [{"billed_charge": 92.4, "npi": [1336871813]}]}]}, {"tin": {"type": "ein", "value": "860203618"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.48, "providers": [{"billed_charge": 10.48, "npi": [1205883717]}]}, {"allowed_amount": 10.72, "providers": [{"billed_charge": 10.72, "npi": [1205883717]}]}, {"allowed_amount": 10.73, "providers": [{"billed_charge": 10.73, "npi": [1205883717]}]}, {"allowed_amount": 13.71, "providers": [{"billed_charge": 13.71, "npi": [1205883717]}]}, {"allowed_amount": 18.73, "providers": [{"billed_charge": 18.73, "npi": [1205883717]}]}, {"allowed_amount": 19.55, "providers": [{"billed_charge": 19.55, "npi": [1205883717]}, {"billed_charge": 249.93, "npi": [1205883717]}]}, {"allowed_amount": 27.37, "providers": [{"billed_charge": 27.48, "npi": [1205883717]}, {"billed_charge": 32.15, "npi": [1205883717]}]}, {"allowed_amount": 1082.83, "providers": [{"billed_charge": 10.72, "npi": [1205883717]}]}]}, {"tin": {"type": "ein", "value": "860412782"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.21, "providers": [{"billed_charge": 5.21, "npi": [1043214372]}]}, {"allowed_amount": 5.71, "providers": [{"billed_charge": 5.71, "npi": [1043214372]}]}, {"allowed_amount": 13.47, "providers": [{"billed_charge": 13.47, "npi": [1043214372]}]}, {"allowed_amount": 16.97, "providers": [{"billed_charge": 16.97, "npi": [1043214372]}]}, {"allowed_amount": 19.55, "providers": [{"billed_charge": 28.64, "npi": [1043214372]}, {"billed_charge": 34.39, "npi": [1043214372]}]}]}, {"tin": {"type": "ein", "value": "860702807"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.58, "providers": [{"billed_charge": 10.58, "npi": [1538116652]}]}, {"allowed_amount": 10.72, "providers": [{"billed_charge": 10.72, "npi": [1538116652]}]}, {"allowed_amount": 12.93, "providers": [{"billed_charge": 12.93, "npi": [1538116652]}]}, {"allowed_amount": 14.25, "providers": [{"billed_charge": 14.25, "npi": [1538116652]}]}, {"allowed_amount": 14.43, "providers": [{"billed_charge": 14.43, "npi": [1538116652]}]}, {"allowed_amount": 14.45, "providers": [{"billed_charge": 14.45, "npi": [1538116652]}]}, {"allowed_amount": 14.55, "providers": [{"billed_charge": 14.55, "npi": [1538116652]}]}, {"allowed_amount": 19.55, "providers": [{"billed_charge": 23.67, "npi": [1538116652]}, {"billed_charge": 24.08, "npi": [1538116652]}, {"billed_charge": 24.17, "npi": [1538116652]}, {"billed_charge": 24.25, "npi": [1538116652]}, {"billed_charge": 24.31, "npi": [1538116652]}, {"billed_charge": 27.81, "npi": [1538116652]}, {"billed_charge": 29.09, "npi": [1538116652]}, {"billed_charge": 31.45, "npi": [1538116652]}, {"billed_charge": 32.19, "npi": [1538116652]}, {"billed_charge": 36.23, "npi": [1538116652]}, {"billed_charge": 36.91, "npi": [1538116652]}, {"billed_charge": 37.31, "npi": [1538116652]}, {"billed_charge": 38.67, "npi": [1538116652]}, {"billed_charge": 51.04, "npi": [1538116652]}, {"billed_charge": 59.5, "npi": [1538116652]}, {"billed_charge": 81.37, "npi": [1538116652]}, {"billed_charge": 91.9, "npi": [1538116652]}, {"billed_charge": 92.61, "npi": [1538116652]}, {"billed_charge": 103.76, "npi": [1538116652]}, {"billed_charge": 110.25, "npi": [1538116652]}, {"billed_charge": 142.83, "npi": [1538116652]}, {"billed_charge": 177.47, "npi": [1538116652]}]}, {"allowed_amount": 1315.59, "providers": [{"billed_charge": 23.43, "npi": [1538116652]}]}, {"allowed_amount": 1378.4, "providers": [{"billed_charge": 17.43, "npi": [1538116652]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 19.55, "providers": [{"billed_charge": 48.31, "npi": [1851441075]}]}]}, {"tin": {"type": "ein", "value": "866000246"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 19.55, "providers": [{"billed_charge": 60.0, "npi": [1295284495]}]}]}, {"tin": {"type": "ein", "value": "866000256"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 930.59, "providers": [{"billed_charge": 31.84, "npi": [1982781571]}]}, {"allowed_amount": 963.55, "providers": [{"billed_charge": 37.41, "npi": [1982781571]}]}]}, {"tin": {"type": "ein", "value": "866000262"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 19.55, "providers": [{"billed_charge": 60.0, "npi": [1750811063]}]}, {"allowed_amount": 900.33, "providers": [{"billed_charge": 60.0, "npi": [1750811063]}]}]}, {"tin": {"type": "ein", "value": "872889138"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1932821063]}]}]}]}, {"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": "300824958"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.17, "providers": [{"billed_charge": 15.17, "npi": [1851781314]}]}]}, {"tin": {"type": "ein", "value": "371646302"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.17, "providers": [{"billed_charge": 15.17, "npi": [1467725911]}]}]}, {"tin": {"type": "ein", "value": "465332224"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 0.07, "providers": [{"billed_charge": 0.07, "npi": [1932652815]}]}, {"allowed_amount": 4.2, "providers": [{"billed_charge": 4.2, "npi": [1932652815]}]}, {"allowed_amount": 12.0, "providers": [{"billed_charge": 12.0, "npi": [1932652815]}]}, {"allowed_amount": 12.07, "providers": [{"billed_charge": 12.07, "npi": [1932652815]}]}, {"allowed_amount": 13.6, "providers": [{"billed_charge": 13.6, "npi": [1932652815]}]}, {"allowed_amount": 14.0, "providers": [{"billed_charge": 14.0, "npi": [1932652815]}]}, {"allowed_amount": 14.07, "providers": [{"billed_charge": 14.07, "npi": [1932652815]}]}, {"allowed_amount": 15.25, "providers": [{"billed_charge": 37.0, "npi": [1932652815]}, {"billed_charge": 50.0, "npi": [1932652815]}, {"billed_charge": 90.98, "npi": [1932652815]}]}]}, {"tin": {"type": "ein", "value": "843777653"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.17, "providers": [{"billed_charge": 15.17, "npi": [1447884507]}]}]}, {"tin": {"type": "ein", "value": "860203618"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.17, "providers": [{"billed_charge": 15.17, "npi": [1205883717]}]}, {"allowed_amount": 1170.91, "providers": [{"billed_charge": 15.17, "npi": [1205883717]}]}]}, {"tin": {"type": "ein", "value": "860702807"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.17, "providers": [{"billed_charge": 15.17, "npi": [1538116652]}]}]}, {"tin": {"type": "ein", "value": "866000256"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 864.26, "providers": [{"billed_charge": 7.4, "npi": [1982781571]}]}, {"allowed_amount": 925.86, "providers": [{"billed_charge": 7.4, "npi": [1982781571]}]}, {"allowed_amount": 994.3, "providers": [{"billed_charge": 7.4, "npi": [1982781571]}]}]}, {"tin": {"type": "ein", "value": "952223085"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 99.39, "providers": [{"billed_charge": 233.41, "npi": [1518075449]}]}]}, {"tin": {"type": "ein", "value": "953433967"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 99.39, "providers": [{"billed_charge": 358.42, "npi": [1407864341]}]}]}]}, {"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": "232708301"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 951.3, "providers": [{"billed_charge": 1050.0, "npi": [1407832215]}]}]}, {"tin": {"type": "ein", "value": "237329437"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1191.47, "npi": [1093790974]}]}]}, {"tin": {"type": "ein", "value": "271466450"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1355.91, "npi": [1881915155]}]}]}, {"tin": {"type": "ein", "value": "300824958"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1202.74, "npi": [1851781314]}, {"billed_charge": 1224.39, "npi": [1851781314]}]}]}, {"tin": {"type": "ein", "value": "320142579"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 525.78, "providers": [{"billed_charge": 924.0, "npi": [1629075809]}]}]}, {"tin": {"type": "ein", "value": "356001040"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 542.67, "providers": [{"billed_charge": 759.72, "npi": [1700808730]}]}]}, {"tin": {"type": "ein", "value": "363196004"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 542.67, "providers": [{"billed_charge": 3000.0, "npi": [1730193004]}]}]}, {"tin": {"type": "ein", "value": "366006082"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 542.67, "providers": [{"billed_charge": 2969.0, "npi": [1720050826]}]}]}, {"tin": {"type": "ein", "value": "371646302"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 795.6, "providers": [{"billed_charge": 2007.98, "npi": [1912279472]}]}, {"allowed_amount": 1169.75, "providers": [{"billed_charge": 1202.74, "npi": [1467725911]}, {"billed_charge": 1224.39, "npi": [1467725911]}]}, {"allowed_amount": 1224.39, "providers": [{"billed_charge": 1224.39, "npi": [1467725911]}]}]}, {"tin": {"type": "ein", "value": "465332224"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1202.74, "npi": [1932652815]}, {"billed_charge": 1224.39, "npi": [1932652815]}, {"billed_charge": 1484.64, "npi": [1932652815]}]}]}, {"tin": {"type": "ein", "value": "486000798"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 399.43, "providers": [{"billed_charge": 870.0, "npi": [1215075411]}]}]}, {"tin": {"type": "ein", "value": "521558039"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1898.24, "providers": [{"billed_charge": 1898.24, "npi": [1619933587]}]}]}, {"tin": {"type": "ein", "value": "596000773"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 511.92, "providers": [{"billed_charge": 1024.0, "npi": [1033215348]}]}]}, {"tin": {"type": "ein", "value": "611310466"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 714.9, "providers": [{"billed_charge": 1122.38, "npi": [1851375562]}]}]}, {"tin": {"type": "ein", "value": "710907561"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1470.15, "npi": [1568563278]}]}]}, {"tin": {"type": "ein", "value": "752474011"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 825.0, "providers": [{"billed_charge": 825.0, "npi": [1962437855]}]}]}, {"tin": {"type": "ein", "value": "820579904"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 714.82, "providers": [{"billed_charge": 750.0, "npi": [1194769828]}]}]}, {"tin": {"type": "ein", "value": "823518801"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 607.0, "providers": [{"billed_charge": 607.0, "npi": [1922514686]}]}]}, {"tin": {"type": "ein", "value": "824030857"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 540.45, "providers": [{"billed_charge": 2256.0, "npi": [1730697335]}]}]}, {"tin": {"type": "ein", "value": "843777653"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1028.57, "providers": [{"billed_charge": 1028.57, "npi": [1447884507]}]}, {"allowed_amount": 1047.08, "providers": [{"billed_charge": 1047.08, "npi": [1447884507]}]}]}, {"tin": {"type": "ein", "value": "845143812"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1985.55, "providers": [{"billed_charge": 1985.55, "npi": [1336871813]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1402.08, "providers": [{"billed_charge": 1742.14, "npi": [1518143205]}]}]}, {"tin": {"type": "ein", "value": "860203618"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1541.61, "npi": [1205883717]}]}, {"allowed_amount": 1513.75, "providers": [{"billed_charge": 1541.61, "npi": [1205883717]}, {"billed_charge": 1569.36, "npi": [1205883717]}]}]}, {"tin": {"type": "ein", "value": "860278618"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1513.75, "providers": [{"billed_charge": 1972.84, "npi": [1154324283]}]}]}, {"tin": {"type": "ein", "value": "860295443"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1165.05, "providers": [{"billed_charge": 1165.05, "npi": [1083751176]}]}]}, {"tin": {"type": "ein", "value": "860311208"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1830.35, "npi": [1184003220]}, {"billed_charge": 1863.3, "npi": [1184003220]}]}]}, {"tin": {"type": "ein", "value": "860339693"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1513.75, "providers": [{"billed_charge": 1839.93, "npi": [1356333934]}]}]}, {"tin": {"type": "ein", "value": "860409619"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1202.74, "npi": [1821456575]}, {"billed_charge": 1224.39, "npi": [1821456575]}]}]}, {"tin": {"type": "ein", "value": "860412782"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 2050.07, "npi": [1043214372]}, {"billed_charge": 2086.97, "npi": [1043214372]}]}, {"allowed_amount": 1994.7, "providers": [{"billed_charge": 2050.07, "npi": [1043214372]}]}]}, {"tin": {"type": "ein", "value": "860431643"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1972.84, "npi": [1093707242]}]}]}, {"tin": {"type": "ein", "value": "860466622"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1606.12, "npi": [1437136736]}]}]}, {"tin": {"type": "ein", "value": "860472471"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1513.75, "providers": [{"billed_charge": 1661.31, "npi": [1316331374]}]}]}, {"tin": {"type": "ein", "value": "860503076"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1581.04, "npi": [1215935119]}]}]}, {"tin": {"type": "ein", "value": "860506675"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 795.6, "providers": [{"billed_charge": 1939.8, "npi": [1316944846]}, {"billed_charge": 1974.72, "npi": [1316944846]}]}, {"allowed_amount": 1795.8, "providers": [{"billed_charge": 1939.8, "npi": [1316944846]}, {"billed_charge": 1974.72, "npi": [1316944846]}]}]}, {"tin": {"type": "ein", "value": "860530631"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 795.6, "providers": [{"billed_charge": 1416.7, "npi": [1750383931]}]}]}, {"tin": {"type": "ein", "value": "860638446"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1476.98, "npi": [1821133745]}, {"billed_charge": 1503.57, "npi": [1821133745]}]}]}, {"tin": {"type": "ein", "value": "860646173"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1118.25, "providers": [{"billed_charge": 1118.25, "npi": [1770945594]}]}, {"allowed_amount": 1138.38, "providers": [{"billed_charge": 1138.38, "npi": [1770945594]}]}]}, {"tin": {"type": "ein", "value": "860702807"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1828.63, "npi": [1538116652]}, {"billed_charge": 1861.55, "npi": [1538116652]}]}]}, {"tin": {"type": "ein", "value": "860758145"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 795.6, "providers": [{"billed_charge": 2007.03, "npi": [1891742417]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1690.28, "npi": [1851441075]}]}]}, {"tin": {"type": "ein", "value": "860839215"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1261.21, "npi": [1154795086]}]}]}, {"tin": {"type": "ein", "value": "866000237"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1608.42, "npi": [1801515614]}]}]}, {"tin": {"type": "ein", "value": "866000246"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1202.74, "npi": [1295284495]}, {"billed_charge": 1224.39, "npi": [1295284495]}]}]}, {"tin": {"type": "ein", "value": "866000249"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 990.33, "providers": [{"billed_charge": 990.33, "npi": [1598385783]}]}]}, {"tin": {"type": "ein", "value": "866000252"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1202.74, "npi": [1477979276]}]}]}, {"tin": {"type": "ein", "value": "866000256"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1209.31, "npi": [1982781571]}, {"billed_charge": 1209.91, "npi": [1982781571]}, {"billed_charge": 1210.71, "npi": [1982781571]}, {"billed_charge": 1212.27, "npi": [1982781571]}, {"billed_charge": 1215.42, "npi": [1982781571]}, {"billed_charge": 1218.57, "npi": [1982781571]}, {"billed_charge": 1219.17, "npi": [1982781571]}, {"billed_charge": 1220.13, "npi": [1982781571]}, {"billed_charge": 1220.73, "npi": [1982781571]}, {"billed_charge": 1221.84, "npi": [1982781571]}, {"billed_charge": 1223.25, "npi": [1982781571]}, {"billed_charge": 1223.85, "npi": [1982781571]}, {"billed_charge": 1224.26, "npi": [1982781571]}, {"billed_charge": 1224.36, "npi": [1982781571]}, {"billed_charge": 1226.07, "npi": [1982781571]}, {"billed_charge": 1226.1, "npi": [1982781571]}, {"billed_charge": 1226.12, "npi": [1982781571]}, {"billed_charge": 1228.19, "npi": [1982781571]}, {"billed_charge": 1228.79, "npi": [1982781571]}, {"billed_charge": 1229.99, "npi": [1982781571]}, {"billed_charge": 1230.35, "npi": [1982781571]}, {"billed_charge": 1230.8, "npi": [1982781571]}, {"billed_charge": 1230.96, "npi": [1982781571]}, {"billed_charge": 1231.76, "npi": [1982781571]}, {"billed_charge": 1232.36, "npi": [1982781571]}, {"billed_charge": 1232.51, "npi": [1982781571]}, {"billed_charge": 1233.47, "npi": [1982781571]}, {"billed_charge": 1233.92, "npi": [1982781571]}, {"billed_charge": 1234.58, "npi": [1982781571]}, {"billed_charge": 1234.63, "npi": [1982781571]}, {"billed_charge": 1235.44, "npi": [1982781571]}, {"billed_charge": 1236.54, "npi": [1982781571]}, {"billed_charge": 1237.99, "npi": [1982781571]}, {"billed_charge": 1238.34, "npi": [1982781571]}, {"billed_charge": 1238.57, "npi": [1982781571]}, {"billed_charge": 1238.59, "npi": [1982781571]}, {"billed_charge": 1239.28, "npi": [1982781571]}, {"billed_charge": 1239.66, "npi": [1982781571]}, {"billed_charge": 1240.15, "npi": [1982781571]}, {"billed_charge": 1240.22, "npi": [1982781571]}, {"billed_charge": 1240.82, "npi": [1982781571]}, {"billed_charge": 1240.86, "npi": [1982781571]}, {"billed_charge": 1241.78, "npi": [1982781571]}, {"billed_charge": 1241.9, "npi": [1982781571]}, {"billed_charge": 1241.98, "npi": [1982781571]}, {"billed_charge": 1241.99, "npi": [1982781571]}, {"billed_charge": 1242.38, "npi": [1982781571]}, {"billed_charge": 1243.27, "npi": [1982781571]}, {"billed_charge": 1243.49, "npi": [1982781571]}, {"billed_charge": 1244.65, "npi": [1982781571]}, {"billed_charge": 1244.83, "npi": [1982781571]}, {"billed_charge": 1244.9, "npi": [1982781571]}, {"billed_charge": 1245.18, "npi": [1982781571]}, {"billed_charge": 1245.42, "npi": [1982781571]}, {"billed_charge": 1245.5, "npi": [1982781571]}, {"billed_charge": 1245.65, "npi": [1982781571]}, {"billed_charge": 1245.9, "npi": [1982781571]}, {"billed_charge": 1246.01, "npi": [1982781571]}, {"billed_charge": 1247.62, "npi": [1982781571]}, {"billed_charge": 1247.7, "npi": [1982781571]}, {"billed_charge": 1248.77, "npi": [1982781571]}, {"billed_charge": 1249.25, "npi": [1982781571]}, {"billed_charge": 1250.44, "npi": [1982781571]}, {"billed_charge": 1250.46, "npi": [1982781571]}, {"billed_charge": 1251.18, "npi": [1982781571]}, {"billed_charge": 1251.93, "npi": [1982781571]}, {"billed_charge": 1252.0, "npi": [1982781571]}, {"billed_charge": 1254.01, "npi": [1982781571]}, {"billed_charge": 1255.27, "npi": [1982781571]}, {"billed_charge": 1258.79, "npi": [1982781571]}, {"billed_charge": 1259.11, "npi": [1982781571]}, {"billed_charge": 1260.99, "npi": [1982781571]}, {"billed_charge": 1261.8, "npi": [1982781571]}, {"billed_charge": 1262.88, "npi": [1982781571]}, {"billed_charge": 1266.08, "npi": [1982781571]}, {"billed_charge": 1270.01, "npi": [1982781571]}, {"billed_charge": 1271.34, "npi": [1982781571]}, {"billed_charge": 1272.9, "npi": [1982781571]}, {"billed_charge": 1273.71, "npi": [1982781571]}, {"billed_charge": 1278.56, "npi": [1982781571]}, {"billed_charge": 1283.73, "npi": [1982781571]}, {"billed_charge": 1284.53, "npi": [1982781571]}, {"billed_charge": 1285.29, "npi": [1982781571]}, {"billed_charge": 1310.98, "npi": [1982781571]}, {"billed_charge": 1315.05, "npi": [1982781571]}, {"billed_charge": 1316.16, "npi": [1982781571]}, {"billed_charge": 1325.07, "npi": [1982781571]}, {"billed_charge": 1327.44, "npi": [1982781571]}, {"billed_charge": 1328.24, "npi": [1982781571]}, {"billed_charge": 1335.14, "npi": [1982781571]}, {"billed_charge": 1336.7, "npi": [1982781571]}, {"billed_charge": 1338.26, "npi": [1982781571]}, {"billed_charge": 1387.31, "npi": [1982781571]}, {"billed_charge": 1410.52, "npi": [1982781571]}, {"billed_charge": 1429.41, "npi": [1982781571]}, {"billed_charge": 1442.71, "npi": [1982781571]}]}]}, {"tin": {"type": "ein", "value": "866000262"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1202.74, "npi": [1750811063]}, {"billed_charge": 1224.39, "npi": [1750811063]}]}]}, {"tin": {"type": "ein", "value": "866000735"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1344.65, "npi": [1003366006]}, {"billed_charge": 1368.85, "npi": [1003366006]}]}]}, {"tin": {"type": "ein", "value": "866003634"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1202.74, "npi": [1336692342]}]}]}, {"tin": {"type": "ein", "value": "866007796"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1169.75, "providers": [{"billed_charge": 1202.74, "npi": [1194110791]}, {"billed_charge": 1224.39, "npi": [1194110791]}]}]}, {"tin": {"type": "ein", "value": "872889138"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 616.26, "providers": [{"billed_charge": 2350.0, "npi": [1932821063]}]}]}, {"tin": {"type": "ein", "value": "952223085"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2124.77, "providers": [{"billed_charge": 2741.75, "npi": [1518075449]}, {"billed_charge": 3045.83, "npi": [1518075449]}]}]}, {"tin": {"type": "ein", "value": "952841215"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2124.77, "providers": [{"billed_charge": 3446.16, "npi": [1366550360]}]}]}, {"tin": {"type": "ein", "value": "956000735"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2124.77, "providers": [{"billed_charge": 2625.0, "npi": [1083789564]}]}]}, {"tin": {"type": "ein", "value": "990338416"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 2124.77, "providers": [{"billed_charge": 2981.44, "npi": [1730183252]}]}]}]}, {"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": "131624096"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 744.44, "providers": [{"billed_charge": 2693.0, "npi": [1568601342]}]}]}, {"tin": {"type": "ein", "value": "237329437"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 934.56, "providers": [{"billed_charge": 934.56, "npi": [1093790974]}]}]}, {"tin": {"type": "ein", "value": "300824958"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 115.49, "providers": [{"billed_charge": 1071.37, "npi": [1851781314]}]}, {"allowed_amount": 734.85, "providers": [{"billed_charge": 1071.37, "npi": [1851781314]}]}, {"allowed_amount": 1042.47, "providers": [{"billed_charge": 1071.37, "npi": [1851781314]}, {"billed_charge": 1090.65, "npi": [1851781314]}]}]}, {"tin": {"type": "ein", "value": "330285453"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1789.28, "providers": [{"billed_charge": 2343.0, "npi": [1639131436]}]}]}, {"tin": {"type": "ein", "value": "371646302"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 670.43, "providers": [{"billed_charge": 2007.98, "npi": [1912279472]}]}, {"allowed_amount": 1042.47, "providers": [{"billed_charge": 1071.37, "npi": [1467725911]}, {"billed_charge": 1090.65, "npi": [1467725911]}]}]}, {"tin": {"type": "ein", "value": "386004606"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 450.0, "providers": [{"billed_charge": 450.0, "npi": [1477599900]}]}]}, {"tin": {"type": "ein", "value": "465332224"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1042.47, "providers": [{"billed_charge": 1071.37, "npi": [1932652815]}, {"billed_charge": 1090.65, "npi": [1932652815]}, {"billed_charge": 1194.56, "npi": [1932652815]}]}]}, {"tin": {"type": "ein", "value": "473265252"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1042.47, "providers": [{"billed_charge": 2843.26, "npi": [1528446820]}]}]}, {"tin": {"type": "ein", "value": "586000799"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 730.31, "providers": [{"billed_charge": 800.0, "npi": [1801972625]}]}]}, {"tin": {"type": "ein", "value": "586000911"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 448.21, "providers": [{"billed_charge": 575.0, "npi": [1396788097]}]}]}, {"tin": {"type": "ein", "value": "620694743"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 613.77, "providers": [{"billed_charge": 650.0, "npi": [1134131915]}]}]}, {"tin": {"type": "ein", "value": "736069613"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 462.6, "providers": [{"billed_charge": 1300.0, "npi": [1154406460]}]}]}, {"tin": {"type": "ein", "value": "823518801"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 512.0, "providers": [{"billed_charge": 512.0, "npi": [1922514686]}]}]}, {"tin": {"type": "ein", "value": "824151690"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 634.55, "providers": [{"billed_charge": 1648.93, "npi": [1497253751]}]}]}, {"tin": {"type": "ein", "value": "843777653"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 628.17, "providers": [{"billed_charge": 915.84, "npi": [1447884507]}]}, {"allowed_amount": 915.84, "providers": [{"billed_charge": 915.84, "npi": [1447884507]}]}, {"allowed_amount": 932.33, "providers": [{"billed_charge": 932.33, "npi": [1447884507]}]}]}, {"tin": {"type": "ein", "value": "845143812"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1994.29, "providers": [{"billed_charge": 2021.29, "npi": [1336871813]}]}]}, {"tin": {"type": "ein", "value": "851607822"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 424.75, "providers": [{"billed_charge": 1719.0, "npi": [1295348761]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1402.55, "providers": [{"billed_charge": 1773.5, "npi": [1518143205]}]}]}, {"tin": {"type": "ein", "value": "860203618"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 948.91, "providers": [{"billed_charge": 1383.45, "npi": [1205883717]}]}, {"allowed_amount": 1359.74, "providers": [{"billed_charge": 1383.45, "npi": [1205883717]}, {"billed_charge": 1408.35, "npi": [1205883717]}]}]}, {"tin": {"type": "ein", "value": "860278618"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1359.74, "providers": [{"billed_charge": 1972.84, "npi": [1154324283]}]}]}, {"tin": {"type": "ein", "value": "860295443"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1165.05, "providers": [{"billed_charge": 1165.05, "npi": [1083751176]}]}]}, {"tin": {"type": "ein", "value": "860412782"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1994.29, "providers": [{"billed_charge": 2050.07, "npi": [1043214372]}]}]}, {"tin": {"type": "ein", "value": "860466622"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1042.47, "providers": [{"billed_charge": 1606.12, "npi": [1437136736]}]}]}, {"tin": {"type": "ein", "value": "860472471"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1359.74, "providers": [{"billed_charge": 1661.31, "npi": [1316331374]}]}]}, {"tin": {"type": "ein", "value": "860530631"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 670.43, "providers": [{"billed_charge": 1416.7, "npi": [1750383931]}]}]}, {"tin": {"type": "ein", "value": "860638446"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1042.47, "providers": [{"billed_charge": 1476.98, "npi": [1821133745]}]}, {"allowed_amount": 1503.57, "providers": [{"billed_charge": 1503.57, "npi": [1821133745]}]}]}, {"tin": {"type": "ein", "value": "860673370"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1687.7, "providers": [{"billed_charge": 2460.57, "npi": [1679565642]}]}]}, {"tin": {"type": "ein", "value": "860702807"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1042.47, "providers": [{"billed_charge": 1698.76, "npi": [1538116652]}, {"billed_charge": 1729.34, "npi": [1538116652]}]}]}, {"tin": {"type": "ein", "value": "860758145"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 670.43, "providers": [{"billed_charge": 2007.03, "npi": [1891742417]}]}]}, {"tin": {"type": "ein", "value": "860937989"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 670.43, "providers": [{"billed_charge": 1339.84, "npi": [1396742912]}]}]}, {"tin": {"type": "ein", "value": "866000241"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 673.58, "providers": [{"billed_charge": 1418.09, "npi": [1619914033]}]}]}, {"tin": {"type": "ein", "value": "866000246"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1042.47, "providers": [{"billed_charge": 1071.37, "npi": [1295284495]}]}]}, {"tin": {"type": "ein", "value": "866000249"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 882.15, "providers": [{"billed_charge": 882.15, "npi": [1598385783]}]}]}, {"tin": {"type": "ein", "value": "866000252"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1042.47, "providers": [{"billed_charge": 1071.37, "npi": [1477979276]}]}]}, {"tin": {"type": "ein", "value": "866000254"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 670.43, "providers": [{"billed_charge": 1249.04, "npi": [1073510699]}]}]}, {"tin": {"type": "ein", "value": "866000256"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1042.47, "providers": [{"billed_charge": 1071.67, "npi": [1982781571]}, {"billed_charge": 1077.94, "npi": [1982781571]}, {"billed_charge": 1079.34, "npi": [1982781571]}, {"billed_charge": 1079.5, "npi": [1982781571]}, {"billed_charge": 1080.36, "npi": [1982781571]}, {"billed_charge": 1080.9, "npi": [1982781571]}, {"billed_charge": 1081.25, "npi": [1982781571]}, {"billed_charge": 1081.92, "npi": [1982781571]}, {"billed_charge": 1082.62, "npi": [1982781571]}, {"billed_charge": 1084.02, "npi": [1982781571]}, {"billed_charge": 1087.56, "npi": [1982781571]}, {"billed_charge": 1087.7, "npi": [1982781571]}, {"billed_charge": 1087.8, "npi": [1982781571]}, {"billed_charge": 1090.97, "npi": [1982781571]}, {"billed_charge": 1094.19, "npi": [1982781571]}, {"billed_charge": 1094.25, "npi": [1982781571]}, {"billed_charge": 1097.22, "npi": [1982781571]}, {"billed_charge": 1097.82, "npi": [1982781571]}, {"billed_charge": 1098.62, "npi": [1982781571]}, {"billed_charge": 1098.78, "npi": [1982781571]}, {"billed_charge": 1100.18, "npi": [1982781571]}, {"billed_charge": 1101.59, "npi": [1982781571]}, {"billed_charge": 1105.82, "npi": [1982781571]}, {"billed_charge": 1108.99, "npi": [1982781571]}, {"billed_charge": 1113.47, "npi": [1982781571]}, {"billed_charge": 1133.07, "npi": [1982781571]}, {"billed_charge": 1152.35, "npi": [1982781571]}]}]}, {"tin": {"type": "ein", "value": "866000262"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1042.47, "providers": [{"billed_charge": 1071.37, "npi": [1750811063]}, {"billed_charge": 1090.65, "npi": [1750811063]}]}]}, {"tin": {"type": "ein", "value": "866000735"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1042.47, "providers": [{"billed_charge": 1142.57, "npi": [1003366006]}]}]}, {"tin": {"type": "ein", "value": "866003634"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1042.47, "providers": [{"billed_charge": 1071.37, "npi": [1336692342]}]}]}, {"tin": {"type": "ein", "value": "872889138"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 418.62, "providers": [{"billed_charge": 2350.0, "npi": [1932821063]}]}]}, {"tin": {"type": "ein", "value": "880421120"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1042.47, "providers": [{"billed_charge": 1288.63, "npi": [1003006180]}]}]}, {"tin": {"type": "ein", "value": "952788714"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1789.28, "providers": [{"billed_charge": 3081.12, "npi": [1659383719]}]}]}, {"tin": {"type": "ein", "value": "956000735"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1789.28, "providers": [{"billed_charge": 1862.0, "npi": [1083789564]}]}]}]}, {"name": "Ambulance service, conventional air services, transport, one way (rotary wing)", "billing_code_type": "CPT", "billing_code": "A0431", "billing_code_type_version": "2022", "description": "Ambulance service, conventional air services, transport, one way (rotary wing)", "allowed_amounts": [{"tin": {"type": "ein", "value": "330320626"}, "billing_class": "professional", "service_codes": ["42"], "payments": [{"allowed_amount": 42499.55, "providers": [{"billed_charge": 59315.56, "npi": [1700885548]}]}]}, {"tin": {"type": "ein", "value": "461633333"}, "billing_class": "professional", "service_codes": ["42"], "payments": [{"allowed_amount": 22512.67, "providers": [{"billed_charge": 29000.0, "npi": [1326482712]}]}]}, {"tin": {"type": "ein", "value": "721404705"}, "billing_class": "professional", "service_codes": ["42"], "payments": [{"allowed_amount": 26334.08, "providers": [{"billed_charge": 46104.0, "npi": [1326094020]}]}, {"allowed_amount": 36867.71, "providers": [{"billed_charge": 46104.0, "npi": [1326094020]}]}, {"allowed_amount": 41868.92, "providers": [{"billed_charge": 46104.0, "npi": [1326094020]}]}]}, {"tin": {"type": "ein", "value": "862878425"}, "billing_class": "professional", "service_codes": ["42"], "payments": [{"allowed_amount": 3149.99, "providers": [{"billed_charge": 41288.8, "npi": [1215518196]}]}, {"allowed_amount": 26334.08, "providers": [{"billed_charge": 41288.8, "npi": [1215518196]}]}]}, {"tin": {"type": "ein", "value": "870533822"}, "billing_class": "professional", "service_codes": ["42"], "payments": [{"allowed_amount": 1662.4, "providers": [{"billed_charge": 45208.55, "npi": [1407855240]}]}, {"allowed_amount": 42499.55, "providers": [{"billed_charge": 45208.55, "npi": [1407855240]}]}]}]}, {"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": "201611055"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 589.61, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 15115.0, "npi": [1801846993]}]}]}, {"tin": {"type": "ein", "value": "320229237"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 321.2, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4500.0, "npi": [1700876604]}]}, {"allowed_amount": 674.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4500.0, "npi": [1700876604]}]}, {"allowed_amount": 729.25, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4500.0, "npi": [1700876604]}]}, {"allowed_amount": 737.01, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 5000.0, "npi": [1700876604]}]}, {"allowed_amount": 752.53, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 5000.0, "npi": [1700876604]}]}, {"allowed_amount": 768.04, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 5000.0, "npi": [1265437032]}]}, {"allowed_amount": 806.83, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 5000.0, "npi": [1700876604]}]}]}, {"tin": {"type": "ein", "value": "334657094"}, "billing_class": "professional", "service_codes": ["24", "22", "21"], "payments": [{"allowed_amount": 53.8, "billing_code_modifier": ["QZ,P3", "QZ"], "providers": [{"billed_charge": 34000.0, "npi": [1912880451, 1598185324]}]}, {"allowed_amount": 512.03, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 29750.0, "npi": [1316621675]}]}, {"allowed_amount": 597.37, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 34000.0, "npi": [1891127387]}]}, {"allowed_amount": 659.43, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 38250.0, "npi": [1750717757]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 585.53, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 824.0, "npi": [1447590401]}]}]}, {"tin": {"type": "ein", "value": "465042979"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 192.72, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 13404.0, "npi": [1417165770]}]}]}, {"tin": {"type": "ein", "value": "465734331"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 473.24, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 770.0, "npi": [1851644405]}]}, {"allowed_amount": 481.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 770.0, "npi": [1386156669]}]}, {"allowed_amount": 519.79, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 770.0, "npi": [1376348177]}]}, {"allowed_amount": 535.3, "billing_code_modifier": ["QZ,P3", "QZ"], "providers": [{"billed_charge": 770.0, "npi": [1801307376, 1710870662]}]}, {"allowed_amount": 566.33, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 880.0, "npi": [1538369988]}]}, {"allowed_amount": 581.85, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 880.0, "npi": [1043000466]}]}, {"allowed_amount": 667.19, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 990.0, "npi": [1295611382]}]}, {"allowed_amount": 698.22, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 990.0, "npi": [1639976228]}]}, {"allowed_amount": 705.98, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1100.0, "npi": [1023725033]}]}]}, {"tin": {"type": "ein", "value": "471791178"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 504.27, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 14000.0, "npi": [1285688689]}]}]}, {"tin": {"type": "ein", "value": "472090481"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 48.35, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2000.0, "npi": [1679367742]}]}, {"allowed_amount": 496.51, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1750.0, "npi": [1760907539]}]}, {"allowed_amount": 504.27, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1750.0, "npi": [1538766993]}]}, {"allowed_amount": 519.79, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1750.0, "npi": [1538766993, 1760907539]}]}, {"allowed_amount": 581.85, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2000.0, "npi": [1497648117]}]}]}, {"tin": {"type": "ein", "value": "830879874"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 682.7, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 18894.0, "npi": [1225008931]}]}]}, {"tin": {"type": "ein", "value": "831631056"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 49.71, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2800.0, "npi": [1538307830]}]}, {"allowed_amount": 473.24, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1942202940]}]}, {"allowed_amount": 481.0, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2450.0, "npi": [1245201458]}]}, {"allowed_amount": 488.75, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2450.0, "npi": [1245201458]}]}, {"allowed_amount": 519.79, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2450.0, "npi": [1912911579, 1487643029]}]}, {"allowed_amount": 535.3, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1346242880]}]}, {"allowed_amount": 550.82, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2800.0, "npi": [1396911707, 1760555262]}]}, {"allowed_amount": 581.85, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2800.0, "npi": [1558546911]}]}, {"allowed_amount": 605.12, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2800.0, "npi": [1942202940]}]}, {"allowed_amount": 643.91, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 3150.0, "npi": [1942202940]}]}]}, {"tin": {"type": "ein", "value": "832336408"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 674.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 17004.0, "npi": [1447695341]}]}]}, {"tin": {"type": "ein", "value": "851481724"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 698.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 17004.0, "npi": [1548307689]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 651.67, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 734.4, "npi": [1356334619]}]}]}, {"tin": {"type": "ein", "value": "861012925"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 698.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 14893.0, "npi": [1174590723]}]}]}]}, {"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": "208106540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 74.89, "billing_code_modifier": ["QX,P4"], "providers": [{"billed_charge": 1344.0, "npi": [1710763222]}]}]}, {"tin": {"type": "ein", "value": "223346073"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1270.37, "billing_code_modifier": ["QX", "QK"], "providers": [{"billed_charge": 2400.0, "npi": [1295096147, 1336239631]}]}]}, {"tin": {"type": "ein", "value": "334657094"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 1169.2, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 59500.0, "npi": [1639917529]}]}, {"allowed_amount": 1327.44, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 68000.0, "npi": [1932878402]}]}, {"allowed_amount": 1643.92, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 80750.0, "npi": [1851011852]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 512.27, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1236.0, "npi": [1407268931]}]}, {"allowed_amount": 595.34, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1339.0, "npi": [1871516484]}]}, {"allowed_amount": 775.32, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 1751.0, "npi": [1255325700]}]}, {"allowed_amount": 830.7, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 1854.0, "npi": [1932446093]}]}]}, {"tin": {"type": "ein", "value": "412224166"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 835.12, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1780613695]}]}, {"allowed_amount": 995.72, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 2340.0, "npi": [1780613695]}]}]}, {"tin": {"type": "ein", "value": "465734331"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 105.89, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1320.0, "npi": [1407532401]}]}, {"allowed_amount": 131.65, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1540.0, "npi": [1124902275]}]}, {"allowed_amount": 133.41, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2090.0, "npi": [1396468443]}]}, {"allowed_amount": 905.47, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1210.0, "npi": [1851879654]}]}, {"allowed_amount": 923.06, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1210.0, "npi": [1265218234]}]}, {"allowed_amount": 993.38, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1320.0, "npi": [1740164003]}]}, {"allowed_amount": 1046.13, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1320.0, "npi": [1316333032]}]}, {"allowed_amount": 1081.29, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1430.0, "npi": [1578441796]}]}, {"allowed_amount": 1221.95, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1540.0, "npi": [1073045761, 1407468002]}]}, {"allowed_amount": 1239.53, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1650.0, "npi": [1013550383]}]}, {"allowed_amount": 1362.61, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1760.0, "npi": [1598388365]}]}, {"allowed_amount": 1380.19, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1760.0, "npi": [1568949675]}]}, {"allowed_amount": 1556.01, "billing_code_modifier": ["AA,P3", "QZ"], "providers": [{"billed_charge": 1980.0, "npi": [1114906336, 1730756552]}]}, {"allowed_amount": 1582.38, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 1980.0, "npi": [1710919311]}]}, {"allowed_amount": 1740.62, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2200.0, "npi": [1609687243]}]}, {"allowed_amount": 1925.23, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2420.0, "npi": [1518728765]}]}, {"allowed_amount": 2109.84, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2640.0, "npi": [1053208025]}]}]}, {"tin": {"type": "ein", "value": "471791178"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1046.13, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 24000.0, "npi": [1679953202]}]}]}, {"tin": {"type": "ein", "value": "831631056"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 1134.04, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1366499022]}]}]}, {"tin": {"type": "ein", "value": "860788367"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 449.68, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7000.0, "npi": [1760463442]}]}, {"allowed_amount": 2558.18, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 10800.0, "npi": [1184201923]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 751.63, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 2025.0, "npi": [1104809482, 1497739510]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 826.09, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1890.0, "npi": [1932135977]}]}]}, {"tin": {"type": "ein", "value": "942905416"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 417.56, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 3250.0, "npi": [1487940524]}]}]}]}, {"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": "208106540"}, "billing_class": "professional", "service_codes": ["19", "22"], "payments": [{"allowed_amount": 18.8, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 672.0, "npi": [1710763222]}]}, {"allowed_amount": 192.72, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 576.0, "npi": [1275190753]}]}]}, {"tin": {"type": "ein", "value": "260494425"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 566.33, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 15115.0, "npi": [1598915050]}]}]}, {"tin": {"type": "ein", "value": "274283504"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 581.85, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 16000.0, "npi": [1619098712]}]}, {"allowed_amount": 605.12, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 16000.0, "npi": [1619098712]}]}]}, {"tin": {"type": "ein", "value": "334657094"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 418.93, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 25500.0, "npi": [1275417768]}]}, {"allowed_amount": 426.69, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 25500.0, "npi": [1083010730, 1154362259]}]}, {"allowed_amount": 442.21, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 25500.0, "npi": [1083010730]}]}, {"allowed_amount": 535.3, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 29750.0, "npi": [1083010730]}]}]}, {"tin": {"type": "ein", "value": "465734331"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 29.98, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 660.0, "npi": [1861267312]}]}, {"allowed_amount": 356.87, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 550.0, "npi": [1376348177]}]}, {"allowed_amount": 372.38, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 550.0, "npi": [1851644405]}]}, {"allowed_amount": 380.14, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 550.0, "npi": [1851644405]}]}, {"allowed_amount": 426.69, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 660.0, "npi": [1730756552, 1316775190]}]}, {"allowed_amount": 457.72, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 660.0, "npi": [1659162295]}]}, {"allowed_amount": 488.75, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 770.0, "npi": [1063439834]}]}, {"allowed_amount": 496.51, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 770.0, "npi": [1851644405]}]}, {"allowed_amount": 504.27, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 770.0, "npi": [1427941129, 1376348177]}]}, {"allowed_amount": 519.79, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 770.0, "npi": [1659262368, 1740924067, 1851644405]}]}, {"allowed_amount": 550.82, "billing_code_modifier": ["QZ,P3", "QZ"], "providers": [{"billed_charge": 880.0, "npi": [1811324098, 1548936115]}]}]}, {"tin": {"type": "ein", "value": "471791178"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 411.17, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 12000.0, "npi": [1154874212]}]}]}, {"tin": {"type": "ein", "value": "472090481"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 213.35, "billing_code_modifier": ["QX", "QK"], "providers": [{"billed_charge": 1500.0, "npi": [1356038830, 1881088318]}]}, {"allowed_amount": 302.07, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1500.0, "npi": [1396397204]}]}, {"allowed_amount": 597.37, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2000.0, "npi": [1477507622]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 550.79, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 813.4, "npi": [1104446426]}]}]}, {"tin": {"type": "ein", "value": "830879874"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 496.51, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 10425.0, "npi": [1225008931]}]}, {"allowed_amount": 504.27, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 13226.0, "npi": [1225008931]}]}]}, {"tin": {"type": "ein", "value": "831631056"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 364.63, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1750.0, "npi": [1043795370]}]}, {"allowed_amount": 395.66, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1154369296]}]}, {"allowed_amount": 411.17, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1396911707]}]}, {"allowed_amount": 442.21, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1346242880]}]}, {"allowed_amount": 481.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1942202940]}]}, {"allowed_amount": 550.82, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2800.0, "npi": [1750306528]}]}, {"allowed_amount": 597.37, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2800.0, "npi": [1346242880]}]}]}, {"tin": {"type": "ein", "value": "833796375"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 488.75, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 840.0, "npi": [1952070435]}]}]}, {"tin": {"type": "ein", "value": "841997100"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 519.79, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 10425.0, "npi": [1013037985]}]}]}, {"tin": {"type": "ein", "value": "860451196"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 372.38, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1033175989]}]}, {"allowed_amount": 426.69, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1033175989]}]}, {"allowed_amount": 473.24, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1033175989]}]}]}, {"tin": {"type": "ein", "value": "860615915"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 434.45, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1477524627]}]}, {"allowed_amount": 442.21, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1477524627]}]}, {"allowed_amount": 449.96, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1477524627]}]}, {"allowed_amount": 457.72, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1477524627]}]}, {"allowed_amount": 488.75, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1477524627]}]}]}, {"tin": {"type": "ein", "value": "860707176"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 473.24, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3900.0, "npi": [1427263482]}]}]}, {"tin": {"type": "ein", "value": "861012925"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 659.43, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 18894.0, "npi": [1174590723]}]}]}, {"tin": {"type": "ein", "value": "871198131"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 364.63, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 18894.0, "npi": [1972569804]}]}, {"allowed_amount": 713.74, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 16382.0, "npi": [1972569804]}]}]}]}, {"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": "020628734"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 483.58, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11336.0, "npi": [1669748166]}]}, {"allowed_amount": 534.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 13226.0, "npi": [1669748166]}]}, {"allowed_amount": 586.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 13226.0, "npi": [1669748166]}]}]}, {"tin": {"type": "ein", "value": "260494425"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 483.58, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11336.0, "npi": [1598915050]}]}]}, {"tin": {"type": "ein", "value": "261904664"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 454.27, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8936.0, "npi": [1629102033]}]}, {"allowed_amount": 468.93, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11336.0, "npi": [1629102033]}]}, {"allowed_amount": 476.26, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11336.0, "npi": [1629102033]}]}, {"allowed_amount": 490.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11336.0, "npi": [1629102033]}]}]}, {"tin": {"type": "ein", "value": "273538421"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 417.64, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 12000.0, "npi": [1255523213]}]}]}, {"tin": {"type": "ein", "value": "320229237"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 476.26, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3000.0, "npi": [1700876604]}]}, {"allowed_amount": 490.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3000.0, "npi": [1700876604]}]}, {"allowed_amount": 505.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3000.0, "npi": [1700876604]}]}, {"allowed_amount": 534.87, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3000.0, "npi": [1700876604]}]}, {"allowed_amount": 564.18, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3500.0, "npi": [1700876604]}]}, {"allowed_amount": 608.14, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3500.0, "npi": [1700876604]}]}, {"allowed_amount": 637.45, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4000.0, "npi": [1700876604]}]}]}, {"tin": {"type": "ein", "value": "334657094"}, "billing_class": "professional", "service_codes": ["24", "22"], "payments": [{"allowed_amount": 24.54, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 25500.0, "npi": [1598185324]}]}, {"allowed_amount": 373.68, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 25500.0, "npi": [1083010730]}]}, {"allowed_amount": 381.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 25500.0, "npi": [1679298970]}]}, {"allowed_amount": 402.99, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 25500.0, "npi": [1083010730]}]}, {"allowed_amount": 410.31, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 25500.0, "npi": [1750717757]}]}, {"allowed_amount": 417.64, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 25500.0, "npi": [1083010730, 1417569948]}]}, {"allowed_amount": 424.97, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 25500.0, "npi": [1083010730]}]}, {"allowed_amount": 432.29, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 25500.0, "npi": [1083010730, 1003223314, 1821072455]}]}, {"allowed_amount": 439.62, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 25500.0, "npi": [1083010730]}]}, {"allowed_amount": 446.95, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 29750.0, "npi": [1083010730]}]}, {"allowed_amount": 461.6, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 29750.0, "npi": [1821072455]}]}, {"allowed_amount": 476.26, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 29750.0, "npi": [1083010730]}]}, {"allowed_amount": 490.91, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 29750.0, "npi": [1083010730]}]}, {"allowed_amount": 527.54, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 34000.0, "npi": [1679298970]}]}, {"allowed_amount": 534.87, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 34000.0, "npi": [1083010730]}]}, {"allowed_amount": 805.97, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 46750.0, "npi": [1184287781]}]}]}, {"tin": {"type": "ein", "value": "465734331"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 22.5, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 660.0, "npi": [1609654219]}]}, {"allowed_amount": 351.7, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 550.0, "npi": [1386156669]}]}, {"allowed_amount": 395.66, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 660.0, "npi": [1851644405]}]}, {"allowed_amount": 417.64, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 660.0, "npi": [1710870662, 1538771886]}]}, {"allowed_amount": 446.95, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 770.0, "npi": [1093690620]}]}]}, {"tin": {"type": "ein", "value": "471791178"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 160.6, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 500.0, "npi": [1376960732]}]}, {"allowed_amount": 192.72, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 600.0, "npi": [1922369834]}]}, {"allowed_amount": 373.68, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 12000.0, "npi": [1457988917]}]}]}, {"tin": {"type": "ein", "value": "472090481"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 22.09, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1250.0, "npi": [1679367742]}]}, {"allowed_amount": 337.45, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1250.0, "npi": [1477373025]}]}, {"allowed_amount": 410.31, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1250.0, "npi": [1497648117]}]}, {"allowed_amount": 432.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1250.0, "npi": [1790990752]}]}, {"allowed_amount": 454.27, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1500.0, "npi": [1841296589]}]}, {"allowed_amount": 490.91, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1500.0, "npi": [1881088318]}]}]}, {"tin": {"type": "ein", "value": "611475088"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 446.95, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 4550.0, "npi": [1386641975]}]}]}, {"tin": {"type": "ein", "value": "680493989"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 402.99, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 780.0, "npi": [1801863345]}]}, {"allowed_amount": 432.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 780.0, "npi": [1801863345]}]}, {"allowed_amount": 461.6, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 780.0, "npi": [1801863345]}]}, {"allowed_amount": 490.91, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 780.0, "npi": [1801863345]}]}, {"allowed_amount": 505.56, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 780.0, "npi": [1801863345]}]}]}, {"tin": {"type": "ein", "value": "830879874"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 468.93, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11336.0, "npi": [1225008931]}]}, {"allowed_amount": 483.58, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8936.0, "npi": [1225008931]}]}, {"allowed_amount": 490.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8936.0, "npi": [1225008931]}]}]}, {"tin": {"type": "ein", "value": "831631056"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 25.77, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2450.0, "npi": [1013018126]}]}, {"allowed_amount": 26.99, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2450.0, "npi": [1013018126]}]}, {"allowed_amount": 326.2, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1215371125]}]}, {"allowed_amount": 351.7, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1750.0, "npi": [1245201458]}]}, {"allowed_amount": 359.02, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1750.0, "npi": [1366499022]}]}, {"allowed_amount": 373.68, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1245582873, 1992923718]}]}, {"allowed_amount": 381.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1346242880, 1477062768]}]}, {"allowed_amount": 388.33, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1346242880]}]}, {"allowed_amount": 395.66, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1346242880]}]}, {"allowed_amount": 402.99, "billing_code_modifier": ["AA", "QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1821375874, 1851459747, 1942202940, 1245201458]}]}, {"allowed_amount": 410.31, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1760555262]}]}, {"allowed_amount": 417.64, "billing_code_modifier": ["AA", "QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1346242880, 1750306528]}]}, {"allowed_amount": 424.97, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2100.0, "npi": [1770535742]}]}, {"allowed_amount": 432.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1942539408]}]}, {"allowed_amount": 439.62, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2100.0, "npi": [1699233676]}]}, {"allowed_amount": 446.95, "billing_code_modifier": ["AA", "AA,P3"], "providers": [{"billed_charge": 2450.0, "npi": [1497058648, 1396911707]}]}, {"allowed_amount": 461.6, "billing_code_modifier": ["QZ,P3", "QZ"], "providers": [{"billed_charge": 2450.0, "npi": [1346242880, 1699233676]}]}, {"allowed_amount": 476.26, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2450.0, "npi": [1346242880]}]}, {"allowed_amount": 490.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2450.0, "npi": [1750387783]}]}]}, {"tin": {"type": "ein", "value": "832336408"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 468.93, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11336.0, "npi": [1447695341]}]}, {"allowed_amount": 490.91, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8936.0, "npi": [1447695341]}]}, {"allowed_amount": 498.24, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8936.0, "npi": [1447695341]}]}, {"allowed_amount": 527.54, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 13226.0, "npi": [1447695341]}]}, {"allowed_amount": 564.18, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 13226.0, "npi": [1447695341]}]}]}, {"tin": {"type": "ein", "value": "833796375"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 424.97, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 720.0, "npi": [1952070435]}]}, {"allowed_amount": 432.29, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 720.0, "npi": [1952070435]}]}, {"allowed_amount": 534.87, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 960.0, "npi": [1164082038]}]}]}, {"tin": {"type": "ein", "value": "841647722"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 608.14, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11914.0, "npi": [1841250123]}]}]}, {"tin": {"type": "ein", "value": "841997100"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 359.02, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7558.0, "npi": [1013037985]}]}, {"allowed_amount": 432.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8936.0, "npi": [1013037985]}]}]}, {"tin": {"type": "ein", "value": "851481724"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 388.33, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 7447.0, "npi": [1548307689]}]}]}, {"tin": {"type": "ein", "value": "860451196"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 432.29, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1033175989]}]}]}, {"tin": {"type": "ein", "value": "860615915"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 344.37, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1500.0, "npi": [1477524627]}]}]}, {"tin": {"type": "ein", "value": "861012925"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 505.56, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 8936.0, "npi": [1174590723]}]}, {"allowed_amount": 534.87, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 13226.0, "npi": [1174590723]}]}]}, {"tin": {"type": "ein", "value": "871198131"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 630.12, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 15115.0, "npi": [1972569804]}]}, {"allowed_amount": 644.78, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 15115.0, "npi": [1972569804]}]}, {"allowed_amount": 666.76, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 13404.0, "npi": [1972569804]}]}, {"allowed_amount": 681.41, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 18894.0, "npi": [1972569804]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1021.22, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2752.0, "npi": [1023579174]}]}]}, {"tin": {"type": "ein", "value": "201306360"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 852.77, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 13404.0, "npi": [1609872316]}]}, {"allowed_amount": 915.94, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 17004.0, "npi": [1922441963]}]}]}, {"tin": {"type": "ein", "value": "254800253"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 747.49, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1600.0, "npi": [1538166145]}]}]}, {"tin": {"type": "ein", "value": "465734331"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 59.31, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1650.0, "npi": [1124902275]}]}, {"allowed_amount": 414.78, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1650.0, "npi": [1043000466]}]}, {"allowed_amount": 473.76, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 550.0, "npi": [1992358105]}]}, {"allowed_amount": 642.21, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 770.0, "npi": [1376348177]}]}, {"allowed_amount": 652.74, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 770.0, "npi": [1427941129]}]}, {"allowed_amount": 715.9, "billing_code_modifier": ["QZ,P4", "QZ"], "providers": [{"billed_charge": 770.0, "npi": [1528894508, 1013550383]}]}, {"allowed_amount": 810.66, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 880.0, "npi": [1255887667]}]}]}, {"tin": {"type": "ein", "value": "471791178"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 489.55, "billing_code_modifier": ["QX", "QK"], "providers": [{"billed_charge": 19000.0, "npi": [1386378271]}, {"billed_charge": 21000.0, "npi": [1881014033]}]}, {"allowed_amount": 710.64, "billing_code_modifier": ["QX", "QK"], "providers": [{"billed_charge": 26600.0, "npi": [1043864408, 1528680188]}]}, {"allowed_amount": 736.96, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 16000.0, "npi": [1720549074]}]}]}, {"tin": {"type": "ein", "value": "472090481"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 783.65, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2000.0, "npi": [1194385013]}]}]}, {"tin": {"type": "ein", "value": "851481724"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 1000.16, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 14893.0, "npi": [1548307689]}]}]}, {"tin": {"type": "ein", "value": "860513791"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 707.46, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 1015.0, "npi": [1730718222]}]}, {"allowed_amount": 740.11, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1015.0, "npi": [1932446093]}]}, {"allowed_amount": 816.3, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1160.0, "npi": [1922330349]}]}]}, {"tin": {"type": "ein", "value": "860788367"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 579.04, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2160.0, "npi": [1902847379]}]}, {"allowed_amount": 663.26, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3500.0, "npi": [1861416877]}]}, {"allowed_amount": 915.94, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3240.0, "npi": [1184201923]}]}]}, {"tin": {"type": "ein", "value": "874150656"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 789.6, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 15115.0, "npi": [1427248806]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 829.21, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1840.0, "npi": [1922391846]}]}]}, {"tin": {"type": "ein", "value": "201306360"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 1007.8, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 15115.0, "npi": [1457511016]}]}, {"allowed_amount": 1084.35, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 20783.0, "npi": [1437654829]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.45, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 576.0, "npi": [1710763222]}]}, {"allowed_amount": 369.95, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 576.0, "npi": [1710763222]}]}, {"allowed_amount": 459.25, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 672.0, "npi": [1053971903]}]}]}, {"tin": {"type": "ein", "value": "334657094"}, "billing_class": "professional", "service_codes": ["24", "22", "21"], "payments": [{"allowed_amount": 27.81, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 29750.0, "npi": [1912880451]}]}, {"allowed_amount": 676.12, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 25500.0, "npi": [1629405642]}]}, {"allowed_amount": 892.99, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 29750.0, "npi": [1104004894]}]}, {"allowed_amount": 931.26, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 34000.0, "npi": [1023078417]}]}]}, {"tin": {"type": "ein", "value": "465734331"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 770.0, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 770.0, "npi": [1972223337]}]}, {"allowed_amount": 880.0, "billing_code_modifier": ["QZ,P3", "QZ"], "providers": [{"billed_charge": 880.0, "npi": [1730756552, 1881491322, 1396538252, 1295614527]}]}]}, {"tin": {"type": "ein", "value": "472090481"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 363.57, "billing_code_modifier": ["QX", "QY"], "providers": [{"billed_charge": 1500.0, "npi": [1356038830, 1477507622]}]}, {"allowed_amount": 401.85, "billing_code_modifier": ["QX", "QK"], "providers": [{"billed_charge": 1750.0, "npi": [1316773740, 1841227006]}]}, {"allowed_amount": 516.66, "billing_code_modifier": ["QX", "QK"], "providers": [{"billed_charge": 2250.0, "npi": [1326356650, 1881088318]}]}, {"allowed_amount": 619.88, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1250.0, "npi": [1396397204]}]}, {"allowed_amount": 1081.5, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2250.0, "npi": [1326505173]}]}]}, {"tin": {"type": "ein", "value": "860513791"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 844.1, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1015.0, "npi": [1891091898]}]}]}, {"tin": {"type": "ein", "value": "860707176"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 778.18, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3900.0, "npi": [1427263482]}]}]}, {"tin": {"type": "ein", "value": "860788367"}, "billing_class": "professional", "service_codes": ["22", "11"], "payments": [{"allowed_amount": 778.18, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3500.0, "npi": [1487756409]}]}, {"allowed_amount": 841.96, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1540.0, "npi": [1134154024]}]}]}]}, {"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": "208106540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 373.74, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 768.0, "npi": [1053971903]}]}]}, {"tin": {"type": "ein", "value": "260494425"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 768.54, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 11914.0, "npi": [1598915050]}]}]}, {"tin": {"type": "ein", "value": "273538421"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 663.26, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 14000.0, "npi": [1255523213]}]}]}, {"tin": {"type": "ein", "value": "274283504"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 663.26, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 14000.0, "npi": [1619098712]}]}]}, {"tin": {"type": "ein", "value": "334657094"}, "billing_class": "professional", "service_codes": ["24", "22", "21"], "payments": [{"allowed_amount": 44.27, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 29750.0, "npi": [1598185324]}]}, {"allowed_amount": 579.04, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 25500.0, "npi": [1679298970]}]}, {"allowed_amount": 600.1, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 25500.0, "npi": [1194043810]}]}, {"allowed_amount": 663.26, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 29750.0, "npi": [1639480577]}]}, {"allowed_amount": 694.85, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 29750.0, "npi": [1063072361, 1083010730]}]}, {"allowed_amount": 705.38, "billing_code_modifier": ["QZ,P3", "QZ"], "providers": [{"billed_charge": 29750.0, "npi": [1154362259, 1437870292]}]}, {"allowed_amount": 726.43, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 29750.0, "npi": [1851011852]}]}, {"allowed_amount": 747.49, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 34000.0, "npi": [1104315860]}]}, {"allowed_amount": 779.07, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 34000.0, "npi": [1679298970]}]}, {"allowed_amount": 821.18, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 34000.0, "npi": [1700563681]}]}, {"allowed_amount": 29750.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 29750.0, "npi": [1912880451]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 65.9, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 927.0, "npi": [1184670879]}]}, {"allowed_amount": 663.92, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 721.0, "npi": [1407268931]}]}, {"allowed_amount": 696.58, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 721.0, "npi": [1023284213]}]}, {"allowed_amount": 903.37, "billing_code_modifier": ["AA,P4"], "providers": [{"billed_charge": 927.0, "npi": [1245435767]}]}]}, {"tin": {"type": "ein", "value": "465734331"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 37.46, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 770.0, "npi": [1225462724]}]}, {"allowed_amount": 44.95, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 770.0, "npi": [1861267312]}]}, {"allowed_amount": 48.35, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 880.0, "npi": [1861267312]}]}, {"allowed_amount": 49.03, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 880.0, "npi": [1225462724]}]}, {"allowed_amount": 49.71, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 880.0, "npi": [1275324733]}]}, {"allowed_amount": 51.08, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 880.0, "npi": [1225462724]}]}, {"allowed_amount": 83.76, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1430.0, "npi": [1164188132]}]}, {"allowed_amount": 192.72, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 660.0, "npi": [1174523161]}]}, {"allowed_amount": 256.96, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 880.0, "npi": [1295614527]}]}, {"allowed_amount": 579.04, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 660.0, "npi": [1538369988, 1851644405, 1710870662]}]}, {"allowed_amount": 600.1, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 660.0, "npi": [1801307376, 1538771886]}]}, {"allowed_amount": 610.62, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 660.0, "npi": [1376348177]}]}, {"allowed_amount": 642.21, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 770.0, "npi": [1851644405]}]}, {"allowed_amount": 652.74, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 770.0, "npi": [1801307376]}]}, {"allowed_amount": 663.26, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 770.0, "npi": [1740924067]}]}, {"allowed_amount": 684.32, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 770.0, "npi": [1922805514]}]}, {"allowed_amount": 705.38, "billing_code_modifier": ["QZ,P3", "QZ"], "providers": [{"billed_charge": 770.0, "npi": [1730756552, 1538771886, 1851644405, 1053294421, 1386156669]}]}, {"allowed_amount": 736.96, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 770.0, "npi": [1013550383]}]}, {"allowed_amount": 747.49, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 880.0, "npi": [1528466984]}]}, {"allowed_amount": 758.02, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 880.0, "npi": [1942646344, 1790337343]}]}, {"allowed_amount": 779.07, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 880.0, "npi": [1992358105]}]}, {"allowed_amount": 789.6, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 880.0, "npi": [1922891894]}]}, {"allowed_amount": 810.66, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 880.0, "npi": [1013550383]}]}, {"allowed_amount": 831.71, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 880.0, "npi": [1528466984]}]}, {"allowed_amount": 863.3, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 990.0, "npi": [1093690620]}]}, {"allowed_amount": 873.82, "billing_code_modifier": ["QZ,P4"], "providers": [{"billed_charge": 990.0, "npi": [1043934821]}]}, {"allowed_amount": 1273.89, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1430.0, "npi": [1396538252]}]}]}, {"tin": {"type": "ein", "value": "471791178"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 631.68, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 12000.0, "npi": [1376960732]}]}, {"allowed_amount": 747.49, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 20000.0, "npi": [1922369834]}]}]}, {"tin": {"type": "ein", "value": "472090481"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 224.84, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2000.0, "npi": [1306414693]}]}, {"allowed_amount": 642.16, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1500.0, "npi": [1306414693]}]}, {"allowed_amount": 740.11, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 1750.0, "npi": [1306458161, 1396397204]}]}, {"allowed_amount": 768.54, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2000.0, "npi": [1639531015]}]}]}, {"tin": {"type": "ein", "value": "611475088"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 715.9, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 4550.0, "npi": [1386641975]}]}, {"allowed_amount": 779.07, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 5200.0, "npi": [1386641975]}]}]}, {"tin": {"type": "ein", "value": "621449626"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1277.63, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1600.0, "npi": [1760139158]}]}]}, {"tin": {"type": "ein", "value": "680493989"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 758.02, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 910.0, "npi": [1295795151]}]}, {"allowed_amount": 768.54, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 910.0, "npi": [1801863345]}]}]}, {"tin": {"type": "ein", "value": "741201585"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 501.23, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1427.16, "npi": [1396239018]}]}]}, {"tin": {"type": "ein", "value": "742410946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 240.9, "billing_code_modifier": ["QK,P3", "QX,P3"], "providers": [{"billed_charge": 450.0, "npi": [1114719176]}, {"billed_charge": 675.0, "npi": [1144724527]}]}]}, {"tin": {"type": "ein", "value": "812322189"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 256.96, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 20000.0, "npi": [1922369834]}]}]}, {"tin": {"type": "ein", "value": "831631056"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 579.04, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 2100.0, "npi": [1245201458]}]}]}, {"tin": {"type": "ein", "value": "860451196"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 610.62, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1033175989]}]}, {"allowed_amount": 631.68, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 1800.0, "npi": [1033175989]}]}]}, {"tin": {"type": "ein", "value": "860788367"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 705.38, "billing_code_modifier": ["AA"], "providers": [{"billed_charge": 3500.0, "npi": [1467915678]}]}, {"allowed_amount": 852.77, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 3240.0, "npi": [1043523442]}]}, {"allowed_amount": 863.3, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 5000.0, "npi": [1144712811]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 873.82, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2025.0, "npi": [1104809482]}]}]}]}, {"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": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.08, "providers": [{"billed_charge": 248.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.72, "providers": [{"billed_charge": 370.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 59.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.31, "providers": [{"billed_charge": 306.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.52, "providers": [{"billed_charge": 25.52, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "590724459"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.09, "providers": [{"billed_charge": 388.0, "npi": [1306938071]}]}, {"allowed_amount": 453.94, "providers": [{"billed_charge": 388.0, "npi": [1306938071]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.6, "providers": [{"billed_charge": 636.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.31, "providers": [{"billed_charge": 306.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.31, "providers": [{"billed_charge": 237.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.55, "providers": [{"billed_charge": 210.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.95, "providers": [{"billed_charge": 121.48, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.95, "providers": [{"billed_charge": 150.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.0, "providers": [{"billed_charge": 71.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 113.0, "providers": [{"billed_charge": 113.0, "npi": [1962444059]}]}]}]}, {"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": "205198811"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 38.75, "providers": [{"billed_charge": 60.0, "npi": [1306032701]}]}, {"allowed_amount": 39.1, "providers": [{"billed_charge": 60.0, "npi": [1093134777, 1770500761]}]}, {"allowed_amount": 40.79, "providers": [{"billed_charge": 60.0, "npi": [1770500761]}]}, {"allowed_amount": 60.0, "providers": [{"billed_charge": 60.0, "npi": [1093134777, 1770500761, 1306032701]}]}, {"allowed_amount": 86.12, "providers": [{"billed_charge": 120.0, "npi": [1306032701, 1497045769, 1093134777, 1770500761, 1235669565]}]}]}, {"tin": {"type": "ein", "value": "472706830"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.12, "providers": [{"billed_charge": 378.0, "npi": [1023533262]}]}]}, {"tin": {"type": "ein", "value": "650913389"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.35, "providers": [{"billed_charge": 250.0, "npi": [1730336447]}]}, {"allowed_amount": 42.83, "providers": [{"billed_charge": 250.0, "npi": [1730336447]}]}, {"allowed_amount": 43.01, "providers": [{"billed_charge": 250.0, "npi": [1730336447]}]}, {"allowed_amount": 43.65, "providers": [{"billed_charge": 250.0, "npi": [1730336447]}]}, {"allowed_amount": 86.12, "providers": [{"billed_charge": 250.0, "npi": [1730336447]}]}]}, {"tin": {"type": "ein", "value": "811156192"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.35, "providers": [{"billed_charge": 130.0, "npi": [1962065995]}]}]}]}, {"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": "205245674"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 113.32, "providers": [{"billed_charge": 550.61, "npi": [1871501916]}]}]}, {"tin": {"type": "ein", "value": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.0, "providers": [{"billed_charge": 65.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "230596940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.18, "providers": [{"billed_charge": 695.0, "npi": [1114095791]}]}]}, {"tin": {"type": "ein", "value": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.18, "providers": [{"billed_charge": 263.0, "npi": [1851370910]}, {"billed_charge": 433.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "232829095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.18, "providers": [{"billed_charge": 464.0, "npi": [1215916002]}]}]}, {"tin": {"type": "ein", "value": "310621866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.06, "providers": [{"billed_charge": 201.0, "npi": [1043233984]}]}]}, {"tin": {"type": "ein", "value": "311538725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.18, "providers": [{"billed_charge": 483.0, "npi": [1063489342]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.0, "providers": [{"billed_charge": 56.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "350983617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.37, "providers": [{"billed_charge": 230.0, "npi": [1336119478]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.86, "providers": [{"billed_charge": 544.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "352635546"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 124.7, "providers": [{"billed_charge": 161.71, "npi": [1336623198]}]}]}, {"tin": {"type": "ein", "value": "381405141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.2, "providers": [{"billed_charge": 45.0, "npi": [1295785285]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.66, "providers": [{"billed_charge": 229.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.66, "providers": [{"billed_charge": 570.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.0, "providers": [{"billed_charge": 77.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.77, "providers": [{"billed_charge": 76.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "446005747"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.77, "providers": [{"billed_charge": 311.0, "npi": [1629062799]}]}]}, {"tin": {"type": "ein", "value": "463096009"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.45, "providers": [{"billed_charge": 25.38, "npi": [1518389311]}]}, {"allowed_amount": 12.97, "providers": [{"billed_charge": 25.38, "npi": [1598106163]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.66, "providers": [{"billed_charge": 324.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.66, "providers": [{"billed_charge": 229.0, "npi": [1154748416]}]}, {"allowed_amount": 459.44, "providers": [{"billed_charge": 229.0, "npi": [1154748416]}]}, {"allowed_amount": 507.76, "providers": [{"billed_charge": 229.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.72, "providers": [{"billed_charge": 32.72, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.48, "providers": [{"billed_charge": 23.48, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.15, "providers": [{"billed_charge": 570.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "590724459"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.45, "providers": [{"billed_charge": 386.0, "npi": [1306938071]}]}]}, {"tin": {"type": "ein", "value": "590872594"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.45, "providers": [{"billed_charge": 675.0, "npi": [1982688230]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.42, "providers": [{"billed_charge": 570.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "710236856"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 124.7, "providers": [{"billed_charge": 160.0, "npi": [1043240682]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.86, "providers": [{"billed_charge": 544.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.73, "providers": [{"billed_charge": 324.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "752905434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 216.91, "providers": [{"billed_charge": 296.0, "npi": [1205882503]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.18, "providers": [{"billed_charge": 307.0, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "840417134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.4, "providers": [{"billed_charge": 255.85, "npi": [1417946021]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.98, "providers": [{"billed_charge": 296.69, "npi": [1689688988]}]}]}, {"tin": {"type": "ein", "value": "841103606"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.4, "providers": [{"billed_charge": 255.85, "npi": [1669461281]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.73, "providers": [{"billed_charge": 290.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.4, "providers": [{"billed_charge": 89.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "856003005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.4, "providers": [{"billed_charge": 99.0, "npi": [1689747552]}]}, {"allowed_amount": 275.03, "providers": [{"billed_charge": 99.0, "npi": [1689747552]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.66, "providers": [{"billed_charge": 200.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.66, "providers": [{"billed_charge": 266.57, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.66, "providers": [{"billed_charge": 221.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.01, "providers": [{"billed_charge": 57.01, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.66, "providers": [{"billed_charge": 448.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.66, "providers": [{"billed_charge": 192.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860957500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1153.81, "providers": [{"billed_charge": 446.0, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "861248931"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.22, "providers": [{"billed_charge": 156.0, "npi": [1699340927]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.66, "providers": [{"billed_charge": 408.39, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "956000930"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.94, "providers": [{"billed_charge": 855.94, "npi": [1821159195]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 113.32, "providers": [{"billed_charge": 210.0, "npi": [1902803315]}]}]}, {"tin": {"type": "ein", "value": "990074365"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 94.0, "providers": [{"billed_charge": 94.0, "npi": [1225113442]}]}]}]}, {"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": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.75, "providers": [{"billed_charge": 64.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.58, "providers": [{"billed_charge": 28.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.77, "providers": [{"billed_charge": 216.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "381405141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.15, "providers": [{"billed_charge": 29.0, "npi": [1295785285]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.91, "providers": [{"billed_charge": 190.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.91, "providers": [{"billed_charge": 192.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.91, "providers": [{"billed_charge": 190.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.32, "providers": [{"billed_charge": 90.0, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.05, "providers": [{"billed_charge": 17.05, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.28, "providers": [{"billed_charge": 549.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "542092552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.28, "providers": [{"billed_charge": 858.28, "npi": [1134187842]}]}]}, {"tin": {"type": "ein", "value": "590724459"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.1, "providers": [{"billed_charge": 397.0, "npi": [1306938071]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.17, "providers": [{"billed_charge": 549.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "621762545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.6, "providers": [{"billed_charge": 556.0, "npi": [1447299649]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.77, "providers": [{"billed_charge": 216.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.77, "providers": [{"billed_charge": 192.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 67.82, "providers": [{"billed_charge": 447.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.18, "providers": [{"billed_charge": 140.0, "npi": [1477531580]}]}, {"allowed_amount": 41.5, "providers": [{"billed_charge": 140.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.0, "providers": [{"billed_charge": 40.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "854247323"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.1, "providers": [{"billed_charge": 978.46, "npi": [1871193664]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.91, "providers": [{"billed_charge": 83.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.91, "providers": [{"billed_charge": 41.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.91, "providers": [{"billed_charge": 224.53, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "946004062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.0, "providers": [{"billed_charge": 119.0, "npi": [1538265780]}]}]}, {"tin": {"type": "ein", "value": "951115230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.11, "providers": [{"billed_charge": 530.0, "npi": [1407813660]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.11, "providers": [{"billed_charge": 110.0, "npi": [1902803315]}]}]}]}, {"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": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.46, "providers": [{"billed_charge": 116.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "205245674"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.23, "providers": [{"billed_charge": 244.63, "npi": [1871501916]}]}]}, {"tin": {"type": "ein", "value": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.86, "providers": [{"billed_charge": 66.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "230596940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.03, "providers": [{"billed_charge": 103.0, "npi": [1114095791]}]}]}, {"tin": {"type": "ein", "value": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.03, "providers": [{"billed_charge": 273.0, "npi": [1851370910]}, {"billed_charge": 405.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.37, "providers": [{"billed_charge": 513.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "232829095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.03, "providers": [{"billed_charge": 81.0, "npi": [1215916002]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.51, "providers": [{"billed_charge": 836.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "311538725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.03, "providers": [{"billed_charge": 277.0, "npi": [1063489342]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.49, "providers": [{"billed_charge": 31.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "350983617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.09, "providers": [{"billed_charge": 78.0, "npi": [1336119478]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.66, "providers": [{"billed_charge": 262.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "352635546"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.7, "providers": [{"billed_charge": 134.76, "npi": [1336623198]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.68, "providers": [{"billed_charge": 90.0, "npi": [1558479212]}]}, {"allowed_amount": 16.72, "providers": [{"billed_charge": 90.0, "npi": [1447368071]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.69, "providers": [{"billed_charge": 199.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "363332852"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.16, "providers": [{"billed_charge": 148.0, "npi": [1295710580]}]}]}, {"tin": {"type": "ein", "value": "383176445"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.09, "providers": [{"billed_charge": 66.0, "npi": [1639111057]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.48, "providers": [{"billed_charge": 249.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.24, "providers": [{"billed_charge": 549.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "411404075"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.08, "providers": [{"billed_charge": 71.0, "npi": [1164400024]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.0, "providers": [{"billed_charge": 72.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "430688874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.37, "providers": [{"billed_charge": 281.0, "npi": [1184621211]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.7, "providers": [{"billed_charge": 485.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.7, "providers": [{"billed_charge": 41.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "446005747"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.7, "providers": [{"billed_charge": 177.0, "npi": [1629062799]}]}]}, {"tin": {"type": "ein", "value": "463096009"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.04, "providers": [{"billed_charge": 23.31, "npi": [1598106163]}]}, {"allowed_amount": 8.68, "providers": [{"billed_charge": 23.31, "npi": [1851768865, 1518389311]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.48, "providers": [{"billed_charge": 252.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.48, "providers": [{"billed_charge": 249.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "473448483"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.41, "providers": [{"billed_charge": 100.0, "npi": [1164102794]}]}]}, {"tin": {"type": "ein", "value": "475590654"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 8.18, "providers": [{"billed_charge": 8.18, "npi": [1295093540]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.15, "providers": [{"billed_charge": 172.0, "npi": [1649259656]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.75, "providers": [{"billed_charge": 29.75, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.33, "providers": [{"billed_charge": 21.33, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.31, "providers": [{"billed_charge": 549.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1912903717]}]}]}, {"tin": {"type": "ein", "value": "550383321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.01, "providers": [{"billed_charge": 101.0, "npi": [1457389249]}]}]}, {"tin": {"type": "ein", "value": "560928089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.01, "providers": [{"billed_charge": 114.0, "npi": [1447200233]}]}]}, {"tin": {"type": "ein", "value": "562360411"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 251.26, "providers": [{"billed_charge": 415.0, "npi": [1477671535]}]}]}, {"tin": {"type": "ein", "value": "580593388"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.05, "providers": [{"billed_charge": 47.0, "npi": [1275527889]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.05, "providers": [{"billed_charge": 173.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.08, "providers": [{"billed_charge": 308.0, "npi": [1952340994, 1225050396]}]}]}, {"tin": {"type": "ein", "value": "590872594"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 66.9, "providers": [{"billed_charge": 389.0, "npi": [1982688230]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.84, "providers": [{"billed_charge": 17.84, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.33, "providers": [{"billed_charge": 549.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "626002166"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.82, "providers": [{"billed_charge": 94.0, "npi": [1275531956]}]}]}, {"tin": {"type": "ein", "value": "710236856"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.7, "providers": [{"billed_charge": 129.0, "npi": [1043240682]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.51, "providers": [{"billed_charge": 854.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.66, "providers": [{"billed_charge": 262.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.66, "providers": [{"billed_charge": 252.0, "npi": [1982733655]}]}, {"allowed_amount": 77.13, "providers": [{"billed_charge": 252.0, "npi": [1609408665, 1265065445]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.73, "providers": [{"billed_charge": 268.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "742870118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.41, "providers": [{"billed_charge": 440.0, "npi": [1447221742]}]}]}, {"tin": {"type": "ein", "value": "756001193"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.15, "providers": [{"billed_charge": 172.0, "npi": [1720096019]}]}]}, {"tin": {"type": "ein", "value": "810378200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.0, "providers": [{"billed_charge": 62.0, "npi": [1245222306]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.37, "providers": [{"billed_charge": 112.18, "npi": [1144781501]}]}]}, {"tin": {"type": "ein", "value": "820200895"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.0, "providers": [{"billed_charge": 60.0, "npi": [1992736649]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.24, "providers": [{"billed_charge": 309.38, "npi": [1356818496]}]}, {"allowed_amount": 306.59, "providers": [{"billed_charge": 309.38, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 77.13, "providers": [{"billed_charge": 353.18, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.41, "providers": [{"billed_charge": 98.29, "npi": [1720096092]}]}]}, {"tin": {"type": "ein", "value": "840417134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.51, "providers": [{"billed_charge": 153.7, "npi": [1417946021]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 77.13, "providers": [{"billed_charge": 341.99, "npi": [1689688988]}]}]}, {"tin": {"type": "ein", "value": "841103606"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.51, "providers": [{"billed_charge": 153.7, "npi": [1669461281]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.57, "providers": [{"billed_charge": 240.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "841337350"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 59.0, "npi": [1649241571]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.51, "providers": [{"billed_charge": 66.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.48, "providers": [{"billed_charge": 1512.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.66, "providers": [{"billed_charge": 262.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "856003005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.51, "providers": [{"billed_charge": 72.0, "npi": [1689747552]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.66, "providers": [{"billed_charge": 218.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.24, "providers": [{"billed_charge": 217.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.24, "providers": [{"billed_charge": 186.02, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.87, "providers": [{"billed_charge": 204.0, "npi": [1174512792]}]}, {"allowed_amount": 59.24, "providers": [{"billed_charge": 204.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.82, "providers": [{"billed_charge": 44.82, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.1, "providers": [{"billed_charge": 266.0, "npi": [1053684555]}]}]}, {"tin": {"type": "ein", "value": "860334996"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.24, "providers": [{"billed_charge": 170.0, "npi": [1518968767]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.48, "providers": [{"billed_charge": 190.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.0, "providers": [{"billed_charge": 36.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.89, "providers": [{"billed_charge": 25.89, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "861248931"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.36, "providers": [{"billed_charge": 188.0, "npi": [1699340927]}]}]}, {"tin": {"type": "ein", "value": "866007596"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.24, "providers": [{"billed_charge": 307.0, "npi": [1194706655]}]}]}, {"tin": {"type": "ein", "value": "871142127"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.64, "providers": [{"billed_charge": 132.0, "npi": [1073183141]}]}]}, {"tin": {"type": "ein", "value": "871737544"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.24, "providers": [{"billed_charge": 1512.0, "npi": [1750092110]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.57, "providers": [{"billed_charge": 601.0, "npi": [1447393152]}]}]}, {"tin": {"type": "ein", "value": "880213754"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.0, "providers": [{"billed_charge": 58.0, "npi": [1124098421]}]}]}, {"tin": {"type": "ein", "value": "900214335"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.83, "providers": [{"billed_charge": 143.0, "npi": [1194705202]}]}]}, {"tin": {"type": "ein", "value": "900942222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.24, "providers": [{"billed_charge": 192.0, "npi": [1194766543]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.23, "providers": [{"billed_charge": 86.0, "npi": [1538345251, 1356528269]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.48, "providers": [{"billed_charge": 1512.0, "npi": [1275366122]}]}]}, {"tin": {"type": "ein", "value": "941322200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 148.0, "providers": [{"billed_charge": 148.0, "npi": [1396848677]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.0, "providers": [{"billed_charge": 184.0, "npi": [1962444059]}]}]}, {"tin": {"type": "ein", "value": "956000930"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.83, "providers": [{"billed_charge": 231.74, "npi": [1821159195]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.23, "providers": [{"billed_charge": 117.88, "npi": [1457321317]}]}]}, {"tin": {"type": "ein", "value": "956130458"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.83, "providers": [{"billed_charge": 103.0, "npi": [1013981554]}]}]}, {"tin": {"type": "ein", "value": "990074365"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.0, "providers": [{"billed_charge": 74.0, "npi": [1225113442]}]}]}]}, {"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": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.16, "providers": [{"billed_charge": 468.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 67.95, "providers": [{"billed_charge": 601.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.55, "providers": [{"billed_charge": 133.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.79, "providers": [{"billed_charge": 212.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "363332852"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.78, "providers": [{"billed_charge": 243.0, "npi": [1295710580]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.07, "providers": [{"billed_charge": 266.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.51, "providers": [{"billed_charge": 8.51, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "590724459"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.29, "providers": [{"billed_charge": 275.0, "npi": [1306938071]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.58, "providers": [{"billed_charge": 502.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.79, "providers": [{"billed_charge": 212.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.79, "providers": [{"billed_charge": 521.0, "npi": [1982733655]}]}, {"allowed_amount": 74.48, "providers": [{"billed_charge": 266.0, "npi": [1265065445]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.65, "providers": [{"billed_charge": 361.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "854247323"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.29, "providers": [{"billed_charge": 132.22, "npi": [1871193664]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.87, "providers": [{"billed_charge": 221.05, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.87, "providers": [{"billed_charge": 123.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.07, "providers": [{"billed_charge": 244.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.07, "providers": [{"billed_charge": 45.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.0, "providers": [{"billed_charge": 58.0, "npi": [1962444059]}]}]}]}, {"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": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.29, "providers": [{"billed_charge": 159.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.18, "providers": [{"billed_charge": 231.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.18, "providers": [{"billed_charge": 40.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.74, "providers": [{"billed_charge": 153.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "363332852"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.14, "providers": [{"billed_charge": 106.0, "npi": [1295710580]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.41, "providers": [{"billed_charge": 164.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.51, "providers": [{"billed_charge": 8.51, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "590724459"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.71, "providers": [{"billed_charge": 97.0, "npi": [1306938071]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.59, "providers": [{"billed_charge": 457.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.74, "providers": [{"billed_charge": 153.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.74, "providers": [{"billed_charge": 164.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.03, "providers": [{"billed_charge": 47.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "854247323"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.71, "providers": [{"billed_charge": 105.78, "npi": [1871193664]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.32, "providers": [{"billed_charge": 96.17, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.32, "providers": [{"billed_charge": 98.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.41, "providers": [{"billed_charge": 85.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.41, "providers": [{"billed_charge": 45.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.79, "providers": [{"billed_charge": 108.0, "npi": [1962444059]}]}]}]}, {"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": "300824958"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.48, "providers": [{"billed_charge": 1.48, "npi": [1851781314]}]}, {"allowed_amount": 1.98, "providers": [{"billed_charge": 1.98, "npi": [1851781314]}]}, {"allowed_amount": 5.09, "providers": [{"billed_charge": 5.09, "npi": [1851781314]}]}, {"allowed_amount": 5.21, "providers": [{"billed_charge": 5.21, "npi": [1851781314]}]}, {"allowed_amount": 5.45, "providers": [{"billed_charge": 5.45, "npi": [1851781314]}]}, {"allowed_amount": 5.71, "providers": [{"billed_charge": 5.71, "npi": [1851781314]}]}, {"allowed_amount": 5.81, "providers": [{"billed_charge": 5.81, "npi": [1851781314]}]}, {"allowed_amount": 5.95, "providers": [{"billed_charge": 5.95, "npi": [1851781314]}]}, {"allowed_amount": 6.05, "providers": [{"billed_charge": 6.05, "npi": [1851781314]}]}, {"allowed_amount": 6.14, "providers": [{"billed_charge": 6.46, "npi": [1851781314]}, {"billed_charge": 11.8, "npi": [1851781314]}, {"billed_charge": 14.7, "npi": [1851781314]}, {"billed_charge": 23.19, "npi": [1851781314]}]}, {"allowed_amount": 1006.75, "providers": [{"billed_charge": 17.25, "npi": [1851781314]}]}, {"allowed_amount": 1006.92, "providers": [{"billed_charge": 17.49, "npi": [1851781314]}]}]}, {"tin": {"type": "ein", "value": "371646302"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.48, "providers": [{"billed_charge": 1.48, "npi": [1467725911]}]}, {"allowed_amount": 1.98, "providers": [{"billed_charge": 1.98, "npi": [1467725911]}]}, {"allowed_amount": 5.07, "providers": [{"billed_charge": 5.21, "npi": [1912279472]}]}, {"allowed_amount": 5.21, "providers": [{"billed_charge": 5.21, "npi": [1467725911]}]}, {"allowed_amount": 5.69, "providers": [{"billed_charge": 5.69, "npi": [1467725911]}]}, {"allowed_amount": 5.71, "providers": [{"billed_charge": 5.71, "npi": [1467725911]}]}, {"allowed_amount": 5.95, "providers": [{"billed_charge": 5.95, "npi": [1467725911]}]}]}, {"tin": {"type": "ein", "value": "465332224"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.14, "providers": [{"billed_charge": 121.39, "npi": [1932652815]}, {"billed_charge": 122.59, "npi": [1932652815]}, {"billed_charge": 122.63, "npi": [1932652815]}, {"billed_charge": 122.67, "npi": [1932652815]}, {"billed_charge": 123.19, "npi": [1932652815]}, {"billed_charge": 123.23, "npi": [1932652815]}, {"billed_charge": 123.27, "npi": [1932652815]}, {"billed_charge": 123.31, "npi": [1932652815]}, {"billed_charge": 123.51, "npi": [1932652815]}, {"billed_charge": 123.59, "npi": [1932652815]}, {"billed_charge": 123.79, "npi": [1932652815]}, {"billed_charge": 123.83, "npi": [1932652815]}, {"billed_charge": 123.87, "npi": [1932652815]}, {"billed_charge": 123.95, "npi": [1932652815]}, {"billed_charge": 124.03, "npi": [1932652815]}, {"billed_charge": 124.39, "npi": [1932652815]}, {"billed_charge": 124.85, "npi": [1932652815]}, {"billed_charge": 124.99, "npi": [1932652815]}, {"billed_charge": 125.03, "npi": [1932652815]}, {"billed_charge": 125.3, "npi": [1932652815]}, {"billed_charge": 125.59, "npi": [1932652815]}, {"billed_charge": 126.19, "npi": [1932652815]}, {"billed_charge": 126.31, "npi": [1932652815]}, {"billed_charge": 126.46, "npi": [1932652815]}, {"billed_charge": 126.79, "npi": [1932652815]}, {"billed_charge": 126.84, "npi": [1932652815]}, {"billed_charge": 126.87, "npi": [1932652815]}, {"billed_charge": 126.91, "npi": [1932652815]}, {"billed_charge": 127.14, "npi": [1932652815]}, {"billed_charge": 127.22, "npi": [1932652815]}, {"billed_charge": 127.41, "npi": [1932652815]}, {"billed_charge": 127.51, "npi": [1932652815]}, {"billed_charge": 127.68, "npi": [1932652815]}, {"billed_charge": 127.69, "npi": [1932652815]}, {"billed_charge": 127.7, "npi": [1932652815]}, {"billed_charge": 127.86, "npi": [1932652815]}, {"billed_charge": 127.98, "npi": [1932652815]}, {"billed_charge": 128.24, "npi": [1932652815]}, {"billed_charge": 128.3, "npi": [1932652815]}, {"billed_charge": 128.54, "npi": [1932652815]}, {"billed_charge": 128.63, "npi": [1932652815]}, {"billed_charge": 128.84, "npi": [1932652815]}, {"billed_charge": 128.85, "npi": [1932652815]}, {"billed_charge": 129.19, "npi": [1932652815]}, {"billed_charge": 129.44, "npi": [1932652815]}, {"billed_charge": 129.52, "npi": [1932652815]}, {"billed_charge": 130.04, "npi": [1932652815]}, {"billed_charge": 130.08, "npi": [1932652815]}, {"billed_charge": 130.1, "npi": [1932652815]}, {"billed_charge": 130.12, "npi": [1932652815]}, {"billed_charge": 130.16, "npi": [1932652815]}, {"billed_charge": 130.44, "npi": [1932652815]}, {"billed_charge": 130.64, "npi": [1932652815]}, {"billed_charge": 130.68, "npi": [1932652815]}, {"billed_charge": 130.72, "npi": [1932652815]}, {"billed_charge": 130.8, "npi": [1932652815]}, {"billed_charge": 131.01, "npi": [1932652815]}, {"billed_charge": 131.49, "npi": [1932652815]}, {"billed_charge": 131.84, "npi": [1932652815]}, {"billed_charge": 131.96, "npi": [1932652815]}, {"billed_charge": 132.17, "npi": [1932652815]}, {"billed_charge": 132.44, "npi": [1932652815]}, {"billed_charge": 133.0, "npi": [1932652815]}, {"billed_charge": 133.04, "npi": [1932652815]}, {"billed_charge": 133.35, "npi": [1932652815]}, {"billed_charge": 133.36, "npi": [1932652815]}, {"billed_charge": 133.64, "npi": [1932652815]}, {"billed_charge": 133.82, "npi": [1932652815]}, {"billed_charge": 134.4, "npi": [1932652815]}, {"billed_charge": 134.55, "npi": [1932652815]}, {"billed_charge": 135.2, "npi": [1932652815]}, {"billed_charge": 136.49, "npi": [1932652815]}, {"billed_charge": 136.79, "npi": [1932652815]}, {"billed_charge": 136.96, "npi": [1932652815]}, {"billed_charge": 136.99, "npi": [1932652815]}, {"billed_charge": 137.96, "npi": [1932652815]}, {"billed_charge": 138.3, "npi": [1932652815]}, {"billed_charge": 142.13, "npi": [1932652815]}, {"billed_charge": 147.09, "npi": [1932652815]}, {"billed_charge": 156.71, "npi": [1932652815]}, {"billed_charge": 157.11, "npi": [1932652815]}, {"billed_charge": 159.1, "npi": [1932652815]}, {"billed_charge": 159.33, "npi": [1932652815]}, {"billed_charge": 161.02, "npi": [1932652815]}, {"billed_charge": 163.84, "npi": [1932652815]}, {"billed_charge": 163.96, "npi": [1932652815]}, {"billed_charge": 165.64, "npi": [1932652815]}, {"billed_charge": 172.09, "npi": [1932652815]}, {"billed_charge": 185.71, "npi": [1932652815]}, {"billed_charge": 186.09, "npi": [1932652815]}, {"billed_charge": 219.18, "npi": [1932652815]}, {"billed_charge": 247.58, "npi": [1932652815]}]}, {"allowed_amount": 836.54, "providers": [{"billed_charge": 123.31, "npi": [1932652815]}]}, {"allowed_amount": 857.4, "providers": [{"billed_charge": 123.79, "npi": [1932652815]}]}, {"allowed_amount": 884.4, "providers": [{"billed_charge": 130.72, "npi": [1932652815]}]}, {"allowed_amount": 888.2, "providers": [{"billed_charge": 123.79, "npi": [1932652815]}]}, {"allowed_amount": 954.39, "providers": [{"billed_charge": 130.16, "npi": [1932652815]}]}, {"allowed_amount": 969.82, "providers": [{"billed_charge": 121.39, "npi": [1932652815]}]}, {"allowed_amount": 972.72, "providers": [{"billed_charge": 123.31, "npi": [1932652815]}]}, {"allowed_amount": 973.23, "providers": [{"billed_charge": 131.96, "npi": [1932652815]}]}, {"allowed_amount": 982.21, "providers": [{"billed_charge": 131.44, "npi": [1932652815]}]}, {"allowed_amount": 989.25, "providers": [{"billed_charge": 136.12, "npi": [1932652815]}]}, {"allowed_amount": 1003.99, "providers": [{"billed_charge": 124.99, "npi": [1932652815]}]}]}, {"tin": {"type": "ein", "value": "843777653"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.45, "providers": [{"billed_charge": 5.45, "npi": [1447884507]}]}, {"allowed_amount": 5.52, "providers": [{"billed_charge": 5.52, "npi": [1447884507]}]}, {"allowed_amount": 6.12, "providers": [{"billed_charge": 6.12, "npi": [1447884507]}]}, {"allowed_amount": 6.14, "providers": [{"billed_charge": 6.44, "npi": [1447884507]}, {"billed_charge": 6.87, "npi": [1447884507]}]}, {"allowed_amount": 714.19, "providers": [{"billed_charge": 5.45, "npi": [1447884507]}]}]}, {"tin": {"type": "ein", "value": "845143812"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.65, "providers": [{"billed_charge": 121.39, "npi": [1336871813]}, {"billed_charge": 122.59, "npi": [1336871813]}, {"billed_charge": 123.19, "npi": [1336871813]}, {"billed_charge": 131.02, "npi": [1336871813]}]}]}, {"tin": {"type": "ein", "value": "860203618"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.24, "providers": [{"billed_charge": 1.24, "npi": [1205883717]}]}, {"allowed_amount": 1.48, "providers": [{"billed_charge": 1.48, "npi": [1205883717]}]}, {"allowed_amount": 1.72, "providers": [{"billed_charge": 1.72, "npi": [1205883717]}]}, {"allowed_amount": 1.98, "providers": [{"billed_charge": 1.98, "npi": [1205883717]}]}, {"allowed_amount": 5.21, "providers": [{"billed_charge": 5.21, "npi": [1205883717]}]}, {"allowed_amount": 5.22, "providers": [{"billed_charge": 5.59, "npi": [1205883717]}, {"billed_charge": 7.83, "npi": [1205883717]}]}, {"allowed_amount": 1176.48, "providers": [{"billed_charge": 13.29, "npi": [1205883717]}]}]}, {"tin": {"type": "ein", "value": "860412782"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.21, "providers": [{"billed_charge": 5.21, "npi": [1043214372]}]}, {"allowed_amount": 11.22, "providers": [{"billed_charge": 11.22, "npi": [1043214372]}]}]}, {"tin": {"type": "ein", "value": "860702807"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 5.21, "providers": [{"billed_charge": 5.21, "npi": [1538116652]}]}, {"allowed_amount": 5.45, "providers": [{"billed_charge": 5.45, "npi": [1538116652]}]}, {"allowed_amount": 5.69, "providers": [{"billed_charge": 5.69, "npi": [1538116652]}]}, {"allowed_amount": 5.95, "providers": [{"billed_charge": 5.95, "npi": [1538116652]}]}, {"allowed_amount": 6.14, "providers": [{"billed_charge": 17.25, "npi": [1538116652]}]}, {"allowed_amount": 1233.92, "providers": [{"billed_charge": 17.01, "npi": [1538116652]}]}, {"allowed_amount": 1234.08, "providers": [{"billed_charge": 17.25, "npi": [1538116652]}]}]}, {"tin": {"type": "ein", "value": "866000246"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.14, "providers": [{"billed_charge": 60.0, "npi": [1295284495]}]}]}, {"tin": {"type": "ein", "value": "866000262"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 6.14, "providers": [{"billed_charge": 30.0, "npi": [1750811063]}]}]}]}, {"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": "205198811"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1227.38, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 1931.0, "npi": [1487841722]}]}, {"allowed_amount": 1478.97, "providers": [{"billed_charge": 1931.0, "npi": [1154492460]}]}]}, {"tin": {"type": "ein", "value": "205293912"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1227.38, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 4500.0, "npi": [1649229006]}]}]}, {"tin": {"type": "ein", "value": "262477825"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1227.38, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 13653.29, "npi": [1144460221]}]}]}, {"tin": {"type": "ein", "value": "300757230"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1227.38, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3511.72, "npi": [1023061637]}]}, {"allowed_amount": 1478.97, "providers": [{"billed_charge": 3511.72, "npi": [1699736371, 1811105117]}]}]}, {"tin": {"type": "ein", "value": "331165924"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1478.97, "providers": [{"billed_charge": 1700.0, "npi": [1902863350]}]}]}, {"tin": {"type": "ein", "value": "392304834"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1227.38, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 6800.0, "npi": [1033263942]}]}]}, {"tin": {"type": "ein", "value": "392483692"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 1033.09, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 11440.0, "npi": [1477707016]}]}, {"allowed_amount": 1227.38, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 11440.0, "npi": [1427134212]}]}]}, {"tin": {"type": "ein", "value": "453216530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 447.0, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 447.0, "npi": [1538134663]}]}]}, {"tin": {"type": "ein", "value": "481297077"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1227.38, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3200.0, "npi": [1477535433]}]}]}, {"tin": {"type": "ein", "value": "650913389"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1067.03, "providers": [{"billed_charge": 3223.0, "npi": [1033207360]}]}, {"allowed_amount": 1478.97, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 1519.0, "npi": [1477546273, 1437513595, 1447547724, 1194882407]}, {"billed_charge": 7583.0, "npi": [1205900461]}]}]}, {"tin": {"type": "ein", "value": "680523378"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 875.0, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 875.0, "npi": [1134282445]}]}]}, {"tin": {"type": "ein", "value": "811156192"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 477.0, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 477.0, "npi": [1275500688]}]}, {"allowed_amount": 941.05, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 2385.0, "npi": [1205052057]}]}, {"allowed_amount": 1141.72, "providers": [{"billed_charge": 2385.0, "npi": [1114972783]}]}]}, {"tin": {"type": "ein", "value": "860654429"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 490.0, "billing_code_modifier": ["80"], "providers": [{"billed_charge": 490.0, "npi": [1407912579]}]}]}, {"tin": {"type": "ein", "value": "860883549"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.07, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 3200.0, "npi": [1477535433]}]}]}, {"tin": {"type": "ein", "value": "861024219"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 875.0, "billing_code_modifier": ["AS"], "providers": [{"billed_charge": 875.0, "npi": [1720037716]}]}]}]}, {"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": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 172.34, "providers": [{"billed_charge": 59.0, "npi": [1528525227]}]}, {"allowed_amount": 211.95, "providers": [{"billed_charge": 59.0, "npi": [1164050316]}]}, {"allowed_amount": 234.74, "providers": [{"billed_charge": 59.0, "npi": [1932737277]}]}, {"allowed_amount": 340.11, "providers": [{"billed_charge": 59.0, "npi": [1124656376]}]}, {"allowed_amount": 591.91, "providers": [{"billed_charge": 59.0, "npi": [1528525227]}]}, {"allowed_amount": 629.19, "providers": [{"billed_charge": 59.0, "npi": [1932737277]}]}, {"allowed_amount": 3190.11, "providers": [{"billed_charge": 59.0, "npi": [1275161523]}]}]}, {"tin": {"type": "ein", "value": "421029188"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 788.5, "providers": [{"billed_charge": 59.0, "npi": [1083165849]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 572.08, "providers": [{"billed_charge": 67.0, "npi": [1992131734]}]}, {"allowed_amount": 665.58, "providers": [{"billed_charge": 67.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 252.41, "providers": [{"billed_charge": 59.0, "npi": [1114466950]}]}, {"allowed_amount": 258.41, "providers": [{"billed_charge": 59.0, "npi": [1114466950]}]}, {"allowed_amount": 321.11, "providers": [{"billed_charge": 59.0, "npi": [1114466950]}]}, {"allowed_amount": 372.66, "providers": [{"billed_charge": 59.0, "npi": [1275084030]}]}, {"allowed_amount": 397.17, "providers": [{"billed_charge": 59.0, "npi": [1275084030]}]}, {"allowed_amount": 411.98, "providers": [{"billed_charge": 59.0, "npi": [1275084030]}]}, {"allowed_amount": 504.42, "providers": [{"billed_charge": 59.0, "npi": [1275084030]}]}, {"allowed_amount": 607.25, "providers": [{"billed_charge": 59.0, "npi": [1114466950]}]}, {"allowed_amount": 752.49, "providers": [{"billed_charge": 59.0, "npi": [1275084030]}]}, {"allowed_amount": 1554.63, "providers": [{"billed_charge": 59.0, "npi": [1114466950]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.15, "providers": [{"billed_charge": 134.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 239.91, "providers": [{"billed_charge": 67.0, "npi": [1982733655]}]}, {"allowed_amount": 577.92, "providers": [{"billed_charge": 67.0, "npi": [1982733655]}]}, {"allowed_amount": 757.46, "providers": [{"billed_charge": 67.0, "npi": [1982733655]}]}, {"allowed_amount": 760.6, "providers": [{"billed_charge": 67.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 460.47, "providers": [{"billed_charge": 40.0, "npi": [1215913470]}]}, {"allowed_amount": 684.74, "providers": [{"billed_charge": 40.0, "npi": [1215913470]}]}, {"allowed_amount": 966.0, "providers": [{"billed_charge": 40.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 903.12, "providers": [{"billed_charge": 17.0, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 388.17, "providers": [{"billed_charge": 66.0, "npi": [1174512792]}]}, {"allowed_amount": 412.67, "providers": [{"billed_charge": 66.0, "npi": [1174512792]}]}, {"allowed_amount": 675.07, "providers": [{"billed_charge": 66.0, "npi": [1174512792]}]}, {"allowed_amount": 834.98, "providers": [{"billed_charge": 66.0, "npi": [1174512792]}]}, {"allowed_amount": 848.73, "providers": [{"billed_charge": 66.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "900942222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 528.15, "providers": [{"billed_charge": 60.0, "npi": [1194766543]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 107.16, "providers": [{"billed_charge": 22.0, "npi": [1801215975]}]}]}, {"tin": {"type": "ein", "value": "941196203"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 262.4, "providers": [{"billed_charge": 67.0, "npi": [1982733655]}]}, {"allowed_amount": 476.79, "providers": [{"billed_charge": 67.0, "npi": [1982733655]}]}, {"allowed_amount": 801.45, "providers": [{"billed_charge": 67.0, "npi": [1982733655]}]}, {"allowed_amount": 809.13, "providers": [{"billed_charge": 67.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "942916102"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.36, "providers": [{"billed_charge": 50.0, "npi": [1265423917]}]}]}]}, {"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": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.63, "providers": [{"billed_charge": 1103.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 149.77, "providers": [{"billed_charge": 1703.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.0, "providers": [{"billed_charge": 74.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.42, "providers": [{"billed_charge": 1259.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.18, "providers": [{"billed_charge": 225.0, "npi": [1558479212]}]}, {"allowed_amount": 16.19, "providers": [{"billed_charge": 225.0, "npi": [1447368071]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.53, "providers": [{"billed_charge": 437.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "363332852"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 144.16, "providers": [{"billed_charge": 314.0, "npi": [1295710580]}]}]}, {"tin": {"type": "ein", "value": "383176445"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.74, "providers": [{"billed_charge": 100.0, "npi": [1639111057]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.91, "providers": [{"billed_charge": 585.0, "npi": [1689121188]}]}, {"allowed_amount": 865.26, "providers": [{"billed_charge": 585.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.75, "providers": [{"billed_charge": 882.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "411404075"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.14, "providers": [{"billed_charge": 106.0, "npi": [1164400024]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.0, "providers": [{"billed_charge": 99.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "430688874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.62, "providers": [{"billed_charge": 386.0, "npi": [1184621211]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.55, "providers": [{"billed_charge": 1001.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "463096009"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 10.55, "providers": [{"billed_charge": 31.68, "npi": [1598106163]}]}, {"allowed_amount": 10.92, "providers": [{"billed_charge": 31.68, "npi": [1598106163]}]}, {"allowed_amount": 11.79, "providers": [{"billed_charge": 31.68, "npi": [1851768865]}]}, {"allowed_amount": 14.65, "providers": [{"billed_charge": 31.68, "npi": [1598106163]}]}, {"allowed_amount": 15.14, "providers": [{"billed_charge": 31.68, "npi": [1598106163]}]}, {"allowed_amount": 23.67, "providers": [{"billed_charge": 31.68, "npi": [1598106163]}]}, {"allowed_amount": 103.6, "providers": [{"billed_charge": 31.68, "npi": [1598106163]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.95, "providers": [{"billed_charge": 344.0, "npi": [1992131734]}]}, {"allowed_amount": 143.91, "providers": [{"billed_charge": 344.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.91, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}, {"allowed_amount": 259.76, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}, {"allowed_amount": 403.75, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}, {"allowed_amount": 426.89, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}, {"allowed_amount": 497.44, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}, {"allowed_amount": 523.13, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}, {"allowed_amount": 548.71, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}, {"allowed_amount": 562.29, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}, {"allowed_amount": 573.57, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}, {"allowed_amount": 635.77, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}, {"allowed_amount": 646.83, "providers": [{"billed_charge": 585.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "473448483"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.42, "providers": [{"billed_charge": 173.0, "npi": [1164102794]}]}]}, {"tin": {"type": "ein", "value": "475590654"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 12.14, "providers": [{"billed_charge": 95.0, "npi": [1295093540]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.09, "providers": [{"billed_charge": 701.0, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.09, "providers": [{"billed_charge": 485.0, "npi": [1649259656]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.95, "providers": [{"billed_charge": 31.95, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.18, "providers": [{"billed_charge": 882.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 32.0, "providers": [{"billed_charge": 32.0, "npi": [1912903717]}]}]}, {"tin": {"type": "ein", "value": "542092552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.24, "providers": [{"billed_charge": 1698.02, "npi": [1134187842]}]}]}, {"tin": {"type": "ein", "value": "550383321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.0, "providers": [{"billed_charge": 98.0, "npi": [1457389249]}]}]}, {"tin": {"type": "ein", "value": "560928089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 145.85, "providers": [{"billed_charge": 157.0, "npi": [1447200233]}]}]}, {"tin": {"type": "ein", "value": "562360411"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 687.0, "providers": [{"billed_charge": 687.0, "npi": [1477671535]}]}]}, {"tin": {"type": "ein", "value": "580593388"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.0, "providers": [{"billed_charge": 61.0, "npi": [1275527889]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.6, "providers": [{"billed_charge": 216.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.44, "providers": [{"billed_charge": 694.0, "npi": [1952340994, 1225050396]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 130.44, "providers": [{"billed_charge": 136.79, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 295.41, "providers": [{"billed_charge": 882.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "621762545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 500.15, "providers": [{"billed_charge": 1429.0, "npi": [1447299649]}]}]}, {"tin": {"type": "ein", "value": "626002166"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.9, "providers": [{"billed_charge": 105.0, "npi": [1275531956]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 149.77, "providers": [{"billed_charge": 2129.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.42, "providers": [{"billed_charge": 1259.0, "npi": [1700910189]}]}, {"allowed_amount": 657.71, "providers": [{"billed_charge": 1259.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.42, "providers": [{"billed_charge": 344.0, "npi": [1982733655]}]}, {"allowed_amount": 77.93, "providers": [{"billed_charge": 344.0, "npi": [1609408665, 1265065445]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 586.85, "providers": [{"billed_charge": 1351.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 174.42, "providers": [{"billed_charge": 975.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "742870118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.42, "providers": [{"billed_charge": 1155.0, "npi": [1447221742]}]}]}, {"tin": {"type": "ein", "value": "752905434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 569.47, "providers": [{"billed_charge": 126.0, "npi": [1205882503]}]}]}, {"tin": {"type": "ein", "value": "756001193"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.72, "providers": [{"billed_charge": 515.0, "npi": [1720096019]}]}]}, {"tin": {"type": "ein", "value": "810378200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 77.0, "providers": [{"billed_charge": 77.0, "npi": [1245222306]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.63, "providers": [{"billed_charge": 357.21, "npi": [1144781501]}]}]}, {"tin": {"type": "ein", "value": "820200895"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.0, "providers": [{"billed_charge": 69.0, "npi": [1992736649]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.75, "providers": [{"billed_charge": 823.85, "npi": [1356818496]}]}, {"allowed_amount": 823.85, "providers": [{"billed_charge": 823.85, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 77.93, "providers": [{"billed_charge": 793.9, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.42, "providers": [{"billed_charge": 213.52, "npi": [1720096092]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.54, "providers": [{"billed_charge": 496.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "841337350"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.0, "providers": [{"billed_charge": 91.0, "npi": [1649241571]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.91, "providers": [{"billed_charge": 1794.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.42, "providers": [{"billed_charge": 1259.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "854247323"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.79, "providers": [{"billed_charge": 2453.08, "npi": [1871193664]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.42, "providers": [{"billed_charge": 636.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.75, "providers": [{"billed_charge": 560.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.75, "providers": [{"billed_charge": 381.16, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.88, "providers": [{"billed_charge": 406.0, "npi": [1174512792]}]}, {"allowed_amount": 142.75, "providers": [{"billed_charge": 406.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.4, "providers": [{"billed_charge": 57.4, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 164.57, "providers": [{"billed_charge": 837.0, "npi": [1053684555]}]}]}, {"tin": {"type": "ein", "value": "860334996"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.75, "providers": [{"billed_charge": 390.0, "npi": [1518968767]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.91, "providers": [{"billed_charge": 1115.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.91, "providers": [{"billed_charge": 375.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.22, "providers": [{"billed_charge": 35.22, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "860957500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 667.87, "providers": [{"billed_charge": 789.0, "npi": [1841224870]}]}, {"allowed_amount": 701.49, "providers": [{"billed_charge": 789.0, "npi": [1841224870]}]}, {"allowed_amount": 867.75, "providers": [{"billed_charge": 789.0, "npi": [1841224870]}]}, {"allowed_amount": 950.46, "providers": [{"billed_charge": 789.0, "npi": [1154355188]}]}, {"allowed_amount": 1071.81, "providers": [{"billed_charge": 789.0, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.91, "providers": [{"billed_charge": 823.85, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "866007596"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.75, "providers": [{"billed_charge": 794.0, "npi": [1194706655]}]}]}, {"tin": {"type": "ein", "value": "871142127"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.07, "providers": [{"billed_charge": 351.0, "npi": [1073183141]}]}]}, {"tin": {"type": "ein", "value": "871737544"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.75, "providers": [{"billed_charge": 1794.0, "npi": [1750092110]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.54, "providers": [{"billed_charge": 1425.0, "npi": [1447393152]}]}]}, {"tin": {"type": "ein", "value": "880213754"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.0, "providers": [{"billed_charge": 74.0, "npi": [1124098421]}]}]}, {"tin": {"type": "ein", "value": "900214335"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.47, "providers": [{"billed_charge": 501.0, "npi": [1194705202]}]}]}, {"tin": {"type": "ein", "value": "900942222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.75, "providers": [{"billed_charge": 569.0, "npi": [1194766543]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.0, "providers": [{"billed_charge": 117.0, "npi": [1538345251, 1356528269]}]}]}, {"tin": {"type": "ein", "value": "930386823"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 519.45, "providers": [{"billed_charge": 147.0, "npi": [1831112358]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.91, "providers": [{"billed_charge": 1794.0, "npi": [1275366122]}]}]}, {"tin": {"type": "ein", "value": "941196203"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 272.41, "providers": [{"billed_charge": 1259.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "941322200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.0, "providers": [{"billed_charge": 175.0, "npi": [1396848677]}]}]}, {"tin": {"type": "ein", "value": "946004062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 202.0, "providers": [{"billed_charge": 202.0, "npi": [1538265780]}]}]}, {"tin": {"type": "ein", "value": "951115230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.47, "providers": [{"billed_charge": 1233.0, "npi": [1407813660]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 324.0, "providers": [{"billed_charge": 324.0, "npi": [1962444059]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.47, "providers": [{"billed_charge": 726.77, "npi": [1457321317]}]}]}, {"tin": {"type": "ein", "value": "956130458"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.47, "providers": [{"billed_charge": 270.0, "npi": [1013981554]}]}]}]}, {"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": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 215.0, "providers": [{"billed_charge": 430.0, "npi": [1235124561, 1598750747]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 314.0, "providers": [{"billed_charge": 628.0, "npi": [1093715864]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1499.0, "providers": [{"billed_charge": 2998.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5850.0, "providers": [{"billed_charge": 11700.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 699.5, "providers": [{"billed_charge": 1399.0, "npi": [1962472464, 1477998250, 1427016468, 1477688612]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 744.5, "providers": [{"billed_charge": 1489.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1499.0, "providers": [{"billed_charge": 2998.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 179.0, "providers": [{"billed_charge": 358.0, "npi": [1679637722]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5850.0, "providers": [{"billed_charge": 11700.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2132.0, "providers": [{"billed_charge": 4264.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 744.5, "providers": [{"billed_charge": 1489.0, "npi": [1609408665]}]}, {"allowed_amount": 1499.0, "providers": [{"billed_charge": 2998.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 642.5, "providers": [{"billed_charge": 1285.0, "npi": [1033746417]}]}]}, {"tin": {"type": "ein", "value": "841337350"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 471.38, "providers": [{"billed_charge": 942.75, "npi": [1649241571]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3284.0, "providers": [{"billed_charge": 6568.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "850214117"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 203.0, "providers": [{"billed_charge": 406.0, "npi": [1124380324]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 262.5, "providers": [{"billed_charge": 525.0, "npi": [1972732907]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 584.0, "providers": [{"billed_charge": 1168.0, "npi": [1730373127, 1376523589, 1174844807]}]}]}, {"tin": {"type": "ein", "value": "860661043"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 249.0, "providers": [{"billed_charge": 498.0, "npi": [1902002504, 1861608770, 1467612648, 1518526094]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2200.0, "providers": [{"billed_charge": 4400.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 1400.0, "npi": [1245619808, 1215461868]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 175.0, "providers": [{"billed_charge": 350.0, "npi": [1518281781]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1883.8, "providers": [{"billed_charge": 3767.6, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 192.5, "providers": [{"billed_charge": 385.0, "npi": [1477812873, 1902918287, 1669450128, 1174642839, 1811422777, 1144364605]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 262.5, "providers": [{"billed_charge": 525.0, "npi": [1881875896, 1457586562, 1821293747, 1548469372]}]}]}]}, {"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": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 430.46, "providers": [{"billed_charge": 3312.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 837.56, "providers": [{"billed_charge": 5472.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 922.51, "providers": [{"billed_charge": 7757.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 209.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1194.0, "npi": [1205464740, 1720252844, 1427016468]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 922.51, "providers": [{"billed_charge": 7757.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 85.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1700046364]}]}, {"allowed_amount": 209.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1841550316, 1033190202, 1700046364, 1962842989]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 837.56, "providers": [{"billed_charge": 5636.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 106.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 272.6, "npi": [1487035440]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 209.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 332.0, "npi": [1922260033, 1154764462, 1114905007, 1003011933, 1912939679]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 209.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 440.0, "npi": [1639305378, 1962768457, 1912438474, 1376906958, 1881875896]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 167.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 571.0, "npi": [1538162953]}]}]}, {"tin": {"type": "ein", "value": "264773278"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 381.0, "npi": [1013908292]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 167.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 304.0, "npi": [1235124561]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 525.09, "providers": [{"billed_charge": 3757.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 582.43, "providers": [{"billed_charge": 4886.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 582.43, "providers": [{"billed_charge": 8439.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "391678306"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 170.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 960.0, "npi": [1346774726]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 88.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 988.0, "npi": [1881865996]}]}, {"allowed_amount": 167.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 988.0, "npi": [1477688612, 1205464740, 1720252844, 1568810802, 1386620276, 1427016468, 1700834777, 1194702266, 1326035486]}]}]}, {"tin": {"type": "ein", "value": "439838988"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 59.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 605.0, "npi": [1427234988]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 582.43, "providers": [{"billed_charge": 4257.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 582.43, "providers": [{"billed_charge": 4886.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1915.0, "npi": [1770534869]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 135.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 262.0, "npi": [1083175061]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 423.34, "providers": [{"billed_charge": 8439.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "650382993"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 377.0, "npi": [1952457541]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 88.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 253.0, "npi": [1841550316]}]}, {"allowed_amount": 141.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 253.0, "npi": [1639343759]}]}, {"allowed_amount": 156.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 253.0, "npi": [1891796082]}]}, {"allowed_amount": 167.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 253.0, "npi": [1013181924, 1962842989, 1639343759, 1891796082, 1447630140, 1326056599, 1033190202, 1700046364, 1003479197]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 235.0, "npi": [1366413486]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 525.09, "providers": [{"billed_charge": 3757.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 525.09, "providers": [{"billed_charge": 4257.0, "npi": [1609408665, 1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.37, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 9775.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 377.0, "npi": [1952457541, 1083312094]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 123.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1184990574]}]}, {"allowed_amount": 164.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 319.0, "npi": [1477930337, 1396122149]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 525.09, "providers": [{"billed_charge": 8958.5, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 582.43, "providers": [{"billed_charge": 4708.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 582.43, "providers": [{"billed_charge": 4393.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 130.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 416.0, "npi": [1811217375, 1316443823]}]}, {"allowed_amount": 225.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 416.0, "npi": [1972732907]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 164.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 614.0, "npi": [1710958913, 1265403430, 1235427857, 1386805109, 1629268537]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 582.43, "providers": [{"billed_charge": 2008.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1008.0, "npi": [1215461868]}]}, {"allowed_amount": 167.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1008.0, "npi": [1821181785, 1548242951, 1295184687]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 110.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 277.0, "npi": [1174558092]}]}, {"allowed_amount": 164.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 277.0, "npi": [1518281781]}]}, {"allowed_amount": 195.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 277.0, "npi": [1518281781]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 582.43, "providers": [{"billed_charge": 7877.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "866007596"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1316275290]}]}]}, {"tin": {"type": "ein", "value": "866007695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 195.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 243.0, "npi": [1821169509]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 167.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1982815296, 1922260033, 1538202528, 1487883427, 1164879177, 1376704395, 1134573645, 1154764462, 1588668370, 1417376823, 1477873495, 1003011933]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 88.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 365.0, "npi": [1821293747]}]}, {"allowed_amount": 167.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 365.0, "npi": [1124462213, 1184034118, 1962768457, 1912438474, 1376906958, 1194016659, 1881875896]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 169.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 573.0, "npi": [1619395431, 1780891945, 1538324660, 1912167933, 1225693310]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 244.0, "npi": [1013327501]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1536.77, "providers": [{"billed_charge": 21638.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "262446556"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 349.0, "npi": [1831161900]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 88.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 305.0, "npi": [1881776821]}]}, {"allowed_amount": 169.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 289.0, "npi": [1598750747]}, {"billed_charge": 305.0, "npi": [1235124561, 1598750747, 1235335324, 1881776821]}]}]}, {"tin": {"type": "ein", "value": "341996544"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 514.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 514.0, "npi": [1609008481]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 869.83, "providers": [{"billed_charge": 6838.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 917.18, "providers": [{"billed_charge": 7599.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 914.74, "providers": [{"billed_charge": 14350.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 88.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 992.0, "npi": [1194213249]}]}, {"allowed_amount": 169.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 992.0, "npi": [1194213249, 1477688612, 1205464740, 1326035486, 1881865996, 1093767725, 1720252844, 1013170414, 1568810802, 1386620276, 1255303962, 1033313630]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 720.01, "providers": [{"billed_charge": 3853.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "421480598"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.66, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 362.0, "npi": [1295097970]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 706.88, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1078.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 917.18, "providers": [{"billed_charge": 5537.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 917.18, "providers": [{"billed_charge": 7599.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "481200790"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 399.0, "npi": [1164537346]}]}]}, {"tin": {"type": "ein", "value": "520893917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1316181092]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 360.52, "providers": [{"billed_charge": 360.52, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 688.63, "providers": [{"billed_charge": 14350.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "560928089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 881.82, "providers": [{"billed_charge": 4115.0, "npi": [1447200233]}]}]}, {"tin": {"type": "ein", "value": "562360411"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3456.73, "providers": [{"billed_charge": 11720.0, "npi": [1477671535]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1009.78, "providers": [{"billed_charge": 7115.0, "npi": [1225050396]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 149.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1760598924]}]}]}, {"tin": {"type": "ein", "value": "593238640"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 342.0, "npi": [1669791844]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 159.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 263.0, "npi": [1720375900]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1047.11, "providers": [{"billed_charge": 7274.24, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "611068999"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 250.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 270.0, "npi": [1245432079]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 688.63, "providers": [{"billed_charge": 14350.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "650382993"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 364.0, "npi": [1952457541]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 71.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.0, "npi": [1386818409, 1700046364]}]}, {"allowed_amount": 88.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.0, "npi": [1700046364]}]}, {"allowed_amount": 169.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.0, "npi": [1801258306, 1013181924, 1386818409, 1841550316, 1962842989, 1639343759, 1891796082, 1902303092, 1932178423, 1326056599, 1033190202, 1700046364, 1003479197, 1417489758]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 223.0, "npi": [1780891150]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 869.83, "providers": [{"billed_charge": 6838.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 869.83, "providers": [{"billed_charge": 5537.0, "npi": [1609408665, 1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 939.69, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 19247.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 364.0, "npi": [1639329741, 1952457541]}]}]}, {"tin": {"type": "ein", "value": "742958277"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 119.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 398.0, "npi": [1164842985]}]}]}, {"tin": {"type": "ein", "value": "810378200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3191.4, "providers": [{"billed_charge": 3429.0, "npi": [1245222306]}]}]}, {"tin": {"type": "ein", "value": "810378200"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 145.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 347.8, "npi": [1598260267]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1536.77, "providers": [{"billed_charge": 6403.43, "npi": [1144781501]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 914.74, "providers": [{"billed_charge": 11837.0, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 169.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1518370113, 1356791206, 1407485014]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3191.4, "providers": [{"billed_charge": 7255.16, "npi": [1720096092]}]}]}, {"tin": {"type": "ein", "value": "840417134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 914.74, "providers": [{"billed_charge": 8431.4, "npi": [1417946021]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 145.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 360.0, "npi": [1407381262]}]}]}, {"tin": {"type": "ein", "value": "841156388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.0, "npi": [1568663227]}]}]}, {"tin": {"type": "ein", "value": "851067265"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 169.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1013901586]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 917.18, "providers": [{"billed_charge": 6804.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 914.74, "providers": [{"billed_charge": 6246.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 688.63, "providers": [{"billed_charge": 4830.0, "npi": [1174512792]}]}, {"allowed_amount": 914.74, "providers": [{"billed_charge": 4830.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 917.18, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1695.11, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 169.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1695.11, "npi": [1194285056]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 416.0, "npi": [1972732907, 1316443823]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3662.36, "providers": [{"billed_charge": 7732.0, "npi": [1053684555]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 103.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 458.0, "npi": [1912968686]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 917.18, "providers": [{"billed_charge": 5015.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 80.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 622.0, "npi": [1821593468]}]}, {"allowed_amount": 169.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 622.0, "npi": [1821069089, 1336273762, 1982675112, 1609938281, 1851592299, 1235427857, 1154552081, 1891710547, 1821593468, 1770781726]}]}]}, {"tin": {"type": "ein", "value": "860513957"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 63.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 261.0, "npi": [1164418158, 1265428254]}]}, {"allowed_amount": 101.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 261.0, "npi": [1043475247]}]}]}, {"tin": {"type": "ein", "value": "860719855"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 418.0, "npi": [1326301383]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 917.18, "providers": [{"billed_charge": 2126.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 16.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1030.0, "npi": [1386627206]}]}, {"allowed_amount": 88.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.0, "npi": [1639343759]}, {"billed_charge": 1030.0, "npi": [1285838292]}]}, {"allowed_amount": 169.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1030.0, "npi": [1083904858, 1912932005]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 539.9, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 539.9, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 88.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 228.63, "npi": [1487035440]}]}, {"allowed_amount": 169.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 228.63, "npi": [1366490617, 1093077356]}]}]}, {"tin": {"type": "ein", "value": "860817397"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 88.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 228.63, "npi": [1598064099]}, {"billed_charge": 314.0, "npi": [1316142029]}, {"billed_charge": 1290.0, "npi": [1326301383]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 103.97, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 278.0, "npi": [1922291863]}]}, {"allowed_amount": 169.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 278.0, "npi": [1467912352, 1972657633, 1609005289, 1104883693, 1518942861, 1396949111]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 917.18, "providers": [{"billed_charge": 11837.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "866007695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 244.0, "npi": [1821169509]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1581.46, "providers": [{"billed_charge": 18696.0, "npi": [1447393152]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 307.0, "npi": [1669826913]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 88.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 313.2, "npi": [1114905007]}]}, {"allowed_amount": 169.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 313.2, "npi": [1184771073, 1376704395, 1679991442, 1104872092, 1487883427, 1154764462, 1699941039, 1114905007, 1417376823, 1528027448, 1063620540, 1982815296, 1922260033, 1164460358, 1164879177, 1659374544, 1508094673, 1588668370, 1780908368, 1942408661, 1588651236, 1932491495, 1437356268, 1780952176, 1245218171]}]}]}, {"tin": {"type": "ein", "value": "941322200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3456.73, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3480.0, "npi": [1396848677]}]}]}, {"tin": {"type": "ein", "value": "941322200"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 464.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 464.0, "npi": [1700961489]}]}]}, {"tin": {"type": "ein", "value": "942745413"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.89, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1946.0, "npi": [1851369706]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 297.28, "npi": [1306042957]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3456.73, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 4655.0, "npi": [1962444059]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 643.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 643.0, "npi": [1619962115]}]}]}, {"tin": {"type": "ein", "value": "954747393"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 477.0, "npi": [1568620268]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 830.75, "providers": [{"billed_charge": 8949.41, "npi": [1457321317]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 81.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 366.0, "npi": [1326303736]}]}, {"allowed_amount": 169.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 366.0, "npi": [1639305378, 1124462213, 1184034118, 1659506921, 1710304746, 1376906958, 1821293747, 1194016659, 1881875896, 1093174617, 1144753658, 1548469372]}]}]}]}, {"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": "205245674"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 745.19, "providers": [{"billed_charge": 2442.25, "npi": [1871501916]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 289.0, "npi": [1235124561, 1881776821]}]}]}, {"tin": {"type": "ein", "value": "364015560"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 117.86, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 377.0, "npi": [1316098387]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1601.97, "providers": [{"billed_charge": 5243.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 162.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 945.0, "npi": [1255303962, 1881865996, 1245423045]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 575.85, "providers": [{"billed_charge": 4688.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 575.85, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 817.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1601.97, "providers": [{"billed_charge": 3488.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1601.97, "providers": [{"billed_charge": 5243.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "473448483"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2204.33, "providers": [{"billed_charge": 2957.0, "npi": [1164102794]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 603.63, "providers": [{"billed_charge": 13128.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "540787833"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 348.0, "npi": [1376906958]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.0, "npi": [1659494334]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 603.63, "providers": [{"billed_charge": 13128.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 67.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 242.0, "npi": [1386818409]}]}, {"allowed_amount": 84.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 242.0, "npi": [1386818409]}]}, {"allowed_amount": 162.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 242.0, "npi": [1801258306, 1962842989]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 464.01, "providers": [{"billed_charge": 4034.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 464.01, "providers": [{"billed_charge": 3488.0, "npi": [1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "810232122"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 141.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 188.0, "npi": [1891180022]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 149.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 305.0, "npi": [1033746417, 1881199669]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 464.01, "providers": [{"billed_charge": 10099.3, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "851067265"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 162.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1609337666]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1601.97, "providers": [{"billed_charge": 6700.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1601.97, "providers": [{"billed_charge": 6693.72, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1601.97, "providers": [{"billed_charge": 3040.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1601.97, "providers": [{"billed_charge": 1688.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1050.0, "npi": [1942434667, 1912932005]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 99.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1386006419]}]}, {"allowed_amount": 149.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1609005289]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1601.97, "providers": [{"billed_charge": 8071.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 162.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 298.8, "npi": [1982815296, 1922260033, 1538202528, 1487883427, 1134573645, 1154764462, 1568658524, 1194836528, 1508094673, 1114121746, 1780872564, 1891807863, 1528027448, 1063620540, 1245339357]}]}]}, {"tin": {"type": "ein", "value": "934627934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 254.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.0, "npi": [1437188604]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 162.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 348.0, "npi": [1457586562, 1962768457, 1669490413, 1194016659, 1881875896]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 44.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1083975460]}]}, {"allowed_amount": 82.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1538324660]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 729.45, "providers": [{"billed_charge": 11856.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 379.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1871957308]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1881776821]}]}, {"allowed_amount": 82.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1235335324, 1881776821]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 502.78, "providers": [{"billed_charge": 4506.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362675634"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 454.0, "npi": [1215148002]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 415.79, "providers": [{"billed_charge": 4520.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.65, "providers": [{"billed_charge": 5947.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 549.0, "npi": [1194702266, 1568810802, 1326035486]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 586.34, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 817.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 415.79, "providers": [{"billed_charge": 4787.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 415.79, "providers": [{"billed_charge": 4520.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "473840514"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1396949111]}]}]}, {"tin": {"type": "ein", "value": "520893917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1316181092]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 215.17, "providers": [{"billed_charge": 215.17, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 709.18, "providers": [{"billed_charge": 4515.0, "npi": [1225050396]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 830.0, "npi": [1720548365, 1770534869]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 458.09, "providers": [{"billed_charge": 5947.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 502.78, "providers": [{"billed_charge": 4787.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 830.0, "npi": [1033399860]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 187.0, "npi": [1033746417, 1992960298, 1215257670, 1407485014]}]}]}, {"tin": {"type": "ein", "value": "834721282"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 629.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 830.0, "npi": [1407821283]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1736.68, "providers": [{"billed_charge": 4677.98, "npi": [1720096092]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 989.98, "providers": [{"billed_charge": 4899.2, "npi": [1689688988]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 81.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 238.0, "npi": [1306906391]}]}]}, {"tin": {"type": "ein", "value": "840597929"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 210.0, "npi": [1700449618]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.65, "providers": [{"billed_charge": 3957.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.65, "providers": [{"billed_charge": 3289.86, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 416.65, "providers": [{"billed_charge": 2090.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860171900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2135.1, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2274.1, "npi": [1699766592]}]}]}, {"tin": {"type": "ein", "value": "860171900"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 58.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 391.23, "npi": [1447380977]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 51.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1316443823]}]}, {"allowed_amount": 52.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1376835264]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2135.1, "providers": [{"billed_charge": 4524.0, "npi": [1053684555]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 58.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1649348608]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 415.79, "providers": [{"billed_charge": 2500.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 90.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 335.0, "npi": [1376523589, 1487920815]}]}]}, {"tin": {"type": "ein", "value": "860513957"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 201.0, "npi": [1932171618, 1669468526]}]}]}, {"tin": {"type": "ein", "value": "860661043"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 48.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1467612648, 1235182106, 1861608770, 1609841790]}]}, {"allowed_amount": 82.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1306404579, 1902002504, 1467612648, 1518526094, 1700271285, 1235182106, 1609841790]}]}]}, {"tin": {"type": "ein", "value": "860719855"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 311.0, "npi": [1114940228]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 415.79, "providers": [{"billed_charge": 1022.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 470.0, "npi": [1215461868]}]}, {"allowed_amount": 82.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 470.0, "npi": [1942434667]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 48.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1205253549]}]}, {"allowed_amount": 58.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1922291863]}]}, {"allowed_amount": 90.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.0, "npi": [1174558092, 1205253549, 1922291863]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1215318217]}]}, {"allowed_amount": 82.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1104083781, 1154764462, 1508094673, 1427272756, 1477873495, 1063620540]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2484.44, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 3435.0, "npi": [1962444059]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 285.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 285.0, "npi": [1619962115]}]}]}, {"tin": {"type": "ein", "value": "954368744"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 263.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 263.0, "npi": [1740437441]}]}]}, {"tin": {"type": "ein", "value": "954540991"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1477978534]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 435.16, "providers": [{"billed_charge": 2940.0, "npi": [1902803315]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1194016659, 1548469372]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 38.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1083975460]}]}, {"allowed_amount": 67.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1336457381, 1336128461, 1538324660, 1073775482, 1912167933]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 682.48, "providers": [{"billed_charge": 8986.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "237094247"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 48.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 878.0, "npi": [1487946463]}]}]}, {"tin": {"type": "ein", "value": "262273357"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 86.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 128.0, "npi": [1245295443]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1881776821]}]}, {"allowed_amount": 67.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 144.0, "npi": [1235124561, 1598750747, 1235335324, 1881776821]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 360.2, "providers": [{"billed_charge": 3366.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362675634"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 51.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 359.0, "npi": [1215148002]}]}, {"allowed_amount": 57.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 359.0, "npi": [1710142237]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 219.0, "npi": [1093715864]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 297.18, "providers": [{"billed_charge": 3638.0, "npi": [1689121188]}]}, {"allowed_amount": 366.11, "providers": [{"billed_charge": 3638.0, "npi": [1689121188]}]}, {"allowed_amount": 451.87, "providers": [{"billed_charge": 3638.0, "npi": [1164050316]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 371.28, "providers": [{"billed_charge": 7752.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 38.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 466.0, "npi": [1982019113, 1497926547]}]}, {"allowed_amount": 41.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 466.0, "npi": [1477688612]}]}, {"allowed_amount": 67.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 466.0, "npi": [1194213249, 1477688612, 1245423045, 1952358665, 1477998250, 1881865996, 1720252844, 1427016468, 1194702266]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 351.85, "providers": [{"billed_charge": 1244.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "421480598"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1013478742]}]}]}, {"tin": {"type": "ein", "value": "431041516"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 299.0, "npi": [1992739031]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 181.04, "providers": [{"billed_charge": 3403.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 181.04, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 817.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "446005747"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 181.04, "providers": [{"billed_charge": 1568.0, "npi": [1629062799]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 366.11, "providers": [{"billed_charge": 3321.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 366.11, "providers": [{"billed_charge": 3638.0, "npi": [1154748416]}]}, {"allowed_amount": 453.6, "providers": [{"billed_charge": 3638.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "473840514"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1396949111]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 477.5, "providers": [{"billed_charge": 1933.0, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "481191854"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 126.0, "npi": [1053393199]}]}]}, {"tin": {"type": "ein", "value": "520893917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 73.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 85.0, "npi": [1316181092]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.14, "providers": [{"billed_charge": 122.14, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 466.26, "providers": [{"billed_charge": 7752.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 646.3, "providers": [{"billed_charge": 3990.0, "npi": [1225050396]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1770534869, 1720548365]}]}]}, {"tin": {"type": "ein", "value": "593238640"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1134212376, 1558326736]}]}, {"allowed_amount": 72.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1669791844]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 65.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.0, "npi": [1508183088, 1679637722, 1982690624, 1548477060]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 466.26, "providers": [{"billed_charge": 7752.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "634180522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 88.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1700449618]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 360.2, "providers": [{"billed_charge": 3366.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 360.2, "providers": [{"billed_charge": 3321.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1730342841]}]}]}, {"tin": {"type": "ein", "value": "813600828"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 41.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1457586562]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 505.93, "providers": [{"billed_charge": 3018.0, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 149.0, "npi": [1033746417, 1992960298, 1215257670, 1407485014]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 360.2, "providers": [{"billed_charge": 7744.1, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "834721282"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 495.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1124128798]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 832.23, "providers": [{"billed_charge": 4996.47, "npi": [1689688988]}]}]}, {"tin": {"type": "ein", "value": "840597929"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1700449618]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 832.23, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 5857.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "841337350"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1415.41, "providers": [{"billed_charge": 1610.0, "npi": [1649241571]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 656.61, "providers": [{"billed_charge": 1071.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "850214117"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 66.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1124380324]}]}]}, {"tin": {"type": "ein", "value": "851067265"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 89.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1043451461]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 371.28, "providers": [{"billed_charge": 2978.0, "npi": [1902897820]}, {"billed_charge": 3276.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 371.28, "providers": [{"billed_charge": 2199.17, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 371.28, "providers": [{"billed_charge": 2128.0, "npi": [1174512792]}]}, {"allowed_amount": 505.22, "providers": [{"billed_charge": 2128.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860171900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1708.82, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1985.74, "npi": [1699766592]}]}]}, {"tin": {"type": "ein", "value": "860171900"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 318.93, "npi": [1447380977]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 366.11, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 681.66, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 41.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1316443823]}]}, {"allowed_amount": 44.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1376835264]}]}, {"allowed_amount": 61.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1316443823, 1427555903]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1708.82, "providers": [{"billed_charge": 3506.0, "npi": [1053684555]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 48.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 246.0, "npi": [1649348608]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 366.11, "providers": [{"billed_charge": 2500.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 288.0, "npi": [1689054918, 1487920815]}]}, {"allowed_amount": 37.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 288.0, "npi": [1568514289]}]}, {"allowed_amount": 72.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 288.0, "npi": [1689988644, 1376523589, 1730373127, 1174844807, 1487920815, 1184187486]}]}, {"allowed_amount": 80.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 288.0, "npi": [1558892240]}]}]}, {"tin": {"type": "ein", "value": "860513957"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 41.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1043475247]}]}, {"allowed_amount": 44.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1669468526, 1043475247]}]}, {"allowed_amount": 89.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 155.0, "npi": [1043475247]}]}]}, {"tin": {"type": "ein", "value": "860661043"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 41.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1861608770, 1306404579, 1467612648, 1518526094, 1700271285, 1235182106, 1609841790]}]}, {"allowed_amount": 67.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 182.0, "npi": [1861608770, 1306404579, 1467612648, 1902002504, 1518526094, 1700271285, 1235182106, 1609841790]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 366.11, "providers": [{"billed_charge": 860.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 38.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 405.0, "npi": [1215461868]}]}, {"allowed_amount": 41.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1306070453]}, {"billed_charge": 405.0, "npi": [1245619808, 1861654550]}]}, {"allowed_amount": 67.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 405.0, "npi": [1215461868]}]}]}, {"tin": {"type": "ein", "value": "860817397"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 331.0, "npi": [1326301383]}]}]}, {"tin": {"type": "ein", "value": "860836216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1376835264]}]}]}, {"tin": {"type": "ein", "value": "860882592"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1861481806, 1548259526]}]}]}, {"tin": {"type": "ein", "value": "860930581"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1164699765]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 41.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1205253549]}]}, {"allowed_amount": 48.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1780813105]}]}, {"allowed_amount": 72.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1790737096, 1174558092, 1205253549, 1922291863]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 366.11, "providers": [{"billed_charge": 9416.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "866007695"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 41.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1821169509]}, {"billed_charge": 466.0, "npi": [1962472464]}]}]}, {"tin": {"type": "ein", "value": "900730387"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 51.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 121.0, "npi": [1033262985]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 41.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1780952176, 1508094673, 1457587073, 1477873495]}]}, {"allowed_amount": 42.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1568440089]}]}, {"allowed_amount": 67.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1457587073, 1477812873, 1669450128, 1174642839, 1912939679, 1538202528, 1487883427, 1194836528, 1255321014, 1144364605, 1922260033, 1104083781, 1093030470, 1659541449, 1508094673, 1477873495, 1063433563, 1841278306, 1659359586, 1437356268, 1780952176, 1598727679]}]}, {"allowed_amount": 89.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1902918287]}]}]}, {"tin": {"type": "ein", "value": "920878951"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 332.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 114.0, "npi": [1144238379]}]}]}, {"tin": {"type": "ein", "value": "942745413"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 733.0, "npi": [1851369706]}]}]}, {"tin": {"type": "ein", "value": "946004062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1545.95, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2380.0, "npi": [1538265780]}]}]}, {"tin": {"type": "ein", "value": "946004062"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 250.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1770937427]}]}]}, {"tin": {"type": "ein", "value": "951183919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1545.95, "providers": [{"billed_charge": 9670.0, "npi": [1780681189]}]}]}, {"tin": {"type": "ein", "value": "952598917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1215208673]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1545.95, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2916.0, "npi": [1962444059]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 228.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 228.0, "npi": [1619962115]}]}]}, {"tin": {"type": "ein", "value": "953365198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 166.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 166.0, "npi": [1518130442]}]}]}, {"tin": {"type": "ein", "value": "954368744"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 216.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1740437441]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 650.4, "providers": [{"billed_charge": 2940.0, "npi": [1902803315]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 41.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1881875896, 1669490413]}]}, {"allowed_amount": 51.04, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1114245990]}]}, {"allowed_amount": 67.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1306937198, 1376906958, 1518917582, 1881875896, 1194847038]}]}, {"allowed_amount": 99.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1962768457]}]}, {"allowed_amount": 131.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1962768457]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1487645719]}]}]}, {"tin": {"type": "ein", "value": "364769142"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 39.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 413.46, "npi": [1942284278]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.97, "providers": [{"billed_charge": 2367.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.97, "providers": [{"billed_charge": 1971.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "520893917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1316181092]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 209.34, "providers": [{"billed_charge": 209.34, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 83.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1801258306, 1386818409, 1932178423, 1700046364, 1417489758]}]}, {"allowed_amount": 96.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1417489758]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 176.0, "npi": [1033746417]}]}]}, {"tin": {"type": "ein", "value": "841343242"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 210.51, "providers": [{"billed_charge": 2983.77, "npi": [1689624686]}]}]}, {"tin": {"type": "ein", "value": "841343242"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 85.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 413.46, "npi": [1942284278]}]}]}, {"tin": {"type": "ein", "value": "860817397"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.68, "npi": [1215914619]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1518942861]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1982068243]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1538324660]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 169.0, "npi": [1598750747]}]}]}, {"tin": {"type": "ein", "value": "362675634"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 460.0, "npi": [1215148002]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 597.08, "providers": [{"billed_charge": 4520.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 549.0, "npi": [1326035486]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 597.08, "providers": [{"billed_charge": 5133.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 597.08, "providers": [{"billed_charge": 4520.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "520893917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1316181092]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 209.34, "providers": [{"billed_charge": 209.34, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "550383321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 490.18, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1645.0, "npi": [1457389249]}]}]}, {"tin": {"type": "ein", "value": "550492006"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 191.0, "npi": [1548615594]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 561.47, "providers": [{"billed_charge": 5947.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 554.42, "providers": [{"billed_charge": 4665.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 554.42, "providers": [{"billed_charge": 5133.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 176.0, "npi": [1518370113, 1407485014]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 597.08, "providers": [{"billed_charge": 2001.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860661043"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 48.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1902002504, 1235182106, 1518526094]}]}, {"allowed_amount": 78.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1306404579, 1467612648, 1902002504, 1518526094, 1700271285, 1609841790]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 597.08, "providers": [{"billed_charge": 1050.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 507.0, "npi": [1215461868]}]}, {"allowed_amount": 78.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 507.0, "npi": [1942434667, 1215461868]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1174558092]}]}]}, {"tin": {"type": "ein", "value": "884230887"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 597.08, "providers": [{"billed_charge": 6804.0, "npi": [1396452108]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1891807863]}]}, {"allowed_amount": 78.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1912939679, 1164460358, 1659374544, 1922024306, 1396770111]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 199.0, "npi": [1114245990]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 38.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1083975460]}]}, {"allowed_amount": 78.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 267.0, "npi": [1538324660]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1881776821]}]}, {"allowed_amount": 78.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 145.0, "npi": [1235335324]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 298.06, "providers": [{"billed_charge": 5826.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 470.0, "npi": [1881865996]}]}]}, {"tin": {"type": "ein", "value": "421057180"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1356547756]}]}]}, {"tin": {"type": "ein", "value": "421437483"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 474.58, "providers": [{"billed_charge": 1972.0, "npi": [1659348506]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 298.06, "providers": [{"billed_charge": 2315.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 298.06, "providers": [{"billed_charge": 3005.0, "npi": [1154748416]}]}, {"allowed_amount": 300.18, "providers": [{"billed_charge": 3005.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 390.95, "providers": [{"billed_charge": 5826.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 603.37, "providers": [{"billed_charge": 2315.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1215257670]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 298.06, "providers": [{"billed_charge": 2510.38, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 195.0, "npi": [1376835264]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 298.06, "providers": [{"billed_charge": 2102.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 293.0, "npi": [1174844807]}]}]}, {"tin": {"type": "ein", "value": "860661043"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 41.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1609841790]}]}, {"allowed_amount": 78.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1467612648, 1902002504, 1518526094, 1700271285, 1235182106]}]}]}, {"tin": {"type": "ein", "value": "860882592"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 768.0, "npi": [1861481806]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1922291863]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 41.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1154764462]}]}, {"allowed_amount": 78.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1386806362, 1063620540, 1477873495]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1782.5, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 2916.0, "npi": [1962444059]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 273.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 273.0, "npi": [1619962115]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 78.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.0, "npi": [1548469372]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1538324660]}]}]}, {"tin": {"type": "ein", "value": "362675634"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 476.0, "npi": [1215148002]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 332.99, "providers": [{"billed_charge": 4520.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 332.99, "providers": [{"billed_charge": 4864.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 332.99, "providers": [{"billed_charge": 4520.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "520893917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 85.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1316181092]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 209.34, "providers": [{"billed_charge": 209.34, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1017.96, "providers": [{"billed_charge": 5947.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 451.62, "providers": [{"billed_charge": 4864.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 176.0, "npi": [1518370113, 1407485014]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 332.99, "providers": [{"billed_charge": 2128.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 334.0, "npi": [1487920815]}]}]}, {"tin": {"type": "ein", "value": "860661043"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 48.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1235182106]}]}, {"allowed_amount": 78.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1306404579, 1467612648, 1902002504, 1518526094, 1700271285]}]}, {"allowed_amount": 96.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1609841790]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 332.99, "providers": [{"billed_charge": 1162.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 44.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 495.0, "npi": [1215461868]}]}, {"allowed_amount": 78.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 495.0, "npi": [1942434667]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 153.0, "npi": [1174558092]}]}]}, {"tin": {"type": "ein", "value": "884230887"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 332.99, "providers": [{"billed_charge": 6804.0, "npi": [1396452108]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 366.0, "npi": [1780891945, 1538324660]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1440.19, "providers": [{"billed_charge": 10346.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 107.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1598750747]}, {"billed_charge": 196.0, "npi": [1598750747, 1235335324]}]}, {"allowed_amount": 263.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1881776821]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 636.0, "npi": [1720252844]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 327.89, "providers": [{"billed_charge": 4799.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "520893917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1316181092]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 273.29, "providers": [{"billed_charge": 273.29, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 447.37, "providers": [{"billed_charge": 4068.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 753.3, "providers": [{"billed_charge": 5095.0, "npi": [1225050396]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.32, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 897.0, "npi": [1760598924]}]}]}, {"tin": {"type": "ein", "value": "593238640"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 227.0, "npi": [1669791844]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1164552014]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 389.81, "providers": [{"billed_charge": 8509.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "19", "21"], "payments": [{"allowed_amount": 107.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 173.0, "npi": [1013181924, 1841550316, 1891796082, 1902303092, 1932178423, 1326056599, 1033190202, 1003479197, 1417489758]}]}, {"allowed_amount": 116.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 173.0, "npi": [1386818409, 1841550316, 1417489758]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 547.95, "providers": [{"billed_charge": 4260.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 547.95, "providers": [{"billed_charge": 3942.0, "npi": [1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 115.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 218.0, "npi": [1518370113, 1407485014]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1901.96, "providers": [{"billed_charge": 6008.21, "npi": [1720096092]}]}]}, {"tin": {"type": "ein", "value": "840592164"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 95.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 254.0, "npi": [1407381262]}]}]}, {"tin": {"type": "ein", "value": "851067265"}, "billing_class": "professional", "service_codes": ["23", "11", "21"], "payments": [{"allowed_amount": 107.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 181.0, "npi": [1013901586]}]}, {"allowed_amount": 145.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 173.0, "npi": [1033190202, 1700046364]}]}]}, {"tin": {"type": "ein", "value": "851762276"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1114975760]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 327.89, "providers": [{"billed_charge": 3736.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 327.89, "providers": [{"billed_charge": 2327.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 107.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1084.55, "npi": [1194285056]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 285.0, "npi": [1376906958]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2068.42, "providers": [{"billed_charge": 4110.0, "npi": [1053684555]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 74.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 313.0, "npi": [1740398643]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 425.0, "npi": [1346436789]}]}, {"allowed_amount": 115.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 425.0, "npi": [1336273762]}]}]}, {"tin": {"type": "ein", "value": "860513957"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 52.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 216.0, "npi": [1043475247]}]}]}, {"tin": {"type": "ein", "value": "860719852"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 71.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 269.0, "npi": [1548528029]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 327.89, "providers": [{"billed_charge": 1351.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 52.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 610.0, "npi": [1215461868]}]}, {"allowed_amount": 145.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 173.0, "npi": [1013181924, 1003479197]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 74.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1790737096]}]}, {"allowed_amount": 115.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 190.0, "npi": [1609005289, 1366413486]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 196.0, "npi": [1669826913]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 107.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1184771073, 1164460358, 1114905007, 1588668370, 1942408661, 1417376823, 1063620540]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2535.53, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 4059.0, "npi": [1962444059]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 356.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 356.0, "npi": [1619962115]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 107.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1194016659, 1548469372, 1194847038]}]}]}]}, {"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": "262157500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 208.0, "npi": [1760421432]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 550.62, "providers": [{"billed_charge": 6859.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 101.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 585.0, "npi": [1477998250, 1881865996, 1568810802]}]}, {"allowed_amount": 136.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 585.0, "npi": [1255303962]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 550.62, "providers": [{"billed_charge": 2981.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 101.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1639343759, 1841550316, 1417489758, 1932178423]}]}, {"allowed_amount": 136.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1962842989]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 497.86, "providers": [{"billed_charge": 2365.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "741680498"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 106.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 768.0, "npi": [1043214901]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 542.15, "providers": [{"billed_charge": 2966.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 550.62, "providers": [{"billed_charge": 1880.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 66.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 156.0, "npi": [1922291863]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 550.62, "providers": [{"billed_charge": 9753.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 101.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 250.0, "npi": [1437356268, 1194836528, 1376687954, 1780872564, 1417376823, 1417975418]}]}]}]}, {"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": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.19, "providers": [{"billed_charge": 373.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.71, "providers": [{"billed_charge": 206.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "381405141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.65, "providers": [{"billed_charge": 30.0, "npi": [1295785285]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.95, "providers": [{"billed_charge": 242.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.95, "providers": [{"billed_charge": 272.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.95, "providers": [{"billed_charge": 242.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.06, "providers": [{"billed_charge": 188.01, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.19, "providers": [{"billed_charge": 373.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.19, "providers": [{"billed_charge": 272.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.06, "providers": [{"billed_charge": 167.0, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.19, "providers": [{"billed_charge": 266.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.95, "providers": [{"billed_charge": 54.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.67, "providers": [{"billed_charge": 46.67, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.95, "providers": [{"billed_charge": 112.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.0, "providers": [{"billed_charge": 35.0, "npi": [1154392231]}]}]}]}, {"name": "Creatinine; blood", "billing_code_type": "CPT", "billing_code": "82565", "billing_code_type_version": "2022", "description": "CREATININE BLOOD", "allowed_amounts": [{"tin": {"type": "ein", "value": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.07, "providers": [{"billed_charge": 95.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.0, "providers": [{"billed_charge": 9.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.42, "providers": [{"billed_charge": 80.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.42, "providers": [{"billed_charge": 80.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "626002166"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.59, "providers": [{"billed_charge": 55.0, "npi": [1275531956]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.42, "providers": [{"billed_charge": 61.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.42, "providers": [{"billed_charge": 71.0, "npi": [1760480503]}]}]}]}, {"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": "141842517"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.73, "providers": [{"billed_charge": 717.0, "npi": [1780147041]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.73, "providers": [{"billed_charge": 933.0, "npi": [1831140995, 1780244061]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 336.09, "providers": [{"billed_charge": 979.0, "npi": [1619122199]}, {"billed_charge": 1036.0, "npi": [1679397269]}]}, {"allowed_amount": 395.4, "providers": [{"billed_charge": 1036.0, "npi": [1457641755]}]}]}, {"tin": {"type": "ein", "value": "274733725"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.57, "providers": [{"billed_charge": 480.0, "npi": [1386173425, 1275057598, 1235417551]}]}, {"allowed_amount": 148.07, "providers": [{"billed_charge": 480.0, "npi": [1225522212]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.73, "providers": [{"billed_charge": 1132.7, "npi": [1225349715, 1285097899]}]}]}, {"tin": {"type": "ein", "value": "384059067"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 122.73, "providers": [{"billed_charge": 1700.0, "npi": [1790198802]}]}]}, {"tin": {"type": "ein", "value": "451775655"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 203.0, "providers": [{"billed_charge": 203.0, "npi": [1922209600, 1962630269]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 395.4, "providers": [{"billed_charge": 979.0, "npi": [1447831623, 1518608678, 1639225527]}]}]}, {"tin": {"type": "ein", "value": "471554329"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.57, "providers": [{"billed_charge": 218.0, "npi": [1801235304, 1669422119]}]}, {"allowed_amount": 148.07, "providers": [{"billed_charge": 218.0, "npi": [1013567064]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.57, "providers": [{"billed_charge": 310.0, "npi": [1861922510, 1871937151]}]}]}, {"tin": {"type": "ein", "value": "814965916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.57, "providers": [{"billed_charge": 427.0, "npi": [1184129249]}]}]}, {"tin": {"type": "ein", "value": "852016118"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.57, "providers": [{"billed_charge": 117.86, "npi": [1093869414]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 134.6, "providers": [{"billed_charge": 671.0, "npi": [1184912867]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 122.73, "providers": [{"billed_charge": 825.0, "npi": [1326501313, 1366020042, 1740870922, 1740771245]}]}]}]}, {"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": "010887199"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 281.32, "providers": [{"billed_charge": 490.0, "npi": [1548263825, 1861842148]}]}]}, {"tin": {"type": "ein", "value": "141842517"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 1424.0, "npi": [1396773073, 1790870210]}]}, {"allowed_amount": 245.35, "providers": [{"billed_charge": 1424.0, "npi": [1780147041, 1790870210, 1770504292, 1003911561, 1225615529, 1265729867, 1609281617, 1558895409, 1679505747, 1386140820, 1962686360, 1902821374, 1841866712, 1144471640, 1306379953, 1346449626, 1649613118, 1952333247]}]}, {"allowed_amount": 281.32, "providers": [{"billed_charge": 1424.0, "npi": [1194989822]}]}]}, {"tin": {"type": "ein", "value": "200552815"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 182.97, "providers": [{"billed_charge": 415.23, "npi": [1427269638]}]}, {"allowed_amount": 281.32, "providers": [{"billed_charge": 415.23, "npi": [1184835282, 1427269638]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 281.32, "providers": [{"billed_charge": 1032.0, "npi": [1619439916, 1235450214]}]}, {"allowed_amount": 294.82, "providers": [{"billed_charge": 1032.0, "npi": [1346840519]}]}]}, {"tin": {"type": "ein", "value": "203237708"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 281.32, "providers": [{"billed_charge": 652.0, "npi": [1942548565]}]}, {"allowed_amount": 294.82, "providers": [{"billed_charge": 652.0, "npi": [1730130469, 1891060612, 1972065365, 1346330412]}]}]}, {"tin": {"type": "ein", "value": "203943524"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 617.0, "providers": [{"billed_charge": 617.0, "npi": [1245632389]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 167.62, "providers": [{"billed_charge": 1863.0, "npi": [1164266656, 1700751484]}]}, {"allowed_amount": 186.25, "providers": [{"billed_charge": 1863.0, "npi": [1225561384, 1568578482, 1609220078, 1427599158]}]}, {"allowed_amount": 245.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1863.0, "npi": [1831140995, 1376103044, 1902303621, 1922057348, 1518487701, 1134667157, 1386862118, 1275713703, 1629501481, 1972966828, 1124606389, 1780179259, 1558569533, 1023577921, 1134431687, 1891029328, 1982091732, 1073860441, 1578548442, 1780244061, 1912982877, 1164612578, 1083913826, 1053511527, 1033504360, 1811162217, 1124521976]}]}, {"allowed_amount": 294.82, "providers": [{"billed_charge": 1863.0, "npi": [1255691713, 1588122923, 1598411308, 1538966288, 1730666264, 1073131421, 1326416926]}]}, {"allowed_amount": 1863.0, "providers": [{"billed_charge": 1863.0, "npi": [1356184311, 1477836203, 1326416926, 1275713703]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 1863.0, "npi": [1457351108]}]}, {"allowed_amount": 268.02, "providers": [{"billed_charge": 1863.0, "npi": [1851552368, 1144758442, 1558001156, 1740854108]}]}, {"allowed_amount": 727.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1863.0, "npi": [1568826923, 1033671342]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 669.31, "providers": [{"billed_charge": 1951.0, "npi": [1043925415, 1619122199]}, {"billed_charge": 2096.0, "npi": [1902056708, 1679397269]}, {"billed_charge": 2099.0, "npi": [1346541448, 1386338507]}]}, {"allowed_amount": 787.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2053.0, "npi": [1063099216, 1851920060, 1053370981]}, {"billed_charge": 2096.0, "npi": [1952976516, 1619464260, 1386010668, 1871971598, 1992061071, 1952456816, 1477909521, 1457641755]}, {"billed_charge": 2099.0, "npi": [1598119588, 1033498373, 1902998727, 1265852552, 1861874125, 1811316334, 1932603917, 1023022456]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 245.35, "providers": [{"billed_charge": 558.0, "npi": [1467034868]}]}]}, {"tin": {"type": "ein", "value": "232380812"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 411.96, "providers": [{"billed_charge": 659.0, "npi": [1235667072]}]}]}, {"tin": {"type": "ein", "value": "264691812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 294.82, "providers": [{"billed_charge": 521.68, "npi": [1154940088, 1265662928, 1770227795, 1033327119]}]}]}, {"tin": {"type": "ein", "value": "274096788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1027.58, "providers": [{"billed_charge": 1919.53, "npi": [1275068033]}]}]}, {"tin": {"type": "ein", "value": "274733725"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 940.0, "npi": [1235417551]}]}, {"allowed_amount": 281.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 940.0, "npi": [1386173425, 1275057598, 1235417551]}]}, {"allowed_amount": 294.82, "providers": [{"billed_charge": 940.0, "npi": [1225522212]}]}]}, {"tin": {"type": "ein", "value": "274933934"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 1863.0, "npi": [1811162217]}]}]}, {"tin": {"type": "ein", "value": "330516944"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 1027.58, "providers": [{"billed_charge": 2101.0, "npi": [1043779069]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 245.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2258.28, "npi": [1083290944, 1669961157, 1063669158, 1285097899, 1942465356, 1790972396, 1689296592, 1518297753, 1023090099, 1225349715, 1790859221, 1568967545]}]}, {"allowed_amount": 294.82, "providers": [{"billed_charge": 985.0, "npi": [1396804084]}, {"billed_charge": 2258.28, "npi": [1366622672, 1194164285, 1497033468, 1942971213]}]}]}, {"tin": {"type": "ein", "value": "334146450"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 294.82, "providers": [{"billed_charge": 553.08, "npi": [1912153222]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2087.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 13090.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 268.02, "providers": [{"billed_charge": 617.0, "npi": [1457611725]}]}, {"allowed_amount": 617.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 617.0, "npi": [1023138443]}]}]}, {"tin": {"type": "ein", "value": "382537427"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 538.83, "providers": [{"billed_charge": 1192.0, "npi": [1811330467]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1552.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 12068.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384059067"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 245.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3400.0, "npi": [1790198802, 1003014044]}]}]}, {"tin": {"type": "ein", "value": "451775655"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 405.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 405.0, "npi": [1922209600, 1447430491, 1962630269]}]}]}, {"tin": {"type": "ein", "value": "454510726"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 254.01, "providers": [{"billed_charge": 534.5, "npi": [1457560492]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 1986.0, "npi": [1588124275]}]}, {"allowed_amount": 787.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1399.0, "npi": [1518130533, 1801325030, 1215514310, 1649808312, 1417318361]}, {"billed_charge": 1950.0, "npi": [1518608678, 1447831623, 1225294887, 1255913836, 1275761900, 1871500496, 1639225527]}, {"billed_charge": 2116.0, "npi": [1699260331, 1285377531]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1552.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9571.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "464363525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 294.82, "providers": [{"billed_charge": 395.0, "npi": [1639168487]}]}]}, {"tin": {"type": "ein", "value": "471554329"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 281.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 552.0, "npi": [1801235304, 1669422119]}]}, {"allowed_amount": 294.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 552.0, "npi": [1013567064]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1552.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 12068.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "473689506"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 281.32, "providers": [{"billed_charge": 553.08, "npi": [1598997348]}]}]}, {"tin": {"type": "ein", "value": "591281714"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 885.04, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2227.0, "npi": [1003299314, 1215341540, 1225532724]}]}]}, {"tin": {"type": "ein", "value": "593214635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 330.86, "providers": [{"billed_charge": 870.0, "npi": [1871988154]}]}]}, {"tin": {"type": "ein", "value": "593238640"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 382.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 507.0, "npi": [1225068679]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 321.16, "providers": [{"billed_charge": 826.0, "npi": [1871055723, 1932562501]}]}, {"allowed_amount": 330.86, "providers": [{"billed_charge": 826.0, "npi": [1679754600, 1912164575]}]}, {"allowed_amount": 351.62, "providers": [{"billed_charge": 826.0, "npi": [1700613650]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 615.0, "npi": [1902291016]}]}, {"allowed_amount": 245.35, "providers": [{"billed_charge": 615.0, "npi": [1053550301, 1790195014]}]}, {"allowed_amount": 281.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 615.0, "npi": [1598298499, 1841788643, 1235543943, 1942418249, 1992239883, 1861922510, 1124476783, 1225598832, 1811426992, 1992851828, 1780118133, 1437317112, 1245557784, 1871937151]}]}, {"allowed_amount": 294.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 615.0, "npi": [1376981472, 1972763498, 1023407483, 1669191623]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 378.35, "providers": [{"billed_charge": 782.0, "npi": [1801207857]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2087.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 13090.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2087.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9571.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 615.0, "npi": [1306292164]}]}, {"allowed_amount": 268.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 615.0, "npi": [1750347563]}]}, {"allowed_amount": 372.5, "providers": [{"billed_charge": 615.0, "npi": [1790195014]}]}]}, {"tin": {"type": "ein", "value": "742410946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 441.0, "npi": [1952789760]}, {"billed_charge": 615.0, "npi": [1346650942]}]}, {"allowed_amount": 294.82, "providers": [{"billed_charge": 441.0, "npi": [1215706767]}]}, {"allowed_amount": 312.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 441.0, "npi": [1811457674, 1992851828]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 580.0, "providers": [{"billed_charge": 580.0, "npi": [1215593496]}]}]}, {"tin": {"type": "ein", "value": "760757826"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.16, "providers": [{"billed_charge": 273.0, "npi": [1891744231]}]}, {"allowed_amount": 273.0, "providers": [{"billed_charge": 273.0, "npi": [1457843096, 1164863569]}]}]}, {"tin": {"type": "ein", "value": "811156192"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 158.31, "providers": [{"billed_charge": 588.0, "npi": [1265688097]}]}, {"allowed_amount": 347.89, "providers": [{"billed_charge": 588.0, "npi": [1083092589, 1639675127]}]}, {"allowed_amount": 373.64, "providers": [{"billed_charge": 588.0, "npi": [1063943785]}]}]}, {"tin": {"type": "ein", "value": "813346959"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 281.32, "providers": [{"billed_charge": 675.0, "npi": [1033315601, 1134481989]}]}, {"allowed_amount": 294.82, "providers": [{"billed_charge": 675.0, "npi": [1013991173, 1780071621]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 1863.0, "npi": [1629501481]}, {"billed_charge": 1986.0, "npi": [1134137458, 1891318309]}]}, {"allowed_amount": 245.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1986.0, "npi": [1922633536, 1891108973, 1295961613, 1306232178, 1942256979, 1700862133, 1205996410, 1902008956]}]}, {"allowed_amount": 294.82, "providers": [{"billed_charge": 1986.0, "npi": [1851397624]}]}]}, {"tin": {"type": "ein", "value": "814965916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 281.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 845.0, "npi": [1891733192, 1235102369, 1093869414]}, {"billed_charge": 853.0, "npi": [1184129249]}, {"billed_charge": 941.0, "npi": [1942382692]}]}, {"allowed_amount": 294.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 837.0, "npi": [1578536512]}, {"billed_charge": 845.0, "npi": [1538579776, 1962109777, 1386008563, 1275343980]}, {"billed_charge": 896.0, "npi": [1043775968]}, {"billed_charge": 941.0, "npi": [1043775968, 1306676333]}]}]}, {"tin": {"type": "ein", "value": "815232140"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 281.32, "providers": [{"billed_charge": 549.36, "npi": [1538692926]}]}]}, {"tin": {"type": "ein", "value": "820685699"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 675.0, "npi": [1285846642]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2087.43, "providers": [{"billed_charge": 6900.0, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840791312"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 254.01, "providers": [{"billed_charge": 450.0, "npi": [1780894790]}]}]}, {"tin": {"type": "ein", "value": "843016310"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 245.35, "providers": [{"billed_charge": 588.0, "npi": [1194016790]}, {"billed_charge": 644.0, "npi": [1386843811]}]}, {"allowed_amount": 281.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 588.0, "npi": [1760846570, 1598227415]}, {"billed_charge": 644.0, "npi": [1598227415]}]}, {"allowed_amount": 372.5, "providers": [{"billed_charge": 588.0, "npi": [1598227415]}]}]}, {"tin": {"type": "ein", "value": "844284477"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 294.82, "providers": [{"billed_charge": 1863.0, "npi": [1609517424, 1356804645, 1235370933]}]}]}, {"tin": {"type": "ein", "value": "850651672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 294.82, "providers": [{"billed_charge": 1920.0, "npi": [1548557275]}]}]}, {"tin": {"type": "ein", "value": "852016118"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 269.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 269.41, "npi": [1093869414]}]}]}, {"tin": {"type": "ein", "value": "852719073"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 605.0, "npi": [1871513358]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1552.3, "providers": [{"billed_charge": 6923.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860392561"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 281.32, "providers": [{"billed_charge": 782.52, "npi": [1700260106, 1902890767, 1578789913, 1942248604, 1568414878]}]}, {"allowed_amount": 294.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 782.52, "npi": [1790148104]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 1338.0, "npi": [1881190403]}]}, {"allowed_amount": 268.02, "providers": [{"billed_charge": 1338.0, "npi": [1306308218, 1184912867, 1003100710]}]}]}, {"tin": {"type": "ein", "value": "860516994"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 281.32, "providers": [{"billed_charge": 445.0, "npi": [1790730604]}]}, {"allowed_amount": 294.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 445.0, "npi": [1548695547, 1588824007]}]}]}, {"tin": {"type": "ein", "value": "860580587"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 268.02, "providers": [{"billed_charge": 1567.0, "npi": [1609831908]}]}]}, {"tin": {"type": "ein", "value": "860678845"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 294.82, "providers": [{"billed_charge": 440.0, "npi": [1992746408]}]}]}, {"tin": {"type": "ein", "value": "860765699"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 281.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 587.46, "npi": [1467484881]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 1830.0, "npi": [1457318610, 1558344226, 1164405031]}]}, {"allowed_amount": 245.35, "providers": [{"billed_charge": 1830.0, "npi": [1720516800]}]}, {"allowed_amount": 372.5, "providers": [{"billed_charge": 1830.0, "npi": [1457318610, 1609675214]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 1754.0, "npi": [1629176433]}, {"billed_charge": 2227.0, "npi": [1295364313]}]}]}, {"tin": {"type": "ein", "value": "860842583"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 245.35, "providers": [{"billed_charge": 500.0, "npi": [1710115423]}]}, {"allowed_amount": 281.32, "providers": [{"billed_charge": 500.0, "npi": [1437122397]}]}]}, {"tin": {"type": "ein", "value": "860911876"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 281.32, "providers": [{"billed_charge": 474.0, "npi": [1255324182]}]}]}, {"tin": {"type": "ein", "value": "860920016"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 2025.0, "npi": [1316916331]}]}]}, {"tin": {"type": "ein", "value": "860927994"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 294.82, "providers": [{"billed_charge": 522.0, "npi": [1104146737]}]}]}, {"tin": {"type": "ein", "value": "860990148"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 167.62, "providers": [{"billed_charge": 2025.0, "npi": [1235326620]}]}, {"allowed_amount": 281.32, "providers": [{"billed_charge": 604.6, "npi": [1114029584]}]}, {"allowed_amount": 294.82, "providers": [{"billed_charge": 604.6, "npi": [1417038548]}]}]}, {"tin": {"type": "ein", "value": "861011997"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 1424.0, "npi": [1265729867]}]}]}, {"tin": {"type": "ein", "value": "861045280"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 294.82, "providers": [{"billed_charge": 325.0, "npi": [1023374352]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1552.3, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4708.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "870629690"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 294.82, "providers": [{"billed_charge": 1627.0, "npi": [1346271715]}]}]}, {"tin": {"type": "ein", "value": "873202637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 268.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3310.0, "npi": [1629715297, 1437234499, 1710545520, 1881240497, 1225611544]}]}]}, {"tin": {"type": "ein", "value": "873362930"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 2227.0, "npi": [1265973465]}]}]}, {"tin": {"type": "ein", "value": "873825600"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 245.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3814.24, "npi": [1811992209]}]}]}, {"tin": {"type": "ein", "value": "921985500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 845.0, "npi": [1235102369]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 245.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1640.0, "npi": [1326501313, 1609164839, 1154811818, 1740870922, 1366020042, 1740771245, 1659661932, 1205933744, 1528076049, 1366905713, 1386224244, 1285195511, 1043252984, 1528072287]}]}, {"allowed_amount": 294.82, "providers": [{"billed_charge": 1640.0, "npi": [1487199824, 1528671948, 1467970988, 1962141143]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 2025.0, "npi": [1215986096]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 358.68, "providers": [{"billed_charge": 514.0, "npi": [1073531331]}]}]}, {"tin": {"type": "ein", "value": "943259637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 186.25, "providers": [{"billed_charge": 1754.0, "npi": [1790715522]}, {"billed_charge": 2258.28, "npi": [1942465356]}]}]}, {"tin": {"type": "ein", "value": "951115230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1406.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5122.0, "npi": [1407813660]}]}]}]}, {"name": "Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips", "billing_code_type": "CPT", "billing_code": "E0114", "billing_code_type_version": "2022", "description": "Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips", "allowed_amounts": [{"tin": {"type": "ein", "value": "330361048"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 85.0, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 85.0, "npi": [1891787594]}]}]}, {"tin": {"type": "ein", "value": "473080325"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 44.84, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 58.42, "npi": [1467826263]}]}]}, {"tin": {"type": "ein", "value": "823535149"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 51.77, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 90.0, "npi": [1194211185]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.2, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 88.4, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "943122268"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 51.77, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 71.28, "npi": [1164535902]}]}]}]}, {"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": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.26, "providers": [{"billed_charge": 344.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "363332852"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.59, "providers": [{"billed_charge": 102.0, "npi": [1295710580]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.73, "providers": [{"billed_charge": 216.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.73, "providers": [{"billed_charge": 159.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.73, "providers": [{"billed_charge": 216.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.18, "providers": [{"billed_charge": 321.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.66, "providers": [{"billed_charge": 32.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.66, "providers": [{"billed_charge": 159.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.66, "providers": [{"billed_charge": 32.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.94, "providers": [{"billed_charge": 22.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.73, "providers": [{"billed_charge": 80.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.73, "providers": [{"billed_charge": 35.0, "npi": [1154392231]}]}]}]}, {"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": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.02, "providers": [{"billed_charge": 701.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.42, "providers": [{"billed_charge": 589.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.42, "providers": [{"billed_charge": 804.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "463096009"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 18.95, "providers": [{"billed_charge": 30.96, "npi": [1598106163]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.42, "providers": [{"billed_charge": 656.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.42, "providers": [{"billed_charge": 589.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.83, "providers": [{"billed_charge": 804.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.83, "providers": [{"billed_charge": 804.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.02, "providers": [{"billed_charge": 701.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.02, "providers": [{"billed_charge": 656.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.42, "providers": [{"billed_charge": 329.86, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.42, "providers": [{"billed_charge": 347.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.42, "providers": [{"billed_charge": 793.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.42, "providers": [{"billed_charge": 98.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.42, "providers": [{"billed_charge": 397.79, "npi": [1881352037]}]}]}]}, {"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": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.27, "providers": [{"billed_charge": 1053.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.83, "providers": [{"billed_charge": 120.0, "npi": [1558479212]}]}]}, {"tin": {"type": "ein", "value": "363332852"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.3, "providers": [{"billed_charge": 163.0, "npi": [1295710580]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.51, "providers": [{"billed_charge": 183.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.27, "providers": [{"billed_charge": 614.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.51, "providers": [{"billed_charge": 362.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.51, "providers": [{"billed_charge": 183.0, "npi": [1154748416]}]}, {"allowed_amount": 149.01, "providers": [{"billed_charge": 183.0, "npi": [1114466950]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.32, "providers": [{"billed_charge": 531.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.6, "providers": [{"billed_charge": 614.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.0, "providers": [{"billed_charge": 32.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.59, "providers": [{"billed_charge": 362.0, "npi": [1609408665, 1265065445, 1982733655]}]}, {"allowed_amount": 109.78, "providers": [{"billed_charge": 362.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "840417134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.27, "providers": [{"billed_charge": 218.15, "npi": [1417946021]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.0, "providers": [{"billed_charge": 32.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.27, "providers": [{"billed_charge": 248.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.51, "providers": [{"billed_charge": 78.28, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.51, "providers": [{"billed_charge": 133.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860732836"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 66.58, "providers": [{"billed_charge": 103.0, "npi": [1871566521]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.51, "providers": [{"billed_charge": 72.0, "npi": [1154392231]}]}]}]}, {"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": 78.97, "providers": [{"billed_charge": 343.29, "npi": [1225110497]}]}]}, {"tin": {"type": "ein", "value": "261565558"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 176.42, "providers": [{"billed_charge": 235.0, "npi": [1497933162]}]}]}, {"tin": {"type": "ein", "value": "271467022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1323.5, "providers": [{"billed_charge": 416.0, "npi": [1932543428]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 181.81, "providers": [{"billed_charge": 280.0, "npi": [1689121188]}]}, {"allowed_amount": 695.51, "providers": [{"billed_charge": 280.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "453717894"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 176.0, "providers": [{"billed_charge": 176.0, "npi": [1730466590]}]}]}, {"tin": {"type": "ein", "value": "463096009"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 87.62, "providers": [{"billed_charge": 200.0, "npi": [1457067670, 1457974743]}]}, {"allowed_amount": 124.55, "providers": [{"billed_charge": 200.0, "npi": [1598106163]}]}, {"allowed_amount": 189.94, "providers": [{"billed_charge": 200.0, "npi": [1598106163]}]}, {"allowed_amount": 195.61, "providers": [{"billed_charge": 200.0, "npi": [1598106163]}]}, {"allowed_amount": 217.93, "providers": [{"billed_charge": 120.0, "npi": [1598106163]}, {"billed_charge": 200.0, "npi": [1598106163]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 181.81, "providers": [{"billed_charge": 490.0, "npi": [1992131734]}, {"billed_charge": 1470.0, "npi": [1992131734]}, {"billed_charge": 1960.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 181.81, "providers": [{"billed_charge": 280.0, "npi": [1154748416]}]}, {"allowed_amount": 510.05, "providers": [{"billed_charge": 280.0, "npi": [1154748416]}]}, {"allowed_amount": 670.91, "providers": [{"billed_charge": 280.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "474815114"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 176.42, "providers": [{"billed_charge": 183.09, "npi": [1215302245]}]}]}, {"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 45.73, "providers": [{"billed_charge": 250.0, "npi": [1912903717]}]}, {"allowed_amount": 176.42, "providers": [{"billed_charge": 250.0, "npi": [1912903717]}]}, {"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1912903717]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 115.0, "providers": [{"billed_charge": 490.0, "npi": [1982733655]}]}, {"allowed_amount": 251.59, "providers": [{"billed_charge": 490.0, "npi": [1982733655]}, {"billed_charge": 980.0, "npi": [1982733655]}, {"billed_charge": 1470.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "841103606"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 181.81, "providers": [{"billed_charge": 360.45, "npi": [1669461281]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 181.81, "providers": [{"billed_charge": 381.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 181.81, "providers": [{"billed_charge": 412.0, "npi": [1174512792]}, {"billed_charge": 1126.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 181.81, "providers": [{"billed_charge": 351.0, "npi": [1154392231]}, {"billed_charge": 367.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860957500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.29, "providers": [{"billed_charge": 416.0, "npi": [1841224870]}]}, {"allowed_amount": 307.74, "providers": [{"billed_charge": 1246.0, "npi": [1841224870]}]}, {"allowed_amount": 701.52, "providers": [{"billed_charge": 416.0, "npi": [1841224870]}]}, {"allowed_amount": 790.8, "providers": [{"billed_charge": 416.0, "npi": [1154355188]}]}, {"allowed_amount": 804.52, "providers": [{"billed_charge": 832.0, "npi": [1841224870]}]}, {"allowed_amount": 1241.55, "providers": [{"billed_charge": 416.0, "npi": [1841224870]}]}]}]}, {"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": "261565558"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 118.55, "providers": [{"billed_charge": 405.0, "npi": [1497933162]}]}, {"allowed_amount": 178.71, "providers": [{"billed_charge": 405.0, "npi": [1497933162]}]}, {"allowed_amount": 198.57, "providers": [{"billed_charge": 405.0, "npi": [1497933162]}]}, {"allowed_amount": 405.0, "providers": [{"billed_charge": 405.0, "npi": [1497933162]}]}]}]}, {"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": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.01, "providers": [{"billed_charge": 1178.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "237094247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 289.04, "providers": [{"billed_charge": 1746.06, "npi": [1275588345]}]}]}, {"tin": {"type": "ein", "value": "311538725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 338.08, "providers": [{"billed_charge": 1390.0, "npi": [1063489342]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.68, "providers": [{"billed_charge": 2373.0, "npi": [1992735088]}, {"billed_charge": 4696.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.6, "providers": [{"billed_charge": 556.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "381405141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.22, "providers": [{"billed_charge": 70.0, "npi": [1295785285]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.31, "providers": [{"billed_charge": 4241.0, "npi": [1851927669]}]}]}, {"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": "463096009"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 50.28, "providers": [{"billed_charge": 120.0, "npi": [1457067670, 1457974743]}]}, {"allowed_amount": 62.09, "providers": [{"billed_charge": 100.0, "npi": [1598106163]}]}, {"allowed_amount": 68.43, "providers": [{"billed_charge": 120.0, "npi": [1598106163]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.31, "providers": [{"billed_charge": 638.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "474815114"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 66.04, "providers": [{"billed_charge": 99.42, "npi": [1215302245]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.27, "providers": [{"billed_charge": 231.0, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.16, "providers": [{"billed_charge": 4241.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 62.09, "providers": [{"billed_charge": 345.0, "npi": [1912903717]}]}, {"allowed_amount": 290.16, "providers": [{"billed_charge": 345.0, "npi": [1912903717]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.5, "providers": [{"billed_charge": 116.5, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.16, "providers": [{"billed_charge": 4241.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.01, "providers": [{"billed_charge": 1178.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.68, "providers": [{"billed_charge": 249.0, "npi": [1700910189]}, {"billed_charge": 2323.0, "npi": [1700910189]}, {"billed_charge": 2373.0, "npi": [1700910189]}, {"billed_charge": 2572.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.68, "providers": [{"billed_charge": 638.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742870118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 203.22, "providers": [{"billed_charge": 440.0, "npi": [1447221742]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 338.08, "providers": [{"billed_charge": 688.0, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.01, "providers": [{"billed_charge": 348.3, "npi": [1801591391]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.01, "providers": [{"billed_charge": 168.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.31, "providers": [{"billed_charge": 756.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "856003005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.47, "providers": [{"billed_charge": 19.47, "npi": [1689747552]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.31, "providers": [{"billed_charge": 168.73, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.0, "providers": [{"billed_charge": 103.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.31, "providers": [{"billed_charge": 342.73, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 289.04, "providers": [{"billed_charge": 1190.0, "npi": [1053684555]}]}]}, {"tin": {"type": "ein", "value": "860334996"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.31, "providers": [{"billed_charge": 735.0, "npi": [1518968767]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.31, "providers": [{"billed_charge": 277.0, "npi": [1760480503]}]}, {"allowed_amount": 863.41, "providers": [{"billed_charge": 277.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.31, "providers": [{"billed_charge": 314.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "871737544"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.31, "providers": [{"billed_charge": 756.0, "npi": [1750092110]}]}]}, {"tin": {"type": "ein", "value": "900214335"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.6, "providers": [{"billed_charge": 73.6, "npi": [1194705202]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.6, "providers": [{"billed_charge": 643.0, "npi": [1356528269]}]}]}]}, {"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": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 891.47, "providers": [{"billed_charge": 2645.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "363332852"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1007.21, "providers": [{"billed_charge": 1995.0, "npi": [1295710580]}]}]}, {"tin": {"type": "ein", "value": "364015560"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 84.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 252.0, "npi": [1114411584]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 424.38, "providers": [{"billed_charge": 1918.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 424.38, "providers": [{"billed_charge": 1918.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 160.0, "npi": [1033598792, 1033190202, 1326056599]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 891.47, "providers": [{"billed_charge": 2645.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "830760136"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 2075.0, "npi": [1124242029]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 765.28, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1259.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 424.38, "providers": [{"billed_charge": 1966.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 503.0, "npi": [1992788574]}]}, {"allowed_amount": 76.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 503.0, "npi": [1215461868]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 110.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 310.8, "npi": [1891807863, 1073812715, 1154764462, 1427272756, 1417376823, 1063433563]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 141.0, "npi": [1538162953, 1841761566]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 438.0, "npi": [1700834777]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.08, "providers": [{"billed_charge": 1411.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.08, "providers": [{"billed_charge": 1653.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 280.3, "providers": [{"billed_charge": 2224.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 74.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1700046364]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 539.29, "providers": [{"billed_charge": 1538.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 539.29, "providers": [{"billed_charge": 1411.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 71.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1326484114, 1699129494, 1427213271]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 377.52, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1212.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.08, "providers": [{"billed_charge": 1348.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 38.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.4, "npi": [1982815296]}]}, {"allowed_amount": 74.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 206.4, "npi": [1114905007]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 74.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 159.0, "npi": [1659506921]}]}]}]}, {"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": "332391862"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1902878895]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 700.92, "providers": [{"billed_charge": 2878.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 44.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 309.0, "npi": [1932465044]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 33.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1245423045]}]}, {"allowed_amount": 53.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 379.0, "npi": [1134178833]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 476.28, "providers": [{"billed_charge": 2299.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1275949414]}]}]}, {"tin": {"type": "ein", "value": "650501582"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1780685172]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 31.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1003479197, 1326056599]}]}, {"allowed_amount": 33.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1962842989, 1558433870]}]}, {"allowed_amount": 53.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1033190202, 1003479197, 1558433870, 1326056599]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 700.92, "providers": [{"billed_charge": 2827.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "830760136"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1450.0, "npi": [1124242029]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 476.28, "providers": [{"billed_charge": 1174.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 161.0, "npi": [1174512792, 1336149277, 1649613894]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 158.0, "npi": [1427555903]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 476.28, "providers": [{"billed_charge": 1321.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1003479197]}]}, {"allowed_amount": 53.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 361.0, "npi": [1528407467]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1922291863]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 53.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.4, "npi": [1982815296, 1245218171, 1063433563, 1417376823]}]}]}]}, {"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": "230596940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.35, "providers": [{"billed_charge": 2005.0, "npi": [1114095791]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 237.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 237.0, "npi": [1386960714, 1477720092, 1790289940, 1427496710]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1831393495]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1881776821]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 551.78, "providers": [{"billed_charge": 1439.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 263.25, "providers": [{"billed_charge": 1716.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 21.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 241.0, "npi": [1962472464]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 263.25, "providers": [{"billed_charge": 1716.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "596012500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 234.1, "providers": [{"billed_charge": 1579.0, "npi": [1245294826]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 463.74, "providers": [{"billed_charge": 3074.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 20.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1841550316, 1558433870, 1326056599]}]}, {"allowed_amount": 21.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1558433870]}]}, {"allowed_amount": 38.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1639343759, 1841550316, 1326056599]}]}]}, {"tin": {"type": "ein", "value": "721503733"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.0, "npi": [1932178423]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 551.78, "providers": [{"billed_charge": 1439.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 551.78, "providers": [{"billed_charge": 1725.0, "npi": [1609408665, 1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 167.59, "providers": [{"billed_charge": 2597.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 113.0, "npi": [1821555426]}]}]}, {"tin": {"type": "ein", "value": "813384145"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1144238379]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1568027860]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1649613894]}]}, {"allowed_amount": 81.35, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1821204041]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 22.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1497700579, 1710932199]}]}]}, {"tin": {"type": "ein", "value": "860778760"}, "billing_class": "professional", "service_codes": ["15"], "payments": [{"allowed_amount": 120.64, "providers": [{"billed_charge": 351.51, "npi": [1598891582]}]}, {"allowed_amount": 261.01, "providers": [{"billed_charge": 351.51, "npi": [1598891582]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 263.25, "providers": [{"billed_charge": 1019.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 38.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 198.0, "npi": [1831167147, 1528407467]}]}]}, {"tin": {"type": "ein", "value": "860817397"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.1, "npi": [1821445909]}]}]}, {"tin": {"type": "ein", "value": "860888560"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 62.01, "npi": [1811004435]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 26.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1790737096, 1780813105, 1396949111]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 29.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.8, "npi": [1306330535]}]}, {"allowed_amount": 38.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.8, "npi": [1487883427, 1891807863, 1780952176, 1780908368, 1588668370, 1679991442, 1477873495, 1528027448, 1417975418]}]}]}, {"tin": {"type": "ein", "value": "952706100"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 38.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.23, "npi": [1114969102]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 21.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 88.0, "npi": [1295293587, 1114245990]}]}, {"allowed_amount": 38.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 88.0, "npi": [1285054064, 1962768457, 1548469372, 1124462213]}]}]}]}, {"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": "202623422"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1437147477]}]}]}, {"tin": {"type": "ein", "value": "203943524"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 106.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 191.0, "npi": [1366557563]}]}, {"allowed_amount": 191.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 191.0, "npi": [1528289113, 1245895499]}]}]}, {"tin": {"type": "ein", "value": "204398490"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 137.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 345.0, "npi": [1346551769]}]}]}, {"tin": {"type": "ein", "value": "232380812"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 129.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 186.0, "npi": [1174638282]}]}]}, {"tin": {"type": "ein", "value": "263978853"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 84.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1376592071]}]}]}, {"tin": {"type": "ein", "value": "264787288"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1780653840]}]}]}, {"tin": {"type": "ein", "value": "271360955"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1528069408]}]}, {"allowed_amount": 94.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1447435789]}]}]}, {"tin": {"type": "ein", "value": "334903396"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 84.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1447514898]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 380.0, "npi": [1326579871]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 851.79, "providers": [{"billed_charge": 4114.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 851.79, "providers": [{"billed_charge": 7410.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "464044029"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 84.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1518968429]}]}]}, {"tin": {"type": "ein", "value": "473770760"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.67, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1972583177]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 76.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 203.0, "npi": [1366886814]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 732.79, "providers": [{"billed_charge": 7410.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 66.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1871718486]}]}, {"allowed_amount": 69.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1174724371, 1740693548, 1871718486]}]}, {"allowed_amount": 84.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1275917064, 1174724371, 1124558515, 1114440039]}]}, {"allowed_amount": 94.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 204.0, "npi": [1093955908, 1871718486, 1740693548]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1563.73, "providers": [{"billed_charge": 4099.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 367.0, "npi": [1851754113]}]}, {"allowed_amount": 108.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 367.0, "npi": [1902365794]}]}]}, {"tin": {"type": "ein", "value": "742410946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 755.0, "npi": [1285678748]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 184.0, "npi": [1639132558]}]}]}, {"tin": {"type": "ein", "value": "811183080"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1932100831]}]}]}, {"tin": {"type": "ein", "value": "820819343"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 300.0, "npi": [1053540567]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1040.27, "providers": [{"billed_charge": 4055.0, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "824110458"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.99, "npi": [1750338927]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 13.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1346.0, "npi": [1851622112]}]}, {"allowed_amount": 106.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1346.0, "npi": [1326350562]}]}, {"allowed_amount": 265.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 365.0, "npi": [1851622112]}, {"billed_charge": 1346.0, "npi": [1851622112, 1578574232, 1679551295]}]}]}, {"tin": {"type": "ein", "value": "860516994"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 66.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1790730604]}]}, {"allowed_amount": 69.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1568696003]}]}, {"allowed_amount": 84.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1568696003, 1497911176, 1760459945, 1790730604, 1093783953, 1043273139, 1598979668]}, {"billed_charge": 200.0, "npi": [1861460792, 1396953998]}]}, {"allowed_amount": 94.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1588824007, 1134208168, 1528367307, 1083680532, 1023066487, 1548695547]}]}]}, {"tin": {"type": "ein", "value": "860633950"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1780653840]}]}, {"allowed_amount": 168.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 167.0, "npi": [1457771321]}]}]}, {"tin": {"type": "ein", "value": "860711625"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 84.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1992237226]}]}, {"allowed_amount": 94.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 131.0, "npi": [1902251903]}]}]}, {"tin": {"type": "ein", "value": "860816346"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1881893121]}]}]}, {"tin": {"type": "ein", "value": "860888560"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 260.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 260.0, "npi": [1699076596]}]}]}, {"tin": {"type": "ein", "value": "860927994"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 308.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 183.53, "npi": [1669850954]}]}]}, {"tin": {"type": "ein", "value": "861009738"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 194.0, "npi": [1083799985]}]}]}, {"tin": {"type": "ein", "value": "861248931"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 990.84, "providers": [{"billed_charge": 4736.0, "npi": [1699340927]}]}]}, {"tin": {"type": "ein", "value": "874012817"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.0, "npi": [1164665477]}]}]}]}, {"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": "133481834"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.17, "providers": [{"billed_charge": 22.0, "npi": [1639165996]}]}]}, {"tin": {"type": "ein", "value": "141842517"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.29, "providers": [{"billed_charge": 67.0, "npi": [1528565504, 1447415427, 1003911561, 1386676492, 1386140820, 1528121621, 1962686360, 1225615529, 1396775599, 1558895409, 1306379953, 1649613118, 1790870210, 1912434119, 1265729867, 1396773073, 1144751058, 1609281617, 1144471640, 1841866712, 1346449626, 1780147041, 1770504292, 1902821374]}]}, {"allowed_amount": 161.86, "providers": [{"billed_charge": 67.0, "npi": [1780147041, 1790870210, 1770504292, 1386676492, 1558895409]}]}, {"allowed_amount": 170.79, "providers": [{"billed_charge": 67.0, "npi": [1306379953]}]}, {"allowed_amount": 195.18, "providers": [{"billed_charge": 67.0, "npi": [1902821374]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 30.0, "npi": [1568480093, 1366983702]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 8.93, "providers": [{"billed_charge": 71.0, "npi": [1518328350, 1922395656, 1134667157, 1801137559, 1750366712, 1669836284, 1649434846]}]}, {"allowed_amount": 9.29, "providers": [{"billed_charge": 71.0, "npi": [1669634689, 1124607874, 1831140995, 1922057348, 1902303621, 1376103044, 1922395656, 1386961167, 1134667157, 1902063639, 1801137559, 1124521976, 1518328350, 1386862118, 1275713703, 1144858663, 1629501481, 1710502315, 1972966828, 1649761966, 1568578482, 1124606389, 1427599158, 1033850037, 1780179259, 1558569533, 1083290944, 1083632962, 1114110533, 1134431687, 1144781261, 1619908175, 1891029328, 1982091732, 1073860441, 1578548442, 1912982877, 1649434846, 1780244061, 1780147041, 1083913826, 1164612578, 1386935013, 1053511527, 1033504360, 1811162217, 1609404136, 1285097196, 1891094637, 1225353972, 1750366712, 1669836284]}]}, {"allowed_amount": 11.2, "providers": [{"billed_charge": 71.0, "npi": [1255691713]}]}, {"allowed_amount": 67.0, "providers": [{"billed_charge": 71.0, "npi": [1386862118, 1144858663]}]}, {"allowed_amount": 71.0, "providers": [{"billed_charge": 71.0, "npi": [1275713703]}]}, {"allowed_amount": 161.86, "providers": [{"billed_charge": 71.0, "npi": [1083913826, 1841604196, 1386862118, 1609404136, 1629501481, 1033850037, 1750366712]}]}, {"allowed_amount": 170.79, "providers": [{"billed_charge": 71.0, "npi": [1841604196, 1124606389]}]}, {"allowed_amount": 195.18, "providers": [{"billed_charge": 71.0, "npi": [1831140995, 1275713703, 1033504360, 1124606389, 1124521976, 1912982877]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.93, "providers": [{"billed_charge": 71.0, "npi": [1184041402]}]}, {"allowed_amount": 10.18, "providers": [{"billed_charge": 71.0, "npi": [1558001156, 1144758442, 1144802414, 1013000751, 1184041402, 1851552368, 1366881971, 1992373880, 1659371482, 1740854108]}]}, {"allowed_amount": 12.36, "providers": [{"billed_charge": 71.0, "npi": [1417032079]}]}, {"allowed_amount": 27.57, "providers": [{"billed_charge": 71.0, "npi": [1033671342]}]}, {"allowed_amount": 161.86, "providers": [{"billed_charge": 71.0, "npi": [1134484199, 1083868392, 1366881971, 1992373880, 1740854108]}]}, {"allowed_amount": 170.79, "providers": [{"billed_charge": 71.0, "npi": [1578025193]}]}]}, {"tin": {"type": "ein", "value": "204398490"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.0, "providers": [{"billed_charge": 60.0, "npi": [1043290372]}]}]}, {"tin": {"type": "ein", "value": "205497203"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.12, "providers": [{"billed_charge": 23.0, "npi": [1942733977]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 8.56, "providers": [{"billed_charge": 26.0, "npi": [1083977599]}]}, {"allowed_amount": 16.55, "providers": [{"billed_charge": 26.0, "npi": [1083977599]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.55, "providers": [{"billed_charge": 105.0, "npi": [1245234293]}]}]}, {"tin": {"type": "ein", "value": "232809585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.96, "providers": [{"billed_charge": 55.0, "npi": [1275158842]}]}]}, {"tin": {"type": "ein", "value": "237094247"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.57, "providers": [{"billed_charge": 32.0, "npi": [1346261807]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.25, "providers": [{"billed_charge": 45.0, "npi": [1912009150]}]}]}, {"tin": {"type": "ein", "value": "311351965"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.75, "providers": [{"billed_charge": 18.0, "npi": [1922120732]}]}]}, {"tin": {"type": "ein", "value": "326847624"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.68, "providers": [{"billed_charge": 30.9, "npi": [1659741262]}]}]}, {"tin": {"type": "ein", "value": "330516944"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.0, "providers": [{"billed_charge": 56.0, "npi": [1043779069]}]}]}, {"tin": {"type": "ein", "value": "331358034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.29, "providers": [{"billed_charge": 250.0, "npi": [1023090099]}]}, {"allowed_amount": 348.11, "providers": [{"billed_charge": 250.0, "npi": [1376039560]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.29, "providers": [{"billed_charge": 85.75, "npi": [1083290944, 1255508354, 1891137923, 1669961157, 1124609961, 1285097899, 1942465356, 1790972396, 1689296592, 1932698578, 1942256979, 1790859221, 1518297753, 1629102363, 1699938878]}]}, {"allowed_amount": 11.2, "providers": [{"billed_charge": 85.75, "npi": [1073225728, 1508847609, 1730627498, 1194164285]}]}, {"allowed_amount": 161.86, "providers": [{"billed_charge": 85.75, "npi": [1063669158]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.96, "providers": [{"billed_charge": 57.0, "npi": [1346602760]}]}]}, {"tin": {"type": "ein", "value": "364015560"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.96, "providers": [{"billed_charge": 86.0, "npi": [1902822158]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.18, "providers": [{"billed_charge": 24.0, "npi": [1043876626, 1275824435, 1326626292]}]}, {"allowed_amount": 12.31, "providers": [{"billed_charge": 24.0, "npi": [1316318900]}]}]}, {"tin": {"type": "ein", "value": "381357020"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.53, "providers": [{"billed_charge": 27.0, "npi": [1093166282]}]}]}, {"tin": {"type": "ein", "value": "382537427"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.06, "providers": [{"billed_charge": 46.0, "npi": [1811330467]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.71, "providers": [{"billed_charge": 21.0, "npi": [1851312557]}]}, {"allowed_amount": 17.87, "providers": [{"billed_charge": 21.0, "npi": [1700307147]}]}]}, {"tin": {"type": "ein", "value": "452735830"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 30.52, "providers": [{"billed_charge": 30.52, "npi": [1972966836]}]}]}, {"tin": {"type": "ein", "value": "460320177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.56, "providers": [{"billed_charge": 49.0, "npi": [1700379963]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.53, "providers": [{"billed_charge": 78.0, "npi": [1366226755, 1619523107, 1417064528, 1801047121, 1225296981, 1033100631, 1982360921]}, {"billed_charge": 85.0, "npi": [1134734817, 1619523107, 1366226755, 1275008419, 1639211147, 1932169356, 1366622672, 1679308696, 1144547738]}]}, {"allowed_amount": 30.03, "providers": [{"billed_charge": 68.0, "npi": [1912137456, 1275729311]}, {"billed_charge": 78.0, "npi": [1427412352, 1780212225, 1356091904, 1710961792, 1518115336, 1366626954, 1750709010, 1316574486, 1841417755, 1649761966, 1649808312, 1659352763, 1215514310, 1255968715, 1578805966, 1417318361, 1518130533, 1801325030, 1003266792, 1619503596, 1669565941, 1457857526]}, {"billed_charge": 85.0, "npi": [1356091904, 1518294917, 1366626954, 1285071381, 1891080982, 1528708377, 1629010202, 1477531549, 1275729311, 1518608678, 1225294887, 1033109673, 1699260331, 1710502315, 1962821173, 1639225527, 1164465209, 1629500350, 1659002814, 1740714187, 1871500496, 1114500709, 1255913836, 1275761900, 1669565941, 1508354168, 1336728575]}]}, {"allowed_amount": 114.25, "providers": [{"billed_charge": 78.0, "npi": [1316574486]}]}]}, {"tin": {"type": "ein", "value": "462593177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.27, "providers": [{"billed_charge": 88.0, "npi": [1386675007]}]}]}, {"tin": {"type": "ein", "value": "469176651"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 5.8, "providers": [{"billed_charge": 30.0, "npi": [1649432816]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.1, "providers": [{"billed_charge": 21.0, "npi": [1033182555]}]}]}, {"tin": {"type": "ein", "value": "504236745"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 163.62, "providers": [{"billed_charge": 76.98, "npi": [1467072835]}]}]}, {"tin": {"type": "ein", "value": "581920755"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.83, "providers": [{"billed_charge": 111.0, "npi": [1285083519]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.85, "providers": [{"billed_charge": 30.0, "npi": [1780930719]}]}]}, {"tin": {"type": "ein", "value": "597140114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.23, "providers": [{"billed_charge": 15.0, "npi": [1639944952]}]}]}, {"tin": {"type": "ein", "value": "611661781"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.28, "providers": [{"billed_charge": 58.0, "npi": [1437732088]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 8.93, "providers": [{"billed_charge": 24.0, "npi": [1306127808]}]}, {"allowed_amount": 11.2, "providers": [{"billed_charge": 24.0, "npi": [1740693548, 1871718486]}]}, {"allowed_amount": 16.55, "providers": [{"billed_charge": 24.0, "npi": [1306127808, 1588609267, 1114440039]}]}]}, {"tin": {"type": "ein", "value": "710236856"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.04, "providers": [{"billed_charge": 26.0, "npi": [1558867309]}]}]}, {"tin": {"type": "ein", "value": "710678160"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.0, "providers": [{"billed_charge": 26.0, "npi": [1982704516]}]}]}, {"tin": {"type": "ein", "value": "742082653"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.27, "providers": [{"billed_charge": 28.0, "npi": [1851376008]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 14.06, "providers": [{"billed_charge": 43.0, "npi": [1518046275, 1184065070, 1407141591, 1861652794, 1346583259]}]}]}, {"tin": {"type": "ein", "value": "742410946"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 12.07, "providers": [{"billed_charge": 23.0, "npi": [1295977718]}]}, {"allowed_amount": 13.97, "providers": [{"billed_charge": 23.0, "npi": [1639242720, 1285678748]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 8.88, "providers": [{"billed_charge": 22.0, "npi": [1639132558]}]}]}, {"tin": {"type": "ein", "value": "752807737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 161.86, "providers": [{"billed_charge": 83.0, "npi": [1821044629]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.29, "providers": [{"billed_charge": 51.0, "npi": [1477713154, 1366737157, 1871822726, 1285708172, 1295961613, 1780892943, 1447233168, 1144211855, 1750709010, 1629361936, 1417995796, 1205837333, 1154768406, 1568428431, 1861831695, 1477531549, 1891318309, 1417534249, 1972966828, 1326426420, 1700862133, 1972794295, 1912921917, 1922633536, 1205323342, 1679750483, 1942256979, 1467424986, 1528072287, 1932464609, 1376522466, 1851379051, 1689238255, 1447742960, 1306232178, 1437712890, 1902008956, 1982633855]}]}, {"allowed_amount": 10.18, "providers": [{"billed_charge": 51.0, "npi": [1851333660]}]}, {"allowed_amount": 11.2, "providers": [{"billed_charge": 51.0, "npi": [1154375426, 1033360995, 1841294378, 1053482828, 1154397933, 1851397624]}]}, {"allowed_amount": 161.86, "providers": [{"billed_charge": 51.0, "npi": [1568578482, 1326426420, 1144211855]}]}, {"allowed_amount": 170.79, "providers": [{"billed_charge": 51.0, "npi": [1154768406]}]}, {"allowed_amount": 195.18, "providers": [{"billed_charge": 51.0, "npi": [1942256979]}]}]}, {"tin": {"type": "ein", "value": "823537014"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.31, "providers": [{"billed_charge": 141.34, "npi": [1700080900]}]}]}, {"tin": {"type": "ein", "value": "831326154"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.25, "providers": [{"billed_charge": 50.0, "npi": [1184924391]}]}]}, {"tin": {"type": "ein", "value": "841099826"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.82, "providers": [{"billed_charge": 76.98, "npi": [1467072835]}]}]}, {"tin": {"type": "ein", "value": "841337350"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1417972092]}]}]}, {"tin": {"type": "ein", "value": "841343242"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.06, "providers": [{"billed_charge": 30.9, "npi": [1659741262]}]}]}, {"tin": {"type": "ein", "value": "841832545"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.2, "providers": [{"billed_charge": 110.0, "npi": [1740474337]}]}]}, {"tin": {"type": "ein", "value": "844284477"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 11.2, "providers": [{"billed_charge": 71.0, "npi": [1497913578]}]}, {"allowed_amount": 16.55, "providers": [{"billed_charge": 71.0, "npi": [1457317448]}]}]}, {"tin": {"type": "ein", "value": "844478409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.06, "providers": [{"billed_charge": 40.0, "npi": [1649686304]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 12.89, "providers": [{"billed_charge": 20.0, "npi": [1336381342]}]}, {"allowed_amount": 14.06, "providers": [{"billed_charge": 20.0, "npi": [1902829021]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 8.93, "providers": [{"billed_charge": 50.0, "npi": [1851622112, 1487632659]}]}, {"allowed_amount": 12.31, "providers": [{"billed_charge": 50.0, "npi": [1841679370, 1326350562, 1265645436, 1952562647]}]}, {"allowed_amount": 12.36, "providers": [{"billed_charge": 50.0, "npi": [1174512792]}]}, {"allowed_amount": 31.49, "providers": [{"billed_charge": 50.0, "npi": [1851622112, 1477531754, 1023096203, 1487632659, 1578574232]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.2, "providers": [{"billed_charge": 95.27, "npi": [1124553425, 1801391545, 1205313798]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.18, "providers": [{"billed_charge": 51.0, "npi": [1184912867, 1952806564, 1730620741, 1003100710, 1821573429, 1356720056, 1841729852, 1245979228]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 1.65, "providers": [{"billed_charge": 96.0, "npi": [1861475436]}]}, {"allowed_amount": 8.93, "providers": [{"billed_charge": 96.0, "npi": [1295840197, 1518196518, 1902226343, 1831176346, 1104029990, 1699121541, 1851373542, 1861475436, 1205240520, 1396750030, 1699157743, 1770555278, 1720032402, 1730354358, 1922488758, 1548470842]}]}, {"allowed_amount": 11.2, "providers": [{"billed_charge": 96.0, "npi": [1205240520, 1538430285, 1699121541]}]}, {"allowed_amount": 16.55, "providers": [{"billed_charge": 96.0, "npi": [1629055629, 1720032402, 1770566325, 1205097110, 1295796894]}]}, {"allowed_amount": 17.86, "providers": [{"billed_charge": 96.0, "npi": [1740382688, 1902226343, 1861475436, 1629055629, 1659308179, 1205097110]}]}, {"allowed_amount": 26.79, "providers": [{"billed_charge": 96.0, "npi": [1861475436]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.81, "providers": [{"billed_charge": 97.0, "npi": [1295364313]}]}]}, {"tin": {"type": "ein", "value": "870629690"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.92, "providers": [{"billed_charge": 63.0, "npi": [1376233924]}]}, {"allowed_amount": 12.82, "providers": [{"billed_charge": 63.0, "npi": [1679034268]}]}]}, {"tin": {"type": "ein", "value": "871451688"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.61, "providers": [{"billed_charge": 93.61, "npi": [1124413869]}]}]}, {"tin": {"type": "ein", "value": "873202637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.18, "providers": [{"billed_charge": 53.0, "npi": [1225611544, 1629715297, 1437234499, 1457790438, 1952335499, 1053340877, 1710545520, 1407025745, 1881240497, 1275581811, 1245670900, 1164956215, 1477127512, 1730540766]}]}, {"allowed_amount": 161.86, "providers": [{"billed_charge": 53.0, "npi": [1477127512, 1437234499, 1093078396]}]}]}, {"tin": {"type": "ein", "value": "873768007"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.29, "providers": [{"billed_charge": 250.0, "npi": [1972765253]}]}, {"allowed_amount": 11.2, "providers": [{"billed_charge": 250.0, "npi": [1902848450]}]}]}, {"tin": {"type": "ein", "value": "873825600"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.29, "providers": [{"billed_charge": 141.34, "npi": [1588649545, 1902064314, 1811992209, 1649478967]}]}]}, {"tin": {"type": "ein", "value": "880303529"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.82, "providers": [{"billed_charge": 60.0, "npi": [1225616311]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 9.29, "providers": [{"billed_charge": 63.0, "npi": [1740870922, 1588672141, 1518134030, 1043252984, 1710995345, 1528076049, 1669522587, 1609164839, 1154811818, 1508027947, 1578675245, 1205933744, 1922267186, 1558527036, 1326501313, 1366020042, 1992382675, 1528072287, 1659661932, 1366905713, 1386224244, 1467034868, 1285195511, 1548241656, 1396773628]}]}, {"allowed_amount": 10.18, "providers": [{"billed_charge": 63.0, "npi": [1649898602]}]}, {"allowed_amount": 11.2, "providers": [{"billed_charge": 63.0, "npi": [1003540550, 1649898602, 1801266218, 1467970988, 1164495917, 1528671948, 1487199824, 1982287728, 1912768656, 1962141143, 1750092763]}]}, {"allowed_amount": 145.68, "providers": [{"billed_charge": 63.0, "npi": [1487199824, 1164495917]}]}, {"allowed_amount": 161.86, "providers": [{"billed_charge": 63.0, "npi": [1366905713, 1992382675, 1467034868, 1609164839]}]}, {"allowed_amount": 195.18, "providers": [{"billed_charge": 63.0, "npi": [1659661932]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 71.0, "providers": [{"billed_charge": 71.0, "npi": [1700414661, 1730167222]}]}]}, {"tin": {"type": "ein", "value": "942958258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.73, "providers": [{"billed_charge": 25.0, "npi": [1053742213]}]}]}, {"tin": {"type": "ein", "value": "953617828"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.6, "providers": [{"billed_charge": 50.0, "npi": [1235185620]}]}]}, {"tin": {"type": "ein", "value": "954373071"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.0, "providers": [{"billed_charge": 48.0, "npi": [1104037191]}]}]}, {"tin": {"type": "ein", "value": "990326099"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.0, "providers": [{"billed_charge": 31.0, "npi": [1306294111]}]}]}]}, {"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": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.24, "providers": [{"billed_charge": 450.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 85.28, "providers": [{"billed_charge": 827.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 218.94, "providers": [{"billed_charge": 944.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.23, "providers": [{"billed_charge": 153.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "350013748"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.87, "providers": [{"billed_charge": 716.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.87, "providers": [{"billed_charge": 716.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "381405141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.78, "providers": [{"billed_charge": 200.0, "npi": [1295785285]}]}]}, {"tin": {"type": "ein", "value": "383176445"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.78, "providers": [{"billed_charge": 128.0, "npi": [1639111057]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 827.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 957.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 106.2, "providers": [{"billed_charge": 199.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "421198970"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.09, "providers": [{"billed_charge": 32.0, "npi": [1992765002]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 129.0, "providers": [{"billed_charge": 129.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "446005747"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.34, "providers": [{"billed_charge": 671.0, "npi": [1629062799]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 599.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 827.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.67, "providers": [{"billed_charge": 399.0, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.67, "providers": [{"billed_charge": 542.0, "npi": [1649259656]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.52, "providers": [{"billed_charge": 55.52, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.4, "providers": [{"billed_charge": 957.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "562360411"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 639.0, "providers": [{"billed_charge": 639.0, "npi": [1477671535]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.26, "providers": [{"billed_charge": 273.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.23, "providers": [{"billed_charge": 542.0, "npi": [1225050396]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 154.5, "providers": [{"billed_charge": 479.21, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.4, "providers": [{"billed_charge": 957.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "621762545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 672.7, "providers": [{"billed_charge": 1922.0, "npi": [1447299649]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 1718.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.87, "providers": [{"billed_charge": 716.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.87, "providers": [{"billed_charge": 599.0, "npi": [1609408665, 1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 132.33, "providers": [{"billed_charge": 844.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "742870118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.47, "providers": [{"billed_charge": 895.0, "npi": [1447221742]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 604.0, "providers": [{"billed_charge": 604.0, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 85.28, "providers": [{"billed_charge": 484.0, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 524.75, "npi": [1801591391]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 185.53, "providers": [{"billed_charge": 916.68, "npi": [1689688988]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 940.0, "npi": [1477531580]}]}, {"allowed_amount": 185.53, "providers": [{"billed_charge": 940.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "841337350"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.47, "providers": [{"billed_charge": 546.0, "npi": [1649241571]}]}]}, {"tin": {"type": "ein", "value": "841343242"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 312.95, "npi": [1689624686]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 320.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 960.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 118.87, "providers": [{"billed_charge": 716.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "856003005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 192.5, "npi": [1689747552]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 507.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 663.67, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.0, "providers": [{"billed_charge": 48.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.0, "providers": [{"billed_charge": 97.0, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 985.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 286.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "861248931"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.1, "providers": [{"billed_charge": 411.0, "npi": [1699340927]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 604.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "880213754"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 525.0, "npi": [1124098421]}]}]}, {"tin": {"type": "ein", "value": "900214335"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 318.0, "providers": [{"billed_charge": 318.0, "npi": [1194705202]}]}]}, {"tin": {"type": "ein", "value": "900942222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 275.0, "npi": [1194766543]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.45, "providers": [{"billed_charge": 274.0, "npi": [1538345251, 1356528269]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.56, "providers": [{"billed_charge": 960.0, "npi": [1275366122]}]}]}, {"tin": {"type": "ein", "value": "951183919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 750.42, "providers": [{"billed_charge": 1616.0, "npi": [1780681189]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.45, "providers": [{"billed_charge": 401.24, "npi": [1457321317]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.45, "providers": [{"billed_charge": 500.0, "npi": [1902803315]}]}]}, {"tin": {"type": "ein", "value": "990074365"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 415.0, "providers": [{"billed_charge": 415.0, "npi": [1225113442]}]}]}]}, {"name": "Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)", "billing_code_type": "CPT", "billing_code": "80051", "billing_code_type_version": "2022", "description": "ELECTROLYTE PANEL", "allowed_amounts": [{"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.0, "providers": [{"billed_charge": 46.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.27, "providers": [{"billed_charge": 161.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.27, "providers": [{"billed_charge": 161.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "626002166"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.42, "providers": [{"billed_charge": 96.0, "npi": [1275531956]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.27, "providers": [{"billed_charge": 141.0, "npi": [1609408665]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.0, "providers": [{"billed_charge": 91.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "860957500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 563.88, "providers": [{"billed_charge": 185.0, "npi": [1841224870]}]}]}]}, {"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": "061694715"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 316.24, "providers": [{"billed_charge": 1001.0, "npi": [1619596004]}]}]}, {"tin": {"type": "ein", "value": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1928.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2750.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "141842517"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1173.0, "npi": [1790870210, 1447415427, 1225615529, 1558757930, 1386676492, 1396775599, 1306379953, 1396773073, 1962686360, 1528121621, 1841866712, 1144471640]}]}, {"allowed_amount": 227.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1173.0, "npi": [1528565504, 1447415427, 1003911561, 1386676492, 1386140820, 1528121621, 1962686360, 1225615529, 1558757930, 1396775599, 1306379953, 1558895409, 1649613118, 1790870210, 1912434119, 1265729867, 1316114895, 1396773073, 1144751058, 1679505747, 1609281617, 1841866712, 1144471640, 1346449626, 1780147041, 1770504292, 1902821374]}]}, {"allowed_amount": 469.75, "providers": [{"billed_charge": 1173.0, "npi": [1053559732, 1548201189, 1194989822]}]}]}, {"tin": {"type": "ein", "value": "144846220"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.51, "providers": [{"billed_charge": 688.0, "npi": [1538691506]}]}]}, {"tin": {"type": "ein", "value": "156569542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 143.51, "providers": [{"billed_charge": 481.76, "npi": [1073523825]}]}]}, {"tin": {"type": "ein", "value": "200835576"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 629.0, "providers": [{"billed_charge": 629.0, "npi": [1215965942]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 655.0, "npi": [1457858466]}]}, {"allowed_amount": 227.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 655.0, "npi": [1457858466, 1245564772, 1366678534, 1861734956, 1376512335, 1639607476, 1871948372, 1417343062, 1194050328, 1104203769, 1497286108]}]}, {"allowed_amount": 241.58, "providers": [{"billed_charge": 655.0, "npi": [1104453968, 1043954985, 1366024846]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.22, "providers": [{"billed_charge": 1415.0, "npi": [1376103044]}]}, {"allowed_amount": 113.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1415.0, "npi": [1578548442, 1558569533]}]}, {"allowed_amount": 120.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1415.0, "npi": [1831948249]}]}, {"allowed_amount": 137.64, "providers": [{"billed_charge": 1415.0, "npi": [1700665569, 1235691387, 1811270564, 1942073903, 1336832500, 1225823958, 1356184311, 1730666264, 1205464633, 1497074454, 1023120219, 1073131421]}]}, {"allowed_amount": 152.93, "providers": [{"billed_charge": 1415.0, "npi": [1083632962, 1922057348, 1114110533, 1134431687, 1609404136, 1053511527, 1033504360, 1811162217, 1386961167, 1134667157, 1801137559, 1750366712, 1578548442]}]}, {"allowed_amount": 169.2, "providers": [{"billed_charge": 1415.0, "npi": [1780244061]}]}, {"allowed_amount": 227.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1415.0, "npi": [1124607874, 1831140995, 1376103044, 1922057348, 1902303621, 1922395656, 1518487701, 1134667157, 1801137559, 1902063639, 1518328350, 1386862118, 1144858663, 1275713703, 1629501481, 1508415530, 1710502315, 1972966828, 1750366712, 1649761966, 1568578482, 1124606389, 1710513718, 1033850037, 1427599158, 1780179259, 1558569533, 1497729982, 1083290944, 1083632962, 1114110533, 1215514310, 1134431687, 1144781261, 1619908175, 1891029328, 1982091732, 1205544152, 1073860441, 1578548442, 1780244061, 1649434846, 1912982877, 1164612578, 1083913826, 1386935013, 1053511527, 1033504360, 1811162217, 1609404136, 1285097196, 1891094637, 1225353972, 1124521976, 1669836284]}]}, {"allowed_amount": 241.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1415.0, "npi": [1538966288, 1801413653, 1497074454, 1730666264, 1457239196, 1073131421, 1326416926, 1447260831, 1477313567, 1992589857, 1558334243, 1811270564, 1225927460, 1588122923, 1598411308, 1477836203, 1942073903, 1740934959, 1558907311, 1629609011, 1457167157, 1316730039, 1487446456, 1487834297, 1205464633, 1124064183, 1548236862, 1255691713, 1265328835, 1275832008, 1174362313, 1164041034, 1679259980, 1487199824, 1336929876, 1225296981, 1225823958, 1538726104, 1831948249, 1023120219, 1063228765, 1588839518, 1083086557, 1700665569, 1629250279, 1518709872, 1336832500, 1356184311, 1255971578, 1235691387, 1376145789]}]}, {"allowed_amount": 469.75, "providers": [{"billed_charge": 1415.0, "npi": [1225561384, 1124608856]}]}, {"allowed_amount": 1157.4, "providers": [{"billed_charge": 1415.0, "npi": [1386862118, 1144858663]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1415.0, "npi": [1790314490, 1558001156, 1528408010, 1588198006, 1184041402]}]}, {"allowed_amount": 238.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1415.0, "npi": [1831792720, 1386674992]}]}, {"allowed_amount": 271.01, "providers": [{"billed_charge": 1415.0, "npi": [1518022961, 1205345923, 1548036437, 1780343285]}]}, {"allowed_amount": 275.06, "providers": [{"billed_charge": 1415.0, "npi": [1184114977, 1457351108, 1528408010, 1144758442, 1144802414, 1013000751, 1851552368, 1184041402, 1366881971, 1588198006, 1992373880, 1659371482, 1740854108, 1134611486]}]}, {"allowed_amount": 341.0, "providers": [{"billed_charge": 1415.0, "npi": [1417032079]}]}, {"allowed_amount": 597.23, "providers": [{"billed_charge": 1415.0, "npi": [1790314490, 1467102012, 1285379404]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1668.0, "npi": [1932603917]}]}, {"allowed_amount": 325.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1668.0, "npi": [1386010668, 1821522301]}]}, {"allowed_amount": 552.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1467.0, "npi": [1871248963]}, {"billed_charge": 1541.0, "npi": [1619122199, 1043925415]}, {"billed_charge": 1648.0, "npi": [1114469574, 1174921704, 1801826094, 1558032623, 1275872848, 1962474361]}, {"billed_charge": 1668.0, "npi": [1386201440, 1902056708, 1669056933, 1346541448, 1225486442, 1386338507, 1699756171, 1861136590, 1003376559, 1578396784, 1710367669, 1891123030, 1609357946, 1679397269, 1437433950, 1669970778, 1023120219, 1730371998]}]}, {"allowed_amount": 650.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1467.0, "npi": [1912340597, 1356921647]}, {"billed_charge": 1648.0, "npi": [1952805665, 1952976516, 1053370981, 1285379404, 1124580527, 1063099216, 1356921647, 1043284243, 1962022707, 1073075123, 1942889530]}, {"billed_charge": 1668.0, "npi": [1952976516, 1033498373, 1902303621, 1265852552, 1932603917, 1871971598, 1992061071, 1477909521, 1457641755, 1598119588, 1184603557, 1386010668, 1871706796, 1578851374, 1619464260, 1902998727, 1861874125, 1871500496, 1992295000, 1184205403, 1063035111, 1811316334, 1952456816, 1952356594, 1023022456, 1912446972, 1821522301]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.24, "providers": [{"billed_charge": 461.0, "npi": [1043479249]}]}, {"allowed_amount": 241.58, "providers": [{"billed_charge": 461.0, "npi": [1801580139]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1445.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5571.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1468.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7095.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "263711283"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 233.61, "providers": [{"billed_charge": 1415.0, "npi": [1578950424]}]}]}, {"tin": {"type": "ein", "value": "264159159"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1668.0, "npi": [1457641755]}]}]}, {"tin": {"type": "ein", "value": "271369141"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.38, "providers": [{"billed_charge": 1415.0, "npi": [1811357023]}]}]}, {"tin": {"type": "ein", "value": "272409240"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 639.74, "providers": [{"billed_charge": 1465.0, "npi": [1750969085]}, {"billed_charge": 1716.0, "npi": [1063850147]}]}]}, {"tin": {"type": "ein", "value": "274436135"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.27, "providers": [{"billed_charge": 1820.0, "npi": [1811457732]}]}]}, {"tin": {"type": "ein", "value": "274815951"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1054.0, "npi": [1770841629]}]}]}, {"tin": {"type": "ein", "value": "311009777"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.65, "providers": [{"billed_charge": 1191.0, "npi": [1215420005]}]}]}, {"tin": {"type": "ein", "value": "311538725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 586.54, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5071.0, "npi": [1063489342]}]}]}, {"tin": {"type": "ein", "value": "311603722"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 656.46, "providers": [{"billed_charge": 1923.0, "npi": [1326780453, 1154363935]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1750.88, "npi": [1225349715, 1811456676, 1417987173]}]}, {"allowed_amount": 227.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1750.88, "npi": [1255508354, 1891137923, 1528019205, 1518487701, 1518297753, 1629102363, 1124609961, 1285097899, 1184722480, 1699938878, 1083290944, 1669961157, 1942465356, 1720588239, 1689296592, 1932698578, 1942256979, 1790859221, 1417410143, 1992991202, 1790972396, 1568967545]}]}, {"allowed_amount": 241.58, "providers": [{"billed_charge": 1750.88, "npi": [1073225728, 1598364838, 1689682601, 1942971213, 1366622672, 1508847609, 1699008763, 1497033468, 1194164285]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1326.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4250.0, "npi": [1992735088]}]}, {"allowed_amount": 1797.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4250.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "352574944"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 214.89, "providers": [{"billed_charge": 3522.0, "npi": [1922734698]}]}, {"allowed_amount": 275.06, "providers": [{"billed_charge": 3522.0, "npi": [1497375000, 1396714465, 1013917954]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 883.0, "npi": [1144727827]}]}, {"allowed_amount": 271.01, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 883.0, "npi": [1962837682, 1316318900]}]}, {"allowed_amount": 275.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 883.0, "npi": [1063040194, 1164950531, 1699111245, 1497064463, 1578755120, 1043876626, 1144727827, 1326626292, 1952922775, 1073042297, 1629500350]}]}]}, {"tin": {"type": "ein", "value": "381357020"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 443.1, "providers": [{"billed_charge": 590.0, "npi": [1578925822]}]}]}, {"tin": {"type": "ein", "value": "381405141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1385.78, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2998.0, "npi": [1295785285]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4130.0, "npi": [1689121188]}]}, {"allowed_amount": 695.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4130.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384059067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 201.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3400.0, "npi": [1003014044]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 430.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5921.0, "npi": [1851927669]}]}, {"allowed_amount": 694.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5921.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "391446631"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 371.32, "providers": [{"billed_charge": 1609.0, "npi": [1881181956]}]}]}, {"tin": {"type": "ein", "value": "391678306"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 371.32, "providers": [{"billed_charge": 1220.0, "npi": [1235156878]}]}]}, {"tin": {"type": "ein", "value": "411722554"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 210.65, "providers": [{"billed_charge": 857.0, "npi": [1922274109]}]}]}, {"tin": {"type": "ein", "value": "421245087"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 379.83, "providers": [{"billed_charge": 930.0, "npi": [1538105945]}]}]}, {"tin": {"type": "ein", "value": "421418897"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 379.83, "providers": [{"billed_charge": 1451.0, "npi": [1962965681, 1083970578, 1013017623]}]}]}, {"tin": {"type": "ein", "value": "430688874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1186.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4171.0, "npi": [1184621211]}]}]}, {"tin": {"type": "ein", "value": "431832147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 223.52, "providers": [{"billed_charge": 1144.0, "npi": [1306402128, 1528231255]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1431.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2180.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "452049401"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 350.0, "npi": [1710954847]}]}, {"allowed_amount": 227.08, "providers": [{"billed_charge": 350.0, "npi": [1710954847]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 550.53, "providers": [{"billed_charge": 1364.0, "npi": [1447510805]}]}]}, {"tin": {"type": "ein", "value": "455337737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 524.0, "npi": [1154666824]}]}]}, {"tin": {"type": "ein", "value": "461236453"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 655.0, "npi": [1457971327]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1213.0, "npi": [1215514310]}, {"billed_charge": 1899.0, "npi": [1588009120, 1275761900]}]}, {"allowed_amount": 325.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1899.0, "npi": [1336728575]}]}, {"allowed_amount": 552.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1213.0, "npi": [1912303496, 1396303889, 1134642838, 1679308696, 1275008419, 1356936868, 1619523107, 1386228153, 1366433088, 1366226755, 1801047121, 1538126545, 1225296981, 1033100631, 1982360921, 1518778331, 1225486442, 1043934573, 1962474361, 1609357946]}, {"billed_charge": 1899.0, "npi": [1134734817, 1598167074, 1275008419, 1366226755, 1619523107, 1871155143, 1639211147, 1932169356, 1366622672, 1679308696, 1982360921, 1144547738]}]}, {"allowed_amount": 650.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1213.0, "npi": [1427412352, 1780212225, 1710961792, 1356091904, 1518115336, 1366626954, 1750709010, 1316574486, 1033557400, 1841417755, 1306377247, 1104807213, 1649761966, 1649808312, 1659352763, 1447579586, 1215514310, 1902998727, 1255968715, 1578805966, 1518130533, 1801325030, 1003266792, 1619503596, 1497318380, 1912137456, 1669565941, 1457857526, 1508354168]}, {"billed_charge": 1269.0, "npi": [1588009120, 1518294917, 1376984377, 1982632055, 1598736761]}, {"billed_charge": 1372.0, "npi": [1801325030, 1699260331, 1639225527, 1629010202, 1275729311]}, {"billed_charge": 1899.0, "npi": [1356091904, 1518294917, 1366626954, 1285071381, 1891080982, 1528708377, 1629010202, 1477531549, 1518328350, 1275729311, 1588009120, 1518608678, 1225294887, 1033109673, 1952397481, 1710502315, 1104807213, 1962821173, 1639225527, 1164465209, 1932390457, 1659002814, 1629500350, 1447831623, 1740714187, 1619952587, 1871500496, 1114500709, 1003266792, 1255913836, 1619503596, 1275761900, 1831532787, 1669565941, 1508354168, 1285377531, 1336728575]}]}]}, {"tin": {"type": "ein", "value": "462593177"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 696.88, "providers": [{"billed_charge": 1722.0, "npi": [1770104531]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4151.0, "npi": [1992131734]}]}, {"allowed_amount": 695.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4151.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "464467849"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.27, "providers": [{"billed_charge": 1213.0, "npi": [1184203838]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4130.0, "npi": [1154748416]}]}, {"allowed_amount": 695.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4130.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 708.66, "providers": [{"billed_charge": 1619.0, "npi": [1497405997]}]}]}, {"tin": {"type": "ein", "value": "475273455"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 276.15, "providers": [{"billed_charge": 1255.0, "npi": [1114175650]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 559.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3065.0, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 463.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4576.0, "npi": [1649259656]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1194.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5921.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "581920755"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 566.47, "providers": [{"billed_charge": 1450.0, "npi": [1285083519]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 566.47, "providers": [{"billed_charge": 900.0, "npi": [1316526288]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1520.34, "providers": [{"billed_charge": 3928.0, "npi": [1952340994, 1225050396]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 566.47, "providers": [{"billed_charge": 787.0, "npi": [1336602754]}]}]}, {"tin": {"type": "ein", "value": "590724459"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 435.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6054.0, "npi": [1306938071]}]}]}, {"tin": {"type": "ein", "value": "590872594"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1215.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2912.0, "npi": [1982688230]}]}]}, {"tin": {"type": "ein", "value": "593474034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 532.62, "providers": [{"billed_charge": 1861.0, "npi": [1609027200]}]}]}, {"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": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 765.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3522.02, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "611442402"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 443.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1471.0, "npi": [1598903379]}]}]}, {"tin": {"type": "ein", "value": "611661781"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 786.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 935.0, "npi": [1437732088]}]}]}, {"tin": {"type": "ein", "value": "621266047"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.75, "providers": [{"billed_charge": 1682.0, "npi": [1679153944]}]}, {"allowed_amount": 625.57, "providers": [{"billed_charge": 1705.0, "npi": [1467985754]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 913.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5921.0, "npi": [1487607784]}]}, {"allowed_amount": 1194.63, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5921.0, "npi": [1487607784]}, {"billed_charge": 10831.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "650859880"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 348.19, "providers": [{"billed_charge": 2032.0, "npi": [1780796086]}]}]}, {"tin": {"type": "ein", "value": "650913389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 259.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1722.0, "npi": [1194882407]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1516.0, "npi": [1902117013]}]}]}, {"tin": {"type": "ein", "value": "710678160"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 83.75, "providers": [{"billed_charge": 497.0, "npi": [1982704516]}]}, {"allowed_amount": 497.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 497.0, "npi": [1982704516]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1468.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6959.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1326.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4250.0, "npi": [1700910189]}]}, {"allowed_amount": 1797.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4250.0, "npi": [1700910189]}, {"billed_charge": 17808.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1206.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4151.0, "npi": [1982733655]}]}, {"allowed_amount": 1326.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2075.5, "npi": [1982733655]}, {"billed_charge": 4151.0, "npi": [1265065445, 1982733655]}]}, {"allowed_amount": 1797.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4151.0, "npi": [1609408665, 1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 201.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 481.0, "npi": [1740240712, 1306040498, 1790195014]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 214.89, "providers": [{"billed_charge": 688.0, "npi": [1598837627]}]}, {"allowed_amount": 276.15, "providers": [{"billed_charge": 688.0, "npi": [1548728082, 1003925363, 1477930964, 1730382102]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1115.32, "providers": [{"billed_charge": 6970.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "742870118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1703.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2518.0, "npi": [1447221742]}]}]}, {"tin": {"type": "ein", "value": "752562784"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 699.26, "providers": [{"billed_charge": 1457.0, "npi": [1023165982]}]}]}, {"tin": {"type": "ein", "value": "752807737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 276.15, "providers": [{"billed_charge": 1888.0, "npi": [1154377943]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1445.02, "providers": [{"billed_charge": 3329.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "810378200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1110.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2086.0, "npi": [1245222306]}]}]}, {"tin": {"type": "ein", "value": "814390353"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 205.07, "providers": [{"billed_charge": 1483.0, "npi": [1295101756]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1418.0, "npi": [1598086688, 1366737157, 1851379051, 1285747725, 1891094637, 1568428431, 1306232178, 1679750483, 1326426420, 1154718013, 1760825566, 1982633855]}, {"billed_charge": 1516.0, "npi": [1275111213]}]}, {"allowed_amount": 219.62, "providers": [{"billed_charge": 1418.0, "npi": [1851333660]}]}, {"allowed_amount": 227.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1418.0, "npi": [1740667906, 1477713154, 1366737157, 1952980997, 1871822726, 1285708172, 1295961613, 1386961167, 1447233168, 1568428431, 1750709010, 1861831695, 1417995796, 1780892943, 1629361936, 1164450961, 1144211855, 1205837333, 1154768406, 1477531549, 1184603557, 1891318309, 1417534249, 1972966828, 1396775599, 1740217264, 1568578482, 1326426420, 1700862133, 1972794295, 1760863161, 1912921917, 1922633536, 1679912265, 1205323342, 1881185486, 1679750483, 1942256979, 1093178329, 1467424986, 1760825566, 1528072287, 1932464609, 1376522466, 1053310052, 1255747432, 1851379051, 1891108973, 1891094637, 1689238255, 1447742960, 1215974258, 1952356594, 1306232178, 1225353972, 1174967293, 1437712890, 1053671677, 1982633855]}]}, {"allowed_amount": 241.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1418.0, "npi": [1154375426, 1033360995, 1841294378, 1053482828, 1154397933, 1285747725, 1851397624]}]}, {"allowed_amount": 469.75, "providers": [{"billed_charge": 1418.0, "npi": [1316924095]}]}]}, {"tin": {"type": "ein", "value": "814965916"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1418.0, "npi": [1053846659]}]}, {"allowed_amount": 152.93, "providers": [{"billed_charge": 1415.0, "npi": [1902303621]}, {"billed_charge": 1418.0, "npi": [1871822726]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 694.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4594.21, "npi": [1356818496]}]}, {"allowed_amount": 4594.21, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4594.21, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "823328660"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 597.23, "providers": [{"billed_charge": 1571.78, "npi": [1336127679]}]}]}, {"tin": {"type": "ein", "value": "825068549"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 529.57, "providers": [{"billed_charge": 1626.0, "npi": [1194219972]}]}]}, {"tin": {"type": "ein", "value": "833289238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 505.08, "providers": [{"billed_charge": 505.08, "npi": [1497918502]}]}]}, {"tin": {"type": "ein", "value": "833494977"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1415.0, "npi": [1225353972]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1206.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6555.0, "npi": [1609496397]}]}, {"allowed_amount": 1326.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6555.0, "npi": [1609496397]}]}, {"allowed_amount": 1797.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6555.0, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1468.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3226.47, "npi": [1801591391]}]}]}, {"tin": {"type": "ein", "value": "840417134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1027.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 10353.05, "npi": [1417946021]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1564.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 19693.08, "npi": [1689688988]}]}]}, {"tin": {"type": "ein", "value": "841099826"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1750.88, "npi": [1790972396]}]}, {"allowed_amount": 276.15, "providers": [{"billed_charge": 1571.78, "npi": [1467072835]}]}, {"allowed_amount": 597.23, "providers": [{"billed_charge": 1571.78, "npi": [1770743460]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1468.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7892.0, "npi": [1477531580]}]}, {"allowed_amount": 2018.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7892.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "841337350"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1110.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2574.0, "npi": [1649241571]}]}]}, {"tin": {"type": "ein", "value": "841337350"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 597.23, "providers": [{"billed_charge": 880.0, "npi": [1417972092]}]}]}, {"tin": {"type": "ein", "value": "841343242"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1468.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8852.45, "npi": [1689624686]}]}]}, {"tin": {"type": "ein", "value": "841343242"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 276.15, "providers": [{"billed_charge": 481.76, "npi": [1073523825]}]}]}, {"tin": {"type": "ein", "value": "841832545"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 640.07, "providers": [{"billed_charge": 3073.0, "npi": [1740474337]}]}]}, {"tin": {"type": "ein", "value": "844478409"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 443.1, "providers": [{"billed_charge": 844.0, "npi": [1649686304]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1468.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1798.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 276.15, "providers": [{"billed_charge": 1036.0, "npi": [1801216882]}]}]}, {"tin": {"type": "ein", "value": "850651672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1941.52, "npi": [1114908696]}]}, {"allowed_amount": 227.08, "providers": [{"billed_charge": 1941.52, "npi": [1114908696, 1508021502, 1386696656]}]}, {"allowed_amount": 241.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1941.52, "npi": [1497872402, 1548557275]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6000.0, "npi": [1518539048]}]}, {"allowed_amount": 695.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6000.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "852388743"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 255.43, "providers": [{"billed_charge": 883.0, "npi": [1811259310]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1797.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2435.0, "npi": [1841282852]}, {"billed_charge": 4191.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2435.0, "npi": [1972661726]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 430.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4020.0, "npi": [1902897820]}]}, {"allowed_amount": 694.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4020.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 430.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4394.12, "npi": [1780635078]}]}, {"allowed_amount": 607.53, "providers": [{"billed_charge": 4394.12, "npi": [1780635078]}]}, {"allowed_amount": 694.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4394.12, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 430.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2690.0, "npi": [1174512792]}]}, {"allowed_amount": 694.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2690.0, "npi": [1174512792]}]}, {"allowed_amount": 913.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2690.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.08, "providers": [{"billed_charge": 1932.04, "npi": [1639285869, 1710954847]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 981.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2585.0, "npi": [1053684555]}]}]}, {"tin": {"type": "ein", "value": "860334996"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1478.0, "npi": [1457304925]}]}]}, {"tin": {"type": "ein", "value": "860392561"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 241.58, "providers": [{"billed_charge": 498.54, "npi": [1790148104]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6405.0, "npi": [1760480503]}]}, {"allowed_amount": 444.58, "providers": [{"billed_charge": 6405.0, "npi": [1760480503]}]}, {"allowed_amount": 695.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6405.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860472307"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1418.0, "npi": [1053482828]}]}, {"allowed_amount": 275.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2331.0, "npi": [1013073089]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1039.0, "npi": [1174086722, 1952806564, 1730620741, 1255726121, 1942763156, 1821573429, 1912319930, 1174943583]}]}, {"allowed_amount": 275.06, "providers": [{"billed_charge": 1039.0, "npi": [1952806564, 1649893959, 1942763156, 1821573429, 1841729852, 1174943583, 1356720056, 1780326710, 1811067804, 1245979228]}]}]}, {"tin": {"type": "ein", "value": "860580587"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 275.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1064.0, "npi": [1679837488, 1336766450, 1609831908]}]}]}, {"tin": {"type": "ein", "value": "860633950"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 150.24, "providers": [{"billed_charge": 421.0, "npi": [1447514898]}]}, {"allowed_amount": 421.0, "providers": [{"billed_charge": 421.0, "npi": [1144298936, 1598766487]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4369.0, "npi": [1154392231]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4369.0, "npi": [1154392231]}]}, {"allowed_amount": 695.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4369.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.67, "providers": [{"billed_charge": 1354.0, "npi": [1457766230]}]}, {"allowed_amount": 152.93, "providers": [{"billed_charge": 1354.0, "npi": [1104809136]}, {"billed_charge": 1800.0, "npi": [1437163813]}]}, {"allowed_amount": 227.08, "providers": [{"billed_charge": 1354.0, "npi": [1164635264, 1740233121, 1386809762, 1124472931, 1427584002, 1699195685, 1275637670, 1386614626, 1093749475, 1255391082, 1285658666, 1831685841, 1366456212, 1124282454, 1467074104, 1336778430]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1516.0, "npi": [1750875233]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 461.0, "npi": [1912135120]}, {"billed_charge": 1354.0, "npi": [1386614626]}]}]}, {"tin": {"type": "ein", "value": "860911259"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1039.0, "npi": [1356720056]}, {"billed_charge": 1415.0, "npi": [1750366712, 1780179259, 1134667157, 1386862118]}, {"billed_charge": 1516.0, "npi": [1023579281]}]}]}, {"tin": {"type": "ein", "value": "860918896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.64, "providers": [{"billed_charge": 1418.0, "npi": [1114075421]}]}]}, {"tin": {"type": "ein", "value": "861011997"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1418.0, "npi": [1205323342]}]}]}, {"tin": {"type": "ein", "value": "861248931"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 585.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5302.0, "npi": [1699340927]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4594.21, "npi": [1881352037]}]}, {"allowed_amount": 695.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4594.21, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "870629690"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 214.89, "providers": [{"billed_charge": 1272.0, "npi": [1376233924]}]}]}, {"tin": {"type": "ein", "value": "871451688"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 786.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1722.27, "npi": [1124413869]}]}]}, {"tin": {"type": "ein", "value": "871737544"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 694.4, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6000.0, "npi": [1750092110]}]}]}, {"tin": {"type": "ein", "value": "873202637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 2897.0, "npi": [1710545520, 1679066427, 1760795371]}]}, {"allowed_amount": 275.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2897.0, "npi": [1952335499, 1427510544, 1548614167, 1225611544, 1881240497, 1952333874, 1902249527, 1164956215, 1679066427, 1437234499, 1285379404, 1053340877, 1407025745, 1477127512, 1730540766, 1629715297, 1457790438, 1275581811, 1245670900, 1093078396]}]}]}, {"tin": {"type": "ein", "value": "873362930"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1800.0, "npi": [1265973465]}]}]}, {"tin": {"type": "ein", "value": "873768007"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 227.08, "providers": [{"billed_charge": 3500.0, "npi": [1811918014]}]}, {"allowed_amount": 241.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3500.0, "npi": [1902848450]}]}]}, {"tin": {"type": "ein", "value": "873825600"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1415.0, "npi": [1083632962]}, {"billed_charge": 1418.0, "npi": [1982925749]}]}, {"allowed_amount": 227.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3368.55, "npi": [1588649545]}]}]}, {"tin": {"type": "ein", "value": "880262438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1415.0, "npi": [1033504360]}]}, {"allowed_amount": 567.11, "providers": [{"billed_charge": 1687.0, "npi": [1730806068]}]}]}, {"tin": {"type": "ein", "value": "880303529"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 276.15, "providers": [{"billed_charge": 1089.0, "npi": [1225616311]}]}]}, {"tin": {"type": "ein", "value": "900214335"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3059.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3063.0, "npi": [1194705202]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1290.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3743.0, "npi": [1356528269]}]}]}, {"tin": {"type": "ein", "value": "911828806"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 148.78, "providers": [{"billed_charge": 895.0, "npi": [1497218036]}]}]}, {"tin": {"type": "ein", "value": "921814438"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 303.65, "providers": [{"billed_charge": 1870.0, "npi": [1013657543]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.64, "providers": [{"billed_charge": 1282.0, "npi": [1649898602, 1801266218, 1528671948, 1164495917, 1548241656, 1962892927]}, {"billed_charge": 1366.0, "npi": [1750092763]}]}, {"allowed_amount": 152.93, "providers": [{"billed_charge": 1282.0, "npi": [1326501313, 1609164839, 1154811818, 1366020042, 1366905713, 1386224244, 1467034868, 1043252984, 1154748283]}, {"billed_charge": 1366.0, "npi": [1922267186, 1528072287]}]}, {"allowed_amount": 219.62, "providers": [{"billed_charge": 1282.0, "npi": [1649898602]}]}, {"allowed_amount": 227.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1282.0, "npi": [1740870922, 1184298507, 1588672141, 1518134030, 1710995345, 1528076049, 1497736599, 1316955800, 1669522587, 1609164839, 1154811818, 1508027947, 1740771245, 1578675245, 1407874605, 1548241656, 1205933744, 1922267186, 1558527036, 1366020042, 1992382675, 1659661932, 1366905713, 1275152241, 1467034868, 1386224244, 1285195511, 1043252984, 1154748283, 1396773628]}, {"billed_charge": 1366.0, "npi": [1528072287]}]}, {"allowed_amount": 241.58, "providers": [{"billed_charge": 1282.0, "npi": [1003540550, 1992416903, 1801266218, 1649898602, 1467970988, 1164495917, 1528671948, 1982287728, 1437782257, 1912768656, 1487199824, 1962141143, 1750092763, 1962892927]}]}]}, {"tin": {"type": "ein", "value": "932421242"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 529.57, "providers": [{"billed_charge": 1488.0, "npi": [1003873860]}]}]}, {"tin": {"type": "ein", "value": "932525700"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 287.24, "providers": [{"billed_charge": 1870.0, "npi": [1306804240]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6000.0, "npi": [1275366122]}]}, {"allowed_amount": 695.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 6000.0, "npi": [1275366122]}]}]}, {"tin": {"type": "ein", "value": "933491126"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 360.0, "npi": [1124220397]}]}, {"allowed_amount": 201.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 360.0, "npi": [1407046824, 1124220397]}]}]}, {"tin": {"type": "ein", "value": "934331992"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1415.0, "npi": [1578548442]}, {"billed_charge": 1800.0, "npi": [1295198711]}]}, {"allowed_amount": 241.58, "providers": [{"billed_charge": 3500.0, "npi": [1528421971]}]}]}, {"tin": {"type": "ein", "value": "934387494"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 786.32, "providers": [{"billed_charge": 1330.0, "npi": [1770004608]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.27, "providers": [{"billed_charge": 1415.0, "npi": [1063874436]}]}, {"allowed_amount": 786.32, "providers": [{"billed_charge": 1415.0, "npi": [1811520018, 1265176788, 1629531629, 1770543951]}]}]}, {"tin": {"type": "ein", "value": "943259637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 137.64, "providers": [{"billed_charge": 1415.0, "npi": [1023120219]}]}, {"allowed_amount": 152.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1418.0, "npi": [1679750483]}]}]}, {"tin": {"type": "ein", "value": "943293742"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 152.93, "providers": [{"billed_charge": 1173.0, "npi": [1790870210]}]}]}, {"tin": {"type": "ein", "value": "946004062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2796.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4064.0, "npi": [1538265780]}]}]}, {"tin": {"type": "ein", "value": "951183919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3059.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 8996.0, "npi": [1780681189]}]}]}, {"tin": {"type": "ein", "value": "953101325"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 700.0, "providers": [{"billed_charge": 700.0, "npi": [1407238231]}]}]}, {"tin": {"type": "ein", "value": "954481360"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 97.27, "providers": [{"billed_charge": 1316.0, "npi": [1902829187]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 936.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 7157.37, "npi": [1457321317]}]}]}, {"tin": {"type": "ein", "value": "956130458"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2796.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5346.0, "npi": [1013981554]}]}]}, {"tin": {"type": "ein", "value": "956130458"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 621.0, "providers": [{"billed_charge": 621.0, "npi": [1972007862]}]}]}, {"tin": {"type": "ein", "value": "992974033"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 276.15, "providers": [{"billed_charge": 2943.0, "npi": [1245407592]}]}]}]}, {"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": 870.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 870.32, "npi": [1073535027]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.3, "providers": [{"billed_charge": 197.0, "npi": [1003669813]}]}]}, {"tin": {"type": "ein", "value": "141842517"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.88, "providers": [{"billed_charge": 810.0, "npi": [1558895409, 1396775599]}, {"billed_charge": 1173.0, "npi": [1144471640]}]}, {"allowed_amount": 76.44, "providers": [{"billed_charge": 495.0, "npi": [1780147041, 1386140820, 1902821374]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.69, "providers": [{"billed_charge": 265.0, "npi": [1316729288, 1972271237]}]}, {"allowed_amount": 60.79, "providers": [{"billed_charge": 265.0, "npi": [1639607476, 1417343062, 1215193503]}]}, {"allowed_amount": 61.88, "providers": [{"billed_charge": 265.0, "npi": [1336645233]}]}, {"allowed_amount": 64.97, "providers": [{"billed_charge": 265.0, "npi": [1639607476, 1184121501]}]}, {"allowed_amount": 76.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 265.0, "npi": [1699411074, 1366678534, 1194922005, 1518347798, 1184121501, 1215193503, 1114314143, 1699791905, 1457858466, 1194733485, 1538120886, 1114339512, 1336768316, 1245750850, 1306133574, 1093776585, 1124327499, 1316430036, 1417343062, 1013250521, 1154985182, 1245564772, 1508125295, 1043639792, 1104203769]}]}, {"allowed_amount": 92.22, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 265.0, "npi": [1003436288, 1790733764, 1235817321, 1568127629, 1912142225, 1588322770, 1902865785, 1891120762]}]}, {"allowed_amount": 97.5, "providers": [{"billed_charge": 265.0, "npi": [1952863136, 1043307424, 1750938627, 1760853220, 1316729288, 1649971177, 1114680394, 1992014443, 1043954985, 1336777390, 1336645233, 1578274585, 1073264727, 1437134681, 1710658299, 1457971327]}]}, {"allowed_amount": 147.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 265.0, "npi": [1942568597, 1578556510]}]}]}, {"tin": {"type": "ein", "value": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 643.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1925.45, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.69, "providers": [{"billed_charge": 962.0, "npi": [1700751484, 1336929876]}]}, {"allowed_amount": 61.88, "providers": [{"billed_charge": 1415.0, "npi": [1376103044]}]}, {"allowed_amount": 92.22, "providers": [{"billed_charge": 509.0, "npi": [1518709872]}]}, {"allowed_amount": 97.5, "providers": [{"billed_charge": 509.0, "npi": [1457167157, 1447260831]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.69, "providers": [{"billed_charge": 962.0, "npi": [1386674992, 1205345923]}]}, {"allowed_amount": 61.88, "providers": [{"billed_charge": 1415.0, "npi": [1083672885]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.69, "providers": [{"billed_charge": 646.0, "npi": [1669970778]}]}, {"allowed_amount": 112.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 666.0, "npi": [1427021740]}, {"billed_charge": 687.0, "npi": [1437433950]}]}, {"allowed_amount": 225.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 666.0, "npi": [1558032623]}, {"billed_charge": 686.0, "npi": [1578396784, 1669970778, 1679397269, 1891123030]}, {"billed_charge": 687.0, "npi": [1346541448, 1386338507]}]}, {"allowed_amount": 265.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 646.0, "npi": [1962022707, 1346482692, 1912340597]}, {"billed_charge": 666.0, "npi": [1063099216, 1043284243, 1821522301]}, {"billed_charge": 686.0, "npi": [1992295000, 1457641755, 1871971598]}, {"billed_charge": 687.0, "npi": [1871500496, 1902998727, 1063035111]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.44, "providers": [{"billed_charge": 188.0, "npi": [1275152241, 1770015307, 1285195511]}]}, {"allowed_amount": 79.37, "providers": [{"billed_charge": 188.0, "npi": [1144541426]}]}, {"allowed_amount": 97.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 188.0, "npi": [1972466506, 1801580139]}]}, {"allowed_amount": 147.0, "providers": [{"billed_charge": 188.0, "npi": [1225561384]}]}]}, {"tin": {"type": "ein", "value": "237094247"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 235.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 235.37, "npi": [1346261807]}]}]}, {"tin": {"type": "ein", "value": "311373080"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 206.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1127.0, "npi": [1467537886]}]}]}, {"tin": {"type": "ein", "value": "331358034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.44, "providers": [{"billed_charge": 1932.0, "npi": [1689967267, 1972794295]}]}, {"allowed_amount": 97.5, "providers": [{"billed_charge": 1932.0, "npi": [1376039560]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.69, "providers": [{"billed_charge": 625.3, "npi": [1073225728]}]}, {"allowed_amount": 61.88, "providers": [{"billed_charge": 625.3, "npi": [1790859221, 1417410143]}]}, {"allowed_amount": 76.44, "providers": [{"billed_charge": 625.3, "npi": [1255508354, 1891137923, 1811456676, 1417987173, 1790972396, 1689296592, 1790859221, 1518487701, 1629102363]}]}, {"allowed_amount": 92.22, "providers": [{"billed_charge": 625.3, "npi": [1598364838]}]}, {"allowed_amount": 97.5, "providers": [{"billed_charge": 625.3, "npi": [1073225728, 1396804084, 1366622672]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1206.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1573.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "352635546"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.28, "providers": [{"billed_charge": 2116.13, "npi": [1336623198]}]}]}, {"tin": {"type": "ein", "value": "364827272"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 813.87, "providers": [{"billed_charge": 2790.15, "npi": [1578007514]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.69, "providers": [{"billed_charge": 361.0, "npi": [1659995652]}, {"billed_charge": 883.0, "npi": [1902511215]}]}, {"allowed_amount": 92.22, "providers": [{"billed_charge": 361.0, "npi": [1467912097, 1649690157, 1972716207, 1144727827, 1649912411, 1306041116]}]}, {"allowed_amount": 97.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 361.0, "npi": [1205806122, 1356951891, 1659995652, 1326304239]}]}]}, {"tin": {"type": "ein", "value": "380833014"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 87.43, "providers": [{"billed_charge": 137.0, "npi": [1386771053]}]}]}, {"tin": {"type": "ein", "value": "382589966"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 627.02, "providers": [{"billed_charge": 814.0, "npi": [1285662981]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 124.42, "providers": [{"billed_charge": 2033.0, "npi": [1124656376, 1932737277]}]}, {"allowed_amount": 137.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2033.0, "npi": [1528525227]}]}, {"allowed_amount": 164.11, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2033.0, "npi": [1528525227]}]}, {"allowed_amount": 276.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2033.0, "npi": [1689121188]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2033.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2448.0, "npi": [1851927669]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2448.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 505.86, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 723.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "421437483"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 425.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 825.0, "npi": [1659348506]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 505.86, "providers": [{"billed_charge": 1453.0, "npi": [1376544320]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 154.47, "providers": [{"billed_charge": 333.0, "npi": [1700014453]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1026.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2204.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 945.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 945.0, "npi": [1376686600, 1467595793]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.88, "providers": [{"billed_charge": 852.0, "npi": [1518608678]}]}, {"allowed_amount": 112.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 542.0, "npi": [1033100631]}]}, {"allowed_amount": 132.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 542.0, "npi": [1356091904, 1073598355, 1215514310]}, {"billed_charge": 852.0, "npi": [1073598355, 1114500709]}]}, {"allowed_amount": 225.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 542.0, "npi": [1598167074, 1366226755, 1275008419, 1417064528, 1134642838, 1679308696, 1982360921]}, {"billed_charge": 852.0, "npi": [1316354400, 1134734817, 1598167074, 1619523107, 1366226755, 1669704003, 1871155143, 1982360921, 1639211147, 1932169356, 1366622672, 1386228153, 1144547738]}]}, {"allowed_amount": 265.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 478.0, "npi": [1588009120]}, {"billed_charge": 527.0, "npi": [1518115336, 1801325030]}, {"billed_charge": 542.0, "npi": [1356091904, 1447579586, 1215514310, 1801325030, 1508253162, 1649761966, 1649808312, 1659352763, 1275729311]}, {"billed_charge": 852.0, "npi": [1518294917, 1366626954, 1073598355, 1285071381, 1528708377, 1629010202, 1477531549, 1306377247, 1518608678, 1225294887, 1033109673, 1639225527, 1932390457, 1659002814, 1447831623, 1871500496, 1114500709, 1275761900, 1669565941, 1508354168, 1336728575]}]}]}, {"tin": {"type": "ein", "value": "463499370"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 954.25, "providers": [{"billed_charge": 1634.95, "npi": [1770901761]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.36, "providers": [{"billed_charge": 1619.0, "npi": [1992131734]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1619.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "464389870"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 430.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2435.0, "npi": [1952723967]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 124.42, "providers": [{"billed_charge": 2033.0, "npi": [1114466950, 1275084030]}]}, {"allowed_amount": 124.53, "providers": [{"billed_charge": 2033.0, "npi": [1275084030]}]}, {"allowed_amount": 130.64, "providers": [{"billed_charge": 2033.0, "npi": [1114466950, 1275084030]}]}, {"allowed_amount": 138.24, "providers": [{"billed_charge": 2033.0, "npi": [1154748416]}]}, {"allowed_amount": 211.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2033.0, "npi": [1114466950]}]}, {"allowed_amount": 219.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2033.0, "npi": [1154748416]}]}, {"allowed_amount": 276.36, "providers": [{"billed_charge": 2033.0, "npi": [1154748416]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2033.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 289.59, "providers": [{"billed_charge": 632.0, "npi": [1639119795]}]}]}, {"tin": {"type": "ein", "value": "473255211"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.59, "providers": [{"billed_charge": 923.0, "npi": [1265813075]}]}]}, {"tin": {"type": "ein", "value": "473255211"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.09, "providers": [{"billed_charge": 838.0, "npi": [1437651999]}]}]}, {"tin": {"type": "ein", "value": "473448483"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 686.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 755.0, "npi": [1164102794]}]}]}, {"tin": {"type": "ein", "value": "475618278"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.14, "providers": [{"billed_charge": 205.29, "npi": [1811417553]}]}]}, {"tin": {"type": "ein", "value": "486033703"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 353.72, "providers": [{"billed_charge": 1575.0, "npi": [1508883422]}]}]}, {"tin": {"type": "ein", "value": "486341644"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 107.74, "providers": [{"billed_charge": 155.75, "npi": [1124334370]}]}]}, {"tin": {"type": "ein", "value": "510158976"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.54, "providers": [{"billed_charge": 218.58, "npi": [1881252658]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 662.04, "providers": [{"billed_charge": 2448.0, "npi": [1386697688]}]}, {"allowed_amount": 853.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2448.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "562462584"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.82, "providers": [{"billed_charge": 1395.0, "npi": [1487652426]}]}, {"allowed_amount": 444.58, "providers": [{"billed_charge": 1395.0, "npi": [1487652426]}, {"billed_charge": 1513.0, "npi": [1487652426]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 989.1, "providers": [{"billed_charge": 1513.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "580593388"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 761.08, "providers": [{"billed_charge": 884.0, "npi": [1275527889]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 761.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1994.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 761.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1257.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "590724459"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 435.74, "providers": [{"billed_charge": 1535.0, "npi": [1306938071]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 636.58, "providers": [{"billed_charge": 2160.52, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "611257509"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 288.54, "providers": [{"billed_charge": 6193.3, "npi": [1689621450]}]}]}, {"tin": {"type": "ein", "value": "611519241"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.54, "providers": [{"billed_charge": 218.58, "npi": [1144716507]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 853.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2448.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "621762545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1570.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4486.0, "npi": [1447299649]}]}]}, {"tin": {"type": "ein", "value": "626002166"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1040.0, "npi": [1275531956]}]}]}, {"tin": {"type": "ein", "value": "650913389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 696.0, "npi": [1831151562, 1437513595, 1447547724, 1205900461]}]}]}, {"tin": {"type": "ein", "value": "710236856"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 392.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3150.0, "npi": [1043240682]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 440.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 440.0, "npi": [1700910189]}]}, {"allowed_amount": 661.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1573.0, "npi": [1700910189]}]}, {"allowed_amount": 1206.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1573.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.22, "providers": [{"billed_charge": 180.0, "npi": [1316376387]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.36, "providers": [{"billed_charge": 1619.0, "npi": [1982733655]}]}, {"allowed_amount": 209.39, "providers": [{"billed_charge": 1619.0, "npi": [1982733655]}]}, {"allowed_amount": 379.57, "providers": [{"billed_charge": 1619.0, "npi": [1265065445]}]}, {"allowed_amount": 661.02, "providers": [{"billed_charge": 1619.0, "npi": [1609408665, 1982733655]}]}, {"allowed_amount": 1079.33, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1079.33, "npi": [1982733655]}]}, {"allowed_amount": 1206.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1619.0, "npi": [1609408665, 1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.37, "providers": [{"billed_charge": 180.0, "npi": [1790195014]}]}]}, {"tin": {"type": "ein", "value": "731089149"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 199.28, "providers": [{"billed_charge": 1962.0, "npi": [1457372625]}]}]}, {"tin": {"type": "ein", "value": "741152597"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 238.8, "providers": [{"billed_charge": 2474.75, "npi": [1730132234]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 226.98, "providers": [{"billed_charge": 527.48, "npi": [1861066862]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 800.12, "providers": [{"billed_charge": 2253.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "742934770"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.54, "providers": [{"billed_charge": 361.0, "npi": [1639412125]}]}]}, {"tin": {"type": "ein", "value": "742959748"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 192.94, "providers": [{"billed_charge": 282.0, "npi": [1457313991]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 800.12, "providers": [{"billed_charge": 1260.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "756001193"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 786.0, "providers": [{"billed_charge": 786.0, "npi": [1720096019]}]}]}, {"tin": {"type": "ein", "value": "756001193"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.8, "providers": [{"billed_charge": 335.0, "npi": [1932193026]}]}]}, {"tin": {"type": "ein", "value": "800212487"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 308.87, "providers": [{"billed_charge": 531.51, "npi": [1770809337]}]}]}, {"tin": {"type": "ein", "value": "810872075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 192.94, "providers": [{"billed_charge": 667.0, "npi": [1073969978]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 800.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1676.95, "npi": [1144781501]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.88, "providers": [{"billed_charge": 638.0, "npi": [1922633536]}, {"billed_charge": 895.0, "npi": [1922633536, 1871822726, 1841294378, 1154397933, 1386961167, 1154768406]}]}, {"allowed_amount": 76.44, "providers": [{"billed_charge": 638.0, "npi": [1477713154, 1851379051, 1831532787, 1154768406, 1477531549]}]}, {"allowed_amount": 147.0, "providers": [{"billed_charge": 638.0, "npi": [1043205297]}]}]}, {"tin": {"type": "ein", "value": "814965916"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.88, "providers": [{"billed_charge": 188.0, "npi": [1487114179]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2872.68, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1305.85, "providers": [{"billed_charge": 3731.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "822503787"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.3, "providers": [{"billed_charge": 396.39, "npi": [1063102002]}]}]}, {"tin": {"type": "ein", "value": "823537014"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.22, "providers": [{"billed_charge": 1813.84, "npi": [1508247800, 1790717627, 1740470988]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 661.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2777.25, "npi": [1609496397]}]}, {"allowed_amount": 1206.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2777.25, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 813.87, "providers": [{"billed_charge": 1480.03, "npi": [1801591391]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1135.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2407.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "843016310"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.37, "providers": [{"billed_charge": 205.0, "npi": [1336363290]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 349.98, "providers": [{"billed_charge": 535.0, "npi": [1215913470]}]}, {"allowed_amount": 535.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 535.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "850327237"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 813.87, "providers": [{"billed_charge": 1786.0, "npi": [1982799375]}]}]}, {"tin": {"type": "ein", "value": "850651672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1030.49, "npi": [1114908696, 1124464839, 1578548434, 1235193327]}]}, {"allowed_amount": 97.5, "providers": [{"billed_charge": 1030.49, "npi": [1548557275]}]}]}, {"tin": {"type": "ein", "value": "851514572"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 444.58, "providers": [{"billed_charge": 5040.0, "npi": [1346812864]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5040.0, "npi": [1518539048]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5040.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "852388743"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.54, "providers": [{"billed_charge": 218.58, "npi": [1871854505, 1508020355, 1841732781]}]}, {"allowed_amount": 107.01, "providers": [{"billed_charge": 218.58, "npi": [1578946091]}]}]}, {"tin": {"type": "ein", "value": "856003005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 386.4, "providers": [{"billed_charge": 386.4, "npi": [1689747552]}]}]}, {"tin": {"type": "ein", "value": "856003005"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.69, "providers": [{"billed_charge": 132.87, "npi": [1568999415]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 860.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 860.0, "npi": [1841282852]}]}, {"allowed_amount": 1206.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1427.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1528.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1389.92, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.59, "providers": [{"billed_charge": 968.0, "npi": [1174512792]}]}, {"allowed_amount": 225.04, "providers": [{"billed_charge": 968.0, "npi": [1174512792]}]}, {"allowed_amount": 276.36, "providers": [{"billed_charge": 968.0, "npi": [1174512792]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 968.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.36, "providers": [{"billed_charge": 400.0, "npi": [1083643738]}]}, {"allowed_amount": 400.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1236.69, "npi": [1760498794]}]}, {"allowed_amount": 76.44, "providers": [{"billed_charge": 1236.69, "npi": [1346699394, 1851040687]}]}, {"allowed_amount": 92.22, "providers": [{"billed_charge": 1236.69, "npi": [1972826436, 1689191397, 1205313798, 1124553425, 1851915961, 1427560218]}]}, {"allowed_amount": 97.5, "providers": [{"billed_charge": 1236.69, "npi": [1760498794, 1609047091, 1063484517, 1649828070]}]}]}, {"tin": {"type": "ein", "value": "860320447"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1261.95, "npi": [1144209271]}]}]}, {"tin": {"type": "ein", "value": "860371760"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.88, "providers": [{"billed_charge": 265.0, "npi": [1104896034]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.36, "providers": [{"billed_charge": 2405.0, "npi": [1760480503]}]}, {"allowed_amount": 318.28, "providers": [{"billed_charge": 2405.0, "npi": [1760480503]}]}, {"allowed_amount": 334.18, "providers": [{"billed_charge": 2405.0, "npi": [1760480503]}]}, {"allowed_amount": 364.99, "providers": [{"billed_charge": 2405.0, "npi": [1760480503]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2405.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860472307"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.88, "providers": [{"billed_charge": 625.3, "npi": [1790859221]}]}]}, {"tin": {"type": "ein", "value": "860719658"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 201.0, "providers": [{"billed_charge": 201.0, "npi": [1740219104]}]}]}, {"tin": {"type": "ein", "value": "860719858"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.0, "providers": [{"billed_charge": 230.0, "npi": [1508800129]}]}]}, {"tin": {"type": "ein", "value": "860732836"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1107.0, "npi": [1871566521]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.36, "providers": [{"billed_charge": 1395.0, "npi": [1154392231]}]}, {"allowed_amount": 444.58, "providers": [{"billed_charge": 1395.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 687.0, "npi": [1568478311]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 153.85, "providers": [{"billed_charge": 153.85, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 153.85, "npi": [1669836284, 1609338102]}]}, {"allowed_amount": 92.22, "providers": [{"billed_charge": 153.85, "npi": [1194164285]}]}]}, {"tin": {"type": "ein", "value": "860830748"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.88, "providers": [{"billed_charge": 638.0, "npi": [1316924095]}]}]}, {"tin": {"type": "ein", "value": "860837437"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.71, "providers": [{"billed_charge": 188.0, "npi": [1669292181]}]}]}, {"tin": {"type": "ein", "value": "860917252"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.58, "providers": [{"billed_charge": 137.0, "npi": [1659432078]}]}]}, {"tin": {"type": "ein", "value": "861003227"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.37, "providers": [{"billed_charge": 302.45, "npi": [1902975907]}, {"billed_charge": 6200.0, "npi": [1902975907]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2872.68, "npi": [1881352037]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2872.68, "npi": [1881352037]}]}, {"allowed_amount": 2872.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2872.68, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "866007596"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 185.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2382.0, "npi": [1194706655]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2382.0, "npi": [1194706655]}]}]}, {"tin": {"type": "ein", "value": "871451688"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 308.87, "providers": [{"billed_charge": 666.8, "npi": [1760011795]}]}]}, {"tin": {"type": "ein", "value": "873202637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.88, "providers": [{"billed_charge": 1244.0, "npi": [1629715297]}, {"billed_charge": 2000.0, "npi": [1952335499]}]}, {"allowed_amount": 97.0, "providers": [{"billed_charge": 1244.0, "npi": [1689248056]}]}]}, {"tin": {"type": "ein", "value": "873768007"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.44, "providers": [{"billed_charge": 1932.0, "npi": [1417128208, 1811918014]}]}, {"allowed_amount": 97.5, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1932.0, "npi": [1902848450]}]}]}, {"tin": {"type": "ein", "value": "873825600"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.88, "providers": [{"billed_charge": 638.0, "npi": [1992007439]}]}, {"allowed_amount": 76.44, "providers": [{"billed_charge": 1813.84, "npi": [1356799811, 1578875811, 1760725188, 1174759807]}]}]}, {"tin": {"type": "ein", "value": "883463577"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 92.22, "providers": [{"billed_charge": 1932.0, "npi": [1326007238]}]}, {"allowed_amount": 97.5, "providers": [{"billed_charge": 1932.0, "npi": [1376039560]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 643.32, "providers": [{"billed_charge": 1059.0, "npi": [1538345251, 1356528269]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 55.69, "providers": [{"billed_charge": 565.0, "npi": [1801266218]}]}, {"allowed_amount": 61.88, "providers": [{"billed_charge": 481.0, "npi": [1154811818]}, {"billed_charge": 967.0, "npi": [1528076049, 1740771245]}]}, {"allowed_amount": 76.44, "providers": [{"billed_charge": 481.0, "npi": [1407874605, 1609164839]}]}, {"allowed_amount": 97.5, "providers": [{"billed_charge": 481.0, "npi": [1912768656, 1528671948, 1003540550]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.36, "providers": [{"billed_charge": 5040.0, "npi": [1275366122]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5040.0, "npi": [1275366122]}]}]}, {"tin": {"type": "ein", "value": "934331992"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.88, "providers": [{"billed_charge": 739.0, "npi": [1891959730]}]}]}, {"tin": {"type": "ein", "value": "941196203"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 209.39, "providers": [{"billed_charge": 1573.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 686.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1659.54, "npi": [1538178801]}]}]}, {"tin": {"type": "ein", "value": "942958258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 104.5, "providers": [{"billed_charge": 212.0, "npi": [1487035176, 1891752457]}]}]}, {"tin": {"type": "ein", "value": "943259637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.88, "providers": [{"billed_charge": 625.3, "npi": [1942465356]}]}]}, {"tin": {"type": "ein", "value": "943302014"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 224.04, "providers": [{"billed_charge": 224.04, "npi": [1700087590]}]}]}, {"tin": {"type": "ein", "value": "943344928"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 103.54, "providers": [{"billed_charge": 218.58, "npi": [1740239748]}]}]}, {"tin": {"type": "ein", "value": "951644036"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1554.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2296.55, "npi": [1407828429]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 308.87, "providers": [{"billed_charge": 366.0, "npi": [1881181972]}]}]}, {"tin": {"type": "ein", "value": "954457756"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 40.14, "providers": [{"billed_charge": 305.0, "npi": [1639172372]}]}]}, {"tin": {"type": "ein", "value": "956000930"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1554.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3461.24, "npi": [1821159195]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 643.32, "providers": [{"billed_charge": 1600.0, "npi": [1801653969]}]}]}]}, {"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": "135562308"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 532.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 750.0, "npi": [1043771025]}]}]}, {"tin": {"type": "ein", "value": "141842517"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 810.0, "npi": [1396773073]}]}, {"allowed_amount": 94.79, "providers": [{"billed_charge": 810.0, "npi": [1689067969]}]}, {"allowed_amount": 105.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 810.0, "npi": [1790870210, 1225615529, 1265729867, 1316114895, 1306379953, 1679505747]}]}, {"allowed_amount": 138.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 810.0, "npi": [1528565504, 1447415427, 1386140820, 1528121621, 1962686360, 1225615529, 1558757930, 1124347695, 1558895409, 1306379953, 1649613118, 1952333247, 1790870210, 1912434119, 1265729867, 1316114895, 1609281617, 1396773073, 1679505747, 1144471640, 1346449626, 1780147041, 1770504292]}]}, {"allowed_amount": 312.98, "providers": [{"billed_charge": 810.0, "npi": [1053559732, 1548201189, 1194989822]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 93.12, "providers": [{"billed_charge": 452.0, "npi": [1588322770]}]}, {"allowed_amount": 138.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 452.0, "npi": [1699791905, 1699411074, 1902241219, 1245564772, 1417932476, 1306133574, 1366678534, 1124327499, 1225328750, 1376512335, 1841644689, 1871948372, 1639607476, 1518347798, 1194050328, 1013250521, 1497286108, 1114339512]}]}, {"allowed_amount": 165.67, "providers": [{"billed_charge": 452.0, "npi": [1043307424, 1760853220, 1316729288, 1174261903, 1336645233, 1972154771, 1578274585]}]}, {"allowed_amount": 174.96, "providers": [{"billed_charge": 452.0, "npi": [1003436288, 1972271237, 1235817321, 1568127629, 1902865785]}]}, {"allowed_amount": 312.98, "providers": [{"billed_charge": 452.0, "npi": [1891967808]}]}]}, {"tin": {"type": "ein", "value": "203198788"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 1186.31, "npi": [1790972396]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1033504360, 1164612578]}]}, {"allowed_amount": 94.79, "providers": [{"billed_charge": 962.0, "npi": [1518709872, 1205464633, 1700665569, 1629250279]}]}, {"allowed_amount": 105.32, "providers": [{"billed_charge": 962.0, "npi": [1033504360, 1386862118]}]}, {"allowed_amount": 129.46, "providers": [{"billed_charge": 962.0, "npi": [1598134892]}]}, {"allowed_amount": 138.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1124607874, 1376103044, 1902303621, 1922395656, 1275713703, 1144858663, 1629501481, 1972966828, 1033850037, 1710513718, 1780179259, 1023577921, 1114110533, 1134431687, 1144781261, 1891029328, 1982091732, 1780244061, 1912982877, 1386935013, 1053511527, 1609404136, 1811162217, 1033504360, 1730387564, 1891094637, 1750366712]}]}, {"allowed_amount": 165.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1497074454, 1457239196, 1326416926, 1447260831, 1164266656, 1477313567, 1558334243, 1598411308, 1942073903, 1457167157, 1316730039, 1487834297, 1548236862, 1255691713, 1275832008, 1164041034, 1679259980, 1437482965, 1831948249, 1023120219, 1083086557, 1588839518, 1700665569, 1861840613, 1629250279, 1558810218, 1336832500, 1356184311, 1255971578, 1023665916, 1376145789]}]}, {"allowed_amount": 174.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1518709872, 1205464633, 1336929876, 1225823958]}]}, {"allowed_amount": 312.98, "providers": [{"billed_charge": 962.0, "npi": [1124608856, 1740255850, 1679737068]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 962.0, "npi": [1932308970]}]}, {"allowed_amount": 162.09, "providers": [{"billed_charge": 962.0, "npi": [1386674992, 1073827382]}]}, {"allowed_amount": 184.03, "providers": [{"billed_charge": 962.0, "npi": [1205345923]}]}, {"allowed_amount": 187.89, "providers": [{"billed_charge": 962.0, "npi": [1407353659]}]}, {"allowed_amount": 188.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1659371482, 1245312289, 1558001156, 1699775528, 1144758442, 1932308970, 1528408010, 1013000751, 1184041402, 1366881971, 1588198006, 1992373880, 1992705818, 1891356028]}]}, {"allowed_amount": 257.25, "providers": [{"billed_charge": 962.0, "npi": [1417032079]}]}, {"allowed_amount": 411.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1083868392, 1497375000, 1083672885, 1134484199]}]}]}, {"tin": {"type": "ein", "value": "205245674"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 936.72, "providers": [{"billed_charge": 3573.47, "npi": [1871501916]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.79, "providers": [{"billed_charge": 1084.0, "npi": [1992295000]}]}, {"allowed_amount": 190.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1084.0, "npi": [1730371998]}]}, {"allowed_amount": 223.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1084.0, "npi": [1992295000]}]}, {"allowed_amount": 380.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1001.0, "npi": [1669970778, 1871248963]}, {"billed_charge": 1084.0, "npi": [1730371998, 1902056708, 1669056933, 1346541448, 1801493226, 1386338507, 1699756171, 1861136590, 1003376559, 1467853630, 1679397269, 1891123030, 1710367669, 1669970778, 1437433950]}, {"billed_charge": 1194.0, "npi": [1275872848, 1174921704, 1427021740, 1114469574]}]}, {"allowed_amount": 447.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1001.0, "npi": [1043205297, 1962022707, 1346482692, 1912340597]}, {"billed_charge": 1031.0, "npi": [1952667420]}, {"billed_charge": 1084.0, "npi": [1952976516, 1033498373, 1265852552, 1932603917, 1477909521, 1457641755, 1598119588, 1184603557, 1386010668, 1871706796, 1902998727, 1861874125, 1992295000, 1184205403, 1346271707, 1063035111, 1811316334, 1952456816, 1952356594, 1225353972, 1023022456, 1912446972, 1821522301]}, {"billed_charge": 1194.0, "npi": [1952805665, 1053370981, 1285379404, 1063099216, 1073075123, 1043284243, 1962022707, 1942889530, 1821522301]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.88, "providers": [{"billed_charge": 317.0, "npi": [1609455369, 1780326710, 1275152241]}]}, {"allowed_amount": 165.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 317.0, "npi": [1972466506, 1801580139]}]}]}, {"tin": {"type": "ein", "value": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1388.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1847.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "230596940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 337.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2457.0, "npi": [1114095791]}]}]}, {"tin": {"type": "ein", "value": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 337.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3489.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "232809585"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 234.62, "providers": [{"billed_charge": 300.0, "npi": [1780246124]}]}]}, {"tin": {"type": "ein", "value": "232829095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 337.15, "providers": [{"billed_charge": 3088.0, "npi": [1215916002]}]}]}, {"tin": {"type": "ein", "value": "237094247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.59, "providers": [{"billed_charge": 2623.0, "npi": [1275588345]}]}]}, {"tin": {"type": "ein", "value": "261318597"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 291.0, "providers": [{"billed_charge": 291.0, "npi": [1023579141]}]}]}, {"tin": {"type": "ein", "value": "261467290"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 182.96, "providers": [{"billed_charge": 1186.31, "npi": [1447241641]}]}]}, {"tin": {"type": "ein", "value": "263557704"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 542.74, "providers": [{"billed_charge": 679.0, "npi": [1154369452]}]}]}, {"tin": {"type": "ein", "value": "263711283"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 154.25, "providers": [{"billed_charge": 962.0, "npi": [1295356152]}]}, {"allowed_amount": 297.97, "providers": [{"billed_charge": 962.0, "npi": [1891172987]}]}]}, {"tin": {"type": "ein", "value": "272409240"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 439.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1119.0, "npi": [1568406767]}, {"billed_charge": 1164.0, "npi": [1942395801]}]}]}, {"tin": {"type": "ein", "value": "272892195"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 336.1, "providers": [{"billed_charge": 336.1, "npi": [1043347545]}]}]}, {"tin": {"type": "ein", "value": "274815951"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 725.0, "npi": [1891054623]}]}, {"allowed_amount": 411.93, "providers": [{"billed_charge": 725.0, "npi": [1740770536]}]}]}, {"tin": {"type": "ein", "value": "300791563"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 339.0, "providers": [{"billed_charge": 339.0, "npi": [1609435437]}]}]}, {"tin": {"type": "ein", "value": "311597469"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 297.97, "providers": [{"billed_charge": 1026.0, "npi": [1043891930]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1291.07, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2891.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "331358034"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 2400.0, "npi": [1619952587]}]}, {"allowed_amount": 138.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2400.0, "npi": [1023090099]}]}, {"allowed_amount": 165.67, "providers": [{"billed_charge": 2400.0, "npi": [1376039560]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1186.31, "npi": [1023090099]}]}, {"allowed_amount": 94.79, "providers": [{"billed_charge": 1186.31, "npi": [1073225728]}]}, {"allowed_amount": 105.32, "providers": [{"billed_charge": 1186.31, "npi": [1225349715, 1942465356, 1790859221]}]}, {"allowed_amount": 138.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1186.31, "npi": [1255508354, 1346482692, 1386961167, 1780892943, 1205837333, 1518487701, 1518297753, 1629102363, 1811456676, 1063669158, 1124609961, 1285097899, 1699938878, 1083290944, 1669961157, 1720588239, 1689296592, 1932698578, 1790859221, 1417410143, 1790972396]}]}, {"allowed_amount": 165.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1186.31, "npi": [1073225728, 1952486466, 1942971213, 1366622672, 1508847609, 1699008763]}]}, {"allowed_amount": 174.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1186.31, "npi": [1669056933, 1598364838, 1730627498, 1356731418, 1497033468, 1194164285]}]}]}, {"tin": {"type": "ein", "value": "350983617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 417.25, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2963.0, "npi": [1336119478]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1206.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2720.0, "npi": [1992735088]}]}, {"allowed_amount": 1326.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2720.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "352574944"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 2392.0, "npi": [1154776482]}]}, {"allowed_amount": 188.67, "providers": [{"billed_charge": 2392.0, "npi": [1023363777]}]}]}, {"tin": {"type": "ein", "value": "356061776"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 247.36, "providers": [{"billed_charge": 813.0, "npi": [1033376249]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 514.92, "providers": [{"billed_charge": 1680.0, "npi": [1447368071]}]}, {"allowed_amount": 1317.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2640.0, "npi": [1558479212]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 208.7, "providers": [{"billed_charge": 426.0, "npi": [1891178349]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1317.12, "providers": [{"billed_charge": 2619.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "363332852"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1317.12, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3400.0, "npi": [1295710580]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.79, "providers": [{"billed_charge": 607.0, "npi": [1659995652]}]}, {"allowed_amount": 105.32, "providers": [{"billed_charge": 607.0, "npi": [1164950531]}]}, {"allowed_amount": 184.03, "providers": [{"billed_charge": 607.0, "npi": [1326513730, 1902511215, 1326304239, 1356951891, 1679960504]}]}, {"allowed_amount": 188.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 607.0, "npi": [1245793504, 1467912097, 1699111245, 1497064463, 1023496304, 1578755120, 1487274098, 1275824435, 1427085141, 1629102363, 1306041116, 1295262558]}]}]}, {"tin": {"type": "ein", "value": "383176445"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 929.51, "providers": [{"billed_charge": 1436.0, "npi": [1639111057]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3227.0, "npi": [1689121188]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3227.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384059067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.88, "providers": [{"billed_charge": 2500.0, "npi": [1790198802, 1548415086]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 430.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4007.0, "npi": [1851927669]}]}, {"allowed_amount": 444.58, "providers": [{"billed_charge": 4007.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "411404075"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 281.94, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1025.0, "npi": [1164400024]}]}]}, {"tin": {"type": "ein", "value": "411404075"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 292.02, "providers": [{"billed_charge": 684.0, "npi": [1922627462]}]}]}, {"tin": {"type": "ein", "value": "411722554"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.37, "providers": [{"billed_charge": 590.0, "npi": [1265052690]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 393.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1498.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "421418897"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 191.58, "providers": [{"billed_charge": 900.0, "npi": [1962431593]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1431.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3114.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1431.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1533.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 126.94, "providers": [{"billed_charge": 1725.0, "npi": [1902097439]}]}]}, {"tin": {"type": "ein", "value": "446005747"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1431.99, "providers": [{"billed_charge": 2315.0, "npi": [1629062799]}]}]}, {"tin": {"type": "ein", "value": "452317041"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 379.45, "providers": [{"billed_charge": 922.0, "npi": [1508826066]}]}]}, {"tin": {"type": "ein", "value": "458756830"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 99.03, "providers": [{"billed_charge": 1064.96, "npi": [1487077616]}]}]}, {"tin": {"type": "ein", "value": "461236453"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 452.0, "npi": [1043639792, 1306133574]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.22, "providers": [{"billed_charge": 1273.0, "npi": [1225294887]}]}, {"allowed_amount": 94.79, "providers": [{"billed_charge": 1273.0, "npi": [1366626954]}]}, {"allowed_amount": 105.32, "providers": [{"billed_charge": 815.0, "npi": [1841417755]}, {"billed_charge": 1273.0, "npi": [1114500709, 1336728575]}]}, {"allowed_amount": 223.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1273.0, "npi": [1225294887]}]}, {"allowed_amount": 364.68, "providers": [{"billed_charge": 1273.0, "npi": [1932169356]}]}, {"allowed_amount": 380.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 815.0, "npi": [1598167074, 1366226755, 1275008419, 1356936868, 1912303496, 1639211147, 1417064528, 1538126545, 1659909042, 1801047121, 1396303889, 1134642838, 1144547738, 1518778331, 1427504158]}, {"billed_charge": 1273.0, "npi": [1134734817, 1598167074, 1619523107, 1275008419, 1366226755, 1871155143, 1790265064, 1639211147, 1932169356, 1366622672, 1033100631, 1386228153, 1144547738]}]}, {"allowed_amount": 447.18, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 815.0, "npi": [1356091904, 1780212225, 1427412352, 1710961792, 1750709010, 1073598355, 1841417755, 1275729311, 1871988527, 1649478967, 1649808312, 1659352763, 1447579586, 1215514310, 1255968715, 1578805966, 1003266792, 1508253162, 1619503596, 1497318380, 1588124275, 1669565941, 1457857526, 1124646518, 1508354168, 1285377531]}, {"billed_charge": 875.0, "npi": [1588009120, 1588695936, 1376984377, 1518115336, 1619952587, 1598736761, 1487002523, 1275729311]}, {"billed_charge": 947.0, "npi": [1205288255, 1801325030, 1699260331, 1568428431, 1871988527, 1639225527, 1275729311]}, {"billed_charge": 1273.0, "npi": [1356091904, 1366626954, 1073598355, 1285071381, 1891080982, 1528708377, 1629010202, 1477531549, 1306377247, 1275729311, 1518608678, 1225294887, 1033109673, 1710502315, 1699260331, 1962821173, 1639225527, 1164465209, 1932390457, 1629500350, 1659002814, 1447831623, 1740714187, 1871500496, 1114500709, 1275761900, 1669565941, 1508354168, 1285377531, 1336728575]}]}]}, {"tin": {"type": "ein", "value": "463090993"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 176.25, "providers": [{"billed_charge": 607.0, "npi": [1932747987]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2864.0, "npi": [1992131734]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2864.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "464111687"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 317.0, "npi": [1295083889]}]}]}, {"tin": {"type": "ein", "value": "464467849"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "providers": [{"billed_charge": 828.0, "npi": [1316168479]}]}]}, {"tin": {"type": "ein", "value": "471301699"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 321.68, "providers": [{"billed_charge": 1581.0, "npi": [1740228253]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 218.97, "providers": [{"billed_charge": 3227.0, "npi": [1154748416]}]}, {"allowed_amount": 221.18, "providers": [{"billed_charge": 3227.0, "npi": [1275084030]}]}, {"allowed_amount": 223.34, "providers": [{"billed_charge": 3227.0, "npi": [1154748416]}]}, {"allowed_amount": 388.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3227.0, "npi": [1154748416]}]}, {"allowed_amount": 429.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3227.0, "npi": [1154748416]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3227.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "472319983"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 271.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1186.31, "npi": [1265634604]}]}]}, {"tin": {"type": "ein", "value": "472785231"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 487.83, "providers": [{"billed_charge": 1088.0, "npi": [1821041781]}]}]}, {"tin": {"type": "ein", "value": "475433333"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 317.0, "npi": [1962965525]}]}]}, {"tin": {"type": "ein", "value": "481153331"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.37, "providers": [{"billed_charge": 1098.0, "npi": [1740572809]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 463.09, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2742.0, "npi": [1649259656]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 443.0, "npi": [1144459777, 1033182555]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 538.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 602.75, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "520689917"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 474.74, "providers": [{"billed_charge": 541.1, "npi": [1124016696]}]}]}, {"tin": {"type": "ein", "value": "522043450"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 473.31, "providers": [{"billed_charge": 1186.31, "npi": [1265961916]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 528.66, "providers": [{"billed_charge": 528.66, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 853.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4007.0, "npi": [1386697688]}]}, {"allowed_amount": 913.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4007.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "550383321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 538.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 960.0, "npi": [1457389249]}]}]}, {"tin": {"type": "ein", "value": "550383321"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 267.0, "providers": [{"billed_charge": 267.0, "npi": [1427555648]}]}]}, {"tin": {"type": "ein", "value": "560928089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1015.59, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1590.0, "npi": [1447200233]}]}]}, {"tin": {"type": "ein", "value": "562360411"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2796.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5509.0, "npi": [1477671535]}]}]}, {"tin": {"type": "ein", "value": "580593388"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 786.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1194.0, "npi": [1275527889]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 786.45, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1715.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 390.0, "providers": [{"billed_charge": 650.0, "npi": [1013545391]}]}]}, {"tin": {"type": "ein", "value": "581943417"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 390.0, "providers": [{"billed_charge": 981.0, "npi": [1891227484]}]}]}, {"tin": {"type": "ein", "value": "596012500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1274.23, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3921.0, "npi": [1245294826]}]}]}, {"tin": {"type": "ein", "value": "597140114"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1639944952]}]}]}, {"tin": {"type": "ein", "value": "616001218"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 284.0, "providers": [{"billed_charge": 284.0, "npi": [1689045130]}]}]}, {"tin": {"type": "ein", "value": "621114867"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 709.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1000.0, "npi": [1528052578]}]}]}, {"tin": {"type": "ein", "value": "621266047"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 375.0, "providers": [{"billed_charge": 1189.0, "npi": [1023722907]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 853.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4007.0, "npi": [1487607784]}]}, {"allowed_amount": 913.62, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4007.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "650913389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1187.0, "npi": [1205866993, 1396799250, 1437513595, 1194882407]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 331.0, "npi": [1477819324, 1548258031]}]}]}, {"tin": {"type": "ein", "value": "710678160"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 345.0, "providers": [{"billed_charge": 345.0, "npi": [1124260500]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 496.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 496.0, "npi": [1700910189]}]}, {"allowed_amount": 661.02, "providers": [{"billed_charge": 2720.0, "npi": [1700910189]}]}, {"allowed_amount": 1206.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2720.0, "npi": [1700910189]}]}, {"allowed_amount": 1326.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2720.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.88, "providers": [{"billed_charge": 331.0, "npi": [1780849968]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1206.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2864.0, "npi": [1609408665, 1265065445, 1982733655]}]}, {"allowed_amount": 1326.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2864.0, "npi": [1609408665, 1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.88, "providers": [{"billed_charge": 331.0, "npi": [1740240712]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 419.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3920.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "742501542"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 151.3, "providers": [{"billed_charge": 999.56, "npi": [1760409353]}]}]}, {"tin": {"type": "ein", "value": "752737522"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 488.03, "providers": [{"billed_charge": 1152.0, "npi": [1104270016]}]}]}, {"tin": {"type": "ein", "value": "810378200"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 357.0, "providers": [{"billed_charge": 357.0, "npi": [1053750612]}]}]}, {"tin": {"type": "ein", "value": "810549382"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.79, "providers": [{"billed_charge": 725.0, "npi": [1255859567]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 895.0, "npi": [1740667906, 1477713154, 1689238255, 1861831695, 1306232178, 1205837333, 1467424986]}]}, {"allowed_amount": 82.84, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 895.0, "npi": [1841294378, 1154375426]}]}, {"allowed_amount": 94.79, "providers": [{"billed_charge": 317.0, "npi": [1083156319]}]}, {"allowed_amount": 105.32, "providers": [{"billed_charge": 895.0, "npi": [1366737157, 1871822726, 1992007439, 1568428431, 1164450961, 1144211855, 1245597210, 1487002523, 1841294378, 1396775599, 1043205297, 1326426420, 1982925749, 1760863161, 1154718013, 1922633536, 1174759807, 1053482828, 1881185486, 1205323342, 1427085141, 1760825566, 1851379051, 1891108973, 1134137458, 1831532787, 1306232178, 1013946870, 1851397624, 1982633855]}]}, {"allowed_amount": 138.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 895.0, "npi": [1740667906, 1295961613, 1861831695, 1417995796, 1205837333, 1154768406, 1245597210, 1598086688, 1891318309, 1184722480, 1457395253, 1538177092, 1205323342, 1700082260, 1053310052, 1891094637, 1891108973, 1134137458, 1588124275, 1902008956, 1447233168, 1164450961, 1811992209, 1104803493, 1700862133, 1811918014, 1811949258, 1881185486, 1760825566, 1861730541, 1689238255, 1952356594, 1831532787, 1003158262, 1053671677, 1477713154, 1598917379, 1366737157, 1992007439, 1386961167, 1629361936, 1417534249, 1306297643, 1326426420, 1154718013, 1912921917, 1922633536, 1265729867, 1669600078, 1942256979, 1679750483, 1427085141, 1851379051, 1528148335, 1306232178, 1205996410, 1174759807, 1982633855, 1871822726, 1285708172, 1891886479, 1568428431, 1144211855, 1487002523, 1477531549, 1609807783, 1972966828, 1740217264, 1982925749, 1972794295, 1760863161, 1457313728, 1093178329, 1932464609, 1144883174, 1942250485, 1972506616, 1174967293]}]}, {"allowed_amount": 165.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 895.0, "npi": [1154375426, 1033360995, 1841294378, 1053482828, 1154397933, 1851397624]}]}, {"allowed_amount": 312.98, "providers": [{"billed_charge": 895.0, "npi": [1043205297, 1316924095]}]}]}, {"tin": {"type": "ein", "value": "814965916"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 895.0, "npi": [1588124275]}]}]}, {"tin": {"type": "ein", "value": "820200895"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1027.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2023.0, "npi": [1992736649]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3518.13, "npi": [1356818496]}]}, {"allowed_amount": 430.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3518.13, "npi": [1356818496]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3518.13, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "821870027"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 473.31, "providers": [{"billed_charge": 720.0, "npi": [1336569169]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 337.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2492.0, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "822541182"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 176.25, "providers": [{"billed_charge": 1166.0, "npi": [1023640547]}]}, {"allowed_amount": 453.55, "providers": [{"billed_charge": 983.0, "npi": [1265468144]}]}]}, {"tin": {"type": "ein", "value": "823238430"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 176.25, "providers": [{"billed_charge": 607.0, "npi": [1699777391]}]}]}, {"tin": {"type": "ein", "value": "823537014"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.67, "providers": [{"billed_charge": 2461.65, "npi": [1740470988, 1700839982]}]}]}, {"tin": {"type": "ein", "value": "824486211"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 390.0, "providers": [{"billed_charge": 2392.0, "npi": [1104062496]}]}]}, {"tin": {"type": "ein", "value": "832351753"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 936.72, "providers": [{"billed_charge": 4678.0, "npi": [1801366711]}]}]}, {"tin": {"type": "ein", "value": "833289238"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 348.27, "npi": [1558740829]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1206.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4255.0, "npi": [1609496397]}]}, {"allowed_amount": 1326.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4255.0, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "833559107"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 542.74, "providers": [{"billed_charge": 1196.0, "npi": [1497307656]}]}]}, {"tin": {"type": "ein", "value": "834708147"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 208.7, "providers": [{"billed_charge": 1307.0, "npi": [1285929414]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1027.31, "providers": [{"billed_charge": 2353.25, "npi": [1043915523]}]}, {"allowed_amount": 1110.79, "providers": [{"billed_charge": 7916.29, "npi": [1184192395]}]}]}, {"tin": {"type": "ein", "value": "841099826"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.79, "providers": [{"billed_charge": 1186.31, "npi": [1699008763]}]}]}, {"tin": {"type": "ein", "value": "841103606"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1027.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5609.85, "npi": [1669461281]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1564.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5842.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "843016310"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.88, "providers": [{"billed_charge": 348.0, "npi": [1124009352, 1447570601]}]}]}, {"tin": {"type": "ein", "value": "844504483"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 423.42, "providers": [{"billed_charge": 782.0, "npi": [1881883080]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1025.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1025.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 129.46, "providers": [{"billed_charge": 610.0, "npi": [1619959806]}]}, {"allowed_amount": 176.25, "providers": [{"billed_charge": 607.0, "npi": [1497726285, 1639412125]}]}, {"allowed_amount": 190.17, "providers": [{"billed_charge": 610.0, "npi": [1053908483, 1942525332, 1699416826, 1346343324, 1265895486]}]}, {"allowed_amount": 192.11, "providers": [{"billed_charge": 610.0, "npi": [1962845461, 1811301351]}]}, {"allowed_amount": 195.86, "providers": [{"billed_charge": 610.0, "npi": [1639515851]}]}]}, {"tin": {"type": "ein", "value": "850651672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1429.77, "npi": [1124464839, 1235193327, 1386696656, 1114908696, 1134141500, 1508021502]}]}, {"allowed_amount": 165.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1429.77, "npi": [1497872402, 1548557275, 1629361340]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5400.0, "npi": [1518539048]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5400.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1326.14, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2720.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "854247323"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 678.98, "providers": [{"billed_charge": 9748.19, "npi": [1871193664]}]}]}, {"tin": {"type": "ein", "value": "856003005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 749.7, "providers": [{"billed_charge": 749.7, "npi": [1689747552]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 430.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2492.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 404.27, "providers": [{"billed_charge": 2145.05, "npi": [1780635078]}]}, {"allowed_amount": 430.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2145.05, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 430.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1827.0, "npi": [1174512792]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1827.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 648.0, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.88, "providers": [{"billed_charge": 1360.67, "npi": [1821304775, 1639285869, 1396773628, 1194395582, 1710954847]}]}, {"allowed_amount": 165.67, "providers": [{"billed_charge": 1360.67, "npi": [1801391545, 1790704815]}]}, {"allowed_amount": 174.96, "providers": [{"billed_charge": 1360.67, "npi": [1205313798]}]}]}, {"tin": {"type": "ein", "value": "860334996"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 430.34, "providers": [{"billed_charge": 2202.0, "npi": [1518968767]}]}]}, {"tin": {"type": "ein", "value": "860334996"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.35, "providers": [{"billed_charge": 1202.0, "npi": [1225405202]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3909.0, "npi": [1760480503]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3909.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 706.0, "npi": [1942763156]}]}, {"allowed_amount": 188.67, "providers": [{"billed_charge": 706.0, "npi": [1396079810]}]}]}, {"tin": {"type": "ein", "value": "860580587"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 730.0, "npi": [1265419618]}]}, {"allowed_amount": 188.67, "providers": [{"billed_charge": 730.0, "npi": [1265419618, 1609831908, 1396795472, 1922368117, 1508815192]}, {"billed_charge": 929.0, "npi": [1336766450]}]}]}, {"tin": {"type": "ein", "value": "860643171"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 895.0, "npi": [1962493692]}]}]}, {"tin": {"type": "ein", "value": "860774867"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 810.0, "npi": [1679505747]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2658.0, "npi": [1154392231]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2658.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.79, "providers": [{"billed_charge": 1227.0, "npi": [1740321207]}]}, {"allowed_amount": 105.32, "providers": [{"billed_charge": 979.0, "npi": [1952783144]}]}, {"allowed_amount": 138.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 979.0, "npi": [1720516800, 1427584002, 1093749475, 1063919173, 1194705897, 1336778430, 1720021389, 1780892943, 1154379055, 1457766230, 1467074104, 1790947422]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 291.93, "providers": [{"billed_charge": 291.93, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 895.0, "npi": [1295961613]}, {"billed_charge": 1026.0, "npi": [1629176433]}, {"billed_charge": 1227.0, "npi": [1255913836]}]}, {"allowed_amount": 138.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 291.93, "npi": [1447742960, 1609338102]}]}, {"allowed_amount": 174.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 291.93, "npi": [1194164285]}]}]}, {"tin": {"type": "ein", "value": "860817397"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 959.0, "npi": [1558749309, 1740441534]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 317.0, "npi": [1912135120, 1295979748]}]}]}, {"tin": {"type": "ein", "value": "860911259"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 962.0, "npi": [1750366712]}]}]}, {"tin": {"type": "ein", "value": "861011997"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 317.0, "npi": [1043579170]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 429.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3518.13, "npi": [1881352037]}]}, {"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3518.13, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "866007695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 444.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1157.15, "npi": [1336118322]}]}]}, {"tin": {"type": "ein", "value": "870629690"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.17, "providers": [{"billed_charge": 876.0, "npi": [1720076755]}]}]}, {"tin": {"type": "ein", "value": "870692261"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1554.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4265.0, "npi": [1689769911]}]}]}, {"tin": {"type": "ein", "value": "871142127"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 798.89, "providers": [{"billed_charge": 1706.0, "npi": [1073183141]}]}]}, {"tin": {"type": "ein", "value": "873202637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 94.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2000.0, "npi": [1629715297]}]}, {"allowed_amount": 105.32, "providers": [{"billed_charge": 607.0, "npi": [1043876626]}, {"billed_charge": 2000.0, "npi": [1629715297]}]}, {"allowed_amount": 184.03, "providers": [{"billed_charge": 2000.0, "npi": [1689248056]}]}, {"allowed_amount": 188.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2000.0, "npi": [1437234499, 1689028425, 1952335499, 1376625327, 1427510544, 1275581811, 1164956215, 1194353144]}]}]}, {"tin": {"type": "ein", "value": "873768007"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2400.0, "npi": [1417128208, 1134141500, 1972765253, 1811918014]}]}, {"allowed_amount": 165.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2400.0, "npi": [1902848450]}]}]}, {"tin": {"type": "ein", "value": "873825600"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 1026.0, "npi": [1851701742]}]}, {"allowed_amount": 138.88, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2461.65, "npi": [1578875811, 1760725188, 1356799811, 1588649545, 1811992209, 1205216561, 1982925749, 1649478967]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1564.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4186.0, "npi": [1447393152]}]}]}, {"tin": {"type": "ein", "value": "880159958"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 813.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2803.0, "npi": [1548250582]}]}]}, {"tin": {"type": "ein", "value": "880213754"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1027.31, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3407.0, "npi": [1124098421]}]}]}, {"tin": {"type": "ein", "value": "880307849"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 607.0, "npi": [1467912097]}]}]}, {"tin": {"type": "ein", "value": "884230887"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 430.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5400.0, "npi": [1396452108]}]}]}, {"tin": {"type": "ein", "value": "900942222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 430.34, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2480.0, "npi": [1194766543]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 643.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1808.0, "npi": [1356528269]}]}, {"allowed_amount": 936.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1808.0, "npi": [1538345251]}]}]}, {"tin": {"type": "ein", "value": "911828806"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 102.69, "providers": [{"billed_charge": 895.0, "npi": [1982862082]}]}]}, {"tin": {"type": "ein", "value": "922099454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 197.91, "providers": [{"billed_charge": 678.0, "npi": [1932189511, 1588027791]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 883.0, "npi": [1316955800, 1518134030]}]}, {"allowed_amount": 94.79, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 883.0, "npi": [1003540550, 1528671948, 1164495917, 1912768656, 1487199824, 1982287728, 1962141143, 1497033468, 1962892927]}, {"billed_charge": 967.0, "npi": [1801266218, 1528671948]}]}, {"allowed_amount": 105.32, "providers": [{"billed_charge": 317.0, "npi": [1154748283]}, {"billed_charge": 883.0, "npi": [1366020042, 1992382675]}, {"billed_charge": 967.0, "npi": [1275152241, 1740870922, 1386224244, 1366020042]}]}, {"allowed_amount": 138.88, "providers": [{"billed_charge": 883.0, "npi": [1740870922, 1184298507, 1588672141, 1518134030, 1528076049, 1497736599, 1316955800, 1669522587, 1609164839, 1154811818, 1508027947, 1407874605, 1740771245, 1205933744, 1922267186, 1326501313, 1396965190, 1366020042, 1992382675, 1528072287, 1366905713, 1275152241, 1386224244, 1467034868, 1548241656, 1154748283]}]}, {"allowed_amount": 165.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 883.0, "npi": [1003540550, 1992416903, 1649898602, 1801266218, 1467970988, 1528671948, 1164495917, 1912768656, 1396804084, 1962141143, 1750092763, 1962892927]}, {"billed_charge": 888.0, "npi": [1912768656]}]}, {"allowed_amount": 174.96, "providers": [{"billed_charge": 883.0, "npi": [1487199824, 1982287728, 1356021901, 1497033468]}]}]}, {"tin": {"type": "ein", "value": "932421242"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 144.89, "providers": [{"billed_charge": 1026.0, "npi": [1508389180]}]}]}, {"tin": {"type": "ein", "value": "932501917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 165.67, "providers": [{"billed_charge": 607.0, "npi": [1851329767]}]}, {"allowed_amount": 176.25, "providers": [{"billed_charge": 607.0, "npi": [1851329767]}]}]}, {"tin": {"type": "ein", "value": "932525700"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 123.85, "providers": [{"billed_charge": 1280.0, "npi": [1528567823]}]}, {"allowed_amount": 131.4, "providers": [{"billed_charge": 1280.0, "npi": [1942760160]}]}, {"allowed_amount": 173.87, "providers": [{"billed_charge": 1280.0, "npi": [1275007502]}]}]}, {"tin": {"type": "ein", "value": "933491126"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 138.88, "providers": [{"billed_charge": 250.0, "npi": [1124220397]}]}]}, {"tin": {"type": "ein", "value": "934331992"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 2400.0, "npi": [1972765253]}]}]}, {"tin": {"type": "ein", "value": "934425805"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.67, "providers": [{"billed_charge": 876.0, "npi": [1710419346]}]}]}, {"tin": {"type": "ein", "value": "941105628"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "providers": [{"billed_charge": 725.0, "npi": [1821143777]}]}]}, {"tin": {"type": "ein", "value": "941322200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1987.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1987.0, "npi": [1396848677]}]}]}, {"tin": {"type": "ein", "value": "941322200"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 542.74, "providers": [{"billed_charge": 544.0, "npi": [1013967215]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 962.0, "npi": [1619152253, 1508033606, 1710911623]}]}, {"allowed_amount": 542.74, "providers": [{"billed_charge": 962.0, "npi": [1336337799]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 291.0, "providers": [{"billed_charge": 291.0, "npi": [1922023936]}]}]}, {"tin": {"type": "ein", "value": "942958258"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 177.78, "providers": [{"billed_charge": 361.0, "npi": [1508209891]}]}]}, {"tin": {"type": "ein", "value": "943259637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 895.0, "npi": [1184722480, 1154397933]}]}]}, {"tin": {"type": "ein", "value": "952839223"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 542.74, "providers": [{"billed_charge": 782.0, "npi": [1871857136]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1381.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1381.0, "npi": [1962444059]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 542.74, "providers": [{"billed_charge": 616.0, "npi": [1881181972]}]}]}, {"tin": {"type": "ein", "value": "954286056"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 542.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1250.0, "npi": [1538689021]}]}]}, {"tin": {"type": "ein", "value": "954406664"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 105.32, "providers": [{"billed_charge": 883.0, "npi": [1205933744]}]}]}, {"tin": {"type": "ein", "value": "954520710"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.51, "providers": [{"billed_charge": 845.0, "npi": [1225560881]}]}]}, {"tin": {"type": "ein", "value": "954558726"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 542.74, "providers": [{"billed_charge": 621.0, "npi": [1962082313, 1568758563]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 643.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 5853.08, "npi": [1376513754]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 936.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2420.0, "npi": [1902803315]}]}]}, {"tin": {"type": "ein", "value": "956130458"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 421.0, "providers": [{"billed_charge": 421.0, "npi": [1053872820]}]}]}, {"tin": {"type": "ein", "value": "990074365"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2558.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2558.0, "npi": [1225113442]}]}]}, {"tin": {"type": "ein", "value": "990326099"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 287.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 287.0, "npi": [1306294111]}]}]}, {"tin": {"type": "ein", "value": "992530371"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 190.17, "providers": [{"billed_charge": 962.0, "npi": [1700405776]}]}]}, {"tin": {"type": "ein", "value": "994454977"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 188.67, "providers": [{"billed_charge": 2400.0, "npi": [1619952587]}]}]}]}, {"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": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 343.0, "npi": [1942073903]}]}, {"allowed_amount": 57.78, "providers": [{"billed_charge": 343.0, "npi": [1336929876, 1376145789, 1477313567, 1447260831]}]}, {"allowed_amount": 70.09, "providers": [{"billed_charge": 343.0, "npi": [1124608856]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 142.96, "providers": [{"billed_charge": 343.0, "npi": [1134484199]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 131.52, "providers": [{"billed_charge": 401.0, "npi": [1952066961]}, {"billed_charge": 441.0, "npi": [1669056933, 1679397269]}]}, {"allowed_amount": 154.73, "providers": [{"billed_charge": 420.0, "npi": [1063099216, 1851920060]}]}]}, {"tin": {"type": "ein", "value": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 272.48, "providers": [{"billed_charge": 1473.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "237094247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 358.16, "providers": [{"billed_charge": 875.0, "npi": [1275588345]}]}]}, {"tin": {"type": "ein", "value": "237094247"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.1, "providers": [{"billed_charge": 157.56, "npi": [1770502486]}]}, {"allowed_amount": 142.96, "providers": [{"billed_charge": 157.56, "npi": [1215256813]}]}]}, {"tin": {"type": "ein", "value": "270085482"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1234.33, "npi": [1700821808]}]}]}, {"tin": {"type": "ein", "value": "272409240"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 151.92, "providers": [{"billed_charge": 410.0, "npi": [1114968203]}]}]}, {"tin": {"type": "ein", "value": "274658935"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 345.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 4590.0, "npi": [1114367497]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 57.78, "providers": [{"billed_charge": 418.06, "npi": [1508847609]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 661.02, "providers": [{"billed_charge": 978.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "352574944"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 844.0, "npi": [1922734698]}]}]}, {"tin": {"type": "ein", "value": "352635546"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 380.13, "providers": [{"billed_charge": 1289.57, "npi": [1336623198]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.59, "providers": [{"billed_charge": 210.0, "npi": [1467912097]}]}, {"allowed_amount": 52.53, "providers": [{"billed_charge": 210.0, "npi": [1275572554]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.42, "providers": [{"billed_charge": 1162.0, "npi": [1275161523]}]}, {"allowed_amount": 71.1, "providers": [{"billed_charge": 1162.0, "npi": [1528525227]}]}, {"allowed_amount": 88.87, "providers": [{"billed_charge": 1162.0, "npi": [1689121188]}]}, {"allowed_amount": 276.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1162.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.09, "providers": [{"billed_charge": 1577.0, "npi": [1184468696]}]}, {"allowed_amount": 96.03, "providers": [{"billed_charge": 1577.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "421029188"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.13, "providers": [{"billed_charge": 1162.0, "npi": [1083165849]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.59, "providers": [{"billed_charge": 346.0, "npi": [1447579586]}]}, {"allowed_amount": 131.52, "providers": [{"billed_charge": 344.0, "npi": [1518778331]}, {"billed_charge": 346.0, "npi": [1518778331]}, {"billed_charge": 510.0, "npi": [1275008419, 1932169356]}]}, {"allowed_amount": 154.73, "providers": [{"billed_charge": 346.0, "npi": [1427412352, 1750709010, 1710961792]}, {"billed_charge": 510.0, "npi": [1275761900, 1104807213, 1124568498, 1639225527, 1932390457]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.36, "providers": [{"billed_charge": 955.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.1, "providers": [{"billed_charge": 1162.0, "npi": [1114466950, 1275084030]}]}, {"allowed_amount": 73.91, "providers": [{"billed_charge": 1162.0, "npi": [1275084030]}]}, {"allowed_amount": 74.66, "providers": [{"billed_charge": 1162.0, "npi": [1275084030]}]}, {"allowed_amount": 74.78, "providers": [{"billed_charge": 1162.0, "npi": [1114466950]}]}, {"allowed_amount": 87.98, "providers": [{"billed_charge": 1162.0, "npi": [1154748416]}]}, {"allowed_amount": 89.74, "providers": [{"billed_charge": 1162.0, "npi": [1154748416]}]}, {"allowed_amount": 276.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1162.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "521532556"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 233.02, "providers": [{"billed_charge": 233.02, "npi": [1568468221]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 662.04, "providers": [{"billed_charge": 1577.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "621762545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 762.65, "providers": [{"billed_charge": 2179.0, "npi": [1447299649]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 321.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 321.0, "npi": [1700910189]}]}, {"allowed_amount": 661.02, "providers": [{"billed_charge": 978.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 661.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 955.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "752905434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.91, "providers": [{"billed_charge": 969.0, "npi": [1205882503]}]}]}, {"tin": {"type": "ein", "value": "752926146"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.8, "providers": [{"billed_charge": 411.0, "npi": [1578856233]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 342.0, "npi": [1164450961, 1437712890, 1972794295, 1982633855]}]}]}, {"tin": {"type": "ein", "value": "814965916"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.59, "providers": [{"billed_charge": 342.0, "npi": [1871822726]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 247.0, "providers": [{"billed_charge": 247.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.36, "providers": [{"billed_charge": 2400.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "852388743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.3, "providers": [{"billed_charge": 437.0, "npi": [1760020044]}]}]}, {"tin": {"type": "ein", "value": "856000565"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.8, "providers": [{"billed_charge": 128.19, "npi": [1508020355]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 565.0, "providers": [{"billed_charge": 565.0, "npi": [1841282852]}]}, {"allowed_amount": 661.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 885.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860107344"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 179.48, "providers": [{"billed_charge": 573.71, "npi": [1477653889]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 646.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860171900"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 358.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 607.75, "npi": [1699766592]}]}]}, {"tin": {"type": "ein", "value": "860171900"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 60.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 121.86, "npi": [1144209511]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 270.0, "providers": [{"billed_charge": 270.0, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.2, "providers": [{"billed_charge": 516.27, "npi": [1194395582]}]}, {"allowed_amount": 57.78, "providers": [{"billed_charge": 516.27, "npi": [1730268210, 1760973127, 1205313798, 1790704815]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 158.19, "providers": [{"billed_charge": 1489.0, "npi": [1760480503]}]}, {"allowed_amount": 276.36, "providers": [{"billed_charge": 1489.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860472307"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 565.0, "npi": [1922475789]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 750.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.0, "providers": [{"billed_charge": 103.0, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.36, "providers": [{"billed_charge": 1581.32, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "866007596"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 276.36, "providers": [{"billed_charge": 1643.0, "npi": [1194706655]}]}]}, {"tin": {"type": "ein", "value": "866007695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 28.89, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 79.57, "npi": [1437872124]}]}, {"allowed_amount": 36.59, "providers": [{"billed_charge": 79.57, "npi": [1790098242]}]}]}, {"tin": {"type": "ein", "value": "873825600"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.2, "providers": [{"billed_charge": 958.78, "npi": [1578875811]}]}]}, {"tin": {"type": "ein", "value": "932525700"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 42.71, "providers": [{"billed_charge": 440.0, "npi": [1770753402]}]}]}, {"tin": {"type": "ein", "value": "941196203"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 87.98, "providers": [{"billed_charge": 955.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.59, "providers": [{"billed_charge": 541.0, "npi": [1215986096]}]}]}]}, {"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": "203943524"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 189.92, "providers": [{"billed_charge": 739.0, "npi": [1861400749]}]}]}, {"tin": {"type": "ein", "value": "205324064"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 216.64, "providers": [{"billed_charge": 745.0, "npi": [1780686147]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 216.64, "providers": [{"billed_charge": 429.0, "npi": [1073585014]}]}]}, {"tin": {"type": "ein", "value": "260446753"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 216.64, "providers": [{"billed_charge": 1429.0, "npi": [1114119187]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1428.35, "providers": [{"billed_charge": 1835.0, "npi": [1992735088]}, {"billed_charge": 3670.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "394124443"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 216.64, "providers": [{"billed_charge": 248.4, "npi": [1770797359]}]}]}, {"tin": {"type": "ein", "value": "394250267"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 186.14, "providers": [{"billed_charge": 424.03, "npi": [1003906751]}]}]}, {"tin": {"type": "ein", "value": "454536742"}, "billing_class": "professional", "service_codes": ["24", "21"], "payments": [{"allowed_amount": 186.14, "providers": [{"billed_charge": 750.0, "npi": [1730399304, 1720420557]}]}]}, {"tin": {"type": "ein", "value": "611538053"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 140.17, "providers": [{"billed_charge": 353.0, "npi": [1609877935]}]}, {"allowed_amount": 216.64, "providers": [{"billed_charge": 353.0, "npi": [1609877935]}]}]}, {"tin": {"type": "ein", "value": "620528340"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1154.91, "providers": [{"billed_charge": 1847.0, "npi": [1942294814]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 186.14, "providers": [{"billed_charge": 391.0, "npi": [1821529983]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1191.86, "providers": [{"billed_charge": 3994.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "742978480"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 230.57, "providers": [{"billed_charge": 592.0, "npi": [1740777630]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 253.82, "providers": [{"billed_charge": 391.0, "npi": [1265765457]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 854.0, "providers": [{"billed_charge": 854.0, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["24"], "payments": [{"allowed_amount": 175.26, "providers": [{"billed_charge": 1214.76, "npi": [1467879627]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 216.64, "providers": [{"billed_charge": 1367.0, "npi": [1942274311]}]}]}]}, {"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": "205198811"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 47.83, "providers": [{"billed_charge": 75.0, "npi": [1720278666, 1255307260, 1386264646, 1417536095]}]}, {"allowed_amount": 125.64, "providers": [{"billed_charge": 75.0, "npi": [1154492460]}]}]}, {"tin": {"type": "ein", "value": "300757230"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 23.92, "providers": [{"billed_charge": 112.6, "npi": [1831361146, 1992791099]}]}, {"allowed_amount": 43.16, "providers": [{"billed_charge": 112.6, "npi": [1831361146]}]}, {"allowed_amount": 47.83, "providers": [{"billed_charge": 112.6, "npi": [1194827469, 1174727754, 1699736371, 1811105117]}]}]}, {"tin": {"type": "ein", "value": "650913389"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.92, "providers": [{"billed_charge": 291.0, "npi": [1194882407, 1831151562, 1447547724, 1205900461, 1205866993, 1396799250, 1437513595]}]}, {"allowed_amount": 47.83, "providers": [{"billed_charge": 291.0, "npi": [1396948170, 1205900461]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 28.77, "providers": [{"billed_charge": 82.0, "npi": [1477965218]}]}]}, {"tin": {"type": "ein", "value": "811156192"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 29.96, "providers": [{"billed_charge": 87.0, "npi": [1205052057, 1477714863]}]}, {"allowed_amount": 58.22, "providers": [{"billed_charge": 87.0, "npi": [1205052057]}]}, {"allowed_amount": 116.44, "providers": [{"billed_charge": 87.0, "npi": [1275544728]}]}, {"allowed_amount": 125.46, "providers": [{"billed_charge": 87.0, "npi": [1871090811]}]}]}]}, {"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": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.86, "providers": [{"billed_charge": 770.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.39, "providers": [{"billed_charge": 438.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.22, "providers": [{"billed_charge": 564.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.39, "providers": [{"billed_charge": 435.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.39, "providers": [{"billed_charge": 438.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 117.98, "providers": [{"billed_charge": 564.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.86, "providers": [{"billed_charge": 770.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 136.86, "providers": [{"billed_charge": 435.0, "npi": [1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.28, "providers": [{"billed_charge": 500.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 477.86, "providers": [{"billed_charge": 477.86, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.41, "providers": [{"billed_charge": 218.0, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.22, "providers": [{"billed_charge": 239.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.39, "providers": [{"billed_charge": 263.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "861248931"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.41, "providers": [{"billed_charge": 149.0, "npi": [1699340927]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.39, "providers": [{"billed_charge": 477.86, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "900942222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.22, "providers": [{"billed_charge": 326.0, "npi": [1194766543]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.37, "providers": [{"billed_charge": 114.0, "npi": [1356528269]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.39, "providers": [{"billed_charge": 1050.0, "npi": [1275366122]}]}]}]}, {"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": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.8, "providers": [{"billed_charge": 1001.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 127.38, "providers": [{"billed_charge": 667.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.2, "providers": [{"billed_charge": 357.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.2, "providers": [{"billed_charge": 541.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.2, "providers": [{"billed_charge": 357.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.21, "providers": [{"billed_charge": 92.21, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.0, "providers": [{"billed_charge": 73.0, "npi": [1992789721]}]}, {"allowed_amount": 89.31, "providers": [{"billed_charge": 287.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 217.42, "providers": [{"billed_charge": 437.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.2, "providers": [{"billed_charge": 1697.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 127.38, "providers": [{"billed_charge": 667.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 127.38, "providers": [{"billed_charge": 541.0, "npi": [1609408665, 1265065445]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.2, "providers": [{"billed_charge": 649.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.2, "providers": [{"billed_charge": 719.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.2, "providers": [{"billed_charge": 579.43, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "900214335"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.05, "providers": [{"billed_charge": 833.0, "npi": [1194705202]}]}]}]}, {"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": "205824138"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 225.9, "providers": [{"billed_charge": 350.0, "npi": [1578655973]}]}]}, {"tin": {"type": "ein", "value": "215731283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1720127715]}]}]}, {"tin": {"type": "ein", "value": "461236453"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 149.9, "providers": [{"billed_charge": 481.0, "npi": [1588927073, 1356343875, 1740572403, 1942568597]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 187.5, "providers": [{"billed_charge": 500.0, "npi": [1750387254, 1457339004, 1720009590]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 149.9, "providers": [{"billed_charge": 300.0, "npi": [1700398898]}, {"billed_charge": 330.0, "npi": [1033199872, 1851180673, 1639824642, 1508858754, 1326464900, 1720445570, 1396343430, 1396147450, 1184337560, 1669776027, 1730270877, 1679038749, 1073150496, 1417258914, 1164997417, 1679680045, 1912420142, 1336726447, 1255950127, 1871055921, 1073918637, 1558733618, 1104781236, 1427500214, 1679367478, 1609404219, 1679443899, 1851827901, 1942671425, 1487114054, 1437462728, 1861738825, 1770187593, 1962057166, 1376794446, 1083044176, 1205088846, 1801602263, 1245007228, 1710439641, 1083021919, 1396216800, 1225272289, 1033592415, 1053289702, 1669622502, 1205283561, 1679049324, 1275186413, 1306735089, 1649754227, 1447437942, 1942789367, 1780224378, 1427522556, 1063515518]}, {"billed_charge": 335.0, "npi": [1851180673, 1720445570, 1396343430, 1396147450, 1922295831, 1669776027, 1346792223, 1073150496, 1548727969, 1740513316, 1053179176, 1144088618, 1477245868, 1679680045, 1073918637, 1952087983, 1871055921, 1558733618, 1700398898, 1104781236, 1043777972, 1598855991, 1609404219, 1851827901, 1942671425, 1114443587, 1851283527, 1770187593, 1861738825, 1760358220, 1376794446, 1932966223, 1801487061, 1801602263, 1861215576, 1710439641, 1396586715, 1033592415, 1396216800, 1225272289, 1083021919, 1578655973, 1669622502, 1053289702, 1972847598, 1649754227, 1669249652, 1548779507, 1447437942, 1508573304, 1780224378, 1245007228]}, {"billed_charge": 350.0, "npi": [1033199872, 1437439361, 1215778063, 1669776027, 1104878875, 1346792223, 1740513316, 1023767340, 1144291501, 1871055921, 1821718453, 1851827901, 1659676351, 1114443587, 1407199045, 1861738825, 1831246669, 1396586715, 1396216800, 1053289702, 1679049324, 1992836852, 1447437942]}, {"billed_charge": 430.0, "npi": [1437439361, 1245876499, 1386968469, 1184337560, 1346903069, 1417258914, 1740513316, 1912420142, 1255950127, 1124013362, 1437517877, 1306171319, 1831400894, 1659676351, 1205088846, 1083044176, 1861215576, 1245007228, 1033592415, 1790307940, 1548663396, 1679049324, 1447437942, 1437149820]}]}, {"allowed_amount": 225.9, "providers": [{"billed_charge": 300.0, "npi": [1659495950]}, {"billed_charge": 330.0, "npi": [1376141184, 1104599554, 1689940066, 1457037624, 1801215975, 1376376905, 1093709321, 1154210987, 1306165485, 1477247633, 1225068562, 1487309266, 1952010837, 1326715061, 1730712373, 1740032309, 1629191705]}, {"billed_charge": 335.0, "npi": [1376141184, 1740168129, 1104599554, 1447655527, 1861419566, 1417469776, 1881406577, 1326715061, 1730927351, 1457037624, 1376033308, 1255581880]}, {"billed_charge": 350.0, "npi": [1770766164]}, {"billed_charge": 430.0, "npi": [1801215975]}]}]}]}, {"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": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.9, "providers": [{"billed_charge": 93.0, "npi": [1851370910]}, {"billed_charge": 186.0, "npi": [1851370910]}, {"billed_charge": 279.0, "npi": [1851370910]}, {"billed_charge": 558.0, "npi": [1851370910]}, {"billed_charge": 930.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "311538725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.9, "providers": [{"billed_charge": 186.0, "npi": [1063489342]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.23, "providers": [{"billed_charge": 66.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.23, "providers": [{"billed_charge": 85.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.96, "providers": [{"billed_charge": 64.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.23, "providers": [{"billed_charge": 53.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.23, "providers": [{"billed_charge": 85.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.4, "providers": [{"billed_charge": 98.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.96, "providers": [{"billed_charge": 64.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.39, "providers": [{"billed_charge": 444.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.23, "providers": [{"billed_charge": 66.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.23, "providers": [{"billed_charge": 53.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.39, "providers": [{"billed_charge": 45.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "850928319"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.47, "providers": [{"billed_charge": 8.0, "npi": [1851783336]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.96, "providers": [{"billed_charge": 54.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.23, "providers": [{"billed_charge": 36.0, "npi": [1760480503]}]}]}]}, {"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": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.5, "providers": [{"billed_charge": 30.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.0, "providers": [{"billed_charge": 9.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.64, "providers": [{"billed_charge": 60.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.64, "providers": [{"billed_charge": 175.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.64, "providers": [{"billed_charge": 60.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 3.93, "providers": [{"billed_charge": 88.16, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.99, "providers": [{"billed_charge": 175.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "626002166"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.9, "providers": [{"billed_charge": 49.0, "npi": [1275531956]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.64, "providers": [{"billed_charge": 48.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.64, "providers": [{"billed_charge": 62.0, "npi": [1760480503]}]}]}]}, {"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": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.0, "providers": [{"billed_charge": 68.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.25, "providers": [{"billed_charge": 32.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.91, "providers": [{"billed_charge": 498.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.39, "providers": [{"billed_charge": 105.0, "npi": [1558479212]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.31, "providers": [{"billed_charge": 278.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.31, "providers": [{"billed_charge": 536.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.39, "providers": [{"billed_charge": 70.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.66, "providers": [{"billed_charge": 398.0, "npi": [1992131734]}]}, {"allowed_amount": 61.31, "providers": [{"billed_charge": 398.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.31, "providers": [{"billed_charge": 278.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.88, "providers": [{"billed_charge": 536.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "560928089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.98, "providers": [{"billed_charge": 111.0, "npi": [1447200233]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.06, "providers": [{"billed_charge": 435.0, "npi": [1225050396]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.88, "providers": [{"billed_charge": 536.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.91, "providers": [{"billed_charge": 498.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.91, "providers": [{"billed_charge": 362.0, "npi": [1609408665]}, {"billed_charge": 398.0, "npi": [1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.18, "providers": [{"billed_charge": 90.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 6.06, "providers": [{"billed_charge": 26.0, "npi": [1326604851]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.31, "providers": [{"billed_charge": 416.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.31, "providers": [{"billed_charge": 235.0, "npi": [1174512792]}]}, {"allowed_amount": 100.88, "providers": [{"billed_charge": 235.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.84, "providers": [{"billed_charge": 353.0, "npi": [1053684555]}]}]}, {"tin": {"type": "ein", "value": "860732836"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 94.0, "providers": [{"billed_charge": 94.0, "npi": [1871566521]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.31, "providers": [{"billed_charge": 321.75, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.18, "providers": [{"billed_charge": 376.0, "npi": [1447393152]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.08, "providers": [{"billed_charge": 251.0, "npi": [1962444059]}]}]}]}, {"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": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.79, "providers": [{"billed_charge": 862.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.76, "providers": [{"billed_charge": 1791.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.97, "providers": [{"billed_charge": 215.0, "npi": [1558479212]}]}]}, {"tin": {"type": "ein", "value": "363332852"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.45, "providers": [{"billed_charge": 265.0, "npi": [1295710580]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.33, "providers": [{"billed_charge": 483.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.33, "providers": [{"billed_charge": 337.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.79, "providers": [{"billed_charge": 512.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.76, "providers": [{"billed_charge": 1791.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.76, "providers": [{"billed_charge": 483.0, "npi": [1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.82, "providers": [{"billed_charge": 501.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.33, "providers": [{"billed_charge": 1176.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.76, "providers": [{"billed_charge": 755.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.33, "providers": [{"billed_charge": 488.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860334996"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.33, "providers": [{"billed_charge": 204.0, "npi": [1518968767]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.33, "providers": [{"billed_charge": 130.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "871142127"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.63, "providers": [{"billed_charge": 197.0, "npi": [1073183141]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.33, "providers": [{"billed_charge": 1176.0, "npi": [1275366122]}]}]}]}, {"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": "131624096"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.49, "providers": [{"billed_charge": 67.0, "npi": [1568601342]}]}]}, {"tin": {"type": "ein", "value": "232708301"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.31, "providers": [{"billed_charge": 18.5, "npi": [1407832215]}]}]}, {"tin": {"type": "ein", "value": "237329437"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.65, "providers": [{"billed_charge": 12.65, "npi": [1093790974]}]}]}, {"tin": {"type": "ein", "value": "271466450"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 16.18, "providers": [{"billed_charge": 38.35, "npi": [1881915155]}]}, {"allowed_amount": 22.38, "providers": [{"billed_charge": 38.35, "npi": [1881915155]}]}]}, {"tin": {"type": "ein", "value": "300824958"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.56, "providers": [{"billed_charge": 24.94, "npi": [1851781314]}, {"billed_charge": 25.39, "npi": [1851781314]}]}, {"allowed_amount": 50.9, "providers": [{"billed_charge": 26.07, "npi": [1851781314]}]}, {"allowed_amount": 60.34, "providers": [{"billed_charge": 24.94, "npi": [1851781314]}]}, {"allowed_amount": 70.09, "providers": [{"billed_charge": 26.72, "npi": [1851781314]}]}, {"allowed_amount": 108.97, "providers": [{"billed_charge": 24.94, "npi": [1851781314]}]}, {"allowed_amount": 109.18, "providers": [{"billed_charge": 28.06, "npi": [1851781314]}]}, {"allowed_amount": 201.68, "providers": [{"billed_charge": 31.18, "npi": [1851781314]}]}, {"allowed_amount": 261.49, "providers": [{"billed_charge": 24.94, "npi": [1851781314]}]}, {"allowed_amount": 380.26, "providers": [{"billed_charge": 24.94, "npi": [1851781314]}]}, {"allowed_amount": 743.41, "providers": [{"billed_charge": 24.94, "npi": [1851781314]}]}]}, {"tin": {"type": "ein", "value": "320142579"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 10.15, "providers": [{"billed_charge": 17.9, "npi": [1629075809]}]}]}, {"tin": {"type": "ein", "value": "330285453"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1639131436]}]}]}, {"tin": {"type": "ein", "value": "356001040"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 14.64, "npi": [1700808730]}]}]}, {"tin": {"type": "ein", "value": "363196004"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 32.79, "npi": [1730193004]}]}]}, {"tin": {"type": "ein", "value": "366006082"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.76, "providers": [{"billed_charge": 21.0, "npi": [1720050826]}]}]}, {"tin": {"type": "ein", "value": "371646302"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.46, "providers": [{"billed_charge": 29.89, "npi": [1912279472]}]}, {"allowed_amount": 18.56, "providers": [{"billed_charge": 24.94, "npi": [1467725911]}, {"billed_charge": 25.39, "npi": [1467725911]}]}, {"allowed_amount": 25.39, "providers": [{"billed_charge": 25.39, "npi": [1467725911]}]}, {"allowed_amount": 51.06, "providers": [{"billed_charge": 26.07, "npi": [1467725911]}]}, {"allowed_amount": 259.21, "providers": [{"billed_charge": 24.94, "npi": [1467725911]}]}]}, {"tin": {"type": "ein", "value": "386004606"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.5, "providers": [{"billed_charge": 11.5, "npi": [1477599900]}]}]}, {"tin": {"type": "ein", "value": "421707837"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.31, "providers": [{"billed_charge": 60.32, "npi": [1407897309]}]}]}, {"tin": {"type": "ein", "value": "465332224"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.02, "providers": [{"billed_charge": 13.96, "npi": [1932652815]}]}, {"allowed_amount": 1.87, "providers": [{"billed_charge": 25.39, "npi": [1932652815]}]}, {"allowed_amount": 9.01, "providers": [{"billed_charge": 24.71, "npi": [1932652815]}]}, {"allowed_amount": 13.69, "providers": [{"billed_charge": 22.72, "npi": [1932652815]}]}, {"allowed_amount": 14.61, "providers": [{"billed_charge": 21.73, "npi": [1932652815]}]}, {"allowed_amount": 16.89, "providers": [{"billed_charge": 23.28, "npi": [1932652815]}]}, {"allowed_amount": 18.56, "providers": [{"billed_charge": 22.45, "npi": [1932652815]}, {"billed_charge": 23.44, "npi": [1932652815]}, {"billed_charge": 24.94, "npi": [1932652815]}, {"billed_charge": 25.39, "npi": [1932652815]}]}, {"allowed_amount": 49.44, "providers": [{"billed_charge": 22.45, "npi": [1932652815]}]}]}, {"tin": {"type": "ein", "value": "473265252"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 16.18, "providers": [{"billed_charge": 37.19, "npi": [1528446820]}]}]}, {"tin": {"type": "ein", "value": "486000798"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.07, "providers": [{"billed_charge": 17.0, "npi": [1215075411]}]}]}, {"tin": {"type": "ein", "value": "521558039"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.26, "providers": [{"billed_charge": 13.26, "npi": [1619933587]}]}]}, {"tin": {"type": "ein", "value": "586000799"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.71, "providers": [{"billed_charge": 15.0, "npi": [1801972625]}]}]}, {"tin": {"type": "ein", "value": "586000911"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.08, "providers": [{"billed_charge": 15.0, "npi": [1396788097]}]}]}, {"tin": {"type": "ein", "value": "596000773"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.51, "providers": [{"billed_charge": 17.0, "npi": [1033215348]}]}]}, {"tin": {"type": "ein", "value": "611310466"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.26, "providers": [{"billed_charge": 20.35, "npi": [1851375562]}]}]}, {"tin": {"type": "ein", "value": "620694743"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.0, "providers": [{"billed_charge": 13.0, "npi": [1134131915]}]}]}, {"tin": {"type": "ein", "value": "710907561"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 16.18, "providers": [{"billed_charge": 25.95, "npi": [1568563278]}]}]}, {"tin": {"type": "ein", "value": "736069613"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.58, "providers": [{"billed_charge": 15.0, "npi": [1154406460]}]}]}, {"tin": {"type": "ein", "value": "752474011"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.75, "providers": [{"billed_charge": 12.75, "npi": [1962437855]}]}]}, {"tin": {"type": "ein", "value": "820579904"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.9, "providers": [{"billed_charge": 17.0, "npi": [1194769828]}]}]}, {"tin": {"type": "ein", "value": "823518801"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.75, "providers": [{"billed_charge": 12.75, "npi": [1922514686]}]}]}, {"tin": {"type": "ein", "value": "824030857"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.08, "providers": [{"billed_charge": 42.0, "npi": [1730697335]}]}]}, {"tin": {"type": "ein", "value": "824151690"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.27, "providers": [{"billed_charge": 28.69, "npi": [1497253751]}]}]}, {"tin": {"type": "ein", "value": "843777653"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 14.11, "providers": [{"billed_charge": 14.11, "npi": [1447884507]}]}, {"allowed_amount": 14.36, "providers": [{"billed_charge": 14.36, "npi": [1447884507]}]}, {"allowed_amount": 26.61, "providers": [{"billed_charge": 14.11, "npi": [1447884507]}]}, {"allowed_amount": 26.66, "providers": [{"billed_charge": 14.11, "npi": [1447884507]}]}, {"allowed_amount": 35.69, "providers": [{"billed_charge": 14.11, "npi": [1447884507]}]}, {"allowed_amount": 40.94, "providers": [{"billed_charge": 14.11, "npi": [1447884507]}]}, {"allowed_amount": 42.59, "providers": [{"billed_charge": 14.11, "npi": [1447884507]}]}, {"allowed_amount": 46.52, "providers": [{"billed_charge": 14.11, "npi": [1447884507]}]}, {"allowed_amount": 51.36, "providers": [{"billed_charge": 14.11, "npi": [1447884507]}]}, {"allowed_amount": 51.69, "providers": [{"billed_charge": 15.05, "npi": [1447884507]}]}, {"allowed_amount": 54.48, "providers": [{"billed_charge": 14.11, "npi": [1447884507]}]}, {"allowed_amount": 57.85, "providers": [{"billed_charge": 14.11, "npi": [1447884507]}]}, {"allowed_amount": 66.79, "providers": [{"billed_charge": 14.11, "npi": [1447884507]}]}, {"allowed_amount": 72.79, "providers": [{"billed_charge": 15.52, "npi": [1447884507]}]}, {"allowed_amount": 79.37, "providers": [{"billed_charge": 14.11, "npi": [1447884507]}]}, {"allowed_amount": 79.58, "providers": [{"billed_charge": 15.68, "npi": [1447884507]}]}, {"allowed_amount": 165.51, "providers": [{"billed_charge": 14.11, "npi": [1447884507]}]}, {"allowed_amount": 166.97, "providers": [{"billed_charge": 17.64, "npi": [1447884507]}]}, {"allowed_amount": 219.39, "providers": [{"billed_charge": 18.81, "npi": [1447884507]}]}, {"allowed_amount": 220.36, "providers": [{"billed_charge": 18.81, "npi": [1447884507]}]}, {"allowed_amount": 245.81, "providers": [{"billed_charge": 18.81, "npi": [1447884507]}]}, {"allowed_amount": 325.21, "providers": [{"billed_charge": 21.16, "npi": [1447884507]}]}, {"allowed_amount": 328.12, "providers": [{"billed_charge": 21.16, "npi": [1447884507]}]}]}, {"tin": {"type": "ein", "value": "845143812"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.41, "providers": [{"billed_charge": 22.47, "npi": [1336871813]}, {"billed_charge": 22.87, "npi": [1336871813]}]}]}, {"tin": {"type": "ein", "value": "851607822"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 11.31, "providers": [{"billed_charge": 36.0, "npi": [1295348761]}]}]}, {"tin": {"type": "ein", "value": "854142151"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 24.87, "providers": [{"billed_charge": 23.03, "npi": [1285221663]}]}]}, {"tin": {"type": "ein", "value": "856000147"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 170.41, "providers": [{"billed_charge": 14.41, "npi": [1487188785]}]}, {"allowed_amount": 221.66, "providers": [{"billed_charge": 13.66, "npi": [1487188785]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 22.56, "providers": [{"billed_charge": 28.04, "npi": [1518143205]}, {"billed_charge": 28.54, "npi": [1518143205]}]}]}, {"tin": {"type": "ein", "value": "860203618"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.56, "providers": [{"billed_charge": 29.67, "npi": [1205883717]}]}, {"allowed_amount": 25.65, "providers": [{"billed_charge": 26.37, "npi": [1205883717]}, {"billed_charge": 26.84, "npi": [1205883717]}]}, {"allowed_amount": 26.02, "providers": [{"billed_charge": 26.37, "npi": [1205883717]}]}, {"allowed_amount": 176.54, "providers": [{"billed_charge": 30.77, "npi": [1205883717]}]}, {"allowed_amount": 208.96, "providers": [{"billed_charge": 31.64, "npi": [1205883717]}]}, {"allowed_amount": 210.77, "providers": [{"billed_charge": 31.64, "npi": [1205883717]}]}, {"allowed_amount": 493.45, "providers": [{"billed_charge": 39.55, "npi": [1205883717]}]}, {"allowed_amount": 976.05, "providers": [{"billed_charge": 52.74, "npi": [1205883717]}]}, {"allowed_amount": 981.47, "providers": [{"billed_charge": 52.74, "npi": [1205883717]}]}]}, {"tin": {"type": "ein", "value": "860278618"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 25.65, "providers": [{"billed_charge": 28.16, "npi": [1154324283]}]}]}, {"tin": {"type": "ein", "value": "860295443"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.71, "providers": [{"billed_charge": 13.71, "npi": [1083751176]}]}]}, {"tin": {"type": "ein", "value": "860311208"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.56, "providers": [{"billed_charge": 19.97, "npi": [1184003220]}, {"billed_charge": 20.33, "npi": [1184003220]}]}, {"allowed_amount": 222.94, "providers": [{"billed_charge": 19.97, "npi": [1184003220]}]}]}, {"tin": {"type": "ein", "value": "860339693"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 16.59, "providers": [{"billed_charge": 16.59, "npi": [1356333934]}]}]}, {"tin": {"type": "ein", "value": "860409619"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.56, "providers": [{"billed_charge": 24.94, "npi": [1821456575]}, {"billed_charge": 25.39, "npi": [1821456575]}]}, {"allowed_amount": 833.52, "providers": [{"billed_charge": 12.47, "npi": [1821456575]}]}]}, {"tin": {"type": "ein", "value": "860412782"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.41, "providers": [{"billed_charge": 30.68, "npi": [1043214372]}]}, {"allowed_amount": 18.56, "providers": [{"billed_charge": 30.68, "npi": [1043214372]}, {"billed_charge": 31.23, "npi": [1043214372]}]}]}, {"tin": {"type": "ein", "value": "860431643"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.56, "providers": [{"billed_charge": 28.16, "npi": [1093707242]}, {"billed_charge": 28.79, "npi": [1093707242]}]}, {"allowed_amount": 142.15, "providers": [{"billed_charge": 27.9, "npi": [1093707242]}]}, {"allowed_amount": 142.33, "providers": [{"billed_charge": 28.16, "npi": [1093707242]}]}]}, {"tin": {"type": "ein", "value": "860466622"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.56, "providers": [{"billed_charge": 19.46, "npi": [1437136736]}]}]}, {"tin": {"type": "ein", "value": "860472471"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 25.54, "providers": [{"billed_charge": 25.54, "npi": [1316331374]}]}, {"allowed_amount": 589.89, "providers": [{"billed_charge": 29.37, "npi": [1316331374]}]}]}, {"tin": {"type": "ein", "value": "860503076"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.56, "providers": [{"billed_charge": 19.52, "npi": [1215935119]}]}]}, {"tin": {"type": "ein", "value": "860506675"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.46, "providers": [{"billed_charge": 28.08, "npi": [1316944846]}, {"billed_charge": 28.59, "npi": [1316944846]}]}, {"allowed_amount": 27.9, "providers": [{"billed_charge": 28.08, "npi": [1316944846]}, {"billed_charge": 28.59, "npi": [1316944846]}]}]}, {"tin": {"type": "ein", "value": "860530631"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.46, "providers": [{"billed_charge": 18.44, "npi": [1750383931]}, {"billed_charge": 18.69, "npi": [1750383931]}, {"billed_charge": 20.28, "npi": [1750383931]}]}]}, {"tin": {"type": "ein", "value": "860638446"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 17.18, "providers": [{"billed_charge": 17.18, "npi": [1821133745]}]}, {"allowed_amount": 17.49, "providers": [{"billed_charge": 17.49, "npi": [1821133745]}]}]}, {"tin": {"type": "ein", "value": "860646173"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.87, "providers": [{"billed_charge": 12.87, "npi": [1770945594]}]}, {"allowed_amount": 13.1, "providers": [{"billed_charge": 13.1, "npi": [1770945594]}]}]}, {"tin": {"type": "ein", "value": "860702807"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.56, "providers": [{"billed_charge": 28.69, "npi": [1538116652]}, {"billed_charge": 29.21, "npi": [1538116652]}]}]}, {"tin": {"type": "ein", "value": "860758145"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.46, "providers": [{"billed_charge": 16.43, "npi": [1891742417]}]}]}, {"tin": {"type": "ein", "value": "860779112"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 99.7, "providers": [{"billed_charge": 18.38, "npi": [1407811318]}]}]}, {"tin": {"type": "ein", "value": "860790225"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 66.7, "providers": [{"billed_charge": 19.11, "npi": [1588658652]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.56, "providers": [{"billed_charge": 26.38, "npi": [1851441075]}]}]}, {"tin": {"type": "ein", "value": "860839215"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 17.14, "providers": [{"billed_charge": 17.14, "npi": [1154795086]}]}]}, {"tin": {"type": "ein", "value": "860937989"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.46, "providers": [{"billed_charge": 24.12, "npi": [1396742912]}]}]}, {"tin": {"type": "ein", "value": "866000237"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 1.87, "providers": [{"billed_charge": 17.05, "npi": [1801515614]}]}, {"allowed_amount": 17.05, "providers": [{"billed_charge": 17.05, "npi": [1801515614]}]}, {"allowed_amount": 100.2, "providers": [{"billed_charge": 19.04, "npi": [1801515614]}]}, {"allowed_amount": 287.2, "providers": [{"billed_charge": 16.63, "npi": [1801515614]}]}, {"allowed_amount": 353.31, "providers": [{"billed_charge": 17.05, "npi": [1801515614]}]}, {"allowed_amount": 379.82, "providers": [{"billed_charge": 17.62, "npi": [1801515614]}]}]}, {"tin": {"type": "ein", "value": "866000241"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.57, "providers": [{"billed_charge": 15.57, "npi": [1619914033]}]}]}, {"tin": {"type": "ein", "value": "866000246"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.55, "providers": [{"billed_charge": 24.95, "npi": [1295284495]}, {"billed_charge": 25.4, "npi": [1295284495]}]}, {"allowed_amount": 18.56, "providers": [{"billed_charge": 24.94, "npi": [1295284495]}, {"billed_charge": 25.39, "npi": [1295284495]}]}]}, {"tin": {"type": "ein", "value": "866000249"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.56, "providers": [{"billed_charge": 20.53, "npi": [1598385783]}]}, {"allowed_amount": 353.71, "providers": [{"billed_charge": 20.53, "npi": [1598385783]}]}]}, {"tin": {"type": "ein", "value": "866000252"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.56, "providers": [{"billed_charge": 24.94, "npi": [1477979276]}]}, {"allowed_amount": 18.57, "providers": [{"billed_charge": 24.93, "npi": [1477979276]}]}, {"allowed_amount": 77.64, "providers": [{"billed_charge": 23.9, "npi": [1477979276]}]}, {"allowed_amount": 108.33, "providers": [{"billed_charge": 24.0, "npi": [1477979276]}]}, {"allowed_amount": 154.89, "providers": [{"billed_charge": 25.36, "npi": [1477979276]}]}, {"allowed_amount": 155.17, "providers": [{"billed_charge": 25.77, "npi": [1477979276]}]}, {"allowed_amount": 181.76, "providers": [{"billed_charge": 24.44, "npi": [1477979276]}]}, {"allowed_amount": 226.34, "providers": [{"billed_charge": 29.3, "npi": [1477979276]}]}, {"allowed_amount": 433.01, "providers": [{"billed_charge": 29.93, "npi": [1477979276]}]}]}, {"tin": {"type": "ein", "value": "866000254"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 13.46, "providers": [{"billed_charge": 16.28, "npi": [1073510699]}]}, {"allowed_amount": 225.35, "providers": [{"billed_charge": 16.69, "npi": [1073510699]}]}]}, {"tin": {"type": "ein", "value": "866000256"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 12.47, "providers": [{"billed_charge": 12.47, "npi": [1982781571]}]}, {"allowed_amount": 18.55, "providers": [{"billed_charge": 24.95, "npi": [1982781571]}, {"billed_charge": 25.4, "npi": [1982781571]}]}, {"allowed_amount": 18.56, "providers": [{"billed_charge": 24.94, "npi": [1982781571]}, {"billed_charge": 25.39, "npi": [1982781571]}, {"billed_charge": 25.4, "npi": [1982781571]}]}, {"allowed_amount": 18.57, "providers": [{"billed_charge": 24.93, "npi": [1982781571]}, {"billed_charge": 25.38, "npi": [1982781571]}]}, {"allowed_amount": 18.6, "providers": [{"billed_charge": 24.9, "npi": [1982781571]}, {"billed_charge": 25.4, "npi": [1982781571]}]}, {"allowed_amount": 154.6, "providers": [{"billed_charge": 26.19, "npi": [1982781571]}]}, {"allowed_amount": 262.06, "providers": [{"billed_charge": 24.11, "npi": [1982781571]}, {"billed_charge": 24.94, "npi": [1982781571]}]}, {"allowed_amount": 292.1, "providers": [{"billed_charge": 24.11, "npi": [1982781571]}]}, {"allowed_amount": 294.38, "providers": [{"billed_charge": 28.27, "npi": [1982781571]}]}, {"allowed_amount": 384.54, "providers": [{"billed_charge": 22.45, "npi": [1982781571]}]}, {"allowed_amount": 387.1, "providers": [{"billed_charge": 28.68, "npi": [1982781571]}]}, {"allowed_amount": 838.65, "providers": [{"billed_charge": 19.95, "npi": [1982781571]}]}]}, {"tin": {"type": "ein", "value": "866000262"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.56, "providers": [{"billed_charge": 24.94, "npi": [1750811063]}, {"billed_charge": 25.39, "npi": [1750811063]}]}, {"allowed_amount": 843.78, "providers": [{"billed_charge": 27.43, "npi": [1750811063]}]}]}, {"tin": {"type": "ein", "value": "866000735"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 15.88, "providers": [{"billed_charge": 23.99, "npi": [1003366006]}]}, {"allowed_amount": 18.56, "providers": [{"billed_charge": 23.99, "npi": [1003366006]}, {"billed_charge": 24.42, "npi": [1003366006]}]}, {"allowed_amount": 18.6, "providers": [{"billed_charge": 24.0, "npi": [1003366006]}]}, {"allowed_amount": 170.17, "providers": [{"billed_charge": 23.99, "npi": [1003366006]}]}, {"allowed_amount": 931.9, "providers": [{"billed_charge": 9.6, "npi": [1003366006]}]}, {"allowed_amount": 935.46, "providers": [{"billed_charge": 19.19, "npi": [1003366006]}]}]}, {"tin": {"type": "ein", "value": "866003634"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.56, "providers": [{"billed_charge": 24.94, "npi": [1336692342]}]}]}, {"tin": {"type": "ein", "value": "866007796"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 18.56, "providers": [{"billed_charge": 24.94, "npi": [1194110791]}, {"billed_charge": 25.39, "npi": [1194110791]}]}, {"allowed_amount": 154.6, "providers": [{"billed_charge": 24.94, "npi": [1194110791]}]}, {"allowed_amount": 200.82, "providers": [{"billed_charge": 24.94, "npi": [1194110791]}]}, {"allowed_amount": 223.35, "providers": [{"billed_charge": 24.94, "npi": [1194110791]}]}, {"allowed_amount": 292.1, "providers": [{"billed_charge": 24.94, "npi": [1194110791]}]}]}, {"tin": {"type": "ein", "value": "870277106"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 36.0, "providers": [{"billed_charge": 42.24, "npi": [1679560502]}]}, {"allowed_amount": 67.27, "providers": [{"billed_charge": 42.24, "npi": [1679560502]}]}]}, {"tin": {"type": "ein", "value": "872889138"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 9.18, "providers": [{"billed_charge": 55.0, "npi": [1932821063]}]}]}, {"tin": {"type": "ein", "value": "880125707"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 67.27, "providers": [{"billed_charge": 38.35, "npi": [1235232562]}]}]}, {"tin": {"type": "ein", "value": "880421120"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 16.18, "providers": [{"billed_charge": 38.35, "npi": [1003006180]}]}]}, {"tin": {"type": "ein", "value": "952223085"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 36.59, "providers": [{"billed_charge": 39.58, "npi": [1518075449]}]}]}, {"tin": {"type": "ein", "value": "952788714"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 36.59, "providers": [{"billed_charge": 48.05, "npi": [1659383719]}]}]}, {"tin": {"type": "ein", "value": "952841215"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 36.59, "providers": [{"billed_charge": 83.8, "npi": [1366550360]}]}]}, {"tin": {"type": "ein", "value": "953433967"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 36.59, "providers": [{"billed_charge": 83.8, "npi": [1407864341]}]}]}, {"tin": {"type": "ein", "value": "956000735"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 20.0, "npi": [1083789564]}]}]}, {"tin": {"type": "ein", "value": "990338416"}, "billing_class": "professional", "service_codes": ["41"], "payments": [{"allowed_amount": 36.59, "providers": [{"billed_charge": 37.27, "npi": [1730183252]}]}]}]}, {"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": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.65, "providers": [{"billed_charge": 174.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.59, "providers": [{"billed_charge": 302.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.45, "providers": [{"billed_charge": 711.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "463096009"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 8.25, "providers": [{"billed_charge": 29.13, "npi": [1740966241, 1245795459]}]}, {"allowed_amount": 10.04, "providers": [{"billed_charge": 29.13, "npi": [1598106163]}]}, {"allowed_amount": 11.19, "providers": [{"billed_charge": 29.13, "npi": [1598106163]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.45, "providers": [{"billed_charge": 204.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.39, "providers": [{"billed_charge": 218.05, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.41, "providers": [{"billed_charge": 711.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.59, "providers": [{"billed_charge": 302.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.59, "providers": [{"billed_charge": 240.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.69, "providers": [{"billed_charge": 259.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.98, "providers": [{"billed_charge": 61.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.45, "providers": [{"billed_charge": 187.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.45, "providers": [{"billed_charge": 86.96, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.45, "providers": [{"billed_charge": 73.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.36, "providers": [{"billed_charge": 100.0, "npi": [1083234629]}]}]}]}, {"name": "Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)", "billing_code_type": "CPT", "billing_code": "80076", "billing_code_type_version": "2022", "description": "HEPATIC FUNCTION PANEL", "allowed_amounts": [{"tin": {"type": "ein", "value": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.0, "providers": [{"billed_charge": 65.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.03, "providers": [{"billed_charge": 254.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.0, "providers": [{"billed_charge": 28.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "381405141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.89, "providers": [{"billed_charge": 30.0, "npi": [1295785285]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.09, "providers": [{"billed_charge": 375.0, "npi": [1689121188]}]}, {"allowed_amount": 172.19, "providers": [{"billed_charge": 375.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.52, "providers": [{"billed_charge": 124.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 172.19, "providers": [{"billed_charge": 375.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 159.12, "providers": [{"billed_charge": 536.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "626002166"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.91, "providers": [{"billed_charge": 138.0, "npi": [1275531956]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.42, "providers": [{"billed_charge": 293.0, "npi": [1609408665]}]}]}, {"tin": {"type": "ein", "value": "841103606"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.96, "providers": [{"billed_charge": 247.05, "npi": [1669461281]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.0, "providers": [{"billed_charge": 151.0, "npi": [1174512792]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 286.47, "providers": [{"billed_charge": 777.0, "npi": [1982050035]}]}]}, {"tin": {"type": "ein", "value": "203237708"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 286.47, "providers": [{"billed_charge": 634.0, "npi": [1417996067]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 238.43, "providers": [{"billed_charge": 1422.0, "npi": [1033850037]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 276.47, "providers": [{"billed_charge": 602.0, "npi": [1346884095]}]}, {"allowed_amount": 313.89, "providers": [{"billed_charge": 602.0, "npi": [1376521625, 1629566526]}]}]}, {"tin": {"type": "ein", "value": "464363525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 286.47, "providers": [{"billed_charge": 400.0, "npi": [1265444913, 1851032254, 1457311367]}]}]}, {"tin": {"type": "ein", "value": "850651672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 238.43, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 702.67, "npi": [1508021502]}]}, {"allowed_amount": 286.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 702.67, "npi": [1548557275]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 180.89, "providers": [{"billed_charge": 430.0, "npi": [1083818504]}]}]}, {"tin": {"type": "ein", "value": "860392561"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 286.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 590.31, "npi": [1790148104]}]}]}, {"tin": {"type": "ein", "value": "860927994"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 286.47, "providers": [{"billed_charge": 393.0, "npi": [1619587508]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 286.47, "providers": [{"billed_charge": 514.1, "npi": [1891006532]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 162.8, "providers": [{"billed_charge": 1603.0, "npi": [1487199824, 1649898602]}]}, {"allowed_amount": 286.47, "providers": [{"billed_charge": 1603.0, "npi": [1528671948]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 520.0, "npi": [1275943482, 1508277708]}]}, {"allowed_amount": 91.0, "providers": [{"billed_charge": 520.0, "npi": [1669734497, 1952715963]}]}, {"allowed_amount": 105.41, "providers": [{"billed_charge": 520.0, "npi": [1720190408]}]}, {"allowed_amount": 108.07, "providers": [{"billed_charge": 520.0, "npi": [1427219872, 1689811176, 1174503411, 1255774741, 1508844218, 1386387199]}]}]}, {"tin": {"type": "ein", "value": "203237708"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 70.81, "providers": [{"billed_charge": 214.0, "npi": [1467560565, 1720312390]}]}, {"allowed_amount": 91.0, "providers": [{"billed_charge": 214.0, "npi": [1902059652]}]}, {"allowed_amount": 96.16, "providers": [{"billed_charge": 214.0, "npi": [1417996067, 1720312390, 1467560565, 1851345334, 1548233141]}]}]}, {"tin": {"type": "ein", "value": "203943524"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 84.17, "providers": [{"billed_charge": 200.0, "npi": [1205811205]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 91.0, "providers": [{"billed_charge": 485.0, "npi": [1902063639]}]}]}, {"tin": {"type": "ein", "value": "205198811"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.61, "providers": [{"billed_charge": 146.0, "npi": [1437635893]}]}, {"allowed_amount": 90.27, "providers": [{"billed_charge": 179.0, "npi": [1770500761]}]}, {"allowed_amount": 96.16, "providers": [{"billed_charge": 179.0, "npi": [1437890936]}]}]}, {"tin": {"type": "ein", "value": "205778133"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 115.0, "providers": [{"billed_charge": 115.0, "npi": [1942256482]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 70.81, "providers": [{"billed_charge": 538.0, "npi": [1275152241]}]}, {"allowed_amount": 91.0, "providers": [{"billed_charge": 211.0, "npi": [1144541426]}]}, {"allowed_amount": 96.16, "providers": [{"billed_charge": 211.0, "npi": [1730150582]}]}]}, {"tin": {"type": "ein", "value": "208488778"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 212.0, "providers": [{"billed_charge": 212.0, "npi": [1679612691]}]}]}, {"tin": {"type": "ein", "value": "300757230"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.15, "providers": [{"billed_charge": 316.08, "npi": [1083025258, 1811105117]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 70.81, "providers": [{"billed_charge": 200.0, "npi": [1164787016, 1063552420]}]}, {"allowed_amount": 105.31, "providers": [{"billed_charge": 200.0, "npi": [1730754151]}]}]}, {"tin": {"type": "ein", "value": "401275622"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1407350895]}]}]}, {"tin": {"type": "ein", "value": "431961728"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 95.0, "providers": [{"billed_charge": 95.0, "npi": [1194831784]}]}]}, {"tin": {"type": "ein", "value": "453460510"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 77.32, "providers": [{"billed_charge": 193.0, "npi": [1033392113]}]}]}, {"tin": {"type": "ein", "value": "472097678"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 64.21, "providers": [{"billed_charge": 64.21, "npi": [1598341877]}]}]}, {"tin": {"type": "ein", "value": "650913389"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.19, "providers": [{"billed_charge": 696.0, "npi": [1407839046]}]}, {"allowed_amount": 90.27, "providers": [{"billed_charge": 696.0, "npi": [1629226790]}]}, {"allowed_amount": 96.16, "providers": [{"billed_charge": 696.0, "npi": [1407839046, 1659391399]}]}, {"allowed_amount": 103.15, "providers": [{"billed_charge": 696.0, "npi": [1831151562, 1396799250, 1548249766]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.27, "providers": [{"billed_charge": 202.0, "npi": [1093154072, 1902888753, 1275649956]}]}, {"allowed_amount": 96.16, "providers": [{"billed_charge": 202.0, "npi": [1699549568]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.84, "providers": [{"billed_charge": 154.0, "npi": [1134178841]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.0, "providers": [{"billed_charge": 202.0, "npi": [1215160379]}]}]}, {"tin": {"type": "ein", "value": "742410946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 119.8, "providers": [{"billed_charge": 143.0, "npi": [1750336137]}]}]}, {"tin": {"type": "ein", "value": "811156192"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.31, "providers": [{"billed_charge": 222.0, "npi": [1255629333]}]}, {"allowed_amount": 108.07, "providers": [{"billed_charge": 222.0, "npi": [1376530907]}]}]}, {"tin": {"type": "ein", "value": "813419791"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.95, "providers": [{"billed_charge": 244.0, "npi": [1801209283]}]}]}, {"tin": {"type": "ein", "value": "834517050"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 141.0, "providers": [{"billed_charge": 141.0, "npi": [1578142840, 1306465042]}]}]}, {"tin": {"type": "ein", "value": "834598911"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 141.0, "providers": [{"billed_charge": 141.0, "npi": [1982871463]}]}]}, {"tin": {"type": "ein", "value": "843016310"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 73.6, "providers": [{"billed_charge": 73.6, "npi": [1194016790]}]}, {"allowed_amount": 91.0, "providers": [{"billed_charge": 221.0, "npi": [1386843811, 1336639699]}]}]}, {"tin": {"type": "ein", "value": "844284477"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.16, "providers": [{"billed_charge": 485.0, "npi": [1568083970]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 90.27, "providers": [{"billed_charge": 469.02, "npi": [1629366612]}]}]}, {"tin": {"type": "ein", "value": "860215065"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 63.73, "providers": [{"billed_charge": 64.21, "npi": [1063119345]}]}]}, {"tin": {"type": "ein", "value": "860498020"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.27, "providers": [{"billed_charge": 110.4, "npi": [1174583553]}]}]}, {"tin": {"type": "ein", "value": "860577849"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.0, "providers": [{"billed_charge": 91.0, "npi": [1639481435]}]}]}, {"tin": {"type": "ein", "value": "860663432"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.81, "providers": [{"billed_charge": 211.0, "npi": [1134385156]}]}]}, {"tin": {"type": "ein", "value": "860711625"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.16, "providers": [{"billed_charge": 155.0, "npi": [1407279854]}]}]}, {"tin": {"type": "ein", "value": "860736282"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1659364016]}]}]}, {"tin": {"type": "ein", "value": "860780153"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.16, "providers": [{"billed_charge": 114.0, "npi": [1922240407]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.81, "providers": [{"billed_charge": 357.0, "npi": [1568857480]}]}, {"allowed_amount": 90.27, "providers": [{"billed_charge": 357.0, "npi": [1326020074]}]}]}, {"tin": {"type": "ein", "value": "860927994"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.16, "providers": [{"billed_charge": 154.0, "npi": [1801039680, 1144743899]}]}]}, {"tin": {"type": "ein", "value": "861041571"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 63.73, "providers": [{"billed_charge": 211.0, "npi": [1437574712]}]}]}, {"tin": {"type": "ein", "value": "873768007"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.16, "providers": [{"billed_charge": 211.74, "npi": [1366692162]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 66.08, "providers": [{"billed_charge": 198.68, "npi": [1043248834]}]}, {"allowed_amount": 90.27, "providers": [{"billed_charge": 198.68, "npi": [1043248834]}]}]}, {"tin": {"type": "ein", "value": "911822851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.81, "providers": [{"billed_charge": 214.0, "npi": [1467560565]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 70.81, "providers": [{"billed_charge": 538.0, "npi": [1154748283, 1386224244]}]}, {"allowed_amount": 91.0, "providers": [{"billed_charge": 538.0, "npi": [1366905713, 1285195511]}]}, {"allowed_amount": 96.16, "providers": [{"billed_charge": 538.0, "npi": [1750092763, 1164495917]}]}]}, {"tin": {"type": "ein", "value": "942880847"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 29.02, "providers": [{"billed_charge": 176.7, "npi": [1548973894]}]}, {"allowed_amount": 63.73, "providers": [{"billed_charge": 176.7, "npi": [1902332315]}]}]}, {"tin": {"type": "ein", "value": "991521902"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.16, "providers": [{"billed_charge": 190.0, "npi": [1649808874]}]}]}]}, {"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": "061694715"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 187.31, "providers": [{"billed_charge": 327.0, "npi": [1710411798]}]}]}, {"tin": {"type": "ein", "value": "200330455"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1265594519]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 127.96, "providers": [{"billed_charge": 763.0, "npi": [1861837296, 1053556241, 1902875362, 1578060265]}]}, {"allowed_amount": 141.73, "providers": [{"billed_charge": 763.0, "npi": [1942994777, 1992424659]}]}, {"allowed_amount": 160.52, "providers": [{"billed_charge": 763.0, "npi": [1033322631, 1659802569, 1477789675, 1487949038, 1700060431, 1114253747, 1114305273, 1053374207]}]}]}, {"tin": {"type": "ein", "value": "201778316"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 127.96, "providers": [{"billed_charge": 260.08, "npi": [1649590050, 1609993179]}]}]}, {"tin": {"type": "ein", "value": "203237708"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.26, "providers": [{"billed_charge": 315.0, "npi": [1902059652, 1720312390]}]}, {"allowed_amount": 123.08, "providers": [{"billed_charge": 315.0, "npi": [1306810338]}]}, {"allowed_amount": 131.91, "providers": [{"billed_charge": 315.0, "npi": [1902059652]}]}, {"allowed_amount": 160.52, "providers": [{"billed_charge": 315.0, "npi": [1649694720, 1811421852, 1427326750, 1659723427, 1649579186, 1548233141, 1609153733, 1255419206, 1447322441, 1184010571, 1043237837, 1144392143, 1265639637, 1972065365, 1538359898, 1861613275, 1417944802, 1609131499, 1841931243, 1245673714, 1962675066]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 131.91, "providers": [{"billed_charge": 717.0, "npi": [1376103044]}]}]}, {"tin": {"type": "ein", "value": "205198811"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.5, "providers": [{"billed_charge": 254.0, "npi": [1770500761]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 88.65, "providers": [{"billed_charge": 300.0, "npi": [1184967515]}]}, {"allowed_amount": 127.96, "providers": [{"billed_charge": 300.0, "npi": [1477737930]}]}, {"allowed_amount": 141.73, "providers": [{"billed_charge": 300.0, "npi": [1245999697]}]}, {"allowed_amount": 238.37, "providers": [{"billed_charge": 300.0, "npi": [1043325541]}]}, {"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1972000107, 1891350351, 1154984243, 1821659103, 1265828735]}]}]}, {"tin": {"type": "ein", "value": "232380812"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 128.49, "providers": [{"billed_charge": 224.0, "npi": [1366934911]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 410.0, "providers": [{"billed_charge": 410.0, "npi": [1144616541]}]}]}, {"tin": {"type": "ein", "value": "260264998"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 160.52, "providers": [{"billed_charge": 225.0, "npi": [1578562807]}]}]}, {"tin": {"type": "ein", "value": "264691812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.26, "providers": [{"billed_charge": 217.94, "npi": [1205333051]}]}, {"allowed_amount": 127.96, "providers": [{"billed_charge": 217.94, "npi": [1518413871]}]}, {"allowed_amount": 160.52, "providers": [{"billed_charge": 217.94, "npi": [1689937575, 1730115338, 1275975468, 1265662928, 1649579186, 1649377813, 1134570971, 1154940088, 1851037402, 1205333051, 1104388511]}]}]}, {"tin": {"type": "ein", "value": "300463194"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.66, "providers": [{"billed_charge": 737.0, "npi": [1821676289]}]}]}, {"tin": {"type": "ein", "value": "363149833"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 190.99, "providers": [{"billed_charge": 211.0, "npi": [1588919815]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 137.27, "providers": [{"billed_charge": 295.0, "npi": [1982382016, 1316611171, 1790191237, 1427516053]}]}, {"allowed_amount": 154.52, "providers": [{"billed_charge": 295.0, "npi": [1972520708, 1386600625, 1447205174, 1568923415, 1376521625]}]}]}, {"tin": {"type": "ein", "value": "384059067"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 131.91, "providers": [{"billed_charge": 1600.0, "npi": [1518127273, 1003014044]}]}]}, {"tin": {"type": "ein", "value": "421411630"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 182.74, "providers": [{"billed_charge": 254.0, "npi": [1770877466]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 144.72, "providers": [{"billed_charge": 166.0, "npi": [1942284674]}]}]}, {"tin": {"type": "ein", "value": "451775655"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 218.0, "providers": [{"billed_charge": 218.0, "npi": [1962630269]}]}]}, {"tin": {"type": "ein", "value": "454661760"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 190.99, "providers": [{"billed_charge": 216.22, "npi": [1962449439]}]}]}, {"tin": {"type": "ein", "value": "461327841"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.26, "providers": [{"billed_charge": 315.0, "npi": [1538359898]}]}]}, {"tin": {"type": "ein", "value": "461621237"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 152.04, "providers": [{"billed_charge": 220.0, "npi": [1891907119]}]}]}, {"tin": {"type": "ein", "value": "464207180"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 208.0, "providers": [{"billed_charge": 208.0, "npi": [1285079632, 1740256361, 1639457096, 1558507707]}]}]}, {"tin": {"type": "ein", "value": "464363525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.52, "providers": [{"billed_charge": 200.0, "npi": [1699068387, 1871858217, 1437123593, 1851032254, 1265444913, 1073780698, 1649911900, 1215923453, 1447213822]}]}]}, {"tin": {"type": "ein", "value": "465027835"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 141.73, "providers": [{"billed_charge": 1037.9, "npi": [1568242576]}]}]}, {"tin": {"type": "ein", "value": "471554329"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.26, "providers": [{"billed_charge": 200.0, "npi": [1699068387]}]}]}, {"tin": {"type": "ein", "value": "472097678"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.08, "providers": [{"billed_charge": 188.0, "npi": [1649836750]}]}, {"allowed_amount": 115.3, "providers": [{"billed_charge": 188.0, "npi": [1649836750]}]}, {"allowed_amount": 141.73, "providers": [{"billed_charge": 188.0, "npi": [1649836750]}]}]}, {"tin": {"type": "ein", "value": "473350388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.26, "providers": [{"billed_charge": 217.94, "npi": [1952920613]}]}, {"allowed_amount": 127.96, "providers": [{"billed_charge": 220.0, "npi": [1457328106]}]}, {"allowed_amount": 160.52, "providers": [{"billed_charge": 220.0, "npi": [1588878508]}]}]}, {"tin": {"type": "ein", "value": "475554737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 169.95, "providers": [{"billed_charge": 357.0, "npi": [1912068446]}]}]}, {"tin": {"type": "ein", "value": "550853999"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.08, "providers": [{"billed_charge": 315.0, "npi": [1750909008]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 157.44, "providers": [{"billed_charge": 346.0, "npi": [1568758167]}]}]}, {"tin": {"type": "ein", "value": "650913389"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 127.96, "providers": [{"billed_charge": 1020.0, "npi": [1861509465, 1114290996, 1629226790]}]}, {"allowed_amount": 141.73, "providers": [{"billed_charge": 1020.0, "npi": [1982995585, 1689245086]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 98.5, "providers": [{"billed_charge": 296.0, "npi": [1760048466]}]}, {"allowed_amount": 127.96, "providers": [{"billed_charge": 296.0, "npi": [1902888753, 1508398165, 1295315877, 1770162471]}]}, {"allowed_amount": 131.91, "providers": [{"billed_charge": 296.0, "npi": [1053550301]}]}, {"allowed_amount": 160.52, "providers": [{"billed_charge": 296.0, "npi": [1417381120, 1356844161, 1689886244, 1174750053, 1326220518, 1962889543, 1932500360, 1811350119, 1295167302, 1609131499, 1386023182, 1912460718, 1700166576, 1760048466, 1487620696, 1972984409, 1215958939]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 131.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 296.0, "npi": [1659863553]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.26, "providers": [{"billed_charge": 296.0, "npi": [1477949071]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.25, "providers": [{"billed_charge": 447.0, "npi": [1083024244]}]}, {"allowed_amount": 161.66, "providers": [{"billed_charge": 447.0, "npi": [1508480062]}]}]}, {"tin": {"type": "ein", "value": "742410946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.75, "providers": [{"billed_charge": 212.0, "npi": [1891149043]}]}, {"allowed_amount": 169.9, "providers": [{"billed_charge": 212.0, "npi": [1043607377, 1528334505]}]}]}, {"tin": {"type": "ein", "value": "760757826"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 154.52, "providers": [{"billed_charge": 160.0, "npi": [1912497678, 1144630831, 1164863569, 1073008017, 1073990099, 1134796212, 1952980856, 1154946010, 1861569246, 1184698623]}]}]}, {"tin": {"type": "ein", "value": "813821262"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.52, "providers": [{"billed_charge": 195.0, "npi": [1235490871]}]}]}, {"tin": {"type": "ein", "value": "820685699"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.26, "providers": [{"billed_charge": 280.0, "npi": [1285846642]}]}]}, {"tin": {"type": "ein", "value": "822666948"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 100.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 343.0, "npi": [1184034852]}]}]}, {"tin": {"type": "ein", "value": "823698799"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 155.13, "providers": [{"billed_charge": 316.0, "npi": [1275003154]}]}]}, {"tin": {"type": "ein", "value": "844284477"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 100.26, "providers": [{"billed_charge": 717.0, "npi": [1104277953, 1225457674, 1215221940, 1396052254]}]}, {"allowed_amount": 127.96, "providers": [{"billed_charge": 717.0, "npi": [1033799846, 1568990695, 1457317448, 1003045709, 1215221940, 1124430004, 1700068855, 1609174648, 1508211673, 1578192506, 1407318173]}]}, {"allowed_amount": 131.91, "providers": [{"billed_charge": 717.0, "npi": [1063876647]}]}, {"allowed_amount": 141.73, "providers": [{"billed_charge": 717.0, "npi": [1104851914, 1588915003]}]}, {"allowed_amount": 160.52, "providers": [{"billed_charge": 717.0, "npi": [1104277953, 1568083970, 1629698501, 1245869478, 1508251174, 1588291561, 1740635721, 1225457674, 1174705164, 1265018956, 1316188014, 1962065425, 1659803518, 1275574105, 1023304797, 1396052254]}]}, {"allowed_amount": 717.0, "providers": [{"billed_charge": 717.0, "npi": [1225457674]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 161.66, "providers": [{"billed_charge": 223.0, "npi": [1174272504]}]}]}, {"tin": {"type": "ein", "value": "851446280"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1306465042]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.26, "providers": [{"billed_charge": 101.0, "npi": [1861847154, 1629366612]}]}, {"allowed_amount": 160.52, "providers": [{"billed_charge": 672.04, "npi": [1255341897, 1861847154, 1093914822]}]}]}, {"tin": {"type": "ein", "value": "860392561"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 123.08, "providers": [{"billed_charge": 326.91, "npi": [1306577390]}]}, {"allowed_amount": 127.96, "providers": [{"billed_charge": 326.91, "npi": [1033389150]}]}, {"allowed_amount": 141.73, "providers": [{"billed_charge": 326.91, "npi": [1588350144]}]}, {"allowed_amount": 160.52, "providers": [{"billed_charge": 326.91, "npi": [1790148104, 1265639637, 1265811418, 1861809949, 1508246398]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 141.73, "providers": [{"billed_charge": 440.0, "npi": [1629535828, 1720459837]}]}, {"allowed_amount": 160.52, "providers": [{"billed_charge": 440.0, "npi": [1710373725, 1063822526]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.21, "providers": [{"billed_charge": 300.0, "npi": [1821436841]}]}]}, {"tin": {"type": "ein", "value": "860927994"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 90.23, "providers": [{"billed_charge": 220.0, "npi": [1144743899]}]}, {"allowed_amount": 100.26, "providers": [{"billed_charge": 220.0, "npi": [1801039680]}]}, {"allowed_amount": 127.96, "providers": [{"billed_charge": 220.0, "npi": [1548642069]}]}, {"allowed_amount": 141.73, "providers": [{"billed_charge": 220.0, "npi": [1679232839]}]}, {"allowed_amount": 160.52, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 220.0, "npi": [1801039680, 1336106152, 1023084266, 1326450636, 1144310863, 1205565587, 1336596691, 1831155001, 1306266523, 1689830911]}]}]}, {"tin": {"type": "ein", "value": "860958393"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1265842389, 1194036566]}]}]}, {"tin": {"type": "ein", "value": "860990920"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.26, "providers": [{"billed_charge": 270.0, "npi": [1275696585]}]}, {"allowed_amount": 127.96, "providers": [{"billed_charge": 270.0, "npi": [1275696585, 1467515718]}]}, {"allowed_amount": 160.52, "providers": [{"billed_charge": 270.0, "npi": [1710147376]}]}]}, {"tin": {"type": "ein", "value": "861045280"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 95.25, "providers": [{"billed_charge": 135.0, "npi": [1659536704, 1235628033]}]}, {"allowed_amount": 100.26, "providers": [{"billed_charge": 135.0, "npi": [1518977073, 1871550681]}]}, {"allowed_amount": 135.0, "providers": [{"billed_charge": 135.0, "npi": [1831696384, 1235628033, 1902069768, 1104032028, 1174583330, 1518977073, 1487677886, 1326668484, 1619104593, 1871550681, 1841483229, 1649614561, 1023548773, 1629402342, 1427631472, 1245673714, 1194110965, 1336100478, 1194104703]}]}]}, {"tin": {"type": "ein", "value": "862423701"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.26, "providers": [{"billed_charge": 220.0, "npi": [1205565587]}]}]}, {"tin": {"type": "ein", "value": "870833629"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 109.75, "providers": [{"billed_charge": 175.0, "npi": [1225635378]}, {"billed_charge": 250.0, "npi": [1225635378]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 93.58, "providers": [{"billed_charge": 281.75, "npi": [1598327025]}]}, {"allowed_amount": 127.96, "providers": [{"billed_charge": 281.75, "npi": [1043248834, 1972590818, 1427015239, 1417342569, 1912182221, 1447246129, 1235546805, 1215164280]}]}, {"allowed_amount": 160.52, "providers": [{"billed_charge": 281.75, "npi": [1760456032, 1891006532, 1194302794, 1073909552, 1598327025, 1053738096, 1063413524, 1003349887]}]}]}, {"tin": {"type": "ein", "value": "911822851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.26, "providers": [{"billed_charge": 220.0, "npi": [1336106152]}]}]}, {"tin": {"type": "ein", "value": "921049175"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.23, "providers": [{"billed_charge": 188.0, "npi": [1649836750]}]}]}, {"tin": {"type": "ein", "value": "922413120"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 100.26, "providers": [{"billed_charge": 326.91, "npi": [1033389150]}]}]}, {"tin": {"type": "ein", "value": "931462299"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 262.81, "providers": [{"billed_charge": 300.0, "npi": [1437878659, 1427784263]}]}]}, {"tin": {"type": "ein", "value": "942916102"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.0, "providers": [{"billed_charge": 315.0, "npi": [1417944802]}]}]}]}, {"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": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.23, "providers": [{"billed_charge": 438.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.79, "providers": [{"billed_charge": 271.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.74, "providers": [{"billed_charge": 110.71, "npi": [1447368071]}, {"billed_charge": 123.68, "npi": [1447368071]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.16, "providers": [{"billed_charge": 132.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.16, "providers": [{"billed_charge": 348.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.16, "providers": [{"billed_charge": 141.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.54, "providers": [{"billed_charge": 132.0, "npi": [1154748416]}]}, {"allowed_amount": 17.16, "providers": [{"billed_charge": 132.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.27, "providers": [{"billed_charge": 97.28, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.63, "providers": [{"billed_charge": 348.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.36, "providers": [{"billed_charge": 348.0, "npi": [1487607784]}]}, {"allowed_amount": 89.63, "providers": [{"billed_charge": 348.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.79, "providers": [{"billed_charge": 271.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.05, "providers": [{"billed_charge": 141.0, "npi": [1982733655]}]}, {"allowed_amount": 58.97, "providers": [{"billed_charge": 141.0, "npi": [1982733655]}]}, {"allowed_amount": 99.79, "providers": [{"billed_charge": 141.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.23, "providers": [{"billed_charge": 124.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.16, "providers": [{"billed_charge": 2443.75, "npi": [1356818496]}]}, {"allowed_amount": 2443.75, "providers": [{"billed_charge": 2443.75, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.23, "providers": [{"billed_charge": 215.0, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.79, "providers": [{"billed_charge": 2127.5, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 87.05, "providers": [{"billed_charge": 574.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.98, "providers": [{"billed_charge": 130.14, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.16, "providers": [{"billed_charge": 192.5, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.16, "providers": [{"billed_charge": 145.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.7, "providers": [{"billed_charge": 264.0, "npi": [1760480503]}]}, {"allowed_amount": 17.16, "providers": [{"billed_charge": 264.0, "npi": [1760480503]}, {"billed_charge": 371.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.86, "providers": [{"billed_charge": 162.33, "npi": [1154392231]}]}, {"allowed_amount": 9.24, "providers": [{"billed_charge": 158.0, "npi": [1154392231]}]}, {"allowed_amount": 17.16, "providers": [{"billed_charge": 158.0, "npi": [1154392231]}, {"billed_charge": 210.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "861248931"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 188.98, "providers": [{"billed_charge": 693.0, "npi": [1699340927]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.16, "providers": [{"billed_charge": 2443.75, "npi": [1881352037]}]}]}]}, {"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": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.29, "providers": [{"billed_charge": 200.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.29, "providers": [{"billed_charge": 323.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.29, "providers": [{"billed_charge": 238.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.29, "providers": [{"billed_charge": 200.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 83.05, "providers": [{"billed_charge": 323.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.61, "providers": [{"billed_charge": 230.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.61, "providers": [{"billed_charge": 238.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.16, "providers": [{"billed_charge": 145.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "854046682"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 45.0, "providers": [{"billed_charge": 45.0, "npi": [1073023594]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.61, "providers": [{"billed_charge": 134.0, "npi": [1841282852]}, {"billed_charge": 179.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.29, "providers": [{"billed_charge": 170.47, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.29, "providers": [{"billed_charge": 135.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.29, "providers": [{"billed_charge": 76.0, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.29, "providers": [{"billed_charge": 251.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.29, "providers": [{"billed_charge": 63.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 23.62, "providers": [{"billed_charge": 64.0, "npi": [1164463907]}]}]}, {"tin": {"type": "ein", "value": "866007695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.29, "providers": [{"billed_charge": 113.0, "npi": [1336118322]}]}]}, {"tin": {"type": "ein", "value": "880159958"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.97, "providers": [{"billed_charge": 418.0, "npi": [1548250582]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 115.57, "providers": [{"billed_charge": 37.45, "npi": [1215778063]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.0, "providers": [{"billed_charge": 41.0, "npi": [1962444059]}]}]}]}, {"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": "203097520"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 128.48, "providers": [{"billed_charge": 128.48, "npi": [1407060411]}]}]}, {"tin": {"type": "ein", "value": "203097559"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 164.5, "providers": [{"billed_charge": 164.5, "npi": [1689747776, 1740262807]}]}]}, {"tin": {"type": "ein", "value": "391351587"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 31.45, "providers": [{"billed_charge": 385.19, "npi": [1073075032]}]}, {"allowed_amount": 99.53, "providers": [{"billed_charge": 281.64, "npi": [1578726717]}]}]}, {"tin": {"type": "ein", "value": "474903308"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 160.06, "providers": [{"billed_charge": 200.0, "npi": [1740733708]}]}]}, {"tin": {"type": "ein", "value": "621637129"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 100.87, "providers": [{"billed_charge": 263.0, "npi": [1467433292]}]}]}, {"tin": {"type": "ein", "value": "710847813"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 138.23, "providers": [{"billed_charge": 138.23, "npi": [1356452239]}]}]}, {"tin": {"type": "ein", "value": "860323025"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 33.03, "providers": [{"billed_charge": 135.0, "npi": [1558326983]}]}]}, {"tin": {"type": "ein", "value": "860616297"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.0, "providers": [{"billed_charge": 33.0, "npi": [1154396133]}]}, {"allowed_amount": 33.03, "providers": [{"billed_charge": 87.0, "npi": [1427296490]}]}]}, {"tin": {"type": "ein", "value": "860658224"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 28.63, "providers": [{"billed_charge": 67.5, "npi": [1760864300]}]}, {"allowed_amount": 33.03, "providers": [{"billed_charge": 67.5, "npi": [1568626984, 1124283882, 1760864300, 1437360815]}]}]}]}, {"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": "203097520"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 143.64, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 143.64, "npi": [1407060411]}]}]}, {"tin": {"type": "ein", "value": "203097559"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 164.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.5, "npi": [1689747776, 1740262807]}]}]}, {"tin": {"type": "ein", "value": "262944556"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 118.28, "providers": [{"billed_charge": 300.0, "npi": [1578543369]}]}]}, {"tin": {"type": "ein", "value": "391351587"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 94.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 385.19, "npi": [1073075032]}]}, {"allowed_amount": 113.97, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 281.64, "npi": [1578726717]}]}]}, {"tin": {"type": "ein", "value": "454536742"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 40.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1659481661]}]}, {"allowed_amount": 100.51, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 202.0, "npi": [1659481661]}]}, {"allowed_amount": 118.28, "providers": [{"billed_charge": 307.0, "npi": [1578718003]}]}]}, {"tin": {"type": "ein", "value": "474903308"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 121.48, "providers": [{"billed_charge": 200.0, "npi": [1740733708]}]}]}, {"tin": {"type": "ein", "value": "621637129"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 114.08, "providers": [{"billed_charge": 307.0, "npi": [1467433292]}]}]}, {"tin": {"type": "ein", "value": "710847813"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 138.23, "providers": [{"billed_charge": 138.23, "npi": [1356452239]}]}]}, {"tin": {"type": "ein", "value": "813848403"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 176.64, "providers": [{"billed_charge": 280.0, "npi": [1831135896]}]}]}, {"tin": {"type": "ein", "value": "860323025"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 40.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 135.0, "npi": [1558326983]}]}]}, {"tin": {"type": "ein", "value": "860564320"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1821445867]}]}]}, {"tin": {"type": "ein", "value": "860616297"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 40.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1154396133]}, {"billed_charge": 120.0, "npi": [1427296490, 1104891670]}]}]}, {"tin": {"type": "ein", "value": "860658224"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 13.65, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1437360815]}]}, {"allowed_amount": 40.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 110.0, "npi": [1568626984, 1124283882, 1760864300, 1437360815]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 177.0, "npi": [1881013449]}]}]}]}, {"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": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 575.17, "providers": [{"billed_charge": 1695.0, "npi": [1730371998]}]}, {"allowed_amount": 676.67, "providers": [{"billed_charge": 1695.0, "npi": [1821522301]}, {"billed_charge": 1787.0, "npi": [1992295000, 1386010668]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 213.45, "providers": [{"billed_charge": 1833.05, "npi": [1023090099]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 676.67, "providers": [{"billed_charge": 1663.0, "npi": [1073598355]}, {"billed_charge": 1763.0, "npi": [1336728575, 1225294887]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 746.86, "providers": [{"billed_charge": 2528.0, "npi": [1609408665]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 213.45, "providers": [{"billed_charge": 1159.0, "npi": [1467424986, 1306232178, 1740667906, 1477713154]}]}, {"allowed_amount": 307.86, "providers": [{"billed_charge": 1159.0, "npi": [1518948892]}]}]}, {"tin": {"type": "ein", "value": "830849384"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 364.32, "providers": [{"billed_charge": 364.32, "npi": [1104055185]}]}]}, {"tin": {"type": "ein", "value": "843016310"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 213.45, "providers": [{"billed_charge": 542.0, "npi": [1497959589]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 222.99, "providers": [{"billed_charge": 1085.0, "npi": [1699302281]}]}]}, {"tin": {"type": "ein", "value": "861003227"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 213.45, "providers": [{"billed_charge": 15813.85, "npi": [1477084143]}]}]}, {"tin": {"type": "ein", "value": "873202637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 222.99, "providers": [{"billed_charge": 1175.0, "npi": [1629715297]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 213.45, "providers": [{"billed_charge": 1360.0, "npi": [1316955800, 1518134030]}]}, {"allowed_amount": 319.92, "providers": [{"billed_charge": 1360.0, "npi": [1164495917]}]}, {"allowed_amount": 349.9, "providers": [{"billed_charge": 1360.0, "npi": [1649898602]}]}]}]}, {"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": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.19, "providers": [{"billed_charge": 848.0, "npi": [1376103044]}]}, {"allowed_amount": 63.96, "billing_code_modifier": ["54"], "providers": [{"billed_charge": 848.0, "npi": [1700665569]}]}, {"allowed_amount": 137.19, "billing_code_modifier": ["54"], "providers": [{"billed_charge": 848.0, "npi": [1225823958]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 184.47, "providers": [{"billed_charge": 848.0, "npi": [1083672885]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 165.02, "providers": [{"billed_charge": 970.0, "npi": [1003376559]}]}]}, {"tin": {"type": "ein", "value": "352303019"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.16, "providers": [{"billed_charge": 180.0, "npi": [1841282811]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 644.89, "providers": [{"billed_charge": 2485.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 194.14, "providers": [{"billed_charge": 971.0, "npi": [1285377531]}, {"billed_charge": 984.0, "npi": [1528708377, 1447831623]}]}, {"allowed_amount": 388.28, "providers": [{"billed_charge": 984.0, "npi": [1073598355, 1114500709]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 394.24, "providers": [{"billed_charge": 2485.0, "npi": [1154748416]}]}, {"allowed_amount": 644.89, "providers": [{"billed_charge": 2485.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "474189075"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 163.93, "providers": [{"billed_charge": 180.72, "npi": [1871981951]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.16, "providers": [{"billed_charge": 281.0, "npi": [1306292164]}]}, {"allowed_amount": 133.27, "providers": [{"billed_charge": 281.0, "npi": [1982868519]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 531.79, "providers": [{"billed_charge": 2552.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 316.0, "providers": [{"billed_charge": 316.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 358.71, "providers": [{"billed_charge": 413.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 127.92, "providers": [{"billed_charge": 445.12, "npi": [1760498794]}]}]}, {"tin": {"type": "ein", "value": "942812420"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 222.6, "providers": [{"billed_charge": 626.0, "npi": [1144211855]}]}]}]}, {"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": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.12, "providers": [{"billed_charge": 95.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.58, "providers": [{"billed_charge": 230.0, "npi": [1558479212]}]}]}, {"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 89.0, "providers": [{"billed_charge": 89.0, "npi": [1912903717]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.07, "providers": [{"billed_charge": 425.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.07, "providers": [{"billed_charge": 157.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "756004221"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 61.98, "providers": [{"billed_charge": 333.0, "npi": [1932123247]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.87, "providers": [{"billed_charge": 182.66, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.87, "providers": [{"billed_charge": 158.0, "npi": [1154392231]}]}]}]}, {"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": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.15, "providers": [{"billed_charge": 292.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.69, "providers": [{"billed_charge": 281.0, "npi": [1689121188]}]}, {"allowed_amount": 223.21, "providers": [{"billed_charge": 281.0, "npi": [1932737277]}]}, {"allowed_amount": 319.86, "providers": [{"billed_charge": 281.0, "npi": [1164050316]}]}]}, {"tin": {"type": "ein", "value": "384007312"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 67.33, "providers": [{"billed_charge": 204.0, "npi": [1851844104]}]}]}, {"tin": {"type": "ein", "value": "462252776"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 55.13, "providers": [{"billed_charge": 315.0, "npi": [1144917147]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.69, "providers": [{"billed_charge": 290.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.69, "providers": [{"billed_charge": 281.0, "npi": [1154748416]}]}, {"allowed_amount": 223.21, "providers": [{"billed_charge": 281.0, "npi": [1114466950]}]}, {"allowed_amount": 234.25, "providers": [{"billed_charge": 281.0, "npi": [1114466950]}]}, {"allowed_amount": 288.84, "providers": [{"billed_charge": 281.0, "npi": [1275084030]}]}, {"allowed_amount": 350.28, "providers": [{"billed_charge": 281.0, "npi": [1154748416]}]}, {"allowed_amount": 378.51, "providers": [{"billed_charge": 281.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.15, "providers": [{"billed_charge": 282.0, "npi": [1700910189]}, {"billed_charge": 292.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.15, "providers": [{"billed_charge": 290.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742870118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.43, "providers": [{"billed_charge": 694.0, "npi": [1447221742]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.69, "providers": [{"billed_charge": 480.0, "npi": [1518539048]}]}, {"allowed_amount": 442.49, "providers": [{"billed_charge": 480.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.15, "providers": [{"billed_charge": 292.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.69, "providers": [{"billed_charge": 281.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.69, "providers": [{"billed_charge": 159.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "870692261"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 232.0, "providers": [{"billed_charge": 232.0, "npi": [1689769911]}]}]}]}, {"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": "010790511"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.73, "providers": [{"billed_charge": 50.0, "npi": [1033195474]}]}]}, {"tin": {"type": "ein", "value": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.97, "providers": [{"billed_charge": 39.6, "npi": [1144252842]}]}, {"allowed_amount": 20.47, "providers": [{"billed_charge": 39.6, "npi": [1902034648]}]}]}, {"tin": {"type": "ein", "value": "263652098"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 12.73, "providers": [{"billed_charge": 35.0, "npi": [1932189248]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.36, "providers": [{"billed_charge": 1187.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "462252776"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.4, "providers": [{"billed_charge": 36.0, "npi": [1144917147]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.36, "providers": [{"billed_charge": 142.0, "npi": [1700910189]}, {"billed_charge": 1187.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "831377004"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.51, "providers": [{"billed_charge": 51.0, "npi": [1194158998]}]}]}, {"tin": {"type": "ein", "value": "831518198"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1316656416]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.22, "providers": [{"billed_charge": 91.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.22, "providers": [{"billed_charge": 1038.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.36, "providers": [{"billed_charge": 1187.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "856003005"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 17.4, "providers": [{"billed_charge": 41.0, "npi": [1386117141]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 14.33, "providers": [{"billed_charge": 50.0, "npi": [1861419566]}]}, {"allowed_amount": 20.47, "providers": [{"billed_charge": 50.0, "npi": [1679680045]}]}, {"allowed_amount": 100.68, "providers": [{"billed_charge": 50.0, "npi": [1528412277]}]}]}]}, {"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": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.18, "providers": [{"billed_charge": 758.33, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 25.14, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 288.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 270.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 288.0, "npi": [1154748416]}]}, {"allowed_amount": 207.17, "providers": [{"billed_charge": 288.0, "npi": [1114466950]}]}, {"allowed_amount": 483.46, "providers": [{"billed_charge": 288.0, "npi": [1114466950]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.7, "providers": [{"billed_charge": 404.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.98, "providers": [{"billed_charge": 140.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.98, "providers": [{"billed_charge": 270.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "812838296"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 53.0, "providers": [{"billed_charge": 53.0, "npi": [1467488338]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 138.69, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860732836"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.3, "providers": [{"billed_charge": 141.0, "npi": [1871566521]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.93, "providers": [{"billed_charge": 317.18, "npi": [1881352037]}]}]}]}, {"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": "201645949"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.18, "providers": [{"billed_charge": 703.41, "npi": [1942269725]}]}]}, {"tin": {"type": "ein", "value": "223510467"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 25.14, "providers": [{"billed_charge": 130.0, "npi": [1750373908]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.05, "providers": [{"billed_charge": 289.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.05, "providers": [{"billed_charge": 267.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.05, "providers": [{"billed_charge": 289.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.65, "providers": [{"billed_charge": 404.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.15, "providers": [{"billed_charge": 140.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.15, "providers": [{"billed_charge": 267.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "812838296"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 53.0, "providers": [{"billed_charge": 53.0, "npi": [1467488338]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.05, "providers": [{"billed_charge": 139.02, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860732836"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 138.54, "providers": [{"billed_charge": 141.0, "npi": [1871566521]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.05, "providers": [{"billed_charge": 313.94, "npi": [1881352037]}]}]}]}, {"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": "352539778"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 36.29, "providers": [{"billed_charge": 43.86, "npi": [1972971265]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.19, "providers": [{"billed_charge": 339.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "454611100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.42, "providers": [{"billed_charge": 89.87, "npi": [1841883410]}]}, {"allowed_amount": 32.6, "providers": [{"billed_charge": 89.87, "npi": [1821839952]}]}]}, {"tin": {"type": "ein", "value": "461236453"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 44.93, "providers": [{"billed_charge": 124.0, "npi": [1942568597]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.19, "providers": [{"billed_charge": 339.0, "npi": [1154748416]}]}, {"allowed_amount": 167.6, "providers": [{"billed_charge": 339.0, "npi": [1114466950]}]}]}, {"tin": {"type": "ein", "value": "590872594"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 103.5, "providers": [{"billed_charge": 226.0, "npi": [1982688230]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.19, "providers": [{"billed_charge": 158.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.33, "providers": [{"billed_charge": 43.33, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "832351753"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.66, "providers": [{"billed_charge": 307.0, "npi": [1801366711]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.19, "providers": [{"billed_charge": 319.7, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "860320447"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.36, "providers": [{"billed_charge": 191.91, "npi": [1144209271]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.19, "providers": [{"billed_charge": 124.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "863165150"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 35.09, "providers": [{"billed_charge": 52.65, "npi": [1467023499]}]}]}]}, {"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": "383176445"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.35, "providers": [{"billed_charge": 409.0, "npi": [1639111057]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.05, "providers": [{"billed_charge": 356.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "460319070"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 877.0, "providers": [{"billed_charge": 1899.61, "npi": [1437122009]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.62, "providers": [{"billed_charge": 618.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "474477428"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 126.58, "providers": [{"billed_charge": 285.26, "npi": [1518406636]}]}, {"allowed_amount": 142.5, "providers": [{"billed_charge": 285.26, "npi": [1518406636]}]}]}, {"tin": {"type": "ein", "value": "486033703"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.05, "providers": [{"billed_charge": 455.5, "npi": [1508883422]}]}]}, {"tin": {"type": "ein", "value": "560928089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 234.26, "providers": [{"billed_charge": 691.0, "npi": [1447200233]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 246.77, "providers": [{"billed_charge": 622.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.5, "providers": [{"billed_charge": 130.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "832351753"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 428.0, "providers": [{"billed_charge": 428.0, "npi": [1801366711]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.62, "providers": [{"billed_charge": 656.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.62, "providers": [{"billed_charge": 395.0, "npi": [1760480503]}]}, {"allowed_amount": 457.82, "providers": [{"billed_charge": 395.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860719858"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 318.8, "providers": [{"billed_charge": 341.0, "npi": [1508800129]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.62, "providers": [{"billed_charge": 433.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 226.62, "providers": [{"billed_charge": 750.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 500.0, "providers": [{"billed_charge": 500.0, "npi": [1356528269]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 704.0, "providers": [{"billed_charge": 704.0, "npi": [1962444059]}]}]}]}, {"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": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.22, "providers": [{"billed_charge": 350.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.38, "providers": [{"billed_charge": 181.0, "npi": [1447368071]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.17, "providers": [{"billed_charge": 350.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.17, "providers": [{"billed_charge": 21.24, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "430688874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.98, "providers": [{"billed_charge": 88.57, "npi": [1184621211]}]}]}, {"tin": {"type": "ein", "value": "462252776"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.38, "providers": [{"billed_charge": 21.0, "npi": [1144917147]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.17, "providers": [{"billed_charge": 54.0, "npi": [1992131734]}]}, {"allowed_amount": 378.66, "providers": [{"billed_charge": 54.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.17, "providers": [{"billed_charge": 350.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.23, "providers": [{"billed_charge": 15.23, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.0, "providers": [{"billed_charge": 7.0, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.9, "providers": [{"billed_charge": 21.24, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "590872594"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.55, "providers": [{"billed_charge": 332.0, "npi": [1982688230]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.53, "providers": [{"billed_charge": 41.55, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.9, "providers": [{"billed_charge": 21.24, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.22, "providers": [{"billed_charge": 350.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.22, "providers": [{"billed_charge": 54.0, "npi": [1609408665, 1265065445, 1982733655]}]}, {"allowed_amount": 649.44, "providers": [{"billed_charge": 54.0, "npi": [1982733655]}]}, {"allowed_amount": 690.85, "providers": [{"billed_charge": 54.0, "npi": [1982733655]}]}, {"allowed_amount": 821.04, "providers": [{"billed_charge": 54.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.17, "providers": [{"billed_charge": 80.63, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.22, "providers": [{"billed_charge": 57.0, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.51, "providers": [{"billed_charge": 90.0, "npi": [1801591391]}]}]}, {"tin": {"type": "ein", "value": "841337350"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.04, "providers": [{"billed_charge": 100.0, "npi": [1649241571]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.17, "providers": [{"billed_charge": 100.0, "npi": [1518539048]}]}, {"allowed_amount": 357.24, "providers": [{"billed_charge": 100.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "854247323"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.11, "providers": [{"billed_charge": 26.0, "npi": [1871193664]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.17, "providers": [{"billed_charge": 31.0, "npi": [1902897820]}]}, {"allowed_amount": 765.08, "providers": [{"billed_charge": 31.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.17, "providers": [{"billed_charge": 154.15, "npi": [1174512792]}, {"billed_charge": 155.15, "npi": [1174512792]}, {"billed_charge": 156.15, "npi": [1174512792]}]}, {"allowed_amount": 19.9, "providers": [{"billed_charge": 155.15, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.21, "providers": [{"billed_charge": 79.0, "npi": [1053684555]}]}]}, {"tin": {"type": "ein", "value": "860320447"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.04, "providers": [{"billed_charge": 29.22, "npi": [1144209271]}]}, {"allowed_amount": 486.95, "providers": [{"billed_charge": 29.22, "npi": [1144209271]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.17, "providers": [{"billed_charge": 38.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.17, "providers": [{"billed_charge": 80.63, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "941196203"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 853.51, "providers": [{"billed_charge": 54.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "951115230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.99, "providers": [{"billed_charge": 84.8, "npi": [1407813660]}]}]}, {"tin": {"type": "ein", "value": "951183919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 194.9, "providers": [{"billed_charge": 231.0, "npi": [1780681189]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.99, "providers": [{"billed_charge": 277.9, "npi": [1457321317]}]}]}]}, {"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": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.15, "providers": [{"billed_charge": 130.0, "npi": [1558479212]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.18, "providers": [{"billed_charge": 350.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.24, "providers": [{"billed_charge": 21.24, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.18, "providers": [{"billed_charge": 350.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.5, "providers": [{"billed_charge": 3.5, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.42, "providers": [{"billed_charge": 350.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.42, "providers": [{"billed_charge": 54.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.42, "providers": [{"billed_charge": 57.0, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.18, "providers": [{"billed_charge": 28.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.18, "providers": [{"billed_charge": 155.15, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.18, "providers": [{"billed_charge": 32.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.0, "providers": [{"billed_charge": 7.0, "npi": [1225023179]}]}]}]}, {"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": "010887199"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 456.0, "npi": [1548263825, 1861842148]}]}]}, {"tin": {"type": "ein", "value": "061768964"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.58, "providers": [{"billed_charge": 305.34, "npi": [1518931690]}]}]}, {"tin": {"type": "ein", "value": "113828119"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 462.12, "npi": [1164421251]}]}]}, {"tin": {"type": "ein", "value": "200330455"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1265594519]}]}]}, {"tin": {"type": "ein", "value": "200552815"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 301.53, "npi": [1184835282, 1427269638, 1194713263]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 270.85, "providers": [{"billed_charge": 741.0, "npi": [1801472055]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 741.0, "npi": [1730575846]}]}]}, {"tin": {"type": "ein", "value": "201778316"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 128.72, "providers": [{"billed_charge": 490.38, "npi": [1205456464]}]}, {"allowed_amount": 136.3, "providers": [{"billed_charge": 490.38, "npi": [1407296882]}]}, {"allowed_amount": 174.16, "providers": [{"billed_charge": 490.38, "npi": [1295744779]}]}, {"allowed_amount": 183.68, "providers": [{"billed_charge": 490.38, "npi": [1295744779, 1124049838, 1609993179]}]}, {"allowed_amount": 240.5, "providers": [{"billed_charge": 490.38, "npi": [1407575053]}]}, {"allowed_amount": 270.85, "providers": [{"billed_charge": 490.38, "npi": [1467035931, 1811423262]}]}]}, {"tin": {"type": "ein", "value": "202192540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 251.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 360.0, "npi": [1639132087]}]}]}, {"tin": {"type": "ein", "value": "203059260"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 236.0, "providers": [{"billed_charge": 478.0, "npi": [1942991419]}]}]}, {"tin": {"type": "ein", "value": "203237708"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 30.96, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 592.0, "npi": [1649579186]}]}, {"allowed_amount": 151.44, "providers": [{"billed_charge": 592.0, "npi": [1891060612]}]}, {"allowed_amount": 183.68, "providers": [{"billed_charge": 592.0, "npi": [1336216803, 1942548565]}]}, {"allowed_amount": 199.66, "providers": [{"billed_charge": 592.0, "npi": [1902059652]}]}, {"allowed_amount": 276.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 592.0, "npi": [1649694720, 1891060612, 1871619601, 1427326750, 1659723427, 1417996067, 1730130469, 1740487719, 1346330412, 1649579186, 1548233141, 1851345334, 1609153733, 1447322441, 1184010571, 1972065365, 1437438041, 1861613275, 1265678569, 1881278067]}]}]}, {"tin": {"type": "ein", "value": "203254041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 291.66, "providers": [{"billed_charge": 455.0, "npi": [1740367549]}]}]}, {"tin": {"type": "ein", "value": "204149562"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.3, "providers": [{"billed_charge": 462.12, "npi": [1295184778]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 199.66, "providers": [{"billed_charge": 1318.0, "npi": [1568578482, 1912982877]}]}]}, {"tin": {"type": "ein", "value": "204398490"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 378.59, "providers": [{"billed_charge": 621.0, "npi": [1851641229]}]}]}, {"tin": {"type": "ein", "value": "205198811"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 133.9, "providers": [{"billed_charge": 409.0, "npi": [1104559483]}]}, {"allowed_amount": 148.77, "providers": [{"billed_charge": 409.0, "npi": [1851360655]}]}, {"allowed_amount": 199.74, "providers": [{"billed_charge": 409.0, "npi": [1275990020]}]}, {"allowed_amount": 270.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 409.0, "npi": [1487841722, 1437635893]}]}, {"allowed_amount": 286.67, "providers": [{"billed_charge": 409.0, "npi": [1154776375]}]}]}, {"tin": {"type": "ein", "value": "205324064"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 350.0, "npi": [1780686147]}]}]}, {"tin": {"type": "ein", "value": "205324080"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 266.0, "npi": [1508867839]}]}]}, {"tin": {"type": "ein", "value": "205653775"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 236.0, "providers": [{"billed_charge": 478.0, "npi": [1770966699]}]}]}, {"tin": {"type": "ein", "value": "208352528"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 250.0, "npi": [1275528713]}]}]}, {"tin": {"type": "ein", "value": "208919606"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 290.0, "npi": [1356319388]}]}]}, {"tin": {"type": "ein", "value": "232380812"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 242.49, "providers": [{"billed_charge": 427.0, "npi": [1366934911]}]}]}, {"tin": {"type": "ein", "value": "260446753"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 148.77, "providers": [{"billed_charge": 474.0, "npi": [1689637597]}]}, {"allowed_amount": 183.68, "providers": [{"billed_charge": 474.0, "npi": [1023363009]}]}]}, {"tin": {"type": "ein", "value": "261627833"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 308.0, "npi": [1356307375]}]}]}, {"tin": {"type": "ein", "value": "262143220"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.58, "providers": [{"billed_charge": 315.0, "npi": [1770579492]}]}]}, {"tin": {"type": "ein", "value": "263257358"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 220.76, "providers": [{"billed_charge": 383.0, "npi": [1134177215]}]}]}, {"tin": {"type": "ein", "value": "263602387"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 1686.9, "npi": [1124057070]}]}]}, {"tin": {"type": "ein", "value": "263990588"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 246.0, "npi": [1033648985, 1275915282]}]}]}, {"tin": {"type": "ein", "value": "264252891"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 300.0, "npi": [1952396400]}]}]}, {"tin": {"type": "ein", "value": "264442917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 400.0, "npi": [1710944327]}]}]}, {"tin": {"type": "ein", "value": "264691812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 329.58, "npi": [1134570971]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 329.58, "npi": [1689937575, 1275975468, 1033327119, 1265662928, 1649579186, 1770227795, 1154940088, 1851037402]}]}]}, {"tin": {"type": "ein", "value": "270671865"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 359.39, "providers": [{"billed_charge": 395.0, "npi": [1306881362]}]}]}, {"tin": {"type": "ein", "value": "271135227"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 136.3, "providers": [{"billed_charge": 385.0, "npi": [1366733560]}]}, {"allowed_amount": 151.44, "providers": [{"billed_charge": 385.0, "npi": [1851357909]}]}, {"allowed_amount": 270.85, "providers": [{"billed_charge": 385.0, "npi": [1366733560]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 385.0, "npi": [1851357909]}]}]}, {"tin": {"type": "ein", "value": "272088728"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.58, "providers": [{"billed_charge": 305.0, "npi": [1447269220]}]}]}, {"tin": {"type": "ein", "value": "272296089"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 481.0, "npi": [1124084280]}]}]}, {"tin": {"type": "ein", "value": "274084071"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 544.48, "providers": [{"billed_charge": 702.0, "npi": [1558818211]}]}]}, {"tin": {"type": "ein", "value": "274321839"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 400.0, "npi": [1548280449]}]}]}, {"tin": {"type": "ein", "value": "274566885"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 231.06, "npi": [1770799660]}]}]}, {"tin": {"type": "ein", "value": "300757230"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 286.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 674.76, "npi": [1699736371]}]}]}, {"tin": {"type": "ein", "value": "320339230"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 390.0, "npi": [1154373793, 1720020431]}]}]}, {"tin": {"type": "ein", "value": "332811950"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 247.18, "npi": [1598778177, 1861681231]}]}, {"allowed_amount": 247.18, "providers": [{"billed_charge": 247.18, "npi": [1427431147, 1205065927]}]}]}, {"tin": {"type": "ein", "value": "334146450"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 450.08, "npi": [1912153222]}]}, {"allowed_amount": 220.76, "providers": [{"billed_charge": 450.08, "npi": [1912153222]}]}]}, {"tin": {"type": "ein", "value": "352303019"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 355.0, "npi": [1841282811]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 244.41, "providers": [{"billed_charge": 613.0, "npi": [1720271331]}]}]}, {"tin": {"type": "ein", "value": "363149833"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 329.71, "providers": [{"billed_charge": 372.0, "npi": [1912428723]}]}]}, {"tin": {"type": "ein", "value": "364526566"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 427.13, "npi": [1336181205]}]}, {"allowed_amount": 183.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 427.13, "npi": [1336181205]}]}, {"allowed_amount": 240.5, "providers": [{"billed_charge": 427.13, "npi": [1154883205]}]}]}, {"tin": {"type": "ein", "value": "364710147"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 400.0, "npi": [1083828750]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 560.0, "npi": [1033315965]}]}, {"allowed_amount": 291.66, "providers": [{"billed_charge": 560.0, "npi": [1033315965]}]}]}, {"tin": {"type": "ein", "value": "391678306"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 335.24, "providers": [{"billed_charge": 1010.0, "npi": [1164981007]}]}]}, {"tin": {"type": "ein", "value": "394124443"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 310.0, "npi": [1770797359]}]}]}, {"tin": {"type": "ein", "value": "394785681"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 251.06, "providers": [{"billed_charge": 6600.0, "npi": [1346603263]}]}]}, {"tin": {"type": "ein", "value": "412157061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 251.06, "providers": [{"billed_charge": 770.0, "npi": [1891011961]}]}]}, {"tin": {"type": "ein", "value": "421411630"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.5, "providers": [{"billed_charge": 465.0, "npi": [1073993523]}]}]}, {"tin": {"type": "ein", "value": "452645948"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 308.0, "npi": [1700190964]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 308.0, "npi": [1700190964]}]}]}, {"tin": {"type": "ein", "value": "454536742"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 406.0, "npi": [1437325313, 1104807882, 1417204363]}]}, {"allowed_amount": 270.85, "providers": [{"billed_charge": 406.0, "npi": [1861236242]}]}]}, {"tin": {"type": "ein", "value": "454661760"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 248.15, "providers": [{"billed_charge": 414.79, "npi": [1962449439]}]}]}, {"tin": {"type": "ein", "value": "455232004"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 300.0, "providers": [{"billed_charge": 300.0, "npi": [1174566863]}]}]}, {"tin": {"type": "ein", "value": "455239497"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 390.0, "npi": [1588875207]}]}]}, {"tin": {"type": "ein", "value": "455552840"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 329.58, "npi": [1801883640]}]}]}, {"tin": {"type": "ein", "value": "462788757"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 405.0, "npi": [1780813725]}]}]}, {"tin": {"type": "ein", "value": "464023962"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 390.0, "npi": [1306047790]}]}]}, {"tin": {"type": "ein", "value": "464044029"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 247.0, "npi": [1295990570, 1144421355, 1285830661]}]}]}, {"tin": {"type": "ein", "value": "464156975"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 387.0, "npi": [1063948529, 1689251092]}]}]}, {"tin": {"type": "ein", "value": "464207180"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 393.0, "providers": [{"billed_charge": 393.0, "npi": [1558507707]}]}]}, {"tin": {"type": "ein", "value": "464363525"}, "billing_class": "professional", "service_codes": ["61", "22", "21"], "payments": [{"allowed_amount": 276.58, "providers": [{"billed_charge": 380.0, "npi": [1699068387, 1871858217, 1437123593, 1790976876, 1265444913, 1841316569, 1649911900]}]}]}, {"tin": {"type": "ein", "value": "465027835"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 300.63, "providers": [{"billed_charge": 2047.44, "npi": [1134748544]}]}]}, {"tin": {"type": "ein", "value": "471554329"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 380.0, "npi": [1699068387]}]}, {"allowed_amount": 183.68, "providers": [{"billed_charge": 392.0, "npi": [1669422119]}]}, {"allowed_amount": 254.68, "providers": [{"billed_charge": 380.0, "npi": [1699068387]}]}, {"allowed_amount": 270.85, "providers": [{"billed_charge": 392.0, "npi": [1578871026]}]}]}, {"tin": {"type": "ein", "value": "471871693"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 456.0, "npi": [1154583847]}]}]}, {"tin": {"type": "ein", "value": "472188010"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.58, "providers": [{"billed_charge": 616.16, "npi": [1740420041]}]}]}, {"tin": {"type": "ein", "value": "473350388"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 276.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 410.0, "npi": [1588878508]}]}]}, {"tin": {"type": "ein", "value": "473553486"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 287.42, "providers": [{"billed_charge": 853.0, "npi": [1932753381]}]}]}, {"tin": {"type": "ein", "value": "473689506"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 450.08, "npi": [1598997348]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 450.08, "npi": [1912153222, 1457658007]}]}, {"allowed_amount": 305.72, "providers": [{"billed_charge": 450.08, "npi": [1699976522]}]}]}, {"tin": {"type": "ein", "value": "474197280"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.58, "providers": [{"billed_charge": 300.0, "npi": [1356560874]}]}]}, {"tin": {"type": "ein", "value": "475204573"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 182.72, "providers": [{"billed_charge": 355.0, "npi": [1902151251]}]}, {"allowed_amount": 186.13, "providers": [{"billed_charge": 400.0, "npi": [1326036757]}]}, {"allowed_amount": 291.66, "providers": [{"billed_charge": 400.0, "npi": [1528268075]}]}]}, {"tin": {"type": "ein", "value": "475311127"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 380.0, "npi": [1790971760]}]}]}, {"tin": {"type": "ein", "value": "550853999"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 128.72, "providers": [{"billed_charge": 462.0, "npi": [1861112658]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 462.0, "npi": [1346685781]}]}]}, {"tin": {"type": "ein", "value": "591634257"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 273.79, "providers": [{"billed_charge": 400.0, "npi": [1326120924]}]}]}, {"tin": {"type": "ein", "value": "593214635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 421.22, "providers": [{"billed_charge": 701.0, "npi": [1275952947]}]}]}, {"tin": {"type": "ein", "value": "593238640"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.57, "providers": [{"billed_charge": 434.0, "npi": [1851731350]}]}, {"allowed_amount": 303.75, "providers": [{"billed_charge": 434.0, "npi": [1851731350]}]}, {"allowed_amount": 310.71, "providers": [{"billed_charge": 434.0, "npi": [1952695710]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 273.79, "providers": [{"billed_charge": 610.0, "npi": [1902464795]}]}, {"allowed_amount": 278.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 610.0, "npi": [1922441351]}]}, {"allowed_amount": 386.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 610.0, "npi": [1699971945]}]}]}, {"tin": {"type": "ein", "value": "593743837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 298.65, "providers": [{"billed_charge": 310.52, "npi": [1528633161]}]}]}, {"tin": {"type": "ein", "value": "627884191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 237.68, "providers": [{"billed_charge": 338.0, "npi": [1275624231]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 148.77, "providers": [{"billed_charge": 560.0, "npi": [1083896146, 1215958939]}]}, {"allowed_amount": 151.44, "providers": [{"billed_charge": 560.0, "npi": [1629637368, 1669051793, 1134449994, 1801472774]}]}, {"allowed_amount": 183.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 560.0, "npi": [1578745634, 1306292164, 1275275844, 1538207238, 1770162471, 1801472774, 1275917064, 1003263823, 1669051793, 1508398165, 1376796599, 1629637368, 1639516636]}]}, {"allowed_amount": 251.06, "providers": [{"billed_charge": 560.0, "npi": [1154315810, 1578947172, 1790195014, 1659352144, 1659331676]}]}, {"allowed_amount": 270.85, "providers": [{"billed_charge": 560.0, "npi": [1396292728, 1194333625, 1538497110]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 560.0, "npi": [1356844161, 1447788930, 1689886244, 1588953285, 1902291016, 1932500360, 1134449994, 1386023182, 1093095739, 1760048466, 1083896146, 1073955381, 1215958939]}]}, {"allowed_amount": 286.67, "providers": [{"billed_charge": 560.0, "npi": [1669868014]}]}, {"allowed_amount": 498.04, "providers": [{"billed_charge": 560.0, "npi": [1821478025]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 298.72, "providers": [{"billed_charge": 346.0, "npi": [1235660093]}]}, {"allowed_amount": 334.76, "providers": [{"billed_charge": 346.0, "npi": [1639107394]}]}]}, {"tin": {"type": "ein", "value": "710860090"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 333.36, "providers": [{"billed_charge": 371.0, "npi": [1689036329]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 251.06, "providers": [{"billed_charge": 560.0, "npi": [1053550301]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 560.0, "npi": [1306292164]}]}, {"allowed_amount": 242.94, "providers": [{"billed_charge": 560.0, "npi": [1750347563]}]}, {"allowed_amount": 251.06, "providers": [{"billed_charge": 560.0, "npi": [1740240712, 1821478025, 1215160379, 1477819324]}]}, {"allowed_amount": 359.4, "providers": [{"billed_charge": 560.0, "npi": [1215160379]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 223.68, "providers": [{"billed_charge": 802.0, "npi": [1447340120, 1255863601, 1396240321, 1144472044]}]}, {"allowed_amount": 242.94, "providers": [{"billed_charge": 802.0, "npi": [1861751588, 1255630406]}]}, {"allowed_amount": 300.63, "providers": [{"billed_charge": 802.0, "npi": [1851754113, 1659750545]}]}]}, {"tin": {"type": "ein", "value": "742410946"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 399.0, "npi": [1952789760, 1841586906, 1285862482, 1710471750]}]}, {"allowed_amount": 236.17, "providers": [{"billed_charge": 399.0, "npi": [1891149043]}]}, {"allowed_amount": 257.57, "providers": [{"billed_charge": 399.0, "npi": [1063832889]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 326.42, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 500.0, "npi": [1639132558]}]}]}, {"tin": {"type": "ein", "value": "760757826"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 226.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 226.0, "npi": [1861843682, 1295183234, 1891744231, 1003341835, 1861050932, 1831400597, 1326241175, 1457843096, 1972096121, 1427055482, 1184698623]}]}]}, {"tin": {"type": "ein", "value": "811156192"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.9, "providers": [{"billed_charge": 462.0, "npi": [1275500688]}]}, {"allowed_amount": 182.72, "providers": [{"billed_charge": 462.0, "npi": [1942647425, 1629350855]}]}, {"allowed_amount": 254.94, "providers": [{"billed_charge": 462.0, "npi": [1124450853]}]}, {"allowed_amount": 291.66, "providers": [{"billed_charge": 462.0, "npi": [1699903633]}]}]}, {"tin": {"type": "ein", "value": "811183080"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 247.0, "npi": [1932100831]}]}]}, {"tin": {"type": "ein", "value": "811894977"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.58, "providers": [{"billed_charge": 305.0, "npi": [1912152687]}]}]}, {"tin": {"type": "ein", "value": "812250456"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 251.06, "providers": [{"billed_charge": 495.0, "npi": [1831155506]}]}]}, {"tin": {"type": "ein", "value": "812948428"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 236.0, "providers": [{"billed_charge": 478.0, "npi": [1659697365]}]}]}, {"tin": {"type": "ein", "value": "813346959"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 425.0, "npi": [1285846642, 1134481989]}]}]}, {"tin": {"type": "ein", "value": "813724824"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 29.27, "providers": [{"billed_charge": 308.08, "npi": [1447573191]}]}, {"allowed_amount": 183.68, "providers": [{"billed_charge": 210.76, "npi": [1447573191]}, {"billed_charge": 308.08, "npi": [1447573191]}]}]}, {"tin": {"type": "ein", "value": "813805715"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 385.0, "npi": [1326420746]}]}]}, {"tin": {"type": "ein", "value": "813821262"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.58, "providers": [{"billed_charge": 374.0, "npi": [1235490871]}]}]}, {"tin": {"type": "ein", "value": "814106841"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 160.0, "npi": [1053946756]}]}]}, {"tin": {"type": "ein", "value": "814662135"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 400.0, "npi": [1861621336]}]}]}, {"tin": {"type": "ein", "value": "814669712"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 331.86, "npi": [1164835781]}]}]}, {"tin": {"type": "ein", "value": "814965916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 773.0, "npi": [1184129249]}]}, {"allowed_amount": 270.85, "providers": [{"billed_charge": 765.0, "npi": [1467136044]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 765.0, "npi": [1386008563]}]}]}, {"tin": {"type": "ein", "value": "815232140"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 406.7, "npi": [1538692926]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 406.7, "npi": [1538692926]}]}]}, {"tin": {"type": "ein", "value": "820581739"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 303.0, "npi": [1568010874]}]}]}, {"tin": {"type": "ein", "value": "820874568"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 300.0, "npi": [1245551191]}]}]}, {"tin": {"type": "ein", "value": "821004682"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 254.94, "providers": [{"billed_charge": 331.86, "npi": [1275900524]}]}, {"allowed_amount": 291.66, "providers": [{"billed_charge": 331.86, "npi": [1700080900]}]}]}, {"tin": {"type": "ein", "value": "821505834"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1225144140]}]}]}, {"tin": {"type": "ein", "value": "823537014"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 242.94, "providers": [{"billed_charge": 2318.34, "npi": [1033477112]}]}]}, {"tin": {"type": "ein", "value": "823678308"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 280.0, "npi": [1689898165]}]}]}, {"tin": {"type": "ein", "value": "824110458"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 154.81, "npi": [1750338927]}]}]}, {"tin": {"type": "ein", "value": "825058478"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.58, "providers": [{"billed_charge": 390.0, "npi": [1922234228]}, {"billed_charge": 413.28, "npi": [1922234228]}]}, {"allowed_amount": 841.68, "providers": [{"billed_charge": 390.0, "npi": [1922234228]}]}]}, {"tin": {"type": "ein", "value": "825401800"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.58, "providers": [{"billed_charge": 300.71, "npi": [1194954032]}]}]}, {"tin": {"type": "ein", "value": "830849384"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 292.74, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 292.74, "npi": [1104055185]}]}]}, {"tin": {"type": "ein", "value": "831615363"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 338.0, "npi": [1558553016]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 338.0, "npi": [1700872223]}]}, {"allowed_amount": 590.18, "providers": [{"billed_charge": 338.0, "npi": [1366970931]}]}]}, {"tin": {"type": "ein", "value": "831880110"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 294.23, "npi": [1548574320]}]}]}, {"tin": {"type": "ein", "value": "831972510"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 230.0, "providers": [{"billed_charge": 230.0, "npi": [1104952449]}]}]}, {"tin": {"type": "ein", "value": "832833224"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 251.06, "providers": [{"billed_charge": 5000.0, "npi": [1326029026]}]}]}, {"tin": {"type": "ein", "value": "834456172"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 700.0, "npi": [1316019532]}]}]}, {"tin": {"type": "ein", "value": "834495738"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.83, "providers": [{"billed_charge": 380.0, "npi": [1932479953]}]}, {"allowed_amount": 237.68, "providers": [{"billed_charge": 380.0, "npi": [1932479953]}]}, {"allowed_amount": 276.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 380.0, "npi": [1427474170, 1609038652, 1770939845]}]}, {"allowed_amount": 305.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 380.0, "npi": [1932479953, 1477046548]}]}]}, {"tin": {"type": "ein", "value": "843016310"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 183.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 462.0, "npi": [1568726644, 1083977599]}, {"billed_charge": 583.0, "npi": [1760846570, 1568726644]}]}, {"allowed_amount": 251.06, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 462.0, "npi": [1447570601, 1336639699]}, {"billed_charge": 583.0, "npi": [1689056186]}]}]}, {"tin": {"type": "ein", "value": "843260711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 384.0, "npi": [1578527701]}]}]}, {"tin": {"type": "ein", "value": "843393469"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.3, "providers": [{"billed_charge": 360.06, "npi": [1679250393]}]}, {"allowed_amount": 183.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 360.06, "npi": [1023306933]}]}]}, {"tin": {"type": "ein", "value": "843902969"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 220.76, "providers": [{"billed_charge": 325.27, "npi": [1548688120]}]}]}, {"tin": {"type": "ein", "value": "844284477"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 592.0, "npi": [1942548565]}, {"billed_charge": 1318.0, "npi": [1275574105, 1558358994, 1225457674, 1235370933]}]}, {"allowed_amount": 183.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1318.0, "npi": [1457317448, 1003045709, 1558358994, 1255478772, 1700068855, 1508211673, 1578192506]}]}, {"allowed_amount": 199.66, "providers": [{"billed_charge": 1318.0, "npi": [1063876647]}]}, {"allowed_amount": 225.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1318.0, "npi": [1558358994, 1801250071]}]}, {"allowed_amount": 276.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1318.0, "npi": [1780046342, 1174705164, 1528223245, 1184158222, 1629576210, 1801250071, 1710273693, 1245869478, 1649775016, 1558543678, 1861876542, 1104277953, 1629698501, 1386050383, 1336645456, 1053799767, 1588291561, 1497913578, 1609517424]}]}, {"allowed_amount": 1318.0, "providers": [{"billed_charge": 1318.0, "npi": [1225457674]}]}]}, {"tin": {"type": "ein", "value": "844344193"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.3, "providers": [{"billed_charge": 250.0, "npi": [1366733560]}]}, {"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1366733560]}]}]}, {"tin": {"type": "ein", "value": "844935945"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 380.0, "npi": [1598778177, 1093769689]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 380.0, "npi": [1093769689]}]}]}, {"tin": {"type": "ein", "value": "851201549"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.81, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 154.81, "npi": [1538428313, 1750544276, 1871583062]}]}]}, {"tin": {"type": "ein", "value": "852719073"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 219.41, "providers": [{"billed_charge": 308.0, "npi": [1871513358]}]}]}, {"tin": {"type": "ein", "value": "854102013"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 270.85, "providers": [{"billed_charge": 342.0, "npi": [1275171340]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 342.0, "npi": [1699187807]}]}, {"allowed_amount": 291.66, "providers": [{"billed_charge": 342.0, "npi": [1699187807]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 399.0, "npi": [1225397896]}]}]}, {"tin": {"type": "ein", "value": "860187416"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 509.0, "providers": [{"billed_charge": 509.0, "npi": [1700225919, 1316132319]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 152.0, "npi": [1619220944, 1629366612]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 682.35, "npi": [1255341897]}]}]}, {"tin": {"type": "ein", "value": "860220398"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 206.0, "npi": [1861529174]}]}, {"allowed_amount": 183.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 206.0, "npi": [1396131090, 1760434419, 1861529174, 1053379263]}]}]}, {"tin": {"type": "ein", "value": "860315064"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 557.0, "npi": [1760943872]}]}]}, {"tin": {"type": "ein", "value": "860377821"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 1318.0, "npi": [1497913578]}]}]}, {"tin": {"type": "ein", "value": "860392561"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 494.37, "npi": [1033389150]}]}, {"allowed_amount": 186.13, "providers": [{"billed_charge": 494.37, "npi": [1306577390]}]}, {"allowed_amount": 270.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 494.37, "npi": [1588350144, 1760097570]}]}, {"allowed_amount": 276.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 494.37, "npi": [1467795617, 1790148104, 1528054921, 1962852657, 1265639637, 1801250071, 1265811418]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 242.94, "providers": [{"billed_charge": 1165.0, "npi": [1730620741]}]}]}, {"tin": {"type": "ein", "value": "860514114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 291.66, "providers": [{"billed_charge": 308.0, "npi": [1851368443]}]}]}, {"tin": {"type": "ein", "value": "860516994"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 405.0, "npi": [1568696003, 1790730604, 1093783953, 1174942643, 1598979668]}, {"billed_charge": 463.0, "npi": [1396953998]}]}, {"allowed_amount": 276.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 405.0, "npi": [1588824007, 1083680532, 1447440474, 1023066487]}]}]}, {"tin": {"type": "ein", "value": "860633950"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 385.0, "npi": [1275521346, 1811924483, 1003009861, 1215933957, 1063675288]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 385.0, "npi": [1457771321, 1598733651, 1881895159]}]}]}, {"tin": {"type": "ein", "value": "860643374"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 247.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 638.0, "npi": [1053945907]}]}]}, {"tin": {"type": "ein", "value": "860657068"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.3, "providers": [{"billed_charge": 250.0, "npi": [1184286809]}]}, {"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1184286809, 1942306535]}]}]}, {"tin": {"type": "ein", "value": "860711625"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.58, "providers": [{"billed_charge": 332.0, "npi": [1902251903]}]}]}, {"tin": {"type": "ein", "value": "860719858"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 291.57, "providers": [{"billed_charge": 476.0, "npi": [1538199088]}]}]}, {"tin": {"type": "ein", "value": "860736282"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 250.0, "npi": [1659364016]}]}]}, {"tin": {"type": "ein", "value": "860739774"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 30.96, "providers": [{"billed_charge": 525.0, "npi": [1215516034]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 525.0, "npi": [1215516034, 1033850599, 1053671529, 1245971084, 1821527375, 1750487344, 1235541269, 1295041333, 1609038652]}]}]}, {"tin": {"type": "ein", "value": "860765699"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 520.0, "npi": [1467484881]}]}]}, {"tin": {"type": "ein", "value": "860767298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 292.0, "npi": [1164081568]}]}]}, {"tin": {"type": "ein", "value": "860770482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 200.25, "npi": [1346252129]}]}, {"allowed_amount": 200.25, "providers": [{"billed_charge": 200.25, "npi": [1174843403]}]}]}, {"tin": {"type": "ein", "value": "860797924"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 350.0, "npi": [1285647461]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 707.0, "npi": [1669883955]}]}, {"allowed_amount": 240.5, "providers": [{"billed_charge": 707.0, "npi": [1316433006]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 707.0, "npi": [1043771298, 1689772691, 1831572221]}]}, {"allowed_amount": 324.0, "providers": [{"billed_charge": 707.0, "npi": [1861688954]}]}]}, {"tin": {"type": "ein", "value": "860801660"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 251.06, "providers": [{"billed_charge": 643.5, "npi": [1821090879]}]}]}, {"tin": {"type": "ein", "value": "860810053"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 310.0, "npi": [1053639336]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 310.0, "npi": [1053639336]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 479.15, "npi": [1841316569]}]}]}, {"tin": {"type": "ein", "value": "860840912"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 249.0, "npi": [1669421921]}]}]}, {"tin": {"type": "ein", "value": "860842583"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 321.0, "npi": [1801127568, 1437122397]}]}, {"allowed_amount": 199.66, "providers": [{"billed_charge": 321.0, "npi": [1710115423]}]}, {"allowed_amount": 254.68, "providers": [{"billed_charge": 321.0, "npi": [1437122397]}]}]}, {"tin": {"type": "ein", "value": "860846208"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 276.58, "providers": [{"billed_charge": 308.0, "npi": [1083237523]}]}]}, {"tin": {"type": "ein", "value": "860860427"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 66.72, "providers": [{"billed_charge": 338.0, "npi": [1700133998]}]}, {"allowed_amount": 112.0, "providers": [{"billed_charge": 338.0, "npi": [1700133998]}]}, {"allowed_amount": 254.68, "providers": [{"billed_charge": 338.0, "npi": [1700133998]}]}, {"allowed_amount": 564.4, "providers": [{"billed_charge": 338.0, "npi": [1700133998]}]}]}, {"tin": {"type": "ein", "value": "860927994"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.3, "providers": [{"billed_charge": 415.0, "npi": [1497339220, 1285229534]}]}, {"allowed_amount": 183.68, "providers": [{"billed_charge": 415.0, "npi": [1366650186]}]}, {"allowed_amount": 270.85, "providers": [{"billed_charge": 415.0, "npi": [1144743899, 1497339220, 1285229534]}]}, {"allowed_amount": 276.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 415.0, "npi": [1801039680, 1003995457, 1023000486, 1336106152, 1023084266, 1861929580, 1487041935, 1780605071, 1104146737, 1043270226, 1831155001, 1306266523]}]}]}, {"tin": {"type": "ein", "value": "860945964"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 251.06, "providers": [{"billed_charge": 318.0, "npi": [1154315810]}]}]}, {"tin": {"type": "ein", "value": "860958393"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 300.0, "npi": [1114661543]}]}, {"allowed_amount": 183.68, "providers": [{"billed_charge": 300.0, "npi": [1114661543]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 300.0, "npi": [1992095020, 1265842389, 1114661543]}]}]}, {"tin": {"type": "ein", "value": "860959487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 219.41, "providers": [{"billed_charge": 308.0, "npi": [1205938917, 1467829275, 1831212117, 1336554070]}]}]}, {"tin": {"type": "ein", "value": "860973044"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 1371.08, "providers": [{"billed_charge": 288.0, "npi": [1144326422]}]}]}, {"tin": {"type": "ein", "value": "860976831"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 6600.0, "npi": [1699117101]}]}]}, {"tin": {"type": "ein", "value": "860977023"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 360.06, "npi": [1023306933]}]}]}, {"tin": {"type": "ein", "value": "860985801"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 256.5, "npi": [1821690074]}]}]}, {"tin": {"type": "ein", "value": "860990148"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 501.0, "npi": [1245352574]}]}, {"allowed_amount": 219.41, "providers": [{"billed_charge": 308.08, "npi": [1497082432, 1245352574, 1588692479]}, {"billed_charge": 501.0, "npi": [1497082432, 1245352574]}]}]}, {"tin": {"type": "ein", "value": "860990920"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 509.0, "npi": [1467515718]}]}]}, {"tin": {"type": "ein", "value": "860997892"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 560.0, "npi": [1306040498]}]}]}, {"tin": {"type": "ein", "value": "861003227"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 251.06, "providers": [{"billed_charge": 741.56, "npi": [1487953840]}, {"billed_charge": 6600.0, "npi": [1881984672]}]}]}, {"tin": {"type": "ein", "value": "861028036"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 230.0, "providers": [{"billed_charge": 230.0, "npi": [1629006002]}]}]}, {"tin": {"type": "ein", "value": "861030716"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 216.0, "npi": [1114956273, 1578763223]}]}]}, {"tin": {"type": "ein", "value": "861045280"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 136.3, "providers": [{"billed_charge": 205.0, "npi": [1326707845]}]}, {"allowed_amount": 151.44, "providers": [{"billed_charge": 205.0, "npi": [1487677886, 1528470614]}]}, {"allowed_amount": 205.0, "providers": [{"billed_charge": 205.0, "npi": [1831696384, 1023548773, 1053035782, 1750339784, 1902069768, 1669850954, 1063625135, 1023374352, 1285895920, 1215319314, 1427631472, 1194110965, 1528470614, 1972075125, 1104032028, 1841483229]}]}]}, {"tin": {"type": "ein", "value": "872749559"}, "billing_class": "professional", "service_codes": ["52", "21"], "payments": [{"allowed_amount": 303.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 303.0, "npi": [1881685584]}]}]}, {"tin": {"type": "ein", "value": "873298330"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.3, "providers": [{"billed_charge": 380.0, "npi": [1366733560]}]}]}, {"tin": {"type": "ein", "value": "873825600"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 199.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 2318.34, "npi": [1902064314]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 427.13, "npi": [1043248834, 1427015239, 1912182221, 1518413871, 1235546805, 1215164280, 1831345529]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 427.13, "npi": [1891006532, 1194302794, 1073909552, 1598327025, 1053738096, 1063413524, 1003349887]}]}]}, {"tin": {"type": "ein", "value": "882013978"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 1900.0, "npi": [1730143165]}]}]}, {"tin": {"type": "ein", "value": "900057706"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 230.0, "npi": [1801950464]}]}]}, {"tin": {"type": "ein", "value": "900130287"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 390.0, "npi": [1306047790]}]}]}, {"tin": {"type": "ein", "value": "900730395"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 519.0, "providers": [{"billed_charge": 519.0, "npi": [1700231040, 1336778158]}]}]}, {"tin": {"type": "ein", "value": "900990197"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 270.85, "providers": [{"billed_charge": 380.0, "npi": [1770052086]}]}]}, {"tin": {"type": "ein", "value": "911822851"}, "billing_class": "professional", "service_codes": ["51", "21"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 205.0, "npi": [1487677886]}, {"billed_charge": 300.0, "npi": [1356560874]}, {"billed_charge": 385.0, "npi": [1851357909]}]}]}, {"tin": {"type": "ein", "value": "921985500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 350.0, "npi": [1235102369]}]}]}, {"tin": {"type": "ein", "value": "922413120"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 136.3, "providers": [{"billed_charge": 494.37, "npi": [1588350144]}]}, {"allowed_amount": 151.44, "providers": [{"billed_charge": 205.0, "npi": [1528470614]}]}, {"allowed_amount": 225.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 494.37, "npi": [1790148104]}]}]}, {"tin": {"type": "ein", "value": "931399901"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 265.78, "providers": [{"billed_charge": 406.46, "npi": [1760182943]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 1491.0, "npi": [1154748283, 1992382675]}]}, {"allowed_amount": 199.66, "providers": [{"billed_charge": 1491.0, "npi": [1366020042, 1740771245, 1275152241, 1922267186, 1558527036]}]}, {"allowed_amount": 200.03, "providers": [{"billed_charge": 1491.0, "npi": [1528671948]}]}, {"allowed_amount": 240.5, "providers": [{"billed_charge": 1491.0, "npi": [1801266218, 1528671948, 1164495917, 1962141143]}]}]}, {"tin": {"type": "ein", "value": "932365022"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 357.92, "providers": [{"billed_charge": 320.0, "npi": [1871600916]}]}]}, {"tin": {"type": "ein", "value": "932560721"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 28.88, "providers": [{"billed_charge": 310.0, "npi": [1346229895]}]}, {"allowed_amount": 151.44, "providers": [{"billed_charge": 310.0, "npi": [1346229895]}]}, {"allowed_amount": 183.68, "providers": [{"billed_charge": 310.0, "npi": [1215020052, 1649293895, 1346229895]}]}, {"allowed_amount": 276.58, "providers": [{"billed_charge": 310.0, "npi": [1356463160, 1669432118]}]}, {"allowed_amount": 324.0, "providers": [{"billed_charge": 310.0, "npi": [1215020052]}]}]}, {"tin": {"type": "ein", "value": "933048764"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 251.06, "providers": [{"billed_charge": 308.08, "npi": [1225368384]}]}]}, {"tin": {"type": "ein", "value": "933491126"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 251.06, "providers": [{"billed_charge": 365.0, "npi": [1124220397]}]}]}, {"tin": {"type": "ein", "value": "934331992"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 357.92, "providers": [{"billed_charge": 310.0, "npi": [1588839419]}, {"billed_charge": 560.0, "npi": [1588953285]}]}]}, {"tin": {"type": "ein", "value": "942745413"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 151.44, "providers": [{"billed_charge": 519.0, "npi": [1235124876]}]}]}, {"tin": {"type": "ein", "value": "993119282"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 570.0, "npi": [1700128139]}]}]}, {"tin": {"type": "ein", "value": "993887995"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 230.0, "providers": [{"billed_charge": 230.0, "npi": [1205241866]}]}]}, {"tin": {"type": "ein", "value": "994258876"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 337.38, "providers": [{"billed_charge": 337.38, "npi": [1851622112]}]}]}, {"tin": {"type": "ein", "value": "994570312"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 183.68, "providers": [{"billed_charge": 310.0, "npi": [1477841914]}]}]}]}, {"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": "061694715"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 259.99, "providers": [{"billed_charge": 420.0, "npi": [1174863864]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 119.33, "providers": [{"billed_charge": 506.0, "npi": [1447213657]}]}, {"allowed_amount": 161.83, "providers": [{"billed_charge": 506.0, "npi": [1861837296, 1134163561, 1902842107, 1194467423]}]}, {"allowed_amount": 173.83, "providers": [{"billed_charge": 506.0, "npi": [1639458201]}]}, {"allowed_amount": 181.19, "providers": [{"billed_charge": 506.0, "npi": [1992424659]}]}, {"allowed_amount": 200.79, "providers": [{"billed_charge": 506.0, "npi": [1962663161, 1689917239, 1487949038, 1700060431, 1851659635, 1740422807, 1447213657, 1891037214]}]}]}, {"tin": {"type": "ein", "value": "201778316"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.29, "providers": [{"billed_charge": 332.98, "npi": [1861224750]}]}, {"allowed_amount": 158.64, "providers": [{"billed_charge": 332.98, "npi": [1942092945, 1215331699]}]}, {"allowed_amount": 161.83, "providers": [{"billed_charge": 332.98, "npi": [1295744779, 1124049838]}]}, {"allowed_amount": 181.19, "providers": [{"billed_charge": 332.98, "npi": [1811423262]}]}]}, {"tin": {"type": "ein", "value": "203153475"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 315.95, "providers": [{"billed_charge": 381.0, "npi": [1306040498]}]}]}, {"tin": {"type": "ein", "value": "203237708"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.83, "providers": [{"billed_charge": 402.0, "npi": [1336216803]}]}, {"allowed_amount": 200.79, "providers": [{"billed_charge": 402.0, "npi": [1417996067, 1891060612, 1720312390, 1871619601, 1467560565, 1861613275]}]}]}, {"tin": {"type": "ein", "value": "203943524"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 197.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 381.0, "npi": [1366557563]}]}, {"allowed_amount": 199.64, "providers": [{"billed_charge": 381.0, "npi": [1861400749]}]}, {"allowed_amount": 381.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 381.0, "npi": [1528289113, 1245895499, 1447780093]}]}]}, {"tin": {"type": "ein", "value": "205198811"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 194.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 278.0, "npi": [1104086032, 1720278666, 1639135460]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.83, "providers": [{"billed_charge": 340.0, "npi": [1073585014]}]}, {"allowed_amount": 340.0, "providers": [{"billed_charge": 340.0, "npi": [1578191722]}]}]}, {"tin": {"type": "ein", "value": "208488778"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 192.18, "providers": [{"billed_charge": 404.0, "npi": [1326256561]}]}]}, {"tin": {"type": "ein", "value": "260446753"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.19, "providers": [{"billed_charge": 321.0, "npi": [1477305134]}]}]}, {"tin": {"type": "ein", "value": "261424322"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.74, "providers": [{"billed_charge": 274.0, "npi": [1114926300]}]}]}, {"tin": {"type": "ein", "value": "264252891"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.83, "providers": [{"billed_charge": 200.0, "npi": [1952396400]}]}]}, {"tin": {"type": "ein", "value": "264691812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.79, "providers": [{"billed_charge": 247.22, "npi": [1033327119]}]}]}, {"tin": {"type": "ein", "value": "271360955"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.79, "providers": [{"billed_charge": 278.0, "npi": [1447435789]}]}]}, {"tin": {"type": "ein", "value": "274084071"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 408.21, "providers": [{"billed_charge": 1374.0, "npi": [1285030312, 1114699915, 1588960694]}]}]}, {"tin": {"type": "ein", "value": "363966745"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.65, "providers": [{"billed_charge": 330.0, "npi": [1700141637]}]}, {"allowed_amount": 200.79, "providers": [{"billed_charge": 330.0, "npi": [1700141637]}]}]}, {"tin": {"type": "ein", "value": "364526566"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 158.64, "providers": [{"billed_charge": 320.23, "npi": [1144982752, 1144914946, 1154883205, 1104584101, 1437037686]}]}, {"allowed_amount": 181.19, "providers": [{"billed_charge": 320.23, "npi": [1457237018]}]}]}, {"tin": {"type": "ein", "value": "364710147"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 182.97, "providers": [{"billed_charge": 113.65, "npi": [1083828750]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 197.36, "providers": [{"billed_charge": 381.0, "npi": [1629316609, 1396929477, 1619317989, 1134780661, 1033315965]}]}]}, {"tin": {"type": "ein", "value": "384059067"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 172.6, "providers": [{"billed_charge": 2100.0, "npi": [1790198802]}]}]}, {"tin": {"type": "ein", "value": "392605405"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 172.6, "providers": [{"billed_charge": 9500.0, "npi": [1306042403, 1184850885, 1003876269]}]}]}, {"tin": {"type": "ein", "value": "394124443"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.83, "providers": [{"billed_charge": 230.0, "npi": [1770797359]}]}]}, {"tin": {"type": "ein", "value": "394250267"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 200.79, "providers": [{"billed_charge": 402.85, "npi": [1003906751]}]}]}, {"tin": {"type": "ein", "value": "412157061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 172.6, "providers": [{"billed_charge": 576.0, "npi": [1891011961]}]}, {"allowed_amount": 507.61, "providers": [{"billed_charge": 576.0, "npi": [1174696850]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 164.89, "providers": [{"billed_charge": 236.0, "npi": [1942284674]}]}]}, {"tin": {"type": "ein", "value": "453216530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.65, "providers": [{"billed_charge": 385.0, "npi": [1023250529]}]}]}, {"tin": {"type": "ein", "value": "453460510"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 139.88, "providers": [{"billed_charge": 309.0, "npi": [1033392113]}]}]}, {"tin": {"type": "ein", "value": "454661760"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.05, "providers": [{"billed_charge": 284.1, "npi": [1518256437]}]}]}, {"tin": {"type": "ein", "value": "455552840"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.83, "providers": [{"billed_charge": 247.22, "npi": [1801883640]}]}]}, {"tin": {"type": "ein", "value": "464207180"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 267.0, "providers": [{"billed_charge": 267.0, "npi": [1285079632, 1740256361]}]}]}, {"tin": {"type": "ein", "value": "464363525"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 200.79, "providers": [{"billed_charge": 260.0, "npi": [1871858217]}]}]}, {"tin": {"type": "ein", "value": "473419336"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 172.6, "providers": [{"billed_charge": 549.0, "npi": [1518027481]}]}]}, {"tin": {"type": "ein", "value": "474443752"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 197.36, "providers": [{"billed_charge": 344.0, "npi": [1841679370]}]}]}, {"tin": {"type": "ein", "value": "476170428"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 82.68, "providers": [{"billed_charge": 534.0, "npi": [1558758375]}]}]}, {"tin": {"type": "ein", "value": "593238640"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 274.13, "providers": [{"billed_charge": 295.0, "npi": [1245693787]}]}, {"allowed_amount": 275.68, "providers": [{"billed_charge": 295.0, "npi": [1033386909]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 228.47, "providers": [{"billed_charge": 415.0, "npi": [1639533508]}]}]}, {"tin": {"type": "ein", "value": "650913389"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.65, "providers": [{"billed_charge": 1302.0, "npi": [1396799250, 1205900461]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 111.65, "providers": [{"billed_charge": 381.0, "npi": [1346774734]}]}, {"allowed_amount": 161.83, "providers": [{"billed_charge": 381.0, "npi": [1578745634, 1306292164, 1275649956, 1033790985, 1881656783, 1669051793, 1093154072]}]}, {"allowed_amount": 164.96, "providers": [{"billed_charge": 381.0, "npi": [1750347563]}]}, {"allowed_amount": 172.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 381.0, "npi": [1659863553, 1578947172, 1548796485, 1790195014, 1982868519, 1740240712, 1548258031, 1659352144, 1386847226]}]}, {"allowed_amount": 181.19, "providers": [{"billed_charge": 381.0, "npi": [1396292728, 1831731769, 1336535517, 1053034157]}]}, {"allowed_amount": 194.65, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 381.0, "npi": [1992718423]}]}, {"allowed_amount": 200.79, "providers": [{"billed_charge": 381.0, "npi": [1902291016, 1184890956]}]}]}, {"tin": {"type": "ein", "value": "680508149"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 213.07, "providers": [{"billed_charge": 250.0, "npi": [1831203934]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 172.6, "providers": [{"billed_charge": 381.0, "npi": [1780849968]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.96, "providers": [{"billed_charge": 381.0, "npi": [1750347563]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 206.38, "providers": [{"billed_charge": 543.0, "npi": [1386025302]}]}]}, {"tin": {"type": "ein", "value": "742410946"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 181.19, "providers": [{"billed_charge": 271.0, "npi": [1689430381, 1861582447]}]}]}, {"tin": {"type": "ein", "value": "742978480"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 215.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 310.0, "npi": [1740777630]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 141.77, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 339.0, "npi": [1023033834]}]}]}, {"tin": {"type": "ein", "value": "811156192"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 135.67, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 345.0, "npi": [1114972783]}]}, {"allowed_amount": 173.83, "providers": [{"billed_charge": 345.0, "npi": [1457002339, 1437614476, 1407381189, 1144652959]}]}, {"allowed_amount": 197.36, "providers": [{"billed_charge": 345.0, "npi": [1750815700]}]}, {"allowed_amount": 199.64, "providers": [{"billed_charge": 345.0, "npi": [1912936907, 1770973398]}]}, {"allowed_amount": 345.0, "providers": [{"billed_charge": 345.0, "npi": [1982022968]}]}]}, {"tin": {"type": "ein", "value": "813419791"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 172.6, "providers": [{"billed_charge": 394.0, "npi": [1689995441]}]}]}, {"tin": {"type": "ein", "value": "814965916"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 161.83, "providers": [{"billed_charge": 525.0, "npi": [1598997348]}]}, {"allowed_amount": 181.19, "providers": [{"billed_charge": 523.0, "npi": [1922984251, 1467136044]}]}]}, {"tin": {"type": "ein", "value": "820874568"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 161.83, "providers": [{"billed_charge": 205.0, "npi": [1245551191]}]}]}, {"tin": {"type": "ein", "value": "821004682"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 199.64, "providers": [{"billed_charge": 280.0, "npi": [1649634320]}]}]}, {"tin": {"type": "ein", "value": "823519322"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.97, "providers": [{"billed_charge": 261.0, "npi": [1366890766]}]}]}, {"tin": {"type": "ein", "value": "823537014"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 197.36, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 1564.34, "npi": [1700080900]}]}]}, {"tin": {"type": "ein", "value": "830667499"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 200.79, "providers": [{"billed_charge": 271.0, "npi": [1265678569, 1366692162]}]}]}, {"tin": {"type": "ein", "value": "831880110"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.83, "providers": [{"billed_charge": 199.79, "npi": [1548574320]}]}]}, {"tin": {"type": "ein", "value": "832876308"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 172.6, "providers": [{"billed_charge": 783.0, "npi": [1831297126]}]}]}, {"tin": {"type": "ein", "value": "834517050"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 267.0, "providers": [{"billed_charge": 267.0, "npi": [1578142840, 1598407983]}]}]}, {"tin": {"type": "ein", "value": "834598911"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 267.0, "providers": [{"billed_charge": 267.0, "npi": [1578142840]}]}]}, {"tin": {"type": "ein", "value": "842360009"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 191.94, "providers": [{"billed_charge": 653.0, "npi": [1538620323]}]}]}, {"tin": {"type": "ein", "value": "843016310"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 172.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 345.0, "npi": [1689056186, 1841858131, 1497959589]}, {"billed_charge": 397.0, "npi": [1497959589]}]}, {"allowed_amount": 181.19, "providers": [{"billed_charge": 345.0, "npi": [1770052086, 1598314247]}, {"billed_charge": 397.0, "npi": [1598314247]}]}]}, {"tin": {"type": "ein", "value": "844284477"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.79, "providers": [{"billed_charge": 888.0, "npi": [1316188014]}]}]}, {"tin": {"type": "ein", "value": "844935945"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.19, "providers": [{"billed_charge": 260.0, "npi": [1699916973]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 191.94, "providers": [{"billed_charge": 298.0, "npi": [1073969523]}]}, {"allowed_amount": 206.38, "providers": [{"billed_charge": 298.0, "npi": [1518600931]}]}]}, {"tin": {"type": "ein", "value": "851201549"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.65, "providers": [{"billed_charge": 115.68, "npi": [1750544276]}]}, {"allowed_amount": 115.68, "providers": [{"billed_charge": 115.68, "npi": [1750544276, 1386267078, 1548420334]}]}, {"allowed_amount": 182.97, "providers": [{"billed_charge": 115.68, "npi": [1750544276]}]}]}, {"tin": {"type": "ein", "value": "852315178"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.65, "providers": [{"billed_charge": 3630.0, "npi": [1861788192]}]}, {"allowed_amount": 172.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 3630.0, "npi": [1861788192]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 113.65, "providers": [{"billed_charge": 114.0, "npi": [1407389612]}]}, {"allowed_amount": 161.83, "providers": [{"billed_charge": 453.56, "npi": [1972181675, 1629366612]}]}, {"allowed_amount": 200.79, "providers": [{"billed_charge": 453.56, "npi": [1093914822]}]}]}, {"tin": {"type": "ein", "value": "860392561"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.79, "providers": [{"billed_charge": 370.83, "npi": [1629206065]}]}]}, {"tin": {"type": "ein", "value": "860423068"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 117.23, "providers": [{"billed_charge": 345.0, "npi": [1710239751]}]}]}, {"tin": {"type": "ein", "value": "860453788"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 980.0, "npi": [1902166408, 1093071870, 1972708527]}, {"billed_charge": 1151.0, "npi": [1750602645]}]}]}, {"tin": {"type": "ein", "value": "860657068"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 181.19, "providers": [{"billed_charge": 200.0, "npi": [1184286809]}]}]}, {"tin": {"type": "ein", "value": "860711625"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.79, "providers": [{"billed_charge": 250.0, "npi": [1902251903]}]}]}, {"tin": {"type": "ein", "value": "860739774"}, "billing_class": "professional", "service_codes": ["51", "21"], "payments": [{"allowed_amount": 113.65, "providers": [{"billed_charge": 205.0, "npi": [1770746554]}]}, {"allowed_amount": 200.79, "providers": [{"billed_charge": 450.0, "npi": [1215516034, 1639733447, 1033850599, 1053671529, 1205241866, 1265678569, 1245971084, 1821527375, 1750487344, 1023366291, 1235541269, 1295041333, 1255598744, 1538557210]}]}]}, {"tin": {"type": "ein", "value": "860767298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 194.65, "providers": [{"billed_charge": 199.0, "npi": [1114922119]}]}]}, {"tin": {"type": "ein", "value": "860783428"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.79, "providers": [{"billed_charge": 309.0, "npi": [1871718486]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 23.02, "providers": [{"billed_charge": 545.0, "npi": [1679654800, 1447489000]}]}, {"allowed_amount": 161.83, "providers": [{"billed_charge": 545.0, "npi": [1790763936, 1619316346]}]}]}, {"tin": {"type": "ein", "value": "860817397"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.65, "providers": [{"billed_charge": 392.0, "npi": [1902255847]}]}, {"allowed_amount": 424.97, "providers": [{"billed_charge": 392.0, "npi": [1154489730]}]}]}, {"tin": {"type": "ein", "value": "860842583"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.78, "providers": [{"billed_charge": 218.0, "npi": [1710115423]}]}, {"allowed_amount": 161.83, "providers": [{"billed_charge": 218.0, "npi": [1437122397]}]}]}, {"tin": {"type": "ein", "value": "860871763"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 106.07, "providers": [{"billed_charge": 260.0, "npi": [1326001892]}]}]}, {"tin": {"type": "ein", "value": "860888560"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.6, "providers": [{"billed_charge": 389.1, "npi": [1962062620]}]}, {"allowed_amount": 199.64, "providers": [{"billed_charge": 389.1, "npi": [1538426069]}]}]}, {"tin": {"type": "ein", "value": "860893305"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.65, "providers": [{"billed_charge": 402.0, "npi": [1336216803]}]}]}, {"tin": {"type": "ein", "value": "860927994"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.83, "providers": [{"billed_charge": 280.0, "npi": [1366650186]}]}]}, {"tin": {"type": "ein", "value": "860958393"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 161.83, "providers": [{"billed_charge": 200.0, "npi": [1114661543]}]}]}, {"tin": {"type": "ein", "value": "860990148"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.28, "providers": [{"billed_charge": 341.0, "npi": [1619544145]}]}, {"allowed_amount": 161.83, "providers": [{"billed_charge": 230.2, "npi": [1962023440]}]}]}, {"tin": {"type": "ein", "value": "860990920"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 113.65, "providers": [{"billed_charge": 344.0, "npi": [1710147376]}]}, {"allowed_amount": 161.83, "providers": [{"billed_charge": 344.0, "npi": [1467515718]}]}, {"allowed_amount": 200.79, "providers": [{"billed_charge": 344.0, "npi": [1164479796]}]}]}, {"tin": {"type": "ein", "value": "860991994"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1558322081]}]}]}, {"tin": {"type": "ein", "value": "861003227"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 172.6, "providers": [{"billed_charge": 5100.0, "npi": [1255539532]}]}]}, {"tin": {"type": "ein", "value": "861009738"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.83, "providers": [{"billed_charge": 371.0, "npi": [1093709354]}]}]}, {"tin": {"type": "ein", "value": "861028036"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1629006002]}]}]}, {"tin": {"type": "ein", "value": "861030716"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 161.83, "providers": [{"billed_charge": 162.0, "npi": [1578763223]}]}]}, {"tin": {"type": "ein", "value": "861045280"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.35, "providers": [{"billed_charge": 340.0, "npi": [1427326750]}]}, {"allowed_amount": 155.0, "providers": [{"billed_charge": 155.0, "npi": [1033105200, 1053390229, 1063625135]}]}]}, {"tin": {"type": "ein", "value": "870833629"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 139.88, "providers": [{"billed_charge": 500.0, "npi": [1225635378]}]}]}, {"tin": {"type": "ein", "value": "871299525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 309.0, "npi": [1841729431]}]}]}, {"tin": {"type": "ein", "value": "873768007"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 200.79, "providers": [{"billed_charge": 1710.0, "npi": [1366692162]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 106.07, "providers": [{"billed_charge": 320.23, "npi": [1831345529]}]}, {"allowed_amount": 113.65, "providers": [{"billed_charge": 320.23, "npi": [1215164280]}]}, {"allowed_amount": 161.83, "providers": [{"billed_charge": 320.23, "npi": [1831345529, 1043248834, 1336313154, 1518413871]}]}, {"allowed_amount": 200.79, "providers": [{"billed_charge": 320.23, "npi": [1760456032, 1891006532]}]}]}, {"tin": {"type": "ein", "value": "911822851"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 113.65, "providers": [{"billed_charge": 390.0, "npi": [1477642437]}]}]}, {"tin": {"type": "ein", "value": "933491126"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 172.6, "providers": [{"billed_charge": 250.0, "npi": [1124220397]}]}]}, {"tin": {"type": "ein", "value": "934331992"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 113.65, "providers": [{"billed_charge": 271.0, "npi": [1366692162]}]}]}, {"tin": {"type": "ein", "value": "993887995"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 160.0, "providers": [{"billed_charge": 160.0, "npi": [1205241866]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.08, "providers": [{"billed_charge": 374.0, "npi": [1235335324]}]}]}, {"tin": {"type": "ein", "value": "201778316"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 64.8, "providers": [{"billed_charge": 247.15, "npi": [1043939945]}]}]}, {"tin": {"type": "ein", "value": "202282072"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1669002333]}]}]}, {"tin": {"type": "ein", "value": "205198811"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 70.73, "providers": [{"billed_charge": 266.0, "npi": [1235669565]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 96.46, "providers": [{"billed_charge": 240.0, "npi": [1144424383]}]}, {"allowed_amount": 134.69, "providers": [{"billed_charge": 240.0, "npi": [1407897853]}]}, {"allowed_amount": 240.0, "providers": [{"billed_charge": 240.0, "npi": [1104433317]}]}]}, {"tin": {"type": "ein", "value": "208488778"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 298.0, "providers": [{"billed_charge": 298.0, "npi": [1679612691]}]}]}, {"tin": {"type": "ein", "value": "260446753"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.08, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 237.0, "npi": [1114119187]}]}]}, {"tin": {"type": "ein", "value": "274084071"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 260.24, "providers": [{"billed_charge": 353.0, "npi": [1164039988]}]}]}, {"tin": {"type": "ein", "value": "300757230"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 321.88, "npi": [1811105117]}]}]}, {"tin": {"type": "ein", "value": "320260988"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.69, "providers": [{"billed_charge": 295.0, "npi": [1568951788]}]}]}, {"tin": {"type": "ein", "value": "412157061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.25, "providers": [{"billed_charge": 366.0, "npi": [1033361100]}]}]}, {"tin": {"type": "ein", "value": "650913389"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.08, "providers": [{"billed_charge": 968.0, "npi": [1114290996, 1770867061]}]}, {"allowed_amount": 144.48, "providers": [{"billed_charge": 968.0, "npi": [1255395844]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.69, "providers": [{"billed_charge": 282.0, "npi": [1841237294]}]}, {"allowed_amount": 140.08, "providers": [{"billed_charge": 282.0, "npi": [1225598832]}]}]}, {"tin": {"type": "ein", "value": "742410946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.1, "providers": [{"billed_charge": 200.0, "npi": [1801264353]}]}]}, {"tin": {"type": "ein", "value": "811156192"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 86.49, "providers": [{"billed_charge": 219.0, "npi": [1295751055]}]}, {"allowed_amount": 219.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 219.0, "npi": [1619979952]}]}]}, {"tin": {"type": "ein", "value": "830667499"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 134.69, "providers": [{"billed_charge": 183.0, "npi": [1366692162]}]}]}, {"tin": {"type": "ein", "value": "834495738"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 134.69, "providers": [{"billed_charge": 150.0, "npi": [1770746554]}]}]}, {"tin": {"type": "ein", "value": "843016310"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.25, "providers": [{"billed_charge": 219.0, "npi": [1548751738]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.0, "providers": [{"billed_charge": 72.0, "npi": [1528083680, 1407389612, 1629366612]}]}]}, {"tin": {"type": "ein", "value": "860991994"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 73.15, "providers": [{"billed_charge": 125.0, "npi": [1558322081]}]}, {"allowed_amount": 125.0, "providers": [{"billed_charge": 125.0, "npi": [1558322081]}]}]}, {"tin": {"type": "ein", "value": "861048770"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 64.8, "providers": [{"billed_charge": 282.0, "npi": [1821650490]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.19, "providers": [{"billed_charge": 204.15, "npi": [1518413871]}]}, {"allowed_amount": 72.0, "providers": [{"billed_charge": 204.15, "npi": [1518413871]}]}]}, {"tin": {"type": "ein", "value": "942880847"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 64.8, "providers": [{"billed_charge": 258.31, "npi": [1871144600, 1902332315]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 145.68, "providers": [{"billed_charge": 351.0, "npi": [1427219872, 1053556241, 1467465971, 1174503411, 1255774741, 1508844218]}]}, {"allowed_amount": 187.17, "providers": [{"billed_charge": 351.0, "npi": [1275943482, 1184674053]}]}]}, {"tin": {"type": "ein", "value": "205198811"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 127.77, "providers": [{"billed_charge": 200.0, "npi": [1346260080, 1154008357]}]}, {"allowed_amount": 145.68, "providers": [{"billed_charge": 200.0, "npi": [1457880387]}]}]}, {"tin": {"type": "ein", "value": "464363525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 127.77, "providers": [{"billed_charge": 140.0, "npi": [1073780698, 1447213822]}]}]}, {"tin": {"type": "ein", "value": "650913389"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.53, "providers": [{"billed_charge": 760.0, "npi": [1114976388]}]}, {"allowed_amount": 127.77, "providers": [{"billed_charge": 760.0, "npi": [1881328649, 1215179858, 1962929133, 1982995585]}]}, {"allowed_amount": 187.17, "providers": [{"billed_charge": 760.0, "npi": [1629226790]}]}]}, {"tin": {"type": "ein", "value": "811156192"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 122.33, "providers": [{"billed_charge": 240.0, "npi": [1043191372]}]}]}, {"tin": {"type": "ein", "value": "860498020"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 61.66, "providers": [{"billed_charge": 119.79, "npi": [1174583553]}]}]}, {"tin": {"type": "ein", "value": "860577849"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 127.77, "providers": [{"billed_charge": 130.0, "npi": [1841788601, 1639481435]}]}]}]}, {"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": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.15, "providers": [{"billed_charge": 31.5, "npi": [1558479212]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.1, "providers": [{"billed_charge": 54.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.1, "providers": [{"billed_charge": 6.51, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "454611100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.74, "providers": [{"billed_charge": 23.36, "npi": [1962860999]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.25, "providers": [{"billed_charge": 3.25, "npi": [1992131734]}]}, {"allowed_amount": 5.1, "providers": [{"billed_charge": 6.5, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.1, "providers": [{"billed_charge": 54.0, "npi": [1154748416]}, {"billed_charge": 229.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.04, "providers": [{"billed_charge": 57.5, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.22, "providers": [{"billed_charge": 9.0, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.26, "providers": [{"billed_charge": 6.51, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.78, "providers": [{"billed_charge": 6.75, "npi": [1700910189]}, {"billed_charge": 13.5, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.63, "providers": [{"billed_charge": 1.63, "npi": [1609408665]}]}, {"allowed_amount": 3.25, "providers": [{"billed_charge": 3.25, "npi": [1982733655]}]}, {"allowed_amount": 3.78, "providers": [{"billed_charge": 6.5, "npi": [1982733655]}, {"billed_charge": 54.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.1, "providers": [{"billed_charge": 67.14, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.78, "providers": [{"billed_charge": 114.0, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840417134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.1, "providers": [{"billed_charge": 5.63, "npi": [1417946021]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.78, "providers": [{"billed_charge": 26.5, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.1, "providers": [{"billed_charge": 22.99, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.75, "providers": [{"billed_charge": 3.75, "npi": [1760480503]}]}, {"allowed_amount": 5.1, "providers": [{"billed_charge": 6.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.1, "providers": [{"billed_charge": 5.25, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860957500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.5, "providers": [{"billed_charge": 16.0, "npi": [1841224870]}]}, {"allowed_amount": 129.84, "providers": [{"billed_charge": 8.7, "npi": [1841224870]}]}, {"allowed_amount": 138.5, "providers": [{"billed_charge": 16.0, "npi": [1841224870]}]}, {"allowed_amount": 139.8, "providers": [{"billed_charge": 16.0, "npi": [1841224870]}]}, {"allowed_amount": 321.83, "providers": [{"billed_charge": 32.2, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.1, "providers": [{"billed_charge": 67.14, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "900214335"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.37, "providers": [{"billed_charge": 1.37, "npi": [1194705202]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.64, "providers": [{"billed_charge": 0.95, "npi": [1003849019]}]}]}]}, {"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": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.12, "providers": [{"billed_charge": 13.0, "npi": [1144252842]}]}]}, {"tin": {"type": "ein", "value": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.59, "providers": [{"billed_charge": 1.25, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.67, "providers": [{"billed_charge": 4.5, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.55, "providers": [{"billed_charge": 5.4, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.29, "providers": [{"billed_charge": 64.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.28, "providers": [{"billed_charge": 5.21, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "461236453"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 0.18, "providers": [{"billed_charge": 1.1, "npi": [1942568597]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.29, "providers": [{"billed_charge": 3.1, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.29, "providers": [{"billed_charge": 54.0, "npi": [1154748416]}, {"billed_charge": 56.0, "npi": [1154748416]}, {"billed_charge": 64.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.36, "providers": [{"billed_charge": 5.21, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "590872594"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.92, "providers": [{"billed_charge": 5.2, "npi": [1982688230]}]}]}, {"tin": {"type": "ein", "value": "596012500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.89, "providers": [{"billed_charge": 2.89, "npi": [1245294826]}]}]}, {"tin": {"type": "ein", "value": "620528340"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.13, "providers": [{"billed_charge": 4.19, "npi": [1942294814]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.36, "providers": [{"billed_charge": 13.02, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.55, "providers": [{"billed_charge": 4.75, "npi": [1700910189]}, {"billed_charge": 5.4, "npi": [1700910189]}, {"billed_charge": 13.5, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.26, "providers": [{"billed_charge": 0.26, "npi": [1609408665]}]}, {"allowed_amount": 3.1, "providers": [{"billed_charge": 3.1, "npi": [1982733655]}]}, {"allowed_amount": 6.5, "providers": [{"billed_charge": 6.5, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.28, "providers": [{"billed_charge": 32.53, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.19, "providers": [{"billed_charge": 114.0, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.29, "providers": [{"billed_charge": 32.8, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.55, "providers": [{"billed_charge": 9.4, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.28, "providers": [{"billed_charge": 2.3, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.28, "providers": [{"billed_charge": 5.41, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.28, "providers": [{"billed_charge": 23.2, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.0, "providers": [{"billed_charge": 1.0, "npi": [1760480503]}]}, {"allowed_amount": 1.1, "providers": [{"billed_charge": 1.1, "npi": [1760480503]}]}, {"allowed_amount": 1.29, "providers": [{"billed_charge": 7.5, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.29, "providers": [{"billed_charge": 3.97, "npi": [1154392231]}]}]}]}, {"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": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.13, "providers": [{"billed_charge": 54.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.13, "providers": [{"billed_charge": 52.08, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.17, "providers": [{"billed_charge": 3.17, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "430688874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.0, "providers": [{"billed_charge": 47.86, "npi": [1184621211]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.13, "providers": [{"billed_charge": 26.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.13, "providers": [{"billed_charge": 54.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.66, "providers": [{"billed_charge": 11.0, "npi": [1649259656]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.21, "providers": [{"billed_charge": 52.08, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.79, "providers": [{"billed_charge": 54.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.79, "providers": [{"billed_charge": 26.0, "npi": [1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.79, "providers": [{"billed_charge": 114.0, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.79, "providers": [{"billed_charge": 88.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.13, "providers": [{"billed_charge": 20.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.0, "providers": [{"billed_charge": 8.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860957500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 634.99, "providers": [{"billed_charge": 6.8, "npi": [1841224870]}]}]}]}, {"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": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.68, "providers": [{"billed_charge": 0.68, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.17, "providers": [{"billed_charge": 54.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.17, "providers": [{"billed_charge": 0.65, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.06, "providers": [{"billed_charge": 0.06, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.17, "providers": [{"billed_charge": 54.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.68, "providers": [{"billed_charge": 0.68, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.0, "providers": [{"billed_charge": 0.0, "npi": [1265065445]}]}, {"allowed_amount": 0.33, "providers": [{"billed_charge": 0.33, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.03, "providers": [{"billed_charge": 6.25, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.17, "providers": [{"billed_charge": 1.13, "npi": [1801591391]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.17, "providers": [{"billed_charge": 0.25, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860957500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.52, "providers": [{"billed_charge": 0.1, "npi": [1154355188]}]}, {"allowed_amount": 9.63, "providers": [{"billed_charge": 0.1, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.17, "providers": [{"billed_charge": 4.28, "npi": [1881352037]}]}]}]}, {"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": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.18, "providers": [{"billed_charge": 4.75, "npi": [1568442309]}, {"billed_charge": 5.83, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.81, "providers": [{"billed_charge": 36.0, "npi": [1467484972]}, {"billed_charge": 53.1, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.07, "providers": [{"billed_charge": 54.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.54, "providers": [{"billed_charge": 54.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.83, "providers": [{"billed_charge": 52.08, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.48, "providers": [{"billed_charge": 110.5, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.54, "providers": [{"billed_charge": 26.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.54, "providers": [{"billed_charge": 54.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.66, "providers": [{"billed_charge": 52.08, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.66, "providers": [{"billed_charge": 20.83, "npi": [1487607784]}, {"billed_charge": 52.08, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.07, "providers": [{"billed_charge": 54.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.07, "providers": [{"billed_charge": 26.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.07, "providers": [{"billed_charge": 10.0, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.07, "providers": [{"billed_charge": 87.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.83, "providers": [{"billed_charge": 34.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.83, "providers": [{"billed_charge": 117.23, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.83, "providers": [{"billed_charge": 92.5, "npi": [1174512792]}, {"billed_charge": 94.45, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.87, "providers": [{"billed_charge": 22.0, "npi": [1053684555]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.54, "providers": [{"billed_charge": 30.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.54, "providers": [{"billed_charge": 31.33, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.28, "providers": [{"billed_charge": 132.1, "npi": [1457321317]}]}]}]}, {"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": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.89, "providers": [{"billed_charge": 14.6, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.09, "providers": [{"billed_charge": 6.21, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.13, "providers": [{"billed_charge": 10.8, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.24, "providers": [{"billed_charge": 13.7, "npi": [1447368071]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.13, "providers": [{"billed_charge": 54.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.14, "providers": [{"billed_charge": 5.21, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "421437483"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.4, "providers": [{"billed_charge": 1.11, "npi": [1659348506]}]}]}, {"tin": {"type": "ein", "value": "562360411"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.0, "providers": [{"billed_charge": 7.0, "npi": [1477671535]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.04, "providers": [{"billed_charge": 5.21, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.13, "providers": [{"billed_charge": 10.8, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.6, "providers": [{"billed_charge": 2.6, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.14, "providers": [{"billed_charge": 8.2, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.14, "providers": [{"billed_charge": 11.16, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.14, "providers": [{"billed_charge": 9.38, "npi": [1174512792]}, {"billed_charge": 18.64, "npi": [1174512792]}, {"billed_charge": 18.75, "npi": [1174512792]}, {"billed_charge": 18.79, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.13, "providers": [{"billed_charge": 1.97, "npi": [1154392231]}, {"billed_charge": 1.98, "npi": [1154392231]}, {"billed_charge": 2.0, "npi": [1154392231]}, {"billed_charge": 8.96, "npi": [1154392231]}, {"billed_charge": 15.96, "npi": [1154392231]}, {"billed_charge": 20.82, "npi": [1154392231]}, {"billed_charge": 21.98, "npi": [1154392231]}, {"billed_charge": 37.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.14, "providers": [{"billed_charge": 16.19, "npi": [1457321317]}]}]}]}, {"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": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.65, "providers": [{"billed_charge": 128.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "311373080"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.27, "providers": [{"billed_charge": 17.2, "npi": [1467537886]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.73, "providers": [{"billed_charge": 18.05, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.79, "providers": [{"billed_charge": 54.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.88, "providers": [{"billed_charge": 123.0, "npi": [1558479212]}]}]}, {"tin": {"type": "ein", "value": "382589966"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.03, "providers": [{"billed_charge": 4.03, "npi": [1285662981]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 54.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 52.07, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "411404075"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.27, "providers": [{"billed_charge": 37.5, "npi": [1164400024]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.27, "providers": [{"billed_charge": 123.75, "npi": [1912419565]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.74, "providers": [{"billed_charge": 60.3, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.74, "providers": [{"billed_charge": 18.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 13.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 54.0, "npi": [1154748416]}]}, {"allowed_amount": 645.98, "providers": [{"billed_charge": 54.0, "npi": [1275084030]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.92, "providers": [{"billed_charge": 61.88, "npi": [1649259656]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.1, "providers": [{"billed_charge": 1.1, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.35, "providers": [{"billed_charge": 26.04, "npi": [1386697688]}, {"billed_charge": 52.07, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.33, "providers": [{"billed_charge": 93.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "596012500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.41, "providers": [{"billed_charge": 241.0, "npi": [1245294826]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.35, "providers": [{"billed_charge": 52.07, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.79, "providers": [{"billed_charge": 47.5, "npi": [1700910189]}, {"billed_charge": 54.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.75, "providers": [{"billed_charge": 13.0, "npi": [1609408665, 1265065445]}]}, {"allowed_amount": 3.79, "providers": [{"billed_charge": 13.0, "npi": [1982733655]}, {"billed_charge": 26.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.3, "providers": [{"billed_charge": 44.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.65, "providers": [{"billed_charge": 21.5, "npi": [1992753222]}, {"billed_charge": 43.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "820200895"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.6, "providers": [{"billed_charge": 17.2, "npi": [1992736649]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 32.53, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.75, "providers": [{"billed_charge": 114.0, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840417134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.6, "providers": [{"billed_charge": 55.39, "npi": [1417946021]}]}]}, {"tin": {"type": "ein", "value": "841337350"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.85, "providers": [{"billed_charge": 16.5, "npi": [1649241571]}]}]}, {"tin": {"type": "ein", "value": "841343242"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.6, "providers": [{"billed_charge": 24.0, "npi": [1689624686]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.0, "providers": [{"billed_charge": 2.0, "npi": [1215913470]}]}, {"allowed_amount": 13.6, "providers": [{"billed_charge": 16.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 80.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.79, "providers": [{"billed_charge": 54.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.79, "providers": [{"billed_charge": 60.5, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 20.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 24.2, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 46.02, "npi": [1174512792]}, {"billed_charge": 91.3, "npi": [1174512792]}, {"billed_charge": 94.05, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 10.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 37.0, "npi": [1154392231]}, {"billed_charge": 37.5, "npi": [1154392231]}, {"billed_charge": 37.6, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.5, "providers": [{"billed_charge": 2.5, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.13, "providers": [{"billed_charge": 32.53, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "941322200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.88, "providers": [{"billed_charge": 2.88, "npi": [1396848677]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.61, "providers": [{"billed_charge": 54.0, "npi": [1376513754]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.81, "providers": [{"billed_charge": 0.81, "npi": [1902803315]}]}, {"allowed_amount": 10.61, "providers": [{"billed_charge": 40.0, "npi": [1902803315]}]}]}]}, {"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": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 350.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 54.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 350.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.91, "providers": [{"billed_charge": 38.51, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.06, "providers": [{"billed_charge": 175.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.06, "providers": [{"billed_charge": 13.5, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.06, "providers": [{"billed_charge": 55.13, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 4.95, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "856003005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.07, "providers": [{"billed_charge": 20.25, "npi": [1689747552]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 21.55, "npi": [1154392231]}, {"billed_charge": 39.95, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "861248931"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.45, "providers": [{"billed_charge": 4.98, "npi": [1699340927]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.01, "providers": [{"billed_charge": 152.6, "npi": [1881352037]}]}]}]}, {"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": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.31, "providers": [{"billed_charge": 63.0, "npi": [1689121188]}, {"billed_charge": 119.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.31, "providers": [{"billed_charge": 63.0, "npi": [1154748416]}, {"billed_charge": 119.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.01, "providers": [{"billed_charge": 5.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.49, "providers": [{"billed_charge": 4.76, "npi": [1700910189]}, {"billed_charge": 19.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.24, "providers": [{"billed_charge": 2.24, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.25, "providers": [{"billed_charge": 4.85, "npi": [1144781501]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.29, "providers": [{"billed_charge": 1.36, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.31, "providers": [{"billed_charge": 2.64, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.96, "providers": [{"billed_charge": 1.96, "npi": [1447393152]}]}]}]}, {"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": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.95, "providers": [{"billed_charge": 54.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.11, "providers": [{"billed_charge": 54.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.11, "providers": [{"billed_charge": 52.08, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.11, "providers": [{"billed_charge": 26.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.11, "providers": [{"billed_charge": 54.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.36, "providers": [{"billed_charge": 52.08, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "621762545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.5, "providers": [{"billed_charge": 524.29, "npi": [1447299649]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.95, "providers": [{"billed_charge": 54.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.95, "providers": [{"billed_charge": 26.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.11, "providers": [{"billed_charge": 38.64, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.11, "providers": [{"billed_charge": 30.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.11, "providers": [{"billed_charge": 38.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.11, "providers": [{"billed_charge": 45.52, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "941322200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.75, "providers": [{"billed_charge": 17.75, "npi": [1396848677]}]}]}]}, {"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": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.41, "providers": [{"billed_charge": 34.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.49, "providers": [{"billed_charge": 54.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.48, "providers": [{"billed_charge": 54.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.48, "providers": [{"billed_charge": 52.09, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "411404075"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.85, "providers": [{"billed_charge": 75.1, "npi": [1164400024]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.16, "providers": [{"billed_charge": 10.84, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.48, "providers": [{"billed_charge": 26.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.48, "providers": [{"billed_charge": 54.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.25, "providers": [{"billed_charge": 52.09, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.29, "providers": [{"billed_charge": 133.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.25, "providers": [{"billed_charge": 52.09, "npi": [1487607784]}, {"billed_charge": 52.12, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.49, "providers": [{"billed_charge": 54.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.49, "providers": [{"billed_charge": 26.0, "npi": [1609408665, 1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.49, "providers": [{"billed_charge": 114.0, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.48, "providers": [{"billed_charge": 234.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.49, "providers": [{"billed_charge": 116.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.48, "providers": [{"billed_charge": 26.67, "npi": [1902897820]}, {"billed_charge": 37.0, "npi": [1902897820]}, {"billed_charge": 40.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.48, "providers": [{"billed_charge": 107.1, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.25, "providers": [{"billed_charge": 93.25, "npi": [1174512792]}]}, {"allowed_amount": 12.48, "providers": [{"billed_charge": 91.3, "npi": [1174512792]}, {"billed_charge": 91.65, "npi": [1174512792]}, {"billed_charge": 92.35, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.0, "providers": [{"billed_charge": 27.0, "npi": [1053684555]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.48, "providers": [{"billed_charge": 76.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.48, "providers": [{"billed_charge": 78.3, "npi": [1154392231]}, {"billed_charge": 80.1, "npi": [1154392231]}, {"billed_charge": 85.2, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860957500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 573.92, "providers": [{"billed_charge": 14.6, "npi": [1154355188]}]}]}, {"tin": {"type": "ein", "value": "866007695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.0, "providers": [{"billed_charge": 11.0, "npi": [1336118322]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.59, "providers": [{"billed_charge": 26.0, "npi": [1447393152]}]}]}]}, {"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": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.32, "providers": [{"billed_charge": 0.75, "npi": [1568442309]}, {"billed_charge": 1.25, "npi": [1568442309]}, {"billed_charge": 1.75, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.16, "providers": [{"billed_charge": 16.75, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.22, "providers": [{"billed_charge": 8.51, "npi": [1467484972]}, {"billed_charge": 9.11, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.02, "providers": [{"billed_charge": 13.5, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 4.8, "providers": [{"billed_charge": 31.25, "npi": [1447368071]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.38, "providers": [{"billed_charge": 54.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.38, "providers": [{"billed_charge": 13.02, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "411404075"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.35, "providers": [{"billed_charge": 9.0, "npi": [1164400024]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.25, "providers": [{"billed_charge": 5.03, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.38, "providers": [{"billed_charge": 6.5, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.38, "providers": [{"billed_charge": 54.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 13.02, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "542092552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.63, "providers": [{"billed_charge": 26.94, "npi": [1134187842]}]}]}, {"tin": {"type": "ein", "value": "562360411"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.5, "providers": [{"billed_charge": 6.5, "npi": [1477671535]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.61, "providers": [{"billed_charge": 25.75, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.75, "providers": [{"billed_charge": 0.75, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "620528340"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.67, "providers": [{"billed_charge": 4.19, "npi": [1942294814]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.7, "providers": [{"billed_charge": 13.02, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.74, "providers": [{"billed_charge": 21.25, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.02, "providers": [{"billed_charge": 13.5, "npi": [1700910189]}, {"billed_charge": 54.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.26, "providers": [{"billed_charge": 1.63, "npi": [1609408665, 1265065445]}]}, {"allowed_amount": 1.02, "providers": [{"billed_charge": 6.5, "npi": [1982733655]}, {"billed_charge": 26.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.16, "providers": [{"billed_charge": 1.93, "npi": [1144781501]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.26, "providers": [{"billed_charge": 114.0, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.74, "providers": [{"billed_charge": 22.5, "npi": [1801591391]}]}]}, {"tin": {"type": "ein", "value": "840417134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.51, "providers": [{"billed_charge": 2.51, "npi": [1417946021]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.38, "providers": [{"billed_charge": 42.92, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.02, "providers": [{"billed_charge": 13.5, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "854247323"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.28, "providers": [{"billed_charge": 0.5, "npi": [1871193664]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.38, "providers": [{"billed_charge": 5.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.38, "providers": [{"billed_charge": 11.41, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.38, "providers": [{"billed_charge": 22.77, "npi": [1174512792]}, {"billed_charge": 22.88, "npi": [1174512792]}]}, {"allowed_amount": 9.96, "providers": [{"billed_charge": 22.74, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.22, "providers": [{"billed_charge": 5.5, "npi": [1053684555]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.0, "providers": [{"billed_charge": 2.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.38, "providers": [{"billed_charge": 8.97, "npi": [1154392231]}, {"billed_charge": 9.47, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.75, "providers": [{"billed_charge": 0.75, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "860957500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 131.32, "providers": [{"billed_charge": 1.7, "npi": [1841224870]}]}, {"allowed_amount": 152.69, "providers": [{"billed_charge": 1.7, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "861248931"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.46, "providers": [{"billed_charge": 1.2, "npi": [1699340927]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.38, "providers": [{"billed_charge": 32.53, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.02, "providers": [{"billed_charge": 6.5, "npi": [1447393152]}]}]}, {"tin": {"type": "ein", "value": "941322200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.94, "providers": [{"billed_charge": 1.94, "npi": [1396848677]}]}]}, {"tin": {"type": "ein", "value": "951183919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.55, "providers": [{"billed_charge": 67.3, "npi": [1780681189]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.28, "providers": [{"billed_charge": 6.28, "npi": [1457321317]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.0, "providers": [{"billed_charge": 10.0, "npi": [1902803315]}]}]}]}, {"name": "Inpatient or observation consultation for a new or 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, 60 minutes must be met or exceeded.", "billing_code_type": "CPT", "billing_code": "99254", "billing_code_type_version": "2022", "description": "IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "271135227"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 120.79, "providers": [{"billed_charge": 195.0, "npi": [1851357909]}]}]}, {"tin": {"type": "ein", "value": "454536742"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 348.85, "providers": [{"billed_charge": 334.4, "npi": [1437325313]}]}]}, {"tin": {"type": "ein", "value": "811156192"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 203.42, "providers": [{"billed_charge": 363.0, "npi": [1497965081]}]}, {"allowed_amount": 284.55, "providers": [{"billed_charge": 363.0, "npi": [1912936907]}]}]}, {"tin": {"type": "ein", "value": "844748189"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 327.27, "providers": [{"billed_charge": 275.0, "npi": [1902095094]}]}]}, {"tin": {"type": "ein", "value": "851201549"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.79, "providers": [{"billed_charge": 120.79, "npi": [1750544276]}]}]}, {"tin": {"type": "ein", "value": "860739774"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 112.73, "providers": [{"billed_charge": 450.0, "npi": [1215516034, 1033850599, 1639733447, 1265678569, 1205241866, 1053671529, 1245971084, 1821527375, 1750487344, 1023366291, 1295041333, 1235541269, 1255598744, 1538557210, 1609038652]}]}, {"allowed_amount": 114.75, "providers": [{"billed_charge": 450.0, "npi": [1639733447, 1265678569, 1053671529, 1821527375, 1295041333]}]}, {"allowed_amount": 120.79, "providers": [{"billed_charge": 450.0, "npi": [1245971084, 1033850599]}]}]}, {"tin": {"type": "ein", "value": "860780662"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.71, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 303.0, "npi": [1396860169]}]}, {"allowed_amount": 171.1, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 303.0, "npi": [1396860169]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.79, "providers": [{"billed_charge": 684.0, "npi": [1740570761]}]}]}, {"tin": {"type": "ein", "value": "860995987"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 120.79, "providers": [{"billed_charge": 450.0, "npi": [1235541269]}]}]}, {"tin": {"type": "ein", "value": "861016151"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 327.27, "providers": [{"billed_charge": 334.4, "npi": [1679504054]}]}]}, {"tin": {"type": "ein", "value": "861028036"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.79, "providers": [{"billed_charge": 250.0, "npi": [1629006002]}]}]}, {"tin": {"type": "ein", "value": "872880655"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 120.79, "providers": [{"billed_charge": 450.0, "npi": [1053671529]}]}]}, {"tin": {"type": "ein", "value": "873289916"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 120.79, "providers": [{"billed_charge": 450.0, "npi": [1750487344]}]}]}, {"tin": {"type": "ein", "value": "911822851"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 120.79, "providers": [{"billed_charge": 195.0, "npi": [1851357909]}]}]}, {"tin": {"type": "ein", "value": "921144111"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 120.79, "providers": [{"billed_charge": 450.0, "npi": [1255598744]}]}]}]}, {"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": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.91, "providers": [{"billed_charge": 320.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.91, "providers": [{"billed_charge": 589.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.91, "providers": [{"billed_charge": 320.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.51, "providers": [{"billed_charge": 110.0, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.85, "providers": [{"billed_charge": 589.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.16, "providers": [{"billed_charge": 409.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.91, "providers": [{"billed_charge": 467.47, "npi": [1801591391]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.91, "providers": [{"billed_charge": 246.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.91, "providers": [{"billed_charge": 129.0, "npi": [1154392231]}, {"billed_charge": 235.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.91, "providers": [{"billed_charge": 351.82, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "900214335"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.08, "providers": [{"billed_charge": 229.0, "npi": [1194705202]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.08, "providers": [{"billed_charge": 175.2, "npi": [1457321317]}]}]}]}, {"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": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 198.21, "providers": [{"billed_charge": 666.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.67, "providers": [{"billed_charge": 916.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.67, "providers": [{"billed_charge": 1213.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "462252776"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 95.69, "providers": [{"billed_charge": 152.0, "npi": [1144917147]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.67, "providers": [{"billed_charge": 916.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 155.92, "providers": [{"billed_charge": 1102.0, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 335.79, "providers": [{"billed_charge": 1213.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 419.81, "providers": [{"billed_charge": 796.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.71, "providers": [{"billed_charge": 2025.7, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 335.79, "providers": [{"billed_charge": 1213.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 324.73, "providers": [{"billed_charge": 1202.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 324.73, "providers": [{"billed_charge": 890.67, "npi": [1609408665]}, {"billed_charge": 1336.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.67, "providers": [{"billed_charge": 557.0, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 324.73, "providers": [{"billed_charge": 1160.33, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 238.86, "providers": [{"billed_charge": 743.28, "npi": [1801591391]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.67, "providers": [{"billed_charge": 1512.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "856003005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 238.86, "providers": [{"billed_charge": 309.0, "npi": [1689747552]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 324.73, "providers": [{"billed_charge": 737.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.67, "providers": [{"billed_charge": 820.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.67, "providers": [{"billed_charge": 337.0, "npi": [1154392231]}, {"billed_charge": 702.0, "npi": [1154392231]}]}, {"allowed_amount": 220.29, "providers": [{"billed_charge": 702.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 178.67, "providers": [{"billed_charge": 557.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "900214335"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 248.04, "providers": [{"billed_charge": 248.04, "npi": [1194705202]}]}]}, {"tin": {"type": "ein", "value": "941322200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 477.0, "providers": [{"billed_charge": 477.0, "npi": [1396848677]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 296.56, "providers": [{"billed_charge": 678.1, "npi": [1457321317]}]}]}]}, {"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": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.47, "providers": [{"billed_charge": 193.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.54, "providers": [{"billed_charge": 918.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.51, "providers": [{"billed_charge": 180.0, "npi": [1447368071]}]}, {"allowed_amount": 106.43, "providers": [{"billed_charge": 200.0, "npi": [1558479212]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.0, "providers": [{"billed_charge": 320.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.35, "providers": [{"billed_charge": 606.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "411404075"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.29, "providers": [{"billed_charge": 89.0, "npi": [1164400024]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.29, "providers": [{"billed_charge": 260.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "430688874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.02, "providers": [{"billed_charge": 257.0, "npi": [1184621211]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.05, "providers": [{"billed_charge": 383.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.0, "providers": [{"billed_charge": 327.0, "npi": [1992131734]}]}, {"allowed_amount": 393.08, "providers": [{"billed_charge": 327.0, "npi": [1992131734]}]}, {"allowed_amount": 407.63, "providers": [{"billed_charge": 327.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.0, "providers": [{"billed_charge": 320.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.27, "providers": [{"billed_charge": 606.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 109.91, "providers": [{"billed_charge": 307.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "590872594"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.15, "providers": [{"billed_charge": 269.0, "npi": [1982688230]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.27, "providers": [{"billed_charge": 606.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.15, "providers": [{"billed_charge": 466.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.54, "providers": [{"billed_charge": 918.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.54, "providers": [{"billed_charge": 327.0, "npi": [1265065445, 1982733655]}, {"billed_charge": 654.0, "npi": [1609408665]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.02, "providers": [{"billed_charge": 402.28, "npi": [1144781501]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.35, "providers": [{"billed_charge": 353.58, "npi": [1356818496]}]}, {"allowed_amount": 353.58, "providers": [{"billed_charge": 353.58, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.84, "providers": [{"billed_charge": 322.0, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.54, "providers": [{"billed_charge": 360.76, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 127.78, "providers": [{"billed_charge": 366.69, "npi": [1720096092]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.15, "providers": [{"billed_charge": 292.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.0, "providers": [{"billed_charge": 1000.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.54, "providers": [{"billed_charge": 918.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "854247323"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.9, "providers": [{"billed_charge": 221.62, "npi": [1871193664]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.35, "providers": [{"billed_charge": 410.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 927.65, "providers": [{"billed_charge": 153.1, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.35, "providers": [{"billed_charge": 171.0, "npi": [1174512792]}]}, {"allowed_amount": 89.27, "providers": [{"billed_charge": 171.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.87, "providers": [{"billed_charge": 404.0, "npi": [1053684555]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.0, "providers": [{"billed_charge": 310.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.0, "providers": [{"billed_charge": 109.0, "npi": [1154392231]}, {"billed_charge": 202.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "861248931"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.13, "providers": [{"billed_charge": 266.0, "npi": [1699340927]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.0, "providers": [{"billed_charge": 353.58, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.0, "providers": [{"billed_charge": 1000.0, "npi": [1275366122]}]}]}, {"tin": {"type": "ein", "value": "941196203"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 886.98, "providers": [{"billed_charge": 327.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "941322200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 316.93, "providers": [{"billed_charge": 452.0, "npi": [1396848677]}]}]}, {"tin": {"type": "ein", "value": "951115230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.66, "providers": [{"billed_charge": 757.0, "npi": [1407813660]}]}]}]}, {"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": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 360.27, "providers": [{"billed_charge": 782.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 225.66, "providers": [{"billed_charge": 1045.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "311538725"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 318.0, "providers": [{"billed_charge": 318.0, "npi": [1063489342]}]}]}, {"tin": {"type": "ein", "value": "350983617"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 203.88, "providers": [{"billed_charge": 535.0, "npi": [1336119478]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 313.92, "providers": [{"billed_charge": 1202.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "381405141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 203.88, "providers": [{"billed_charge": 685.0, "npi": [1295785285]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.02, "providers": [{"billed_charge": 343.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.02, "providers": [{"billed_charge": 1213.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.02, "providers": [{"billed_charge": 1199.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.02, "providers": [{"billed_charge": 343.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "560928089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 418.01, "providers": [{"billed_charge": 531.0, "npi": [1447200233]}]}]}, {"tin": {"type": "ein", "value": "562462584"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.02, "providers": [{"billed_charge": 242.0, "npi": [1487652426]}]}]}, {"tin": {"type": "ein", "value": "580593388"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 232.88, "providers": [{"billed_charge": 880.0, "npi": [1275527889]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 313.92, "providers": [{"billed_charge": 1202.0, "npi": [1700910189]}]}, {"allowed_amount": 961.14, "providers": [{"billed_charge": 1202.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 313.92, "providers": [{"billed_charge": 1199.0, "npi": [1982733655]}]}, {"allowed_amount": 922.63, "providers": [{"billed_charge": 1199.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742870118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 372.12, "providers": [{"billed_charge": 1228.0, "npi": [1447221742]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 360.27, "providers": [{"billed_charge": 795.0, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 313.92, "providers": [{"billed_charge": 898.82, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.02, "providers": [{"billed_charge": 590.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.02, "providers": [{"billed_charge": 635.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.02, "providers": [{"billed_charge": 380.11, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 362.2, "providers": [{"billed_charge": 1175.0, "npi": [1356528269]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.02, "providers": [{"billed_charge": 1512.0, "npi": [1275366122]}]}]}, {"tin": {"type": "ein", "value": "941196203"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1128.66, "providers": [{"billed_charge": 1199.0, "npi": [1982733655]}]}]}]}, {"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": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.33, "providers": [{"billed_charge": 1116.0, "npi": [1518487701]}]}, {"allowed_amount": 339.53, "providers": [{"billed_charge": 1116.0, "npi": [1124521976, 1033504360, 1558569533, 1386862118]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 339.53, "providers": [{"billed_charge": 1116.0, "npi": [1417032079]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 518.41, "providers": [{"billed_charge": 1176.0, "npi": [1053370981]}, {"billed_charge": 1345.0, "npi": [1932603917]}, {"billed_charge": 1376.0, "npi": [1457641755, 1871971598]}]}]}, {"tin": {"type": "ein", "value": "274733725"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.81, "providers": [{"billed_charge": 480.0, "npi": [1235417551]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.33, "providers": [{"billed_charge": 1454.3, "npi": [1063669158]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 518.41, "providers": [{"billed_charge": 1398.0, "npi": [1255913836, 1639225527]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 358.79, "providers": [{"billed_charge": 1286.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "465734331"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.68, "providers": [{"billed_charge": 414.81, "npi": [1609654219]}]}]}, {"tin": {"type": "ein", "value": "471554329"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 215.81, "providers": [{"billed_charge": 282.0, "npi": [1669422119]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.68, "providers": [{"billed_charge": 406.0, "npi": [1023407483]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 358.79, "providers": [{"billed_charge": 1286.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "852016118"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.27, "providers": [{"billed_charge": 138.27, "npi": [1093869414]}]}]}, {"tin": {"type": "ein", "value": "861019251"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 144.35, "providers": [{"billed_charge": 810.0, "npi": [1104879584]}]}]}, {"tin": {"type": "ein", "value": "873362930"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 330.6, "providers": [{"billed_charge": 1060.0, "npi": [1265973465]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 162.33, "providers": [{"billed_charge": 1081.0, "npi": [1043252984, 1740771245]}]}]}]}, {"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": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.69, "providers": [{"billed_charge": 419.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.92, "providers": [{"billed_charge": 403.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.27, "providers": [{"billed_charge": 315.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.81, "providers": [{"billed_charge": 122.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.81, "providers": [{"billed_charge": 561.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.19, "providers": [{"billed_charge": 281.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.81, "providers": [{"billed_charge": 259.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.81, "providers": [{"billed_charge": 122.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 107.19, "providers": [{"billed_charge": 561.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 120.9, "providers": [{"billed_charge": 435.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.95, "providers": [{"billed_charge": 180.22, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.46, "providers": [{"billed_charge": 561.0, "npi": [1487607784]}]}, {"allowed_amount": 107.19, "providers": [{"billed_charge": 561.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "626002166"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 49.09, "providers": [{"billed_charge": 77.0, "npi": [1275531956]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.27, "providers": [{"billed_charge": 315.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.18, "providers": [{"billed_charge": 259.0, "npi": [1982733655]}]}, {"allowed_amount": 75.27, "providers": [{"billed_charge": 259.0, "npi": [1609408665, 1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.69, "providers": [{"billed_charge": 211.0, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.27, "providers": [{"billed_charge": 661.25, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.31, "providers": [{"billed_charge": 347.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.81, "providers": [{"billed_charge": 570.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.27, "providers": [{"billed_charge": 315.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.81, "providers": [{"billed_charge": 207.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.81, "providers": [{"billed_charge": 213.83, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.81, "providers": [{"billed_charge": 106.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.81, "providers": [{"billed_charge": 448.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.81, "providers": [{"billed_charge": 112.0, "npi": [1154392231]}, {"billed_charge": 114.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.54, "providers": [{"billed_charge": 101.34, "npi": [1881352037]}]}, {"allowed_amount": 36.81, "providers": [{"billed_charge": 101.34, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "871737544"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.81, "providers": [{"billed_charge": 570.0, "npi": [1750092110]}]}]}, {"tin": {"type": "ein", "value": "900214335"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.28, "providers": [{"billed_charge": 160.0, "npi": [1194705202]}]}]}, {"tin": {"type": "ein", "value": "900942222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.81, "providers": [{"billed_charge": 238.0, "npi": [1194766543]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.28, "providers": [{"billed_charge": 386.1, "npi": [1457321317]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 13.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1639232788]}]}]}, {"tin": {"type": "ein", "value": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.54, "providers": [{"billed_charge": 253.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.46, "providers": [{"billed_charge": 603.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "621637129"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 38.64, "providers": [{"billed_charge": 125.0, "npi": [1467433292]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.65, "providers": [{"billed_charge": 228.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "843909066"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 48.32, "providers": [{"billed_charge": 114.72, "npi": [1841962289]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.59, "providers": [{"billed_charge": 526.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860323025"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 130.0, "npi": [1558326983]}]}]}, {"tin": {"type": "ein", "value": "860460049"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1780948133]}]}]}, {"tin": {"type": "ein", "value": "860616297"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 75.0, "npi": [1619436920, 1164659314, 1104891670]}]}]}, {"tin": {"type": "ein", "value": "860658224"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 3.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.5, "npi": [1760864300]}]}, {"allowed_amount": 13.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.5, "npi": [1568626984, 1124283882, 1760864300, 1437360815]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 120.0, "npi": [1881013449]}]}]}]}, {"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": "043452130"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 204.0, "providers": [{"billed_charge": 204.0, "npi": [1477522910]}]}]}, {"tin": {"type": "ein", "value": "043740411"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 80.08, "providers": [{"billed_charge": 191.5, "npi": [1548294465]}]}]}, {"tin": {"type": "ein", "value": "203097520"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 167.16, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 167.16, "npi": [1407060411]}]}]}, {"tin": {"type": "ein", "value": "203097559"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 191.5, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 191.5, "npi": [1689747776, 1952383432, 1306080262, 1740262807]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 123.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.0, "npi": [1538574744, 1679521579]}]}]}, {"tin": {"type": "ein", "value": "260446753"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 76.91, "providers": [{"billed_charge": 267.0, "npi": [1952694838]}]}]}, {"tin": {"type": "ein", "value": "262944556"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 62.49, "providers": [{"billed_charge": 177.0, "npi": [1578543369]}]}, {"allowed_amount": 76.91, "providers": [{"billed_charge": 177.0, "npi": [1578543369]}]}]}, {"tin": {"type": "ein", "value": "273322672"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 76.91, "providers": [{"billed_charge": 1480.0, "npi": [1962437475]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.26, "providers": [{"billed_charge": 228.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "391351587"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 121.39, "providers": [{"billed_charge": 734.12, "npi": [1073075032]}]}]}, {"tin": {"type": "ein", "value": "454536742"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 43.12, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 97.0, "npi": [1659481661]}]}, {"allowed_amount": 43.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.0, "npi": [1659481661]}]}, {"allowed_amount": 76.91, "providers": [{"billed_charge": 208.0, "npi": [1578718003]}]}]}, {"tin": {"type": "ein", "value": "621637129"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 67.53, "providers": [{"billed_charge": 204.0, "npi": [1467433292]}]}]}, {"tin": {"type": "ein", "value": "710410253"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 22.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 170.0, "npi": [1154489524]}]}]}, {"tin": {"type": "ein", "value": "710847813"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 114.04, "providers": [{"billed_charge": 157.08, "npi": [1356452239]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.26, "providers": [{"billed_charge": 1206.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "741619182"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 79.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 271.1, "npi": [1619938263]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 151.55, "providers": [{"billed_charge": 1537.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "813848403"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 125.79, "providers": [{"billed_charge": 275.0, "npi": [1831135896]}]}]}, {"tin": {"type": "ein", "value": "843909066"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 73.57, "providers": [{"billed_charge": 194.82, "npi": [1841962289]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 231.71, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 271.65, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860323025"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 43.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 210.0, "npi": [1558326983]}]}]}, {"tin": {"type": "ein", "value": "860425107"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 30.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1477635381]}]}]}, {"tin": {"type": "ein", "value": "860443813"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 71.46, "providers": [{"billed_charge": 157.0, "npi": [1023086634]}]}]}, {"tin": {"type": "ein", "value": "860564320"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 125.0, "npi": [1821445867]}]}]}, {"tin": {"type": "ein", "value": "860616297"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 37.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1427296490]}]}, {"allowed_amount": 43.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1104891670]}, {"billed_charge": 150.0, "npi": [1710244744, 1427296490, 1104891670]}]}]}, {"tin": {"type": "ein", "value": "860658224"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 37.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.5, "npi": [1760864300]}]}, {"allowed_amount": 37.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.5, "npi": [1124283882]}]}, {"allowed_amount": 43.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.5, "npi": [1568626984, 1124283882, 1760864300, 1437360815]}]}, {"allowed_amount": 100.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 117.5, "npi": [1568626984]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 43.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 242.0, "npi": [1881013449]}]}]}, {"tin": {"type": "ein", "value": "860920989"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 72.17, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 150.0, "npi": [1104891670]}]}]}]}, {"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": "203097559"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 367.0, "npi": [1699729699]}]}, {"allowed_amount": 367.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 367.0, "npi": [1962423038]}]}]}, {"tin": {"type": "ein", "value": "300392641"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 387.56, "providers": [{"billed_charge": 816.0, "npi": [1194933895]}]}]}, {"tin": {"type": "ein", "value": "710410253"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 296.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 450.0, "npi": [1003877887]}]}]}, {"tin": {"type": "ein", "value": "860323025"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 124.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1558326983]}]}]}, {"tin": {"type": "ein", "value": "860564320"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 112.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 265.0, "npi": [1083600019]}]}]}, {"tin": {"type": "ein", "value": "860616297"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 81.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 257.0, "npi": [1619436920]}]}, {"allowed_amount": 96.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1154396133]}]}, {"allowed_amount": 124.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 257.0, "npi": [1164659314]}]}]}, {"tin": {"type": "ein", "value": "860658224"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 124.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 257.5, "npi": [1568626984, 1124283882, 1760864300, 1437360815]}]}]}, {"tin": {"type": "ein", "value": "934331992"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.36, "npi": [1447454046]}]}]}]}, {"name": "Lipase", "billing_code_type": "CPT", "billing_code": "83690", "billing_code_type_version": "2022", "description": "ASSAY OF LIPASE", "allowed_amounts": [{"tin": {"type": "ein", "value": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 91.95, "providers": [{"billed_charge": 109.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.59, "providers": [{"billed_charge": 534.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 10.89, "providers": [{"billed_charge": 74.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.5, "providers": [{"billed_charge": 730.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.85, "providers": [{"billed_charge": 140.0, "npi": [1558479212]}]}]}, {"tin": {"type": "ein", "value": "381405141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.56, "providers": [{"billed_charge": 31.0, "npi": [1295785285]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.07, "providers": [{"billed_charge": 114.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.07, "providers": [{"billed_charge": 506.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "411404075"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 52.32, "providers": [{"billed_charge": 75.0, "npi": [1164400024]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.39, "providers": [{"billed_charge": 64.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "430688874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.93, "providers": [{"billed_charge": 128.0, "npi": [1184621211]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.25, "providers": [{"billed_charge": 314.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.25, "providers": [{"billed_charge": 48.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.07, "providers": [{"billed_charge": 323.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.07, "providers": [{"billed_charge": 114.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "473448483"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.48, "providers": [{"billed_charge": 103.0, "npi": [1164102794]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.71, "providers": [{"billed_charge": 188.0, "npi": [1649259656]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 87.82, "providers": [{"billed_charge": 506.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 26.0, "billing_code_modifier": ["90"], "providers": [{"billed_charge": 26.0, "npi": [1952347791]}]}]}, {"tin": {"type": "ein", "value": "560928089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.77, "providers": [{"billed_charge": 236.0, "npi": [1447200233]}]}]}, {"tin": {"type": "ein", "value": "562360411"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 229.28, "providers": [{"billed_charge": 297.0, "npi": [1477671535]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.57, "providers": [{"billed_charge": 116.5, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 140.78, "providers": [{"billed_charge": 506.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "621762545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 187.25, "providers": [{"billed_charge": 535.0, "npi": [1447299649]}]}]}, {"tin": {"type": "ein", "value": "626002166"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.26, "providers": [{"billed_charge": 112.0, "npi": [1275531956]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.5, "providers": [{"billed_charge": 730.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.5, "providers": [{"billed_charge": 323.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.47, "providers": [{"billed_charge": 459.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "742870118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.48, "providers": [{"billed_charge": 313.0, "npi": [1447221742]}]}]}, {"tin": {"type": "ein", "value": "810378200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.48, "providers": [{"billed_charge": 112.0, "npi": [1245222306]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.59, "providers": [{"billed_charge": 155.96, "npi": [1144781501]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.07, "providers": [{"billed_charge": 221.0, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "841103606"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.55, "providers": [{"billed_charge": 151.2, "npi": [1669461281]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.71, "providers": [{"billed_charge": 265.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.07, "providers": [{"billed_charge": 556.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.5, "providers": [{"billed_charge": 730.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.07, "providers": [{"billed_charge": 252.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.07, "providers": [{"billed_charge": 284.0, "npi": [1174512792]}]}, {"allowed_amount": 87.82, "providers": [{"billed_charge": 284.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.07, "providers": [{"billed_charge": 66.02, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.07, "providers": [{"billed_charge": 173.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.0, "providers": [{"billed_charge": 62.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.95, "providers": [{"billed_charge": 22.95, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.07, "providers": [{"billed_charge": 221.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 56.71, "providers": [{"billed_charge": 618.0, "npi": [1447393152]}]}]}, {"tin": {"type": "ein", "value": "880213754"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 52.0, "providers": [{"billed_charge": 52.0, "npi": [1124098421]}]}]}, {"tin": {"type": "ein", "value": "900942222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.07, "providers": [{"billed_charge": 318.0, "npi": [1194766543]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 52.13, "providers": [{"billed_charge": 75.0, "npi": [1356528269]}]}]}, {"tin": {"type": "ein", "value": "941322200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 120.5, "providers": [{"billed_charge": 120.5, "npi": [1396848677]}]}]}, {"tin": {"type": "ein", "value": "951183919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 229.28, "providers": [{"billed_charge": 633.0, "npi": [1780681189]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 229.28, "providers": [{"billed_charge": 322.0, "npi": [1962444059]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 52.13, "providers": [{"billed_charge": 78.95, "npi": [1457321317]}]}]}, {"tin": {"type": "ein", "value": "956130458"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 52.13, "providers": [{"billed_charge": 245.0, "npi": [1013981554]}]}]}]}, {"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": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.61, "providers": [{"billed_charge": 480.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.72, "providers": [{"billed_charge": 624.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.36, "providers": [{"billed_charge": 840.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "463096009"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 9.75, "providers": [{"billed_charge": 40.17, "npi": [1740966241]}]}, {"allowed_amount": 15.43, "providers": [{"billed_charge": 40.17, "npi": [1598106163]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.36, "providers": [{"billed_charge": 503.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "475590654"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 10.0, "providers": [{"billed_charge": 10.0, "npi": [1295093540]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.58, "providers": [{"billed_charge": 840.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "593205549"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 13.29, "providers": [{"billed_charge": 301.04, "npi": [1245720820]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.58, "providers": [{"billed_charge": 840.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.72, "providers": [{"billed_charge": 624.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 67.99, "providers": [{"billed_charge": 165.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.36, "providers": [{"billed_charge": 357.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.36, "providers": [{"billed_charge": 112.36, "npi": [1083643738]}]}]}]}, {"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": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.54, "providers": [{"billed_charge": 3.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.47, "providers": [{"billed_charge": 0.47, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.34, "providers": [{"billed_charge": 9.98, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 998.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.48, "providers": [{"billed_charge": 0.48, "npi": [1851927669]}]}, {"allowed_amount": 1.01, "providers": [{"billed_charge": 2.53, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.49, "providers": [{"billed_charge": 1.92, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.6, "providers": [{"billed_charge": 1.6, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.0, "providers": [{"billed_charge": 1.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 998.0, "npi": [1154748416]}, {"billed_charge": 1024.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.48, "providers": [{"billed_charge": 0.48, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "560928089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.92, "providers": [{"billed_charge": 1.04, "npi": [1447200233]}]}]}, {"tin": {"type": "ein", "value": "562360411"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.28, "providers": [{"billed_charge": 5.28, "npi": [1477671535]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.45, "providers": [{"billed_charge": 5.04, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.12, "providers": [{"billed_charge": 524.0, "npi": [1225050396]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.09, "providers": [{"billed_charge": 1.09, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.48, "providers": [{"billed_charge": 0.48, "npi": [1487607784]}]}, {"allowed_amount": 0.99, "providers": [{"billed_charge": 1.7, "npi": [1487607784]}]}, {"allowed_amount": 5.52, "providers": [{"billed_charge": 0.48, "npi": [1487607784]}]}, {"allowed_amount": 7.39, "providers": [{"billed_charge": 0.48, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.34, "providers": [{"billed_charge": 9.98, "npi": [1700910189]}, {"billed_charge": 10.24, "npi": [1700910189]}, {"billed_charge": 10.93, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.0, "providers": [{"billed_charge": 1.0, "npi": [1609408665, 1265065445, 1982733655]}]}, {"allowed_amount": 9.79, "providers": [{"billed_charge": 1.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.9, "providers": [{"billed_charge": 0.9, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "810378200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.96, "providers": [{"billed_charge": 2.96, "npi": [1245222306]}]}]}, {"tin": {"type": "ein", "value": "820200895"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 2.79, "npi": [1992736649]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 7.31, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.34, "providers": [{"billed_charge": 706.52, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2.57, "providers": [{"billed_charge": 2.57, "npi": [1720096092]}]}]}, {"tin": {"type": "ein", "value": "840417134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 7.5, "npi": [1417946021]}]}]}, {"tin": {"type": "ein", "value": "841337350"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.02, "providers": [{"billed_charge": 724.0, "npi": [1649241571]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.63, "providers": [{"billed_charge": 0.63, "npi": [1215913470]}]}, {"allowed_amount": 1.01, "providers": [{"billed_charge": 3.38, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 15.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.08, "providers": [{"billed_charge": 3.92, "npi": [1053684555]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 2.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.74, "providers": [{"billed_charge": 0.74, "npi": [1154392231]}]}, {"allowed_amount": 0.75, "providers": [{"billed_charge": 0.75, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.28, "providers": [{"billed_charge": 0.28, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.01, "providers": [{"billed_charge": 1.32, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.87, "providers": [{"billed_charge": 4.75, "npi": [1447393152]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.8, "providers": [{"billed_charge": 87.0, "npi": [1962444059]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.93, "providers": [{"billed_charge": 4.58, "npi": [1457321317]}]}]}, {"tin": {"type": "ein", "value": "956130458"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 3.93, "providers": [{"billed_charge": 11.65, "npi": [1013981554]}]}]}]}, {"name": "Magnesium", "billing_code_type": "CPT", "billing_code": "83735", "billing_code_type_version": "2022", "description": "ASSAY OF MAGNESIUM", "allowed_amounts": [{"tin": {"type": "ein", "value": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.58, "providers": [{"billed_charge": 55.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.36, "providers": [{"billed_charge": 184.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.99, "providers": [{"billed_charge": 360.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.09, "providers": [{"billed_charge": 245.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.04, "providers": [{"billed_charge": 191.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "381405141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.89, "providers": [{"billed_charge": 57.0, "npi": [1295785285]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.72, "providers": [{"billed_charge": 224.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.72, "providers": [{"billed_charge": 368.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "411404075"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.73, "providers": [{"billed_charge": 59.0, "npi": [1164400024]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.93, "providers": [{"billed_charge": 44.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "446005747"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.93, "providers": [{"billed_charge": 119.0, "npi": [1629062799]}]}]}, {"tin": {"type": "ein", "value": "463096009"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 6.93, "providers": [{"billed_charge": 20.1, "npi": [1598106163]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.72, "providers": [{"billed_charge": 230.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.72, "providers": [{"billed_charge": 224.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.32, "providers": [{"billed_charge": 368.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 26.0, "providers": [{"billed_charge": 26.0, "npi": [1912903717]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.21, "providers": [{"billed_charge": 113.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "590724459"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.77, "providers": [{"billed_charge": 157.0, "npi": [1306938071]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 68.86, "providers": [{"billed_charge": 111.81, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.46, "providers": [{"billed_charge": 368.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.09, "providers": [{"billed_charge": 245.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.09, "providers": [{"billed_charge": 230.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.89, "providers": [{"billed_charge": 384.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "742870118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.08, "providers": [{"billed_charge": 456.0, "npi": [1447221742]}]}]}, {"tin": {"type": "ein", "value": "810378200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.08, "providers": [{"billed_charge": 67.0, "npi": [1245222306]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.36, "providers": [{"billed_charge": 158.0, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.46, "providers": [{"billed_charge": 218.07, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.65, "providers": [{"billed_charge": 81.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.72, "providers": [{"billed_charge": 600.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.0, "providers": [{"billed_charge": 18.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.72, "providers": [{"billed_charge": 47.98, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.72, "providers": [{"billed_charge": 265.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.72, "providers": [{"billed_charge": 56.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.32, "providers": [{"billed_charge": 22.32, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "861248931"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.92, "providers": [{"billed_charge": 184.0, "npi": [1699340927]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.72, "providers": [{"billed_charge": 238.67, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "900214335"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.55, "providers": [{"billed_charge": 179.0, "npi": [1194705202]}]}]}, {"tin": {"type": "ein", "value": "900942222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.72, "providers": [{"billed_charge": 146.0, "npi": [1194766543]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.55, "providers": [{"billed_charge": 74.0, "npi": [1356528269]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.72, "providers": [{"billed_charge": 600.0, "npi": [1275366122]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.55, "providers": [{"billed_charge": 80.0, "npi": [1902803315]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 142.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 533.0, "npi": [1073775482, 1033269949]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 233.0, "npi": [1598750747]}, {"billed_charge": 246.0, "npi": [1235124561]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 106.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 382.0, "npi": [1497747497]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 484.89, "providers": [{"billed_charge": 11068.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 142.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 803.0, "npi": [1477688612, 1477998250, 1881865996, 1326035486]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 214.0, "npi": [1760626691]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1297.72, "providers": [{"billed_charge": 3573.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "813600828"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 71.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1457586562]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 627.72, "providers": [{"billed_charge": 1834.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "850214117"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 128.72, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 262.0, "npi": [1376590927]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 76.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 338.0, "npi": [1972866911]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 484.89, "providers": [{"billed_charge": 3917.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 478.0, "npi": [1568514289]}]}]}, {"tin": {"type": "ein", "value": "860661043"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 320.0, "npi": [1518526094]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 143.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 226.0, "npi": [1396949111]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 71.82, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1386806362]}]}, {"allowed_amount": 142.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 275.0, "npi": [1669450128, 1619946563, 1497954317]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 142.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 295.0, "npi": [1548469372, 1114245990]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 219.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 831.0, "npi": [1538324660, 1912167933, 1295996460]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 219.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1245.0, "npi": [1245423045, 1326035486]}]}]}, {"tin": {"type": "ein", "value": "593238640"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 430.0, "npi": [1174615652]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 157.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 477.0, "npi": [1104949874]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1555.26, "providers": [{"billed_charge": 6056.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1555.26, "providers": [{"billed_charge": 5907.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 713.61, "providers": [{"billed_charge": 6708.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 713.61, "providers": [{"billed_charge": 6025.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 235.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 728.0, "npi": [1558892240]}]}]}, {"tin": {"type": "ein", "value": "860661043"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 111.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 493.0, "npi": [1861608770]}]}, {"allowed_amount": 219.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 493.0, "npi": [1306404579, 1902002504, 1467612648, 1518526094, 1235182106]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 111.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 1534.0, "npi": [1275769028, 1215461868]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 235.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 350.0, "npi": [1396949111]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 219.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 425.0, "npi": [1922024306, 1932162518, 1174642839]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 219.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 460.0, "npi": [1285054064]}]}]}]}, {"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": "205252882"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1410.41, "providers": [{"billed_charge": 8614.99, "npi": [1780986356]}]}]}, {"tin": {"type": "ein", "value": "331313844"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 910.0, "providers": [{"billed_charge": 2520.42, "npi": [1841012424]}]}, {"allowed_amount": 985.0, "providers": [{"billed_charge": 2450.96, "npi": [1841012424]}, {"billed_charge": 2474.52, "npi": [1841012424]}, {"billed_charge": 5249.71, "npi": [1841012424]}]}, {"allowed_amount": 1150.0, "providers": [{"billed_charge": 2459.36, "npi": [1841012424]}, {"billed_charge": 4938.46, "npi": [1841012424]}]}, {"allowed_amount": 1970.0, "providers": [{"billed_charge": 4774.44, "npi": [1841012424]}]}, {"allowed_amount": 2135.0, "providers": [{"billed_charge": 4767.24, "npi": [1841012424]}, {"billed_charge": 4908.82, "npi": [1841012424]}]}, {"allowed_amount": 2242.63, "providers": [{"billed_charge": 4766.43, "npi": [1841012424]}]}]}, {"tin": {"type": "ein", "value": "626001445"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 962.0, "providers": [{"billed_charge": 1022.0, "npi": [1194869297]}]}]}, {"tin": {"type": "ein", "value": "752905434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 2856.8, "providers": [{"billed_charge": 22825.69, "npi": [1205882503]}]}]}, {"tin": {"type": "ein", "value": "815276028"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 900.0, "providers": [{"billed_charge": 1900.0, "npi": [1649755893]}]}, {"allowed_amount": 1100.0, "providers": [{"billed_charge": 1900.0, "npi": [1649755893]}]}]}, {"tin": {"type": "ein", "value": "844337864"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 990.0, "providers": [{"billed_charge": 3000.0, "npi": [1760017099]}]}, {"allowed_amount": 2490.0, "providers": [{"billed_charge": 6000.0, "npi": [1760017099]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1456.0, "providers": [{"billed_charge": 2642.89, "npi": [1073576740]}]}, {"allowed_amount": 1550.0, "providers": [{"billed_charge": 2350.0, "npi": [1073576740]}, {"billed_charge": 2927.87, "npi": [1013171263]}, {"billed_charge": 3126.16, "npi": [1013171263]}, {"billed_charge": 3153.07, "npi": [1073576740]}, {"billed_charge": 3204.87, "npi": [1073576740]}, {"billed_charge": 3252.68, "npi": [1073576740]}, {"billed_charge": 3483.25, "npi": [1073576740]}, {"billed_charge": 3489.93, "npi": [1073576740]}, {"billed_charge": 3531.84, "npi": [1073576740]}, {"billed_charge": 3561.09, "npi": [1073576740]}, {"billed_charge": 3566.06, "npi": [1073576740]}, {"billed_charge": 3616.9, "npi": [1073576740]}, {"billed_charge": 3636.43, "npi": [1073576740]}, {"billed_charge": 3667.67, "npi": [1073576740]}, {"billed_charge": 3728.28, "npi": [1073576740]}, {"billed_charge": 3748.45, "npi": [1073576740]}, {"billed_charge": 7758.03, "npi": [1073576740]}]}, {"allowed_amount": 2725.0, "providers": [{"billed_charge": 5598.72, "npi": [1073576740]}, {"billed_charge": 5917.8, "npi": [1073576740]}]}, {"allowed_amount": 2807.63, "providers": [{"billed_charge": 5520.49, "npi": [1073576740]}, {"billed_charge": 6573.36, "npi": [1073576740]}]}, {"allowed_amount": 3100.0, "providers": [{"billed_charge": 5889.13, "npi": [1073576740]}]}, {"allowed_amount": 4097.63, "providers": [{"billed_charge": 9137.55, "npi": [1073576740]}]}]}, {"tin": {"type": "ein", "value": "873847041"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1350.0, "providers": [{"billed_charge": 4700.0, "npi": [1356146385]}]}, {"allowed_amount": 2700.0, "providers": [{"billed_charge": 9400.0, "npi": [1356146385]}]}, {"allowed_amount": 4050.0, "providers": [{"billed_charge": 14100.0, "npi": [1356146385]}]}, {"allowed_amount": 5400.0, "providers": [{"billed_charge": 18800.0, "npi": [1356146385]}]}, {"allowed_amount": 6750.0, "providers": [{"billed_charge": 23500.0, "npi": [1356146385]}]}, {"allowed_amount": 8100.0, "providers": [{"billed_charge": 28200.0, "npi": [1356146385]}]}, {"allowed_amount": 9450.0, "providers": [{"billed_charge": 32900.0, "npi": [1356146385]}]}, {"allowed_amount": 12150.0, "providers": [{"billed_charge": 42300.0, "npi": [1356146385]}]}]}, {"tin": {"type": "ein", "value": "882001666"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1150.0, "providers": [{"billed_charge": 5600.0, "npi": [1902663925, 1518606342]}]}]}, {"tin": {"type": "ein", "value": "920544643"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 939.7, "providers": [{"billed_charge": 5600.0, "npi": [1669289880]}]}]}]}, {"name": "Mental health assessment, by non-physician", "billing_code_type": "CPT", "billing_code": "H0031", "billing_code_type_version": "2022", "description": "Mental health assessment, by non-physician", "allowed_amounts": [{"tin": {"type": "ein", "value": "421528589"}, "billing_class": "professional", "service_codes": ["23", "51", "21"], "payments": [{"allowed_amount": 29.29, "providers": [{"billed_charge": 500.0, "npi": [1912270422]}]}, {"allowed_amount": 224.41, "providers": [{"billed_charge": 500.0, "npi": [1912270422]}]}, {"allowed_amount": 283.6, "providers": [{"billed_charge": 500.0, "npi": [1912270422]}]}, {"allowed_amount": 300.67, "providers": [{"billed_charge": 500.0, "npi": [1912270422]}]}, {"allowed_amount": 356.46, "providers": [{"billed_charge": 500.0, "npi": [1912270422]}]}, {"allowed_amount": 363.59, "providers": [{"billed_charge": 500.0, "npi": [1912270422]}]}]}, {"tin": {"type": "ein", "value": "852815972"}, "billing_class": "professional", "service_codes": ["23", "02"], "payments": [{"allowed_amount": 37.82, "providers": [{"billed_charge": 683.0, "npi": [1811060924, 1376106294, 1134784895]}]}]}, {"tin": {"type": "ein", "value": "870728628"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 69.27, "providers": [{"billed_charge": 319.01, "npi": [1639287667]}]}, {"allowed_amount": 250.24, "providers": [{"billed_charge": 319.01, "npi": [1639287667]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 13.86, "providers": [{"billed_charge": 158.0, "npi": [1669674230]}]}, {"allowed_amount": 41.38, "providers": [{"billed_charge": 158.0, "npi": [1770043267]}]}]}, {"tin": {"type": "ein", "value": "203943524"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 47.01, "providers": [{"billed_charge": 129.0, "npi": [1528289113]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.86, "providers": [{"billed_charge": 103.0, "npi": [1578548442, 1558569533, 1891094637]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.89, "providers": [{"billed_charge": 164.0, "npi": [1053370981]}]}]}, {"tin": {"type": "ein", "value": "274733725"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.38, "providers": [{"billed_charge": 75.0, "npi": [1386173425, 1235417551]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.86, "providers": [{"billed_charge": 125.06, "npi": [1790972396]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 41.38, "providers": [{"billed_charge": 130.0, "npi": [1134178833, 1477998250, 1013170414]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 34.0, "providers": [{"billed_charge": 34.0, "npi": [1104219757]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.8, "providers": [{"billed_charge": 132.0, "npi": [1922060268]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 231.78, "providers": [{"billed_charge": 429.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "811183080"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.38, "providers": [{"billed_charge": 71.0, "npi": [1932100831]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 26.73, "providers": [{"billed_charge": 83.0, "npi": [1265816631]}]}]}, {"tin": {"type": "ein", "value": "860453788"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.38, "providers": [{"billed_charge": 380.0, "npi": [1609040609, 1598924854]}, {"billed_charge": 500.0, "npi": [1972708527]}]}]}, {"tin": {"type": "ein", "value": "860516994"}, "billing_class": "professional", "service_codes": ["24", "22", "21"], "payments": [{"allowed_amount": 12.2, "providers": [{"billed_charge": 25.0, "npi": [1790730604]}]}, {"allowed_amount": 16.77, "providers": [{"billed_charge": 25.0, "npi": [1366491441, 1528367307]}]}, {"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1093783953]}]}]}, {"tin": {"type": "ein", "value": "871299525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 41.38, "providers": [{"billed_charge": 118.0, "npi": [1841729431]}]}]}]}, {"name": "Natriuretic peptide", "billing_code_type": "CPT", "billing_code": "83880", "billing_code_type_version": "2022", "description": "NATRIURETIC PEPTIDE", "allowed_amounts": [{"tin": {"type": "ein", "value": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.19, "providers": [{"billed_charge": 255.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "350013748"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 152.57, "providers": [{"billed_charge": 596.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 152.57, "providers": [{"billed_charge": 596.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "381405141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 74.4, "providers": [{"billed_charge": 102.0, "npi": [1295785285]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.97, "providers": [{"billed_charge": 547.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.75, "providers": [{"billed_charge": 119.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.97, "providers": [{"billed_charge": 497.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.97, "providers": [{"billed_charge": 547.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.72, "providers": [{"billed_charge": 103.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 145.79, "providers": [{"billed_charge": 552.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 152.57, "providers": [{"billed_charge": 596.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.28, "providers": [{"billed_charge": 347.5, "npi": [1982733655]}]}, {"allowed_amount": 152.57, "providers": [{"billed_charge": 497.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "742870118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 213.07, "providers": [{"billed_charge": 913.0, "npi": [1447221742]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 486.17, "providers": [{"billed_charge": 486.17, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 89.27, "providers": [{"billed_charge": 475.0, "npi": [1477531580]}]}, {"allowed_amount": 163.97, "providers": [{"billed_charge": 475.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.97, "providers": [{"billed_charge": 1056.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.97, "providers": [{"billed_charge": 372.49, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.97, "providers": [{"billed_charge": 299.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.97, "providers": [{"billed_charge": 216.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.97, "providers": [{"billed_charge": 486.17, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "900942222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.97, "providers": [{"billed_charge": 387.0, "npi": [1194766543]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.97, "providers": [{"billed_charge": 1056.0, "npi": [1275366122]}]}]}, {"tin": {"type": "ein", "value": "951183919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 265.4, "providers": [{"billed_charge": 863.0, "npi": [1780681189]}]}]}]}, {"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": "208106540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.1, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 11424.0, "npi": [1710763222]}]}, {"allowed_amount": 940.7, "billing_code_modifier": ["QX,P3"], "providers": [{"billed_charge": 1440.0, "npi": [1790148005]}]}, {"allowed_amount": 1213.8, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 2592.0, "npi": [1710763222]}, {"billed_charge": 2688.0, "npi": [1710763222]}, {"billed_charge": 3840.0, "npi": [1053971903]}]}, {"allowed_amount": 1440.0, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 1440.0, "npi": [1669583456]}]}, {"allowed_amount": 2306.22, "billing_code_modifier": ["AD,P3"], "providers": [{"billed_charge": 5952.0, "npi": [1356334619]}]}]}, {"tin": {"type": "ein", "value": "465734331"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 541.45, "billing_code_modifier": ["QX"], "providers": [{"billed_charge": 11424.0, "npi": [1710763222]}]}, {"allowed_amount": 1210.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 1210.0, "npi": [1790337343]}]}, {"allowed_amount": 2310.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2310.0, "npi": [1831143411]}]}, {"allowed_amount": 2420.0, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2420.0, "npi": [1841914355]}]}, {"allowed_amount": 2427.6, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 2530.0, "npi": [1871515270]}, {"billed_charge": 2640.0, "npi": [1528313798]}, {"billed_charge": 2750.0, "npi": [1962200436]}, {"billed_charge": 3740.0, "npi": [1033412440]}, {"billed_charge": 3850.0, "npi": [1548201841]}, {"billed_charge": 4400.0, "npi": [1073553061]}, {"billed_charge": 8470.0, "npi": [1831143411]}]}, {"allowed_amount": 2548.98, "billing_code_modifier": ["QZ,P3"], "providers": [{"billed_charge": 2640.0, "npi": [1922057140]}]}]}, {"tin": {"type": "ein", "value": "472090481"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 2427.6, "billing_code_modifier": ["QZ"], "providers": [{"billed_charge": 14500.0, "npi": [1760907539]}]}]}, {"tin": {"type": "ein", "value": "860768171"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 273.02, "billing_code_modifier": ["QK"], "providers": [{"billed_charge": 3800.0, "npi": [1265774509]}]}]}, {"tin": {"type": "ein", "value": "931919958"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 2635.29, "billing_code_modifier": ["AA,P3"], "providers": [{"billed_charge": 2790.0, "npi": [1356754063]}]}]}]}, {"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": "033705679"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 94.59, "providers": [{"billed_charge": 332.0, "npi": [1649642539]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 53.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 343.0, "npi": [1487765319]}]}, {"allowed_amount": 99.12, "providers": [{"billed_charge": 343.0, "npi": [1710390547]}]}]}, {"tin": {"type": "ein", "value": "203943524"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 115.26, "providers": [{"billed_charge": 211.0, "npi": [1033452644]}]}]}, {"tin": {"type": "ein", "value": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 91.5, "providers": [{"billed_charge": 91.5, "npi": [1104980663]}]}, {"allowed_amount": 129.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 179.0, "npi": [1144252842]}]}, {"allowed_amount": 153.15, "providers": [{"billed_charge": 179.0, "npi": [1902034648]}]}, {"allowed_amount": 161.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 179.0, "npi": [1104980663]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["19", "22"], "payments": [{"allowed_amount": 99.12, "providers": [{"billed_charge": 173.0, "npi": [1144541426]}]}, {"allowed_amount": 102.24, "providers": [{"billed_charge": 173.0, "npi": [1568952141]}]}, {"allowed_amount": 107.63, "providers": [{"billed_charge": 173.0, "npi": [1730863192]}]}, {"allowed_amount": 108.29, "providers": [{"billed_charge": 173.0, "npi": [1245999697, 1619526407]}]}]}, {"tin": {"type": "ein", "value": "215731283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 145.0, "providers": [{"billed_charge": 145.0, "npi": [1720127715]}]}]}, {"tin": {"type": "ein", "value": "270661062"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 49.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 218.0, "npi": [1922016682]}]}]}, {"tin": {"type": "ein", "value": "271119304"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 129.04, "providers": [{"billed_charge": 335.0, "npi": [1740821024]}]}]}, {"tin": {"type": "ein", "value": "272872791"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 192.08, "providers": [{"billed_charge": 300.0, "npi": [1730491945]}]}]}, {"tin": {"type": "ein", "value": "334657094"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 102.24, "providers": [{"billed_charge": 5000.0, "npi": [1417356130, 1306406988]}]}]}, {"tin": {"type": "ein", "value": "421198970"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 177.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 217.0, "npi": [1992765002]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 177.47, "providers": [{"billed_charge": 401.0, "npi": [1760851489]}]}]}, {"tin": {"type": "ein", "value": "454611100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 74.69, "providers": [{"billed_charge": 188.16, "npi": [1902355530]}]}, {"allowed_amount": 153.15, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 188.16, "npi": [1083343495, 1861156234, 1376669739, 1528213840, 1821839952, 1295450419, 1205821493]}]}]}, {"tin": {"type": "ein", "value": "461236453"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 129.58, "providers": [{"billed_charge": 380.0, "npi": [1487234977]}]}, {"allowed_amount": 153.15, "providers": [{"billed_charge": 380.0, "npi": [1588322770]}]}, {"allowed_amount": 156.47, "providers": [{"billed_charge": 380.0, "npi": [1851884134]}]}, {"allowed_amount": 165.21, "providers": [{"billed_charge": 380.0, "npi": [1942568597]}]}]}, {"tin": {"type": "ein", "value": "473419336"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 99.12, "providers": [{"billed_charge": 433.0, "npi": [1467750851]}]}]}, {"tin": {"type": "ein", "value": "474850055"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 76.58, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 559.94, "npi": [1801265632]}]}]}, {"tin": {"type": "ein", "value": "550843582"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 74.69, "providers": [{"billed_charge": 220.0, "npi": [1871981951]}]}]}, {"tin": {"type": "ein", "value": "581910859"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 37.5, "providers": [{"billed_charge": 37.5, "npi": [1881626489]}]}]}, {"tin": {"type": "ein", "value": "650913389"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 120.51, "providers": [{"billed_charge": 786.0, "npi": [1437513595]}]}]}, {"tin": {"type": "ein", "value": "800348943"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.15, "providers": [{"billed_charge": 222.0, "npi": [1154315885]}]}]}, {"tin": {"type": "ein", "value": "810378200"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 142.0, "providers": [{"billed_charge": 142.0, "npi": [1699592345]}]}]}, {"tin": {"type": "ein", "value": "810977948"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 181.15, "providers": [{"billed_charge": 441.0, "npi": [1619797503]}]}]}, {"tin": {"type": "ein", "value": "843016310"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 99.12, "providers": [{"billed_charge": 345.0, "npi": [1336639699]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 153.15, "providers": [{"billed_charge": 222.0, "npi": [1558885327]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 644.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 644.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 99.12, "providers": [{"billed_charge": 346.89, "npi": [1467879627]}]}]}, {"tin": {"type": "ein", "value": "860724578"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 54.48, "providers": [{"billed_charge": 173.0, "npi": [1962437772]}]}]}, {"tin": {"type": "ein", "value": "860767298"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 120.51, "providers": [{"billed_charge": 155.0, "npi": [1366633620]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 156.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 603.0, "npi": [1366633182]}]}]}, {"tin": {"type": "ein", "value": "901133689"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 247.82, "providers": [{"billed_charge": 338.0, "npi": [1609229764]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 74.69, "providers": [{"billed_charge": 335.0, "npi": [1679680045, 1215778063, 1275874927, 1477247633, 1225068562, 1306735089, 1952632598, 1679038749, 1144049727]}]}, {"allowed_amount": 105.0, "providers": [{"billed_charge": 335.0, "npi": [1114443587]}]}, {"allowed_amount": 132.25, "providers": [{"billed_charge": 335.0, "npi": [1225167331, 1114443587, 1477245868, 1073918637, 1972847598, 1700398898, 1801602263, 1912158551]}]}, {"allowed_amount": 155.15, "providers": [{"billed_charge": 335.0, "npi": [1952632598]}]}, {"allowed_amount": 175.0, "providers": [{"billed_charge": 335.0, "npi": [1629191705, 1477245868]}]}]}, {"tin": {"type": "ein", "value": "942540194"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 153.15, "providers": [{"billed_charge": 337.0, "npi": [1699197046]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 156.47, "providers": [{"billed_charge": 273.0, "npi": [1821192436]}]}]}]}, {"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": 161.2, "providers": [{"billed_charge": 520.0, "npi": [1033195474]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 173.48, "providers": [{"billed_charge": 490.0, "npi": [1306136155, 1326020603, 1861756397, 1225010598]}]}]}, {"tin": {"type": "ein", "value": "201778316"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 158.76, "providers": [{"billed_charge": 413.23, "npi": [1679928436, 1295272334]}]}]}, {"tin": {"type": "ein", "value": "202109091"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 155.76, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 524.0, "npi": [1205586799]}]}]}, {"tin": {"type": "ein", "value": "203943524"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 171.31, "providers": [{"billed_charge": 362.0, "npi": [1649277666]}]}]}, {"tin": {"type": "ein", "value": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 91.5, "providers": [{"billed_charge": 91.5, "npi": [1407873110]}]}, {"allowed_amount": 194.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 219.0, "npi": [1144252842]}]}, {"allowed_amount": 219.0, "providers": [{"billed_charge": 219.0, "npi": [1407873110]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 191.55, "providers": [{"billed_charge": 279.0, "npi": [1568087955]}]}]}, {"tin": {"type": "ein", "value": "232380812"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 251.91, "providers": [{"billed_charge": 350.0, "npi": [1174638282]}]}]}, {"tin": {"type": "ein", "value": "260152289"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 155.76, "providers": [{"billed_charge": 481.0, "npi": [1730718214]}]}]}, {"tin": {"type": "ein", "value": "260446753"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 155.76, "providers": [{"billed_charge": 372.0, "npi": [1023363009]}]}]}, {"tin": {"type": "ein", "value": "270886268"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 227.57, "providers": [{"billed_charge": 443.18, "npi": [1609821685]}]}]}, {"tin": {"type": "ein", "value": "272973102"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 433.0, "providers": [{"billed_charge": 433.0, "npi": [1366168031]}]}]}, {"tin": {"type": "ein", "value": "300757230"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 195.28, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 656.48, "npi": [1992791099]}]}]}, {"tin": {"type": "ein", "value": "384007312"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 213.14, "providers": [{"billed_charge": 502.0, "npi": [1851844104]}]}]}, {"tin": {"type": "ein", "value": "392605405"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 158.76, "providers": [{"billed_charge": 928.0, "npi": [1184850885]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 266.93, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 617.0, "npi": [1912419565]}]}]}, {"tin": {"type": "ein", "value": "453216530"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 195.28, "providers": [{"billed_charge": 367.0, "npi": [1518463645]}]}]}, {"tin": {"type": "ein", "value": "454298417"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 575.0, "providers": [{"billed_charge": 575.0, "npi": [1285416123]}]}]}, {"tin": {"type": "ein", "value": "454536742"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 243.03, "providers": [{"billed_charge": 350.0, "npi": [1720420557]}]}]}, {"tin": {"type": "ein", "value": "454611100"}, "billing_class": "professional", "service_codes": ["10", "20"], "payments": [{"allowed_amount": 243.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 286.16, "npi": [1366313124, 1083343495, 1962860999, 1376669739, 1992441836, 1821839952, 1841883410, 1609489590]}]}]}, {"tin": {"type": "ein", "value": "454936883"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 155.76, "providers": [{"billed_charge": 331.0, "npi": [1669442398]}]}]}, {"tin": {"type": "ein", "value": "461236453"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 243.03, "providers": [{"billed_charge": 580.0, "npi": [1740572403]}]}]}, {"tin": {"type": "ein", "value": "461503904"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 365.0, "providers": [{"billed_charge": 365.0, "npi": [1821338260, 1942245972]}]}]}, {"tin": {"type": "ein", "value": "465408707"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 243.03, "providers": [{"billed_charge": 661.0, "npi": [1972121036]}]}]}, {"tin": {"type": "ein", "value": "475590654"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 207.63, "providers": [{"billed_charge": 585.0, "npi": [1295093540]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 260.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 275.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 158.76, "providers": [{"billed_charge": 530.0, "npi": [1487693248]}]}]}, {"tin": {"type": "ein", "value": "752510007"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 169.38, "providers": [{"billed_charge": 503.0, "npi": [1770048704]}]}]}, {"tin": {"type": "ein", "value": "823172039"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 243.03, "providers": [{"billed_charge": 260.0, "npi": [1790150738, 1396069357]}]}]}, {"tin": {"type": "ein", "value": "831518198"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 570.0, "providers": [{"billed_charge": 570.0, "npi": [1316656416]}]}]}, {"tin": {"type": "ein", "value": "832897415"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 243.03, "providers": [{"billed_charge": 428.0, "npi": [1588923049]}]}]}, {"tin": {"type": "ein", "value": "833358423"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 191.55, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 325.0, "npi": [1861237414]}, {"billed_charge": 412.23, "npi": [1861237414]}]}]}, {"tin": {"type": "ein", "value": "833408278"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 243.03, "providers": [{"billed_charge": 350.0, "npi": [1265723985]}]}]}, {"tin": {"type": "ein", "value": "842360009"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 193.15, "providers": [{"billed_charge": 666.0, "npi": [1336111616]}]}, {"allowed_amount": 193.72, "providers": [{"billed_charge": 666.0, "npi": [1427439801]}]}]}, {"tin": {"type": "ein", "value": "843016310"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 155.76, "providers": [{"billed_charge": 521.0, "npi": [1760846570]}]}, {"allowed_amount": 158.76, "providers": [{"billed_charge": 490.56, "npi": [1124009352]}, {"billed_charge": 521.0, "npi": [1548751738, 1225491558]}]}]}, {"tin": {"type": "ein", "value": "854046682"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 300.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1073023594]}]}]}, {"tin": {"type": "ein", "value": "860711625"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 191.55, "providers": [{"billed_charge": 323.0, "npi": [1902251903]}]}]}, {"tin": {"type": "ein", "value": "860770482"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 155.76, "providers": [{"billed_charge": 328.0, "npi": [1316926579]}]}]}, {"tin": {"type": "ein", "value": "866007596"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 98.62, "providers": [{"billed_charge": 196.0, "npi": [1346340551]}]}]}, {"tin": {"type": "ein", "value": "871623456"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 350.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1629532387]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 155.76, "providers": [{"billed_charge": 327.48, "npi": [1417342569, 1043248834, 1427015239]}]}]}, {"tin": {"type": "ein", "value": "911491167"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 571.0, "providers": [{"billed_charge": 571.0, "npi": [1992401368]}]}]}, {"tin": {"type": "ein", "value": "921098621"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 300.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1962072363]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 132.25, "providers": [{"billed_charge": 430.0, "npi": [1003974189, 1447437942]}]}, {"allowed_amount": 174.98, "providers": [{"billed_charge": 430.0, "npi": [1144049727]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 243.03, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 408.0, "npi": [1639490576, 1003849019]}]}]}]}, {"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": "200401808"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 74.31, "providers": [{"billed_charge": 100.0, "npi": [1629010202]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 74.14, "providers": [{"billed_charge": 272.0, "npi": [1225266034]}]}, {"allowed_amount": 74.31, "providers": [{"billed_charge": 272.0, "npi": [1164712501]}]}]}, {"tin": {"type": "ein", "value": "203023758"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 105.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 175.0, "npi": [1407834385]}]}]}, {"tin": {"type": "ein", "value": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 63.6, "providers": [{"billed_charge": 144.0, "npi": [1144252842]}]}, {"allowed_amount": 91.5, "providers": [{"billed_charge": 91.5, "npi": [1902034648, 1144252842]}]}, {"allowed_amount": 103.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 144.0, "npi": [1144252842]}]}, {"allowed_amount": 109.7, "providers": [{"billed_charge": 144.0, "npi": [1902034648]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 72.37, "providers": [{"billed_charge": 138.0, "npi": [1730863192]}]}, {"allowed_amount": 75.89, "providers": [{"billed_charge": 138.0, "npi": [1245999697, 1215752589]}]}]}, {"tin": {"type": "ein", "value": "215731283"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 105.13, "providers": [{"billed_charge": 135.0, "npi": [1720127715]}]}]}, {"tin": {"type": "ein", "value": "260446753"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 36.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 163.0, "npi": [1023363009]}]}]}, {"tin": {"type": "ein", "value": "262420730"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 64.2, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 64.2, "npi": [1518727114, 1497713226, 1104889294, 1649611294]}]}]}, {"tin": {"type": "ein", "value": "262944556"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 72.37, "providers": [{"billed_charge": 184.0, "npi": [1659372183]}]}, {"allowed_amount": 109.7, "providers": [{"billed_charge": 184.0, "npi": [1669076907]}]}]}, {"tin": {"type": "ein", "value": "263652098"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 94.41, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 125.0, "npi": [1932189248]}]}]}, {"tin": {"type": "ein", "value": "272872791"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 109.48, "providers": [{"billed_charge": 300.0, "npi": [1730491945]}]}]}, {"tin": {"type": "ein", "value": "273962255"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 130.69, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 190.0, "npi": [1871632901]}]}]}, {"tin": {"type": "ein", "value": "300757230"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 96.53, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 357.12, "npi": [1831361146]}]}]}, {"tin": {"type": "ein", "value": "454298417"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 275.0, "providers": [{"billed_charge": 275.0, "npi": [1396319463]}]}]}, {"tin": {"type": "ein", "value": "454611100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 109.7, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 149.17, "npi": [1366313124, 1861156234, 1528213840, 1205821493, 1568025054]}]}]}, {"tin": {"type": "ein", "value": "455538894"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 314.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 314.0, "npi": [1992170567]}]}]}, {"tin": {"type": "ein", "value": "461236453"}, "billing_class": "professional", "service_codes": ["22", "20"], "payments": [{"allowed_amount": 43.81, "providers": [{"billed_charge": 138.0, "npi": [1912688532]}]}, {"allowed_amount": 103.19, "providers": [{"billed_charge": 390.0, "npi": [1699411074]}]}, {"allowed_amount": 105.13, "providers": [{"billed_charge": 390.0, "npi": [1841819877]}]}, {"allowed_amount": 109.7, "providers": [{"billed_charge": 390.0, "npi": [1942789367]}]}, {"allowed_amount": 113.41, "providers": [{"billed_charge": 390.0, "npi": [1942568597, 1508190133]}]}]}, {"tin": {"type": "ein", "value": "463370553"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 124.83, "providers": [{"billed_charge": 130.0, "npi": [1548692890]}]}]}, {"tin": {"type": "ein", "value": "471182549"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 86.16, "providers": [{"billed_charge": 196.0, "npi": [1639989254]}]}]}, {"tin": {"type": "ein", "value": "472936650"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 132.25, "providers": [{"billed_charge": 276.0, "npi": [1922821362]}]}]}, {"tin": {"type": "ein", "value": "475620980"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1104567890]}]}]}, {"tin": {"type": "ein", "value": "475652795"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 96.17, "providers": [{"billed_charge": 127.0, "npi": [1003579103]}]}]}, {"tin": {"type": "ein", "value": "581910859"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 37.5, "providers": [{"billed_charge": 37.5, "npi": [1881626489]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.56, "providers": [{"billed_charge": 440.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 43.81, "providers": [{"billed_charge": 207.0, "npi": [1376695445]}]}, {"allowed_amount": 74.31, "providers": [{"billed_charge": 207.0, "npi": [1215010400, 1730117060]}]}]}, {"tin": {"type": "ein", "value": "800348943"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 109.7, "providers": [{"billed_charge": 180.0, "npi": [1093974552]}]}]}, {"tin": {"type": "ein", "value": "810977948"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 131.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 279.0, "npi": [1376197665]}]}]}, {"tin": {"type": "ein", "value": "812838296"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 116.58, "providers": [{"billed_charge": 241.0, "npi": [1255221677]}]}]}, {"tin": {"type": "ein", "value": "823172039"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 109.7, "providers": [{"billed_charge": 116.0, "npi": [1790150738]}]}]}, {"tin": {"type": "ein", "value": "831377004"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 93.02, "providers": [{"billed_charge": 279.0, "npi": [1194158998]}]}]}, {"tin": {"type": "ein", "value": "832403488"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 109.7, "providers": [{"billed_charge": 286.41, "npi": [1003625997]}]}]}, {"tin": {"type": "ein", "value": "843016310"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 54.99, "providers": [{"billed_charge": 198.0, "npi": [1609052430]}]}, {"allowed_amount": 62.9, "providers": [{"billed_charge": 280.0, "npi": [1336363290]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 111.26, "providers": [{"billed_charge": 165.0, "npi": [1326604851]}]}]}, {"tin": {"type": "ein", "value": "850928319"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 93.02, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1851783336]}]}, {"allowed_amount": 111.26, "providers": [{"billed_charge": 350.0, "npi": [1407687478]}]}, {"allowed_amount": 134.18, "providers": [{"billed_charge": 350.0, "npi": [1356331854]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 111.62, "providers": [{"billed_charge": 500.0, "npi": [1720009590]}]}, {"allowed_amount": 112.22, "providers": [{"billed_charge": 500.0, "npi": [1750387254]}]}, {"allowed_amount": 148.63, "providers": [{"billed_charge": 500.0, "npi": [1457339004]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 50.0, "npi": [1841282852]}]}, {"allowed_amount": 175.56, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 644.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 35.43, "providers": [{"billed_charge": 644.0, "npi": [1992400303]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 48.27, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 272.13, "npi": [1174561765]}]}, {"allowed_amount": 64.41, "providers": [{"billed_charge": 272.13, "npi": [1093704751]}]}, {"allowed_amount": 74.31, "providers": [{"billed_charge": 272.13, "npi": [1467418756, 1326139924]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 105.13, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 330.0, "npi": [1164463907]}]}]}, {"tin": {"type": "ein", "value": "934220290"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 77.2, "providers": [{"billed_charge": 77.2, "npi": [1861216632]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 60.84, "providers": [{"billed_charge": 330.0, "npi": [1942671425, 1396343430, 1528833449, 1376376905, 1679680045, 1861419566, 1306735089, 1972572147, 1730712373, 1427500214, 1730927351, 1952632598, 1447437942, 1093972309, 1770344061]}]}, {"allowed_amount": 105.0, "providers": [{"billed_charge": 330.0, "npi": [1477245868, 1104781236]}]}, {"allowed_amount": 132.25, "providers": [{"billed_charge": 330.0, "npi": [1073150496, 1942671425, 1396343430, 1437462728, 1477245868, 1831246669, 1336726447, 1487983920, 1104781236, 1972857977, 1770344061]}]}, {"allowed_amount": 175.0, "providers": [{"billed_charge": 330.0, "npi": [1376141184, 1639824642, 1053289702, 1144088618, 1306165485, 1730712373, 1740032309, 1730927351, 1457037624, 1376033308]}]}]}, {"tin": {"type": "ein", "value": "941196203"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.99, "providers": [{"billed_charge": 440.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "991673059"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 75.89, "providers": [{"billed_charge": 233.13, "npi": [1982140372, 1003625997]}]}]}]}, {"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": "061768964"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 114.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 161.85, "npi": [1518931690]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["22", "11"], "payments": [{"allowed_amount": 114.61, "providers": [{"billed_charge": 383.0, "npi": [1619058260]}]}, {"allowed_amount": 126.51, "providers": [{"billed_charge": 383.0, "npi": [1326020603]}]}, {"allowed_amount": 248.95, "providers": [{"billed_charge": 383.0, "npi": [1619058260]}]}]}, {"tin": {"type": "ein", "value": "201778316"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 160.75, "providers": [{"billed_charge": 318.98, "npi": [1528695608, 1154999571]}]}]}, {"tin": {"type": "ein", "value": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1144252842]}]}, {"allowed_amount": 91.35, "providers": [{"billed_charge": 178.0, "npi": [1144252842]}]}, {"allowed_amount": 91.5, "providers": [{"billed_charge": 91.5, "npi": [1144252842]}]}, {"allowed_amount": 95.35, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 178.0, "npi": [1144252842]}]}, {"allowed_amount": 145.26, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 178.0, "npi": [1144252842]}]}, {"allowed_amount": 160.75, "providers": [{"billed_charge": 178.0, "npi": [1407873110]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 45.0, "providers": [{"billed_charge": 204.0, "npi": [1568087955]}]}]}, {"tin": {"type": "ein", "value": "262420730"}, "billing_class": "professional", "service_codes": ["50"], "payments": [{"allowed_amount": 90.55, "providers": [{"billed_charge": 90.55, "npi": [1457462202, 1104889294]}]}]}, {"tin": {"type": "ein", "value": "263080666"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 103.85, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 215.38, "npi": [1538372628]}]}]}, {"tin": {"type": "ein", "value": "263160729"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 152.26, "providers": [{"billed_charge": 350.0, "npi": [1306535976]}]}]}, {"tin": {"type": "ein", "value": "300996462"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 160.75, "providers": [{"billed_charge": 377.24, "npi": [1285010827]}]}]}, {"tin": {"type": "ein", "value": "332808840"}, "billing_class": "professional", "service_codes": ["10"], "payments": [{"allowed_amount": 110.0, "providers": [{"billed_charge": 110.0, "npi": [1184335085]}]}]}, {"tin": {"type": "ein", "value": "383773250"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 158.03, "providers": [{"billed_charge": 160.0, "npi": [1992760821]}]}]}, {"tin": {"type": "ein", "value": "392605405"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 97.02, "providers": [{"billed_charge": 864.0, "npi": [1306042403]}]}]}, {"tin": {"type": "ein", "value": "426004813"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 205.07, "providers": [{"billed_charge": 403.0, "npi": [1679889661]}]}]}, {"tin": {"type": "ein", "value": "453216530"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 114.61, "providers": [{"billed_charge": 219.0, "npi": [1346444015]}]}]}, {"tin": {"type": "ein", "value": "454298417"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 415.0, "providers": [{"billed_charge": 415.0, "npi": [1891422283, 1972137446]}]}]}, {"tin": {"type": "ein", "value": "454611100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 189.28, "npi": [1366313124, 1083343495, 1861156234, 1992441836, 1821839952, 1841883410, 1205821493, 1609489590]}]}]}, {"tin": {"type": "ein", "value": "461236453"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 185.96, "providers": [{"billed_charge": 385.0, "npi": [1942568597]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 85.81, "providers": [{"billed_charge": 318.98, "npi": [1952956260]}]}]}, {"tin": {"type": "ein", "value": "463164188"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 116.29, "providers": [{"billed_charge": 334.0, "npi": [1164192738]}]}, {"allowed_amount": 159.27, "providers": [{"billed_charge": 334.0, "npi": [1134546575]}]}]}, {"tin": {"type": "ein", "value": "472097678"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 77.23, "providers": [{"billed_charge": 136.56, "npi": [1649836750]}]}]}, {"tin": {"type": "ein", "value": "474189075"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1871981951]}]}]}, {"tin": {"type": "ein", "value": "814984542"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 114.61, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 408.0, "npi": [1083663306]}]}]}, {"tin": {"type": "ein", "value": "820733301"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1538374939]}]}]}, {"tin": {"type": "ein", "value": "823172039"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.75, "providers": [{"billed_charge": 171.0, "npi": [1790150738, 1396069357]}]}]}, {"tin": {"type": "ein", "value": "833358423"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 104.4, "providers": [{"billed_charge": 316.0, "npi": [1235343120]}]}]}, {"tin": {"type": "ein", "value": "843016310"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 73.09, "providers": [{"billed_charge": 399.0, "npi": [1598314247]}]}, {"allowed_amount": 117.05, "providers": [{"billed_charge": 291.0, "npi": [1598314247]}, {"billed_charge": 399.0, "npi": [1598314247]}]}]}, {"tin": {"type": "ein", "value": "843393469"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 103.85, "providers": [{"billed_charge": 268.83, "npi": [1023306933]}]}, {"allowed_amount": 117.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 268.83, "npi": [1679250393]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.75, "providers": [{"billed_charge": 219.0, "npi": [1033614383]}]}]}, {"tin": {"type": "ein", "value": "850928319"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 81.05, "providers": [{"billed_charge": 392.0, "npi": [1215786819]}]}]}, {"tin": {"type": "ein", "value": "856003005"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 219.0, "npi": [1386117141]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 103.85, "providers": [{"billed_charge": 371.88, "npi": [1184820664]}]}, {"allowed_amount": 109.15, "providers": [{"billed_charge": 371.88, "npi": [1528174893]}]}, {"allowed_amount": 114.61, "providers": [{"billed_charge": 371.88, "npi": [1467615971, 1326139924]}]}, {"allowed_amount": 117.05, "providers": [{"billed_charge": 371.88, "npi": [1114933876, 1215305933]}]}]}, {"tin": {"type": "ein", "value": "860453788"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 117.62, "providers": [{"billed_charge": 970.0, "npi": [1730176389]}]}]}, {"tin": {"type": "ein", "value": "860633950"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 103.85, "providers": [{"billed_charge": 233.0, "npi": [1063675288, 1003293697, 1437147477]}]}]}, {"tin": {"type": "ein", "value": "860902442"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 133.23, "providers": [{"billed_charge": 305.0, "npi": [1871708255]}]}]}, {"tin": {"type": "ein", "value": "861498246"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 160.75, "providers": [{"billed_charge": 371.79, "npi": [1316710809, 1851842447]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 103.85, "providers": [{"billed_charge": 239.7, "npi": [1043248834, 1427015239]}]}, {"allowed_amount": 114.61, "providers": [{"billed_charge": 239.7, "npi": [1598327025]}]}]}, {"tin": {"type": "ein", "value": "921098621"}, "billing_class": "professional", "service_codes": ["11", "10"], "payments": [{"allowed_amount": 275.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 300.0, "npi": [1114762424, 1467061762, 1962072363]}]}]}, {"tin": {"type": "ein", "value": "922752452"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 160.75, "providers": [{"billed_charge": 289.0, "npi": [1891171955]}]}]}, {"tin": {"type": "ein", "value": "934220290"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 109.17, "npi": [1174916472]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 85.81, "providers": [{"billed_charge": 350.0, "npi": [1093709321, 1003974189]}]}, {"allowed_amount": 105.0, "providers": [{"billed_charge": 350.0, "npi": [1851827901]}]}, {"allowed_amount": 132.25, "providers": [{"billed_charge": 350.0, "npi": [1851180673, 1417258914, 1942671425, 1003974189, 1104781236, 1447437942, 1801602263, 1427522556, 1851827901]}]}, {"allowed_amount": 136.52, "providers": [{"billed_charge": 350.0, "npi": [1730712373]}]}, {"allowed_amount": 175.0, "providers": [{"billed_charge": 350.0, "npi": [1487114054, 1659495950, 1306171319, 1801602263, 1346575420]}]}]}, {"tin": {"type": "ein", "value": "990326099"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 329.0, "providers": [{"billed_charge": 329.0, "npi": [1811303605]}]}]}, {"tin": {"type": "ein", "value": "994867562"}, "billing_class": "professional", "service_codes": ["02"], "payments": [{"allowed_amount": 85.81, "providers": [{"billed_charge": 128.0, "npi": [1760945752]}]}]}]}, {"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": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.0, "providers": [{"billed_charge": 44.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 20.92, "providers": [{"billed_charge": 170.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.52, "providers": [{"billed_charge": 213.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "381405141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.27, "providers": [{"billed_charge": 21.0, "npi": [1295785285]}]}]}, {"tin": {"type": "ein", "value": "463096009"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 4.9, "providers": [{"billed_charge": 14.22, "npi": [1598106163]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.23, "providers": [{"billed_charge": 164.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.23, "providers": [{"billed_charge": 74.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.65, "providers": [{"billed_charge": 225.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.91, "providers": [{"billed_charge": 225.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.52, "providers": [{"billed_charge": 213.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 21.52, "providers": [{"billed_charge": 164.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.7, "providers": [{"billed_charge": 513.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.98, "providers": [{"billed_charge": 78.87, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.23, "providers": [{"billed_charge": 292.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.23, "providers": [{"billed_charge": 238.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "861248931"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.03, "providers": [{"billed_charge": 125.0, "npi": [1699340927]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.23, "providers": [{"billed_charge": 78.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.12, "providers": [{"billed_charge": 70.0, "npi": [1902803315]}]}]}]}, {"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": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.03, "providers": [{"billed_charge": 0.03, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.09, "providers": [{"billed_charge": 4.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.09, "providers": [{"billed_charge": 0.2, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.09, "providers": [{"billed_charge": 4.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.05, "providers": [{"billed_charge": 0.08, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.03, "providers": [{"billed_charge": 0.08, "npi": [1700910189]}, {"billed_charge": 0.2, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.01, "providers": [{"billed_charge": 0.01, "npi": [1609408665, 1265065445]}]}, {"allowed_amount": 0.03, "providers": [{"billed_charge": 0.08, "npi": [1982733655]}, {"billed_charge": 0.2, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "832351753"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.05, "providers": [{"billed_charge": 0.17, "npi": [1801366711]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.09, "providers": [{"billed_charge": 0.17, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.03, "providers": [{"billed_charge": 0.03, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 0.05, "providers": [{"billed_charge": 0.13, "npi": [1356528269]}]}]}]}, {"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": "271467022"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 250.94, "providers": [{"billed_charge": 4.8, "npi": [1932543428]}]}, {"allowed_amount": 350.09, "providers": [{"billed_charge": 5.9, "npi": [1932543428]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.4, "providers": [{"billed_charge": 1.4, "npi": [1356818496]}]}, {"allowed_amount": 1.79, "providers": [{"billed_charge": 6.24, "npi": [1356818496]}, {"billed_charge": 6.49, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.79, "providers": [{"billed_charge": 10.0, "npi": [1518539048]}, {"billed_charge": 24.32, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860957500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.99, "providers": [{"billed_charge": 5.6, "npi": [1841224870]}]}, {"allowed_amount": 104.69, "providers": [{"billed_charge": 4.4, "npi": [1154355188]}]}, {"allowed_amount": 325.52, "providers": [{"billed_charge": 4.3, "npi": [1841224870]}]}, {"allowed_amount": 458.7, "providers": [{"billed_charge": 6.1, "npi": [1841224870]}]}, {"allowed_amount": 486.96, "providers": [{"billed_charge": 6.5, "npi": [1841224870]}]}, {"allowed_amount": 762.36, "providers": [{"billed_charge": 7.6, "npi": [1154355188]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.79, "providers": [{"billed_charge": 5.3, "npi": [1881352037]}, {"billed_charge": 5.8, "npi": [1881352037]}, {"billed_charge": 10.21, "npi": [1881352037]}, {"billed_charge": 13.51, "npi": [1881352037]}, {"billed_charge": 15.0, "npi": [1881352037]}, {"billed_charge": 32.75, "npi": [1881352037]}, {"billed_charge": 48.22, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "884230887"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.79, "providers": [{"billed_charge": 22.72, "npi": [1396452108]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1.79, "providers": [{"billed_charge": 8.4, "npi": [1275366122]}, {"billed_charge": 16.8, "npi": [1275366122]}]}]}]}, {"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": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 228.13, "providers": [{"billed_charge": 480.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 9.12, "providers": [{"billed_charge": 38.5, "npi": [1144252842]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.12, "providers": [{"billed_charge": 948.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.13, "providers": [{"billed_charge": 371.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.13, "providers": [{"billed_charge": 864.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.13, "providers": [{"billed_charge": 371.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 37.0, "providers": [{"billed_charge": 37.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "590872594"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.63, "providers": [{"billed_charge": 297.0, "npi": [1982688230]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 129.47, "providers": [{"billed_charge": 984.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.12, "providers": [{"billed_charge": 379.0, "npi": [1700910189]}, {"billed_charge": 948.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.12, "providers": [{"billed_charge": 864.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 573.0, "providers": [{"billed_charge": 573.0, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.78, "providers": [{"billed_charge": 297.71, "npi": [1609496397]}]}, {"allowed_amount": 139.12, "providers": [{"billed_charge": 297.71, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.13, "providers": [{"billed_charge": 800.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.13, "providers": [{"billed_charge": 53.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.13, "providers": [{"billed_charge": 547.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.13, "providers": [{"billed_charge": 461.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 39.13, "providers": [{"billed_charge": 42.98, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 78.4, "providers": [{"billed_charge": 56.0, "npi": [1972572147]}]}]}]}, {"name": "Prothrombin time;", "billing_code_type": "CPT", "billing_code": "85610", "billing_code_type_version": "2022", "description": "PROTHROMBIN TIME", "allowed_amounts": [{"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.27, "providers": [{"billed_charge": 36.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.03, "providers": [{"billed_charge": 166.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.55, "providers": [{"billed_charge": 75.0, "npi": [1447368071]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.08, "providers": [{"billed_charge": 196.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.08, "providers": [{"billed_charge": 277.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.36, "providers": [{"billed_charge": 38.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.08, "providers": [{"billed_charge": 170.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.08, "providers": [{"billed_charge": 196.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.05, "providers": [{"billed_charge": 17.05, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "590724459"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.84, "providers": [{"billed_charge": 301.0, "npi": [1306938071]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.61, "providers": [{"billed_charge": 65.27, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "626002166"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.65, "providers": [{"billed_charge": 58.0, "npi": [1275531956]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.03, "providers": [{"billed_charge": 166.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.03, "providers": [{"billed_charge": 170.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 77.6, "providers": [{"billed_charge": 507.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.04, "providers": [{"billed_charge": 47.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "841337350"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.32, "providers": [{"billed_charge": 56.0, "npi": [1649241571]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.08, "providers": [{"billed_charge": 934.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.03, "providers": [{"billed_charge": 127.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.08, "providers": [{"billed_charge": 79.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.08, "providers": [{"billed_charge": 123.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860334996"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.08, "providers": [{"billed_charge": 67.0, "npi": [1518968767]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.08, "providers": [{"billed_charge": 85.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.0, "providers": [{"billed_charge": 33.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.08, "providers": [{"billed_charge": 116.97, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "871142127"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.11, "providers": [{"billed_charge": 126.0, "npi": [1073183141]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.04, "providers": [{"billed_charge": 492.0, "npi": [1447393152]}]}]}, {"tin": {"type": "ein", "value": "900942222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.08, "providers": [{"billed_charge": 103.0, "npi": [1194766543]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.08, "providers": [{"billed_charge": 934.0, "npi": [1275366122]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.96, "providers": [{"billed_charge": 110.0, "npi": [1902803315]}]}]}]}, {"name": "Psychiatric diagnostic evaluation with medical services", "billing_code_type": "CPT", "billing_code": "90792", "billing_code_type_version": "2022", "description": "PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES", "allowed_amounts": [{"tin": {"type": "ein", "value": "271239632"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 335.0, "providers": [{"billed_charge": 335.0, "npi": [1578142840]}]}]}, {"tin": {"type": "ein", "value": "461422609"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 121.67, "providers": [{"billed_charge": 300.0, "npi": [1831702513]}]}]}, {"tin": {"type": "ein", "value": "464207180"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 241.0, "providers": [{"billed_charge": 241.0, "npi": [1285079632, 1740256361, 1033372875, 1558507707]}]}]}, {"tin": {"type": "ein", "value": "834517050"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 241.0, "providers": [{"billed_charge": 241.0, "npi": [1881398105, 1306465042]}]}]}, {"tin": {"type": "ein", "value": "834598911"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 241.0, "providers": [{"billed_charge": 241.0, "npi": [1982871463]}]}]}, {"tin": {"type": "ein", "value": "851446280"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 275.0, "providers": [{"billed_charge": 275.0, "npi": [1609005891, 1538895594, 1306465042]}]}]}, {"tin": {"type": "ein", "value": "900730395"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 200.96, "providers": [{"billed_charge": 508.0, "npi": [1831314087]}]}]}, {"tin": {"type": "ein", "value": "931462299"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 118.53, "providers": [{"billed_charge": 480.0, "npi": [1427784263]}]}, {"allowed_amount": 393.77, "providers": [{"billed_charge": 480.0, "npi": [1114785953]}]}, {"allowed_amount": 463.26, "providers": [{"billed_charge": 480.0, "npi": [1639457096]}]}]}]}, {"name": "Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)", "billing_code_type": "CPT", "billing_code": "90833", "billing_code_type_version": "2022", "description": "PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 30 MIN", "allowed_amounts": [{"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.74, "providers": [{"billed_charge": 199.0, "npi": [1972000107]}]}, {"allowed_amount": 167.85, "providers": [{"billed_charge": 199.0, "npi": [1972000107]}]}]}, {"tin": {"type": "ein", "value": "821505834"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 100.0, "providers": [{"billed_charge": 100.0, "npi": [1225144140]}]}]}, {"tin": {"type": "ein", "value": "822138262"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 126.33, "providers": [{"billed_charge": 140.0, "npi": [1992401582]}]}]}, {"tin": {"type": "ein", "value": "871623456"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1629532387]}]}]}, {"tin": {"type": "ein", "value": "900730395"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 187.21, "providers": [{"billed_charge": 200.0, "npi": [1336778158]}]}]}, {"tin": {"type": "ein", "value": "921098621"}, "billing_class": "professional", "service_codes": ["11", "10"], "payments": [{"allowed_amount": 126.33, "providers": [{"billed_charge": 300.0, "npi": [1114762424, 1467061762, 1962072363]}]}]}, {"tin": {"type": "ein", "value": "931462299"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 145.0, "providers": [{"billed_charge": 145.0, "npi": [1427784263]}]}]}, {"tin": {"type": "ein", "value": "934220290"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 60.0, "providers": [{"billed_charge": 64.63, "npi": [1174916472]}]}]}]}, {"name": "Psychotherapy, 60 minutes with patient", "billing_code_type": "CPT", "billing_code": "90837", "billing_code_type_version": "2022", "description": "PSYCHOTHERAPY W/PATIENT 60 MINUTES", "allowed_amounts": [{"tin": {"type": "ein", "value": "333446282"}, "billing_class": "professional", "service_codes": ["11", "10"], "payments": [{"allowed_amount": 124.25, "providers": [{"billed_charge": 200.0, "npi": [1871974931]}]}, {"allowed_amount": 180.92, "providers": [{"billed_charge": 200.0, "npi": [1871974931]}]}]}, {"tin": {"type": "ein", "value": "461872873"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 169.49, "providers": [{"billed_charge": 200.0, "npi": [1073767364]}]}]}, {"tin": {"type": "ein", "value": "824964139"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 180.92, "providers": [{"billed_charge": 280.0, "npi": [1790438380]}, {"billed_charge": 325.0, "npi": [1790438380]}]}]}, {"tin": {"type": "ein", "value": "872843002"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 175.0, "providers": [{"billed_charge": 175.0, "npi": [1003429937]}]}]}, {"tin": {"type": "ein", "value": "874304560"}, "billing_class": "professional", "service_codes": ["11", "10"], "payments": [{"allowed_amount": 142.0, "providers": [{"billed_charge": 200.0, "npi": [1184302515]}]}]}, {"tin": {"type": "ein", "value": "874548666"}, "billing_class": "professional", "service_codes": ["10"], "payments": [{"allowed_amount": 169.61, "providers": [{"billed_charge": 200.0, "npi": [1376209924]}]}, {"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1376209924]}]}]}, {"tin": {"type": "ein", "value": "881130103"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 192.08, "providers": [{"billed_charge": 399.0, "npi": [1750124715]}]}]}, {"tin": {"type": "ein", "value": "922449344"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 180.92, "providers": [{"billed_charge": 459.0, "npi": [1699538439]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 18.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1538162953, 1780891945, 1538324660, 1487645719, 1225693310]}]}, {"allowed_amount": 20.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1619395431]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1730261793, 1295050946, 1386960714]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 18.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1235124561]}, {"billed_charge": 32.0, "npi": [1881776821]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.49, "providers": [{"billed_charge": 756.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["20", "21"], "payments": [{"allowed_amount": 8.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 103.0, "npi": [1497926547]}]}, {"allowed_amount": 18.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 103.0, "npi": [1477688612, 1427016468, 1386620276, 1790710457, 1528216090, 1326035486]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.49, "providers": [{"billed_charge": 446.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1275949414]}, {"billed_charge": 40.0, "npi": [1659571412]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 9.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1033190202, 1841550316]}]}, {"allowed_amount": 18.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1801258306, 1013181924, 1841550316, 1962842989, 1639343759, 1891796082, 1932178423, 1326056599, 1033190202, 1003479197]}]}, {"allowed_amount": 19.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1417489758]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1225271984, 1780891150]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 278.34, "providers": [{"billed_charge": 281.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 8.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1225269178]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.49, "providers": [{"billed_charge": 731.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1497700579]}]}]}, {"tin": {"type": "ein", "value": "860513957"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1548469372]}]}]}, {"tin": {"type": "ein", "value": "860778760"}, "billing_class": "professional", "service_codes": ["15"], "payments": [{"allowed_amount": 88.56, "providers": [{"billed_charge": 88.56, "npi": [1598891582]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.49, "providers": [{"billed_charge": 317.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1215461868]}]}, {"allowed_amount": 18.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 83.0, "npi": [1881840536]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 16.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1518281781]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 18.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1538202528, 1457587073, 1487647905, 1609292002, 1588651236, 1154764462, 1558578831, 1194836528, 1780872564, 1417376823, 1104872092, 1003011933, 1912939679]}]}]}, {"tin": {"type": "ein", "value": "952706100"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 18.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.4, "npi": [1881684371, 1558352948]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 18.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1871707265, 1194016659]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1225693310]}]}]}, {"tin": {"type": "ein", "value": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 33.84, "providers": [{"billed_charge": 70.4, "npi": [1144252842]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1881776821]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 162.3, "providers": [{"billed_charge": 979.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 162.3, "providers": [{"billed_charge": 882.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "464389870"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.23, "providers": [{"billed_charge": 1473.0, "npi": [1952723967]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 162.3, "providers": [{"billed_charge": 979.0, "npi": [1154748416]}]}, {"allowed_amount": 196.89, "providers": [{"billed_charge": 979.0, "npi": [1154748416]}]}, {"allowed_amount": 252.98, "providers": [{"billed_charge": 979.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 15.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1801258306, 1013181924, 1386818409, 1326056599, 1033190202]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 321.46, "providers": [{"billed_charge": 882.0, "npi": [1609408665, 1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.52, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1871936591]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1215927579, 1174558092]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 162.3, "providers": [{"billed_charge": 1117.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 189.75, "providers": [{"billed_charge": 555.0, "npi": [1356528269]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 27.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1174574222]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.4, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1437289147]}]}, {"allowed_amount": 15.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 56.0, "npi": [1528027448, 1609292002, 1801039219, 1417376823]}]}]}]}, {"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": "132655001"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.44, "providers": [{"billed_charge": 331.18, "npi": [1073535027]}]}]}, {"tin": {"type": "ein", "value": "132655001"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1326036559]}]}]}, {"tin": {"type": "ein", "value": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.44, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 640.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 20.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1801037239, 1780891945, 1538162953, 1336128461, 1538324660, 1700248820, 1487645719, 1033366463, 1235335324, 1912167933, 1225693310, 1841761566]}]}]}, {"tin": {"type": "ein", "value": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 32.11, "providers": [{"billed_charge": 75.0, "npi": [1144252842]}]}]}, {"tin": {"type": "ein", "value": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.92, "providers": [{"billed_charge": 550.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "300867125"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 7.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1063640100]}]}]}, {"tin": {"type": "ein", "value": "321258766"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1083312094]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 149.1, "providers": [{"billed_charge": 565.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "371399888"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 29.2, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 55.0, "npi": [1568575595]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.74, "providers": [{"billed_charge": 797.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.74, "providers": [{"billed_charge": 1217.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 9.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 119.0, "npi": [1497926547]}]}, {"allowed_amount": 20.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 119.0, "npi": [1912956640, 1871542563, 1245423045, 1720252844, 1881865996, 1962472464, 1134178833, 1386620276, 1700834777, 1194702266, 1033313630]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 187.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 187.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "454611100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 35.83, "providers": [{"billed_charge": 54.74, "npi": [1992441836, 1609489590]}]}]}, {"tin": {"type": "ein", "value": "460226963"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.9, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1336106012]}]}]}, {"tin": {"type": "ein", "value": "460660914"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 15.0, "npi": [1417113192, 1699783514]}]}]}, {"tin": {"type": "ein", "value": "461236453"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.78, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 694.0, "npi": [1851884134]}]}, {"allowed_amount": 36.87, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 694.0, "npi": [1942568597]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.74, "providers": [{"billed_charge": 665.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.74, "providers": [{"billed_charge": 797.0, "npi": [1154748416]}]}, {"allowed_amount": 198.81, "providers": [{"billed_charge": 797.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "510483383"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1265635056]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 152.98, "providers": [{"billed_charge": 1217.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 152.98, "providers": [{"billed_charge": 1217.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "19", "22"], "payments": [{"allowed_amount": 11.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1386818409]}]}, {"allowed_amount": 20.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1801258306, 1386818409, 1841550316, 1962842989, 1891796082, 1447630140, 1326056599, 1033190202, 1700046364]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 149.1, "providers": [{"billed_charge": 565.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 149.1, "providers": [{"billed_charge": 665.0, "npi": [1609408665, 1265065445, 1982733655]}]}, {"allowed_amount": 394.24, "providers": [{"billed_charge": 665.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 491.01, "providers": [{"billed_charge": 1635.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1104210673, 1952457541, 1083312094]}]}]}, {"tin": {"type": "ein", "value": "770447321"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1093077356]}]}]}, {"tin": {"type": "ein", "value": "800886397"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1225060668]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.74, "providers": [{"billed_charge": 1198.0, "npi": [1356818496]}]}, {"allowed_amount": 1198.0, "providers": [{"billed_charge": 1198.0, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "821969974"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 292.95, "providers": [{"billed_charge": 837.0, "npi": [1053824292]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1275573933, 1184990574]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.33, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1245.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 161.56, "providers": [{"billed_charge": 281.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "850214117"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 18.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1619173721]}]}]}, {"tin": {"type": "ein", "value": "851762276"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1457399818, 1144781063]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 149.1, "providers": [{"billed_charge": 565.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "856000642"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1063506400]}]}]}, {"tin": {"type": "ein", "value": "856003005"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 19.25, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 60.0, "npi": [1386117141]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.74, "providers": [{"billed_charge": 582.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.74, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 164.64, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 164.64, "npi": [1033153812]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1972732907, 1811217375]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.74, "providers": [{"billed_charge": 694.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.39, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1235427857]}]}, {"allowed_amount": 19.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 74.0, "npi": [1235427857, 1609938281, 1003827007]}]}]}, {"tin": {"type": "ein", "value": "860719852"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 14.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1417905522]}]}]}, {"tin": {"type": "ein", "value": "860719858"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1053467969]}]}]}, {"tin": {"type": "ein", "value": "860778760"}, "billing_class": "professional", "service_codes": ["15"], "payments": [{"allowed_amount": 67.25, "providers": [{"billed_charge": 99.48, "npi": [1598891582]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.74, "providers": [{"billed_charge": 237.0, "npi": [1154392231]}]}, {"allowed_amount": 196.89, "providers": [{"billed_charge": 237.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1851381826]}]}, {"allowed_amount": 20.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.0, "npi": [1831167147, 1912932005, 1295184687]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.9, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 48.9, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.3, "npi": [1366490617]}]}]}, {"tin": {"type": "ein", "value": "860817397"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1043416654]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1609005289]}]}, {"allowed_amount": 19.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1790737096, 1780813105, 1518281781, 1255567038]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.74, "providers": [{"billed_charge": 1198.0, "npi": [1881352037]}]}, {"allowed_amount": 305.82, "providers": [{"billed_charge": 1198.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "866007596"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1740630474]}]}]}, {"tin": {"type": "ein", "value": "870692261"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 184.25, "providers": [{"billed_charge": 668.0, "npi": [1689769911]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 20.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1457587073, 1881005833, 1376704395, 1114121746, 1679991442, 1568440089, 1912939679, 1538202528, 1487647905, 1487883427, 1699941039, 1427272756, 1417376823, 1063620540, 1780908368, 1093931602, 1376687954, 1003011933, 1841278306, 1073812715, 1437356268, 1780952176, 1417975418, 1245218171]}]}]}, {"tin": {"type": "ein", "value": "920878951"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1144238379]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1528671948]}]}, {"allowed_amount": 10.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1366020042]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 91.0, "npi": [1336337799]}]}]}, {"tin": {"type": "ein", "value": "952598917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1144209420]}]}]}, {"tin": {"type": "ein", "value": "952706100"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.73, "npi": [1821198482, 1366612301]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 491.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 491.0, "npi": [1962444059]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 108.0, "npi": [1962439703]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1194847038, 1144753658, 1124462213, 1376906958]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1376805044]}]}, {"allowed_amount": 10.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1033366463]}]}, {"allowed_amount": 15.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1538162953, 1972559946, 1538324660, 1912163791]}]}]}, {"tin": {"type": "ein", "value": "203395567"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1699955401]}]}]}, {"tin": {"type": "ein", "value": "208488778"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1154785814]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 186.58, "providers": [{"billed_charge": 1213.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 40.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1679504229]}]}]}, {"tin": {"type": "ein", "value": "237094247"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 9.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 122.0, "npi": [1487946463]}]}]}, {"tin": {"type": "ein", "value": "262157500"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1871760538]}]}]}, {"tin": {"type": "ein", "value": "262446556"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1831161900]}]}]}, {"tin": {"type": "ein", "value": "310983140"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.58, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1336129915]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.4, "providers": [{"billed_charge": 263.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "321258766"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1083312094]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1881776821]}]}, {"allowed_amount": 15.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1902878895]}, {"billed_charge": 31.0, "npi": [1902878895, 1235124561, 1881776821, 1598750747, 1235335324]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.78, "providers": [{"billed_charge": 543.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.37, "providers": [{"billed_charge": 490.0, "npi": [1447368071]}]}]}, {"tin": {"type": "ein", "value": "362675634"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1225290802, 1104998459]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1093715864]}]}]}, {"tin": {"type": "ein", "value": "364769142"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.52, "npi": [1942284278]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.79, "providers": [{"billed_charge": 613.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.79, "providers": [{"billed_charge": 1084.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "391678306"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 15.46, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1346774726]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 8.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1497926547]}]}, {"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1427016468, 1033313630]}]}, {"allowed_amount": 15.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1912956640, 1194213249, 1871542563, 1477688612, 1245423045, 1205464740, 1326035486, 1720252844, 1881865996, 1013170414, 1962472464, 1568810802, 1386620276, 1427016468, 1700834777, 1194702266, 1033313630]}]}]}, {"tin": {"type": "ein", "value": "460226963"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1003927666]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 32.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 255.0, "npi": [1710502315]}]}]}, {"tin": {"type": "ein", "value": "462494918"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 12.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1376809194]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.79, "providers": [{"billed_charge": 563.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.79, "providers": [{"billed_charge": 613.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "473840514"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1396949111]}]}]}, {"tin": {"type": "ein", "value": "520893917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.02, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1316181092]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.14, "providers": [{"billed_charge": 143.1, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.79, "providers": [{"billed_charge": 1084.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 162.65, "providers": [{"billed_charge": 175.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 93.57, "providers": [{"billed_charge": 433.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.09, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1639371883]}]}]}, {"tin": {"type": "ein", "value": "582244832"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.77, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1538167804]}]}, {"allowed_amount": 17.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1770534869]}]}]}, {"tin": {"type": "ein", "value": "590872594"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.54, "providers": [{"billed_charge": 644.0, "npi": [1982688230]}]}]}, {"tin": {"type": "ein", "value": "591226176"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1285981191]}]}]}, {"tin": {"type": "ein", "value": "593238640"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1295983179, 1447256771]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 12.54, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1982690624, 1093888489]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.79, "providers": [{"billed_charge": 1084.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "621762545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 765.1, "providers": [{"billed_charge": 2186.0, "npi": [1447299649]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 7.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1801258306, 1841550316, 1891796082, 1326056599, 1033190202, 1700046364, 1417489758]}]}, {"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1013181924, 1386818409, 1841550316, 1962842989, 1891796082, 1326056599, 1033190202, 1700046364, 1447630140, 1003479197]}]}, {"allowed_amount": 15.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1801258306, 1013181924, 1316566441, 1386818409, 1841550316, 1962842989, 1558433870, 1639343759, 1134789456, 1891796082, 1902303092, 1326056599, 1033190202, 1700046364, 1447630140, 1003479197, 1417489758]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 22.0, "npi": [1669764676, 1245331685, 1013962547, 1508032988, 1780703900, 1881840254]}]}]}, {"tin": {"type": "ein", "value": "710900575"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1396189395]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.62, "providers": [{"billed_charge": 1890.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.78, "providers": [{"billed_charge": 543.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.78, "providers": [{"billed_charge": 563.0, "npi": [1609408665, 1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 14.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1952457541, 1083312094, 1033220439]}]}]}, {"tin": {"type": "ein", "value": "742870118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 249.9, "providers": [{"billed_charge": 506.0, "npi": [1447221742]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 8.48, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1619838232, 1225269178]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.59, "providers": [{"billed_charge": 474.0, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 11.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1730534520]}]}, {"allowed_amount": 12.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 12.0, "npi": [1164868212]}]}, {"allowed_amount": 16.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1033161856, 1518370113, 1497951719, 1033616396, 1952549644, 1750591475, 1982048948, 1588615603, 1023212214, 1407485014, 1568027860, 1356389597]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.78, "providers": [{"billed_charge": 1178.75, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "834721282"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 100.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1093769234]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.62, "providers": [{"billed_charge": 527.97, "npi": [1801591391]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.62, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 903.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "841343242"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.62, "providers": [{"billed_charge": 174.55, "npi": [1689624686]}]}]}, {"tin": {"type": "ein", "value": "841343242"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.52, "npi": [1942284278]}]}]}, {"tin": {"type": "ein", "value": "845116186"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 202.0, "npi": [1336126721]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.62, "providers": [{"billed_charge": 236.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "850214117"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1659447118]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.79, "providers": [{"billed_charge": 784.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "851762276"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 11.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1114975760, 1730574500]}]}, {"allowed_amount": 22.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1730574500]}]}]}, {"tin": {"type": "ein", "value": "856003005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.62, "providers": [{"billed_charge": 159.91, "npi": [1689747552]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.79, "providers": [{"billed_charge": 474.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.79, "providers": [{"billed_charge": 285.82, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.79, "providers": [{"billed_charge": 582.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.79, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 79.56, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.56, "npi": [1295842300]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1710932199]}]}, {"allowed_amount": 9.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1497700579, 1710932199, 1972732907, 1386699643, 1902851389, 1811217375]}]}, {"allowed_amount": 9.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 42.0, "npi": [1376835264]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1376590927]}]}]}, {"tin": {"type": "ein", "value": "860320447"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 257.83, "providers": [{"billed_charge": 337.25, "npi": [1144209271]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.79, "providers": [{"billed_charge": 561.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 6.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1932529229]}]}, {"allowed_amount": 8.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1689014086]}]}, {"allowed_amount": 15.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1831100619]}]}, {"allowed_amount": 16.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 61.0, "npi": [1710958913, 1982675112, 1609938281, 1851592299, 1932529229, 1235427857, 1891710547, 1346436789, 1386805109, 1003827007]}]}]}, {"tin": {"type": "ein", "value": "860778760"}, "billing_class": "professional", "service_codes": ["15"], "payments": [{"allowed_amount": 69.63, "providers": [{"billed_charge": 76.83, "npi": [1598891582]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.79, "providers": [{"billed_charge": 160.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1083651954, 1285838292, 1780882407]}]}, {"allowed_amount": 15.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 101.0, "npi": [1821181785, 1851381826, 1285838292]}]}]}, {"tin": {"type": "ein", "value": "860836216"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1437456589]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.38, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1174558092, 1922291863]}]}, {"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1790737096, 1205253549]}]}, {"allowed_amount": 16.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1366417826, 1790737096, 1609005289, 1174558092, 1205253549, 1871812081, 1780813105, 1518175637, 1518281781, 1396949111, 1730146457, 1215927579]}]}, {"allowed_amount": 98.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1609005289]}]}]}, {"tin": {"type": "ein", "value": "861248931"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 82.8, "providers": [{"billed_charge": 637.0, "npi": [1699340927]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.79, "providers": [{"billed_charge": 780.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "866007596"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.79, "providers": [{"billed_charge": 552.0, "npi": [1194706655]}]}]}, {"tin": {"type": "ein", "value": "866007596"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1720571565]}]}]}, {"tin": {"type": "ein", "value": "870565773"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1114917408]}]}]}, {"tin": {"type": "ein", "value": "871737544"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.79, "providers": [{"billed_charge": 784.0, "npi": [1750092110]}]}]}, {"tin": {"type": "ein", "value": "880213754"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.62, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 567.0, "npi": [1124098421]}]}]}, {"tin": {"type": "ein", "value": "886000436"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1861735672]}]}]}, {"tin": {"type": "ein", "value": "900214335"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 443.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 443.0, "npi": [1194705202]}]}]}, {"tin": {"type": "ein", "value": "900942222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.79, "providers": [{"billed_charge": 676.0, "npi": [1194766543]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.63, "providers": [{"billed_charge": 549.0, "npi": [1356528269]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 28.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.0, "npi": [1184937021, 1053324574]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1982815296, 1164460358, 1154764462, 1588668370, 1679991442, 1528027448]}]}, {"allowed_amount": 15.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1881005833, 1497954317, 1750743951, 1033520655, 1679991442, 1104872092, 1912939679, 1538202528, 1487647905, 1164714408, 1114905007, 1194836528, 1427272756, 1255321014, 1417376823, 1528027448, 1063620540, 1396770111, 1982815296, 1922260033, 1164460358, 1659374544, 1508094673, 1093931602, 1780908368, 1376687954, 1942408661, 1588668370, 1477873495, 1063433563, 1568658524, 1780903773, 1003011933, 1609292002, 1841278306, 1841403110, 1073812715, 1780952176, 1801039219, 1780872564, 1891807863, 1417975418, 1245218171]}]}, {"allowed_amount": 98.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1922260033]}]}, {"allowed_amount": 154.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1477873495]}]}, {"allowed_amount": 204.79, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1508094673]}]}]}, {"tin": {"type": "ein", "value": "921721412"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 41.0, "npi": [1164786737]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 71.79, "providers": [{"billed_charge": 784.0, "npi": [1275366122]}]}]}, {"tin": {"type": "ein", "value": "946004062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 476.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 476.0, "npi": [1538265780]}]}]}, {"tin": {"type": "ein", "value": "946004062"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1245420447]}]}]}, {"tin": {"type": "ein", "value": "951183919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 507.44, "providers": [{"billed_charge": 1009.0, "npi": [1780681189]}]}]}, {"tin": {"type": "ein", "value": "952586432"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.88, "providers": [{"billed_charge": 248.0, "npi": [1891974283]}]}]}, {"tin": {"type": "ein", "value": "953365198"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1154855492]}]}]}, {"tin": {"type": "ein", "value": "954368744"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 63.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1114488210]}]}]}, {"tin": {"type": "ein", "value": "954469504"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.98, "providers": [{"billed_charge": 37.0, "npi": [1386007391]}]}]}, {"tin": {"type": "ein", "value": "954693289"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.71, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 686.0, "npi": [1104960228]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.63, "providers": [{"billed_charge": 360.0, "npi": [1902803315]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 9.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1285054064, 1295293587, 1548469372, 1518917582]}]}, {"allowed_amount": 13.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1619310752]}]}, {"allowed_amount": 15.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1871707265, 1639305378, 1962768457, 1710304746, 1518917582, 1376906958, 1285054064, 1194016659, 1295293587, 1881875896, 1194847038]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 14.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1538324660, 1336128461, 1487645719]}]}]}, {"tin": {"type": "ein", "value": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 31.69, "providers": [{"billed_charge": 66.0, "npi": [1144252842]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1235124561]}]}, {"allowed_amount": 14.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1881776821]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 183.07, "providers": [{"billed_charge": 672.0, "npi": [1124656376]}]}, {"allowed_amount": 207.5, "providers": [{"billed_charge": 672.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["20", "22", "21"], "payments": [{"allowed_amount": 14.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1871542563, 1720252844, 1568810802, 1386620276, 1326035486]}]}]}, {"tin": {"type": "ein", "value": "461236453"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.94, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 515.0, "npi": [1699411074]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.5, "providers": [{"billed_charge": 835.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "464389870"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.3, "providers": [{"billed_charge": 1527.0, "npi": [1952723967]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 198.81, "providers": [{"billed_charge": 672.0, "npi": [1154748416]}]}, {"allowed_amount": 207.5, "providers": [{"billed_charge": 672.0, "npi": [1154748416]}]}, {"allowed_amount": 299.7, "providers": [{"billed_charge": 672.0, "npi": [1114466950]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 150.9, "providers": [{"billed_charge": 195.86, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.13, "providers": [{"billed_charge": 1170.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 7.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1891796082, 1417489758]}]}, {"allowed_amount": 14.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1801258306, 1013181924, 1386818409, 1326056599, 1700046364, 1417489758]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 303.67, "providers": [{"billed_charge": 534.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 303.67, "providers": [{"billed_charge": 835.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "741688740"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 70.0, "npi": [1871936591]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1811140361, 1881199669]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 303.67, "providers": [{"billed_charge": 3002.31, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.5, "providers": [{"billed_charge": 437.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.5, "providers": [{"billed_charge": 515.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.13, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1386805109]}]}, {"allowed_amount": 10.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1235427857]}]}, {"allowed_amount": 15.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1235427857, 1720059827, 1386805109]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 15.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1366417826, 1609005289, 1174558092, 1518942861, 1518175637]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 207.5, "providers": [{"billed_charge": 1238.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "866007596"}, "billing_class": "professional", "service_codes": ["19"], "payments": [{"allowed_amount": 9.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 13.0, "npi": [1316275290]}]}]}, {"tin": {"type": "ein", "value": "866007695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 170.0, "providers": [{"billed_charge": 170.0, "npi": [1336118322]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.2, "npi": [1538202528]}]}, {"allowed_amount": 14.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.2, "npi": [1659374544, 1154764462, 1255321014, 1114905007]}]}]}, {"tin": {"type": "ein", "value": "912154439"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 113.71, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1023026242]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 63.0, "npi": [1154811818]}]}]}, {"tin": {"type": "ein", "value": "953839531"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 39.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 39.0, "npi": [1710243209]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 14.93, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1285054064, 1639305378, 1184034118]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 14.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1780891945, 1841761566]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.02, "providers": [{"billed_charge": 729.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.02, "providers": [{"billed_charge": 1240.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 14.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 103.0, "npi": [1881012912, 1962472464]}]}]}, {"tin": {"type": "ein", "value": "461236453"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.85, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 507.0, "npi": [1841819877]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.02, "providers": [{"billed_charge": 729.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 204.14, "providers": [{"billed_charge": 1240.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1639343759]}]}, {"allowed_amount": 14.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1801258306, 1700046364, 1003479197, 1417489758]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 210.75, "providers": [{"billed_charge": 955.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 210.75, "providers": [{"billed_charge": 2864.36, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.02, "providers": [{"billed_charge": 476.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 14.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 172.09, "npi": [1326006586]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1902851389]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.08, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1720059827]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.02, "providers": [{"billed_charge": 293.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 94.0, "npi": [1942434667]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.18, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 58.18, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 21.95, "npi": [1326301383]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.01, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1205253549]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1780952176]}]}, {"allowed_amount": 14.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 50.0, "npi": [1780872564, 1457587073, 1679991442, 1437356268]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 8.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 66.0, "npi": [1154811818]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1548469372]}]}]}]}, {"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": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 180.49, "providers": [{"billed_charge": 857.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 195.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 195.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "460660914"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 16.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 20.0, "npi": [1699783514]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 280.32, "providers": [{"billed_charge": 573.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1386818409]}]}, {"allowed_amount": 16.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1891796082, 1902303092]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 180.49, "providers": [{"billed_charge": 857.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 77.0, "npi": [1821069089]}]}]}, {"tin": {"type": "ein", "value": "860778760"}, "billing_class": "professional", "service_codes": ["15"], "payments": [{"allowed_amount": 92.45, "providers": [{"billed_charge": 138.66, "npi": [1598891582]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.06, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.15, "npi": [1487035440]}]}]}, {"tin": {"type": "ein", "value": "860817397"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 28.15, "npi": [1841685435, 1821445909]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 11.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1366417826]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 16.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1154764462, 1508094673, 1477873495, 1063620540, 1134239965]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 45.0, "npi": [1144753658]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1487645719]}]}]}, {"tin": {"type": "ein", "value": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 37.81, "providers": [{"billed_charge": 74.8, "npi": [1144252842]}]}]}, {"tin": {"type": "ein", "value": "330672915"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1609022730]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 17.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1598750747, 1902878895]}]}]}, {"tin": {"type": "ein", "value": "364769142"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 7.53, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.34, "npi": [1942284278]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.79, "providers": [{"billed_charge": 849.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1386620276]}]}]}, {"tin": {"type": "ein", "value": "431598353"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 60.0, "npi": [1578650529]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 292.9, "providers": [{"billed_charge": 734.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.79, "providers": [{"billed_charge": 959.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.79, "providers": [{"billed_charge": 849.0, "npi": [1154748416]}]}, {"allowed_amount": 183.07, "providers": [{"billed_charge": 849.0, "npi": [1114466950]}]}, {"allowed_amount": 194.92, "providers": [{"billed_charge": 849.0, "npi": [1154748416]}]}, {"allowed_amount": 253.22, "providers": [{"billed_charge": 849.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "520689917"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.0, "providers": [{"billed_charge": 105.0, "npi": [1124016696]}]}]}, {"tin": {"type": "ein", "value": "520893917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1316181092]}]}]}, {"tin": {"type": "ein", "value": "522055746"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.69, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1255373999]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 143.89, "providers": [{"billed_charge": 250.35, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 8.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1891378600, 1033190202]}]}, {"allowed_amount": 10.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1891796082]}]}, {"allowed_amount": 15.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1417489758]}]}, {"allowed_amount": 17.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1013181924, 1891796082, 1902303092, 1033190202, 1417489758]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 240.3, "providers": [{"billed_charge": 959.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1073631297]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 241.36, "providers": [{"billed_charge": 298.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1295797322]}]}]}, {"tin": {"type": "ein", "value": "841343242"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 206.29, "providers": [{"billed_charge": 493.7, "npi": [1689624686]}]}]}, {"tin": {"type": "ein", "value": "841343242"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 76.34, "npi": [1942284278]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 206.29, "providers": [{"billed_charge": 308.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "850214117"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1376791343]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.79, "providers": [{"billed_charge": 3300.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.79, "providers": [{"billed_charge": 827.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.79, "providers": [{"billed_charge": 554.51, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.79, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 116.2, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 17.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.2, "npi": [1669439204]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1386699643]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 111.79, "providers": [{"billed_charge": 747.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860513957"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1265428254]}]}, {"allowed_amount": 9.43, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.0, "npi": [1932171618]}]}]}, {"tin": {"type": "ein", "value": "860817397"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 147.0, "npi": [1366466112]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 106.8, "npi": [1528027448, 1922260033, 1659359586, 1487647905]}]}]}, {"tin": {"type": "ein", "value": "942965646"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.21, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 294.0, "npi": [1801038385]}]}]}, {"tin": {"type": "ein", "value": "954747393"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.04, "providers": [{"billed_charge": 38.0, "npi": [1174773113]}]}]}, {"tin": {"type": "ein", "value": "956000930"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 221.16, "providers": [{"billed_charge": 1038.47, "npi": [1821159195]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 10.14, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 111.0, "npi": [1720252844]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1538162953, 1538324660]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 252.06, "providers": [{"billed_charge": 1352.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.87, "providers": [{"billed_charge": 750.0, "npi": [1447368071]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.94, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1497926547]}]}, {"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 99.0, "npi": [1700834777]}]}]}, {"tin": {"type": "ein", "value": "462494918"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 10.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 48.0, "npi": [1376809194]}]}]}, {"tin": {"type": "ein", "value": "473394746"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 27.0, "npi": [1376803288]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1801258306, 1013181924, 1902303092, 1932178423, 1033190202, 1417489758]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 225.62, "providers": [{"billed_charge": 781.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 225.62, "providers": [{"billed_charge": 759.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 225.62, "providers": [{"billed_charge": 1334.89, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 9.37, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1811217375]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 18.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1245339357]}]}]}, {"tin": {"type": "ein", "value": "946004062"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 377.48, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 516.0, "npi": [1538265780]}]}]}, {"tin": {"type": "ein", "value": "946004062"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1245420447]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 296.14, "providers": [{"billed_charge": 853.65, "npi": [1376513754]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.49, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1194016659]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 16.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 34.0, "npi": [1538162953]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.81, "providers": [{"billed_charge": 1014.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.91, "providers": [{"billed_charge": 812.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "390452970"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 22.64, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 120.0, "npi": [1841405495]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23", "21", "20"], "payments": [{"allowed_amount": 16.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 107.0, "npi": [1700834777, 1871542563, 1477688612]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 126.87, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 187.0, "npi": [1376686600]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.91, "providers": [{"billed_charge": 812.0, "npi": [1154748416]}]}, {"allowed_amount": 192.22, "providers": [{"billed_charge": 812.0, "npi": [1114466950]}]}]}, {"tin": {"type": "ein", "value": "520893917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 19.0, "npi": [1316181092]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.74, "providers": [{"billed_charge": 178.87, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "528964337"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 7.55, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1447302591]}]}]}, {"tin": {"type": "ein", "value": "580566200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 162.49, "providers": [{"billed_charge": 397.0, "npi": [1144203563]}]}]}, {"tin": {"type": "ein", "value": "582030692"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.51, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1639371883]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 292.73, "providers": [{"billed_charge": 1279.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 10.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1033190202, 1417489758]}]}, {"allowed_amount": 16.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1417489758]}]}, {"allowed_amount": 30.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1700046364]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.81, "providers": [{"billed_charge": 1014.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.81, "providers": [{"billed_charge": 847.0, "npi": [1609408665, 1982733655]}]}, {"allowed_amount": 271.33, "providers": [{"billed_charge": 847.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "810977948"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 263.0, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 263.0, "npi": [1376197665]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.81, "providers": [{"billed_charge": 1599.48, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 235.29, "providers": [{"billed_charge": 1496.31, "npi": [1689688988]}]}]}, {"tin": {"type": "ein", "value": "840597929"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1700449618]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 381.96, "providers": [{"billed_charge": 225.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "850214117"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 12.62, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1124380324]}]}]}, {"tin": {"type": "ein", "value": "850928319"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 99.39, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 60.0, "npi": [1073489787]}]}]}, {"tin": {"type": "ein", "value": "851067265"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1891796082]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.91, "providers": [{"billed_charge": 3235.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 191.81, "providers": [{"billed_charge": 672.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.91, "providers": [{"billed_charge": 686.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.74, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 43.0, "npi": [1972732907]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 16.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 65.0, "npi": [1720059827, 1932529229, 1003827007]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.91, "providers": [{"billed_charge": 257.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 16.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.0, "npi": [1942434667]}]}, {"allowed_amount": 20.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1801258306]}]}]}, {"tin": {"type": "ein", "value": "860817397"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 22.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.7, "npi": [1821445909]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.29, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1174558092]}]}]}, {"tin": {"type": "ein", "value": "860957500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 267.46, "providers": [{"billed_charge": 388.0, "npi": [1154355188]}]}, {"allowed_amount": 808.01, "providers": [{"billed_charge": 388.0, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 121.91, "providers": [{"billed_charge": 1125.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "866007695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 10.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1821169509]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 10.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.4, "npi": [1841403110]}]}, {"allowed_amount": 16.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.4, "npi": [1164879177, 1376704395, 1154764462, 1699941039, 1477873495, 1063620540]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.11, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 38.0, "npi": [1619310752]}]}]}]}, {"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": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1598750747]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.26, "providers": [{"billed_charge": 879.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.26, "providers": [{"billed_charge": 1427.0, "npi": [1154748416]}]}, {"allowed_amount": 124.66, "providers": [{"billed_charge": 1427.0, "npi": [1275084030]}]}, {"allowed_amount": 144.87, "providers": [{"billed_charge": 1427.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "473394746"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1376803288]}]}]}, {"tin": {"type": "ein", "value": "520689917"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.0, "providers": [{"billed_charge": 105.0, "npi": [1124016696]}]}]}, {"tin": {"type": "ein", "value": "522055746"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.1, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1255373999]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 9.61, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1891378600]}]}, {"allowed_amount": 16.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1386818409, 1891796082, 1962842989]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 237.54, "providers": [{"billed_charge": 879.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "751286819"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.36, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 44.0, "npi": [1073631297]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 114.26, "providers": [{"billed_charge": 826.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 19.33, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 78.0, "npi": [1720059827]}]}]}, {"tin": {"type": "ein", "value": "866007596"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 11.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 18.0, "npi": [1316275290]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.76, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.6, "npi": [1477873495]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 238.47, "providers": [{"billed_charge": 972.27, "npi": [1376513754]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1487645719]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 32.0, "npi": [1235124561]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 290.04, "providers": [{"billed_charge": 1067.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362170866"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 249.21, "providers": [{"billed_charge": 557.0, "npi": [1598756686]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 205.58, "providers": [{"billed_charge": 694.0, "npi": [1932737277]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 103.0, "npi": [1720252844, 1477688612]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.23, "providers": [{"billed_charge": 694.0, "npi": [1154748416]}]}, {"allowed_amount": 196.89, "providers": [{"billed_charge": 694.0, "npi": [1154748416]}]}, {"allowed_amount": 300.37, "providers": [{"billed_charge": 694.0, "npi": [1275084030]}]}]}, {"tin": {"type": "ein", "value": "473109067"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 266.0, "npi": [1760404958]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.0, "npi": [1891796082, 1700046364]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 290.04, "providers": [{"billed_charge": 844.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 290.04, "providers": [{"billed_charge": 2898.0, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.23, "providers": [{"billed_charge": 3164.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 338.36, "providers": [{"billed_charge": 737.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.23, "providers": [{"billed_charge": 369.67, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.23, "providers": [{"billed_charge": 476.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 142.44, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 142.44, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 15.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 142.44, "npi": [1033153812]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 11.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 40.0, "npi": [1902851389]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.23, "providers": [{"billed_charge": 498.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 16.26, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 59.0, "npi": [1578749990]}]}]}, {"tin": {"type": "ein", "value": "860513957"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 6.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1265428254]}]}, {"allowed_amount": 7.45, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 31.0, "npi": [1164418158]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 9.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.2, "npi": [1215318217]}]}, {"allowed_amount": 15.78, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 97.2, "npi": [1982815296]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 288.68, "providers": [{"billed_charge": 417.42, "npi": [1538178801]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.88, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 25.44, "npi": [1326297946]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 17.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1336128461, 1912163791, 1538324660, 1487645719, 1912167933]}]}]}, {"tin": {"type": "ein", "value": "520893917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 15.27, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 16.0, "npi": [1316181092]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 145.4, "providers": [{"billed_charge": 178.87, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 155.48, "providers": [{"billed_charge": 973.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1891796082, 1700046364, 1003479197]}]}, {"allowed_amount": 36.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1700046364]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 290.04, "providers": [{"billed_charge": 913.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 88.01, "providers": [{"billed_charge": 442.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.47, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1821293747, 1518917582]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 8.99, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1912163791]}]}, {"allowed_amount": 13.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1538162953, 1841761566, 1487645719]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.64, "providers": [{"billed_charge": 846.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "520893917"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 17.0, "npi": [1316181092]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 144.65, "providers": [{"billed_charge": 214.59, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 197.59, "providers": [{"billed_charge": 1237.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1003479197]}]}, {"allowed_amount": 43.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 24.0, "npi": [1801258306]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.57, "providers": [{"billed_charge": 945.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.57, "providers": [{"billed_charge": 853.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.03, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 35.0, "npi": [1548451727]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.64, "providers": [{"billed_charge": 657.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 62.64, "providers": [{"billed_charge": 461.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 17.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 58.0, "npi": [1821069089, 1720059827, 1194949883]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 17.34, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1215927579]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 103.2, "npi": [1679991442, 1437356268]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 13.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1821293747, 1518917582]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 14.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 29.0, "npi": [1619395431, 1538324660, 1700248820, 1710216726, 1487645719, 1528216249, 1841761566]}]}]}, {"tin": {"type": "ein", "value": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 29.88, "providers": [{"billed_charge": 66.0, "npi": [1144252842]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.59, "providers": [{"billed_charge": 817.0, "npi": [1689121188]}]}, {"allowed_amount": 528.7, "providers": [{"billed_charge": 817.0, "npi": [1275161523]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 6.85, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1841550316]}]}, {"allowed_amount": 13.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1033190202]}]}, {"allowed_amount": 14.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1801258306, 1013181924, 1386818409, 1932178423, 1700046364, 1003479197, 1417489758]}]}, {"allowed_amount": 17.12, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1891796082]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 234.18, "providers": [{"billed_charge": 928.0, "npi": [1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "813384145"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 26.98, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 23.0, "npi": [1144238379]}]}]}, {"tin": {"type": "ein", "value": "824944510"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 30.0, "npi": [1811140361, 1952549644]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.59, "providers": [{"billed_charge": 511.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.59, "providers": [{"billed_charge": 473.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1235427857]}]}, {"allowed_amount": 15.83, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 54.0, "npi": [1386969111]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.59, "providers": [{"billed_charge": 276.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 68.0, "npi": [1942434667]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 8.56, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1174558092]}]}, {"allowed_amount": 14.96, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 26.0, "npi": [1972657633, 1609005289, 1396949111]}]}]}, {"tin": {"type": "ein", "value": "860957500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 267.46, "providers": [{"billed_charge": 316.0, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1780952176, 1780872564, 1912939679]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 14.87, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 33.0, "npi": [1285054064]}]}]}]}, {"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": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.5, "providers": [{"billed_charge": 19.75, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.99, "providers": [{"billed_charge": 11.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.95, "providers": [{"billed_charge": 67.15, "npi": [1467484972]}, {"billed_charge": 71.35, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.03, "providers": [{"billed_charge": 350.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 230.0, "npi": [1447368071]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.73, "providers": [{"billed_charge": 350.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 36.41, "providers": [{"billed_charge": 78.65, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.39, "providers": [{"billed_charge": 258.35, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.73, "providers": [{"billed_charge": 350.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "481172106"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.48, "providers": [{"billed_charge": 136.73, "npi": [1154314789]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.93, "providers": [{"billed_charge": 15.93, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 7.0, "providers": [{"billed_charge": 7.0, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "562360411"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 54.0, "providers": [{"billed_charge": 54.0, "npi": [1477671535]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.71, "providers": [{"billed_charge": 208.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.03, "providers": [{"billed_charge": 350.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.45, "providers": [{"billed_charge": 54.0, "npi": [1609408665, 1265065445]}]}, {"allowed_amount": 22.03, "providers": [{"billed_charge": 54.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 12.49, "providers": [{"billed_charge": 656.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "840417134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.68, "providers": [{"billed_charge": 73.85, "npi": [1417946021]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.68, "providers": [{"billed_charge": 61.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.03, "providers": [{"billed_charge": 350.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.73, "providers": [{"billed_charge": 33.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.73, "providers": [{"billed_charge": 155.15, "npi": [1174512792]}, {"billed_charge": 156.15, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.73, "providers": [{"billed_charge": 38.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 22.73, "providers": [{"billed_charge": 137.2, "npi": [1881352037]}]}]}]}, {"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": "230596940"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.18, "providers": [{"billed_charge": 36.0, "npi": [1114095791]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.33, "providers": [{"billed_charge": 160.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "475590654"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 3.11, "providers": [{"billed_charge": 95.0, "npi": [1295093540]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 5.58, "providers": [{"billed_charge": 32.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.71, "providers": [{"billed_charge": 187.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.33, "providers": [{"billed_charge": 99.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 23.71, "providers": [{"billed_charge": 216.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.33, "providers": [{"billed_charge": 83.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 15.33, "providers": [{"billed_charge": 35.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "956000930"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 6.01, "providers": [{"billed_charge": 6.75, "npi": [1821159195]}]}]}]}, {"name": "Services provided in an urgent care center (list in addition to code for service)", "billing_code_type": "CPT", "billing_code": "S9088", "billing_code_type_version": "2022", "description": "Services provided in an urgent care center (list in addition to code for service)", "allowed_amounts": [{"tin": {"type": "ein", "value": "270886268"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.46, "providers": [{"billed_charge": 95.0, "npi": [1609821685]}]}]}, {"tin": {"type": "ein", "value": "272973102"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 127.0, "providers": [{"billed_charge": 127.0, "npi": [1366168031]}]}]}, {"tin": {"type": "ein", "value": "454611100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 30.81, "providers": [{"billed_charge": 100.0, "npi": [1083343495]}]}]}, {"tin": {"type": "ein", "value": "853756788"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 38.7, "providers": [{"billed_charge": 500.0, "npi": [1750387254, 1457339004, 1720009590]}]}]}, {"tin": {"type": "ein", "value": "922752452"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 43.64, "providers": [{"billed_charge": 88.0, "npi": [1891171955]}]}]}]}, {"name": "Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf", "billing_code_type": "CPT", "billing_code": "L3670", "billing_code_type_version": "2022", "description": "Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf", "allowed_amounts": [{"tin": {"type": "ein", "value": "330361048"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 250.0, "providers": [{"billed_charge": 250.0, "npi": [1891787594]}]}]}, {"tin": {"type": "ein", "value": "473080325"}, "billing_class": "professional", "service_codes": ["12"], "payments": [{"allowed_amount": 109.58, "billing_code_modifier": ["NU"], "providers": [{"billed_charge": 109.58, "npi": [1467826263]}]}]}]}, {"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": "141842517"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.93, "providers": [{"billed_charge": 822.0, "npi": [1144471640, 1780147041]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.93, "providers": [{"billed_charge": 423.0, "npi": [1013250521]}]}, {"allowed_amount": 37.62, "providers": [{"billed_charge": 423.0, "npi": [1003436288]}]}, {"allowed_amount": 53.86, "providers": [{"billed_charge": 423.0, "npi": [1578556510]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.93, "providers": [{"billed_charge": 440.0, "npi": [1376103044, 1053511527]}]}, {"allowed_amount": 39.02, "providers": [{"billed_charge": 440.0, "npi": [1700665569, 1558334243]}]}, {"allowed_amount": 63.86, "providers": [{"billed_charge": 440.0, "npi": [1730387564]}]}, {"allowed_amount": 78.03, "providers": [{"billed_charge": 440.0, "npi": [1164266656, 1023665916]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.48, "providers": [{"billed_charge": 520.0, "npi": [1871500496]}, {"billed_charge": 535.0, "npi": [1952976516]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.78, "providers": [{"billed_charge": 643.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 101.48, "providers": [{"billed_charge": 512.0, "npi": [1619503596]}, {"billed_charge": 542.0, "npi": [1528708377]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 349.5, "providers": [{"billed_charge": 643.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 494.16, "providers": [{"billed_charge": 653.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.93, "providers": [{"billed_charge": 365.0, "npi": [1457313728, 1053671677]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.78, "providers": [{"billed_charge": 980.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.78, "providers": [{"billed_charge": 600.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 68.4, "providers": [{"billed_charge": 334.0, "npi": [1699302281]}]}]}, {"tin": {"type": "ein", "value": "860580587"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 34.2, "providers": [{"billed_charge": 576.0, "npi": [1336766450]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.78, "providers": [{"billed_charge": 750.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.93, "providers": [{"billed_charge": 640.0, "npi": [1568478311]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.93, "providers": [{"billed_charge": 426.0, "npi": [1043252984]}]}, {"allowed_amount": 39.02, "providers": [{"billed_charge": 426.0, "npi": [1467970988]}]}]}]}, {"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": "141842517"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.64, "providers": [{"billed_charge": 737.0, "npi": [1306379953, 1316114895]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.64, "providers": [{"billed_charge": 354.0, "npi": [1457858466, 1366678534]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.45, "providers": [{"billed_charge": 356.0, "npi": [1437482965]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 82.79, "providers": [{"billed_charge": 311.0, "npi": [1912340597]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 35.0, "providers": [{"billed_charge": 250.0, "npi": [1205806122]}]}, {"allowed_amount": 148.51, "providers": [{"billed_charge": 250.0, "npi": [1962837682]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.18, "providers": [{"billed_charge": 643.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.18, "providers": [{"billed_charge": 1681.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 303.44, "providers": [{"billed_charge": 792.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.37, "providers": [{"billed_charge": 438.0, "npi": [1366622672, 1982360921, 1144547738, 1932169356]}, {"billed_charge": 441.0, "npi": [1386228153]}]}, {"allowed_amount": 82.79, "providers": [{"billed_charge": 409.0, "npi": [1447579586]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.18, "providers": [{"billed_charge": 643.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 236.67, "providers": [{"billed_charge": 789.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 425.58, "providers": [{"billed_charge": 2336.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 425.58, "providers": [{"billed_charge": 653.0, "npi": [1982733655]}, {"billed_charge": 1037.75, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "814399995"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 25.64, "providers": [{"billed_charge": 293.0, "npi": [1457313728, 1982633855]}]}, {"allowed_amount": 33.45, "providers": [{"billed_charge": 293.0, "npi": [1841294378]}]}, {"allowed_amount": 235.03, "providers": [{"billed_charge": 884.0, "npi": [1750879433]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 425.58, "providers": [{"billed_charge": 977.5, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "850127924"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 154.1, "providers": [{"billed_charge": 439.0, "npi": [1144429812]}]}]}, {"tin": {"type": "ein", "value": "850651672"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.45, "providers": [{"billed_charge": 272.0, "npi": [1548557275]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.18, "providers": [{"billed_charge": 1389.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 331.0, "providers": [{"billed_charge": 331.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.18, "providers": [{"billed_charge": 261.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 182.18, "providers": [{"billed_charge": 600.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860830701"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 110.66, "providers": [{"billed_charge": 141.0, "npi": [1295979748]}]}]}, {"tin": {"type": "ein", "value": "873202637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 27.3, "providers": [{"billed_charge": 290.0, "npi": [1164956215]}]}]}, {"tin": {"type": "ein", "value": "873768007"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.45, "providers": [{"billed_charge": 840.0, "npi": [1902848450]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.9, "providers": [{"billed_charge": 340.0, "npi": [1962892927]}]}]}]}, {"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": "141842517"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.67, "providers": [{"billed_charge": 1004.0, "npi": [1790870210, 1679505747]}]}]}, {"tin": {"type": "ein", "value": "204374268"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.67, "providers": [{"billed_charge": 470.0, "npi": [1891094637, 1275713703]}]}, {"allowed_amount": 45.62, "providers": [{"billed_charge": 470.0, "npi": [1598411308, 1356184311]}]}, {"allowed_amount": 67.33, "providers": [{"billed_charge": 470.0, "npi": [1922057348]}]}, {"allowed_amount": 470.0, "providers": [{"billed_charge": 470.0, "npi": [1700665569]}]}]}, {"tin": {"type": "ein", "value": "204374426"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.13, "providers": [{"billed_charge": 470.0, "npi": [1992705818]}]}]}, {"tin": {"type": "ein", "value": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 131.16, "providers": [{"billed_charge": 304.0, "npi": [1144252842]}]}]}, {"tin": {"type": "ein", "value": "208045243"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 91.99, "providers": [{"billed_charge": 555.0, "npi": [1346541448]}]}, {"allowed_amount": 108.23, "providers": [{"billed_charge": 555.0, "npi": [1346271707]}]}, {"allowed_amount": 278.03, "providers": [{"billed_charge": 483.0, "npi": [1942889530]}]}]}, {"tin": {"type": "ein", "value": "331814454"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 33.67, "providers": [{"billed_charge": 600.28, "npi": [1205837333]}]}, {"allowed_amount": 39.74, "providers": [{"billed_charge": 600.28, "npi": [1497033468, 1598364838]}]}]}, {"tin": {"type": "ein", "value": "461813341"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 108.23, "providers": [{"billed_charge": 530.0, "npi": [1215514310]}, {"billed_charge": 573.0, "npi": [1306377247]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.24, "providers": [{"billed_charge": 643.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 79.48, "providers": [{"billed_charge": 170.0, "npi": [1952722811]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 415.65, "providers": [{"billed_charge": 653.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "843016310"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.19, "providers": [{"billed_charge": 175.0, "npi": [1760846570]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 214.24, "providers": [{"billed_charge": 261.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 64.04, "providers": [{"billed_charge": 355.0, "npi": [1760869929]}]}]}, {"tin": {"type": "ein", "value": "873202637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 36.13, "providers": [{"billed_charge": 380.0, "npi": [1952333874]}]}]}, {"tin": {"type": "ein", "value": "931450460"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.62, "providers": [{"billed_charge": 452.0, "npi": [1528671948]}]}]}]}, {"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": "043740411"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 87.01, "providers": [{"billed_charge": 224.8, "npi": [1548294465]}]}]}, {"tin": {"type": "ein", "value": "273322672"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 71.33, "providers": [{"billed_charge": 1393.0, "npi": [1962437475]}]}]}, {"tin": {"type": "ein", "value": "454536742"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 16.6, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 36.0, "npi": [1659481661]}]}, {"allowed_amount": 49.56, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 198.0, "npi": [1659481661]}]}, {"allowed_amount": 71.33, "providers": [{"billed_charge": 234.0, "npi": [1578718003]}]}]}, {"tin": {"type": "ein", "value": "710847813"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 109.33, "providers": [{"billed_charge": 109.33, "npi": [1356452239]}]}]}, {"tin": {"type": "ein", "value": "860616297"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 14.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 14.0, "npi": [1154396133]}]}]}, {"tin": {"type": "ein", "value": "860658224"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 18.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 37.5, "npi": [1124283882]}]}]}]}, {"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": "010887199"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1548263825, 1861842148]}]}]}, {"tin": {"type": "ein", "value": "200552815"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.42, "providers": [{"billed_charge": 155.36, "npi": [1427269638]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 155.36, "npi": [1184835282, 1427269638, 1194713263]}]}]}, {"tin": {"type": "ein", "value": "201149354"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 161.65, "providers": [{"billed_charge": 328.0, "npi": [1033368113]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 443.0, "npi": [1164086658, 1235450214, 1619439916, 1821438680, 1376350686]}]}, {"allowed_amount": 108.4, "providers": [{"billed_charge": 443.0, "npi": [1659766129]}]}, {"allowed_amount": 126.84, "providers": [{"billed_charge": 443.0, "npi": [1164084034]}]}, {"allowed_amount": 129.79, "providers": [{"billed_charge": 443.0, "npi": [1669734497, 1972800837]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 443.0, "npi": [1265539969]}]}, {"allowed_amount": 150.38, "providers": [{"billed_charge": 443.0, "npi": [1942994777, 1194504654, 1801472055]}]}]}, {"tin": {"type": "ein", "value": "201778316"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 87.75, "providers": [{"billed_charge": 252.95, "npi": [1407296882]}]}, {"allowed_amount": 103.24, "providers": [{"billed_charge": 252.95, "npi": [1063788875]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 252.95, "npi": [1649590050, 1609993179]}]}, {"allowed_amount": 150.38, "providers": [{"billed_charge": 252.95, "npi": [1942092945]}]}]}, {"tin": {"type": "ein", "value": "203045376"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 313.0, "npi": [1386676922]}]}]}, {"tin": {"type": "ein", "value": "203237708"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.18, "providers": [{"billed_charge": 306.0, "npi": [1649579186, 1609131499]}]}, {"allowed_amount": 103.24, "providers": [{"billed_charge": 306.0, "npi": [1447322441, 1902059652, 1720312390]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 306.0, "npi": [1336216803, 1942548565]}]}, {"allowed_amount": 127.24, "providers": [{"billed_charge": 306.0, "npi": [1306810338]}]}, {"allowed_amount": 132.6, "providers": [{"billed_charge": 306.0, "npi": [1902059652]}]}, {"allowed_amount": 146.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 306.0, "npi": [1649694720, 1316933641, 1811421852, 1427326750, 1417996067, 1659723427, 1730130469, 1740487719, 1649579186, 1548233141, 1851345334, 1548311350, 1861888315, 1609153733, 1720312390, 1255419206, 1447322441, 1043237837, 1972065365, 1265639637, 1538359898, 1861613275, 1417944802, 1609131499, 1841931243, 1881278067, 1467560565]}]}]}, {"tin": {"type": "ein", "value": "203254041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.97, "providers": [{"billed_charge": 235.0, "npi": [1740367549]}]}]}, {"tin": {"type": "ein", "value": "205198811"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 91.28, "providers": [{"billed_charge": 209.0, "npi": [1104559483]}]}, {"allowed_amount": 101.42, "providers": [{"billed_charge": 209.0, "npi": [1154492460]}]}]}, {"tin": {"type": "ein", "value": "205324080"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 175.0, "npi": [1508867839]}]}]}, {"tin": {"type": "ein", "value": "208919606"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 150.0, "npi": [1356319388]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 411.0, "providers": [{"billed_charge": 411.0, "npi": [1700296514, 1548440100, 1033529201, 1639600083, 1003261595, 1144616541]}]}]}, {"tin": {"type": "ein", "value": "260446753"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.38, "providers": [{"billed_charge": 252.0, "npi": [1477305134]}]}]}, {"tin": {"type": "ein", "value": "261627833"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 211.0, "npi": [1356307375]}]}]}, {"tin": {"type": "ein", "value": "262143220"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.66, "providers": [{"billed_charge": 155.0, "npi": [1770579492]}]}]}, {"tin": {"type": "ein", "value": "264252891"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 160.0, "npi": [1952396400]}]}]}, {"tin": {"type": "ein", "value": "264285079"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 152.33, "npi": [1396731493]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 216.0, "npi": [1396731493]}]}]}, {"tin": {"type": "ein", "value": "264442917"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 250.0, "npi": [1710944327]}]}]}, {"tin": {"type": "ein", "value": "264691812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 224.58, "npi": [1205333051]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 224.58, "npi": [1518413871]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 224.58, "npi": [1689937575, 1275975468, 1265662928, 1649579186, 1649377813, 1801993910, 1467560565, 1154940088, 1851037402, 1205333051, 1104388511]}]}]}, {"tin": {"type": "ein", "value": "264772137"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.75, "providers": [{"billed_charge": 202.36, "npi": [1033927892]}]}]}, {"tin": {"type": "ein", "value": "272088728"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 146.66, "providers": [{"billed_charge": 155.0, "npi": [1447269220]}]}]}, {"tin": {"type": "ein", "value": "272296089"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 247.0, "npi": [1124084280]}]}]}, {"tin": {"type": "ein", "value": "274321839"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1548280449]}]}]}, {"tin": {"type": "ein", "value": "274733725"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 445.0, "npi": [1275057598]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 445.0, "npi": [1386173425, 1275057598, 1235417551]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 445.0, "npi": [1225522212]}]}]}, {"tin": {"type": "ein", "value": "300463194"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.92, "providers": [{"billed_charge": 718.0, "npi": [1033731161]}]}]}, {"tin": {"type": "ein", "value": "300757230"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.87, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 462.04, "npi": [1871812933]}]}]}, {"tin": {"type": "ein", "value": "320339230"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 200.0, "npi": [1154373793, 1720020431]}]}]}, {"tin": {"type": "ein", "value": "331165924"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.87, "providers": [{"billed_charge": 250.0, "npi": [1902863350]}]}]}, {"tin": {"type": "ein", "value": "332811950"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 225.58, "npi": [1205065927]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 225.58, "npi": [1598778177, 1861681231]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 225.58, "npi": [1427431147, 1205065927]}]}, {"allowed_amount": 206.48, "providers": [{"billed_charge": 225.58, "npi": [1598778177]}]}, {"allowed_amount": 825.92, "providers": [{"billed_charge": 225.58, "npi": [1598778177]}]}]}, {"tin": {"type": "ein", "value": "334146450"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 206.48, "providers": [{"billed_charge": 306.7, "npi": [1912153222]}]}]}, {"tin": {"type": "ein", "value": "352303019"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 185.0, "npi": [1841282811]}]}]}, {"tin": {"type": "ein", "value": "363097297"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 167.77, "providers": [{"billed_charge": 311.0, "npi": [1801208459]}]}]}, {"tin": {"type": "ein", "value": "363966745"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 200.0, "npi": [1679662381, 1770700510]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 200.0, "npi": [1700141637]}]}]}, {"tin": {"type": "ein", "value": "364526566"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 350.0, "npi": [1154883205]}]}]}, {"tin": {"type": "ein", "value": "364710147"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 200.0, "npi": [1083828750]}, {"billed_charge": 250.0, "npi": [1083828750]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 149.97, "providers": [{"billed_charge": 286.0, "npi": [1730754151, 1376521625, 1134780661, 1144749177, 1184129983]}]}, {"allowed_amount": 286.0, "providers": [{"billed_charge": 286.0, "npi": [1023138443, 1730239310]}]}]}, {"tin": {"type": "ein", "value": "383802792"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.66, "providers": [{"billed_charge": 260.0, "npi": [1841398211]}]}]}, {"tin": {"type": "ein", "value": "383972250"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.66, "providers": [{"billed_charge": 160.0, "npi": [1801013016]}]}]}, {"tin": {"type": "ein", "value": "384059067"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.79, "providers": [{"billed_charge": 1600.0, "npi": [1790198802]}]}]}, {"tin": {"type": "ein", "value": "392605405"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.79, "providers": [{"billed_charge": 9500.0, "npi": [1467744490]}]}]}, {"tin": {"type": "ein", "value": "421411630"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 188.88, "providers": [{"billed_charge": 255.0, "npi": [1770877466]}]}]}, {"tin": {"type": "ein", "value": "452049401"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 132.6, "providers": [{"billed_charge": 250.0, "npi": [1710954847]}]}]}, {"tin": {"type": "ein", "value": "452107871"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.38, "providers": [{"billed_charge": 200.0, "npi": [1609561323]}]}, {"allowed_amount": 200.0, "providers": [{"billed_charge": 200.0, "npi": [1609561323]}]}]}, {"tin": {"type": "ein", "value": "452645948"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 211.0, "npi": [1700190964]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 211.0, "npi": [1700190964]}]}]}, {"tin": {"type": "ein", "value": "453216530"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.87, "providers": [{"billed_charge": 288.0, "npi": [1023250529]}]}]}, {"tin": {"type": "ein", "value": "454536742"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 209.0, "npi": [1104807882, 1417204363]}]}]}, {"tin": {"type": "ein", "value": "455232004"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 154.47, "providers": [{"billed_charge": 200.0, "npi": [1528685005]}]}]}, {"tin": {"type": "ein", "value": "455239497"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 200.0, "npi": [1588875207]}]}]}, {"tin": {"type": "ein", "value": "455552840"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 224.58, "npi": [1801883640]}]}]}, {"tin": {"type": "ein", "value": "461327841"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 306.0, "npi": [1538359898]}]}]}, {"tin": {"type": "ein", "value": "461422609"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 155.31, "providers": [{"billed_charge": 300.0, "npi": [1144077983]}]}]}, {"tin": {"type": "ein", "value": "462601025"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.66, "providers": [{"billed_charge": 150.0, "npi": [1578536512]}]}]}, {"tin": {"type": "ein", "value": "462788757"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 235.0, "npi": [1780813725]}]}]}, {"tin": {"type": "ein", "value": "464023962"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 205.0, "npi": [1306047790]}]}]}, {"tin": {"type": "ein", "value": "464044029"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 170.0, "npi": [1518968429]}]}]}, {"tin": {"type": "ein", "value": "464156975"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 264.75, "npi": [1750960449]}, {"billed_charge": 265.0, "npi": [1063948529]}]}]}, {"tin": {"type": "ein", "value": "464207180"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 92.2, "providers": [{"billed_charge": 201.0, "npi": [1740256361]}]}, {"allowed_amount": 201.0, "providers": [{"billed_charge": 201.0, "npi": [1639457096, 1740256361, 1558507707]}]}]}, {"tin": {"type": "ein", "value": "464363525"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 146.66, "providers": [{"billed_charge": 200.0, "npi": [1699068387, 1871858217, 1437123593, 1841316569, 1649911900, 1215923453, 1851032254]}]}, {"allowed_amount": 150.38, "providers": [{"billed_charge": 200.0, "npi": [1366733560]}]}]}, {"tin": {"type": "ein", "value": "465267258"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 164.0, "npi": [1588657365]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 164.0, "npi": [1588657365, 1376532127]}]}]}, {"tin": {"type": "ein", "value": "471554329"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 202.0, "npi": [1669422119]}]}, {"allowed_amount": 150.38, "providers": [{"billed_charge": 202.0, "npi": [1578871026]}]}]}, {"tin": {"type": "ein", "value": "471871693"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 250.0, "npi": [1154583847]}]}]}, {"tin": {"type": "ein", "value": "472188010"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.66, "providers": [{"billed_charge": 421.52, "npi": [1740420041]}]}]}, {"tin": {"type": "ein", "value": "472259455"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.66, "providers": [{"billed_charge": 154.62, "npi": [1417167313]}]}]}, {"tin": {"type": "ein", "value": "473350388"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 224.58, "npi": [1952920613]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 215.0, "npi": [1457328106]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 215.0, "npi": [1821275082, 1588878508]}]}, {"allowed_amount": 150.38, "providers": [{"billed_charge": 215.0, "npi": [1366862526]}]}]}, {"tin": {"type": "ein", "value": "473689506"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 306.7, "npi": [1598997348]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 306.7, "npi": [1457658007]}]}, {"allowed_amount": 150.38, "providers": [{"billed_charge": 306.7, "npi": [1720460033, 1336635937]}]}, {"allowed_amount": 155.48, "providers": [{"billed_charge": 306.7, "npi": [1699976522]}, {"billed_charge": 99233.0, "npi": [1699976522]}]}]}, {"tin": {"type": "ein", "value": "474197280"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.66, "providers": [{"billed_charge": 175.0, "npi": [1356560874]}]}]}, {"tin": {"type": "ein", "value": "475204573"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.66, "providers": [{"billed_charge": 185.0, "npi": [1902151251]}]}, {"allowed_amount": 149.97, "providers": [{"billed_charge": 185.0, "npi": [1528268075]}]}]}, {"tin": {"type": "ein", "value": "475311127"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 200.0, "npi": [1790971760]}]}]}, {"tin": {"type": "ein", "value": "475554737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.02, "providers": [{"billed_charge": 347.0, "npi": [1811315880]}]}]}, {"tin": {"type": "ein", "value": "550853999"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 87.75, "providers": [{"billed_charge": 316.0, "npi": [1750909008, 1639871247]}]}, {"allowed_amount": 103.24, "providers": [{"billed_charge": 316.0, "npi": [1164884375]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 316.0, "npi": [1346685781]}]}]}, {"tin": {"type": "ein", "value": "572695061"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 96.35, "providers": [{"billed_charge": 208.0, "npi": [1700872223]}]}]}, {"tin": {"type": "ein", "value": "591634257"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 142.79, "providers": [{"billed_charge": 350.0, "npi": [1679696983]}]}]}, {"tin": {"type": "ein", "value": "593214635"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 64.5, "providers": [{"billed_charge": 481.0, "npi": [1609209428]}]}, {"allowed_amount": 197.35, "providers": [{"billed_charge": 481.0, "npi": [1275952947]}]}]}, {"tin": {"type": "ein", "value": "593238640"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 83.13, "providers": [{"billed_charge": 225.0, "npi": [1952695710]}]}, {"allowed_amount": 156.54, "providers": [{"billed_charge": 232.0, "npi": [1083134555]}]}, {"allowed_amount": 180.32, "providers": [{"billed_charge": 232.0, "npi": [1033386909]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 153.47, "providers": [{"billed_charge": 360.0, "npi": [1922441351]}]}, {"allowed_amount": 153.6, "providers": [{"billed_charge": 360.0, "npi": [1134370794, 1720577919, 1710104799]}]}, {"allowed_amount": 156.52, "providers": [{"billed_charge": 360.0, "npi": [1962601336, 1871804468]}]}]}, {"tin": {"type": "ein", "value": "593784049"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 101.42, "providers": [{"billed_charge": 264.75, "npi": [1750960449]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 288.0, "npi": [1487620696, 1295167302]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 288.0, "npi": [1972008514, 1295315877, 1770162471, 1275917064, 1053873422, 1285745646, 1003263823, 1902888753, 1508398165, 1780115832]}]}, {"allowed_amount": 146.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 288.0, "npi": [1417381120, 1447788930, 1215958939, 1174750053, 1326220518, 1962889543, 1932500360, 1790132744, 1134449994, 1609131499, 1588953285, 1902291016, 1386023182, 1912460718, 1700166576, 1750596789, 1487620696, 1023407483]}]}, {"allowed_amount": 150.38, "providers": [{"billed_charge": 288.0, "npi": [1538497110]}]}, {"allowed_amount": 172.56, "providers": [{"billed_charge": 288.0, "npi": [1518307966]}]}, {"allowed_amount": 199.92, "providers": [{"billed_charge": 288.0, "npi": [1811350119]}]}, {"allowed_amount": 202.84, "providers": [{"billed_charge": 288.0, "npi": [1508398165]}]}, {"allowed_amount": 203.5, "providers": [{"billed_charge": 288.0, "npi": [1689886244]}]}, {"allowed_amount": 272.82, "providers": [{"billed_charge": 288.0, "npi": [1770162471]}]}, {"allowed_amount": 275.8, "providers": [{"billed_charge": 288.0, "npi": [1518307966]}]}, {"allowed_amount": 306.74, "providers": [{"billed_charge": 288.0, "npi": [1386023182]}]}, {"allowed_amount": 309.72, "providers": [{"billed_charge": 288.0, "npi": [1891378600]}]}]}, {"tin": {"type": "ein", "value": "710236856"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.02, "providers": [{"billed_charge": 225.0, "npi": [1558867309]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 164.02, "providers": [{"billed_charge": 225.0, "npi": [1275996944, 1669055802]}]}, {"allowed_amount": 167.18, "providers": [{"billed_charge": 225.0, "npi": [1801207857]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 125.32, "providers": [{"billed_charge": 288.0, "npi": [1750347563]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 117.9, "providers": [{"billed_charge": 412.0, "npi": [1396240321, 1255863601]}]}, {"allowed_amount": 154.92, "providers": [{"billed_charge": 412.0, "npi": [1508480062, 1851754113, 1386025302]}]}]}, {"tin": {"type": "ein", "value": "742410946"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 206.0, "npi": [1396240800, 1982067302]}, {"billed_charge": 289.0, "npi": [1619317989]}]}, {"allowed_amount": 123.52, "providers": [{"billed_charge": 206.0, "npi": [1891149043]}]}, {"allowed_amount": 176.72, "providers": [{"billed_charge": 206.0, "npi": [1801264353, 1417996067, 1225397896, 1750336137, 1528334505, 1376711572]}]}, {"allowed_amount": 203.5, "providers": [{"billed_charge": 206.0, "npi": [1396240800]}]}, {"allowed_amount": 309.72, "providers": [{"billed_charge": 206.0, "npi": [1891149043]}]}, {"allowed_amount": 342.14, "providers": [{"billed_charge": 206.0, "npi": [1518209964]}]}, {"allowed_amount": 445.38, "providers": [{"billed_charge": 206.0, "npi": [1497250906]}]}, {"allowed_amount": 616.46, "providers": [{"billed_charge": 206.0, "npi": [1497250906]}]}]}, {"tin": {"type": "ein", "value": "760757826"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 130.0, "providers": [{"billed_charge": 130.0, "npi": [1528222593, 1912497678, 1144630831, 1386956720, 1164863569, 1851388433, 1558368787, 1073008017, 1932494549, 1073990099, 1861584856, 1952980856]}]}]}, {"tin": {"type": "ein", "value": "811156192"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 107.66, "providers": [{"billed_charge": 315.0, "npi": [1942647425, 1962065995]}]}, {"allowed_amount": 124.16, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 315.0, "npi": [1871090811]}]}, {"allowed_amount": 142.78, "providers": [{"billed_charge": 315.0, "npi": [1407381189]}]}, {"allowed_amount": 149.97, "providers": [{"billed_charge": 315.0, "npi": [1699903633]}]}, {"allowed_amount": 192.55, "providers": [{"billed_charge": 315.0, "npi": [1114972783]}]}]}, {"tin": {"type": "ein", "value": "811183080"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 170.0, "npi": [1932100831]}]}]}, {"tin": {"type": "ein", "value": "813346959"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 295.0, "npi": [1285846642, 1134481989, 1881736973]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 295.0, "npi": [1851653521]}]}]}, {"tin": {"type": "ein", "value": "813724824"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 20.02, "providers": [{"billed_charge": 210.76, "npi": [1447573191]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 210.76, "npi": [1447573191]}]}]}, {"tin": {"type": "ein", "value": "814106841"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 115.0, "providers": [{"billed_charge": 115.0, "npi": [1053946756]}]}]}, {"tin": {"type": "ein", "value": "814965916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 398.0, "npi": [1184129249, 1598997348]}, {"billed_charge": 439.0, "npi": [1669518361]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 396.0, "npi": [1538579776]}]}, {"allowed_amount": 150.38, "providers": [{"billed_charge": 439.0, "npi": [1306676333]}]}]}, {"tin": {"type": "ein", "value": "821505834"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1225144140]}]}]}, {"tin": {"type": "ein", "value": "825058478"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.66, "providers": [{"billed_charge": 200.0, "npi": [1922234228]}, {"billed_charge": 212.4, "npi": [1922234228]}]}, {"allowed_amount": 516.2, "providers": [{"billed_charge": 212.4, "npi": [1922234228]}]}]}, {"tin": {"type": "ein", "value": "825401800"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 154.62, "npi": [1194954032]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 154.62, "npi": [1194954032]}]}]}, {"tin": {"type": "ein", "value": "831615363"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.66, "providers": [{"billed_charge": 208.0, "npi": [1467454173]}]}]}, {"tin": {"type": "ein", "value": "831880110"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 151.77, "npi": [1548574320]}]}]}, {"tin": {"type": "ein", "value": "831972510"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 120.0, "providers": [{"billed_charge": 120.0, "npi": [1104952449]}]}]}, {"tin": {"type": "ein", "value": "832531356"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 306.0, "npi": [1609131499]}]}]}, {"tin": {"type": "ein", "value": "832602750"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.42, "providers": [{"billed_charge": 150.0, "npi": [1750595575]}]}]}, {"tin": {"type": "ein", "value": "834456172"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 345.0, "npi": [1316019532]}]}]}, {"tin": {"type": "ein", "value": "834495738"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1427474170, 1770939845]}]}, {"allowed_amount": 155.48, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1932479953, 1477046548]}]}]}, {"tin": {"type": "ein", "value": "834517050"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 201.0, "providers": [{"billed_charge": 201.0, "npi": [1881398105]}]}]}, {"tin": {"type": "ein", "value": "834598911"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 201.0, "providers": [{"billed_charge": 201.0, "npi": [1982871463]}]}]}, {"tin": {"type": "ein", "value": "840791312"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 368.88, "providers": [{"billed_charge": 207.0, "npi": [1780894790]}]}]}, {"tin": {"type": "ein", "value": "843016310"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 301.0, "npi": [1568726644]}, {"billed_charge": 316.0, "npi": [1568726644, 1083977599]}]}, {"allowed_amount": 129.79, "providers": [{"billed_charge": 316.0, "npi": [1336363290]}]}]}, {"tin": {"type": "ein", "value": "843260711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 199.0, "npi": [1578527701]}]}]}, {"tin": {"type": "ein", "value": "843393469"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 245.36, "npi": [1023306933]}]}, {"allowed_amount": 150.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 245.36, "npi": [1679250393]}]}]}, {"tin": {"type": "ein", "value": "844284477"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 306.0, "npi": [1942548565]}, {"billed_charge": 680.0, "npi": [1104277953, 1124430004, 1215221940]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 680.0, "npi": [1033799846, 1568990695, 1457317448, 1003045709, 1124430004, 1255478772, 1215221940, 1700068855, 1609174648, 1508211673, 1578192506, 1770879835, 1407318173]}]}, {"allowed_amount": 132.6, "providers": [{"billed_charge": 680.0, "npi": [1063876647]}]}, {"allowed_amount": 146.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 680.0, "npi": [1104277953, 1568083970, 1629698501, 1508251174, 1356804645, 1245869478, 1588291561, 1225457674, 1205194438, 1265018956, 1316188014, 1962065425, 1689239410, 1801250071, 1316366651, 1023304797, 1659803518, 1396052254]}]}, {"allowed_amount": 150.38, "providers": [{"billed_charge": 680.0, "npi": [1679723084]}]}]}, {"tin": {"type": "ein", "value": "844344193"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.92, "providers": [{"billed_charge": 200.0, "npi": [1366733560]}]}]}, {"tin": {"type": "ein", "value": "844935945"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 200.0, "npi": [1598778177]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 200.0, "npi": [1598778177, 1093769689]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 200.0, "npi": [1093769689]}]}, {"allowed_amount": 150.38, "providers": [{"billed_charge": 200.0, "npi": [1295122307, 1821769829]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 154.47, "providers": [{"billed_charge": 223.0, "npi": [1841926284]}]}]}, {"tin": {"type": "ein", "value": "851067265"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 206.48, "providers": [{"billed_charge": 288.0, "npi": [1275917064]}]}]}, {"tin": {"type": "ein", "value": "851201549"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 105.38, "providers": [{"billed_charge": 105.38, "npi": [1538428313, 1063645778, 1750544276, 1891922829]}]}]}, {"tin": {"type": "ein", "value": "851446280"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1306465042, 1609005891]}]}]}, {"tin": {"type": "ein", "value": "852719073"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.23, "providers": [{"billed_charge": 211.0, "npi": [1871513358]}]}]}, {"tin": {"type": "ein", "value": "854102013"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.66, "providers": [{"billed_charge": 235.0, "npi": [1699187807]}]}, {"allowed_amount": 149.97, "providers": [{"billed_charge": 235.0, "npi": [1699187807]}]}, {"allowed_amount": 150.38, "providers": [{"billed_charge": 235.0, "npi": [1275171340]}]}]}, {"tin": {"type": "ein", "value": "860187416"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 262.0, "providers": [{"billed_charge": 262.0, "npi": [1700225919]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 104.0, "npi": [1588726970]}]}]}, {"tin": {"type": "ein", "value": "860220398"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.42, "providers": [{"billed_charge": 140.0, "npi": [1760434419]}]}, {"allowed_amount": 103.24, "providers": [{"billed_charge": 140.0, "npi": [1396131090]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 140.0, "npi": [1396131090, 1760434419, 1861529174, 1053379263]}]}]}, {"tin": {"type": "ein", "value": "860392561"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 336.87, "npi": [1700260106, 1033389150, 1902890767, 1578789913, 1568414878]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 336.87, "npi": [1790148104, 1528054921, 1265639637, 1861809949, 1508246398]}]}, {"allowed_amount": 150.38, "providers": [{"billed_charge": 336.87, "npi": [1588350144]}]}]}, {"tin": {"type": "ein", "value": "860473753"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 125.32, "providers": [{"billed_charge": 602.0, "npi": [1275868788]}]}]}, {"tin": {"type": "ein", "value": "860516994"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 208.0, "npi": [1174942643, 1790730604]}]}, {"allowed_amount": 146.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 208.0, "npi": [1588824007, 1023066487]}]}]}, {"tin": {"type": "ein", "value": "860590732"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 206.48, "providers": [{"billed_charge": 155.0, "npi": [1770579492]}]}]}, {"tin": {"type": "ein", "value": "860633950"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 101.42, "providers": [{"billed_charge": 263.0, "npi": [1457771321, 1598733651]}]}, {"allowed_amount": 103.24, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 263.0, "npi": [1780653840, 1457771321, 1881895159, 1598766487]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 263.0, "npi": [1326044025, 1447514898, 1003009861, 1215933957]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 263.0, "npi": [1457771321, 1598733651, 1881895159]}]}]}, {"tin": {"type": "ein", "value": "860657068"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.92, "providers": [{"billed_charge": 200.0, "npi": [1184286809]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 200.0, "npi": [1942306535]}]}, {"allowed_amount": 150.38, "providers": [{"billed_charge": 200.0, "npi": [1184286809]}]}]}, {"tin": {"type": "ein", "value": "860678845"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.66, "providers": [{"billed_charge": 240.0, "npi": [1992746408]}]}]}, {"tin": {"type": "ein", "value": "860711625"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 227.0, "npi": [1992237226]}]}, {"allowed_amount": 150.38, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 227.0, "npi": [1407279854]}]}]}, {"tin": {"type": "ein", "value": "860736282"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 125.0, "npi": [1659364016]}]}]}, {"tin": {"type": "ein", "value": "860739774"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 96.35, "providers": [{"billed_charge": 325.0, "npi": [1750487344, 1053671529]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 325.0, "npi": [1215516034, 1033850599, 1053671529, 1245971084, 1750487344]}]}]}, {"tin": {"type": "ein", "value": "860767298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 147.87, "providers": [{"billed_charge": 150.0, "npi": [1326191115, 1437778701]}]}]}, {"tin": {"type": "ein", "value": "860770482"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 136.99, "npi": [1346252129, 1235325507, 1972779643, 1316926579]}]}, {"allowed_amount": 136.99, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 136.99, "npi": [1174843403]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.08, "providers": [{"billed_charge": 104.09, "npi": [1740283878]}, {"billed_charge": 426.0, "npi": [1831572221, 1740283878]}]}, {"allowed_amount": 103.24, "providers": [{"billed_charge": 426.0, "npi": [1952689010]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 426.0, "npi": [1326020074]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 426.0, "npi": [1831572221]}]}, {"allowed_amount": 150.38, "providers": [{"billed_charge": 426.0, "npi": [1841258712, 1760572523, 1649609611]}]}, {"allowed_amount": 206.48, "providers": [{"billed_charge": 426.0, "npi": [1952689010]}]}, {"allowed_amount": 241.88, "providers": [{"billed_charge": 426.0, "npi": [1346627692]}]}, {"allowed_amount": 275.8, "providers": [{"billed_charge": 426.0, "npi": [1952689010]}]}]}, {"tin": {"type": "ein", "value": "860801660"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 129.79, "providers": [{"billed_charge": 324.0, "npi": [1821090879]}]}]}, {"tin": {"type": "ein", "value": "860810053"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 150.0, "npi": [1053639336]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 150.0, "npi": [1053639336]}]}]}, {"tin": {"type": "ein", "value": "860831961"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 234.44, "npi": [1104831890]}]}]}, {"tin": {"type": "ein", "value": "860842583"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 164.0, "npi": [1437122397]}]}, {"allowed_amount": 132.6, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 164.0, "npi": [1710115423]}]}]}, {"tin": {"type": "ein", "value": "860846208"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.66, "providers": [{"billed_charge": 211.0, "npi": [1083237523]}]}]}, {"tin": {"type": "ein", "value": "860860427"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 45.28, "providers": [{"billed_charge": 208.0, "npi": [1760678049]}]}, {"allowed_amount": 103.24, "providers": [{"billed_charge": 208.0, "npi": [1700133998]}]}]}, {"tin": {"type": "ein", "value": "860911876"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 206.0, "npi": [1255324182]}]}]}, {"tin": {"type": "ein", "value": "860916754"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 211.0, "npi": [1356337034]}]}, {"allowed_amount": 203.5, "providers": [{"billed_charge": 206.0, "npi": [1275508863]}]}]}, {"tin": {"type": "ein", "value": "860927994"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.92, "providers": [{"billed_charge": 225.0, "npi": [1144743899]}]}, {"allowed_amount": 103.24, "providers": [{"billed_charge": 225.0, "npi": [1801039680, 1831155001, 1306266523]}, {"billed_charge": 306.0, "npi": [1861888315]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 225.0, "npi": [1548642069]}]}, {"allowed_amount": 146.66, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 225.0, "npi": [1801039680, 1336106152, 1326450636, 1144310863, 1336596691, 1619587508, 1205565587, 1831155001, 1306266523, 1689830911]}]}, {"allowed_amount": 150.38, "providers": [{"billed_charge": 225.0, "npi": [1144743899, 1679232839]}]}, {"allowed_amount": 272.82, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 257.0, "npi": [1669850954]}]}]}, {"tin": {"type": "ein", "value": "860958393"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 21.08, "providers": [{"billed_charge": 150.0, "npi": [1265842389]}]}, {"allowed_amount": 103.24, "providers": [{"billed_charge": 150.0, "npi": [1992095020]}]}, {"allowed_amount": 105.38, "providers": [{"billed_charge": 150.0, "npi": [1265842389]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 150.0, "npi": [1265737977, 1003558131, 1992095020, 1265842389]}]}]}, {"tin": {"type": "ein", "value": "860959487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 133.23, "providers": [{"billed_charge": 211.0, "npi": [1205938917, 1740287218, 1831212117, 1336554070, 1336349463, 1851591895, 1467829275]}]}]}, {"tin": {"type": "ein", "value": "860990148"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 259.0, "npi": [1588692479]}]}, {"allowed_amount": 133.23, "providers": [{"billed_charge": 210.76, "npi": [1962023440, 1497082432, 1588692479]}, {"billed_charge": 259.0, "npi": [1962023440, 1497082432, 1245352574]}]}]}, {"tin": {"type": "ein", "value": "860990920"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 261.0, "npi": [1710147376]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 261.0, "npi": [1710147376]}]}]}, {"tin": {"type": "ein", "value": "861009260"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 211.0, "npi": [1326052812]}]}]}, {"tin": {"type": "ein", "value": "861016151"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 209.0, "npi": [1730399304, 1679504054]}]}]}, {"tin": {"type": "ein", "value": "861044433"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 309.72, "providers": [{"billed_charge": 130.0, "npi": [1659461358]}]}]}, {"tin": {"type": "ein", "value": "861045280"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 98.08, "providers": [{"billed_charge": 140.0, "npi": [1659536704, 1235628033]}]}, {"allowed_amount": 103.24, "providers": [{"billed_charge": 140.0, "npi": [1477110849, 1518977073, 1194110965]}]}, {"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1235628033, 1720280449, 1730161027, 1659728004, 1902069768, 1205094935, 1104032028, 1033105200, 1659536704, 1811285315, 1619104593, 1871550681, 1649614561, 1023548773, 1285895920, 1427631472, 1245673714, 1194110965, 1336100478, 1194104703]}]}]}, {"tin": {"type": "ein", "value": "862423701"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 225.0, "npi": [1205565587]}]}]}, {"tin": {"type": "ein", "value": "871299525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 281.0, "npi": [1366812828]}]}]}, {"tin": {"type": "ein", "value": "872749559"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 116.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 116.0, "npi": [1881685584]}]}]}, {"tin": {"type": "ein", "value": "872880655"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 325.0, "npi": [1053671529]}]}]}, {"tin": {"type": "ein", "value": "873298330"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.92, "providers": [{"billed_charge": 200.0, "npi": [1366733560]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 293.05, "npi": [1760456032]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 293.05, "npi": [1972590818, 1427015239, 1417342569, 1912182221, 1447246129, 1215164280]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 293.05, "npi": [1891006532, 1194302794, 1053738096, 1598327025, 1073909552, 1063413524, 1003349887]}]}]}, {"tin": {"type": "ein", "value": "900130287"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 205.0, "npi": [1306047790]}]}]}, {"tin": {"type": "ein", "value": "901116155"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 150.0, "npi": [1609005891]}]}]}, {"tin": {"type": "ein", "value": "911822851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.52, "providers": [{"billed_charge": 353.0, "npi": [1730140781]}]}, {"allowed_amount": 103.24, "providers": [{"billed_charge": 154.62, "npi": [1194954032]}, {"billed_charge": 175.0, "npi": [1356560874]}, {"billed_charge": 200.0, "npi": [1457311367]}, {"billed_charge": 211.0, "npi": [1033307574]}, {"billed_charge": 225.0, "npi": [1336106152]}, {"billed_charge": 306.0, "npi": [1447322441, 1467560565]}]}, {"allowed_amount": 203.5, "providers": [{"billed_charge": 130.0, "npi": [1558334300]}]}, {"allowed_amount": 206.48, "providers": [{"billed_charge": 154.62, "npi": [1194954032]}, {"billed_charge": 175.0, "npi": [1356560874]}]}]}, {"tin": {"type": "ein", "value": "920465848"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.66, "providers": [{"billed_charge": 160.0, "npi": [1366979700]}]}]}, {"tin": {"type": "ein", "value": "921819458"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 25.5, "providers": [{"billed_charge": 200.0, "npi": [1932479953]}]}, {"allowed_amount": 204.0, "providers": [{"billed_charge": 200.0, "npi": [1932479953]}]}]}, {"tin": {"type": "ein", "value": "921985500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 200.0, "npi": [1235102369]}]}]}, {"tin": {"type": "ein", "value": "922413120"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 336.87, "npi": [1790148104]}]}]}, {"tin": {"type": "ein", "value": "931462299"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 251.3, "providers": [{"billed_charge": 300.0, "npi": [1235924952, 1114785953, 1427784263]}]}, {"allowed_amount": 295.65, "providers": [{"billed_charge": 300.0, "npi": [1639457096]}]}]}, {"tin": {"type": "ein", "value": "932365022"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 200.0, "npi": [1871600916]}]}, {"allowed_amount": 206.48, "providers": [{"billed_charge": 200.0, "npi": [1871600916]}]}, {"allowed_amount": 284.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 257.0, "npi": [1871600916]}]}]}, {"tin": {"type": "ein", "value": "932560721"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 19.2, "providers": [{"billed_charge": 160.0, "npi": [1346229895]}]}, {"allowed_amount": 103.24, "providers": [{"billed_charge": 160.0, "npi": [1346229895]}]}, {"allowed_amount": 103.75, "providers": [{"billed_charge": 160.0, "npi": [1215020052, 1649293895, 1346229895]}]}, {"allowed_amount": 146.66, "providers": [{"billed_charge": 160.0, "npi": [1356463160, 1669432118]}]}]}, {"tin": {"type": "ein", "value": "933048764"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 129.79, "providers": [{"billed_charge": 210.75, "npi": [1225368384, 1831464858]}]}]}, {"tin": {"type": "ein", "value": "934331992"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.24, "providers": [{"billed_charge": 150.0, "npi": [1588839419]}]}]}, {"tin": {"type": "ein", "value": "942916102"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.91, "providers": [{"billed_charge": 306.0, "npi": [1417944802]}]}, {"allowed_amount": 103.24, "providers": [{"billed_charge": 289.0, "npi": [1952347957]}, {"billed_charge": 306.0, "npi": [1417944802]}]}]}, {"tin": {"type": "ein", "value": "991521902"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.38, "providers": [{"billed_charge": 270.0, "npi": [1649808874]}]}, {"allowed_amount": 251.46, "providers": [{"billed_charge": 270.0, "npi": [1649808874]}]}]}, {"tin": {"type": "ein", "value": "993887995"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 146.66, "providers": [{"billed_charge": 250.0, "npi": [1205241866]}]}]}, {"tin": {"type": "ein", "value": "994570312"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 103.75, "providers": [{"billed_charge": 160.0, "npi": [1477841914]}]}]}]}, {"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": "010887199"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 170.0, "npi": [1548263825, 1861842148]}]}]}, {"tin": {"type": "ein", "value": "200552815"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 107.81, "npi": [1427269638]}]}]}, {"tin": {"type": "ein", "value": "201291415"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 297.0, "npi": [1780775395, 1407821929, 1952922254, 1861837296, 1881655223, 1821438680, 1386387199]}]}, {"allowed_amount": 90.68, "providers": [{"billed_charge": 297.0, "npi": [1669734497]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 297.0, "npi": [1598981698, 1265872519, 1033322631, 1114253747, 1346478617, 1053374207]}]}, {"allowed_amount": 104.64, "providers": [{"billed_charge": 297.0, "npi": [1942994777, 1295525491, 1801472055]}]}]}, {"tin": {"type": "ein", "value": "201778316"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 62.39, "providers": [{"billed_charge": 176.03, "npi": [1144865171]}]}, {"allowed_amount": 79.72, "providers": [{"billed_charge": 176.03, "npi": [1649590050, 1033615091, 1609993179]}]}]}, {"tin": {"type": "ein", "value": "202192540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.68, "providers": [{"billed_charge": 170.0, "npi": [1639132087]}]}]}, {"tin": {"type": "ein", "value": "203045376"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 254.0, "npi": [1386676922]}]}]}, {"tin": {"type": "ein", "value": "203237708"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 213.0, "npi": [1720312390]}]}, {"allowed_amount": 79.72, "providers": [{"billed_charge": 213.0, "npi": [1336216803]}]}, {"allowed_amount": 89.55, "providers": [{"billed_charge": 213.0, "npi": [1902059652]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 213.0, "npi": [1417996067, 1609153733, 1720312390, 1841931243, 1043237837, 1144392143, 1467560565, 1548233141, 1851345334, 1861613275]}]}]}, {"tin": {"type": "ein", "value": "203254041"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.91, "providers": [{"billed_charge": 165.0, "npi": [1659800977, 1740367549]}]}]}, {"tin": {"type": "ein", "value": "203943524"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 82.53, "providers": [{"billed_charge": 199.0, "npi": [1205811205]}]}, {"allowed_amount": 99.83, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 199.0, "npi": [1861400749]}]}, {"allowed_amount": 104.91, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 199.0, "npi": [1366557563]}]}, {"allowed_amount": 199.0, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 199.0, "npi": [1528289113, 1033452644]}]}]}, {"tin": {"type": "ein", "value": "205198811"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 61.29, "providers": [{"billed_charge": 145.0, "npi": [1275990020]}]}, {"allowed_amount": 68.1, "providers": [{"billed_charge": 145.0, "npi": [1154492460]}]}, {"allowed_amount": 71.36, "providers": [{"billed_charge": 145.0, "npi": [1437635893]}]}, {"allowed_amount": 102.9, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 145.0, "npi": [1174528004, 1386264646, 1336133511, 1154776375, 1417536095]}]}]}, {"tin": {"type": "ein", "value": "205324064"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 155.0, "npi": [1780686147]}]}]}, {"tin": {"type": "ein", "value": "205324080"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 130.0, "npi": [1508867839]}]}]}, {"tin": {"type": "ein", "value": "205778133"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 206.65, "providers": [{"billed_charge": 260.0, "npi": [1942256482]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 72.35, "providers": [{"billed_charge": 207.0, "npi": [1346734589, 1154984243, 1972000107, 1821659103]}]}, {"allowed_amount": 90.68, "providers": [{"billed_charge": 207.0, "npi": [1144541426]}]}, {"allowed_amount": 92.04, "providers": [{"billed_charge": 207.0, "npi": [1043616063, 1144424383]}]}, {"allowed_amount": 108.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 207.0, "npi": [1245999697, 1215752589]}]}, {"allowed_amount": 174.25, "providers": [{"billed_charge": 207.0, "npi": [1043325541]}]}, {"allowed_amount": 190.26, "providers": [{"billed_charge": 207.0, "npi": [1083297725]}]}, {"allowed_amount": 205.0, "providers": [{"billed_charge": 207.0, "npi": [1578191722]}]}, {"allowed_amount": 207.0, "providers": [{"billed_charge": 207.0, "npi": [1619473626, 1972000107, 1891350351, 1073076147, 1821659103, 1346734589, 1265828735]}]}]}, {"tin": {"type": "ein", "value": "208919606"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 105.0, "npi": [1356319388]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 306.53, "providers": [{"billed_charge": 325.0, "npi": [1467817890, 1700296514, 1548440100, 1033529201, 1942505045, 1003261595, 1912467069]}]}]}, {"tin": {"type": "ein", "value": "260264998"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 150.0, "npi": [1578562807]}]}]}, {"tin": {"type": "ein", "value": "260446753"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 176.0, "npi": [1508283706]}]}, {"allowed_amount": 104.64, "providers": [{"billed_charge": 176.0, "npi": [1477305134]}]}]}, {"tin": {"type": "ein", "value": "262143220"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 115.0, "npi": [1770579492]}]}]}, {"tin": {"type": "ein", "value": "264252891"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 125.0, "npi": [1952396400]}]}]}, {"tin": {"type": "ein", "value": "264285079"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 100.47, "npi": [1396731493]}]}, {"allowed_amount": 79.72, "providers": [{"billed_charge": 100.47, "npi": [1396731493]}, {"billed_charge": 152.0, "npi": [1396731493]}]}]}, {"tin": {"type": "ein", "value": "264691812"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 150.42, "npi": [1518413871]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 150.42, "npi": [1134570971, 1275975468, 1467560565, 1104388511]}]}]}, {"tin": {"type": "ein", "value": "271239632"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 72.35, "providers": [{"billed_charge": 115.0, "npi": [1548794399]}]}, {"allowed_amount": 115.0, "providers": [{"billed_charge": 115.0, "npi": [1578142840, 1164744736]}]}]}, {"tin": {"type": "ein", "value": "271360955"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 146.0, "npi": [1447435789]}]}]}, {"tin": {"type": "ein", "value": "272088728"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 110.0, "npi": [1447269220]}]}]}, {"tin": {"type": "ein", "value": "272383794"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 140.0, "npi": [1285839795]}]}]}, {"tin": {"type": "ein", "value": "273956658"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 62.39, "providers": [{"billed_charge": 148.46, "npi": [1114755410]}]}]}, {"tin": {"type": "ein", "value": "274321839"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 142.0, "npi": [1548280449]}]}]}, {"tin": {"type": "ein", "value": "300757230"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.9, "providers": [{"billed_charge": 307.16, "npi": [1871812933]}]}]}, {"tin": {"type": "ein", "value": "320339230"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 140.0, "npi": [1154373793, 1720020431]}]}]}, {"tin": {"type": "ein", "value": "331313844"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 308.22, "providers": [{"billed_charge": 92.79, "npi": [1740202613]}]}, {"allowed_amount": 316.85, "providers": [{"billed_charge": 92.79, "npi": [1740202613]}]}]}, {"tin": {"type": "ein", "value": "333059151"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.68, "providers": [{"billed_charge": 4935.0, "npi": [1790044204]}]}]}, {"tin": {"type": "ein", "value": "334146450"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 205.4, "npi": [1912153222]}]}]}, {"tin": {"type": "ein", "value": "363149833"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 111.55, "providers": [{"billed_charge": 145.0, "npi": [1588919815]}]}]}, {"tin": {"type": "ein", "value": "364015560"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 97.2, "providers": [{"billed_charge": 323.0, "npi": [1669720694]}]}]}, {"tin": {"type": "ein", "value": "364526566"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 62.39, "providers": [{"billed_charge": 250.0, "npi": [1922614213]}]}, {"allowed_amount": 79.72, "providers": [{"billed_charge": 250.0, "npi": [1255835526]}]}, {"allowed_amount": 104.64, "providers": [{"billed_charge": 250.0, "npi": [1457237018]}]}, {"allowed_amount": 108.05, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 250.0, "npi": [1144982752, 1144914946, 1922614213, 1154883205, 1710874664]}]}]}, {"tin": {"type": "ein", "value": "364710147"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 69.32, "npi": [1083828750]}]}]}, {"tin": {"type": "ein", "value": "364846625"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 237.0, "npi": [1114668670]}]}]}, {"tin": {"type": "ein", "value": "364890668"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 199.0, "npi": [1164787016]}]}, {"allowed_amount": 94.91, "providers": [{"billed_charge": 199.0, "npi": [1790191237]}]}, {"allowed_amount": 104.91, "providers": [{"billed_charge": 199.0, "npi": [1376521625, 1386600625, 1134780661, 1447205174]}]}, {"allowed_amount": 199.0, "providers": [{"billed_charge": 199.0, "npi": [1730239310]}]}]}, {"tin": {"type": "ein", "value": "383972250"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 110.0, "npi": [1801013016]}]}]}, {"tin": {"type": "ein", "value": "384059067"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.68, "providers": [{"billed_charge": 1100.0, "npi": [1518127273, 1790198802, 1003014044]}]}]}, {"tin": {"type": "ein", "value": "392605405"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.68, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 9500.0, "npi": [1184850885, 1003876269]}]}]}, {"tin": {"type": "ein", "value": "401275622"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 100.0, "npi": [1407350895]}]}]}, {"tin": {"type": "ein", "value": "401419045"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 126.59, "providers": [{"billed_charge": 284.0, "npi": [1417480450]}]}]}, {"tin": {"type": "ein", "value": "421411630"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 126.11, "providers": [{"billed_charge": 169.0, "npi": [1073993523]}]}]}, {"tin": {"type": "ein", "value": "440668347"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 105.42, "providers": [{"billed_charge": 113.0, "npi": [1942284674]}]}]}, {"tin": {"type": "ein", "value": "451775655"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 150.0, "providers": [{"billed_charge": 150.0, "npi": [1447430491]}]}]}, {"tin": {"type": "ein", "value": "452049401"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 89.55, "providers": [{"billed_charge": 155.0, "npi": [1710954847]}]}]}, {"tin": {"type": "ein", "value": "452645948"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 139.0, "npi": [1700190964]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 139.0, "npi": [1700190964]}]}]}, {"tin": {"type": "ein", "value": "453460510"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 75.49, "providers": [{"billed_charge": 188.0, "npi": [1033392113]}]}]}, {"tin": {"type": "ein", "value": "454536742"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.64, "providers": [{"billed_charge": 145.0, "npi": [1861236242]}]}]}, {"tin": {"type": "ein", "value": "455232004"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 108.05, "providers": [{"billed_charge": 150.0, "npi": [1528685005]}]}]}, {"tin": {"type": "ein", "value": "455239497"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 140.0, "npi": [1588875207]}]}]}, {"tin": {"type": "ein", "value": "455552840"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 150.42, "npi": [1801883640]}]}]}, {"tin": {"type": "ein", "value": "461422609"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 88.82, "providers": [{"billed_charge": 210.0, "npi": [1831702513]}]}, {"allowed_amount": 188.51, "providers": [{"billed_charge": 210.0, "npi": [1831717636]}]}, {"allowed_amount": 278.16, "providers": [{"billed_charge": 210.0, "npi": [1831717636]}]}, {"allowed_amount": 410.51, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 210.0, "npi": [1831717636]}]}]}, {"tin": {"type": "ein", "value": "462788757"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 145.0, "npi": [1780813725]}]}]}, {"tin": {"type": "ein", "value": "464156975"}, "billing_class": "professional", "service_codes": ["61", "21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 175.0, "npi": [1063948529, 1689251092]}]}]}, {"tin": {"type": "ein", "value": "464207180"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 72.35, "providers": [{"billed_charge": 140.0, "npi": [1639457096, 1740256361]}]}, {"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1639457096, 1740256361, 1033372875, 1285079632, 1689251696, 1881641272, 1558507707]}]}]}, {"tin": {"type": "ein", "value": "464363525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 140.0, "npi": [1437123593]}]}]}, {"tin": {"type": "ein", "value": "465267258"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 114.0, "npi": [1588657365, 1376532127]}]}]}, {"tin": {"type": "ein", "value": "472097678"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 64.35, "providers": [{"billed_charge": 127.86, "npi": [1063119345, 1649836750]}]}, {"allowed_amount": 79.72, "providers": [{"billed_charge": 127.86, "npi": [1063119345, 1649836750]}]}, {"allowed_amount": 104.64, "providers": [{"billed_charge": 127.86, "npi": [1063119345, 1598341877, 1649836750]}]}]}, {"tin": {"type": "ein", "value": "472259455"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 107.96, "npi": [1417167313]}]}]}, {"tin": {"type": "ein", "value": "473350388"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 150.0, "npi": [1457328106]}]}]}, {"tin": {"type": "ein", "value": "473689506"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 205.4, "npi": [1912153222, 1457658007]}]}, {"allowed_amount": 104.64, "providers": [{"billed_charge": 205.4, "npi": [1336635937]}]}, {"allowed_amount": 108.19, "providers": [{"billed_charge": 205.4, "npi": [1699976522]}]}]}, {"tin": {"type": "ein", "value": "474443752"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.91, "providers": [{"billed_charge": 181.0, "npi": [1841679370]}]}]}, {"tin": {"type": "ein", "value": "475204573"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 93.04, "providers": [{"billed_charge": 130.0, "npi": [1326036757]}]}, {"allowed_amount": 99.83, "providers": [{"billed_charge": 130.0, "npi": [1902151251]}]}, {"allowed_amount": 104.91, "providers": [{"billed_charge": 130.0, "npi": [1528268075]}]}]}, {"tin": {"type": "ein", "value": "475554737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.68, "providers": [{"billed_charge": 241.0, "npi": [1912068446]}]}]}, {"tin": {"type": "ein", "value": "550853999"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 58.92, "providers": [{"billed_charge": 208.0, "npi": [1639871247]}]}]}, {"tin": {"type": "ein", "value": "593238640"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 54.81, "providers": [{"billed_charge": 157.0, "npi": [1245693787, 1033386909]}]}, {"allowed_amount": 112.45, "providers": [{"billed_charge": 162.0, "npi": [1477785400, 1083134555, 1851731350]}]}, {"allowed_amount": 121.46, "providers": [{"billed_charge": 162.0, "npi": [1033386909]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 98.26, "providers": [{"billed_charge": 240.0, "npi": [1902464795]}]}, {"allowed_amount": 106.1, "providers": [{"billed_charge": 240.0, "npi": [1114236932, 1568758167]}]}, {"allowed_amount": 107.47, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 240.0, "npi": [1922441351]}]}, {"allowed_amount": 144.67, "providers": [{"billed_charge": 240.0, "npi": [1699971945]}]}]}, {"tin": {"type": "ein", "value": "593743837"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 110.37, "providers": [{"billed_charge": 110.73, "npi": [1063841443]}]}]}, {"tin": {"type": "ein", "value": "611764392"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 175.65, "providers": [{"billed_charge": 234.74, "npi": [1376066563]}]}]}, {"tin": {"type": "ein", "value": "627884191"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 64.7, "providers": [{"billed_charge": 154.0, "npi": [1275624231]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 200.0, "npi": [1669868014]}]}, {"allowed_amount": 79.72, "providers": [{"billed_charge": 200.0, "npi": [1578745634, 1306292164, 1780115832, 1770162471, 1922034636, 1285745646, 1902888753, 1336460278, 1629637368]}]}, {"allowed_amount": 90.68, "providers": [{"billed_charge": 200.0, "npi": [1659863553, 1861668865, 1790195014, 1588195846, 1477819324]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 200.0, "npi": [1447661376, 1417381120, 1639412034, 1689886244, 1174750053, 1295167302, 1962889543, 1902291016, 1932500360, 1326220518, 1609131499, 1760048466, 1073955381, 1972984409, 1215958939]}]}, {"allowed_amount": 104.64, "providers": [{"billed_charge": 200.0, "npi": [1447707393, 1194293043, 1932519667, 1538497110, 1396292728]}]}, {"allowed_amount": 138.64, "providers": [{"billed_charge": 200.0, "npi": [1306127808, 1134869803]}]}, {"allowed_amount": 166.6, "providers": [{"billed_charge": 200.0, "npi": [1518307966]}]}, {"allowed_amount": 169.58, "providers": [{"billed_charge": 200.0, "npi": [1518307966]}]}, {"allowed_amount": 172.56, "providers": [{"billed_charge": 200.0, "npi": [1891378600]}]}]}, {"tin": {"type": "ein", "value": "680508149"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 104.0, "npi": [1831203934]}]}]}, {"tin": {"type": "ein", "value": "710236856"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 114.68, "providers": [{"billed_charge": 149.0, "npi": [1558867309]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 106.5, "providers": [{"billed_charge": 149.0, "npi": [1235660093]}]}, {"allowed_amount": 114.68, "providers": [{"billed_charge": 149.0, "npi": [1275996944, 1629431192]}]}, {"allowed_amount": 119.85, "providers": [{"billed_charge": 149.0, "npi": [1639107394]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 62.39, "providers": [{"billed_charge": 200.0, "npi": [1245018514]}]}, {"allowed_amount": 79.72, "providers": [{"billed_charge": 200.0, "npi": [1477949071]}]}, {"allowed_amount": 90.68, "providers": [{"billed_charge": 200.0, "npi": [1780849968, 1659863553, 1053550301]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 62.39, "providers": [{"billed_charge": 200.0, "npi": [1679825004]}]}, {"allowed_amount": 68.1, "providers": [{"billed_charge": 200.0, "npi": [1215160379]}]}, {"allowed_amount": 69.32, "providers": [{"billed_charge": 200.0, "npi": [1821478025]}]}, {"allowed_amount": 87.21, "providers": [{"billed_charge": 200.0, "npi": [1750347563]}]}, {"allowed_amount": 90.68, "providers": [{"billed_charge": 200.0, "npi": [1790195014, 1740240712, 1144330408, 1821478025, 1215160379, 1477819324]}]}]}, {"tin": {"type": "ein", "value": "731636831"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 142.0, "npi": [1760458103]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 92.0, "providers": [{"billed_charge": 288.0, "npi": [1396240321, 1013307834]}]}, {"allowed_amount": 104.64, "providers": [{"billed_charge": 288.0, "npi": [1851754113, 1386025302]}]}]}, {"tin": {"type": "ein", "value": "742410946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 86.39, "providers": [{"billed_charge": 145.0, "npi": [1508865239]}]}, {"allowed_amount": 104.64, "providers": [{"billed_charge": 145.0, "npi": [1689430381]}]}, {"allowed_amount": 108.05, "providers": [{"billed_charge": 145.0, "npi": [1972122844]}]}, {"allowed_amount": 117.46, "providers": [{"billed_charge": 145.0, "npi": [1043607377, 1528334505, 1376711572]}]}]}, {"tin": {"type": "ein", "value": "752668018"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 116.37, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 180.0, "npi": [1639132558]}]}]}, {"tin": {"type": "ein", "value": "760757826"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 90.0, "providers": [{"billed_charge": 90.0, "npi": [1851388433, 1558368787, 1184698623]}]}]}, {"tin": {"type": "ein", "value": "811156192"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 67.24, "providers": [{"billed_charge": 207.0, "npi": [1871090811]}]}, {"allowed_amount": 82.53, "providers": [{"billed_charge": 207.0, "npi": [1295751055]}]}, {"allowed_amount": 94.91, "providers": [{"billed_charge": 207.0, "npi": [1144652959]}]}, {"allowed_amount": 99.83, "providers": [{"billed_charge": 207.0, "npi": [1912936907]}]}, {"allowed_amount": 207.0, "providers": [{"billed_charge": 207.0, "npi": [1245268507, 1104233071]}]}]}, {"tin": {"type": "ein", "value": "811894977"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 110.0, "npi": [1912152687]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 110.0, "npi": [1912152687]}]}]}, {"tin": {"type": "ein", "value": "812250456"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 90.68, "providers": [{"billed_charge": 210.0, "npi": [1831155506]}]}]}, {"tin": {"type": "ein", "value": "813346959"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 195.0, "npi": [1659584720]}]}]}, {"tin": {"type": "ein", "value": "813724824"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.2, "providers": [{"billed_charge": 138.96, "npi": [1447573191]}]}]}, {"tin": {"type": "ein", "value": "814965916"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 79.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 263.0, "npi": [1598997348]}, {"billed_charge": 276.0, "npi": [1598997348]}, {"billed_charge": 278.0, "npi": [1184129249, 1598997348]}, {"billed_charge": 307.0, "npi": [1669518361]}]}, {"allowed_amount": 104.64, "providers": [{"billed_charge": 276.0, "npi": [1275343980, 1922984251, 1467136044]}]}]}, {"tin": {"type": "ein", "value": "815232140"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 144.94, "npi": [1538692926]}]}]}, {"tin": {"type": "ein", "value": "820874568"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 110.0, "npi": [1245551191]}]}]}, {"tin": {"type": "ein", "value": "822666948"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 141.0, "npi": [1396070819, 1962853135]}]}]}, {"tin": {"type": "ein", "value": "823519322"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 65.85, "providers": [{"billed_charge": 169.0, "npi": [1366890766]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 169.0, "npi": [1366890766]}]}]}, {"tin": {"type": "ein", "value": "824110458"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 69.32, "npi": [1750338927]}]}, {"allowed_amount": 69.83, "providers": [{"billed_charge": 69.83, "npi": [1750338927]}]}]}, {"tin": {"type": "ein", "value": "825058478"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 140.0, "npi": [1922234228]}, {"billed_charge": 143.18, "npi": [1922234228]}]}]}, {"tin": {"type": "ein", "value": "825235089"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.39, "providers": [{"billed_charge": 100.0, "npi": [1255745840]}]}, {"allowed_amount": 94.91, "providers": [{"billed_charge": 100.0, "npi": [1255745840]}]}]}, {"tin": {"type": "ein", "value": "825401800"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 107.96, "npi": [1194954032]}]}]}, {"tin": {"type": "ein", "value": "830667499"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 144.0, "npi": [1265678569, 1306055173]}]}]}, {"tin": {"type": "ein", "value": "831615363"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 64.7, "providers": [{"billed_charge": 154.0, "npi": [1366970931]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 154.0, "npi": [1821090408, 1467454173]}]}]}, {"tin": {"type": "ein", "value": "831880110"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 105.62, "npi": [1548574320]}]}]}, {"tin": {"type": "ein", "value": "831972510"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.0, "providers": [{"billed_charge": 80.0, "npi": [1104952449]}]}]}, {"tin": {"type": "ein", "value": "834495738"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 110.0, "npi": [1770939845]}]}, {"allowed_amount": 108.19, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 110.0, "npi": [1932479953, 1477046548]}]}]}, {"tin": {"type": "ein", "value": "834517050"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 72.35, "providers": [{"billed_charge": 140.0, "npi": [1386223048]}]}, {"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1386223048, 1447906508, 1598407983, 1689251696, 1306465042, 1578142840, 1881398105]}]}]}, {"tin": {"type": "ein", "value": "834598911"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 140.0, "providers": [{"billed_charge": 140.0, "npi": [1578142840, 1982871463, 1598407983]}]}]}, {"tin": {"type": "ein", "value": "843016310"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 208.0, "npi": [1568726644, 1083977599]}, {"billed_charge": 209.0, "npi": [1083977599]}]}, {"allowed_amount": 90.68, "providers": [{"billed_charge": 208.0, "npi": [1386843811, 1194016790]}, {"billed_charge": 209.0, "npi": [1336639699]}]}, {"allowed_amount": 104.64, "providers": [{"billed_charge": 209.0, "npi": [1598314247]}]}, {"allowed_amount": 140.13, "providers": [{"billed_charge": 208.0, "npi": [1336639699]}]}]}, {"tin": {"type": "ein", "value": "843260711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 139.0, "npi": [1578527701]}]}]}, {"tin": {"type": "ein", "value": "843515856"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 61.29, "providers": [{"billed_charge": 152.0, "npi": [1780145565]}]}, {"allowed_amount": 68.1, "providers": [{"billed_charge": 152.0, "npi": [1801865415]}]}]}, {"tin": {"type": "ein", "value": "844284477"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 476.0, "npi": [1225457674]}]}, {"allowed_amount": 79.72, "providers": [{"billed_charge": 476.0, "npi": [1568990695, 1457317448, 1003045709, 1215221940, 1508211673]}]}, {"allowed_amount": 89.55, "providers": [{"billed_charge": 476.0, "npi": [1063876647]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 476.0, "npi": [1104277953, 1568083970, 1245869478, 1508251174, 1205194438, 1588291561, 1174705164, 1386050383, 1689239410, 1770870867, 1023304797, 1558543678]}]}, {"allowed_amount": 476.0, "providers": [{"billed_charge": 476.0, "npi": [1508251174]}]}]}, {"tin": {"type": "ein", "value": "844935945"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 140.0, "npi": [1093769689]}]}]}, {"tin": {"type": "ein", "value": "851201549"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.02, "providers": [{"billed_charge": 69.02, "npi": [1841523180, 1891922829, 1548420334, 1720408560, 1528594801, 1063645778, 1750544276, 1871583062, 1538428313]}]}, {"allowed_amount": 69.32, "providers": [{"billed_charge": 69.32, "npi": [1750544276]}, {"billed_charge": 69.83, "npi": [1750544276]}]}, {"allowed_amount": 69.48, "providers": [{"billed_charge": 69.48, "npi": [1750544276]}]}, {"allowed_amount": 138.64, "providers": [{"billed_charge": 69.32, "npi": [1750544276]}]}]}, {"tin": {"type": "ein", "value": "851446280"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 72.35, "providers": [{"billed_charge": 105.0, "npi": [1538895594]}]}, {"allowed_amount": 105.0, "providers": [{"billed_charge": 105.0, "npi": [1538895594, 1306465042, 1538837596, 1285224477]}]}, {"allowed_amount": 124.78, "providers": [{"billed_charge": 105.0, "npi": [1457087546]}]}]}, {"tin": {"type": "ein", "value": "854102013"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.64, "providers": [{"billed_charge": 156.0, "npi": [1275171340]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.39, "providers": [{"billed_charge": 207.0, "npi": [1124450853, 1144652959]}]}]}, {"tin": {"type": "ein", "value": "860187416"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 182.0, "providers": [{"billed_charge": 182.0, "npi": [1700225919]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 70.0, "npi": [1093914822, 1255341897, 1972181675, 1407389612, 1861847154, 1629366612, 1669761078]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 233.09, "npi": [1255341897, 1588726970, 1093914822]}]}]}, {"tin": {"type": "ein", "value": "860215065"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.39, "providers": [{"billed_charge": 127.86, "npi": [1063119345]}]}]}, {"tin": {"type": "ein", "value": "860220398"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.1, "providers": [{"billed_charge": 94.0, "npi": [1396131090]}]}]}, {"tin": {"type": "ein", "value": "860392561"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 225.63, "npi": [1578789913, 1700260106, 1902890767]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 225.63, "npi": [1629206065, 1528054921]}]}]}, {"tin": {"type": "ein", "value": "860514114"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.91, "providers": [{"billed_charge": 110.0, "npi": [1851368443]}]}]}, {"tin": {"type": "ein", "value": "860516994"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 145.0, "npi": [1093783953, 1568696003, 1790730604, 1598979668]}]}, {"allowed_amount": 99.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 145.0, "npi": [1134208168, 1528367307, 1083680532, 1588824007]}]}]}, {"tin": {"type": "ein", "value": "860633950"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 174.0, "npi": [1366822801]}]}]}, {"tin": {"type": "ein", "value": "860657068"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.39, "providers": [{"billed_charge": 150.0, "npi": [1184286809]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 150.0, "npi": [1942306535]}]}, {"allowed_amount": 104.64, "providers": [{"billed_charge": 150.0, "npi": [1184286809]}]}]}, {"tin": {"type": "ein", "value": "860711625"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 104.64, "providers": [{"billed_charge": 151.0, "npi": [1407279854]}]}]}, {"tin": {"type": "ein", "value": "860736282"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 100.0, "npi": [1659364016]}]}]}, {"tin": {"type": "ein", "value": "860739774"}, "billing_class": "professional", "service_codes": ["51", "21"], "payments": [{"allowed_amount": 13.97, "providers": [{"billed_charge": 250.0, "npi": [1750487344, 1053671529]}]}, {"allowed_amount": 64.7, "providers": [{"billed_charge": 250.0, "npi": [1215516034, 1033850599, 1639733447, 1265678569, 1053671529, 1205241866, 1245971084, 1821527375, 1750487344, 1023366291, 1295041333, 1235541269, 1255598744, 1538557210, 1609038652]}]}, {"allowed_amount": 65.85, "providers": [{"billed_charge": 250.0, "npi": [1750487344, 1538557210, 1821527375]}]}, {"allowed_amount": 69.32, "providers": [{"billed_charge": 250.0, "npi": [1215516034, 1245971084]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 250.0, "npi": [1215516034, 1033850599, 1639733447, 1265678569, 1053671529, 1245971084, 1821527375, 1750487344, 1023366291, 1295041333, 1235541269, 1255598744, 1538557210, 1609038652]}]}, {"allowed_amount": 207.96, "providers": [{"billed_charge": 110.0, "npi": [1770746554]}]}]}, {"tin": {"type": "ein", "value": "860765699"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 137.0, "npi": [1467484881]}]}]}, {"tin": {"type": "ein", "value": "860767298"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.0, "providers": [{"billed_charge": 104.0, "npi": [1093515983]}]}]}, {"tin": {"type": "ein", "value": "860783428"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 188.0, "npi": [1881855294]}]}]}, {"tin": {"type": "ein", "value": "860797924"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 160.0, "npi": [1285647461]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 13.9, "providers": [{"billed_charge": 297.0, "npi": [1730164260]}]}, {"allowed_amount": 62.39, "providers": [{"billed_charge": 297.0, "npi": [1962049759]}]}, {"allowed_amount": 69.32, "providers": [{"billed_charge": 297.0, "npi": [1568857480]}]}, {"allowed_amount": 79.72, "providers": [{"billed_charge": 297.0, "npi": [1326020074]}]}, {"allowed_amount": 90.68, "providers": [{"billed_charge": 297.0, "npi": [1104192913]}]}, {"allowed_amount": 104.64, "providers": [{"billed_charge": 297.0, "npi": [1821245440]}]}, {"allowed_amount": 108.05, "providers": [{"billed_charge": 297.0, "npi": [1508413212]}]}, {"allowed_amount": 112.16, "providers": [{"billed_charge": 297.0, "npi": [1861688954]}]}, {"allowed_amount": 207.96, "providers": [{"billed_charge": 297.0, "npi": [1568857480]}]}, {"allowed_amount": 241.88, "providers": [{"billed_charge": 297.0, "npi": [1952689010]}]}]}, {"tin": {"type": "ein", "value": "860817397"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 140.13, "providers": [{"billed_charge": 197.0, "npi": [1558438846]}]}, {"allowed_amount": 182.97, "providers": [{"billed_charge": 197.0, "npi": [1417542291]}]}]}, {"tin": {"type": "ein", "value": "860842583"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 114.0, "npi": [1437122397]}]}, {"allowed_amount": 79.72, "providers": [{"billed_charge": 114.0, "npi": [1437122397]}]}]}, {"tin": {"type": "ein", "value": "860871763"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 506.49, "providers": [{"billed_charge": 140.0, "npi": [1326001892]}]}]}, {"tin": {"type": "ein", "value": "860893305"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 213.0, "npi": [1336216803]}]}]}, {"tin": {"type": "ein", "value": "860919727"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 102.9, "providers": [{"billed_charge": 297.0, "npi": [1366028748, 1649563412, 1932688710]}]}]}, {"tin": {"type": "ein", "value": "860927393"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 207.0, "npi": [1841236833]}]}]}, {"tin": {"type": "ein", "value": "860927994"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 150.0, "npi": [1144310863]}]}]}, {"tin": {"type": "ein", "value": "860949499"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 61.29, "providers": [{"billed_charge": 150.0, "npi": [1184293490]}]}, {"allowed_amount": 183.87, "providers": [{"billed_charge": 150.0, "npi": [1184293490]}]}]}, {"tin": {"type": "ein", "value": "860958393"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 110.0, "npi": [1265842389]}]}]}, {"tin": {"type": "ein", "value": "860959487"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 139.0, "npi": [1467829275]}]}, {"allowed_amount": 99.83, "providers": [{"billed_charge": 139.0, "npi": [1205938917]}]}]}, {"tin": {"type": "ein", "value": "860970733"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 94.0, "providers": [{"billed_charge": 94.0, "npi": [1811990195]}]}]}, {"tin": {"type": "ein", "value": "860990148"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 138.96, "npi": [1962023440, 1619060449]}, {"billed_charge": 180.0, "npi": [1962023440, 1619060449, 1497082432, 1245352574]}]}, {"allowed_amount": 104.64, "providers": [{"billed_charge": 180.0, "npi": [1619544145]}]}]}, {"tin": {"type": "ein", "value": "860990920"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 181.0, "npi": [1710147376, 1275696585]}]}, {"allowed_amount": 79.72, "providers": [{"billed_charge": 181.0, "npi": [1275696585, 1003979188, 1467515718]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 181.0, "npi": [1710147376, 1164479796]}]}]}, {"tin": {"type": "ein", "value": "860997892"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 277.28, "providers": [{"billed_charge": 200.0, "npi": [1306040498]}]}]}, {"tin": {"type": "ein", "value": "861028036"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 80.0, "npi": [1629006002]}]}, {"allowed_amount": 80.0, "providers": [{"billed_charge": 80.0, "npi": [1629006002]}]}]}, {"tin": {"type": "ein", "value": "861030716"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 98.0, "npi": [1578763223]}]}]}, {"tin": {"type": "ein", "value": "861045280"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 95.0, "providers": [{"billed_charge": 95.0, "npi": [1659536704, 1285895920, 1205094935, 1871550681, 1841483229, 1487677886]}]}]}, {"tin": {"type": "ein", "value": "863838587"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 1100.0, "npi": [1003014044]}]}]}, {"tin": {"type": "ein", "value": "870833629"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 75.0, "providers": [{"billed_charge": 75.0, "npi": [1225635378]}]}, {"allowed_amount": 75.49, "providers": [{"billed_charge": 250.0, "npi": [1225635378]}, {"billed_charge": 2500.0, "npi": [1225635378]}]}, {"allowed_amount": 277.4, "providers": [{"billed_charge": 75.0, "npi": [1225635378]}]}, {"allowed_amount": 562.57, "providers": [{"billed_charge": 75.0, "npi": [1225635378]}]}, {"allowed_amount": 624.96, "providers": [{"billed_charge": 75.0, "npi": [1225635378]}]}]}, {"tin": {"type": "ein", "value": "871299525"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 188.0, "npi": [1205280971]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 64.7, "providers": [{"billed_charge": 194.8, "npi": [1043248834]}]}, {"allowed_amount": 69.32, "providers": [{"billed_charge": 194.8, "npi": [1760456032, 1215164280]}]}, {"allowed_amount": 79.72, "providers": [{"billed_charge": 194.8, "npi": [1215164280, 1427015239]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 194.8, "npi": [1073909552, 1598327025, 1760456032]}]}, {"allowed_amount": 138.64, "providers": [{"billed_charge": 194.8, "npi": [1760456032]}]}, {"allowed_amount": 172.56, "providers": [{"billed_charge": 194.8, "npi": [1760456032]}]}, {"allowed_amount": 277.28, "providers": [{"billed_charge": 194.8, "npi": [1215164280]}]}]}, {"tin": {"type": "ein", "value": "900730395"}, "billing_class": "professional", "service_codes": ["51", "21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 237.0, "npi": [1851778708]}]}, {"allowed_amount": 92.04, "providers": [{"billed_charge": 237.0, "npi": [1962829986]}]}, {"allowed_amount": 218.32, "providers": [{"billed_charge": 237.0, "npi": [1336778158]}]}]}, {"tin": {"type": "ein", "value": "900993484"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 68.1, "providers": [{"billed_charge": 207.0, "npi": [1891358479]}]}]}, {"tin": {"type": "ein", "value": "901116155"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 105.0, "npi": [1609005891]}]}]}, {"tin": {"type": "ein", "value": "911822851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 213.0, "npi": [1467560565]}]}, {"allowed_amount": 138.64, "providers": [{"billed_charge": 107.96, "npi": [1417167313]}]}]}, {"tin": {"type": "ein", "value": "920465848"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 99.46, "providers": [{"billed_charge": 110.0, "npi": [1366979700]}]}]}, {"tin": {"type": "ein", "value": "921049175"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.39, "providers": [{"billed_charge": 127.86, "npi": [1649836750]}]}]}, {"tin": {"type": "ein", "value": "921144111"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 250.0, "npi": [1821527375]}]}]}, {"tin": {"type": "ein", "value": "921819458"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 415.92, "providers": [{"billed_charge": 110.0, "npi": [1932479953]}]}]}, {"tin": {"type": "ein", "value": "921985500"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 150.0, "npi": [1235102369]}]}]}, {"tin": {"type": "ein", "value": "931462299"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 185.57, "providers": [{"billed_charge": 200.0, "npi": [1437878659, 1427784263]}]}]}, {"tin": {"type": "ein", "value": "932365022"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 138.64, "billing_code_modifier": ["25"], "providers": [{"billed_charge": 179.73, "npi": [1871600916]}]}]}, {"tin": {"type": "ein", "value": "932560721"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 110.0, "npi": [1215020052, 1346229895]}]}, {"allowed_amount": 99.46, "providers": [{"billed_charge": 110.0, "npi": [1356463160, 1669432118]}]}]}, {"tin": {"type": "ein", "value": "933610187"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 187.73, "providers": [{"billed_charge": 210.0, "npi": [1922891860]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.64, "providers": [{"billed_charge": 191.0, "npi": [1174974059]}]}]}, {"tin": {"type": "ein", "value": "943293742"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 237.0, "npi": [1871561761]}]}]}, {"tin": {"type": "ein", "value": "991521902"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 104.64, "providers": [{"billed_charge": 180.0, "npi": [1649808874]}]}, {"allowed_amount": 180.0, "providers": [{"billed_charge": 180.0, "npi": [1649808874]}]}]}, {"tin": {"type": "ein", "value": "993119282"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 79.72, "providers": [{"billed_charge": 260.0, "npi": [1700128139]}]}]}, {"tin": {"type": "ein", "value": "993887995"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 80.0, "providers": [{"billed_charge": 80.0, "npi": [1205241866]}]}]}, {"tin": {"type": "ein", "value": "994570312"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 69.32, "providers": [{"billed_charge": 110.0, "npi": [1477841914]}]}, {"allowed_amount": 79.72, "providers": [{"billed_charge": 110.0, "npi": [1477841914]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.24, "providers": [{"billed_charge": 184.0, "npi": [1710390547]}]}, {"allowed_amount": 51.28, "providers": [{"billed_charge": 184.0, "npi": [1568177798]}]}, {"allowed_amount": 55.54, "providers": [{"billed_charge": 184.0, "npi": [1881655223]}]}, {"allowed_amount": 60.52, "providers": [{"billed_charge": 184.0, "npi": [1720552490]}]}]}, {"tin": {"type": "ein", "value": "201778316"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 51.28, "providers": [{"billed_charge": 94.1, "npi": [1205456464, 1407575053]}]}, {"allowed_amount": 55.54, "providers": [{"billed_charge": 94.1, "npi": [1124049838]}]}]}, {"tin": {"type": "ein", "value": "203943524"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 53.24, "providers": [{"billed_charge": 109.0, "npi": [1861400749]}]}]}, {"tin": {"type": "ein", "value": "205778133"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 146.89, "providers": [{"billed_charge": 160.0, "npi": [1942256482]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 38.56, "providers": [{"billed_charge": 130.0, "npi": [1245999697]}]}, {"allowed_amount": 42.84, "providers": [{"billed_charge": 130.0, "npi": [1144541426]}]}, {"allowed_amount": 51.28, "providers": [{"billed_charge": 130.0, "npi": [1245999697]}]}, {"allowed_amount": 58.27, "providers": [{"billed_charge": 130.0, "npi": [1619473626, 1003437013]}]}, {"allowed_amount": 78.65, "providers": [{"billed_charge": 130.0, "npi": [1730150582]}]}, {"allowed_amount": 117.6, "providers": [{"billed_charge": 130.0, "npi": [1578191722]}]}, {"allowed_amount": 130.0, "providers": [{"billed_charge": 130.0, "npi": [1154984243, 1619473626, 1073076147, 1003437013]}]}]}, {"tin": {"type": "ein", "value": "237064656"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 192.33, "providers": [{"billed_charge": 270.0, "npi": [1750379475, 1548440100]}]}]}, {"tin": {"type": "ein", "value": "320260988"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 55.54, "providers": [{"billed_charge": 114.0, "npi": [1851603674]}]}]}, {"tin": {"type": "ein", "value": "392605405"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.24, "providers": [{"billed_charge": 9500.0, "npi": [1184850885]}]}, {"allowed_amount": 51.28, "providers": [{"billed_charge": 9500.0, "npi": [1942828876]}]}]}, {"tin": {"type": "ein", "value": "462788757"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 55.54, "providers": [{"billed_charge": 79.0, "npi": [1780813725]}]}]}, {"tin": {"type": "ein", "value": "464156975"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 55.54, "providers": [{"billed_charge": 109.18, "npi": [1750960449]}]}]}, {"tin": {"type": "ein", "value": "464207180"}, "billing_class": "professional", "service_codes": ["51", "52"], "payments": [{"allowed_amount": 76.0, "providers": [{"billed_charge": 76.0, "npi": [1881641272, 1740256361]}]}]}, {"tin": {"type": "ein", "value": "472097678"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.77, "providers": [{"billed_charge": 69.64, "npi": [1649836750]}]}]}, {"tin": {"type": "ein", "value": "593784049"}, "billing_class": "professional", "service_codes": ["61"], "payments": [{"allowed_amount": 42.09, "providers": [{"billed_charge": 109.18, "npi": [1750960449]}]}]}, {"tin": {"type": "ein", "value": "650913389"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.52, "providers": [{"billed_charge": 376.0, "npi": [1407839046]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 37.88, "providers": [{"billed_charge": 109.0, "npi": [1619211935]}]}, {"allowed_amount": 60.52, "providers": [{"billed_charge": 109.0, "npi": [1538497110]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 62.18, "providers": [{"billed_charge": 94.0, "npi": [1629431192]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.24, "providers": [{"billed_charge": 109.0, "npi": [1114307386]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.24, "providers": [{"billed_charge": 109.0, "npi": [1215160379]}]}]}, {"tin": {"type": "ein", "value": "742410946"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.84, "providers": [{"billed_charge": 109.0, "npi": [1780849968]}]}]}, {"tin": {"type": "ein", "value": "811156192"}, "billing_class": "professional", "service_codes": ["22", "21"], "payments": [{"allowed_amount": 51.75, "providers": [{"billed_charge": 129.0, "npi": [1295751055]}]}, {"allowed_amount": 53.24, "providers": [{"billed_charge": 129.0, "npi": [1255868451]}]}, {"allowed_amount": 129.0, "providers": [{"billed_charge": 129.0, "npi": [1912934977, 1841236833]}]}]}, {"tin": {"type": "ein", "value": "813419791"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.05, "providers": [{"billed_charge": 150.0, "npi": [1780113670]}]}]}, {"tin": {"type": "ein", "value": "814965916"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.52, "providers": [{"billed_charge": 150.0, "npi": [1467136044]}]}]}, {"tin": {"type": "ein", "value": "815232140"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 55.54, "providers": [{"billed_charge": 78.76, "npi": [1538692926]}]}]}, {"tin": {"type": "ein", "value": "834517050"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 76.0, "providers": [{"billed_charge": 76.0, "npi": [1386223048]}]}]}, {"tin": {"type": "ein", "value": "834598911"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 76.0, "providers": [{"billed_charge": 76.0, "npi": [1982871463]}]}]}, {"tin": {"type": "ein", "value": "843016310"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.24, "providers": [{"billed_charge": 114.0, "npi": [1336639699]}, {"billed_charge": 130.0, "npi": [1548751738]}]}, {"allowed_amount": 60.52, "providers": [{"billed_charge": 130.0, "npi": [1770052086]}]}]}, {"tin": {"type": "ein", "value": "843260711"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 55.54, "providers": [{"billed_charge": 77.0, "npi": [1578527701]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.84, "providers": [{"billed_charge": 43.0, "npi": [1255341897, 1972181675, 1629366612]}]}, {"allowed_amount": 55.54, "providers": [{"billed_charge": 134.62, "npi": [1306200613]}]}]}, {"tin": {"type": "ein", "value": "860220398"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.09, "providers": [{"billed_charge": 58.0, "npi": [1396131090]}]}, {"allowed_amount": 55.54, "providers": [{"billed_charge": 58.0, "npi": [1396131090]}]}]}, {"tin": {"type": "ein", "value": "860392561"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 78.65, "providers": [{"billed_charge": 139.62, "npi": [1629206065]}]}]}, {"tin": {"type": "ein", "value": "860657068"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 60.52, "providers": [{"billed_charge": 100.0, "npi": [1184286809]}]}]}, {"tin": {"type": "ein", "value": "860736282"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1659364016]}]}]}, {"tin": {"type": "ein", "value": "860783428"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 55.54, "providers": [{"billed_charge": 116.0, "npi": [1881855294]}]}, {"allowed_amount": 78.65, "providers": [{"billed_charge": 116.0, "npi": [1871718486]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.84, "providers": [{"billed_charge": 215.0, "npi": [1568857480, 1215161898, 1861688954]}]}, {"allowed_amount": 55.54, "providers": [{"billed_charge": 215.0, "npi": [1790763936]}]}, {"allowed_amount": 77.12, "providers": [{"billed_charge": 215.0, "npi": [1760894489]}]}, {"allowed_amount": 85.68, "providers": [{"billed_charge": 215.0, "npi": [1861688954]}]}, {"allowed_amount": 155.0, "providers": [{"billed_charge": 215.0, "npi": [1568857480]}]}]}, {"tin": {"type": "ein", "value": "881452661"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.84, "providers": [{"billed_charge": 122.15, "npi": [1215164280]}]}, {"allowed_amount": 128.52, "providers": [{"billed_charge": 122.15, "npi": [1215164280]}]}, {"allowed_amount": 143.1, "providers": [{"billed_charge": 122.15, "npi": [1215164280]}]}]}, {"tin": {"type": "ein", "value": "911822851"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.84, "providers": [{"billed_charge": 43.0, "npi": [1063478121]}]}]}, {"tin": {"type": "ein", "value": "933491126"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 49.24, "providers": [{"billed_charge": 105.0, "npi": [1124220397]}]}]}, {"tin": {"type": "ein", "value": "942880847"}, "billing_class": "professional", "service_codes": ["51"], "payments": [{"allowed_amount": 38.56, "providers": [{"billed_charge": 100.06, "npi": [1295122307, 1124682653, 1548973894]}]}, {"allowed_amount": 85.23, "providers": [{"billed_charge": 100.06, "npi": [1164946158]}]}]}, {"tin": {"type": "ein", "value": "943293742"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.84, "providers": [{"billed_charge": 147.0, "npi": [1871561761]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 529.01, "providers": [{"billed_charge": 1461.0, "npi": [1104002880, 1871910976, 1598844003, 1134746597, 1164881108, 1043510902, 1174188379, 1104130236, 1700302494]}]}]}, {"tin": {"type": "ein", "value": "205198811"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 427.9, "providers": [{"billed_charge": 832.0, "npi": [1497045769]}]}]}, {"tin": {"type": "ein", "value": "650913389"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 529.01, "providers": [{"billed_charge": 3806.0, "npi": [1962929133]}]}, {"allowed_amount": 567.48, "providers": [{"billed_charge": 3806.0, "npi": [1255395844]}]}, {"allowed_amount": 796.49, "providers": [{"billed_charge": 3806.0, "npi": [1992234736, 1770867061]}]}, {"allowed_amount": 2062.44, "providers": [{"billed_charge": 3806.0, "npi": [1689245086]}]}]}, {"tin": {"type": "ein", "value": "811156192"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 324.96, "providers": [{"billed_charge": 999.0, "npi": [1669423877, 1861879454]}]}, {"allowed_amount": 358.46, "providers": [{"billed_charge": 999.0, "npi": [1598945685]}]}, {"allowed_amount": 974.88, "providers": [{"billed_charge": 999.0, "npi": [1669423877]}]}, {"allowed_amount": 1624.8, "providers": [{"billed_charge": 999.0, "npi": [1518920701]}]}, {"allowed_amount": 1805.35, "providers": [{"billed_charge": 999.0, "npi": [1598945685]}]}, {"allowed_amount": 3574.56, "providers": [{"billed_charge": 999.0, "npi": [1669423877]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 244.57, "providers": [{"billed_charge": 439.0, "npi": [1548557507]}]}]}, {"tin": {"type": "ein", "value": "208106540"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 244.57, "providers": [{"billed_charge": 306.0, "npi": [1477737930]}]}]}, {"tin": {"type": "ein", "value": "650913389"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 244.57, "providers": [{"billed_charge": 1256.0, "npi": [1770867061]}]}, {"allowed_amount": 681.77, "providers": [{"billed_charge": 1256.0, "npi": [1255395844, 1114290996, 1770867061, 1841469046, 1578555959, 1861509465]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 254.36, "providers": [{"billed_charge": 458.0, "npi": [1124257787, 1508277708, 1588898845]}]}]}, {"tin": {"type": "ein", "value": "650913389"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 165.61, "providers": [{"billed_charge": 1309.0, "npi": [1407159809, 1114976388, 1316322118, 1407839046, 1881328649, 1962929133, 1841433711, 1235419920, 1013354489, 1437550555]}]}, {"allowed_amount": 177.64, "providers": [{"billed_charge": 1309.0, "npi": [1255395844]}]}, {"allowed_amount": 254.36, "providers": [{"billed_charge": 1309.0, "npi": [1992234736, 1114290996, 1770867061, 1841469046, 1578555959, 1861509465]}]}]}]}, {"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": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.7, "providers": [{"billed_charge": 713.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.58, "providers": [{"billed_charge": 120.0, "npi": [1558479212]}]}]}, {"tin": {"type": "ein", "value": "363332852"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.6, "providers": [{"billed_charge": 174.0, "npi": [1295710580]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.06, "providers": [{"billed_charge": 335.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.06, "providers": [{"billed_charge": 318.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.06, "providers": [{"billed_charge": 335.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.31, "providers": [{"billed_charge": 554.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.0, "providers": [{"billed_charge": 35.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.49, "providers": [{"billed_charge": 318.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "840417134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.7, "providers": [{"billed_charge": 272.5, "npi": [1417946021]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.93, "providers": [{"billed_charge": 106.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.06, "providers": [{"billed_charge": 175.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860732836"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 86.48, "providers": [{"billed_charge": 108.0, "npi": [1871566521]}]}]}]}, {"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": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.17, "providers": [{"billed_charge": 454.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.17, "providers": [{"billed_charge": 178.78, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.17, "providers": [{"billed_charge": 214.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.17, "providers": [{"billed_charge": 454.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 105.48, "providers": [{"billed_charge": 178.78, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 113.11, "providers": [{"billed_charge": 454.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 113.11, "providers": [{"billed_charge": 214.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 81.35, "providers": [{"billed_charge": 115.7, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "850127924"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 392.34, "providers": [{"billed_charge": 190.0, "npi": [1427058510]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 1288.21, "providers": [{"billed_charge": 89.2, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 113.11, "providers": [{"billed_charge": 341.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.17, "providers": [{"billed_charge": 431.11, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.17, "providers": [{"billed_charge": 154.25, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.17, "providers": [{"billed_charge": 117.67, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.17, "providers": [{"billed_charge": 66.8, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "866007695"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.17, "providers": [{"billed_charge": 179.16, "npi": [1336118322]}]}]}, {"tin": {"type": "ein", "value": "880159958"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.62, "providers": [{"billed_charge": 606.0, "npi": [1548250582]}]}]}, {"tin": {"type": "ein", "value": "953154530"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.59, "providers": [{"billed_charge": 59.59, "npi": [1962444059]}]}]}]}, {"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": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.16, "providers": [{"billed_charge": 843.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 81.97, "providers": [{"billed_charge": 319.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.35, "providers": [{"billed_charge": 1032.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.2, "providers": [{"billed_charge": 300.0, "npi": [1447368071]}]}, {"allowed_amount": 120.86, "providers": [{"billed_charge": 340.0, "npi": [1558479212]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.03, "providers": [{"billed_charge": 503.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.01, "providers": [{"billed_charge": 555.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "411404075"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.52, "providers": [{"billed_charge": 136.0, "npi": [1164400024]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.45, "providers": [{"billed_charge": 344.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "430688874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 120.81, "providers": [{"billed_charge": 285.0, "npi": [1184621211]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.84, "providers": [{"billed_charge": 436.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.03, "providers": [{"billed_charge": 410.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.03, "providers": [{"billed_charge": 503.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.57, "providers": [{"billed_charge": 455.0, "npi": [1649259656]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 84.48, "providers": [{"billed_charge": 555.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "562360411"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 376.47, "providers": [{"billed_charge": 579.0, "npi": [1477671535]}]}]}, {"tin": {"type": "ein", "value": "562462584"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.01, "providers": [{"billed_charge": 102.0, "npi": [1487652426]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.14, "providers": [{"billed_charge": 339.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 66.74, "providers": [{"billed_charge": 458.18, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 222.92, "providers": [{"billed_charge": 555.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.35, "providers": [{"billed_charge": 1032.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.35, "providers": [{"billed_charge": 410.0, "npi": [1609408665, 1265065445, 1982733655]}, {"billed_charge": 820.0, "npi": [1609408665, 1265065445]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 104.43, "providers": [{"billed_charge": 360.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.16, "providers": [{"billed_charge": 426.6, "npi": [1144781501]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.01, "providers": [{"billed_charge": 307.61, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.35, "providers": [{"billed_charge": 345.1, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 81.99, "providers": [{"billed_charge": 221.64, "npi": [1801591391]}]}]}, {"tin": {"type": "ein", "value": "840417134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 81.99, "providers": [{"billed_charge": 256.75, "npi": [1417946021]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.03, "providers": [{"billed_charge": 850.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.35, "providers": [{"billed_charge": 1032.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 123.35, "providers": [{"billed_charge": 385.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.01, "providers": [{"billed_charge": 406.0, "npi": [1902897820]}, {"billed_charge": 812.0, "npi": [1902897820]}, {"billed_charge": 1218.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.01, "providers": [{"billed_charge": 177.92, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.01, "providers": [{"billed_charge": 235.0, "npi": [1174512792]}]}, {"allowed_amount": 84.48, "providers": [{"billed_charge": 235.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 155.73, "providers": [{"billed_charge": 382.0, "npi": [1053684555]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.03, "providers": [{"billed_charge": 303.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.03, "providers": [{"billed_charge": 136.0, "npi": [1154392231]}, {"billed_charge": 232.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.03, "providers": [{"billed_charge": 307.61, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 128.98, "providers": [{"billed_charge": 728.0, "npi": [1447393152]}]}]}, {"tin": {"type": "ein", "value": "941322200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 113.0, "providers": [{"billed_charge": 113.0, "npi": [1396848677]}]}]}, {"tin": {"type": "ein", "value": "951183919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 376.47, "providers": [{"billed_charge": 685.0, "npi": [1780681189]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.31, "providers": [{"billed_charge": 854.39, "npi": [1457321317]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 98.31, "providers": [{"billed_charge": 440.0, "npi": [1902803315]}]}]}]}, {"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": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.99, "providers": [{"billed_charge": 1032.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 42.86, "providers": [{"billed_charge": 300.0, "npi": [1447368071]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.32, "providers": [{"billed_charge": 503.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.32, "providers": [{"billed_charge": 555.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.32, "providers": [{"billed_charge": 503.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.3, "providers": [{"billed_charge": 555.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.82, "providers": [{"billed_charge": 339.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.99, "providers": [{"billed_charge": 1032.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.99, "providers": [{"billed_charge": 340.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.99, "providers": [{"billed_charge": 345.1, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 52.67, "providers": [{"billed_charge": 228.98, "npi": [1801591391]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 139.99, "providers": [{"billed_charge": 364.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.32, "providers": [{"billed_charge": 406.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.32, "providers": [{"billed_charge": 166.06, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.32, "providers": [{"billed_charge": 279.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.32, "providers": [{"billed_charge": 213.0, "npi": [1154392231]}, {"billed_charge": 391.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.32, "providers": [{"billed_charge": 95.73, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 53.32, "providers": [{"billed_charge": 334.14, "npi": [1881352037]}]}]}]}, {"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": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 249.67, "providers": [{"billed_charge": 896.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.44, "providers": [{"billed_charge": 856.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 293.87, "providers": [{"billed_charge": 1032.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 92.78, "providers": [{"billed_charge": 400.0, "npi": [1447368071]}]}, {"allowed_amount": 207.55, "providers": [{"billed_charge": 445.0, "npi": [1558479212]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 538.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 914.0, "npi": [1851927669]}]}, {"allowed_amount": 334.87, "providers": [{"billed_charge": 914.0, "npi": [1184468696]}]}]}, {"tin": {"type": "ein", "value": "411404075"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.85, "providers": [{"billed_charge": 249.0, "npi": [1164400024]}]}]}, {"tin": {"type": "ein", "value": "420698295"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 316.17, "providers": [{"billed_charge": 347.0, "npi": [1720029333]}]}]}, {"tin": {"type": "ein", "value": "430688874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.52, "providers": [{"billed_charge": 443.0, "npi": [1184621211]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.67, "providers": [{"billed_charge": 436.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.67, "providers": [{"billed_charge": 440.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 442.0, "npi": [1992131734]}]}, {"allowed_amount": 555.37, "providers": [{"billed_charge": 442.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 538.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.66, "providers": [{"billed_charge": 569.0, "npi": [1649259656]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 190.89, "providers": [{"billed_charge": 914.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "542092552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 238.41, "providers": [{"billed_charge": 977.44, "npi": [1134187842]}]}]}, {"tin": {"type": "ein", "value": "562360411"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 579.0, "providers": [{"billed_charge": 579.0, "npi": [1477671535]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 145.49, "providers": [{"billed_charge": 339.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "590872594"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 172.23, "providers": [{"billed_charge": 490.0, "npi": [1982688230]}]}]}, {"tin": {"type": "ein", "value": "621114867"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.84, "providers": [{"billed_charge": 326.0, "npi": [1528052578]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 190.89, "providers": [{"billed_charge": 914.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 674.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 293.87, "providers": [{"billed_charge": 310.0, "npi": [1700910189]}, {"billed_charge": 1032.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 211.93, "providers": [{"billed_charge": 442.0, "npi": [1982733655]}]}, {"allowed_amount": 293.87, "providers": [{"billed_charge": 442.0, "npi": [1609408665, 1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 196.8, "providers": [{"billed_charge": 422.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "810378200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 254.36, "providers": [{"billed_charge": 282.0, "npi": [1245222306]}]}]}, {"tin": {"type": "ein", "value": "813040663"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 201.44, "providers": [{"billed_charge": 603.66, "npi": [1144781501]}]}]}, {"tin": {"type": "ein", "value": "820200895"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 571.0, "npi": [1992736649]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 454.33, "providers": [{"billed_charge": 454.35, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 293.87, "providers": [{"billed_charge": 883.17, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840417134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 595.85, "npi": [1417946021]}]}]}, {"tin": {"type": "ein", "value": "841103606"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 595.85, "npi": [1669461281]}]}]}, {"tin": {"type": "ein", "value": "841337350"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 254.36, "providers": [{"billed_charge": 315.0, "npi": [1649241571]}]}]}, {"tin": {"type": "ein", "value": "841343242"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 427.37, "npi": [1689624686]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 453.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 1030.4, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 293.87, "providers": [{"billed_charge": 1032.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "854247323"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.33, "providers": [{"billed_charge": 2890.25, "npi": [1871193664]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 406.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860107344"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 168.74, "providers": [{"billed_charge": 376.0, "npi": [1477653889]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 224.56, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 584.0, "npi": [1174512792]}]}, {"allowed_amount": 190.89, "providers": [{"billed_charge": 584.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 497.0, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860260959"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 223.18, "providers": [{"billed_charge": 419.0, "npi": [1053684555]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 450.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 240.0, "npi": [1154392231]}, {"billed_charge": 595.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 454.35, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "866007596"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 377.09, "providers": [{"billed_charge": 569.0, "npi": [1467138743]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 278.45, "providers": [{"billed_charge": 728.0, "npi": [1447393152]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 108.68, "providers": [{"billed_charge": 1030.4, "npi": [1275366122]}]}]}, {"tin": {"type": "ein", "value": "951115230"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.78, "providers": [{"billed_charge": 562.0, "npi": [1407813660]}]}]}, {"tin": {"type": "ein", "value": "951183919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 589.03, "providers": [{"billed_charge": 1016.0, "npi": [1780681189]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.78, "providers": [{"billed_charge": 972.27, "npi": [1376513754]}]}]}, {"tin": {"type": "ein", "value": "956006143"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 133.78, "providers": [{"billed_charge": 840.0, "npi": [1902803315]}]}]}, {"tin": {"type": "ein", "value": "956130458"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 386.57, "providers": [{"billed_charge": 560.0, "npi": [1013981554]}]}]}]}, {"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": "204480563"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 16.55, "providers": [{"billed_charge": 53.0, "npi": [1144252842]}]}, {"allowed_amount": 21.54, "providers": [{"billed_charge": 53.0, "npi": [1104980663]}]}]}, {"tin": {"type": "ein", "value": "208292834"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 17.29, "providers": [{"billed_charge": 21.0, "npi": [1780225854]}]}]}, {"tin": {"type": "ein", "value": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 87.74, "providers": [{"billed_charge": 393.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.52, "providers": [{"billed_charge": 440.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "311373080"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.95, "providers": [{"billed_charge": 153.0, "npi": [1467537886]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.62, "providers": [{"billed_charge": 795.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.0, "providers": [{"billed_charge": 280.0, "npi": [1447368071]}]}]}, {"tin": {"type": "ein", "value": "382589966"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.5, "providers": [{"billed_charge": 140.0, "npi": [1285662981]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.81, "providers": [{"billed_charge": 503.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "421437483"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.7, "providers": [{"billed_charge": 154.0, "npi": [1659348506]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 95.87, "providers": [{"billed_charge": 150.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "454611100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.62, "providers": [{"billed_charge": 29.02, "npi": [1962860999]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.81, "providers": [{"billed_charge": 410.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.81, "providers": [{"billed_charge": 503.0, "npi": [1154748416]}]}, {"allowed_amount": 112.81, "providers": [{"billed_charge": 503.0, "npi": [1114466950]}]}, {"allowed_amount": 124.66, "providers": [{"billed_charge": 503.0, "npi": [1275084030]}]}, {"allowed_amount": 137.1, "providers": [{"billed_charge": 503.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.89, "providers": [{"billed_charge": 682.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "581694098"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.6, "providers": [{"billed_charge": 311.0, "npi": [1427055821]}]}]}, {"tin": {"type": "ein", "value": "596012500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.62, "providers": [{"billed_charge": 291.0, "npi": [1245294826]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.49, "providers": [{"billed_charge": 435.73, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 141.89, "providers": [{"billed_charge": 682.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "621762545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 102.55, "providers": [{"billed_charge": 293.0, "npi": [1447299649]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.62, "providers": [{"billed_charge": 795.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.62, "providers": [{"billed_charge": 410.0, "npi": [1609408665, 1265065445, 1982733655]}]}, {"allowed_amount": 834.14, "providers": [{"billed_charge": 410.0, "npi": [1982733655]}]}, {"allowed_amount": 842.25, "providers": [{"billed_charge": 410.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 63.29, "providers": [{"billed_charge": 317.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "752905434"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 181.87, "providers": [{"billed_charge": 1.7, "npi": [1205882503]}]}]}, {"tin": {"type": "ein", "value": "756000439"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 129.64, "providers": [{"billed_charge": 221.0, "npi": [1992753222]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.57, "providers": [{"billed_charge": 328.1, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "832351753"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 60.09, "providers": [{"billed_charge": 301.0, "npi": [1801366711]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.62, "providers": [{"billed_charge": 397.57, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.52, "providers": [{"billed_charge": 239.37, "npi": [1043915523]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 75.52, "providers": [{"billed_charge": 107.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.81, "providers": [{"billed_charge": 750.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "852388743"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 196.9, "providers": [{"billed_charge": 207.0, "npi": [1760020044]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 119.62, "providers": [{"billed_charge": 260.0, "npi": [1841282852]}, {"billed_charge": 346.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 47.57, "providers": [{"billed_charge": 257.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.81, "providers": [{"billed_charge": 110.0, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.81, "providers": [{"billed_charge": 96.0, "npi": [1154392231]}, {"billed_charge": 261.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.55, "providers": [{"billed_charge": 40.55, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.81, "providers": [{"billed_charge": 328.1, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "866007596"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 234.35, "providers": [{"billed_charge": 264.0, "npi": [1194706655]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.62, "providers": [{"billed_charge": 90.0, "npi": [1801487061]}]}, {"allowed_amount": 74.02, "providers": [{"billed_charge": 90.0, "npi": [1508573304]}]}, {"allowed_amount": 125.09, "providers": [{"billed_charge": 90.0, "npi": [1447437942, 1972847598]}]}]}, {"tin": {"type": "ein", "value": "941196203"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 227.21, "providers": [{"billed_charge": 410.0, "npi": [1982733655]}]}, {"allowed_amount": 498.83, "providers": [{"billed_charge": 410.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 23.62, "providers": [{"billed_charge": 35.0, "npi": [1003849019]}]}]}]}, {"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": "232238976"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 58.46, "providers": [{"billed_charge": 336.0, "npi": [1467442418]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.02, "providers": [{"billed_charge": 213.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.77, "providers": [{"billed_charge": 100.0, "npi": [1447368071]}]}]}, {"tin": {"type": "ein", "value": "381405141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.5, "providers": [{"billed_charge": 31.0, "npi": [1295785285]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.34, "providers": [{"billed_charge": 286.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.06, "providers": [{"billed_charge": 330.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.99, "providers": [{"billed_charge": 34.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.34, "providers": [{"billed_charge": 205.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "522093120"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.05, "providers": [{"billed_charge": 17.05, "npi": [1144291899]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.53, "providers": [{"billed_charge": 330.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.83, "providers": [{"billed_charge": 148.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.86, "providers": [{"billed_charge": 230.04, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 55.53, "providers": [{"billed_charge": 330.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "626002166"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 27.88, "providers": [{"billed_charge": 91.0, "npi": [1275531956]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.02, "providers": [{"billed_charge": 213.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.02, "providers": [{"billed_charge": 205.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 97.53, "providers": [{"billed_charge": 582.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.34, "providers": [{"billed_charge": 359.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.02, "providers": [{"billed_charge": 220.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.06, "providers": [{"billed_charge": 191.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.06, "providers": [{"billed_charge": 134.45, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.06, "providers": [{"billed_charge": 128.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.34, "providers": [{"billed_charge": 70.67, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.34, "providers": [{"billed_charge": 132.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "900214335"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.36, "providers": [{"billed_charge": 108.0, "npi": [1194705202]}]}]}, {"tin": {"type": "ein", "value": "900942222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.06, "providers": [{"billed_charge": 139.0, "npi": [1194766543]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.34, "providers": [{"billed_charge": 359.0, "npi": [1275366122]}]}]}]}, {"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": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 80.78, "providers": [{"billed_charge": 145.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 33.89, "providers": [{"billed_charge": 92.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "350013748"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "381405141"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.0, "providers": [{"billed_charge": 45.0, "npi": [1295785285]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.28, "providers": [{"billed_charge": 224.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.28, "providers": [{"billed_charge": 1481.0, "npi": [1851927669]}]}, {"allowed_amount": 2590.58, "providers": [{"billed_charge": 1481.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.0, "providers": [{"billed_charge": 31.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.28, "providers": [{"billed_charge": 495.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.28, "providers": [{"billed_charge": 224.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.07, "providers": [{"billed_charge": 74.37, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.37, "providers": [{"billed_charge": 1481.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "581928247"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 72.08, "providers": [{"billed_charge": 201.0, "npi": [1992789721]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 112.87, "providers": [{"billed_charge": 164.75, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 166.37, "providers": [{"billed_charge": 1481.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721549752"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.18, "providers": [{"billed_charge": 906.0, "npi": [1346230323]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.0, "providers": [{"billed_charge": 50.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 90.25, "providers": [{"billed_charge": 495.0, "npi": [1609408665, 1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 64.5, "providers": [{"billed_charge": 387.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "742781812"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 79.84, "providers": [{"billed_charge": 930.0, "npi": [1720033947]}]}]}, {"tin": {"type": "ein", "value": "742870118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 146.19, "providers": [{"billed_charge": 782.0, "npi": [1447221742]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 397.79, "providers": [{"billed_charge": 397.79, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "822132538"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 41.48, "providers": [{"billed_charge": 240.0, "npi": [1649794421]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.18, "providers": [{"billed_charge": 281.0, "npi": [1801591391]}]}]}, {"tin": {"type": "ein", "value": "840438224"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 101.11, "providers": [{"billed_charge": 261.92, "npi": [1689688988]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.18, "providers": [{"billed_charge": 499.0, "npi": [1477531580]}]}, {"allowed_amount": 101.11, "providers": [{"billed_charge": 499.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "841337350"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 116.0, "providers": [{"billed_charge": 116.0, "npi": [1649241571]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 100.18, "providers": [{"billed_charge": 223.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.28, "providers": [{"billed_charge": 1055.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "856003005"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 69.0, "providers": [{"billed_charge": 69.0, "npi": [1689747552]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.28, "providers": [{"billed_charge": 284.5, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.28, "providers": [{"billed_charge": 286.52, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 65.6, "providers": [{"billed_charge": 65.6, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.28, "providers": [{"billed_charge": 186.36, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.28, "providers": [{"billed_charge": 131.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "861248931"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.78, "providers": [{"billed_charge": 161.0, "npi": [1699340927]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.28, "providers": [{"billed_charge": 397.79, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "880213754"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 87.0, "providers": [{"billed_charge": 87.0, "npi": [1124098421]}]}]}, {"tin": {"type": "ein", "value": "900942222"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.28, "providers": [{"billed_charge": 432.0, "npi": [1194766543]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.31, "providers": [{"billed_charge": 113.0, "npi": [1356528269]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.28, "providers": [{"billed_charge": 1055.0, "npi": [1275366122]}]}]}, {"tin": {"type": "ein", "value": "951183919"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 265.8, "providers": [{"billed_charge": 902.0, "npi": [1780681189]}]}]}, {"tin": {"type": "ein", "value": "956003843"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 76.31, "providers": [{"billed_charge": 135.19, "npi": [1457321317]}]}]}]}, {"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": "201291415"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 56.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 105.0, "npi": [1538162953, 1972559946, 1336128461, 1487645719, 1912167933, 1033366463]}]}]}, {"tin": {"type": "ein", "value": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 340.48, "providers": [{"billed_charge": 1149.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "310874388"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 48.42, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1134147358]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 56.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 100.0, "npi": [1881776821]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.8, "providers": [{"billed_charge": 1814.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.8, "providers": [{"billed_charge": 2984.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 56.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 324.0, "npi": [1255303962, 1568810802, 1427016468, 1033313630]}]}]}, {"tin": {"type": "ein", "value": "451775655"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 107.75, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.0, "npi": [1447430491]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.8, "providers": [{"billed_charge": 1809.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.8, "providers": [{"billed_charge": 1814.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "510483383"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 49.91, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 115.0, "npi": [1700077625]}]}]}, {"tin": {"type": "ein", "value": "593259553"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 29.68, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 86.0, "npi": [1730298837]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 221.93, "providers": [{"billed_charge": 2984.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23", "22", "21"], "payments": [{"allowed_amount": 56.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1841550316, 1558433870, 1891796082, 1326056599, 1033190202]}]}]}, {"tin": {"type": "ein", "value": "710781138"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 71.0, "npi": [1396779831]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 251.52, "providers": [{"billed_charge": 1809.0, "npi": [1609408665, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 21.8, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 81.0, "npi": [1821478025, 1790195014]}]}]}, {"tin": {"type": "ein", "value": "823328660"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 20.44, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 269.45, "npi": [1336127679]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.8, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 479.44, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 24.92, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 479.44, "npi": [1215305933]}]}]}, {"tin": {"type": "ein", "value": "860259248"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 28.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1811217375]}]}, {"allowed_amount": 29.95, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 134.0, "npi": [1710932199]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.8, "providers": [{"billed_charge": 866.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 50.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 197.0, "npi": [1003827007]}]}]}, {"tin": {"type": "ein", "value": "860817397"}, "billing_class": "professional", "service_codes": ["23", "22"], "payments": [{"allowed_amount": 28.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 73.05, "npi": [1841685435]}, {"billed_charge": 89.0, "npi": [1215914619]}, {"billed_charge": 479.44, "npi": [1215914619]}]}]}, {"tin": {"type": "ein", "value": "860882592"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 28.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 462.0, "npi": [1003805052]}]}]}, {"tin": {"type": "ein", "value": "860937650"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 5.41, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1780813105]}]}, {"allowed_amount": 50.7, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 90.0, "npi": [1609005289, 1174558092]}]}]}, {"tin": {"type": "ein", "value": "860943189"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 28.59, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 112.0, "npi": [1831161900]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 173.8, "providers": [{"billed_charge": 2961.0, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "871451688"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 215.31, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 215.31, "npi": [1124413869]}]}]}, {"tin": {"type": "ein", "value": "873202637"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 23.15, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 185.0, "npi": [1225611544]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 56.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 200.0, "npi": [1982815296, 1164460358, 1073812715, 1780908368, 1508094673, 1588668370, 1679991442, 1780872564, 1063433563, 1417975418, 1245218171]}]}]}, {"tin": {"type": "ein", "value": "920878951"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 67.3, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 79.0, "npi": [1144238379]}]}]}, {"tin": {"type": "ein", "value": "942494000"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 245.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 245.0, "npi": [1770543951]}]}]}, {"tin": {"type": "ein", "value": "954286056"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 646.81, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 673.0, "npi": [1538689021]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 56.07, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1962768457, 1144753658, 1669490413]}]}]}]}, {"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": "273962255"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 95.17, "providers": [{"billed_charge": 271.0, "npi": [1871632901]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 45.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 383.0, "npi": [1134178833, 1205464740, 1033313630]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.53, "providers": [{"billed_charge": 1366.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "481163756"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 53.16, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 116.0, "npi": [1588894315]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 175.68, "providers": [{"billed_charge": 2535.0, "npi": [1649259656]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 95.0, "npi": [1639343759, 1003479197, 1326056599]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 251.26, "providers": [{"billed_charge": 1366.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.53, "providers": [{"billed_charge": 1451.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 59.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 229.0, "npi": [1235427857]}]}]}, {"tin": {"type": "ein", "value": "866007695"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 72.18, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 92.0, "npi": [1821169509]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 313.2, "npi": [1912939679, 1063433563, 1154764462, 1750743951]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 230.53, "providers": [{"billed_charge": 3024.0, "npi": [1275366122]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 45.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1881875896, 1821293747, 1578941597]}]}]}]}, {"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": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 168.0, "npi": [1598750747]}]}]}, {"tin": {"type": "ein", "value": "363332852"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 335.03, "providers": [{"billed_charge": 670.0, "npi": [1295710580]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 245.61, "providers": [{"billed_charge": 1572.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 550.0, "npi": [1700834777]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 245.61, "providers": [{"billed_charge": 1521.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 245.61, "providers": [{"billed_charge": 1572.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1013181924, 1558433870]}]}, {"allowed_amount": 84.73, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 138.0, "npi": [1558433870]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 252.44, "providers": [{"billed_charge": 1004.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 252.44, "providers": [{"billed_charge": 1521.0, "npi": [1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 395.99, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1364.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 252.44, "providers": [{"billed_charge": 1183.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 245.61, "providers": [{"billed_charge": 1292.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860334996"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 245.61, "providers": [{"billed_charge": 1036.0, "npi": [1518968767]}]}]}, {"tin": {"type": "ein", "value": "860817397"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 33.24, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 133.0, "npi": [1043416654]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 79.25, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 165.6, "npi": [1679991442, 1245218171]}]}]}, {"tin": {"type": "ein", "value": "952639291"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 43.22, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 176.0, "npi": [1295893691]}]}]}]}, {"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": "363332852"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 325.0, "providers": [{"billed_charge": 643.0, "npi": [1295710580]}]}]}, {"tin": {"type": "ein", "value": "364015560"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 46.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 163.0, "npi": [1114411584]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 147.06, "providers": [{"billed_charge": 1386.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 419.0, "npi": [1700834777]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 147.06, "providers": [{"billed_charge": 1230.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 147.06, "providers": [{"billed_charge": 1386.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 104.0, "npi": [1558433870]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 247.01, "providers": [{"billed_charge": 1334.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 247.01, "providers": [{"billed_charge": 1230.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 62.63, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 152.0, "npi": [1326484114, 1427213271]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 350.43, "billing_code_modifier": ["TC"], "providers": [{"billed_charge": 1368.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 247.01, "providers": [{"billed_charge": 1054.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 147.06, "providers": [{"billed_charge": 1247.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 65.57, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 251.0, "npi": [1609938281]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 123.6, "npi": [1679991442, 1245218171]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 61.84, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 151.0, "npi": [1285054064, 1376906958, 1194847038]}]}]}]}, {"name": "Ultrasound, transvaginal", "billing_code_type": "CPT", "billing_code": "76830", "billing_code_type_version": "2022", "description": "US TRANSVAGINAL", "allowed_amounts": [{"tin": {"type": "ein", "value": "273962255"}, "billing_class": "professional", "service_codes": ["11"], "payments": [{"allowed_amount": 111.3, "providers": [{"billed_charge": 279.0, "npi": [1871632901]}]}]}, {"tin": {"type": "ein", "value": "332391862"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 118.0, "npi": [1902878895]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 231.51, "providers": [{"billed_charge": 1334.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "392186406"}, "billing_class": "professional", "service_codes": ["23", "21"], "payments": [{"allowed_amount": 54.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 383.0, "npi": [1134178833, 1205464740, 1033313630]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 244.18, "providers": [{"billed_charge": 1313.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 244.18, "providers": [{"billed_charge": 1386.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "651205795"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 96.0, "npi": [1326056599, 1003479197, 1639343759]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 231.51, "providers": [{"billed_charge": 1334.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 231.51, "providers": [{"billed_charge": 1313.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 244.18, "providers": [{"billed_charge": 1233.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860423896"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 70.05, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 234.0, "npi": [1235427857]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 244.18, "providers": [{"billed_charge": 590.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 31.19, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 244.0, "npi": [1215461868]}]}]}, {"tin": {"type": "ein", "value": "911853574"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 313.2, "npi": [1063433563, 1427272756]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 244.18, "providers": [{"billed_charge": 3208.0, "npi": [1275366122]}]}]}, {"tin": {"type": "ein", "value": "994069823"}, "billing_class": "professional", "service_codes": ["23"], "payments": [{"allowed_amount": 54.0, "billing_code_modifier": ["26"], "providers": [{"billed_charge": 139.0, "npi": [1881875896, 1821293747, 1578941597]}]}]}]}, {"name": "Urea nitrogen; quantitative", "billing_code_type": "CPT", "billing_code": "84520", "billing_code_type_version": "2022", "description": "ASSAY OF UREA NITROGEN QUANTITATIVE", "allowed_amounts": [{"tin": {"type": "ein", "value": "132997301"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 13.97, "providers": [{"billed_charge": 35.0, "npi": [1104982917]}]}]}, {"tin": {"type": "ein", "value": "314394942"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.0, "providers": [{"billed_charge": 9.0, "npi": [1467484972]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.84, "providers": [{"billed_charge": 60.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.84, "providers": [{"billed_charge": 60.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "626002166"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.18, "providers": [{"billed_charge": 31.0, "npi": [1275531956]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 14.52, "providers": [{"billed_charge": 47.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.84, "providers": [{"billed_charge": 159.0, "npi": [1760480503]}]}]}]}, {"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": "205245674"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.3, "providers": [{"billed_charge": 221.09, "npi": [1871501916]}]}]}, {"tin": {"type": "ein", "value": "231352685"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.55, "providers": [{"billed_charge": 132.0, "npi": [1851370910]}]}]}, {"tin": {"type": "ein", "value": "232829095"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.55, "providers": [{"billed_charge": 47.0, "npi": [1215916002]}]}]}, {"tin": {"type": "ein", "value": "232973511"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.57, "providers": [{"billed_charge": 497.0, "npi": [1417947490]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.95, "providers": [{"billed_charge": 319.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "362169147"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 8.79, "providers": [{"billed_charge": 70.0, "npi": [1558479212]}]}]}, {"tin": {"type": "ein", "value": "363332852"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 28.15, "providers": [{"billed_charge": 275.0, "npi": [1295710580]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.65, "providers": [{"billed_charge": 98.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.57, "providers": [{"billed_charge": 359.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.08, "providers": [{"billed_charge": 85.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.65, "providers": [{"billed_charge": 164.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.65, "providers": [{"billed_charge": 98.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "473448483"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.37, "providers": [{"billed_charge": 65.0, "npi": [1164102794]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 9.26, "providers": [{"billed_charge": 160.0, "npi": [1649259656]}]}]}, {"tin": {"type": "ein", "value": "520491660"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 26.77, "providers": [{"billed_charge": 26.77, "npi": [1720175623]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.91, "providers": [{"billed_charge": 359.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "542092552"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 59.63, "providers": [{"billed_charge": 431.1, "npi": [1134187842]}]}]}, {"tin": {"type": "ein", "value": "550383321"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 35.46, "providers": [{"billed_charge": 71.0, "npi": [1457389249]}]}]}, {"tin": {"type": "ein", "value": "560928089"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.59, "providers": [{"billed_charge": 47.0, "npi": [1447200233]}]}]}, {"tin": {"type": "ein", "value": "610444707"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.64, "providers": [{"billed_charge": 52.8, "npi": [1730264128]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 78.91, "providers": [{"billed_charge": 359.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.95, "providers": [{"billed_charge": 319.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.95, "providers": [{"billed_charge": 164.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "741161938"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 73.54, "providers": [{"billed_charge": 262.0, "npi": [1184622847]}]}]}, {"tin": {"type": "ein", "value": "742870118"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.37, "providers": [{"billed_charge": 392.0, "npi": [1447221742]}]}]}, {"tin": {"type": "ein", "value": "840417134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.57, "providers": [{"billed_charge": 78.1, "npi": [1417946021]}]}]}, {"tin": {"type": "ein", "value": "852263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.95, "providers": [{"billed_charge": 319.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "860096775"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 24.95, "providers": [{"billed_charge": 157.0, "npi": [1841282852]}]}]}, {"tin": {"type": "ein", "value": "860110232"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.57, "providers": [{"billed_charge": 121.56, "npi": [1780635078]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.57, "providers": [{"billed_charge": 124.0, "npi": [1174512792]}]}, {"allowed_amount": 78.91, "providers": [{"billed_charge": 124.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.65, "providers": [{"billed_charge": 43.79, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.65, "providers": [{"billed_charge": 80.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860732836"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 38.0, "providers": [{"billed_charge": 38.0, "npi": [1871566521]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.65, "providers": [{"billed_charge": 35.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.0, "providers": [{"billed_charge": 11.0, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "860957500"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 216.95, "providers": [{"billed_charge": 121.0, "npi": [1841224870]}]}]}, {"tin": {"type": "ein", "value": "871142127"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.01, "providers": [{"billed_charge": 96.0, "npi": [1073183141]}]}]}, {"tin": {"type": "ein", "value": "871737544"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.57, "providers": [{"billed_charge": 690.0, "npi": [1750092110]}]}]}, {"tin": {"type": "ein", "value": "880059427"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.18, "providers": [{"billed_charge": 469.0, "npi": [1447393152]}]}]}, {"tin": {"type": "ein", "value": "933025713"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 31.65, "providers": [{"billed_charge": 690.0, "npi": [1275366122]}]}]}, {"tin": {"type": "ein", "value": "941196203"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 99.64, "providers": [{"billed_charge": 164.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "941322200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 96.0, "providers": [{"billed_charge": 96.0, "npi": [1396848677]}]}]}, {"tin": {"type": "ein", "value": "956130458"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.3, "providers": [{"billed_charge": 73.0, "npi": [1013981554]}]}]}]}, {"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": "210634462"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 17.8, "providers": [{"billed_charge": 100.0, "npi": [1568442309]}]}]}, {"tin": {"type": "ein", "value": "352263845"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.52, "providers": [{"billed_charge": 97.0, "npi": [1992735088]}]}]}, {"tin": {"type": "ein", "value": "364827272"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.66, "providers": [{"billed_charge": 438.9, "npi": [1578007514]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.47, "providers": [{"billed_charge": 91.0, "npi": [1689121188]}]}, {"allowed_amount": 193.93, "providers": [{"billed_charge": 91.0, "npi": [1932737277]}]}]}, {"tin": {"type": "ein", "value": "384088744"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.42, "providers": [{"billed_charge": 149.0, "npi": [1851927669]}]}]}, {"tin": {"type": "ein", "value": "430688874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 16.28, "providers": [{"billed_charge": 68.0, "npi": [1184621211]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.51, "providers": [{"billed_charge": 271.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "440661018"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.51, "providers": [{"billed_charge": 50.0, "npi": [1467595793]}]}]}, {"tin": {"type": "ein", "value": "461236453"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.85, "providers": [{"billed_charge": 9.0, "npi": [1942568597]}]}, {"allowed_amount": 3.08, "providers": [{"billed_charge": 9.0, "npi": [1841819877]}]}]}, {"tin": {"type": "ein", "value": "463096009"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 1.85, "providers": [{"billed_charge": 9.51, "npi": [1740966241]}]}]}, {"tin": {"type": "ein", "value": "463164188"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 1.91, "providers": [{"billed_charge": 35.0, "npi": [1134546575]}]}]}, {"tin": {"type": "ein", "value": "463533638"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.47, "providers": [{"billed_charge": 111.0, "npi": [1992131734]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.47, "providers": [{"billed_charge": 91.0, "npi": [1154748416]}]}, {"allowed_amount": 405.45, "providers": [{"billed_charge": 91.0, "npi": [1275084030]}]}]}, {"tin": {"type": "ein", "value": "522379881"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.7, "providers": [{"billed_charge": 149.0, "npi": [1386697688]}]}]}, {"tin": {"type": "ein", "value": "581954432"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 57.53, "providers": [{"billed_charge": 100.0, "npi": [1952340994]}]}]}, {"tin": {"type": "ein", "value": "621762430"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 32.7, "providers": [{"billed_charge": 149.0, "npi": [1487607784]}]}]}, {"tin": {"type": "ein", "value": "621762545"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 122.85, "providers": [{"billed_charge": 351.0, "npi": [1447299649]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.52, "providers": [{"billed_charge": 97.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.52, "providers": [{"billed_charge": 111.0, "npi": [1609408665, 1265065445, 1982733655]}]}]}, {"tin": {"type": "ein", "value": "800348943"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.79, "providers": [{"billed_charge": 5.0, "npi": [1093974552]}]}]}, {"tin": {"type": "ein", "value": "812838296"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.05, "providers": [{"billed_charge": 10.0, "npi": [1255221677]}]}]}, {"tin": {"type": "ein", "value": "821703810"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.42, "providers": [{"billed_charge": 194.47, "npi": [1356818496]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 18.52, "providers": [{"billed_charge": 128.0, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840405257"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.71, "providers": [{"billed_charge": 36.12, "npi": [1720096092]}]}]}, {"tin": {"type": "ein", "value": "841179794"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 34.57, "providers": [{"billed_charge": 47.0, "npi": [1477531580]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.66, "providers": [{"billed_charge": 65.0, "npi": [1215913470]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.79, "providers": [{"billed_charge": 8.0, "npi": [1558885327]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.47, "providers": [{"billed_charge": 545.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "854247323"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 29.76, "providers": [{"billed_charge": 606.97, "npi": [1871193664]}]}]}, {"tin": {"type": "ein", "value": "860098923"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.42, "providers": [{"billed_charge": 70.0, "npi": [1902897820]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.47, "providers": [{"billed_charge": 66.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "861248931"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 11.08, "providers": [{"billed_charge": 42.0, "npi": [1699340927]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 19.47, "providers": [{"billed_charge": 194.47, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "934895258"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 2.09, "providers": [{"billed_charge": 20.0, "npi": [1861738825]}]}, {"allowed_amount": 2.38, "providers": [{"billed_charge": 20.0, "npi": [1154210987]}]}]}, {"tin": {"type": "ein", "value": "942854057"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 3.08, "providers": [{"billed_charge": 6.0, "npi": [1003849019]}]}]}]}, {"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": "204044472"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 93.61, "providers": [{"billed_charge": 30.0, "npi": [1568688992]}]}, {"allowed_amount": 96.23, "providers": [{"billed_charge": 30.0, "npi": [1164054904]}]}]}, {"tin": {"type": "ein", "value": "383990879"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.21, "providers": [{"billed_charge": 364.0, "npi": [1689121188]}]}]}, {"tin": {"type": "ein", "value": "430688874"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.8, "providers": [{"billed_charge": 165.0, "npi": [1184621211]}]}]}, {"tin": {"type": "ein", "value": "440545297"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.52, "providers": [{"billed_charge": 387.0, "npi": [1063494177]}]}]}, {"tin": {"type": "ein", "value": "454611100"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 10.66, "providers": [{"billed_charge": 15.0, "npi": [1821839952]}]}]}, {"tin": {"type": "ein", "value": "471587223"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.21, "providers": [{"billed_charge": 364.0, "npi": [1154748416]}]}]}, {"tin": {"type": "ein", "value": "473255211"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 40.0, "providers": [{"billed_charge": 40.0, "npi": [1265813075]}]}]}, {"tin": {"type": "ein", "value": "473588569"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 7.06, "providers": [{"billed_charge": 25.83, "npi": [1982091617]}]}]}, {"tin": {"type": "ein", "value": "481202402"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 44.54, "providers": [{"billed_charge": 287.0, "npi": [1649259656]}]}]}, {"tin": {"type": "ein", "value": "541882269"}, "billing_class": "professional", "service_codes": ["81"], "payments": [{"allowed_amount": 25.0, "providers": [{"billed_charge": 25.0, "npi": [1912903717]}]}]}, {"tin": {"type": "ein", "value": "562462584"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.0, "providers": [{"billed_charge": 30.0, "npi": [1487652426]}]}]}, {"tin": {"type": "ein", "value": "590724459"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 48.38, "providers": [{"billed_charge": 270.0, "npi": [1306938071]}]}]}, {"tin": {"type": "ein", "value": "721561132"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 67.76, "providers": [{"billed_charge": 469.0, "npi": [1700910189]}]}]}, {"tin": {"type": "ein", "value": "721561134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 67.76, "providers": [{"billed_charge": 277.0, "npi": [1982733655]}]}]}, {"tin": {"type": "ein", "value": "833547294"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 46.75, "providers": [{"billed_charge": 254.15, "npi": [1609496397]}]}]}, {"tin": {"type": "ein", "value": "840417134"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 50.88, "providers": [{"billed_charge": 183.1, "npi": [1417946021]}]}]}, {"tin": {"type": "ein", "value": "850105601"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 8.0, "providers": [{"billed_charge": 21.0, "npi": [1033614383]}]}]}, {"tin": {"type": "ein", "value": "850928319"}, "billing_class": "professional", "service_codes": ["20"], "payments": [{"allowed_amount": 64.77, "providers": [{"billed_charge": 24.0, "npi": [1487278313]}]}]}, {"tin": {"type": "ein", "value": "851516898"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.21, "providers": [{"billed_charge": 684.0, "npi": [1518539048]}]}]}, {"tin": {"type": "ein", "value": "860137567"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.21, "providers": [{"billed_charge": 160.0, "npi": [1174512792]}, {"billed_charge": 176.0, "npi": [1174512792]}]}]}, {"tin": {"type": "ein", "value": "860212139"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 30.37, "providers": [{"billed_charge": 30.37, "npi": [1083643738]}]}]}, {"tin": {"type": "ein", "value": "860422559"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.21, "providers": [{"billed_charge": 119.0, "npi": [1760480503]}]}]}, {"tin": {"type": "ein", "value": "860800150"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 43.0, "providers": [{"billed_charge": 43.0, "npi": [1154392231]}]}]}, {"tin": {"type": "ein", "value": "860810876"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 25.83, "providers": [{"billed_charge": 25.83, "npi": [1225023179]}]}]}, {"tin": {"type": "ein", "value": "862195601"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 70.21, "providers": [{"billed_charge": 143.36, "npi": [1881352037]}]}]}, {"tin": {"type": "ein", "value": "911352172"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 51.69, "providers": [{"billed_charge": 76.0, "npi": [1356528269]}]}]}, {"tin": {"type": "ein", "value": "941322200"}, "billing_class": "institutional", "service_codes": [null], "payments": [{"allowed_amount": 45.0, "providers": [{"billed_charge": 45.0, "npi": [1396848677]}]}]}]}, {"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": "264252891"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.63, "providers": [{"billed_charge": 40.02, "npi": [1952396400]}]}]}, {"tin": {"type": "ein", "value": "320339230"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.63, "providers": [{"billed_charge": 85.0, "npi": [1154373793, 1720020431]}]}]}, {"tin": {"type": "ein", "value": "332811950"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.63, "providers": [{"billed_charge": 72.43, "npi": [1598778177, 1205065927, 1427431147, 1861681231]}]}]}, {"tin": {"type": "ein", "value": "383972250"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.63, "providers": [{"billed_charge": 85.0, "npi": [1801013016]}]}]}, {"tin": {"type": "ein", "value": "454510726"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.22, "providers": [{"billed_charge": 84.44, "npi": [1457560492]}]}, {"allowed_amount": 230.2, "providers": [{"billed_charge": 84.44, "npi": [1457560492]}]}, {"allowed_amount": 290.64, "providers": [{"billed_charge": 84.44, "npi": [1457560492]}]}]}, {"tin": {"type": "ein", "value": "474197280"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.63, "providers": [{"billed_charge": 53.04, "npi": [1356560874]}]}]}, {"tin": {"type": "ein", "value": "591634257"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 57.96, "providers": [{"billed_charge": 75.0, "npi": [1326120924, 1679696983]}]}]}, {"tin": {"type": "ein", "value": "710860090"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 38.04, "providers": [{"billed_charge": 96.0, "npi": [1689036329]}]}]}, {"tin": {"type": "ein", "value": "742161737"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 42.66, "providers": [{"billed_charge": 168.0, "npi": [1447340120, 1255863601, 1013307834]}]}]}, {"tin": {"type": "ein", "value": "811894977"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.63, "providers": [{"billed_charge": 110.0, "npi": [1912152687]}]}]}, {"tin": {"type": "ein", "value": "813724824"}, "billing_class": "professional", "service_codes": ["22"], "payments": [{"allowed_amount": 39.63, "providers": [{"billed_charge": 70.0, "npi": [1447573191]}]}]}, {"tin": {"type": "ein", "value": "825058478"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.63, "providers": [{"billed_charge": 85.0, "npi": [1922234228]}]}]}, {"tin": {"type": "ein", "value": "844935945"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.63, "providers": [{"billed_charge": 100.0, "npi": [1598778177, 1093769689]}]}]}, {"tin": {"type": "ein", "value": "854102013"}, "billing_class": "professional", "service_codes": ["21"], "payments": [{"allowed_amount": 39.63, "providers": [{"billed_charge": 64.0, "npi": [1699187807]}]}]}]}]}